Dr. Kapur on Crohn’s Disease [Video]

Dr. Kapur on Crohn's Disease

Crohn’s disease is an inflammatory condition in which the body attacks the lining of the bowel.

Dr. Ashok Kapur describes the symptoms.

“Something’s triggered in the body and the battlefield is the lining of the bowel and that leads to chronic inflammation,” said Dr. Kapur. “A majority of the patients will have pain, diarrhea or weight loss.”

Doctors at KentuckyOne Health can offer expert, individualized treatment for patients with Crohn’s disease.

“A majority of the patients will do fine with medications. The aim of the treatment is to not simply get relief from their symptoms but also to get them back to normal in terms of their functional status,” said Dr. Kapur.

5 Ways to Nip Your Allergies in the Bud [Infographic]

5 Ways to Nip Your Allergies in the Bud

Five Ways to Nip Your Allergies in the Bud

The Asthma and Allergy Foundation of America (AAFA) estimates that nearly 50 million Americans each year suffer from nasal allergies.

Kentucky is commonly ranked among the worst places to live with spring allergies by AAFA. While there is no known cure for allergies, they can be managed through prevention and treatment.

Review the infographic below for tips on how to manage your seasonal allergies, often referred to as hay fever, as trees and flowers begin to bloom.

Five Ways to Nip Your Allergies in the Bud


GPS-guided, Minimally Invasive Treatment for Brain Tumors

GPS-guided, Minimally Invasive Treatment for Brain Tumors

GPS-guided, Minimally Invasive Treatment for Brain Tumors
A new technology at Jewish Hospital, part of KentuckyOne Health, can help patients with epilepsy and brain tumors previously considered inoperable.

The NeuroBlate System is a new technology that treats tumors and epilepsy using a laser guided by magnetic resonance imaging (MRI). The laser applies heat directly to diseased tissue in the brain until the damaged area dies. Depending on the size of the tumor, removal can take as little as two minutes.

When using NeuroBlate to treat patients, surgeons make a small opening in the skull. The tiny incision means NeuroBlate patients have less pain, discomfort and scarring, as well as a faster recovery following the procedure, compared to patients who have open procedures.

“NeuroBlate is a minimal access procedure — it’s done through a hole the size of a pencil eraser, and we only need to make one incision the width of a pinkie,” said Brian J. Williams, MD, neurosurgeon and director of the Brain Tumor Program in the University of Louisville Department of Neurosurgery. Dr. Williams uses the NeuroBlate system on brain tumors. “The procedure is done using a GPS-guiding system that allows us to be ultra-precise. We watch the brain in real time to monitor the procedure.”

Watch the video


A Broader Scope

NeuroBlate procedureNeuroBlate allows physicians to treat areas of the brain that are difficult to reach and is often used on patients who have recurring brain tumors. NeuroBlate may also be appropriate for patients with epilepsy who have tried two or more medications and still have uncontrolled symptoms.

“There are a lot of patients having seizures who don’t realize something can be done,” said Joseph S. Neimat, MD, neurosurgeon and chair of the Department of Neurosurgery at the University of Louisville. “If you’ve had seizures twice a week for 20 years, that’s a tough way to live. It’s difficult to hold down a job or drive. With NeuroBlate, we help patients get their lives back.”

NeuroBlate is part of the neurosurgical hybrid operating room at Jewish Hospital, which was funded by the Jewish Hospital & St. Mary’s Foundation.

This article originally appeared in the Winter 2017 edition of One Health magazine. For the latest news on KentuckyOne Health, visit our News Center and read more about robotic laser therapy for brain tumors.

Solving Structural Heart Problems

Read Solving Structural Heart Problems

Solving Structural Heart Problems
When the valves and chambers in your heart aren’t working correctly, a specialized heart team with experience can make the difference.

Structural heart disease describes any defect with the anatomy of your heart or chambers. Whether it’s the valves that control blood flow, the chambers that make up your heart or a problem with the aorta, structural heart disease can lower your quality of life and put you at increased risk for potentially life-threatening heart health concerns, such as heart failure or stroke.

