Paul Simon Jowell | Scholars@Duke

Paul Simon Jowell
Professor of Medicine

My primary research interest has been gastrointestinal endoscopy. Areas of specific investigation relate to endoscopic retrograde cholangiopancreatography (ERCP), endoscopic ultrasound (EUS) pancreaticobiliary disorders, and competence and training in endoscopic procedures.

Special areas of expertise are therapeutic endoscopy, therapeutic ERCP, and endoscopic ultrasound including pseudocyst drainage and necrosectomy. I also have experience and expertise in training physicians in endoscopy and in assessing competence in endoscopy.

Key words: endoscopy training, endoscopy competence, ERCP, pancreatitis, quality improvement, complications, endoscopic ultrasound.

Current Appointments & Affiliations

Professor of Medicine, Medicine, Gastroenterology, Medicine 2013

Contact Information

03155 Hosp South, Durham, NC 27710
Duke Box 3662, Durham, NC 27710
(919) 684-3787

Background
Education, Training, & Certifications
- Fellow in Gastroenterology, Medicine, Duke University 1989 - 1991
- Medical Resident, Medicine, Albert Einstein Medical Center 1986 - 1989
- Fellow in Endocrinology, Medicine, Albert Einstein Medical Center 1985 - 1986
- M.B.B.Ch., University of Cape Town 1983
Duke Appointment History
- Associate Professor of Medicine, Medicine, Gastroenterology, Medicine 2001 - 2013
- Associate Professor of Medicine, Medicine, Gastroenterology, Medicine 1999 - 2001
- Assistant Professor of Medicine, Medicine, Gastroenterology, Medicine 1992 - 1999
- Associate in the Department of Medicine, Medicine, Clinical Science Departments 1992
Expertise
Subject Headings
Research
Selected Grants
- KCST NI03-001 awarded by KC Specialty Therapeutics 2016 - 2019
- ADVANCED CRT IMPLANT EDUCATIONAL PROGRAM awarded by Medtronic, Inc. 2017
- ADVANCED CRT IMPLANT EDUCATIONAL PROGRAM - MEDTRONIC awarded by Medtronic, Inc. 2017
- MEDTRONIC ADVANCED CRT IMPLANT EDUCATIONAL PROGRAM awarded by Medtronic, Inc. 2017
- The Cystic Fibrosis Gene and Chronic Pancreatitis awarded by National Institutes of Health 2005 - 2012
Publications & Artistic Works
Selected Publications
- Book Sections
  - Philcox, S, and Jowell, P. "Interventional techniques." In Contemporary Surgical Management of Liver, Biliary Tract, and Pancreatic Disease, 557-576. January 1, 2013. Full Text
- Conference Papers
  - Mergener, K, Freed, KS, Paulson, EK, Enns, R, Jowell, PS, Branch, MS, Pappas, TN, and Baillie, J. "Endoscopic retrograde pancreatography after pancreaticojejunostomy." 1998.
  - Maniatis, AG, Roman, R, Branch, MS, Jowell, PS, Affronti, J, Pappas, T, and Baillie, J. "Endoscopic therapy for pancreatic fistulae." 1996.
  - Mergener, K, Jowell, PS, Branch, MS, Affronti, J, Pappas, TN, and Baillie, J. "The role of ERCP in the management of biliary leaks following laparoscopic cholecystectomy (LC)." 1996.
  - Mundorf, JB, Ahearne, PM, Vallera, RA, Affronti, J, Jowell, PS, Branch, MS, Pappas, TN, and Baillie, J. "Validation of an endoscopic retrograde cholangiopancreatography (ERCP)-based algorithm for the management of pancreatic pseudocysts (PP)." 1996.
  - Parent, J, Branch, MS, Jowell, PS, Affronti, J, Onken, J, Pappas, T, and Baillie, J. "Predictors of improvement following endoscopic management of chronic pancreatitis." 1996.
  - Baillie, J, Evangelou, H, Jowell, P, and Cotton, PB. "The future of endoscopy simulation: A Duke perspective." January 1, 1992.
