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Drewelow A, Pai A, Hanada S, El Abiad R, Swatek A, Bashir MA, Parekh KR, Arshava EV. Esophagopericardial fistula complicated by tension pyopericardium managed with a 3-incision esophagectomy. JTCVS Tech 2023; 22:312-316. [PMID: 38152212 PMCID: PMC10750869 DOI: 10.1016/j.xjtc.2023.09.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Revised: 08/19/2023] [Accepted: 09/05/2023] [Indexed: 12/29/2023] Open
Affiliation(s)
- Alyssa Drewelow
- University of Iowa Carver College of Medicine, Iowa City, Iowa
| | - Albert Pai
- Department of Cardiothoracic Surgery, University of Iowa Carver College of Medicine, Iowa City, Iowa
| | - Satoshi Hanada
- Department of Anesthesia, University of Iowa Carver College of Medicine, Iowa City, Iowa
| | - Rami El Abiad
- Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa
| | - Anthony Swatek
- Department of Cardiothoracic Surgery, University of Iowa Carver College of Medicine, Iowa City, Iowa
| | - Mohammad A. Bashir
- Department of Cardiothoracic Surgery, University of Iowa Carver College of Medicine, Iowa City, Iowa
| | - Kalpaj R. Parekh
- Department of Cardiothoracic Surgery, University of Iowa Carver College of Medicine, Iowa City, Iowa
| | - Evgeny V. Arshava
- Department of Cardiothoracic Surgery, University of Iowa Carver College of Medicine, Iowa City, Iowa
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Wu CCH, Brindise E, Abiad RE, Khashab MA. The Role of Endoscopic Management in Afferent Loop Syndrome. Gut Liver 2023; 17:351-359. [PMID: 36578193 PMCID: PMC10191797 DOI: 10.5009/gnl220205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Revised: 09/11/2022] [Accepted: 10/07/2022] [Indexed: 12/30/2022] Open
Abstract
Afferent loop syndrome (ALS) is a morbid complication that may occur after gastrectomy and gastrojejunostomy reconstruction. The aim of this article is to review the different endoscopic treatment options of ALS. We describe the evolution of the endoscopic treatment of ALS and its limitations despite the overall propitious profile. We analyze the advantages of endoscopic ultrasound-guided entero-enterostomy (EUS EE) over enteroscopy-guided intervention, and the clinical outcomes of EUS EE. We expound on pre-procedural considerations, intra-procedural techniques and post-procedural care following EUS EE. We conclude that given the simplification of the technique and the ability to place a stent away from the tumor, EUS EE is a promising technique that will likely be established as the treatment of choice for ALS.
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Affiliation(s)
- Clement Chun Ho Wu
- Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore
- Duke-NUS Medical School, Singapore
| | - Elizabeth Brindise
- Division of Gastroenterology and Hepatology, Department of Medicine, University of Iowa, Iowa City, IA, USA
| | - Rami El Abiad
- Division of Gastroenterology and Hepatology, Department of Medicine, University of Iowa, Iowa City, IA, USA
| | - Mouen A. Khashab
- Division of Gastroenterology and Hepatology, The Johns Hopkins Hospital, Baltimore, MD, USA
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Rizkallah M, Assi A, El Abiad R, Adib S, Ghanem I. Comments on: "From statistical significance to clinical relevance: The contribution of new assessment instruments" of S Klouche, S Putman, E Cavaignac, X Bayle-Iniguez, J Murgier published in Orthop Traumatol Surg Res. 2021 May;107(3):102879. doi: 10.1016/j.otsr.2021.102879. From statistical significance to clinical relevance: What about the objective outcomes? Orthop Traumatol Surg Res 2022; 108:103334. [PMID: 35605935 DOI: 10.1016/j.otsr.2022.103334] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/17/2022] [Accepted: 05/17/2022] [Indexed: 02/03/2023]
Affiliation(s)
| | - Ayman Assi
- Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon
| | - Rami El Abiad
- Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon; Department of Orthopedic Surgery, Hôtel-Dieu de France University Hospital, Saint-Joseph University, Beirut, Lebanon
| | - Salim Adib
- Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
| | - Ismat Ghanem
- Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon; Department of Orthopedic Surgery, Hôtel-Dieu de France University Hospital, Saint-Joseph University, Beirut, Lebanon
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Brindise E, Ashat M, Gerke H, El Abiad R. A novel technique for the treatment of radiation-induced acquired esophageal atresia in patients with head and neck cancer. VideoGIE 2022; 7:462-465. [DOI: 10.1016/j.vgie.2022.08.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/14/2022] Open
