Matthew Pittman

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Traditionally, epiphrenic diverticula have been managed through a left thoracotomy. With the advancement of minimally invasive techniques, a laparoscopic approach has gained widespread popularity. Unfortunately, the preoperative evaluation of patients with epiphrenic diverticula, and their surgical management, is still not well characterized. The goal of(More)
BACKGROUND The biologic mechanisms by which laparoscopic antireflux surgery (LARS) might influence the inflammatory process leading to bronchiolitis obliterans syndrome are unknown. We hypothesized that LARS alters the pulmonary immune profile in lung transplant patients with gastroesophageal reflux disease. METHODS In 8 lung transplant patients with(More)
The author relates experience gained in developing tightly constrained, custom object-oriented systems, in which success depends on delivering a functional system on time and on budget, often for a fixed price. Many of the systems developed had the additional constraint of real-time requirements, and most had some kind of reuse goals. The organization,(More)
Social media use continues to grow and is especially prevalent among young adults. It is surprising then that, in spite of this enhanced interconnectivity, young adults may be lonelier than other age groups, and that the current generation may be the loneliest ever. We propose that only image-based platforms (e.g., Instagram, Snapchat) have the potential to(More)
The aim of this paper is to illustrate a rare case of primary aortoenteric fistula in the presence of disseminated infection and review the critical decision-making process. A clinical case was reviewed for its initial presentation, planning of treatment strategy and outcome. A secondary literature search for discussion on current accepted recommendations(More)
Umbilical hernias are well described in the literature, but its impact on health care is less understood. The purpose of this study was to investigate the effect of non-operative management of umbilical hernias on cost, work absenteeism, and resource utilization. The Truven Health Database, consisting of 279 employers and over 3000 hospitals, was reviewed(More)
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