- Journal Articles
  - Chou, ND, Burbridge, RA, and Jowell, PS. "Colonic Perforation Secondary to Retained Biliary Stent." The American journal of gastroenterology 112, no. 1 (January 2017): 13-. Full Text
  - Foo, WC, Youens, KE, Jowell, PS, and Bean, SM. "Image-guided fine-needle aspiration of secondary pancreatic neoplasms: A case series and review of the literature." Pathology Case Reviews 20, no. 4 (January 1, 2015): 175-181. (Review) Full Text
  - Ceppa, EP, Burbridge, RA, Rialon, KL, Omotosho, PA, Emick, D, Jowell, PS, Branch, MS, and Pappas, TN. "Endoscopic versus surgical ampullectomy: an algorithm to treat disease of the ampulla of Vater." Ann Surg 257, no. 2 (February 2013): 315-322. Full Text Link to Item
  - Ceppa, EP, Burbridge, RA, Rialon, KL, Omotosho, PA, Emick, D, Jowell, PS, Branch, MS, and Pappas, TN. "Endoscopic versus surgical ampullectomy: An algorithm to treat disease of the ampulla of vater." Annals of Surgery 257, no. 2 (2013): 315-322. Full Text
  - Petersen, BT, Kahaleh, M, Kozarek, RA, Loren, D, Gupta, K, Kowalski, T, Freeman, M, Chen, YK, Branch, MS, Edmundowicz, S, Gluck, M, Binmoeller, K, Baron, TH, Shah, RJ, Kinney, T, Ross, W, Jowell, P, and Carr-Locke, D. "A Multicenter, Prospective Study of a New Fully Covered Expandable Metal Biliary Stent for the Palliative Treatment of Malignant Bile Duct Obstruction." GASTROENTEROLOGY RESEARCH AND PRACTICE (2013). Full Text Link to Item
  - Shah, TU, Liddle, R, Branch, MS, Jowell, P, Obando, J, and Poleski, M. "Pilot study of aprepitant for prevention of post-ERCP pancreatitis in high risk patients: a phase II randomized, double-blind placebo controlled trial. (Published online)" JOP 13, no. 5 (September 10, 2012): 514-518. Link to Item
  - Jowell, PS, Branch, MS, Fein, SH, Purich, ED, Kilaru, R, Robuck, G, d'Almada, P, and Baillie, J. "Intravenous synthetic secretin reduces the incidence of pancreatitis induced by endoscopic retrograde cholangiopancreatography." Pancreas 40, no. 4 (May 2011): 533-539. Full Text Link to Item
  - Byrne, MF, McLoughlin, MT, Mitchell, RM, Gerke, H, Kim, K, Pappas, TN, Branch, MS, Jowell, PS, and Baillie, J. "For patients with predicted low risk for choledocholithiasis undergoing laparoscopic cholecystectomy, selective intraoperative cholangiography and postoperative endoscopic retrograde cholangiopancreatography is an effective strategy to limit unnecessary procedures." Surg Endosc 23, no. 9 (September 2009): 1933-1937. Full Text Link to Item
  - Horwhat, JD, Gerke, H, Acosta, RD, Pavey, DA, and Jowell, PS. "Focal or diffuse "fullness" of the pancreas on CT. Usually benign, but EUS plus/minus FNA is warranted to identify malignancy. (Published online)" JOP 10, no. 1 (January 8, 2009): 37-42. Link to Item
  - Byrne, MF, McLoughlin, MT, Mitchell, RM, Gerke, H, Pappas, TN, Branch, MS, Jowell, PS, and Baillie, J. "The fate of patients who undergo "preoperative" ERCP to clear known or suspected bile duct stones." Surg Endosc 23, no. 1 (January 2009): 74-79. Full Text Link to Item
  - Shimpi, RA, George, J, Jowell, P, and Gress, FG. "Staging of esophageal cancer by EUS: staging accuracy revisited." Gastrointest Endosc 66, no. 3 (September 2007): 475-482. Full Text Link to Item
  - Micames, CG, McCrory, DC, Pavey, DA, Jowell, PS, and Gress, FG. "Endoscopic ultrasound-guided fine-needle aspiration for non-small cell lung cancer staging: A systematic review and metaanalysis." Chest 131, no. 2 (February 2007): 539-548. (Review) Full Text Link to Item
  - Horwhat, JD, Paulson, EK, McGrath, K, Branch, MS, Baillie, J, Tyler, D, Pappas, T, Enns, R, Robuck, G, Stiffler, H, and Jowell, P. "A randomized comparison of EUS-guided FNA versus CT or US-guided FNA for the evaluation of pancreatic mass lesions." Gastrointestinal endoscopy 63, no. 7 (June 2006): 966-975. Full Text
  - Gerke, H, Jaffe, TA, Mitchell, RM, Byrne, MF, Stiffler, HL, Branch, MS, Baillie, J, and Jowell, PS. "Endoscopic ultrasound and computer tomography are inaccurate methods of classifying cystic pancreatic lesions." Dig Liver Dis 38, no. 1 (January 2006): 39-44. Full Text Link to Item
  - Green, BT, Rockey, DC, Portwood, G, Tarnasky, PR, Guarisco, S, Branch, MS, Leung, J, and Jowell, P. "Urgent colonoscopy for evaluation and management of acute lower gastrointestinal hemorrhage: a randomized controlled trial." Am J Gastroenterol 100, no. 11 (November 2005): 2395-2402. Full Text Link to Item
  - Varadarajulu, S, Eloubeidi, MA, Patel, RS, Mulcahy, HE, Barkun, A, Jowell, P, Libby, E, Schutz, S, Nickl, NJ, and Cotton, PB. "The yield and the predictors of esophageal pathology when upper endoscopy is used for the initial evaluation of dysphagia." Gastrointest Endosc 61, no. 7 (June 2005): 804-808. Link to Item
  - Volmar, KE, Vollmer, RT, Jowell, PS, Nelson, RC, and Xie, HB. "Pancreatic FNA in 1000 cases: a comparison of imaging modalities." Gastrointestinal endoscopy 61, no. 7 (June 2005): 854-861. Full Text
