2024
Risk of Serious Adverse Gastrointestinal Events with Potassium Binders in Hospitalized Patients: A National Study
Holleck J, Han L, Skanderson M, Bastian L, Gunderson C, Brandt C, Perkal M, Chang J, Akgün K. Risk of Serious Adverse Gastrointestinal Events with Potassium Binders in Hospitalized Patients: A National Study. Journal Of General Internal Medicine 2024, 1-7. PMID: 39103605, DOI: 10.1007/s11606-024-08979-1.Peer-Reviewed Original ResearchAdjusted odds ratiosSodium zirconium cyclosilicateU.S. Department of Veterans Affairs healthcare systemDepartment of Veterans Affairs healthcare systemVA Corporate Data WarehouseVeterans Affairs Healthcare SystemCorporate Data WarehousePotassium bindersHospitalized patientsGI eventsHealthcare systemOdds ratioAdverse GI eventsSodium polystyrene sulfonateNational studyPotassium-binding drugsComparative riskAdverse gastrointestinal eventsGI adverse eventsTreatment of hyperkalemiaZirconium cyclosilicateGastrointestinal eventsPatiromerAdverse eventsSurgical Outcomes and Utilization of Laparoscopic Versus Robotic Techniques for Elective Colectomy in Asian American and Native Hawaiian-Pacific Islanders (AAPI) Diagnosed With Colon Cancer
Ahuja V, Murthy S, Leeds I, Paredes L, Su D, Tsutsumi A, Perkal M, King J. Surgical Outcomes and Utilization of Laparoscopic Versus Robotic Techniques for Elective Colectomy in Asian American and Native Hawaiian-Pacific Islanders (AAPI) Diagnosed With Colon Cancer. Journal Of Surgical Research 2024, 302: 40-46. PMID: 39083904, DOI: 10.1016/j.jss.2024.07.007.Peer-Reviewed Original ResearchLaparoscopic colectomyRobotic colectomyAAPI patientsColorectal cancerLength of stayClinical outcomesNative Hawaiian Pacific IslanderAmerican College of Surgeons National Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseOperative timeQuality Improvement Program databaseMultivariate logistic regression analysisMean operative timeColorectal cancer resectionOutcomes of LCMinimally invasive approachMultivariate logistic regressionStandard of careLogistic regression analysisElective RCElective LCAnastomotic leakElective colectomySurgical outcomes
2023
Racial disparities in complications following elective colon cancer resection: Impact of laparoscopic versus robotic approaches
Ahuja V, Paredes L, Leeds I, Perkal M, Tsutsumi A, Bhandarkar S, King J. Racial disparities in complications following elective colon cancer resection: Impact of laparoscopic versus robotic approaches. The American Journal Of Surgery 2023, 227: 85-89. PMID: 37806892, PMCID: PMC10842593, DOI: 10.1016/j.amjsurg.2023.09.038.Peer-Reviewed Original ResearchConceptsRC patientsLaparoscopic colectomyElective colon cancer resectionImpact of laparoscopicACS-NSQIP databaseColon cancer resectionMultivariable logistic regressionCancer resectionWhite patientsBlack patientsRobotic colectomyHigher complicationsOperative approachMinority patientsPatientsComplicationsColectomyLogistic regressionRobotic approachRacial disparitiesLaparoscopicCausal pathwaysLower ratesOutcomesMortalityClinical outcomes of elective robotic vs laparoscopic surgery for colon cancer utilizing a large national database
