Gastroenterology & GI Surgery
Minimizing the Miss Rate: How AI Is Reshaping Colonoscopy
Computer-aided polyp detection systems boost detection of small and large adenomas.
Adolescent Obesity: Weight Loss and Bariatric Surgery
An expert discusses bariatric surgery, a well-tolerated and effective treatment option for adolescent obesity.
Findings Support Elective Paraesophageal Hernia Repair in Elderly Patients
Large outcomes study signals a shift from watchful to operative management of PEHs in older adults.
Ergonomic Factors in Endoscopy: Addressing the Training Gap
Practitioner injuries are widespread and early onset—new guidelines aim to stem the problem.
Calculator Predicts Risk of Early-Onset Colorectal Cancer
A model incorporating lifestyle, genetic factors could pinpoint high-risk young adults.
Chemoprevention: Best Practice Advice for Colorectal Neoplasia
Recommendations state that only two medications should be considered, as others lack efficacy.
NYU Langone Health:
A Leader in Gastroenterology & GI Surgery
in Gastroenterology & GI Surgery
Best in New York State
1-year post liver transplant survival
Complex Case Spotlight
Anemia of “Unknown Origin” Revealed to be Caused by Large Hiatal Hernia
Assessing the Cause of Anemia, Vomiting, Retching
A 68-year-old male presented with a history of anemia as well as complaints of acid reflux, vomiting, retching, and difficulty keeping food down. Multiple tests completed prior to the patient arriving revealed no obvious reason for the chronic blood loss. The patient was receiving regular iron infusions and blood transfusions to treat the anemia.
Detection of Large Hiatal Hernia
Upon referral for management of worsening symptoms, gastroenterologist Seth Gross, MD, detected a large hiatal hernia via endoscopy, which was subsequently confirmed on a CT scan.
Cameron Lesions and Iron Deficiency Anemia
Dr. Gross suspected that, in addition to causing the symptoms of acid reflux, vomiting, and retching, Cameron lesions associated with the hiatal hernia were causing iron deficiency anemia. The patient was then referred to surgeon Tanuja Damani, MD, and underwent a minimally invasive robotic paraesophageal hernia repair.
Paraesophageal Hernia Repair
Mesh reinforcement of the diaphragm was completed during the repair to reduce the risk of hernia recurrence. In total, the procedure lasted 2.5 hours, and the patient was discharged within 48 hours. Following surgery, the patient’s hemoglobin levels – which reached a low of 5.4 g/dl pre-surgery – returned to normal (>15 g/dl), and his symptoms of acid reflux, vomiting, and retching completely resolved. READ THE FULL ARTICLE
CME, Symposia & Events
March 2023 Big Gut Seminars: Focus on Complex Esophageal Disease and Inflammatory Bowel Disease
March 1 – 31, 2023
These CME- and MOC-accredited courses are focused on emerging concepts and controversies in the pathogenesis, diagnosis, and evidence-based treatment of individuals with benign or pre-malignant esophageal disease (March 24) and complex IBD (March 31). Featuring a multidisciplinary faculty of national leaders and an interactive format, each full-day program discusses novel treatment options, emerging issues in clinical care, and challenging complex patient cases.
NYU Langone Health, 550 First Avenue, Alumni HallRegister Now
Get Practice-Changing Specialty News from the Nation’s #3 Hospital
Select your specialty areas of interest to receive our latest complex case studies, research highlights, expert perspectives, and other news.