Yuval Adrash Dinesh Patel

Yuval Adrash Dinesh Patel
Assistant Professor of Medicine

I see patients for evaluation and management of liver disease. I have clinical research interests in outcomes of patients with fatty liver disease (NAFLD) and liver transplantation. I also perform population health and QI/healthcare infrastructure research with an aim to improve access and optimize care delivery for patients with advanced NAFLD and cirrhosis. I routinely work with all levels of trainees (medical students, residents, fellows) in both the clinical realm and on research projects.

Current Appointments & Affiliations

Assistant Professor of Medicine, Medicine, Gastroenterology, Medicine 2021

Contact Information

40 Medicine Circle, Durham, NC 27710
Box 3913, Durham, NC 27710
yuval.patel@duke.edu (919) 684-9432

Background
Education, Training, & Certifications
- Transplant Hepatology Fellowship, Medicine, Duke University School of Medicine 2017 - 2018
- Gastroenterology and Hepatology Fellowship, Medicine, Duke University School of Medicine 2014 - 2017
- M.H.S., Duke University School of Medicine 2017
- Internal Medicine Residency, Johns Hopkins University School of Medicine 2011 - 2014
- M.D., Johns Hopkins University School of Medicine 2011
Previous Appointments & Affiliations
- Assistant Professor of Medicine, Medicine, Gastroenterology, Medicine 2018 - 2020
Research
Selected Grants
- Prediction and Prevention of Hepatic Decompensation in Patients with Cirrhosis awarded by National Institutes of Health 2021 - 2026
- The Impact of Increasing Age on Waiting List and Post-Transplantation Outcomes for NAFLD Patients awarded by American Association for the Study of Liver Diseases 2017 - 2018
Fellowships, Supported Research, & Other Grants
- AASLD Advanced/Transplant Hepatology Award awarded by AASLD 2017 - 2018
External Relationships
- Intercept
- Syneos Health
Publications & Artistic Works
Selected Publications
- Academic Articles
  - Kappus, Matthew R., Yuval A. Patel, and Andres Duarte-Rojo. “Improving the fitness of the NASH clinical trial: Standardizing the standard-of-care intervention.” Hepatology 76, no. 1 (July 2022): 12–14. https://doi.org/10.1002/hep.32369.
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  - Fung, Brian M., Megan Perumpail, Yuval A. Patel, and James H. Tabibian. “Telemedicine in Hepatology: Current Applications and Future Directions.” Liver Transpl 28, no. 2 (February 2022): 294–303. https://doi.org/10.1002/lt.26293.
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  - Gonzalez, Juan J., Jennifer Dziwis, Yuval A. Patel, and Elliot B. Tapper. “Identifying Ascites in Patients with Cirrhosis Using Administrative Codes and Diuretic Use: A Multicenter Study.” Dig Dis Sci, January 28, 2022. https://doi.org/10.1007/s10620-021-07367-7.
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  - Helzberg, James H., Alice Parish, Donna Niedzwiecki, Charles Y. Kim, Yuval A. Patel, Julius M. Wilder, and Andrew J. Muir. “Racial disparities in transjugular intrahepatic portosystemic shunt procedure outcomes.” Bmj Open Gastroenterol 9, no. 1 (January 2022). https://doi.org/10.1136/bmjgast-2021-000747.
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  - Kim, Nicole J., Karine Rozenberg-Ben-Dror, David A. Jacob, Nicole E. Rich, Amit G. Singal, Elizabeth S. Aby, Ju Dong Yang, et al. “Provider Attitudes Toward Risk-Based Hepatocellular Carcinoma Surveillance in Patients With Cirrhosis in the United States.” Clin Gastroenterol Hepatol 20, no. 1 (January 2022): 183–93. https://doi.org/10.1016/j.cgh.2020.09.015.
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  - Wegermann, Kara, Julius M. Wilder, Alice Parish, Donna Niedzwiecki, Ziad F. Gellad, Andrew J. Muir, and Yuval A. Patel. “Racial and Socioeconomic Disparities in Utilization of Telehealth in Patients with Liver Disease During COVID-19.” Dig Dis Sci 67, no. 1 (January 2022): 93–99. https://doi.org/10.1007/s10620-021-06842-5.