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Hasan Y, Ali A, Sayed AE, Levin A, Gerke H, Jhun HY, Mokadem M, Abiad RE, Jesudoss R, Polyak S, Sahar N. Direct endoscopic placement of percutaneous endoscopic gastrostomies with jejunal extension tubes (PEG-J) using ultra-thin endoscopes - long-term outcomes from a U.S. tertiary referral center. Surg Endosc 2022; 36:4233-4238. [PMID: 34642797 DOI: 10.1007/s00464-021-08757-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2021] [Accepted: 09/27/2021] [Indexed: 01/29/2023]
Abstract
INTRODUCTION Several techniques for PEG-J tube placement have been described, commonly requiring fluoroscopic guidance and/or fixation of the jejunostomy tube (J-tube) into the small intestine. We describe a modified technique for placing jejunostomy tubes under direct visualization through a PEG with the use of ultra-thin endoscopes and steel guidewire. METHODS A retrospective study at a single tertiary academic center evaluating patients who underwent PEG-J placement between 2010 and 2020. All PEG tubes were placed with a pull-through technique. The Olympus GIF-N180 endoscope was advanced through the PEG to the jejunum and a Savary-Gilliard guidewire was used for placement of the J-tube extension. RESULTS Fifty-eight patients underwent PEG-J placement (median age 61 years; women 52%). Surgically altered gastric anatomy was observed in 11 patients (19%). Median procedure time was 44 min for new PEG-J tube placement (range 26-103) and 20 min for placement of a J-tube extension through an existing PEG tube (range 9-86) or gastrostomy tract. Technical success rate was in 100%. Sixty-two repeat procedures were performed for J-tube exchange in 27 patients (46%, range 1-9 per patient), of which 51 procedures (82%) were done using the same technique. The most common indication for tube replacement was tube dysfunction (63%, n = 39). The median procedure time for tube exchange was 20 min (range 2-62). No major adverse events were encountered. CONCLUSION PEG-J tubes can be placed effectively, rapidly, and safely using an ultra-thin caliber endoscope and a stiff steel wire through the PEG tube or mature gastrostomy site, precluding the need for fluoroscopy or oral access. J-tubes can be easily replaced utilizing the same technique.
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Affiliation(s)
- Yazan Hasan
- Department of Internal Medicine, Division of Gastroenterology & Hepatology, University of Iowa Hospitals and Clinics, 200 Hawkins Dr, Iowa City, IA, 52240, USA
| | - Asad Ali
- Department of Internal Medicine, Division of Gastroenterology & Hepatology, University of Iowa Hospitals and Clinics, 200 Hawkins Dr, Iowa City, IA, 52240, USA
| | - Amer El Sayed
- Department of Internal Medicine, Division of Gastroenterology & Hepatology, University of Iowa Hospitals and Clinics, 200 Hawkins Dr, Iowa City, IA, 52240, USA
| | - Avraham Levin
- Department of Internal Medicine, Division of Gastroenterology & Hepatology, University of Iowa Hospitals and Clinics, 200 Hawkins Dr, Iowa City, IA, 52240, USA
| | - Henning Gerke
- Department of Internal Medicine, Division of Gastroenterology & Hepatology, University of Iowa Hospitals and Clinics, 200 Hawkins Dr, Iowa City, IA, 52240, USA
| | - Hye Yeon Jhun
- Department of Internal Medicine, Division of Gastroenterology & Hepatology, University of Iowa Hospitals and Clinics, 200 Hawkins Dr, Iowa City, IA, 52240, USA
| | - Mohamad Mokadem
- Department of Internal Medicine, Division of Gastroenterology & Hepatology, University of Iowa Hospitals and Clinics, 200 Hawkins Dr, Iowa City, IA, 52240, USA
| | - Rami El Abiad
- Department of Internal Medicine, Division of Gastroenterology & Hepatology, University of Iowa Hospitals and Clinics, 200 Hawkins Dr, Iowa City, IA, 52240, USA
| | - Randhir Jesudoss
- Department of Internal Medicine, Division of Gastroenterology & Hepatology, University of Iowa Hospitals and Clinics, 200 Hawkins Dr, Iowa City, IA, 52240, USA
| | - Steven Polyak
- Department of Internal Medicine, Division of Gastroenterology & Hepatology, University of Iowa Hospitals and Clinics, 200 Hawkins Dr, Iowa City, IA, 52240, USA
| | - Nadav Sahar
- Department of Internal Medicine, Division of Gastroenterology & Hepatology, University of Iowa Hospitals and Clinics, 200 Hawkins Dr, Iowa City, IA, 52240, USA.
