2022
Post-liver transplantation bile leaks and strictures
Muniraj T. Post-liver transplantation bile leaks and strictures. Gastrointestinal Endoscopy 2022, 95: 1233-1237. PMID: 35124073, DOI: 10.1016/j.gie.2022.01.021.Peer-Reviewed Original Research
2021
Resection of pancreatic cystic neoplasms in recurrent acute pancreatitis prevents recurrent pancreatitis but does not identify more malignancies
Muniraj T, Aslanian HR, Laine L, Jamidar PA, Farrell JF, Mitchell KA, Salem RR. Resection of pancreatic cystic neoplasms in recurrent acute pancreatitis prevents recurrent pancreatitis but does not identify more malignancies. World Journal Of Gastroenterology 2021, 27: 1630-1642. PMID: 33958848, PMCID: PMC8058652, DOI: 10.3748/wjg.v27.i15.1630.Peer-Reviewed Original ResearchMeSH KeywordsAcute DiseaseAdenocarcinoma, MucinousCarcinoma, Pancreatic DuctalHumansPancreatic NeoplasmsPancreatitisRetrospective StudiesConceptsIntra-ductal papillary mucinous neoplasmRecurrent acute pancreatitisPancreatic cystic neoplasmsCystic neoplasmsBD-IPMNAcute pancreatitisCause of pancreatitisRole of resectionMucinous cystic neoplasmPrevalence of malignancyPapillary mucinous neoplasmSerous cystic neoplasmsCross-sectional imagingMean episodesRAP patientsSurgical resectionCyst resectionMD-IPMNPrimary outcomeIPMN patientsRecurrent pancreatitisRetrospective studyCyst featuresGallstone aetiologyMucinous neoplasmsHealthcare Disparities in the Management of Acute Cholecystitis: Impact of Race, Gender, and Socioeconomic Factors on Cholecystectomy vs Percutaneous Cholecystostomy
McCarty TR, Chouairi F, Hathorn KE, Sharma P, Muniraj T, Thompson CC. Healthcare Disparities in the Management of Acute Cholecystitis: Impact of Race, Gender, and Socioeconomic Factors on Cholecystectomy vs Percutaneous Cholecystostomy. Journal Of Gastrointestinal Surgery 2021, 25: 880-886. PMID: 33629232, DOI: 10.1007/s11605-021-04959-6.Peer-Reviewed Original ResearchConceptsLength of stayCharlson Comorbidity IndexPercutaneous cholecystostomyAcute cholecystitisRace/ethnicityU.S. Nationwide Inpatient Sample (NIS) databaseNationwide Inpatient Sample databaseAsian race/ethnicityHealthcare-related factorsHigher CCI scoresMedicare payer statusGood surgical candidatesMajority of patientsMultivariable logistic regressionUrban hospital locationUrban teaching hospitalSocioeconomic factorsCCI scoreComorbidity indexSurgical candidatesPayer statusMale genderHospital costsTeaching hospitalTreatment strategiesEvaluation of socioeconomic and healthcare disparities on same admission cholecystectomy after endoscopic retrograde cholangiopancreatography among patients with acute gallstone pancreatitis
Chouairi F, McCarty TR, Hathorn KE, Sharma P, Aslanian HR, Jamidar PA, Thompson CC, Muniraj T. Evaluation of socioeconomic and healthcare disparities on same admission cholecystectomy after endoscopic retrograde cholangiopancreatography among patients with acute gallstone pancreatitis. Surgical Endoscopy 2021, 36: 274-281. PMID: 33481109, DOI: 10.1007/s00464-020-08272-2.Peer-Reviewed Original ResearchConceptsSame-admission cholecystectomyAcute gallstone pancreatitisEndoscopic retrograde cholangiopancreatographyCharlson Comorbidity IndexGallstone pancreatitisRetrograde cholangiopancreatographyU.S. Nationwide Inpatient Sample (NIS) databaseHigher Charlson comorbidity indexNationwide Inpatient Sample databaseMedicare payer statusUrban-teaching hospitalsMajority of patientsMultivariable logistic regressionRace/ethnicitySocio-demographic factorsHospital mortalityComorbidity indexHospital stayPayer statusSurgical managementHospitalization costsResultsA totalBlack raceTreatment strategiesFemale gender
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 analysisAbstractTextEndoscopic ultrasound‐guided fine needle aspiration cytology diagnosis of upper gastrointestinal tract mesenchymal tumors: Impact of rapid onsite evaluation and correlation with histopathologic follow‐up
