Shahin Ayazi

🔬 Beyond symptom relief: Can gastroparesis surgery improve diabetes outcomes? 📊 Our study in @JAMASurgery (95,328 patients; 2,272 matched pairs): 📉 5-year HbA1c: 6.29% vs 7.21% 💉 Lower insulin use ✅ Fewer diabetes complications: 53.2% vs 63.3% 🎯 Surgery may offer metabolic benefits beyond symptom control. 🔗 doi.org/10.1001/jamasurg.202… @SSATNews @SAGES_Updates @sepdigestiva @CelestinoGutirr @NeilFlochMD @sminaev2015 @stevenbollipo @drkeithsiau @CarlKayMD

🔬 Does H. pylori infection influence progression of Barrett’s esophagus? 📊 In our study published in @JournalofGISurg, involving 266,856 patients with nondysplastic Barrett’s esophagus: 📉 H. pylori infection was associated with lower progression to dysplasia or esophageal adenocarcinoma (3.9% vs 8.3%). 🎯 Potential implications for risk stratification. 🔗 doi.org/10.1016/j.gassur.202… @SSATNews @SAGES_Updates @sepdigestiva @CelestinoGutirr @NeilFlochMD @sminaev2015 @stevenbollipo @drkeithsiau @CarlKayMD #BarrettsEsophagus #GERD

📘 New review in @AnnalsofSurgery Beyond acid exposure, mucosal impedance offers a window into esophageal mucosal integrity. ⚡ What does it measure? 🔬 How is it performed? 📊 Where does it fit alongside pH testing? 🧭 Can it improve GERD phenotyping and clinical decision-making? We review the current evidence, limitations, and future role of mucosal impedance in foregut practice. 🔗 ovid.com/jnls/annalsofsurger… @SAGES_Updates @sepdigestiva @CelestinoGutirr @NeilFlochMD @sminaev2015 @stevenbollipo @drkeithsiau @CarlKayMD @SSATNews #GERD #MucosalImpedance #Foregut #Esophagus

🔬 🔬 Can Barrett’s esophagus regress after antireflux surgery? Our study in @AnnalsofSurgery examines who is most likely to experience histologic regression. 📊 234 patients | 53.4% histologic regression 📏 Regression confined to ultrashort/short segments 🛠️ An intact repair was associated with greater regression: 64.2% vs 38.8% 💡 Segment length and repair integrity matter—not simply the choice of procedure. 🔓 Read the study: doi.org/10.1097/SLA.00000000… #BarrettsEsophagus #ForegutSurgery @SAGES_Updates @sepdigestiva @CelestinoGutirr @sminaev2015 @drkeithsiau @stevenbollipo @CarlKayMD

📢 Read our paper in the July issue of @acsJACS ⚠️ Gas bloat after Nissen fundoplication may be more than a postoperative nuisance. 📈 Nearly 3× higher 5-year anatomical failure 🔄 >3× higher revisional surgery 🔓 Open access: ovid.com/jnls/journalacs/ful… @SAGES_Updates @sepdigestiva @CelestinoGutirr @NeilFlochMD @sminaev2015 @stevenbollipo

🌿 Cannabis use and outcomes after surgery for #Gastroparesis In this Surgical Endoscopy @SAGES_Updates study: 🤢 Greater preoperative symptom burden 🔁 Higher early reintervention rates 🏥 More hospital admissions 📉 Less outpatient follow-up and engagement ⏳ Greater long-term healthcare utilization 🔗 Read the full-text article: link.springer.com/article/10… #SurgicalEndoscopy #ForegutSurgery #GISurgery #Cannabis #ClinicalResearch

It was a pleasure to welcome Guilherme M. Campos, MD, PhD, from @VCU_Surgery as our Visiting Professor for the Chevalier Jackson Lectureship, hosted by the Chevalier Jackson Esophageal Research Center, Department of Surgery at Allegheny Health Network. A wonderful two days of education, discussion, and collaboration in esophageal and foregut surgery. Grateful to Dr. Campos for sharing his expertise and experience with our team. @AHNSurgeryInst @AHNtoday @AHNGastro @SSATNews @SAGES_Updates @VCUGenSurgRes #ForegutSurgery #EsophagealSurgery #SurgicalEducation

📄 In this @JournalofGISurg study, we examined disparities in presentation and outcomes after surgical treatment of medically refractory #Gastroparesis. 👥 Demographic and socioeconomic differences in presentation 🏥 Surgical treatment produced meaningful improvement across SES groups 📊 Persistent symptom patterns differed among demographic groups ⚖️ Outcomes reflect both clinical and social factors 🔗 Read the full-text article: sciencedirect.com/science/ar… #JOGS #GISurgery #ForegutSurgery #HealthDisparities

The Tom DeMeester Lecture Series continues to set the tone for how we think about esophageal physiology, thoughtful talks and discussion that stay grounded in fundamentals. #DDW2026 #Foregut @DDWMeeting @UjikiMike @amber_shada @UPMC_CTSurgery @ForegutSociety