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  - Henson, Jacqueline B., Yuval A. Patel, and Andrew J. Muir. “Trends in statin utilisation in US adults with non-alcoholic fatty liver disease.” Aliment Pharmacol Ther 54, no. 11–12 (December 2021): 1481–89. https://doi.org/10.1111/apt.16646.
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  - Cullaro, Giuseppe, Pratima Sharma, Jennifer Jo, Jasmine Rassiwala, Lisa B. VanWagner, Randi Wong, Jennifer C. Lai, et al. “Temporal Trends and Evolving Outcomes After Simultaneous Liver-Kidney Transplantation: Results from the US SLKT Consortium.” Liver Transpl 27, no. 11 (November 2021): 1613–22. https://doi.org/10.1002/lt.26232.
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  - Patel, Yuval A., Jia Yao, Rae Jean Proeschold-Bell, Donna Niedzwiecki, Elizabeth Goacher, and Andrew J. Muir. “Reduced Alcohol Use Is Sustained in Patients Provided Alcohol-Related Counseling During Direct-Acting Antiviral Therapy for Hepatitis C.” Dig Dis Sci 66, no. 9 (September 2021): 2956–63. https://doi.org/10.1007/s10620-020-06616-5.
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  - Couzi, Lionel, Miriam Manook, Sophie Caillard, Éric Épailly, Benoît Barrou, Dany Anglicheau, Mathias Buchler, et al. “Impact of Covid-19 on kidney transplant and waiting list patients: Lessons from the first wave of the pandemic.” Nephrol Ther 17, no. 4 (August 2021): 245–51. https://doi.org/10.1016/j.nephro.2020.12.004.
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  - Samoylova, Mariya L., Kara Wegermann, Brian I. Shaw, Samuel J. Kesseli, Sandra Au, Christine Park, Samantha E. Halpern, et al. “The Impact of the 2017 Kidney Allocation Policy Change on Simultaneous Liver-Kidney Utilization and Outcomes.” Liver Transpl 27, no. 8 (August 2021): 1106–15. https://doi.org/10.1002/lt.26053.
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  - Sharma, Pratima, Zhiyu Sui, Min Zhang, John C. Magee, Pranab Barman, Yuval Patel, Aaron Schluger, et al. “Renal Outcomes After Simultaneous Liver-Kidney Transplantation: Results from the US Multicenter Simultaneous Liver-Kidney Transplantation Consortium.” Liver Transpl 27, no. 8 (August 2021): 1144–53. https://doi.org/10.1002/lt.26032.
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  - Wegermann, Kara, Yuval Patel, and Julius Wilder. “Health Equity and Telemedicine in Gastroenterology and Hepatology.” Clin Gastroenterol Hepatol 19, no. 8 (August 2021): 1516–19. https://doi.org/10.1016/j.cgh.2021.04.024.
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  - Modi, Krishna, Maria Segovia, Alisha Mavis, Thomas Schiano, Yuval Patel, Justin Boike, Debra Sudan, Shunji Nagai, and Syed-Mohammed Jafri. “Efficacy and safety of mammalian target of rapamycin inhibitors following intestinal and multivisceral transplantation.” Clin Transplant 35, no. 7 (July 2021): e14324. https://doi.org/10.1111/ctr.14324.
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  - Kesseli, Samuel J., Mariya L. Samoylova, John Yerxa, Carrie B. Moore, Marcelo Cerullo, Qimeng Gao, Nader Abraham, et al. “Donor-Recipient Height Mismatch Is Associated With Decreased Survival in Pediatric-to-Adult Liver Transplant Recipients.” Liver Transpl 27, no. 3 (February 2021): 425–33. https://doi.org/10.1002/lt.25937.
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  - Barman, Pranab M., Lindsay Y. King, Carl L. Berg, Alice Parish, Donna Niedzwiecki, Andrew S. Barbas, Lisa McElroy, and Yuval A. Patel. “Need for Pretransplant Midodrine Does Not Negatively Impact Simultaneous Liver-kidney Transplant Outcomes.” Transplant Direct 7, no. 1 (January 2021): e640. https://doi.org/10.1097/TXD.0000000000001071.
