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Advances in endobariatrics:past,present,and future

Gastroenterology report 2023年第1期11卷 140-150页

作者： Abhishek Shenoy allison r.schulman Division of Gastroenterology and Hepatology University of MichiganMichigan MedicineAnn ArborMIUSA Department of Surgery University of MichiganMichigan MedicineAnn ArborMIUSA

The obesity epidemic in the USA and worldwide is well documented and continues to *** metabolic and bariatric therapies may offer a less invasive approach than surgical *** article will review advances in endobariatrics over the last several decades,addressing the past and current state of bariatric and metabolic *** and Drug Administration-cleared devices and interventions currently under investigation are described including gastric devices,gastric remodeling procedures,small-bowel devices,duodenal ablation,as well as procedures to address weight regain after bariatric *** studies evaluating gastric and duodenal combination therapy,adjunctive pharmacotherapy,as well as individualized precision-health algorithms are underway.

关键词： metabolic devices endoscopic sleeve gastroplasty obesity endobariatrics bariatric therapy

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Assessment of the July effect in post-endoscopic retrograde cholangiopancreatography pancreatitis:Nationwide Inpatient Sample

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World Journal of Gastrointestinal Endoscopy 2017年第7期9卷 296-303页

作者： allison r schulman Marwan S Abougergi Christopher C Thompson Division of Gastroenterology Hepatology and EndoscopyBrigham and Women’s HospitalHarvard Medical School Catalyst Medical Consulting LLC

To assess incidence of post-endoscopic retrograde cholangiopancreatography (post-ErCP) pancreatitis in the early (July/August/September) vs the late (April/May/June) academic year and evaluate in-hospital mortality, length of stay (LOS), and total hospitalization charge between these time periods. METHODSThis was a retrospective cohort study using the 2012 Nationwide Inpatient Sample (NIS). Patients with International Classification of Diseases, 9th revision, Clinical Modification (ICD-9 CM) procedure codes for ErCP were included. Patients were excluded from the study if they had an ICD-9 CM code for a principal diagnosis of acute pancreatitis, if the ErCP was performed before or on the day of admission or if they were admitted to non-teaching hospitals. Post-ErCP pancreatitis was defined as an ICD-9 CM code for a secondary diagnosis of acute pancreatitis in patients who received an ErCP as delineated above. ErCPs performed during the months of July, August and September was compared to those performed in April, May and June in academic hospitals. ErCPs performed at academic hospitals during the early vs late year were compared. Primary outcome was incidence of post-ErCP pancreatitis. Secondary outcomes included in-hospital mortality, length LOS, and total hospitalization charge. Proportions were compared using fisher’s exact test and continuous variables using student t-test. Multivariable regression was performed. rESULTSFrom the 36480032 hospitalizations in 2012 in the United States, 6248 were included in the study (3065 in July/August/September and 3183 in April/May/June) in the 2012 academic year. Compared with patients admitted in July/August/September, patients admitted in April/May/June had no statistical difference in all variables including mean age, percent female, Charleston comorbidity index, race, median income, and hospital characteristics including region, bed size, and location. Incidence of post-ErCP pancreatitis in early vs late academi

关键词： Pancreatitis Academic training Endoscopic retrograde cholangiopancreatography Endoscopy July effect

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