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satish nagula

Satish Nagula, Kamron Pourmand, Harry Aslanian, Juan Carlos Bucobo, Tamas Gonda, Susana Gonzalez, Adam Goodman, Seth A Gross, Sammy Ho, Christopher J DiMaio, Michelle Kim, Shireen Pais, John Poneros, David Robbins, Felice Schnoll-Sussman, Amrita Sethi, Jonathan M Buscaglia
BACKGROUND & AIMS: Endoscopic ultrasound (EUS) with fine needle aspiration (FNA) is the standard of care for tissue sampling of solid lesions adjacent to the GI tract. Fine needle biopsy (FNB) may provide higher diagnostic yield with fewer needle passes. The aim of this study was to assess the difference in diagnostic yield between FNA and FNB. METHODS: This is a multicenter, prospective randomized clinical trial from six large tertiary care centers. Patients referred for tissue sampling of solid lesions were randomized to either FNA or FNB of the target lesion...
June 14, 2017: Clinical Gastroenterology and Hepatology
Dennis Yang, Sunil Amin, Susana Gonzalez, Daniel Mullady, Steven A Edmundowicz, John M DeWitt, Mouen A Khashab, Andrew Y Wang, Satish Nagula, Jonathan M Buscaglia, Juan Carlos Bucobo, Mihir S Wagh, Peter V Draganov, Tyler Stevens, John J Vargo, Harshit S Khara, David L Diehl, Rajesh N Keswani, Srinadh Komanduri, Patrick S Yachimski, Anoop Prabhu, Richard S Kwon, Rabindra R Watson, Adam J Goodman, Petros Benias, David L Carr-Locke, Christopher J DiMaio
Background and study aims Data on clinical outcomes of endoscopic drainage of debris-free pseudocysts (PDF) versus pseudocysts containing solid debris (PSD) are very limited. The aims of this study were to compare treatment outcomes between patients with PDF vs. PSD undergoing endoscopic ultrasound (EUS)-guided drainage via transmural stents. Patients and methods Retrospective review of 142 consecutive patients with pseudocysts who underwent EUS-guided transmural drainage (TM) from 2008 to 2014 at 15 academic centers in the United States...
February 2017: Endoscopy International Open
Dennis Yang, Jose M Nieto, Ali Siddiqui, Brian P Riff, Christopher J DiMaio, Satish Nagula, Amr M Ismail, Saowanee Ngamreungphong, Mouen A Khashab, Mihir S Wagh, Demetrios Tzimas, Jonathan M Buscaglia, Daniel S Strand, Andrew Y Wang, Shailendra S Chauhan, Christopher E Forsmark, Peter V Draganov
Background and study aim Use of the fully covered self-expandable metal stent (SEMS) for benign luminal gastrointestinal (GI) stricture (BLGS) has been limited by the migration rate. The role of the lumen-apposing metal stent (LAMS) for BLGS is not well defined. We assessed the safety, feasibility, and efficacy of LAMS for the treatment of BLGS. Patients and methods This was an observational, open-label, retrospective, single-arm, multicenter consecutive case series of patients undergoing LAMS placement for BLGS...
April 2017: Endoscopy
C Lascarides, J M Buscaglia, P I Denoya, S Nagula, J C Bucobo, R Bergamaschi
AIM: A randomized controlled trial (RCT) was conducted to test the null hypothesis that there is no difference in complication rates and length of stay (LOS) between laparoscopic right colectomy (LRC) and laparoscopic-assisted colonoscopic polypectomy (LACP) for endoscopically unresectable polyps of the right colon. METHOD: A single-centre RCT (NCT01986699) was conducted on patients with polyps of the right colon deemed by the gastroenterologist to be unresectable...
November 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
Jennifer Hsieh, Amar Thosani, Matthew Grunwald, Satish Nagula, Juan Carlos Bucobo, Jonathan M Buscaglia
Controversy exists over the need for unilateral versus bilateral stent placement in patients with malignant obstruction at the biliary hilum. Placement of bilateral uncovered self-expanding metal stent (UCSEMS) at this location is technically challenging, and generally associated with lower rates of procedural success. Serial insertion of side-by-side UCSEMS may be especially difficult when simultaneous deployment is not possible using larger stent delivery catheters. In this single-center, retrospective case series of all patients who underwent bilateral placement of uncovered Wallflex(TM) biliary stents between July 2008 and July 2014, we evaluate the feasibility, technical success, and safety of patients undergoing serial insertion of bilateral UCSEMS using the 8 Fr Wallflex(TM) biliary system for malignant hilar obstruction...