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El Abiad R, Brindise E, Bejjani M, Ghandour B, Khashab M. Peroral endoscopic myotomy and septotomy (Z-POEM/POES) for Zenker's diverticulum. Minerva Gastroenterol (Torino) 2021; 69:217-231. [PMID: 34142522 DOI: 10.23736/s2724-5985.21.02948-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Zenker's diverticulum (ZD) is the most common hypopharyngeal diverticulum seen often in septuagenarian and octogenarian males. Oropharyngeal dysphagia is the most common presenting symptom. Treatment of ZD has been advancing with the introduction of a wide variety of accessory devices, primarily focusing on obliteration of the septum by complete transection of the cricopharyngeus muscle to recreate the common cavity and restore normal pharyngo-esophageal bolus outflow. This review aims to provide an overview of the various surgical and endoscopic treatment options for ZD, while focusing specifically on Z-POEM.
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Affiliation(s)
- Rami El Abiad
- Division of Gastroenterology and Hepatology, Department of Medicine, University of Iowa, Iowa City, IA, USA -
| | - Elizabeth Brindise
- Division of Gastroenterology and Hepatology, Department of Medicine, University of Iowa, Iowa City, IA, USA
| | - Michael Bejjani
- Division of Gastroenterology and Hepatology, Department of Medicine, Johns Hopkins Hospital, Baltimore, MD, USA
| | - Bachir Ghandour
- Division of Gastroenterology and Hepatology, Department of Medicine, Johns Hopkins Hospital, Baltimore, MD, USA
| | - Mouen Khashab
- Division of Gastroenterology and Hepatology, Department of Medicine, Johns Hopkins Hospital, Baltimore, MD, USA
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El Abiad R, Khashab MA. Role of biodegradable stents in octogenarians with achalasia. Endosc Int Open 2021; 9:E767-E769. [PMID: 34080587 PMCID: PMC8159592 DOI: 10.1055/a-1393-5665] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
Affiliation(s)
- Rami El Abiad
- Division of Gastroenterology and Hepatology, University of Iowa, Iowa City, Iowa, United States
| | - Mouen A. Khashab
- Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, United States
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Brindise E, Khashab MA, El Abiad R. Insights into the endoscopic management of esophageal achalasia. Ther Adv Gastrointest Endosc 2021; 14:26317745211014706. [PMID: 34017943 PMCID: PMC8114742 DOI: 10.1177/26317745211014706] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2021] [Accepted: 04/07/2021] [Indexed: 01/21/2023] Open
Abstract
Achalasia is a primary esophageal motility disorder characterized by the loss of inhibitory neurons in the myenteric plexus, resulting in impaired relaxation of the esophagogastric junction. Achalasia is an incurable disease, and the treatment modalities are aimed at disruption of the esophagogastric junction and vary widely from pharmacological to endoscopic to surgical. Traditional endoscopic therapy includes pneumatic dilation, botulinum toxin injection, and peroral endoscopic myotomy. This review aims to provide an overview of the endoscopic management of achalasia, while focusing on the utilization of peroral endoscopic myotomy and other novel approaches.
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Affiliation(s)
- Elizabeth Brindise
- Division of Gastroenterology and Hepatology, The University of Iowa, Iowa City, IA, USA
| | - Mouen A Khashab
- Division of Gastroenterology and Hepatology, The Johns Hopkins Hospital, Baltimore, MD, USA
| | - Rami El Abiad
- Division of Gastroenterology and Hepatology, University of Iowa Hospitals & Clinics, The University of Iowa, 4612 JCP, Iowa City, IA 52241, USA
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Kalakech S, El Abiad R, Kesrouani C, Kattan J, Nassereddine H. [Acrometastasis revealing a pulmonary adenocarcinoma: Report of a case with unusual histopathological findings]. Ann Pathol 2021; 41:405-409. [PMID: 33820661 DOI: 10.1016/j.annpat.2021.03.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Revised: 02/24/2021] [Accepted: 03/10/2021] [Indexed: 10/21/2022]
Abstract
Acrometastasis are rare and can be exceptionally indicative of an occult carcinoma. The prognosis is generally poor. The radiological and immunohistochemical findings can be of great value to determine the primary and to guide treatment. We report a case of a 56-years-old man with acrometastasis at the fourth finger of the left hand revealing a pulmonary adenocarcinoma. Histopathological analysis showed a cribriform adenocarcinoma with an unusual cytoplasmic co-expression of TTF1 and Hepar-1 upon immunohistochemical analysis. There was no nuclear TTF1 immunostaining. Imaging explorations showed a 6-cm mass of the left superior pulmonary lobe. The patient received immunochemotherapy. Upon follow-up, there was evidence of disease progression on chest computed tomography scan.
