2020
Comorbidities Drive the Majority of Overall Mortality in Low-Risk Mucinous Pancreatic Cysts Under Surveillance
Chhoda A, Yousaf MN, Madhani K, Aslanian H, Jamidar PA, Suarez AL, Salem R, Muniraj T, Kunstman J, Farrell JJ. Comorbidities Drive the Majority of Overall Mortality in Low-Risk Mucinous Pancreatic Cysts Under Surveillance. Clinical Gastroenterology And Hepatology 2020, 20: 631-640.e1. PMID: 33309984, DOI: 10.1016/j.cgh.2020.12.008.Peer-Reviewed Original ResearchMeSH KeywordsComorbidityHumansPancreatic CystPancreatic NeoplasmsProspective StudiesRetrospective StudiesConceptsCharlson Comorbidity IndexHigh-risk stigmataMucinous pancreatic cystsOverall mortalityWorrisome featuresPancreatic cystsComorbidity burdenAge-adjusted Charlson comorbidity indexKaplan-Meir survival analysisLow-risk cystsSingle-center studyHigher overall mortalityElectronic medical recordsComorbidity indexProspective surveillanceCenter studyMortality outcomesMedical recordsMucinous cystsPatient outcomesSerial imagingSurveillance populationCohort stratificationSurvival analysisAbstractTextProspective evaluation of an assessment tool for technical performance of duodenoscopes
Bang JY, Rösch T, Kim HM, Thakkar S, Gonzaga E, Tharian B, Inamdar S, Lee LS, Yachimski P, Jamidar P, Muniraj T, DiMaio C, Kumta N, Sethi A, Draganov P, Yang D, Seoud T, Perisetti A, Bondi G, Kirtane S, Hawes R, Wilcox CM, Kozarek R, Reddy DN, Varadarajulu S. Prospective evaluation of an assessment tool for technical performance of duodenoscopes. Digestive Endoscopy 2020, 33: 822-828. PMID: 33007136, DOI: 10.1111/den.13856.Peer-Reviewed Original ResearchMeSH KeywordsCholangiopancreatography, Endoscopic RetrogradeDuodenoscopesHumansProspective StudiesReproducibility of ResultsConceptsEndoscopic retrograde cholangiopancreatography (ERCP) proceduresAssessment toolOlder patient ageAcademic medical centerReusable duodenoscopesCronbach's coefficient αSecondary outcomesPatient ageProspective evaluationERCP proceduresPancreatic interventionsProcedure durationMedical CenterMAIN OUTCOMEMultiple linear regression analysisLinear regression analysisInfection transmissionDuodenoscopeCronbach's coefficient alphaCoefficient alphaRegression analysisInterventionOutcomesHigher scoresReliable tool
2015
Can a Computerized Simulator Assess Skill Level and Improvement in Performance of ERCP?
Sahakian AB, Laine L, Jamidar PA, Siddiqui UD, Duffy A, Ciarleglio MM, Deng Y, Nagar A, Aslanian HR. Can a Computerized Simulator Assess Skill Level and Improvement in Performance of ERCP? Digestive Diseases And Sciences 2015, 61: 722-730. PMID: 26572779, DOI: 10.1007/s10620-015-3939-7.Peer-Reviewed Original ResearchConceptsTotal procedure timeProcedure timePrimary outcomeAcademic tertiary referral centerShorter total procedure timeTertiary referral centerPerformance of ERCPReferral centerCohort studyRetrograde cholangiographyERCP proceduresTrainee experienceGastroenterology fellowsSurgical skills centerFlexible endoscopyERCP trainingLittle dataGastroenterology facultyERCPSignificant differencesConsiderable riskSession 2Session 1Baseline sessionsOutcomesIncidence and predictors of post-ERCP pancreatitis in patients with suspected sphincter of Oddi dysfunction undergoing biliary or dual sphincterotomy: results from the EPISOD prospective multicenter randomized sham-controlled study
