The patient A 33-year-old female presented with progressive exertional intolerance, peripheral edema, nausea and vomiting. Cardiac history included tricuspid atresia with normally related great vessels with severe pulmonic stenosis (single ventricle heart disease). She underwent staged surgical palliations with a left modified Blalock-Taussig shunt procedure in infancy followed by bilateral, bidirectional Glenn procedure, and finally…
Life-changing, advanced cancer technology has arrived at Norton Audubon Hospital for patients with pancreatic cancer. William B. Evans III, M.D., gastroenterologist with Norton Gastroenterology Consultants of Louisville, recently became the first and only physician in Kentucky to perform endoscopic ultrasound-guided radiofrequency ablation (EUS-RFA) for pancreatic cancer. “It’s an honor to be the first in the state to…
Myocarditis represents a significant cause of morbidity and mortality in pediatric patients, yet its clinical presentation can be deceptively subtle. As inflammation of the heart muscle and conduction system, myocarditis affects the heart’s ability to contract effectively and maintain normal rhythm, potentially leading to sudden cardiac death even in previously healthy children. Epidemiology and risk…
Recent advances in colonoscopy techniques are helping physicians detect more colon cancers while reducing complications, according to updated medical guidelines that emphasize quality indicators and improved detection methods. William B. Evans III, M.D., gastroenterologist with Norton Gastroenterology Consultants of Louisville, presented the findings at a continuing medical education session, outlining key changes in how physicians…
Norton Children’s has named a new physician to lead its gastroenterology team. James P. Franciosi, M.D., will serve as chief of Norton Children’s Gastroenterology and division chief of the University of Louisville School of Medicine Department of Pediatrics Division of Gastroenterology, Hepatology and Nutrition. In these roles, Dr. Franciosi will lead Norton Children’s team of physicians…
“Gastrointestinal cancers can occur anywhere from the esophagus to the rectum. This includes cancers of the esophagus, stomach, small intestine, colon, rectum and anus, as well as the bile duct, pancreas and liver,” said Robert C.G. Martin, M.D., Ph.D., surgical oncologist with Norton Cancer Institute. “They include the second- and third-deadliest cancers in the United…
Upper gastrointestinal (GI) cancers affect the esophagus, stomach, liver, biliary tract and pancreas. Many patients require the care of several specialties for a specific condition at the same time. The coordination of care and time commitment of having multiple appointments can be difficult for some people to manage. Multiple specialists provide services at our multidisciplinary…
William B. Evans, M.D., FASGE, has joined Norton Gastroenterology Consultants of Louisville, providing experience in therapeutic endoscopy and a vision to lift the overall excellence of gastroenterology care. After completing a fellowship in advanced therapeutic endoscopy at the University of Florida in Gainesville, Dr. Evans has been able to provide care that is comprehensive and…
The latest colon cancer screening recommendations call for earlier screenings and include guidance to better reflect individual risks. The starting age for screening for the average person with no risk factors is now 45, five years earlier than the previous recommendations. A family history of polyps, colon cancer or inflammatory bowel disease pushes the recommended…
The primary care provider is the first line of defense against colon cancer, yet for every two patients who are referred by their physician to get colonoscopies, only one of them will end up completing the important cancer screening. The reasons why people don’t get colonoscopies A common reason for not scheduling a colonoscopy: Patients…
The Norton Cancer Institute Upper Gastrointestinal Cancer Program was formed in 2018 with the chief objective to provide faster, easier access to evidence-based, compassionate care and novel treatments for gastrointestinal (GI) malignancies. These include cancers of the liver, pancreas, biliary tract, stomach and esophagus. The cornerstone of the program is the closer alignment of specialists…
Alison Sharpe, D.O., is the newest member of the Norton Gastroenterology Consultants of Louisville team. The Bowling Green, Kentucky, native completed her gastroenterology fellowship at East Tennessee State University, Johnson City. Dr. Sharpe attended the University of Kentucky as an undergraduate and Lake Erie College of Osteopathic Medicine, Erie, Pennsylvania, for medical school. She completed…