  - DeWitt, J, Jowell, P, Leblanc, J, McHenry, L, McGreevy, K, Cramer, H, Volmar, K, Sherman, S, and Gress, F. "EUS-guided FNA of pancreatic metastases: a multicenter experience." Gastrointest Endosc 61, no. 6 (May 2005): 689-696. Link to Item
  - Horwhat, JD, Jowell, P, Branch, S, Fleishman, L, and Gress, FG. "Proximal migration of a 3 French pancreatic stent in a patient with pancreas divisum: suggested technique for successful retrieval. (Published online)" JOP 6, no. 2 (March 10, 2005): 178-184. Link to Item
  - Cohn, JA, Mitchell, RM, and Jowell, PS. "The impact of cystic fibrosis and PSTI/SPINK1 gene mutations on susceptibility to chronic pancreatitis." Clin Lab Med 25, no. 1 (March 2005): 79-100. (Review) Full Text Link to Item
  - White, RR, Xie, HB, Gottfried, MR, Czito, BG, Hurwitz, HI, Morse, MA, Blobe, GC, Paulson, EK, Baillie, J, Branch, MS, Jowell, PS, Clary, BM, Pappas, TN, and Tyler, DS. "Significance of histological response to preoperative chemoradiotherapy for pancreatic cancer." Ann Surg Oncol 12, no. 3 (March 2005): 214-221. Full Text Link to Item
  - Cohn, JA, Mitchell, RM, and Jowell, PS. "The role of cystic fibrosis gene mutations in determining susceptibility to chronic pancreatitis." Gastroenterol Clin North Am 33, no. 4 (December 2004): 817-vii. (Review) Full Text Link to Item
  - Byrne, MF, Gerke, H, Mitchell, RM, Stiffler, HL, McGrath, K, Branch, MS, Baillie, J, and Jowell, PS. "Yield of endoscopic ultrasound-guided fine-needle aspiration of bile duct lesions." Endoscopy 36, no. 8 (August 2004): 715-719. Full Text Link to Item
  - Gerke, H, Byrne, MF, Xie, HB, Paulson, EK, Tyler, DS, Baillie, J, and Jowell, PS. "A wolf in sheep's clothing: a non-functioning islet cell tumor of the pancreas masquerading as a microcystic (serous cystic) adenoma." JOP 5, no. 4 (July 2004): 225-230. Link to Item
  - Gerke, H, White, R, Byrne, MF, Stiffier, H, Mitchell, RM, Hurwitz, HI, Morse, MA, Branch, MS, Jowell, PS, Czito, B, Clary, B, Pappas, TN, Tyler, DS, and Baillie, J. "Complications of pancreaticoduodenectomy after neoadjuvant chemoradiation in patients with and without preoperative biliary drainage." Dig Liver Dis 36, no. 6 (June 2004): 412-418. Link to Item
  - Kalady, MF, Peterson, B, Baillie, J, Onaitis, MW, Abdul-Wahab, OI, Howden, JK, Jowell, PS, Branch, MS, Clary, BM, Pappas, TN, and Tyler, DS. "Pancreatic duct strictures: identifying risk of malignancy." Ann Surg Oncol 11, no. 6 (June 2004): 581-588. Full Text Link to Item
  - Gerke, H, Byrne, MF, Stiffler, HL, Obando, JV, Mitchell, RM, Jowell, PS, Branch, MS, and Baillie, J. "Outcome of endoscopic minor papillotomy in patients with symptomatic pancreas divisum." JOP 5, no. 3 (May 2004): 122-131. (Review) Link to Item
  - Byrne, MF, Mitchell, RM, Gerke, H, Goller, S, Stiffler, HL, Golioto, M, Branch, MS, Jowell, PS, and Baillie, J. "The need for caution with topical anesthesia during endoscopic procedures, as liberal use may result in methemoglobinemia." J Clin Gastroenterol 38, no. 3 (March 2004): 225-229. Link to Item
  - Micames, C, Jowell, PS, White, R, Paulson, E, Nelson, R, Morse, M, Hurwitz, H, Pappas, T, Tyler, D, and McGrath, K. "Lower frequency of peritoneal carcinomatosis in patients with pancreatic cancer diagnosed by EUS-guided FNA vs. percutaneous FNA." Gastrointest Endosc 58, no. 5 (November 2003): 690-695. Link to Item
  - Byrne, MF, Suhocki, P, Mitchell, RM, Pappas, TN, Stiffler, HL, Jowell, PS, Branch, MS, and Baillie, J. "Percutaneous cholecystostomy in patients with acute cholecystitis: experience of 45 patients at a US referral center." J Am Coll Surg 197, no. 2 (August 2003): 206-211. Full Text Link to Item
  - Gerke, H, Byrne, MF, and Jowell, PS. "Unusual finding in a patient with pancreas divisum and abdominal pain. (Published online)" MedGenMed 5, no. 3 (July 30, 2003): 14-. Link to Item
  - Devereaux, BM, Fein, S, Purich, E, Trout, JR, Lehman, GA, Fogel, EL, Phillips, S, Etemad, R, Jowell, P, Toskes, PP, and Sherman, S. "A new synthetic porcine secretin for facilitation of cannulation of the dorsal pancreatic duct at ERCP in patients with pancreas divisum: a multicenter, randomized, double-blind comparative study." Gastrointest Endosc 57, no. 6 (May 2003): 643-647. Full Text Link to Item
  - Enns, R, Eloubeidi, MA, Mergener, K, Jowell, PS, Branch, MS, and Baillie, J. "Predictors of successful clinical and laboratory outcomes in patients with primary sclerosing cholangitis undergoing endoscopic retrograde cholangiopancreatography." Can J Gastroenterol 17, no. 4 (April 2003): 243-248. Link to Item
  - Cotton, PB, Connor, P, McGee, D, Jowell, P, Nickl, N, Schutz, S, Leung, J, Lee, J, and Libby, E. "Colonoscopy: practice variation among 69 hospital-based endoscopists." Gastrointest Endosc 57, no. 3 (March 2003): 352-357. Full Text Link to Item
  - Byrne, MF, and Jowell, PS. "ERCP - Methods of tissue sampling." Techniques in Gastrointestinal Endoscopy 5, no. 1 (2003): 27-34.