Yaghoobi M, Pauls Q, Durkalski V, Romagnuolo J, Fogel EL, Tarnasky PR, Aliperti G, Freeman ML, Kozarek RA, Jamidar PA, Wilcox CM, Elta GH, Hawes RH, Wood-Williams A, Cotton PB. Incidence and predictors of post-ERCP pancreatitis in patients with suspected sphincter of Oddi dysfunction undergoing biliary or dual sphincterotomy: results from the EPISOD prospective multicenter randomized sham-controlled study. Endoscopy 2015, 47: 884-890. PMID: 26165739, DOI: 10.1055/s-0034-1392418.Peer-Reviewed Original ResearchMeSH KeywordsAdultCholangiopancreatography, Endoscopic RetrogradeCommon Bile Duct DiseasesFemaleFollow-Up StudiesHumansIncidenceMaleManometryMiddle AgedPancreatitisPostoperative ComplicationsPressurePrognosisProspective StudiesSphincter of OddiSphincter of Oddi DysfunctionSphincterotomy, EndoscopicStentsUnited StatesYoung AdultConceptsPost-ERCP pancreatitisEndoscopic retrograde cholangiopancreatographyDual sphincterotomySedation typeOddi dysfunctionDevelopment of PEPRisk of PEPLife-threatening adverse eventsPancreatic sphincter pressuresPost-cholecystectomy patientsResults of sphincterSOD type IIIProphylactic pancreatic stentsSham-controlled studyEvaluating PredictorsPharmacological prophylaxisERCP pancreatitisProspective multicenterOddi manometryPancreatic stentingSphincter pressureAdverse eventsSham armBiliary sphincterotomyAcute pancreatitisA Double-Blind, Randomized, Sham-Controlled Trial of the Effect of a Radiation-Attenuating Drape on Radiation Exposure to Endoscopy Staff During ERCP
Muniraj T, Aslanian HR, Laine L, Farrell J, Ciarleglio MM, Deng Y, Ho H, Jamidar PA. A Double-Blind, Randomized, Sham-Controlled Trial of the Effect of a Radiation-Attenuating Drape on Radiation Exposure to Endoscopy Staff During ERCP. The American Journal Of Gastroenterology 2015, 110: 690. PMID: 25823765, DOI: 10.1038/ajg.2015.85.Peer-Reviewed Original ResearchConceptsEndoscopic retrograde cholangiopancreatographyTherapeutic endoscopic retrograde cholangiopancreatographyHigh-volume centersRadiation exposureEffective doseTertiary care university centerDouble-blind trialPrimary end pointRelative risk reductionDose area productEye levelAnnual radiation exposureRetrograde cholangiopancreatographyStudy groupEnd pointNeckDoseEndoscopistsRadiation doseEyesShamRisk reductionAnnual effective doseExposureArea product
2014
Can patient and pain characteristics predict manometric sphincter of Oddi dysfunction in patients with clinically suspected sphincter of Oddi dysfunction?
Romagnuolo J, Cotton PB, Durkalski V, Pauls Q, Brawman-Mintzer O, Drossman DA, Mauldin P, Orrell K, Williams AW, Fogel EL, Tarnasky PR, Aliperti G, Freeman ML, Kozarek RA, Jamidar PA, Wilcox CM, Serrano J, Elta GH. Can patient and pain characteristics predict manometric sphincter of Oddi dysfunction in patients with clinically suspected sphincter of Oddi dysfunction? Gastrointestinal Endoscopy 2014, 79: 765-772. PMID: 24472759, PMCID: PMC4409681, DOI: 10.1016/j.gie.2013.11.037.Peer-Reviewed Original ResearchMeSH KeywordsAbdominal PainAdultAnalgesics, OpioidAnxietyCholangiopancreatography, Endoscopic RetrogradeCholecystectomyCross-Sectional StudiesDepressionFemaleHumansMaleManometryMiddle AgedPostoperative PeriodPredictive Value of TestsProspective StudiesPsychiatric Status Rating ScalesSphincter of Oddi DysfunctionConceptsRight upper quadrantOddi dysfunctionFunctional disordersOddi dysfunction (SOD) type IIIType III SODLiver enzyme abnormalitiesAbnormal sphincterPostcholecystectomy painPain characteristicsPain patternsAbdominal discomfortClinical characteristicsOddi manometryClinical factorsClinical predictorsUpper quadrantGallbladder pathologyMean agePsychological comorbiditiesUnderwent ERCPPain factorsSignificant abnormalitiesEnzyme abnormalitiesUnnecessary ERCPExperienced depression
2013
Nurse Observation During Colonoscopy Increases Polyp Detection: A Randomized Prospective Study
