Ahmed Dirweesh
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View article: Comparative Safety and Metabolic Efficacy of Endoscopic Versus Laparoscopic Sleeve Procedures: A Propensity-Matched Real-World Study
Comparative Safety and Metabolic Efficacy of Endoscopic Versus Laparoscopic Sleeve Procedures: A Propensity-Matched Real-World Study Open
Background: Endoscopic Sleeve Gastroplasty (ESG) and Laparoscopic Sleeve Gastrectomy (LSG) are established interventions for morbid obesity. While LSG is more widely performed, ESG has emerged as a minimally invasive alternative. Comparati…
View article: Endoscopic Management of Pancreaticobiliary Injuries: A Level 1 US Trauma Center Experience
Endoscopic Management of Pancreaticobiliary Injuries: A Level 1 US Trauma Center Experience Open
Background: Traumatic pancreaticobiliary injuries are challenging to diagnose and manage. Endoscopic retrograde cholangiopancreatography (ERCP) has potential diagnostic and therapeutic utility in cases of traumatic pancreaticobiliar…
View article: Diffuse Intraductal Papillary Mucinous Neoplasia in Both Native and Transplant Pancreases Despite Normal Residual Pancreas in the Respective First-Degree Donor
Diffuse Intraductal Papillary Mucinous Neoplasia in Both Native and Transplant Pancreases Despite Normal Residual Pancreas in the Respective First-Degree Donor Open
CASE REPORT A 62-year-old man with a history of a simultaneous living donor pancreas-kidney transplant from his younger brother for end-stage diabetic nephropathy was found to have cystic replacement of both native and transplant pancrease…
View article: A Case of False-Positive HIV Test in a Patient With Newly Diagnosed Hodgkin Lymphoma and Literature Review
A Case of False-Positive HIV Test in a Patient With Newly Diagnosed Hodgkin Lymphoma and Literature Review Open
Hodgkin lymphoma (HL) is one of the non-acquired immunodeficiency syndrome (AIDS)-defining cancers (NADCs). HIV testing has become a part of routine testing in HL because of commonly anticipated association. Here we report an unusual case …
View article: Clinical Outcomes of Acute Pancreatitis in Patients With Coronavirus Disease 2019
Clinical Outcomes of Acute Pancreatitis in Patients With Coronavirus Disease 2019 Open
View article: Colopancreatic Fistula Following Screening Colonoscopy
Colopancreatic Fistula Following Screening Colonoscopy Open
CASE REPORT A 62-year-old woman with a medical history of a left nephrectomy underwent screening colonoscopy under conscious sedation. The colon was described as redundant but endoscopically normal. She developed recurrent left abdominal p…
View article: Rendezvous transgastric and percutaneous sinus tract endoscopy (STE) for debridement of necrotic collections with deep retroperitoneal extension: a case series (with video)
Rendezvous transgastric and percutaneous sinus tract endoscopy (STE) for debridement of necrotic collections with deep retroperitoneal extension: a case series (with video) Open
Background and study aims Infected necrotic collections extending deep into the retroperitoneum may not be amenable solely to endoscopic necrosectomy. Rendezvous transgastric and percutaneous sinus tract endoscopic necrosectomy was conceiv…
View article: Adherence to the United States Preventative Services Task Force Female Screening Guidelines: An Internal Medicine Residency Program Experience
Adherence to the United States Preventative Services Task Force Female Screening Guidelines: An Internal Medicine Residency Program Experience Open
Background Various guidelines exist for female preventative screening tests and medical resident physician adherence to the United States Preventive Services Task Force (USPSTF) guidelines varies. National screening rates for breast cancer…
View article: Su1430 – Isolated Extra-Pancreatic Necrosis is Associated with Better Clinical Outcomes Compared with Combined Pancreatic and Extrapancreatic Involvement: A Systematic Review and Meta-Analysis
Su1430 – Isolated Extra-Pancreatic Necrosis is Associated with Better Clinical Outcomes Compared with Combined Pancreatic and Extrapancreatic Involvement: A Systematic Review and Meta-Analysis Open
View article: Peri-Ampullary Metastasis From Endometrial Adenocarcinoma: A Rare Etiology of Obstructive Jaundice
Peri-Ampullary Metastasis From Endometrial Adenocarcinoma: A Rare Etiology of Obstructive Jaundice Open
Endometrial cancer is the commonest gynecologic malignancy, of which adenocarcinoma is the most common histologic type. While most women who relapse present with local symptoms within 3 years of the initial diagnosis, metastatic disease us…
View article: Impact of Hyoscine Bromide Use on Polyp Detection Rate During Colonoscopy: A Systematic Review and Meta-Analysis
Impact of Hyoscine Bromide Use on Polyp Detection Rate During Colonoscopy: A Systematic Review and Meta-Analysis Open
The use of HBB in patients undergoing colonoscopy does not appear to improve polyp or adenoma detection rates. It showed a non-significant trend of increased mean number of polyps detected with HBB.
