Manhattan Clinic That Treated Joan Rivers Will Lose Federal Funding

Yorkville Endoscopy has failed to correct the deficiencies implicated in Ms. Rivers’s death, according to a letter from the Centers for Medicare and Medicaid Services.
Source: NYT Health - Category: Consumer Health News Authors: Tags: Medicare Cohen, Lawrence B Rivers, Joan Health Insurance and Managed Care Yorkville Endoscopy Upper East Side (Manhattan, NY) Centers for Medicare and Medicaid Services Source Type: news

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Authors: Imai M, Ishikawa T, Okoshi M, Tomiyoshi K, Kojima Y, Horigome R, Nozawa Y, Sano T, Iwanaga A, Honma T, Nemoto T, Takeda K, Nishikura K, Ishihara N, Yoshida T Abstract A 62-year-old man initially underwent transcatheter arterial chemoembolization for the treatment of hepatocellular carcinoma (HCC). One year after the initial treatment, he developed anemia. Upper gastrointestinal endoscopy revealed irregularly elevated tumors in the lower anterior gastric body, which were diagnosed to be metastasis from HCC. Left gastric artery coil embolization was performed to prevent sustained bleeding, and his anemia par...
Source: Internal Medicine - Category: Internal Medicine Tags: Intern Med Source Type: research
ConclusionThe knowledge about a new case, impacts in obtaining more information about the clinical course and surgical treatment of this tumor.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Publication date: Available online 17 April 2019Source: Best Practice &Research Clinical GastroenterologyAuthor(s): Kathryn OaklandAbstractUpper gastrointestinal bleeding (UGIB) develops in the oesophagus, stomach or duodenum and has an incidence of 47/100,000. Lower GIB (LGIB) develops in the small bowel, colon or anorectum and has an incidence of 33/100,000. Where the incidence of UGIB has fallen, driven by helicobacter pylori eradication and the use of proton pump inhibitors, the incidence of LGIB may be increasing. Interventions such as early endoscopy, risk assessment and national guidelines have improved clinical...
Source: Best Practice and Research Clinical Gastroenterology - Category: Gastroenterology Source Type: research
Publication date: Available online 17 April 2019Source: Best Practice &Research Clinical GastroenterologyAuthor(s): Omar Kherad, Sophie Restellini, Myriam Martel, Alan BarkunSummaryAcute upper gastrointestinal bleeding (UGIB) remains a public health burden with a persistent high mortality despite advances in modern day management. Proton pump inhibitors (PPI) as medical therapy is an attractive adjuvant to endoscopic treatment in UGIB but the method and dose of PPI therapy remains controversial. This chapter aims to describe the current evidence addressing acute PPI use in the management of UGIB. It will explore the ev...
Source: Best Practice and Research Clinical Gastroenterology - Category: Gastroenterology Source Type: research
While the primary risk factor for oesophageal adenocarcinoma (OAC) and its precursor lesion Barrett ’s oesophagus (BO) is gastro-oesophageal reflux, the infection withHelicobacter pylori (H. pylori) is the dominant risk factor for gastric cancer. Reduction of reflux by dietary measures and proton pump inhibitors has some merits in OAC prevention, and the chemopreventive effect of Aspirin and statins is being widely investigated; however, improved outcome in OAC occurs primarily as the result of secondary prevention. Early detection of neoplastic lesions in Barrett ’s metaplasia can be achieved by surveillance e...
Source: Digestive Diseases - Category: Gastroenterology Source Type: research
AbstractBackground and AimTo evaluate if spleen stiffness measurement (SSM) can rule out the presence of high-risk varices in patients with cirrhosis, avoiding an upper gastrointestinal endoscopy (UGE).MethodsWe enrolled 71 cirrhotic patients irrespective of liver disease ’s etiology. 2D shear wave elastography (SWE) of spleen and UGE was performed. High-risk varices (HRV) were defined as esophageal varices ≥ 5 mm and/or red spots and any gastric varices.ResultsEsophageal varices were documented in 37 (52.1%) and HRV in 25 (35.2%) patients. SSM was not technically feasible in 7/71 patients (9.8%). From...
Source: Digestive Diseases and Sciences - Category: Gastroenterology Source Type: research
CONCLUSION: Accumulation of abnormal amounts of secretions in the pyriform sinus or in the laryngeal vestibule increased the risk of the hospital admission following pneumonia in patients who underwent PEG. The mortality rate was higher in patients with suboptimal protective cough reflex. PMID: 30983013 [PubMed - as supplied by publisher]
Source: JPEN Journal Of Parenteral And Enteral Nutrition - Category: Nutrition Authors: Tags: JPEN J Parenter Enteral Nutr Source Type: research
Authors: Chan HF, Lai KW, Yung AWT, Luk WH, Cheng LF, Ma JKF PMID: 30971510 [PubMed - in process]
Source: Hong Kong Medical Journal - Category: General Medicine Tags: Hong Kong Med J Source Type: research
Goals: The purpose of this article is to validate the long-term association between initial serum pepsinogen (PG) measurements and subsequent gastric cancer–specific deaths from a long-term longitudinal cohort. Background: Endoscopic surveillance can be effective and efficient in reducing gastric cancer mortality if a biomarker such as serum PG is available to identify high-risk individuals and if the biomarker also is specific to gastric cancer risk. Study: Between 1995 and 1998, a gastric cancer–screening program was conducted in a high-risk population: The first stage involved PG testing, and the sec...
Source: Journal of Clinical Gastroenterology - Category: Gastroenterology Tags: ONLINE ARTICLES: Original Articles Source Type: research
CONCLUSION: Both HP allow for effective hemostasis with no differences in ST, LT success and re-bleeding. PMID: 30983819 [PubMed - in process]
Source: World Journal of Gastroenterology : WJG - Category: Gastroenterology Authors: Tags: World J Gastroenterol Source Type: research
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