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Affiliation(s)
- Sylvana Kalakech
- Service de pathologie, Hôtel-Dieu de France, université Saint-Joseph, boulevard Alfred-Naccache, 166830 Beyrouth, Liban.
| | - Rami El Abiad
- Service d'orthopédie, Hôtel-Dieu de France, université Saint-Joseph, boulevard Alfred-Naccache, 166830 Beyrouth, Liban
| | - Carole Kesrouani
- Service de pathologie, Hôtel-Dieu de France, université Saint-Joseph, boulevard Alfred-Naccache, 166830 Beyrouth, Liban
| | - Joseph Kattan
- Service d'oncologie, Hôtel-Dieu de France, Université Saint-Joseph, boulevard Alfred-Naccache, 166830 Beyrouth, Liban
| | - Hussein Nassereddine
- Service de pathologie, Hôtel-Dieu de France, université Saint-Joseph, boulevard Alfred-Naccache, 166830 Beyrouth, Liban
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Abstract
BACKGROUND Obesity is public health problem of epidemic proportions. Esophageal dysmotility including achalasia is more commonly seen in an obese population. Standard therapy for achalasia can be complicated by hepatomegaly and a post-surgical anatomy in a pre- and post-bariatric population. Peroral endoscopic myotomy (POEM) has not been adequately studied in this population. METHODS A retrospective review of a prospectively collected database was completed. Patients who had undergone a Roux-en-y gastric bypass (RYGB) prior to or following a POEM were enrolled. Patient demographics, operative information and post-operative course data was collected. RESULTS Six patients underwent POEM prior to or after RYGB. There were no peri-operative complications with an average length of stay of 1.2 days. Five patients experienced a clinical success with excellent symptom resolution. The one failure was in the setting of type III achalasia, but did have objective evidence of lower esophageal sphincter (LES) relaxation post-operatively. CONCLUSION POEM in the setting of bariatric surgery is safe and feasible. The potential increase in GERD following POEM is obviated by RYGB anatomy. In an obese individual, a staged POEM prior to or following a RYGB is an appropriate treatment algorithm for obese and achalasia.
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El Abiad R, Rizkallah M, Issa El Khoury F, El Rayes J, Maalouf P. Lunate Excision with Partial Bicolumnar Wrist Fusion: A New Alternative for Isolated Radiolunate Arthritis?: A Report of 2 Cases. JBJS Case Connect 2019; 9:e0465. [PMID: 31821199 DOI: 10.2106/jbjs.cc.18.00465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
CASE We report the case of 2 patients presenting with advanced isolated radiolunate arthritis with limited wrist strength and range of motion (ROM). After failure of conservative therapy, both patients underwent lunate excision and scaphocapitate and triquetrohamate joints fusion using compression headless screws. Improved functional outcomes are reported at 4 years of follow-up with painless wrists and increased grip strength and ROM. CONCLUSIONS Lunate excision and partial bicolumnar wrist fusion lead to increased grip strength and wrist ROM. This is a unique alternative for people suffering isolated radiolunate osteoarthritis, for which no standard surgical care exists.
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Affiliation(s)
- Rami El Abiad
- Department of Orthopedic Surgery, Hotel Dieu de France Hospital, Saint Joseph University, Beirut, Lebanon
| | - Maroun Rizkallah
- Department of Orthopedic Surgery, Hotel Dieu de France Hospital, Saint Joseph University, Beirut, Lebanon
| | | | - Johnny El Rayes
- Department of Orthopedic Surgery, Hotel Dieu de France Hospital, Saint Joseph University, Beirut, Lebanon
| | - Peter Maalouf
- Department of Orthopedic Surgery, Hotel Dieu de France Hospital, Saint Joseph University, Beirut, Lebanon
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Masadeh M, Nau P, Chandra S, Klair J, Keech J, Parekh K, Abiad RE, Gerke H. Experience with Peroral Endoscopic Myotomy for Achalasia and Spastic Esophageal Motility Disorders at a Tertiary U.S. Center. Clin Endosc 2019; 53:321-327. [PMID: 31744270 PMCID: PMC7280846 DOI: 10.5946/ce.2019.110] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/04/2019] [Accepted: 09/16/2019] [Indexed: 12/13/2022] Open
Abstract
Background/Aims Peroral endoscopic myotomy (POEM) is a novel procedure for the treatment of achalasia and spastic esophageal disorders. Experience with POEM is limited, but its reported outcomes are excellent. It is deemed safe even for patients with prior interventions.
