Affiliation: University of Calgary
- Magnetic resonance cholangiopancreatography: a meta-analysis of test performance in suspected biliary diseaseJoseph Romagnuolo
University of Calgary, Calgary, Alberta, Canada
Ann Intern Med 139:547-57. 2003..Magnetic resonance cholangiopancreatography (MRCP) is one of many newer noninvasive tests that can image the biliary tree...
- Routine second look endoscopy: ineffective, costly and potentially misleadingJoseph Romagnuolo
Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada
Can J Gastroenterol 18:401-4. 2004..Finally, the Forrest classification may provide dangerously misleading estimates of prognosis because it is being used out of context. This review critically analyzes routine second look endoscopy...
- Patterns of use of endoscopic retrograde cholangiopancreatography in a Canadian provinceRobert J Hilsden
Department of Medicine, University of Calgary, Calgary, Alberta, Canada
Can J Gastroenterol 18:619-24. 2004..Data on current endoscopic retrograde cholangiopancreatography (ERCP) practice patterns drawn from large population-based samples are limited...
- Predicting residual rectal adenocarcinoma in the surgical specimen after preoperative brachytherapy with endoscopic ultrasoundJoseph Romagnuolo
Division of Gastroenterology and Department of Community Health Science, University of Calgary, Calgary, Alberta, Canada
Can J Gastroenterol 18:435-40. 2004..However, external beam radiotherapy appears to decrease the accuracy of EUS from 85% to 40%. The aim of the present study was to prospectively evaluate the accuracy of EUS in assessing the response of rectal cancer to BT...
- Helical CT versus EUS with fine needle aspiration for celiac nodal assessment in patients with esophageal cancerJoseph Romagnuolo
Division of Gastroenterology, University of Calgary, Alberta, Canada
Gastrointest Endosc 55:648-54. 2002..CONCLUSIONS: Despite technological advances, helical CT still appears unreliable, mainly because of insensitivity, for the identification of inoperable T4 or metastatic involvement of celiac lymph node disease in esophageal cancer...
- Inappropriate use of intravenous pantoprazole: extent of the problem and successful solutionsGilaad G Kaplan
Division of Gastroenterology, Department of Medicine, University of Calgary, Calgary, Alberta, Canada
Clin Gastroenterol Hepatol 3:1207-14. 2005..However, a greater improvement in underspending than overspending meant that overall costs were unchanged. CONCLUSIONS: IV PPI was frequently prescribed inappropriately and incorrectly; simple maneuvers resulted in reductions in errors...
- Endoscopic "antireflux" procedures: not yet ready for prime timeJoseph Romagnuolo
Division of Gastroenterology, Department of Community Health Sciences, University of Calgary Medical Clinic, Calgary, Alberta, Canada
Can J Gastroenterol 18:573-7. 2004..Although they are promising, it is clear that these procedures are still in a preliminary study phase and not ready for "prime time" clinical use...
- Verrucous carcinoma of the esophagus eluding multiple sets of endoscopic biopsies and endoscopic ultrasound: a case report and review of the literatureShane Devlin
Division of Gastroenterology, University of Calary, Calgary, Alberta, Canada
Can J Gastroenterol 18:459-62. 2004..Of the 20 cases that have been reported, this is the second to provide an endosonographic description and the first to describe a change in endoscopic appearance with acid suppression...
- Medical or surgical therapy for erosive reflux esophagitis: cost-utility analysis using a Markov modelJoseph Romagnuolo
Division of Gastroenterology, Foothills Hospital, University of Calgary, Calgary, Alberta, Canada
Ann Surg 236:191-202. 2002..CONCLUSIONS: For patients with severe esophagitis, LNF is a cost-effective alternative to long-term maintenance therapy with proton pump inhibitors...