Some common structural heart problems include:

  • Valve stenosis (narrowing). When blood flows from one area of the heart or body to another, it passes through a valve, which acts as a gateway in or out of the heart. The aortic valve controls blood flow from the heart to the rest of the body. The mitral valve controls blood flow between the two chambers on the left side of the heart. And the pulmonary valve controls blood flow out of the heart and into the lungs. All can have narrowing. Left untreated, valve stenosis can cause irregular heartbeat, stroke, heart failure or loss of life.
  • Mitral valve regurgitation. When the mitral valve does not close properly, it can allow blood to flow backward, leading to heart failure and arrhythmia. Degenerative mitral regurgitation (wear and tear) along with mitral valve regurgitation caused by other conditions, such as coronary artery disease or heart muscle problems, are common causes of mitral regurgitation. If severe enough, mitral valve regurgitation can cause heart failure.
  • Atrial septal defect (ASD). A wall of tissue separates the upper chambers of the heart. An ASD is a hole in the tissue that allows oxygen-rich blood to flow into the oxygen-poor part of the heart. Symptoms vary depending on the size of the hole.

Treatment Requires a Skilled Team

Although medications can sometimes be used to manage symptoms of structural heart problems, surgery or a minimally invasive procedure may be the best treatment option.

“This subset of heart disorders is very complex and requires a collaborative team approach to address effectively,” said Nezar Falluji, MD, MPH, FACC, FSCAI, board-certified interventional cardiologist with KentuckyOne Health Cardiology Associates–Lexington. “At KentuckyOne Health, we offer a comprehensive, multidisciplinary approach. We combine the skills of interventional cardiologists, who specialize in structural heart disease, with those of cardiovascular surgeons to provide the best evidence-based pharmacologic, minimally invasive and surgical intervention care.”

A Minimally Invasive Approach to Treating AVS

If you are dealing with aortic valve stenosis (AVS), you know how exhausting the condition can be. For patients with severe AVS who are not ideal candidates for surgical replacement, implanting a prosthetic aortic valve using a minimally invasive approach saves lives and improves quality of life. This approach is known as transcatheter aortic valve replacement (TAVR).

At Saint Joseph Hospital and Jewish Hospital, both part of KentuckyOne Health, physicians use a catheter to place the replacement valve within the old, damaged valve, almost like a stent. The new valve takes over, and normal blood flow is restored. At KentuckyOne Health, TAVR is performed under conscious sedation, which improves patients’ recoveries and decreases hospital length of stay.

“The quality of life prior to aortic valve replacement is poor, and patients with aortic valve stenosis can’t do any type of activity that requires exertion — climbing the stairs, walking more than a block or doing things they want to do become impossible,” said Michael Flaherty, MD, PhD, board-certified interventional cardiologist, associate professor of medicine and physiology at the University of Louisville and director of adult structural heart disease at Jewish Hospital.“Fixing the valve not only improves patients’ quality of life, but is lifesaving. All those limitations are gone. When we perform the replacement with a catheter and use conscious sedation, patients are up and walking around the day of the procedure and go home the next day.”

Fixing Blood Flow Without Surgery

Patients with mitral valve regurgitation also face exhaustion, extreme fatigue and shortness of breath. If you have severe leakage but are not a candidate for surgery, the MitraClip system can help.

Available at Saint Joseph Hospital and Jewish Hospital, this system uses a nonsurgical puncture and a catheter to place a clip on the mitral valve. MitraClip allows the valve to close more completely, reducing the backflow of blood.

This article originally appeared in the Winter 2017 edition of One Health magazine. For more stories like this one, subscribe to One Health today

Losing Weight for a Healthier Life

Losing Weight for a Healthier Life

Losing Weight for a Healthier Life

Did you know weight-loss surgery can help treat Type 2 diabetes?