  - Devereaux, BM, Fein, S, Purich, E, Trout, JR, Lehman, GA, Fogel, EL, Phillips, S, Etemad, R, Jowell, P, Toskes, PP, and Sherman, S. "A new synthetic porcine secretin for facilitation of cannulation of the dorsal pancreatic duct at ercp in patients with pancreas divisum: A multicenter, randomized, double-blind comparative study." Gastrointestinal Endoscopy 57, no. 5 (2003): 643-647.
  - Gerke, H, Byrne, MF, Jowell, PS, and Mergener, K. "Pancreas Clinic - Unusual finding in a patient with pancreas divisum and abdominal pain." MedGenMed Medscape General Medicine 5, no. 3 (2003).
  - Byrne, MF, Mitchell, RM, Stiffler, H, Jowell, PS, Branch, MS, Pappas, TN, Tyler, D, and Baillie, J. "Extensive investigation of patients with mild elevations of serum amylase and/or lipase is 'low yield'." Can J Gastroenterol 16, no. 12 (December 2002): 849-854. Link to Item
  - Cohn, JA, Noone, PG, and Jowell, PS. "Idiopathic pancreatitis related to CFTR: complex inheritance and identification of a modifier gene." J Investig Med 50, no. 5 (September 2002): 247S-255S. (Review) Full Text Link to Item
  - tenBerge, J, Hoffman, BJ, Hawes, RH, Van Enckevort, C, Giovannini, M, Erickson, RA, Catalano, MF, Fogel, R, Mallery, S, Faigel, DO, Ferrari, AP, Waxman, I, Palazzo, L, Ben-Menachem, T, Jowell, PS, McGrath, KM, Kowalski, TE, Nguyen, CC, Wassef, WY, Yamao, K, Chak, A, Greenwald, BD, Woodward, TA, Vilmann, P, Sabbagh, L, and Wallace, MB. "EUS-guided fine needle aspiration of the liver: indications, yield, and safety based on an international survey of 167 cases." Gastrointest Endosc 55, no. 7 (June 2002): 859-862. Link to Item
  - Byrne, MF, and Jowell, PS. "Gastrointestinal imaging: endoscopic ultrasound." Gastroenterology 122, no. 6 (May 2002): 1631-1648. (Review) Link to Item
  - Bergin, D, Ho, LM, Jowell, PS, Pappas, TN, and Paulson, EK. "Simple pancreatic cysts: CT and endosonographic appearances." AJR Am J Roentgenol 178, no. 4 (April 2002): 837-840. Full Text Link to Item
  - Enns, R, Eloubeidi, MA, Mergener, K, Jowell, PS, Branch, MS, Pappas, TM, and Baillie, J. "ERCP-related perforations: risk factors and management." Endoscopy 34, no. 4 (April 2002): 293-298. Full Text Link to Item
  - Mulcahy, HE, Patel, RS, Postic, G, Eloubeidi, MA, Vaughan, JA, Wallace, M, Barkun, A, Jowell, PS, Leung, J, Libby, E, Nickl, N, Schutz, S, and Cotton, PB. "Yield of colonoscopy in patients with nonacute rectal bleeding: a multicenter database study of 1766 patients." Am J Gastroenterol 97, no. 2 (February 2002): 328-333. Full Text Link to Item
  - Noone, PG, Zhou, Z, Silverman, LM, Jowell, PS, Knowles, MR, and Cohn, JA. "Cystic fibrosis gene mutations and pancreatitis risk: relation to epithelial ion transport and trypsin inhibitor gene mutations." Gastroenterology 121, no. 6 (December 2001): 1310-1319. Link to Item
  - Onaitis, MW, Noone, RB, Fields, R, Hurwitz, H, Morse, M, Jowell, P, McGrath, K, Lee, C, Anscher, MS, Clary, B, Mantyh, C, Pappas, TN, Ludwig, K, Seigler, HF, and Tyler, DS. "Complete response to neoadjuvant chemoradiation for rectal cancer does not influence survival." Ann Surg Oncol 8, no. 10 (December 2001): 801-806. Link to Item
  - White, RR, Hurwitz, HI, Morse, MA, Lee, C, Anscher, MS, Paulson, EK, Gottfried, MR, Baillie, J, Branch, MS, Jowell, PS, McGrath, KM, Clary, BM, Pappas, TN, and Tyler, DS. "Neoadjuvant chemoradiation for localized adenocarcinoma of the pancreas." Ann Surg Oncol 8, no. 10 (December 2001): 758-765. Link to Item
  - White, RR, Paulson, EK, Freed, KS, Keogan, MT, Hurwitz, HI, Lee, C, Morse, MA, Gottfried, MR, Baillie, J, Branch, MS, Jowell, PS, McGrath, KM, Clary, BM, Pappas, TN, and Tyler, DS. "Staging of pancreatic cancer before and after neoadjuvant chemoradiation." J Gastrointest Surg 5, no. 6 (November 2001): 626-633. Link to Item