October 2015: Hepatobiliary Surgery and Nutrition
Dennis Yang, Sunil Amin, Susana Gonzalez, Daniel Mullady, Stephen Hasak, Srinivas Gaddam, Steven A Edmundowicz, Mark A Gromski, John M DeWitt, Mohamad El Zein, Mouen A Khashab, Andrew Y Wang, Jonathan P Gaspar, Dushant S Uppal, Satish Nagula, Samir Kapadia, Jonathan M Buscaglia, Juan Carlos Bucobo, Alex Schlachterman, Mihir S Wagh, Peter V Draganov, Min Kyu Jung, Tyler Stevens, John J Vargo, Harshit S Khara, Mustafa Huseini, David L Diehl, Rajesh N Keswani, Ryan Law, Srinadh Komanduri, Patrick S Yachimski, Tomas DaVee, Anoop Prabhu, Robert T Lapp, Richard S Kwon, Rabindra R Watson, Adam J Goodman, Natasha Chhabra, Wallace J Wang, Petros Benias, David L Carr-Locke, Christopher J DiMaio
BACKGROUND AND AIMS: The need for transpapillary drainage (TPD) in patients undergoing transmural drainage (TMD) of pancreatic fluid collections (PFCs) remains unclear. The aims of this study were to compare treatment outcomes between patients with pancreatic pseudocysts undergoing TMD versus combined (TMD and TPD) drainage (CD) and to identify predictors of symptomatic and radiologic resolution. METHODS: This is a retrospective review of 375 consecutive patients with PFCs who underwent EUS-guided TMD from 2008 to 2014 at 15 academic centers in the United States...
April 2016: Gastrointestinal Endoscopy
Lilly Sadri, Rahul Bajaj, Satish Nagula
No abstract text is available yet for this article.
January 2016: Clinical Gastroenterology and Hepatology
Christopher J DiMaio, Jonathan M Buscaglia, Seth A Gross, Harry R Aslanian, Adam J Goodman, Sammy Ho, Michelle K Kim, Shireen Pais, Felice Schnoll-Sussman, Amrita Sethi, Uzma D Siddiqui, David H Robbins, Douglas G Adler, Satish Nagula
AIM: To ascertain fine needle aspiration (FNA) techniques by endosonographers with varying levels of experience and environments. METHODS: A survey study was performed on United States based endosonographers. The subjects completed an anonymous online electronic survey. The main outcome measurements were differences in needle choice, FNA technique, and clinical decision making among endosonographers and how this relates to years in practice, volume of EUS-FNA procedures, and practice environment...
October 16, 2014: World Journal of Gastrointestinal Endoscopy
Satish Nagula, Jonathan M Buscaglia, Juan Carlos Bucobo
No abstract text is available yet for this article.
September 2014: Gastrointestinal Endoscopy
Jonathan M Buscaglia, Joshua Karas, Nicholas Palladino, Jordan Fakhoury, Paula I Denoya, Satish Nagula, Juan Carlos Bucobo, Muath Bishawi, Roberto Bergamaschi
BACKGROUND: There is no evidence demonstrating the feasibility of colorectal natural orifice transluminal endoscopic surgery (NOTES) resection with currently available endoscopic instrumentation. OBJECTIVE: This study aimed to evaluate the responsiveness of surgical endoscopists to simulated transanal NOTES sigmoidectomy training. DESIGN: Participants were trained in simulated NOTES sigmoidectomy by using disposable abdominal trays with tattooed sigmoid cancer in a hybrid simulator...
July 2014: Gastrointestinal Endoscopy
Edward Sun, Mathew Tharakan, Sumit Kapoor, Rajarshi Chakravarty, Aladin Salhab, Jonathan M Buscaglia, Satish Nagula
CONTEXT: Despite recent updates in the treatment of acute pancreatitis emphasizing enteral nutrition over parenteral nutrition as well as minimizing antibiotic usage, mortality rates from acute pancreatitis have not improved. Data has been limited regarding physician compliance to these guidelines in the United States. METHODS: A 20 question survey regarding practice patterns in the management of acute pancreatitis was distributed to physicians at multiple internal medicine and gastroenterology conferences in North America between 2009 and 2010...
May 2013: JOP: Journal of the Pancreas
Michael S Halbreiner, Edward Sun, John Asheld, Jonathan M Buscaglia, Satish Nagula, Allison J McLarty
No abstract text is available yet for this article.