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  - Halpern, S. E., M. L. Samoylova, B. I. Shaw, S. J. Kesseli, M. G. Hartwig, Y. A. Patel, L. M. McElroy, and A. S. Barbas. “Reexamining Risk Aversion: Willingness to Pursue and Utilize Nonideal Donor Livers among US Donation Service Areas.” Transplantation Direct, January 1, 2021. https://doi.org/10.1097/TXD.0000000000001173.
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  - Kapila, Nikhil, Ying Claire Dorsey, Jigesh Shah, Lindsay King, Kadiyala Ravindra, Stuart Knechtle, and Yuval Patel. “Transjugular Intrahepatic Portosystemic Shunt for a Challenging Pregnancy.” Am J Gastroenterol 115, no. 12 (December 2020): 1935. https://doi.org/10.14309/ajg.0000000000000602.
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  - Park, Christine, Yuval A. Patel, Paul Suhocki, Claire Dorsey, Nikhil Kapila, Linnan Tang, and Jennifer Gilner. “High-risk third trimester pregnancy with decompensated cirrhosis safely delivered following emergent preoperative interventional radiology for mitigation of variceal bleeding.” Clin Imaging 68 (December 2020): 143–47. https://doi.org/10.1016/j.clinimag.2020.06.032.
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  - Kwong, Allison J., Deepika Devuni, Connie Wang, Justin Boike, Jennifer Jo, Lisa VanWagner, Marina Serper, et al. “Outcomes of Liver Transplantation Among Older Recipients With Nonalcoholic Steatohepatitis in a Large Multicenter US Cohort: the Re-Evaluating Age Limits in Transplantation Consortium.” Liver Transpl 26, no. 11 (November 2020): 1492–1503. https://doi.org/10.1002/lt.25863.
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  - Lee, Tzu-Hao, Lindsay King, Amit Patel, Cecelia Zhang, Yuval A. Patel, and Darshan Kothari. “S1240 Education Innovation During COVID-19 Pandemic: Using an Interactive Instant Message Application to Enhance GI Fellowship Education.” American Journal of Gastroenterology 115, no. 1 (October 2020): S622–23. https://doi.org/10.14309/01.ajg.0000707008.19264.25.
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  - Moris, Dimitrios, Brian I. Shaw, Jared Gloria, Samuel J. Kesseli, Mariya L. Samoylova, Robin Schmitz, Miriam Manook, et al. “Textbook Outcomes in Liver Transplantation.” World J Surg 44, no. 10 (October 2020): 3470–77. https://doi.org/10.1007/s00268-020-05625-9.
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  - Henson, Jacqueline B., Julius M. Wilder, Matthew R. Kappus, Andrew S. Barbas, Cynthia A. Moylan, Donna Niedzwiecki, Andrew J. Muir, Carl L. Berg, and Yuval A. Patel. “Transplant Outcomes in Older Patients With Nonalcoholic Steatohepatitis Compared to Alcohol-related Liver Disease and Hepatitis C.” Transplantation 104, no. 6 (June 2020): e164–73. https://doi.org/10.1097/TP.0000000000003219.
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  - Verna, Elizabeth C., Yuval A. Patel, Avin Aggarwal, Archita P. Desai, Catherine Frenette, Anjana A. Pillai, Reena Salgia, et al. “Liver transplantation for hepatocellular carcinoma: Management after the transplant.” Am J Transplant 20, no. 2 (February 2020): 333–47. https://doi.org/10.1111/ajt.15697.
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  - Barman, Pranab M., and Yuval A. Patel. “Getting a "Grip" on Sarcopenia for the Liver Transplant Candidate: Time to Focus on Muscle Function.” Liver Transpl 25, no. 10 (October 2019): 1475–76. https://doi.org/10.1002/lt.25625.
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  - Zhang, Xiaojie, Sarah Burroughs, Ahmad Farooq, Mustafa R. Bashir, Andrew J. Muir, and Yuval A. Patel. “N-Acetylcysteine in the Management of Acute Liver Failure From Sickle Cell Hepatic Crisis.” Acg Case Rep J 6, no. 8 (August 2019): e00161. https://doi.org/10.14309/crj.0000000000000161.
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  - Finn, Raymond T., Benjamin Lloyd, Yuval A. Patel, James T. Allen, Jennifer Cornejo, Andrea Davis, Thasha McIntosh, et al. “Decreasing Endoscopy No-Shows Using a Lean Improvement Framework.” Clin Gastroenterol Hepatol 17, no. 7 (June 2019): 1224-1227.e3. https://doi.org/10.1016/j.cgh.2019.02.002.