Aslanian HR, Shieh FK, Chan FW, Ciarleglio MM, Deng Y, Rogart JN, Jamidar PA, Siddiqui UD. Nurse Observation During Colonoscopy Increases Polyp Detection: A Randomized Prospective Study. The American Journal Of Gastroenterology 2013, 108: 166. PMID: 23381064, DOI: 10.1038/ajg.2012.237.Peer-Reviewed Original ResearchMeSH KeywordsAdenomaAdultAgedColonic NeoplasmsColonic PolypsColonoscopyFemaleHumansMaleMass ScreeningMiddle AgedNursesObserver VariationProspective StudiesConceptsAdenoma detection rateOverall adenoma detection rateNurses' observationsRoutine colonoscopyNumber of polypsDetection rateConsecutive patientsScreening colonoscopyRoutine groupProspective studyEndoscopy nursesAdenoma detectionColonoscopyPolypsAdenomasPatientsPhysiciansSecond observerWithdrawalPolyp detectionAverage numberNurses
2008
Narrow-band imaging without high magnification to differentiate polyps during real-time colonoscopy: improvement with experience
Rogart JN, Jain D, Siddiqui UD, Oren T, Lim J, Jamidar P, Aslanian H. Narrow-band imaging without high magnification to differentiate polyps during real-time colonoscopy: improvement with experience. Gastrointestinal Endoscopy 2008, 68: 1136-1145. PMID: 18691708, DOI: 10.1016/j.gie.2008.04.035.Peer-Reviewed Original ResearchConceptsNarrow-band imagingNonadenomatous polypsColorectal polypsSingle tertiary referral centerReal-time colonoscopyTertiary referral centerKudo pit patternLearning curvePit pattern classificationWL colonoscopyEndoscopic diagnosisColonoscopyClinical decisionDiagnostic accuracyPatientsPolypsEndoscopist performancePit patternAdenomasTotalVivoPolypectomyHistology
2005
Oral allopurinol does not prevent the frequency or the severity of post-ERCP pancreatitis
Mosler P, Sherman S, Marks J, Watkins JL, Geenen JE, Jamidar P, Fogel EL, Lazzell-Pannell L, Temkit M, Tarnasky P, Block KP, Frakes JT, Aziz AA, Malik P, Nickl N, Slivka A, Goff J, Lehman GA. Oral allopurinol does not prevent the frequency or the severity of post-ERCP pancreatitis. Gastrointestinal Endoscopy 2005, 62: 245-250. PMID: 16046988, DOI: 10.1016/s0016-5107(05)01572-5.Peer-Reviewed Original ResearchConceptsPost-ERCP pancreatitisOral allopurinolAllopurinol groupControl groupOxygen-derived free radical productionPlacebo 4 hoursProcedure risk factorsCommon major complicationSeverity of pancreatitisFree radical productionProphylactic allopurinolPatient demographicsMajor complicationsOverall incidencePostprocedure pancreatitisPharmacologic agentsRisk factorsPancreatitisPatientsStandardized criteriaAllopurinolERCPSeveritySignificant differencesIncidence
1993
Effect of prophylactic main pancreatic duct stenting on the incidence of biliary endoscopic sphincterotomy-induced pancreatitis in high-risk patients
Smithline A, Silverman W, Rogers D, Nisi R, Wiersema M, Jamidar P, Hawes R, Lehman G. Effect of prophylactic main pancreatic duct stenting on the incidence of biliary endoscopic sphincterotomy-induced pancreatitis in high-risk patients. Gastrointestinal Endoscopy 1993, 39: 652-657. PMID: 8224687, DOI: 10.1016/s0016-5107(93)70217-5.Peer-Reviewed Original ResearchConceptsHigh-risk patientsMain pancreatic ductSmaller common bile duct diameterCommon bile duct diameterBile duct diameterStent groupEndoscopic sphincterotomyPancreatic ductDuct diameterIncidence of pancreatitisIndependent risk factorPre-cut sphincterotomyOddi dysfunctionProphylactic stentingHospital daysCommon complicationPapillary edemaSevere pancreatitisBiliary sphincterotomyStent placementRisk factorsProspective fashionSphincterotomyPancreatitisPatients