- Using breath tests wisely in a gastroenterology practice: an evidence-based review of indications and pitfalls in interpretationJoseph Romagnuolo
Division of Gastroenterology, University of Calgary, Canada
Am J Gastroenterol 97:1113-26. 2002..Breath tests are valuable tools that are, in general, underutilized in evaluating dyspepsia and functional bloating and diarrhea, as well as suspected malabsorption, including lactose intolerance...
- Infection after ERCP, and antibiotic prophylaxis: a sequential quality-improvement approach over 11 yearsPeter B Cotton
Digestive Disease Center, Medical University of South Carolina, Charleston, South Carolina 29425, USA
Gastrointest Endosc 67:471-5. 2008..Infection is a known complication of ERCP procedures, and the role of antibiotic prophylaxis is uncertain...
- Endoscopic ultrasound: a meta-analysis of test performance in suspected biliary obstructionDonald Garrow
Division of General Internal Medicine, Department of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA
Clin Gastroenterol Hepatol 5:616-23. 2007..It appears comparable to MRCP (magnetic resonance cholangiopancreatography), although its use is less widely disseminated. We aimed to summarize EUS test performance in suspected biliary disease with meta-analysis...
- Simple clinical predictors may obviate urgent endoscopy in selected patients with nonvariceal upper gastrointestinal tract bleedingJoseph Romagnuolo
Departments of Medicine and Biometry, Bioinformatics and Epidemiology, Medical University of South Carolina, 96 Jonathan Lucas Street, Charleston, SC 29425, USA
Arch Intern Med 167:265-70. 2007..The aims of this study were to predict whether the modified BRS (mBRS) can predict (1) endoscopic high-risk stigmata (HRS) and (2) rebleeding and mortality...
- Endoscopic pancreatic sphincterotomy for pancreas divisum by using a needle-knife or standard pull-type technique: safety and reintervention ratesAugustin Attwell
Department of Medicine, Division of Gastroenterology, Vanderbilt University Medical Center, 1501 The Vanderbilt Clinic, Nashville, TN 37232, USA
Gastrointest Endosc 64:705-11. 2006..41) (both P < .01). CONCLUSIONS: NKS is used more than PTS for minor papilla sphincterotomy at our institution, but the 2 techniques appear equally safe and effective. Younger age may be associated with higher reintervention rates...
- Gender-related changes in the pancreas detected by EUSAndré Kheng Ho Chong
Gastrointest Endosc 62:475. 2005
- Post-endoscopy checklist reduces length of stay for non-variceal upper gastrointestinal bleedingJoseph Romagnuolo
Department of Medicine Divisions of Department of Medicine Division of Gastroenterology and Hepatology, Medical University of South Carolina, Charleston, SC, USA
Int J Qual Health Care 17:249-54. 2005..Hypothesis: a detailed checklist addressing factors relevant to discharge planning would shorten hospital stay, when added to the procedure report...
- Noninvasive vs. selective invasive biliary imaging for acute biliary pancreatitis: an economic evaluation by using decision tree analysisJoseph Romagnuolo
Medical University of South Carolina, Charleston, SC 29425, USA
Gastrointest Endosc 61:86-97. 2005..In nonsevere ABP, it is slightly more costly but is associated with fewer ERCPs and ERCP-related complications. A randomized trial would help to quantify the benefits of avoiding ERCP in these patients...
- Canadian credentialing guidelines for endoscopic retrograde cholangiopancreatographyJohnathon Springer
St Joseph's Health Centre, Toronto, Canada
Can J Gastroenterol 22:547-51. 2008
- Transduodenal sphincteroplasty in the management of sphincter of Oddi dysfunction and pancreas divisum in the modern eraKatherine A Morgan
Department of Surgery, Digestive Diseases Center, Medical University of South Carolina, Charleston, SC 29425, USA
J Am Coll Surg 206:908-14; discussion 914-7. 2008..A retrospective review of sphincter of Oddi dysfunction and pancreas divisum patients who underwent TS for refractory pain in a recent time period was undertaken...