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  - Patel, Yuval A., Elizabeth J. Gifford, Lisa M. Glass, Marsha J. Turner, Byungjoo Han, Cynthia A. Moylan, Steve Choi, Ayako Suzuki, Dawn Provenzale, and Christine M. Hunt. “Correction to: Identifying Nonalcoholic Fatty Liver Disease Advanced Fibrosis in the Veterans Health Administration.” Dig Dis Sci 63, no. 10 (October 2018): 2813–14. https://doi.org/10.1007/s10620-018-5213-2.
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  - Patel, Yuval A., Jacqueline B. Henson, Julius M. Wilder, Jiayin Zheng, Schein-Chung Chow, Carl L. Berg, Stuart J. Knechtle, and Andrew J. Muir. “The impact of human leukocyte antigen donor and recipient serotyping and matching on liver transplant graft failure in primary sclerosing cholangitis, autoimmune hepatitis, and primary biliary cholangitis.” Clin Transplant 32, no. 10 (October 2018): e13388. https://doi.org/10.1111/ctr.13388.
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  - Patel, Yuval A., Elizabeth J. Gifford, Lisa M. Glass, Marsha J. Turner, Byungjoo Han, Cynthia A. Moylan, Steve Choi, Ayako Suzuki, Dawn Provenzale, and Christine M. Hunt. “Identifying Nonalcoholic Fatty Liver Disease Advanced Fibrosis in the Veterans Health Administration.” Dig Dis Sci 63, no. 9 (September 2018): 2259–66. https://doi.org/10.1007/s10620-018-5123-3.
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  - Patel, Y. A., and A. J. Muir. “Editorial: platelet transfusions in cirrhosis-do the risks outweigh the unclear benefits?” Aliment Pharmacol Ther 47, no. 11 (June 2018): 1553–54. https://doi.org/10.1111/apt.14654.
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  - Patel, Yuval A., Kara Wegermann, Carl L. Berg, and Lindsay Y. King. “Patient 1 with decompensated nonalcoholic steatohepatitis cirrhosis with inability to lose weight should undergo transplantation.” Clin Liver Dis (Hoboken) 11, no. 6 (June 2018): 149–51. https://doi.org/10.1002/cld.703.
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  - Patel, Y. A., and C. M. Hunt. “Editorial: diabetes, obesity and clinical inertia-the recipe for advanced NASH. Authors' reply.” Aliment Pharmacol Ther 47, no. 8 (April 2018): 1221–22. https://doi.org/10.1111/apt.14505.
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  - Patel, Yuval A., Arun J. Sanyal, Veronica Miller, and Veronica Liver Forum’s Data Standardization Working Group. “Reply.” Gastroenterology 154, no. 5 (April 2018): 1546–47. https://doi.org/10.1053/j.gastro.2018.03.019.
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  - Patel, Y. A., E. J. Gifford, L. M. Glass, R. McNeil, M. J. Turner, B. Han, D. Provenzale, S. S. Choi, C. A. Moylan, and C. M. Hunt. “Risk factors for biopsy-proven advanced non-alcoholic fatty liver disease in the Veterans Health Administration.” Aliment Pharmacol Ther 47, no. 2 (January 2018): 268–78. https://doi.org/10.1111/apt.14411.
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  - Henson, Jacqueline B., Yuval A. Patel, Julius M. Wilder, Jiayin Zheng, Shein-Chung Chow, Lindsay Y. King, and Andrew J. Muir. “Differences in Phenotypes and Liver Transplantation Outcomes by Age Group in Patients with Primary Sclerosing Cholangitis.” Dig Dis Sci 62, no. 11 (November 2017): 3200–3209. https://doi.org/10.1007/s10620-017-4559-1.
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  - Patel, Yuval A., Joanne C. Imperial, Andrew J. Muir, Quentin M. Anstee, David DeBrota, Lara Dimick-Santos, Claudia Filozof, et al. “Baseline Parameters in Clinical Trials for Nonalcoholic Steatohepatitis: Recommendations From the Liver Forum.” Gastroenterology 153, no. 3 (September 2017): 621-625.e7. https://doi.org/10.1053/j.gastro.2017.07.024.