Type 2 diabetes can be challenging to control. Adults with the condition must prick their fingers to check their blood sugar multiple times a day. Many also take one or more medications or use insulin injections to keep their glucose levels under control. Even with these treatments, some people have a difficult time managing their illness.

“Medications and insulin injections work to a point, but they’re like a bandage,” said Robert Farrell, MD, FACS, bariatric surgeon at KentuckyOne Health Weight Loss and Surgery Associates. “We’re now seeing a paradigm shift. Weight-loss surgery is becoming a prominent choice for some people with Type 2 diabetes who are overweight or obese.”

Available Options

Three weight-loss surgeries — Roux-en-Y gastric bypass, sleeve gastrectomy and gastric banding — were discussed at the 2nd Diabetes Surgery Summit as treatment options for Type 2 diabetes. All three are available at KentuckyOne Health and are performed laparoscopically, meaning surgeons operate through several small, key-hole-sized incisions instead of through one large incision. Laparoscopic surgery is usually less painful and gets patients back on their feet faster.

During a Roux-en-Y gastric bypass, surgeons create a small pouch from a portion of the stomach. This pouch is separated from the rest of the stomach and the two upper parts of the small intestine, which are known as the duodenum and jejunum. The pouch is then reconnected to the lower segment of the small intestine, forming a “Y” shape. The surgery limits the amount of food people can comfortably eat at one time and the number of calories and nutrients that are absorbed from food.

“Metabolic changes happen almost instantly when you bypass the duodenum, so people see diabetes improvement not long after surgery,” said Joshua Steiner, MD, FACS, bariatric surgeon at the Center for Weight Loss Surgery at Saint Joseph East, part of KentuckyOne Health. “Many of our patients go home needing very little of their diabetes medication.”

The American Society for Metabolic and Bariatric Surgery estimates that Roux-en-Y gastric bypass essentially cures Type 2 diabetes in 80 percent of cases. Roughly 85 to 90 percent of Dr. Steiner’s patients no longer have to worry about diabetes after surgery, and nearly 100 percent see improvement.
Dr. Farrell offers Roux-en-Y gastric bypass and sleeve gastrectomy, which was the most performed bariatric surgery in 2015, to patients looking to improve their Type 2 diabetes symptoms. During a sleeve gastrectomy, physicians remove roughly 80 to 85 percent of the stomach. More than 80 percent of his patients who have a sleeve gastrectomy notice Type 2 diabetes improvement or resolution.

“To see that there is an option that can treat diabetes and prevent serious complications fills people with hope,” Dr. Farrell said. “These surgeries are truly life changing.”

This article originally appeared in the Fall 2016 edition of One Health magazine. For more information about weight loss and nutrition, subscribe to One Health magazine today.

A Gift that Makes a Difference

Read A Gift that Makes a Difference

A Gift that Makes a Difference

When Walter Clare’s wife Lisa passed away in April 2015, the Kentucky resident began thinking about his estate and how he could make a lasting impact on the lives of others. His search led him to the Jewish Hospital & St. Mary’s Foundation.

Lisa had cancer and Clare wanted their legacy to benefit families dealing with cancer and the related financial hardships that can interfere with people’s ability to get the care they need. Well aware of the work performed at the James Graham Brown Cancer Center, part of KentuckyOne Health, Clare established an endowment fund that will offer assistance to families in need.

“There are many families who travel long distances to come to the cancer center, and they need help paying for gas and meals,” Clare said. “It’s my hope that I can ease that burden.”

An Accessible Choice

Many people believe that planned giving is only an option for those with large estates, but as Clare noted, leaving a legacy to a charitable organization is within everyone’s reach.

“I’m an average person – my estate includes life insurance, a retirement account, my home and personal property,” Clare said. “For people like me, planned giving is a good way to benefit organizations that are important to them. It gives me a sense of comfort to know that after I’m gone,” I’ll be providing resources to a worthy institution.”

This story originally appeared in the Fall 2016 edition of One Health magazine. For more inspirational stories of support and generosity, subscribe today.