Methods This retrospective review included patients who underwent POEM at a tertiary US center. POEM was performed in a multidisciplinary approach by advanced endoscopists and foregut surgeons. Clinical success was defined as a post-POEM Eckardt score ≤3.
Results A total of 125 patients were included. Median follow-up period was 18 months (interquartile range, 10–22 months). Clinical success was achieved in 92% of patients and persisted at 12 months in 88% of patients. Mucosal barrier failure (MBF) occurred in 7 patients, 2 of whom required surgical intervention. MBF was more common in patients with prior laparoscopic Heller myotomy (19% vs. 3%, p=0.015). MBF requiring surgical intervention occurred early in the learning curve. Conclusions POEM is safe and effective in the treatment of achalasia and spastic esophageal disorders even after failed prior interventions.
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Affiliation(s)
- Maen Masadeh
- Division of Gastroenterology and Hepatology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA
| | - Peter Nau
- Division of Minimally Invasive and Bariatric Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA, USA
| | - Subhash Chandra
- Division of Gastroenterology and Hepatology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA
| | - Jagpal Klair
- Division of Gastroenterology and Hepatology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA
| | - John Keech
- Division of Thoracic Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA, USA
| | - Kalpaj Parekh
- Division of Thoracic Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA, USA
| | - Rami El Abiad
- Division of Gastroenterology and Hepatology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA
| | - Henning Gerke
- Division of Gastroenterology and Hepatology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA
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Klair JS, Isaacson A, El Abiad R. Every coin has 2 sides, just like this gastric cardia mass. Gastrointest Endosc 2019; 90:159-160. [PMID: 30885599 DOI: 10.1016/j.gie.2019.03.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/07/2019] [Accepted: 03/09/2019] [Indexed: 02/08/2023]
Affiliation(s)
- Jagpal Singh Klair
- Division of Gastroenterology and Hepatology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
| | - Alexandra Isaacson
- Department of Pathology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
| | - Rami El Abiad
- Division of Gastroenterology and Hepatology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
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Rizkallah M, Assi A, Otayek J, Saliby RM, Mekhael M, El Abiad R, Ghanem I. What's Important: Foundations of Orthopaedics-The "Multiple-of-Three Rule": Where Is the Evidence? J Bone Joint Surg Am 2018; 100:1165-1166. [PMID: 29975276 DOI: 10.2106/jbjs.17.01640] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Affiliation(s)
| | - Ayman Assi
- Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon
| | - Joeffroy Otayek
- Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon
| | | | - Mario Mekhael
- Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon
| | - Rami El Abiad
- Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon.,Hôtel-Dieu de France University Hospital, Saint-Joseph University, Beirut, Lebanon
| | - Ismat Ghanem
- Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon.,Hôtel-Dieu de France University Hospital, Saint-Joseph University, Beirut, Lebanon
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Sandhu DS, Bellizzi AM, El Abiad R. An Elderly Woman With Upper Abdominal Pain and a 60-Pound Weight Loss. Gastroenterology 2018; 154:e14-e15. [PMID: 28712759 DOI: 10.1053/j.gastro.2017.05.063] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/02/2017] [Revised: 05/23/2017] [Accepted: 05/30/2017] [Indexed: 12/02/2022]
Affiliation(s)
- Dalbir S Sandhu
- Division of Gastroenterology & Hepatology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio; Division of Gastroenterology & Hepatology, University of Iowa Hospital & Clinics, Iowa City, Iowa
| | - Andrew M Bellizzi
- Department of Pathology, University of Iowa Hospital & Clinics, Iowa City, Iowa
| | - Rami El Abiad
- Division of Gastroenterology & Hepatology, University of Iowa Hospital & Clinics, Iowa City, Iowa
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Arshava EV, Marchigiani RJ, Gerke H, El Abiad R, Weigel RJ, Parekh KR, Keech J. Per oral endoscopic myotomy: early experience and safety of a multispecialty approach. Surg Endosc 2018; 32:3357-3363. [DOI: 10.1007/s00464-018-6056-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2017] [Accepted: 01/11/2018] [Indexed: 12/20/2022]
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