  - Wallace, MB, Durkalski, VL, Vaughan, J, Palesch, YY, Libby, ED, Jowell, PS, Nickl, NJ, Schutz, SM, Leung, JW, and Cotton, PB. "Age and alarm symptoms do not predict endoscopic findings among patients with dyspepsia: a multicentre database study." Gut 49, no. 1 (July 2001): 29-34. Link to Item
  - Onaitis, MW, Noone, RB, Hartwig, M, Hurwitz, H, Morse, M, Jowell, P, McGrath, K, Lee, C, Anscher, MS, Clary, B, Mantyh, C, Pappas, TN, Ludwig, K, Seigler, HF, and Tyler, DS. "Neoadjuvant chemoradiation for rectal cancer: analysis of clinical outcomes from a 13-year institutional experience." Ann Surg 233, no. 6 (June 2001): 778-785. Link to Item
  - McGrath, KM, Ballo, MS, and Jowell, PS. "Schwannoma of the mediastinum diagnosed by EUS-guided fine needle aspiration." Gastrointest Endosc 53, no. 3 (March 2001): 362-365. Link to Item
  - Golioto, M, Lytle, J, and Jowell, P. "Re-establishing patency of a small bore feeding tube with complete occlusion- A novel use for an ERCP catheter." Nutrition in Clinical Practice 16, no. 5 (2001): 284-285.
  - Hu, DC, McGrath, KM, Jowell, PS, and Killenberg, PG. "Phlegmonous gastritis: successful treatment with antibiotics and resolution documented by EUS." Gastrointest Endosc 52, no. 6 (December 2000): 793-795. Link to Item
  - Jowell, PS, Robuck-Mangum, G, Mergener, K, Branch, MS, Purich, ED, and Fein, SH. "A double-blind, randomized, dose response study testing the pharmacological efficacy of synthetic porcine secretin." Aliment Pharmacol Ther 14, no. 12 (December 2000): 1679-1684. Link to Item
  - Anscher, MS, Lee, C, Hurwitz, H, Tyler, D, Prosnitz, LR, Jowell, P, Rosner, G, Samulski, T, and Dewhirst, MW. "A pilot study of preoperative continuous infusion 5-fluorouracil, external microwave hyperthermia, and external beam radiotherapy for treatment of locally advanced, unresectable, or recurrent rectal cancer." Int J Radiat Oncol Biol Phys 47, no. 3 (June 1, 2000): 719-724. Link to Item
  - Cohn, JA, Bornstein, JD, and Jowell, PS. "Cystic fibrosis mutations and genetic predisposition to idiopathic chronic pancreatitis." Med Clin North Am 84, no. 3 (May 2000): 621-ix. (Review) Link to Item
  - McGrath, KM, and Jowell, PS. "Endoscopic ultrasound. State of the art." N C Med J 61, no. 1 (January 2000): 408-412. (Review) Link to Item
  - Jowell, PS. "Endoscopic retrograde cholangiopancreatography: toward a better understanding of competence." Endoscopy 31, no. 9 (November 1999): 755-757. Full Text Link to Item
  - Mergener, K, Strobel, JC, Suhocki, P, Jowell, PS, Enns, RA, Branch, MS, and Baillie, J. "The role of ERCP in diagnosis and management of accessory bile duct leaks after cholecystectomy." Gastrointest Endosc 50, no. 4 (October 1999): 527-531. Link to Item
  - Cohn, JA, and Jowell, PS. "Are mutations in the cystic fibrosis gene important in chronic pancreatitis?." Surg Clin North Am 79, no. 4 (August 1999): 723-viii. (Review) Link to Item
  - Newcomer, MK, Shaw, MJ, Williams, DM, and Jowell, PS. "Unplanned work absence following outpatient colonoscopy." J Clin Gastroenterol 29, no. 1 (July 1999): 76-78. Link to Item
  - Mergener, K, Suhocki, P, Enns, R, Jowell, PS, Branch, MS, and Baillie, J. "Endoscopic nasobiliary drain placement facilitates subsequent percutaneous transhepatic cholangiography." Gastrointest Endosc 49, no. 2 (February 1999): 240-242. Link to Item
  - Bloomfeld, R, Bornstein, J, and Jowell, P. "A report of a gastrinoma localized preoperatively by endoscopic ultrasound only and a review of the approach to imaging in Zollinger-Ellison syndrome." Dig Dis 17, no. 5-6 (1999): 316-318. Full Text Link to Item
  - Cohn, JA, Zhou, Z, Bornstein, JD, Friedman, KJ, Jowell, PS, Branch, SM, Baillie, J, Silverman, LM, Knowles, MR, and Noone, PG. "CFTR mutations and idiopathic chronic pancreatitis." Pediatric Pulmonology 28, no. SUPPL. 19 (1999): 130-131.
