Faculty Bibliography

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74

Gastrointestinal endoscopy. 1999:49(4):432-432.DOI:

Endoscopic treatment of adherent clots significantly reduces early rebleeding in patients with peptic ulcer disease [Meeting Abstract]

Bini, EJ; Cohen, J
ISI:000079848100431
ISSN: 0016-5107
CID: 108260
Gastrointestinal endoscopy. 1999:49(4):AB163-AB163.DOI:

Stigmata of hemorrhage in patients with duodenal ulcers without overt bleeding on presentation: Prevalence and prognostic significance [Meeting Abstract]

Bini, EJ; Cohen, J
ISI:000079848100429
ISSN: 0016-5107
CID: 54039
Gastrointestinal endoscopy. 1999:50(1):102-5.DOI: 10.1016/s0016-5107(99)70356-1

Intrinsic common bile duct stricture: an unusual presentation of retroperitoneal fibrosis [Case Report]

Lascarides CE; Bini EJ; Newman E; Gordon RB; Sidhu GS; Cohen J
PMID: 10385734
ISSN: 0016-5107
CID: 6147
Gastrointestinal endoscopy. 1998:47(4):AB80-AB80.DOI:

Prevalence and prognostic significance of stigmata of bleeding in patients with gastric ulcers without overt hemorrhage on presentation [Meeting Abstract]

Bini, EJ; Rieber, JM; Cohen, J
ISI:000073306800224
ISSN: 0016-5107
CID: 53507
Gastroenterology. 1998:114(4):A1358-A1358.DOI:

Outcome following transplantation for autoimmune hepatitis [Meeting Abstract]

Valdes, MT; Zakai, MD; Cohen, J; Tobias, H; Talal, A; John, D; Teperman, L
ISI:000073089605513
ISSN: 0016-5085
CID: 53475
Gastroenterology. 1998:114(4):A1320-A1321.DOI:

Long duration high-dose interferon therapy for hepatitis C is associated with a high sustained response rate [Meeting Abstract]

Pasternak, BA; Cohen, J; Weber, SA; Teperman, L; Tobias, H
ISI:000073089605359
ISSN: 0016-5085
CID: 53474
Gastroenterology. 1998:114(4):A933-A933.DOI:

Effect of protease inhibitors on the outcome of therapy for chronic HIV-related diarrhea [Meeting Abstract]

Bini, EJ; Cohen, J
ISI:000073089603800
ISSN: 0016-5085
CID: 53466
Gastroenterology. 1998:114(4):A5-A5.DOI:

Predictors of gastrointestinal hemorrhage in 893 patients with benign-appearing gastric ulcers [Meeting Abstract]

Bini, EJ; Unger, JS; Cohen, J
ISI:000073089600016
ISSN: 0016-5085
CID: 53464
Gastroenterology. 1998:114(4):A4-A4.DOI:

Predictive value of hemorrhage for the diagnosis of occult malignancy in patients with benign-appearing gastric ulcers [Meeting Abstract]

Bini, EJ; Rieber, JM; Cohen, J
ISI:000073089600015
ISSN: 0016-5085
CID: 53463
Gastrointestinal endoscopy. 1998:48(4):354-61.DOI: 10.1016/s0016-5107(98)70003-3

Diagnostic yield and cost-effectiveness of endoscopy in chronic human immunodeficiency virus-related diarrhea

Bini EJ; Cohen J
BACKGROUND: Endoscopy is commonly performed in patients with chronic human immunodeficiency virus (HIV)-related diarrhea after negative stool studies. The aim of this study was to determine the diagnostic yield and cost-effectiveness of endoscopy in this setting. METHODS: Consecutive HIV-infected patients with chronic unexplained diarrhea who were referred for diagnostic endoscopy were identified. Patient charts, pathology reports, and endoscopy records were reviewed. RESULTS: A total of 479 endoscopic procedures were performed in 307 patients. A pathogen was identified in 147 patients (47.9%); cytomegalovirus was the most frequent organism found (21.5%). The average cost of identifying a pathogen by endoscopy was $3822.94. Colonoscopy had a greater diagnostic yield than flexible sigmoidoscopy (38.7% vs. 22.4%, p = 0.009) and was more cost-effective. The yield of upper endoscopy was 29.6%. In patients with a CD4 count of less than 100/mm3, endoscopy had a higher diagnostic yield (62.8% vs. 8.3%, p < 0.0001) and a lower cost of identifying a pathogen ($2943.92 vs. $21,583.51) than in those with higher CD4 counts. CONCLUSIONS: Endoscopy frequently identifies a pathogen in HIV-related chronic diarrhea. Colonoscopy is the most cost-effective procedure. Endoscopic evaluation has a significantly higher diagnostic yield and is considerably more cost-effective in patients with a CD4 count of less than 100/mm3 than in those with higher CD4 counts
PMID: 9786106
ISSN: 0016-5107
CID: 7500