Ahuja V, Paredes L, Leeds I, Perkal M, King J. Clinical outcomes of elective robotic vs laparoscopic surgery for colon cancer utilizing a large national database. Surgical Endoscopy 2023, 37: 7199-7205. PMID: 37365394, DOI: 10.1007/s00464-023-10215-6.Peer-Reviewed Original ResearchConceptsAnastomotic leak rateBody mass indexLarge national databaseOverall complicationsAnastomotic leakOperative timeInvasive colectomyColon cancerElective colon cancer resectionHigher body mass indexNational databaseOperating roomPost-operative lengthColon cancer resectionLonger operative timeRange of surgeryNon-Hispanic whitesCancer resectionACS-NSQIPLaparoscopic colectomyClinical outcomesMass indexLaparoscopic counterpartLaparoscopic surgeryPatient outcomes
2017
Ten-year Experience with Percutaneous Cholecystostomy for Acute Cholecystitis in Men
Grisotti G, King J, Bhattacharya B, Schlessel R, Gunabushanam G, Perkal M. Ten-year Experience with Percutaneous Cholecystostomy for Acute Cholecystitis in Men. American Journal Of Interventional Radiology 2017, 1: 6. DOI: 10.25259/ajir-7-2017.Peer-Reviewed Original ResearchIntensive care unitPercutaneous cholecystostomyAcute cholecystitisSurgical cholecystectomyTotal bilirubinSingle-institution retrospective analysisMultivariate logistic regressionHigh early mortalityTen-year experienceLong-term survivalBiliary decompressionRespiratory failureMedian survivalPatient characteristicsDefinitive treatmentMale patientsCare unitBiliary diseaseEarly mortalityMean agePatient populationPrimary diagnosisTreatment outcomesRetrospective analysisOutcome measures
2011
Palliative Care and Decision Making at the End of Life
Perkal M. Palliative Care and Decision Making at the End of Life. 2011, 197-209. DOI: 10.1007/978-1-4419-6999-6_16.Peer-Reviewed Original ResearchModerate left-sided pleural effusionLeft-sided pleural effusionLower quadrant painLeft lower lobeBenefits of surgerySurrogate decision makersEarly satietyQuadrant painBowel movementsEnd of lifeMild shortnessAbdominal girthPleural effusionSurgery clinicLower lobePalliative careUmbilical herniaComputerized tomographyMild increasePainAtelectasisHerniaSurgeryEffusionLiposarcoma
2007
Successful Multi-Modality Endoscopic Treatment of Bouveretʼs Syndrome without Surgery
Rogart J, Perkal M, Nagar A. Successful Multi-Modality Endoscopic Treatment of Bouveretʼs Syndrome without Surgery. The American Journal Of Gastroenterology 2007, 102: s298-s299. DOI: 10.14309/00000434-200709002-00497.Peer-Reviewed Original Research
1998
NOSOCOMIAL SINUSITIS IN THE SURGICAL INTENSIVE CARE UNIT (SICU)
Samotowka M, Cohn S, Milner K, Burns G, Ivy M, Sawyer M, Angood P, Rosenbaum S, Perkal M. NOSOCOMIAL SINUSITIS IN THE SURGICAL INTENSIVE CARE UNIT (SICU). Critical Care Medicine 1998, 26: 132a. DOI: 10.1097/00003246-199801001-00397.Peer-Reviewed Original Research
1993
Percutaneous endoscopic gastrostomy for gastric decompression in metastatic gynecologic malignancies.
