enhanced surgical recovery
fast track surgery protocol
functional blood chemistry
minimally invasive surgery
peroral endoscopic myotomy
December 12, 2019
POEM: Peroral Endoscopic Myotomy
There has been much written about POEM over that last few years.
When you search POEM on Pubmed.gov, an incredible 611 listings appear as of the writing of this post!
This paper, Endoscopic or Surgical Myotomy in Patients with Idiopathic...
May 24, 2016
The importance of vitamin D levels in autoimmune diseases
“vitamin D receptors are expressed in different tissues, such as brain, heart, skin, bowel, gonads, prostate, breasts, and immune cells, as well as bones, kidneys, and parathyroid glands.1”
“Current studies have...
January 24, 2016
Presentation, Diagnosis, and Management of Achalasia
Dr. Pandolfino, et. al have written a nice summary of Achalasia detailing diagnosis, treatment, and follow-up.
His comments about management of Achalasia are as follows:
"Patients who are deemed to be in otherwise go...
January 20, 2016
Outcomes of Esophageal Dilation in Eosinophilic Esophagitis: Safety, Efficacy, and Persistence of the Fibrostenotic Phenotype.
"Esophageal dilation is commonly performed in eosinophilic esophagitis (EoE), but there are few long-term data." Once again, a dangerous surger...
November 11, 2015
This study (PTH-152 Heller’s myotomy and pneumatic dilatation in the treatment of achalasia: a population-based case-control study assessing long-term quality of life)mentions something called the Achalasia Severity Questionnaire [ASQ].
The paper entitiled A Meas...
PTH-152 Heller’s myotomy and pneumatic dilatation in the treatment of achalasia: a population-based case-control study assessing long-term quality of life
120 Achalasia patients were studied.
Read the conclusion carefully:
"Despite treatment, achalasia patients have si...
Histopathologic patterns among achalasia subtypes
Biopsies were taken from 46 myotomy patients: 20 type 1, 20 type 2, 3 type 3 and 3 EGJ obstruction.
The study suggests that Type 1 is a progression from type 2.
"On histopathology, complete ganglion cell loss occ...
October 24, 2015
Peroral endoscopic full-thickness myotomy for the treatment of sigmoid-type achalasia: outcomes with a minimum follow-up of 12 months
This study followed 23 sigmoid-type achalasia patients after POEM for 18 months. The surgery took an average of 67.6 minutes.
October 21, 2015
You are gluten free (wheat), but are you oat free?
Do oats have gluten?
Is it important?
There is no such thing as a “gluten free” oat.
As many as 41% of processed packaged foods labeled gluten free contain enough gluten to cause damage (oats inclu...