Background: Non-Alcoholic Fatty Liver Disease (NAFLD) is defined as the presence of ≥5% of hepatic steatosis (HS) in the absence of other liver disorders, such as chronic viral or autoimmune hepatitis, steatosis induced by drugs, significant alcohol consumption, hemochromatosis, or Wilson’s disease. There is limited literature describing national prevalence and epidemiological characteristics of NAFLD in [...]

Background: The advent of endoscopic ultrasound guided celiac plexus neurolysis (EUS-CPN) has provided immeasurable benefits for patients with pain from pancreatic malignancies. Here, we aim to characterize efficacy of various agents used in EUS-CPN for reducing pain secondary to pancreatic cancer by performing a systematic review and meta-analysis. Methods: Using predefined keywords, a search was [...]

Background: Alcohol withdrawal syndrome is a clinical syndrome with clinical manifestations of anxiety, insomnia, irritability, disorientation, hallucinations, seizures, and autonomic hyperactivity. Delirium tremens is the most severe manifestation of alcohol withdrawal. Although benzodiazepines are currently the first line for treatment of alcohol withdrawal, barbiturates are increasingly used for treatment as an alternative[1–3]. We need strong [...]

Case Presentation: A 23 year old man with type 2 autoimmune pancreatitis (AIP) based on suggestive pancreatic biopsy presented with abdominal pain, nausea, and vomiting. Based on his AIP diagnosis, he had previously received courses of steroids and azathioprine, celiac plexus block, minor papilla sphincterotomy, and pancreatic duct stent placement, but these were all ineffective. [...]

Background: One in three heavy drinkers experience acute alcohol-associated hepatitis (AAH). AAH is defined as acute liver injury with elevated bilirubin and AST/ALT ratio >1.5 in the setting of heavy alcohol use. AAH has a high mortality rate and is associated with development of chronic liver disease; thus, it is crucial to correctly identify patients [...]