Gilani SM, Muniraj T, Aslanian HR, Cai G. Endoscopic ultrasound‐guided fine needle aspiration cytology diagnosis of upper gastrointestinal tract mesenchymal tumors: Impact of rapid onsite evaluation and correlation with histopathologic follow‐up. Diagnostic Cytopathology 2020, 49: 203-210. PMID: 33006819, DOI: 10.1002/dc.24631.Peer-Reviewed Original ResearchConceptsRapid onsite evaluationSubsequent surgical resectionUpper gastrointestinal tractMesenchymal tumorsSurgical resectionCell blocksEUS-FNAFine needle aspiration cytology diagnosisUltrasound-guided fine-needle aspiration cytologyEndoscopic ultrasound-guided fine-needle aspiration cytologyFine needle aspiration cytologyOnsite evaluationAdditional ancillary testingNeedle aspiration cytologyDiagnostic challengeCytologic casesDiagnostic yieldAncillary testingAspiration cytologyCytologic diagnosisGastrointestinal tractMorphologic overlapCytology diagnosisElectronic databasesLesional materialConstant-severe pain in chronic pancreatitis is associated with genetic loci for major depression in the NAPS2 cohort
Dunbar E, Greer PJ, Melhem N, Alkaade S, Amann ST, Brand R, Coté GA, Forsmark CE, Gardner TB, Gelrud A, Guda NM, LaRusch J, Lewis MD, Machicado JD, Muniraj T, Papachristou GI, Romagnuolo J, Sandhu BS, Sherman S, Wilcox CM, Singh VK, Yadav D, Whitcomb DC. Constant-severe pain in chronic pancreatitis is associated with genetic loci for major depression in the NAPS2 cohort. Journal Of Gastroenterology 2020, 55: 1000-1009. PMID: 32681239, PMCID: PMC9124361, DOI: 10.1007/s00535-020-01703-w.Peer-Reviewed Original ResearchConceptsConstant severe painRecurrent acute pancreatitisChronic pancreatitisDepression-associated genesCP patientsPain severityAntidepressant usePancreatitis patientsPain experienceProspective randomized trialsAntidepressant medication usePattern of painCase report formsChronic opioidsIslet autotransplantationAntidepressant therapyTotal pancreatectomyMedication usePain managementRandomized trialsCounseling patientsRetrospective studyAcute pancreatitisClinical trialsMajor depression
2017
Multicenter evaluation of the clinical utility of laparoscopy-assisted ERCP in patients with Roux-en-Y gastric bypass
Abbas AM, Strong AT, Diehl DL, Brauer BC, Lee IH, Burbridge R, Zivny J, Higa JT, Falcão M, Hajj I, Tarnasky P, Enestvedt BK, Ende AR, Thaker AM, Pawa R, Jamidar P, Sampath K, de Moura E, Kwon RS, Suarez AL, Aburajab M, Wang AY, Shakhatreh MH, Kaul V, Kang L, Kowalski TE, Pannala R, Tokar J, Aadam AA, Tzimas D, Wagh MS, Draganov PV, Group L, Ponsky J, Greenwald B, Uradomo L, McGhan A, Hakimian S, Ross A, Sherman S, Bick B, Forsmark C, Yang D, Gupte A, Chauhan S, Hughes S, Saks K, Bakis G, Templeton A, Saunders M, Sedarat A, Evans J, Muniraj T, Gardner T, Ramos A, Santo M, Nett A, Coté G, Elmunzer B, Dua K, Nosler M, Strand D, Yeaton P, Kothari S, Ullah A, Taunk P, Brady P, Pinkas H, Faulx A, Shahid H, Holmes J, Pannu D, Komanduri S, Bucobo J, Dhaliwal H, Rostom A, Acker B. Multicenter evaluation of the clinical utility of laparoscopy-assisted ERCP in patients with Roux-en-Y gastric bypass. Gastrointestinal Endoscopy 2017, 87: 1031-1039. PMID: 29129525, DOI: 10.1016/j.gie.2017.10.044.Peer-Reviewed Original ResearchMeSH KeywordsAdultCholangiopancreatography, Endoscopic RetrogradeFemaleGastric BypassHumansLaparoscopyLength of StayMaleMiddle AgedOperative TimeRetrospective StudiesConceptsLaparoscopy-assisted ERCPAdverse event ratesLarge multicenter studyProcedure successGastric bypassAdverse eventsMulticenter studyStandard ERCPHigh procedure success rateOverall adverse event rateEvent ratesUse of RouxMedian hospital stayMedian total procedure timeRetrospective cohort studyProcedure success rateSmall case seriesTotal procedure timeERCP timeHospital stayCohort studyEndoscopic therapyAdult patientsCase seriesConventional ERCP