View article: Lance–Adams syndrome associated with cerebellar pathology
Lance–Adams syndrome associated with cerebellar pathology Open
Lance-Adams syndrome (LAS) is an uncommon neurological disorder characterized by the development of chronic post-hypoxic myoclonus. There are relatively few cases described following successful cardiopulmonary resuscitation. We report a pa…
View article: Pulmonary Kaposi Sarcoma with Osseous Metastases in an Human Immunodeficiency Virus (HIV) Patient: A Remarkable Response to Highly Active Antiretroviral Therapy
Pulmonary Kaposi Sarcoma with Osseous Metastases in an Human Immunodeficiency Virus (HIV) Patient: A Remarkable Response to Highly Active Antiretroviral Therapy Open
BACKGROUND Kaposi sarcoma (KS) is known to involve the mucocutaneous tissues and the aero-digestive tracts. In acquired immune deficiency syndrome (AIDS) patients, KS has an aggressive course and carries poor prognosis. We present a case o…
View article: Angioedema in a patient with neuroendocrine tumour
Angioedema in a patient with neuroendocrine tumour Open
We present a case of a man aged 60 years, who was transferred to intensive care unit (ICU) due to labile blood pressure and a failed extubation trial after right carotid endarterectomy. His medical history was remarkable for symptomatic ri…
View article: Rhodoccocus Equi Pneumonia and Paradoxical Immune Reconstitution Inflammatory Syndrome in a Patient with Acquired Immune Deficiency Syndrome (AIDS)
Rhodoccocus Equi Pneumonia and Paradoxical Immune Reconstitution Inflammatory Syndrome in a Patient with Acquired Immune Deficiency Syndrome (AIDS) Open
Patient: Male, 47 Final Diagnosis: Rhodococcus equi pneumonia • paradoxical immune reconstitution inflammatory syndrome Symptoms: Cough • fever • shorthness of breath Medication: — Clinical Procedure: — Specialty: Infectious Diseases OBJEC…
View article: Spontaneous pneumomediastinum in a healthy young female: A case report and literature review
Spontaneous pneumomediastinum in a healthy young female: A case report and literature review Open
View article: Syndrome of inappropriate secretion of anti-diuretic hormone (SIADH) as an initial presenting sign of non small cell lung cancer-case report and literature review
Syndrome of inappropriate secretion of anti-diuretic hormone (SIADH) as an initial presenting sign of non small cell lung cancer-case report and literature review Open
Association of SIADH with malignancy was first reported in 1957, when it was described in two patients with bronchogenic carcinoma. While the association with small cell lung cancer (SCLC) is well known, that with non small cell lung cance…
View article: Post-Colonoscopy Colonic Perforation Presenting With Subcutaneous Emphysema: A Case Report
Post-Colonoscopy Colonic Perforation Presenting With Subcutaneous Emphysema: A Case Report Open
Colonoscopy is performed for both diagnostic and therapeutic indications. Although rare, associated complications can be quite serious. The frequency of these complications depends mainly on the skills of the physicians doing the procedure…
View article: Hydralazine Induced Lupus Syndrome Presenting with Recurrent Pericardial Effusion and a Negative Antinuclear Antibody
Hydralazine Induced Lupus Syndrome Presenting with Recurrent Pericardial Effusion and a Negative Antinuclear Antibody Open
Drug induced lupus erythematosus (DIL or DILE) is an autoimmune disorder caused by chronic use of certain drugs. We report a unique case of hydralazine induced lupus syndrome (HILS) with a negative antinuclear antibody in a female patient …
View article: Symptomatic Diverticular Disease in Patients With Severely Reduced Kidney Function: Higher Rates of Complications and Transfusion Requirement
