Michael D. Michel

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Laparoscopic sleeve gastrectomy (LSG) has gained significant popularity in the USA, and consequently resulted in patients experiencing new-onset gastroesophageal reflux disease (GERD) following this bariatric procedure. Patients with GERD refractory to medical therapy present a more challenging situation limiting the surgical options to further treat the de(More)
BACKGROUND A major complication of lung resection is prolonged leaking at the staple line. Staple-line reinforcement is performed routinely during these procedures using bovine pericardium (peri-strips) and expanded polytetrafluorethylene. Both materials have been shown previously to increase staple-line durability and reduce the overall incidence of(More)
Pneumonia and tracheal aspiration remain problematic following esophagectomy. We hypothesized that the incidence of postesophagectomy pneumonia occurs in part because of swallowing dysfunction and more importantly silent tracheobronchial aspiration. Therefore, we instituted a routine prospective formal swallowing evaluation to determine if the aspiration(More)
OBJECTIVE We report a case of a 21-year-old man who presented with the unusual symptoms of heart failure and was found to have an anterior mediastinal yolk sac tumor. METHODS A review of the literature using the Ovid search engine was performed. RESULTS The patient was treated with the current standard of neoadjuvant chemotherapy: bleomycin, etoposide,(More)
A 22-year-old Airman was presented to the clinic with new onset abdominal pain, which revealed to be well-differentiated hepatocellular carcinoma. Hepatocellular carcinoma in a young patient with no cirrhosis or fibrosis is a relatively rare diagnosis with possible relationship to exercise supplement use. With the high incidence of supplement use in the(More)
Supervising Section Editor: Rick A. McPheeters, DO Submission history: Submitted July 1, 2012; Revisions received October 5, 2012; Accepted October 26, 2012 Full text available through open access at http://escholarship.org/uc/uciem_westjem DOI: 10.5811/westjem.2012.10.12906 [West J Emerg Med 2013;14(2):165-167.] Michael D. Michel, MD Louise W. Kao, MD(More)
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