  - Conover, CJ, Sloan, FA, Provenzale, D, Oddone, E, Jowell, PS, and Mah, ML. "Hospital credentialing for laparoscopic cholecystectomy: is stricter better?." Clin Perform Qual Health Care 6, no. 4 (October 1998): 155-162. Link to Item
  - Rubin, J, and Jowell, PS. "Predictive factors for survival of patients with inoperable malignant distal biliary strictures: a practical management guideline." Gastrointest Endosc 48, no. 4 (October 1998): 441-442. Link to Item
  - Cohn, JA, Friedman, KJ, Noone, PG, Knowles, MR, Silverman, LM, and Jowell, PS. "Relation between mutations of the cystic fibrosis gene and idiopathic pancreatitis." N Engl J Med 339, no. 10 (September 3, 1998): 653-658. Full Text Link to Item
  - Mergener, K, Jowell, PS, Branch, MS, and Baillie, J. "Pneumoperitoneum complicating ERCP performed immediately after EUS-guided fine needle aspiration." Gastrointest Endosc 47, no. 6 (June 1998): 541-542. Link to Item
  - Cotton, PB, Geenen, JE, Sherman, S, Cunningham, JT, Howell, DA, Carr-Locke, DL, Nickl, NJ, Hawes, RH, Lehman, GA, Ferrari, A, Slivka, A, Lichtenstein, DR, Baillie, J, Jowell, PS, Lail, LM, Evangelou, H, Bosco, JJ, Hanson, BL, Hoffman, BJ, Rahaman, SM, and Male, R. "Endoscopic sphincterotomy for stones by experts is safe, even in younger patients with normal ducts." Ann Surg 227, no. 2 (February 1998): 201-204. Link to Item
  - Branch, MS, Swartz, K, Enns, R, Baillie, J, and Jowell, P. "Pseudo-divisum of the pancreas - A source of diagnostic confusion." Gastrointestinal Endoscopy 47, no. 4 (1998): AB133-.
  - Cotton, PB, Vaughan, J, Mauldin, P, Nickl, N, Schutz, S, Libby, E, and Jowell, P. "Yield of upper endoscopy in dyspepsia; A multicenter database study." Gastrointestinal Endoscopy 47, no. 4 (1998): AB46-.
  - Davis, WZ, and Jowell, PS. "Gastroenterology trainee miss-rate for colon polyps: A prospective study of tandem colonoscopic examinations." Gastrointestinal Endoscopy 47, no. 4 (1998): AB47-.
  - Enns, R, Aloubeidi, M, Mergener, K, Branch, MS, Jowell, PS, and Baillie, J. "Predictors of successful clinical, radiological and laboratory outcomes in patients with primary sclerosing cholangitis (PSC) undergoing ERCP." Gastrointestinal Endoscopy 47, no. 4 (1998): AB48-.
  - Enns, R, Eloubeidi, M, Mergener, K, Branch, MS, Jowell, PS, and Baillie, J. "Complications of ERCP in patients with primary sclerosing cholangitis (PSC)." Gastrointestinal Endoscopy 47, no. 4 (1998): AB113-.
  - Enns, R, Eloubeidi, M, Mergener, K, Jowell, PS, Branch, MS, and Baillie, J. "Do endoscopic interventions make a difference in primary sclerosing cholangitis? clinical and endoscopic outcomes." Gastrointestinal Endoscopy 47, no. 4 (1998): AB48-.
  - Enns, R, Vitellas, K, Mergener, K, Nelson, RC, Paulson, EK, Jowell, PS, Branch, MS, and Baillie, J. "Diagnostic and therapeutic ERCP are beneficial in the management of pancreatic necrosis." Gastrointestinal Endoscopy 47, no. 4 (1998): AB135-.
  - Mergener, K, Jowell, PS, Enns, R, Nelson, RC, Nardi, CB, Branch, MS, and Baillie, J. "Impact of endoscopic ultrasound on the need for ERCP in a referral center population." Gastrointestinal Endoscopy 47, no. 4 (1998): AB150-.