Symptomatic Diverticular Disease in Patients With Severely Reduced Kidney Function: Higher Rates of Complications and Transfusion Requirement Open
There was a significant increase in complicated diverticulitis cases, transfusion requirements for diverticular bleeding and LOS in patients with severely reduced kidney function compared to patients with normal-moderately reduced renal fu…
View article: A unilateral hyperlucent lung - Swyer-James syndrome: A case report and literature review
A unilateral hyperlucent lung - Swyer-James syndrome: A case report and literature review Open
View article: Lack of Association Between the Clinical Outcome of <i>Clostridium difficile</i> Infection and Current Steroids Use
Lack of Association Between the Clinical Outcome of <i>Clostridium difficile</i> Infection and Current Steroids Use Open
There was no significant difference in the severity of CDI, need for surgical interventions, disease-related LOS and mortality in systemic steroids users compared to patients not on steroids.
View article: Adenocarcinoma of the lung presenting as thrombotic thrombocytopenic purpura
Adenocarcinoma of the lung presenting as thrombotic thrombocytopenic purpura Open
View article: Nodular Esophageal Xanthoma: A Case Report and Review of the Literature
Nodular Esophageal Xanthoma: A Case Report and Review of the Literature Open
Xanthomas are localized nonneoplastic lesions within tissues that may manifest as papules, plaques, or nodules. These lesions can be found anywhere along the gastrointestinal tract, commonly in the stomach and colon, and rarely in the smal…
View article: Postural Syncope and Constipation: An Unusual Presentation of a Duodenal Dieulafoy’s Lesion
Postural Syncope and Constipation: An Unusual Presentation of a Duodenal Dieulafoy’s Lesion Open
Dieulafoy lesions are a rare etiology of gastrointestinal bleeding from a large caliber-persistent tortuous submucosal artery. They account for 1-2% of all causes of acute gastrointestinal hemorrhage with 80%–95% of these lesions located i…
View article: Concurrent Primary Gastric and Pulmonary Diffuse Large B-Cell Lymphoma: A Case Report and Literature Review
Concurrent Primary Gastric and Pulmonary Diffuse Large B-Cell Lymphoma: A Case Report and Literature Review Open
The primary pulmonary diffuse large B-cell lymphoma (PPDLBCL), a kind of non-Hodgkin's lymphomas, itself is a rare entity. Its association with primary B-cell gastric lymphoma has not been established yet. Herein we present a case of PPDLB…
View article: Anal Neuroendocrine Tumor Masquerading as External Hemorrhoids: A Case Report
Anal Neuroendocrine Tumor Masquerading as External Hemorrhoids: A Case Report Open
Neuroendocrine tumors in gastrointestinal (GI) tract are a rare source of GI malignancy with an estimated incidence of 2.5 - 5 per 100,000 people per year and the prevalence of 35 per 100,000. In the GI tract, they are located in decreasin…
View article: Left Atrial to Esophageal Fistula: A Case Report and Literature Review
Left Atrial to Esophageal Fistula: A Case Report and Literature Review Open
BACKGROUND Left atrial to esophageal fistula (LAEF) is a rare fatal complication of radiofrequency ablation (RFA) for atrial fibrillation and is associated with high mortality. Clinical features can be nonspecific and include fever, dyspha…
View article: Association Between Obesity and Cigarette Smoking: A Community-Based Study
Association Between Obesity and Cigarette Smoking: A Community-Based Study Open
Background: Cigarettes smoking and obesity are major public health problems and leading causes of preventable morbidity and mortality worldwide. The aim of this study was to investigate the relationship between cigarettes smoking and body…