Suite 116
Palo Alto, CA 94304
Fax: (650) 498-5608
When caring for your child, I view us as part of the same team where we put our minds together to solve issues and try new treatments or a combination of alternative and Western treatments. I take a gentle, respectful approach to care, staying mindful of the number of procedures your child endures and starting with those that are least invasive.
Gastroenterology is always evolving so it's exciting to offer your child new innovations to improve their quality of life. As a researcher, I look for trends in large groups of patients and discover what is effective, bringing this knowledge to our care appointments. Seeing you and your child happy, and improving your child's life, is what makes me happy.
George Washington University School of Medicine and Health Sciences, Washington, DC, 05/31/2016
Nicklaus Children's Hospital - Pediatrics Residency, Miami, FL, 06/30/2019
Stanford University Pediatric Gastroenterology, Palo Alto, CA, 07/06/2022
Pediatrics, American Board of Pediatrics
View details for Web of Science ID 000870796604361
View details for DOI 10.1007/s10620-022-07492-x
View details for PubMedID 35397696
Endoscopic ultrasound (EUS) is a commonly used radiation-sparing procedure in adult patients for diagnostic sampling of gastrointestinal lesions and fluid collections, gastric variceal hemostasis, biliary/pancreatic duct drainage, and endo-surgical interventions. Integration of EUS in pediatrics is still in its infancy with limited data regarding its use. The present study analyzes utilization, diagnostic and therapeutic roles of pediatric EUS and evolution in these parameters over time.Records of patients 18years or younger from 2009 to 2020 at our tertiary pediatric care center were retrospectively identified. Patient demographics, symptoms, laboratory studies, EUS indications and interventions, and clinical outcomes of the procedures were analyzed. Statistical analysis was performed using Student's T-test, Pearson chi-square and Fisher's exact tests.306 EUS procedures were performed during the study period, for 279 pediatric patients. These included 287 (93.8%) upper EUS and 19 (6.2%) lower EUS. 229 procedures were diagnostic (74.8%) and 77 were therapeutic (25.2%). EUS indications included evaluation and therapy of the pancreaticobiliary region (231, 75.5%), subepithelial or regional lesion (54, 17.8%), celiac plexus block (19, 6.2%) and hemostasis (14, 4.5%). Diagnostic sampling was performed in 52 of these EUS procedures, with a 96.2% diagnostic yield. 98.7% of therapeutic procedures were technically successful and there were no associated adverse events.The diagnostic and therapeutic role for EUS in adults has expanded dramatically, however the role of EUS in pediatrics is not well-defined. In this, the largest pediatric EUS study to date, our data support the safety and utility of diagnostic and therapeutic EUS in pediatrics.
View details for DOI 10.1097/MPG.0000000000003403
View details for PubMedID 35149652
View details for Web of Science ID 000707188005343
View details for DOI 10.1542/pir.2018-0327
View details for PubMedID 34074716
View details for DOI 10.1097/PG9.0000000000000059
View details for PubMedID 34192292
View details for PubMedCentralID PMC8043327
View details for DOI 10.1097/PG9.0000000000000059