Marks W, Perkal M, Schwartz P. Percutaneous endoscopic gastrostomy for gastric decompression in metastatic gynecologic malignancies. Journal Of The American College Of Surgeons 1993, 177: 573-6. PMID: 8266267.Peer-Reviewed Original ResearchConceptsPercutaneous endoscopic gastrostomyEndoscopic gastrostomyGynecologic malignanciesMetastatic gynecologic malignanciesGastric decompressionGastrointestinal obstructionTube placementNasogastric intubationPatientsGastrostomyIntubationMalignancyDecompressionCarcinomatosisTechnical reasonsObstruction
1992
Severe gingival overgrowth associated with cyclosporine and verapamil therapy
Perkal M, Gulino D, Delfini R, Siegel N, Gaudio K, Marks W, Lorber M. Severe gingival overgrowth associated with cyclosporine and verapamil therapy. Clinical Transplantation 1992, 6: 399-402. DOI: 10.1111/j.1399-0012.1992.tb01118.x.Peer-Reviewed Original ResearchGingival hyperplasiaAntihypertensive therapyTransplant recipientsOperative interventionSide effects of cyclosporineCadaveric renal transplant recipientsCsA dose reductionRenal transplant recipientsRecommended therapeutic strategiesOrgan transplant recipientsExcellent early resultsRoot planingGingival overgrowthGingival diseaseVerapamil therapyDose reductionRenal transplantationApproximately 1 yearTherapeutic strategiesHyperplasiaTherapyPatientsGingivectomyVerapamilCyclosporineCytomegalovirus appendicitis in a liver transplant recipient
Perkal M, Haber M, Nelson K, Marks W, Reuben A, West A, Lorber M. Cytomegalovirus appendicitis in a liver transplant recipient. Clinical Transplantation 1992, 6: 384-387. DOI: 10.1111/j.1399-0012.1992.tb01115.x.Peer-Reviewed Original ResearchOrgan transplant recipientsTransplant recipientsSolid organ transplant recipientsLiver transplant recipientsOrthotopic liver transplantationFoci of inflammationCytomegalovirus appendicitisCMV inclusionsColonic involvementRemoved specimenInflamed appendixLiver transplantationAbdominal complaintsDifferential diagnosisAssociated with cellsDisease entityOrgan transplantationAppendicitisPerivascular fociHistological examinationApproximately 2 monthsPatientsCytomegalovirusRecipientsTransplantationA THREE-YEAR EXPERIENCE WITH SERUM ANODAL TRYPSINOGEN AS A BIOCHEMICAL MARKER FOR REJECTION IN PANCREATIC ALLOGRAFTS
PERKAL M, MARKS C, LORBER M, MARKS W. A THREE-YEAR EXPERIENCE WITH SERUM ANODAL TRYPSINOGEN AS A BIOCHEMICAL MARKER FOR REJECTION IN PANCREATIC ALLOGRAFTS. Transplantation 1992, 53: 415-419. PMID: 1371196, DOI: 10.1097/00007890-199202010-00028.Peer-Reviewed Original ResearchConceptsPancreatic allograftsSPK recipientsAcute rejectionBiochemical markersWhole organ pancreas transplantationClinical diagnosisPrevious kidney transplantSerial serum samplesType I diabeticsThree-year experienceAllograft survivalGraft biopsyGraft duodenumPancreatic rejectionGraft pancreatitisPancreas transplantationKidney transplantOutlet obstructionSerum creatinineAdditional patientsImmunosuppressive agentsDirect traumaPresumptive diagnosisCreatinine valuesAmylase output
1991
Aseptic encephalitis and blindness complicating OKT3 therapy
Marks W, Perkal M, Bia M, Lorber M. Aseptic encephalitis and blindness complicating OKT3 therapy. Clinical Transplantation 1991, 5: 435-438. DOI: 10.1111/j.1399-0012.1991.tb00574.x.Peer-Reviewed Original ResearchCranial nerve involvementOKT3 therapyNerve involvementSixth cranial nerve palsyAseptic encephalitisIsolated cranial nerve involvementSteroid-resistant rejectionCranial nerve palsyOKT3 treatmentNerve palsyAseptic meningitisAcute onsetFollow-upOKT3TherapyEncephalitisVisual problemsPatientsBlindnessInvolvementOrthocloneComplicationsMeningitisMorbiditySeizures
1989
Nutrition and Inflammatory Bowel Disease
Perkal M, Seashore J. Nutrition and Inflammatory Bowel Disease. Gastroenterology Clinics Of North America 1989, 18: 567-578. PMID: 2509355, DOI: 10.1016/s0889-8553(21)00642-7.Peer-Reviewed Original ResearchConceptsBowel restMedical therapyCareful nutritional managementFurther nutritional deficienciesInadequate oral intakeMainstay of treatmentShort gut syndromeInflammatory bowel diseaseTreatment of IBDAbnormal body compositionMultiple micronutrient deficienciesSpecific nutrient deficienciesAcute exacerbationPrimary therapyAppropriate surgeryGastrointestinal lossesGut syndromePerioperative periodBowel diseaseEnteral supplementationNutritional supportOral intakeHome TPNGrowth failureAcute repletion