Michael J. Bartel
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View article: Climate Change and Obesity
Climate Change and Obesity Open
Global warming and the rising prevalence of obesity are well described challenges of current mankind. Most recently, the COVID-19 pandemic arose as a new challenge. We here attempt to delineate their relationship with each other from our p…
Risk of bleeding following double balloon enteroscopy in patients on continued antiplatelet and/or anticoagulation therapy Open
Background and study aims Anticoagulation (AC) and antiplatelet (AP) therapy may increase the risk of gastrointestinal bleeding after double balloon enteroscopy (DBE); however, limited data are currently available regarding the incidence. …
View article: Discordant Pathological and Endoscopic Diagnosis: Consider Floaters
Discordant Pathological and Endoscopic Diagnosis: Consider Floaters Open
A tissue floater or extraneous cross-contamination tissue on a microscopic slide is rare; however, it is a potential cause of diagnostic error. Occasionally, on collecting and processing of specimens, cross-contamination of tissue occurs l…
PEG J tube placement with optimization of J tube insertion Open
We present a case series of 5 patients who underwent placement of a PEG tube followed by a J extension tube (PEG-J). PEG-J placement is usually performed as a 2-step procedure and is used for a variety of conditions such as gastroparesis. …
Neoadjuvant checkpoint inhibition in renal cell carcinoma associated Stauffer's syndrome Open
Stauffer's syndrome is a paraneoplastic phenomenon associated with renal cell carcinoma (RCC) characterized by cholestatic hepatitis. We explore the effects of perioperative immunotherapy in a case of Stauffer's syndrome. A 70-year-old fem…
Tumor Necrosis Factor Alpha Inhibitor-Induced Acute Pancreatitis Open
Treatment of acute pancreatitis remains a challenge, with therapy focused on supportive care and treating the inciting etiology. Tumor necrosis factor-alpha (TNFα) inhibitors have shown promising results treating acute pancreatitis in anim…
Novel technique for flexible endoscopic repair of Zenker’s diverticulum Open
Zenker’s diverticulum (ZD), also known as cricopharyngeal (CP) diverticulum, is an outpouching of mucosa through Killian’s triangle (Figs. 1A and B). We hypothesized that instead of incising the CP muscle, as performed historically, a wedg…
B Cell Acute Lymphocytic Leukemia Presenting as a Bile Duct Stricture Diagnosed With Cholangioscopy Open
Indeterminate biliary strictures represent a diagnostic challenge requiring further work-up, which encompasses a variety of diagnostic modalities. We report a very rare case of B-cell acute lymphocytic leukemia presenting as a biliary stri…