By Amber Shada, MD Gastroparesis, which translates to “weak stomach,” is a condition where the stomach does not work properly. The stomach’s primary function is to move food through the upper digestive tract with strong contractions. …
Clinical
Pancreas Transplantation for Type 2 Diabetes
By Jon S Odorico, MD Increasingly, patients with forms of diabetes other than Type I diabetes (T1D) are being offered pancreas transplantation and the results are excellent and nearly equivalent to the results in patients with …
Optimal Care of Patients with Rectal Cancer
Written by Elise Lawson, MD, MSHS Management of rectal cancer advanced significantly in the past two decades, resulting in decreased rates of cancer recurrence and improved survival. Advances include better imaging modalities for tumor localization and staging, …
The Role of Sialendoscopy in Managing Obstruction of Major Salivary Glands
By Greg Hartig, MD Sialendoscopy has emerged as an effective and minimally invasive treatment for management of salivary stones and strictures of the parotid and submandibular salivary glands. Although initial efforts to remove salivary stones …
Improvements in Tracheostomy Care for Pediatric Patients
By Dr. Tony Kille Three years ago, the otolaryngology service noticed some problems with the immediate postoperative cares of pediatric patients undergoing tracheostomy. This came to light after several patients were noted to have problematic skin …
Surgery for Oropharyngeal Carcinoma
By Greg Hartig, MD Oropharyngeal squamous cell carcinoma (OPSCC) secondary to high-risk human papilloma virus (HPV) infection is on the rise. This malignancy caused by remote high-risk HPVinfection, usually HPV-16, has changed the way we think about head …
Evolving Trends in Surgery of the Soft Palate for Obstructive Sleep Apnea
By David Upton, MD Obstructive sleep apnea (OSA) is an increasingly common disease affecting 2-4% of middle aged adults in the United States. Left untreated, it contributes to impaired cognition, hypertension, cardiovascular disease, and stroke.1 While positive …
Basal Joint Arthritis: Evaluation, Treatment, and Postop Expectations
Review the clinical presentation of basal joint arthritis, conservative management strategies, when surgery is indicated, and what patients can expect after surgery. The basal (carpometacarpal) joint is the second most common location for osteoarthritis in …
Evaluation of Head and Neck Masses
Understanding the basic evaluation of the neck mass is essential in determining when a mass is insignificant or significant, and potentially malignant. Beginning with an understanding of neck anatomy, a thorough history and physical exam, …
Gastrointestinal Neuroendocrine Tumors
Insulinoma Insulinomas are the most common type of NET. They occur more commonly in females in the fifth or sixth decade. These tumors secrete insulin or less commonly proinsulin which lead to the clinical syndrome of …