  - Mergener, K, Suhocki, P, Enns, R, Jowell, PS, Branch, MS, and Baillie, J. "Placement of a nasobiliary drain during ERCP facilitates subsequent percutaneous transhepatic cholangiography." Gastrointestinal Endoscopy 47, no. 4 (1998): AB122-.
  - Nickl, N, Vaughan, J, Cotton, PB, Jowell, P, Libby, E, and Schutz, S. "Duration of colonoscopy: The effect of trainee presence on procedure time." Gastrointestinal Endoscopy 47, no. 4 (1998): AB57-.
  - Baillie, J, and Jowell, PS. "Gastroenterology. Lasers come of age." Lancet 350 Suppl 3 (December 20, 1997): SIII7-. (Review) Link to Item
  - Baillie, J, and Jowell, PS. "Lasers come of age." Lancet 350, no. SUPPL.3 (1997): SIII7-.
  - Casey, KJ, Mergener, K, Jowell, PS, Branch, MS, Affronti, J, and Baillie, J. "Indications for and results of urgent ERCP." Gastrointestinal Endoscopy 45, no. 4 (1997): AB125-.
  - Catalano, MF, Kozarek, R, Sherman, S, Lehman, G, Baillie, J, Geenen, J, Deitch, C, Vandervoort, J, Carr-Locke, D, Raijman, I, and Jowell, P. "Pancreatic ductal (PD) stones in patients with pancreas divisum: Success of removal and symptomatic improvement: multi-center study." Gastrointestinal Endoscopy 45, no. 4 (1997): AB154-.
  - Mergener, K, Branch, MS, Jowell, PS, Affronti, J, Treem, WR, and Baillie, J. "ERCP under general anesthesia (GA): Indications and outcomes." Gastrointestinal Endoscopy 45, no. 4 (1997): AB53-.
  - Mergener, K, Fried, K, Keogan, M, Branch, MS, Jowell, PS, and Baillie, J. "ERCP after Roux-en-Y gastrojejunostomy rarely succeeds: Could MRCP be the answer?." Gastrointestinal Endoscopy 45, no. 4 (1997): AB140-.
  - Mergener, K, Jowell, PS, Branch, MS, Pappas, TN, and Baillie, J. "Evidence-based algorithm for management of biliary leaks following laparoscopic cholecystectomy (LC)." Gastrointestinal Endoscopy 45, no. 4 (1997): AB140-.
  - Strobel, J, Branch, MS, Jowell, P, Pappas, T, Swartz, K, and Baillie, J. "Accessory bile duct leaks after cholecystectomy: Diagnosis and treatment." Gastrointestinal Endoscopy 45, no. 4 (1997): AB150-.
  - Jowell, PS, Baillie, J, Branch, MS, Affronti, J, Browning, CL, and Bute, BP. "Quantitative assessment of procedural competence. A prospective study of training in endoscopic retrograde cholangiopancreatography." Ann Intern Med 125, no. 12 (December 15, 1996): 983-989. Link to Item
  - Jowell, PS, Eisen, G, Onken, J, Bute, BP, and Ginsberg, B. "Patient-controlled analgesia for conscious sedation during endoscopic retrograde cholangiopancreatography: a randomized controlled trial." Gastrointest Endosc 43, no. 5 (May 1996): 490-494. Link to Item
  - Andrew, PTM, Maniatis, AG, Jowell, PS, Keogan, M, Nelson, R, Spritzer, C, Branch, MS, and Baillie, J. "A comparison of Magnetic Resonance Cholangiopancreatography (MRCP) and ERCP in the evaluation of chronic pancreatitis." Gastrointestinal Endoscopy 43, no. 4 (1996): 388--.
  - Cotton, PB, Evangelou, H, Cunningham, JT, Hawes, RH, Tarnasky, PR, Barkun, AN, Jowell, PS, Leung, JWC, Lee, JG, and Schutz, SM. "ERCP biliary stenting practice; A prospective multicenter study." Gastrointestinal Endoscopy 43, no. 4 (1996): 309--.
  - Eisen, GM, Jowell, P, Branch, MS, Affronti, J, Cotton, PB, and Baillie, J. "Prediction of post-ERCP related pancreatitis." Gastrointestinal Endoscopy 43, no. 4 (1996): 405--.
  - Jowell, PS, Branch, S, Affronti, J, Bute, BP, Browning, CL, and Baillie, J. "At least 180 ERCPs are needed to attain competence in diagnostic and therapeutic ERCP." Gastrointestinal Endoscopy 43, no. 4 (1996): 314--.