March 2012: American Surgeon
Jonathan M Buscaglia, Satish Nagula, Vijay Jayaraman, David H Robbins, Deepak Vadada, Seth A Gross, Christopher J DiMaio, Shireen Pais, Kal Patel, Divyesh V Sejpal, Michelle K Kim
BACKGROUND: EUS-FNA often fails to make a definitive diagnosis in the evaluation of subepithelial lesions. The addition of jumbo biopsy forceps has the potential to improve diagnostic yield, but published series are limited. OBJECTIVE: To assess the likelihood of definitive diagnosis for subepithelial lesions by using jumbo biopsy forceps during EUS examination. DESIGN: Pooled retrospective analysis. SETTING: 6 tertiary referral centers...
June 2012: Gastrointestinal Endoscopy
Jonathan Buscaglia, Satish Nagula, Jay Yuan, Juan Carlos Bucobo, Atul Kumar, Chris E Forsmark, Peter V Draganov
INTRODUCTION: Evidence-based medicine (EBM) has become increasingly important in the practice of gastroenterology and endoscopy, and the training of future gastroenterology physicians. The objectives were to assess the attitudes/opinions of gastroenterology specialists towards EBM, and evaluate possible gaps in education for certain EBM-related concepts. METHODS: An internet-based survey was emailed to 4073 gastroenterology specialists. The main outcome measurements were physicians' endorsement of EBM, impact of EBM on clinical practice, utilization of EBM-specific resources, self-assessed understanding of EBM concepts (EBM familiarity score), and actual knowledge of EBM concepts (EBM competency score)...
September 2011: Therapeutic Advances in Gastroenterology
Satish Nagula, Jill Gaidos, Peter V Draganov, Juan Carlos Bucobo, Brian Cho, Yasmin Hernandez, Jonathan M Buscaglia
No abstract text is available yet for this article.
September 2011: Gastrointestinal Endoscopy
Jonathan M Buscaglia, Sammy Ho, Amrita Sethi, Christopher J Dimaio, Satish Nagula, Stavros N Stavropoulos, Tamas A Gonda, John M Poneros, Peter D Stevens
No abstract text is available yet for this article.
July 2011: Gastrointestinal Endoscopy
Jonathan M Buscaglia, Vijay Jayaraman, Satish Nagula
Perioperative morbidity rates following esophagectomy for esophageal cancer remain quite high (26-41%) even at high-volume centers. Complications may include stricture at the esophagogastric (EG) anastomosis, as well as tracheo-esophageal or tracheo-gastric fistula formation. Fully-covered self-expanding metal stents (FCSEMS) have only recently been described for use in benign esophageal disease. The use of FCSEMS for the management of postoperative complications following esophagectomy has not been well studied...
April 2011: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
Jonathan M Buscaglia, Robert Richards, Mark N Wilkinson, Joel R Judah, Yvette Lam, Satish Nagula, Peter V Draganov
BACKGROUND: Spiral enteroscopy (SE) has emerged as a new alternative for deep intubation of the small intestine. SE is most often used to evaluate abnormal findings on capsule endoscopy (CE). OBJECTIVE: Investigate the ability of SE to reproduce abnormal findings detected on preceding CE. DESIGN: Prospective study. SETTING: Two academic tertiary care centers. PATIENTS: Consecutive patients undergoing SE to investigate a clinically significant finding on CE...
April 2011: Journal of Clinical Gastroenterology
Satish Nagula, Timothy Kennedy, Mark A Schattner, Murray F Brennan, Hans Gerdes, Arnold J Markowitz, Laura Tang, Peter J Allen
BACKGROUND: Although cyst fluid carcinoembryonic antigen (CEA; > 192 ng/ml) is the preferred test for identifying mucinous pancreatic cysts, the data are more robust for mucinous cystic neoplasms (MCN) than for intraductal papillary mucinous neoplasms (IPMN). The role of cyst fluid CEA as a marker for either malignancy or malignant progression is uncertain. METHODS: All patients with pancreatic cysts who had undergone endoscopic ultrasound with cyst fluid CEA measurement between 2001 and 2009 were identified...
December 2010: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
Christopher J DiMaio, Satish Nagula, Karyn A Goodman, Alice Y Ho, Arnold J Markowitz, Mark A Schattner, Hans Gerdes
BACKGROUND: Image-guided radiation therapy (IGRT) is dependent on the presence of fiducial markers for target localization and tracking. EUS-guided placement of fiducial markers with a 19-gauge needle has been reported. However, the size and stiffness of the 19-gauge needle may compromise the safety and ease of fiducial placement. OBJECTIVE: The aim of this study was to evaluate the safety and feasibility of EUS-guided placement of thin flexible gold coil fiducials by using a 22-gauge needle...
June 2010: Gastrointestinal Endoscopy
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