For 26 years, the Center for Pancreatic Disease at Brigham and Women’s Hospital has been at the forefront of providing care for patients with pancreatic diseases. The Center’s three medical pancreatologists, who include Peter A. Banks, MD, Julia Y. McNabb-Baltar, MD, MPH, and David X. Jin, MD, MPH, work collaboratively with interventional radiologists, gastrointestinal surgeons and therapeutic endoscopists to provide the latest diagnostic and treatment options for acute and chronic pancreatitis, pancreatic cysts, hormone-producing tumors and cancer.
A treatment option that has shown to improve clinical outcomes and prognosis in patients with peritoneal metastasis is cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (HIPEC). While HIPEC can improve disease-free survival in many patients, it’s a major operation.
In the 1960s, Brigham and Women’s Hospital pioneered the development and commercialization of dialysis. Once again, the Brigham is on the forefront of renal replacement therapy (RRT) through a new project spearheaded by the Kidney Health Initiative (KHI), a public-private partnership between the American Society of Nephrology (ASN), the U.S. Food and Drug Administration, patients, academia and industry to identify and create solutions for vexing problems in kidney disease.
Illustration by Randal Mckenzie
Over the past decade, gastric bypass surgery has been proven to reverse not only obesity but also type 2 diabetes in patients with both conditions. However, most diabetic patients do not meet current surgery criteria. And of those who do, fewer than two percent actually proceed due to concerns about risks.
Preexisting mental illness and substance abuse disorders are common in patients being treated in intensive care units (ICUs), as is delirium. There is increasing appreciation for the impact of these conditions on overall health outcomes, length of hospital stay and mortality.
Consultation-Liaison (C-L) psychiatry is one of several subspecialties in which a psychiatrist may choose to concentrate after completing a psychiatry residency program. Brigham and Women’s Hospital’s C-L fellowship program is one of the largest in the country, training six fellows in this critical field of psychiatry every year.
Over the last decade, bariatric surgeons have made strides in performing weight-loss surgery that not only reverses obesity but can also reverse type 2 diabetes in patients with both conditions.