  - Tarnasky, PR, Cotton, PB, Baillie, J, Branch, MS, Affronti, J, Jowell, P, Guarisco, S, England, RE, and Leung, JW. "Proximal migration of biliary stents: attempted endoscopic retrieval in forty-one patients." Gastrointest Endosc 42, no. 6 (December 1995): 513-520. Link to Item
  - Eisen, GM, and Jowell, PS. "Esophageal perforation after ingestion of colon lavage solution." Am J Gastroenterol 90, no. 11 (November 1995): 2074-. (Letter) Link to Item
  - Sharara, AI, Le, TH, Suhocki, P, and Jowell, PS. "Extrahepatic biliary obstruction resulting from a pancreatic pseudoaneurysm." Gastrointest Endosc 42, no. 2 (August 1995): 176-177. Link to Item
  - Gessner, CE, Jowell, PS, and Baillie, J. "Novel methods for endoscopic training." Gastrointest Endosc Clin N Am 5, no. 2 (April 1995): 323-336. (Review) Link to Item
  - May, GS, Jowell, PS, Baillie, J, and Cotton, PB. "Endoscopic palliation of a biliocutaneous fistula with expandable metal stents." Endoscopy 27, no. 2 (February 1995): 207-209. Full Text Link to Item
  - Jowell, PS. "Assessment of pancreatic duct strictures." Gastrointest Endosc Clin N Am 5, no. 1 (January 1995): 125-143. (Review) Link to Item
  - Baillie, J, and Jowell, P. "ERCP training in the 1990s. Time for new ideas." Gastrointest Endosc Clin N Am 4, no. 2 (April 1994): 409-421. (Review) Link to Item
  - Jowell, PS, and Baillie, J. "Towards safer endoscopic retrograde cholangiopancreatography (ERCP)." Gut 35, no. 2 (February 1994): 284-. (Letter) Link to Item
  - Ashdown, BC, Suhocki, PV, Jowell, PS, and Meyers, WC. "Non-operative management of a common bile duct injury sustained during cholecystectomy in a morbidly obese patient. (Non-operative repair of CBD injury)." HPB Surg 8, no. 2 (1994): 101-105. Link to Item
  - Jowell, PS, Cotton, PB, Huibregtse, K, France, HG, Erickson, RV, Aas, J, Ostroff, JW, and Gordon, RL. "Delivery catheter entrapment during deployment of expandable metal stents." Gastrointest Endosc 39, no. 2 (March 1993): 199-202. Link to Item
  - Grech, P, Jowell, P, and Cotton, PB. "Isolated ventral chronic calcific pancreatitis in pancreas divisum." Gastrointest Endosc 38, no. 6 (November 1992): 715-718. Link to Item
  - Baillie, J, Evangelou, H, Jowell, P, and Cotton, PB. "The future of endoscopy simulation: a Duke perspective." Endoscopy 24 Suppl 2 (July 1992): 542-543. Full Text Link to Item
  - Baillie, J, Jowell, P, Evangelou, H, Bickel, W, and Cotton, P. "Teaching by endoscopy simulation." Endoscopy 23, no. 4 (July 1991): 239-240. (Letter) Full Text Link to Item
  - Baillie, J, Jowell, P, Evangelou, H, Bickel, W, and Cotton, P. "Use of computer graphics simulation for teaching of flexible sigmoidoscopy." Endoscopy 23, no. 3 (May 1991): 126-129. Full Text Link to Item
  - Baillie, J, Jowell, P, Evangelou, H, Bickel, W, Cotton, P, and Noar, MD. "Teaching by endoscopy simulation [1]." Endoscopy 23, no. 4 (January 1, 1991): 239-240. (Letter)
  - Baillie, J, Jowell, P, Evangelou, H, Bickel, W, and Cotton, P. "Use of computer graphics simulation for teaching of flexible sigmoidoscopy." Endoscopy 23, no. 3 (January 1, 1991): 126-129. (Review) Full Text
  - Glajchen, N, Thomas, S, Jowell, P, Epstein, S, Ismail, F, and Fallon, M. "The effect of high-dose salmon calcitonin on bone mineral metabolism in the normal rat." Calcif Tissue Int 46, no. 1 (January 1990): 28-32. Link to Item
  - Thomas, S, Movsowitz, C, Epstein, S, Jowell, P, and Ismail, F. "The response of circulating parameters of bone mineral metabolism to ethanol- and EDTA-induced hypocalcemia in the rat." Bone Miner 8, no. 1 (January 1990): 1-6. Link to Item
  - Glajchen, N, Ismail, F, Epstein, S, Jowell, PS, and Fallon, M. "The effect of chronic caffeine administration on serum markers of bone mineral metabolism and bone histomorphometry in the rat." Calcif Tissue Int 43, no. 5 (November 1988): 277-280. Link to Item
  - Jowell, PS, Epstein, S, Ismail, F, Hollis, B, and Schwartz, IR. "Alteration in osteoblast activity and nutritional vitamin-D deficiency in non-hypercalcemic malignancy." Calcif Tissue Int 42, no. 1 (January 1988): 18-22. Link to Item
  - Jowell, PS, Epstein, S, Fallon, MD, Reinhardt, TA, and Ismail, F. "1,25-Dihydroxyvitamin D3 modulates glucocorticoid-induced alteration in serum bone Gla protein and bone histomorphometry." Endocrinology 120, no. 2 (February 1987): 531-536. Full Text Link to Item

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