- Designing clinical trials for NOTESJoseph Romagnuolo
Digestive Disease Center, Department of Medicine, Division of Gastroenterology and Hepatology, Medical University of South Carolina, 25 Courteney Drive, ART 7100A, MSC 290, Charleston, SC 29425, USA
Gastrointest Endosc Clin N Am 18:371-85; xi. 2008..The pros and cons of subjective quality of life outcomes are debated, and the role of the patient/consumer in driving the direction and interpretation of clinical trials is discussed...
- Allopurinol to prevent pancreatitis after endoscopic retrograde cholangiopancreatography: a randomized placebo-controlled trialJoseph Romagnuolo
Digestive Disease Center, Department of Medicine, Medical University of South Carolina, South Carolina 29425, USA
Clin Gastroenterol Hepatol 6:465-71; quiz 371. 2008..The aim of this study was to determine if allopurinol decreases the rate of PEP...
- Postprocedural interpretation of endoscopic retrograde cholangiopancreatography by radiologyNitin Khanna
Department of Medicine Division of Gastroenterology, University of Western Ontario, London, Canada
Can J Gastroenterol 22:55-60. 2008..With the increase in the use of endoscopic retrograde cholangiopancreatography (ERCP) (necessitating real-time interpretation), it is unknown whether post-ERCP radiologist reporting is still necessary or helpful...
- Screening colonoscopy among persons 40 to 49 years of ageJoseph Romagnuolo
N Engl J Med 347:1205-6; author reply 1205-6. 2002
- Cost-effectiveness of colorectal cancer screening with computed tomography colonography: the impact of not reporting diminutive lesionsJoseph Romagnuolo
Cancer 112:222. 2008
- Utility of endoscopic ultrasound, cytology and fluid carcinoembryonic antigen and CA 19-9 levels in pancreatic cystic lesionsAbdulrahman M Aljebreen
Director of Clinical Research, Medical University of South Carolina MUSC, Digestive Disease Center, 96 Jonathon Lucas St, CSB 210, PO Box 250 327 Charleston, SC 29425 USA
World J Gastroenterol 13:3962-6. 2007..To assess the diagnostic accuracy of endoscopic ultrasound (EUS), fluid tumor markers and cytology in distinguishing benign from (pre)malignant pancreatic cystic lesions...
- Diagnostic performance of EUS for chronic pancreatitis: a comparison with histopathologyAndré Kheng Ho Chong
Gastroenterology Department, Fremantle Hospital, University of Western Australia, Fremantle, Western Australia, Australia
Gastrointest Endosc 65:808-14. 2007..EUS has been proposed as a minimally invasive and accurate test to detect chronic pancreatitis (CP)...
- Interobserver agreement for EUS findings in familial pancreatic-cancer kindredsMark Topazian
Mayo Clinic, Rochester, Minnesota 55905, and University of Washington, Seattle, Washington, USA
Gastrointest Endosc 66:62-7. 2007..EUS is a promising modality for pancreatic-cancer screening in high-risk persons, including familial pancreatic-cancer (FPC) kindreds...
- Simple clinical variables predict liver histology in hepatitis C: prospective validation of a clinical prediction modelJoseph Romagnuolo
Digestive Disease Center, University of South Carolina, 96 Jonathon Lucas Street, PO Box 250 327, Charleston, SC 29425, USA
Scand J Gastroenterol 40:1365-71. 2005..Absence of predictors also predicted a lack of inflammation and fibrosis. Our aim was prospectively to validate this clinical prediction model using an independent multicenter sample...
- Miss rate of pancreas divisum by magnetic resonance cholangiopancreatography in clinical practiceMatthew L Carnes
Division of Gastroenterology Hepatology, Digestive Disease Center, Medical University of South Carolina, Charleston, SC 29425 2900, USA
Pancreas 37:151-3. 2008..Magnetic resonance cholangiopancreatography has emerged as a noninvasive method of examining the pancreatic ductal anatomy. We aim to assess the sensitivity of MRCP for pancreas divisum...