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  - Holly, Brian P., Yuval A. Patel, James Park, Laura M. Fayad, E Gene Deune, Sally E. Mitchell, and Clifford R. Weiss. “Preoperative Epoxy Embolization Facilitates the Safe and Effective Resection of Venous Malformations in the Hand and Forearm.” Hand (N Y) 12, no. 4 (July 2017): 335–41. https://doi.org/10.1177/1558944716669798.
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  - Henson, Jacqueline B., Yuval A. Patel, Lindsay Y. King, Jiayin Zheng, Shein-Chung Chow, and Andrew J. Muir. “Outcomes of liver retransplantation in patients with primary sclerosing cholangitis.” Liver Transpl 23, no. 6 (June 2017): 769–80. https://doi.org/10.1002/lt.24703.
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  - Patel, Yuval A., Ricardo Henao, Cynthia A. Moylan, Cynthia D. Guy, Dawn L. Piercy, Anna Mae Diehl, and Manal F. Abdelmalek. “Reply to Kim et al.” Am J Gastroenterol 112, no. 5 (May 2017): 807–8. https://doi.org/10.1038/ajg.2017.45.
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  - Patel, Yuval A., Shannon J. McCall, Xuefeng Zhang, Tracy Jaffe, and Rahul A. Shimpi. “Radiographic and endoscopic regression of metastatic gastric cancer to the colon in the setting of 5-aminosalicylic acid use.” J Gastrointest Oncol 7, no. 6 (December 2016): E88–92. https://doi.org/10.21037/jgo.2016.05.02.
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  - Patel, Yuval A., and Andrew J. Muir. “Treatment of HCV in Renal Disease: Subtle Management Considerations in the Era of Direct-acting Antivirals.” Curr Hepatol Rep 15, no. 4 (December 2016): 285–90. https://doi.org/10.1007/s11901-016-0319-5.
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  - Chan, Austin W., Yuval A. Patel, and Steve Choi. “Aging of the Liver: What This Means for Patients with HIV.” Curr Hiv/Aids Rep 13, no. 6 (December 2016): 309–17. https://doi.org/10.1007/s11904-016-0332-x.
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  - Patel, Yuval A., and Andrew J. Muir. “Mechanisms of Ascites Development-Reply.” Jama 316, no. 17 (November 1, 2016): 1829. https://doi.org/10.1001/jama.2016.15072.
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  - Patel, Yuval A., Ricardo Henao, Cynthia A. Moylan, Cynthia D. Guy, Dawn L. Piercy, Anna Mae Diehl, and Manal F. Abdelmalek. “Vitamin D is Not Associated With Severity in NAFLD: Results of a Paired Clinical and Gene Expression Profile Analysis.” Am J Gastroenterol 111, no. 11 (November 2016): 1591–98. https://doi.org/10.1038/ajg.2016.406.
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  - Niranjan-Azadi, A. M., F. Araz, Y. A. Patel, N. Alachkar, S. Alqahtani, A. M. Cameron, R. D. Stevens, and A. Gurakar. “Ammonia Level and Mortality in Acute Liver Failure: A Single-Center Experience.” Ann Transplant. 21 (August 2, 2016): 479–83.
  - Patel, Yuval A., and Andrew J. Muir. “Evaluation of New-Onset Ascites.” Jama 316, no. 3 (July 19, 2016): 340–41. https://doi.org/10.1001/jama.2016.7600.
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  - Patel, Y. A., C. L. Berg, and C. A. Moylan. “Liver Transplantation for Nonalcoholic Fatty Liver Disease: Role of Bariatric Surgery for Comorbid Obesity.” Journal of Advanced Nutrition and Human Metabolism, June 23, 2016. https://doi.org/10.14800/janhm.1327.
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  - Kumbhari, Vivek, Amitasha Sinha, Aditi Reddy, Elham Afghani, Deanna Cotsalas, Yuval A. Patel, Andrew C. Storm, Mouen A. Khashab, Anthony N. Kalloo, and Vikesh K. Singh. “Algorithm for the management of ERCP-related perforations.” Gastrointest Endosc 83, no. 5 (May 2016): 934–43. https://doi.org/10.1016/j.gie.2015.09.039.
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  - Patel, Yuval A., Carl L. Berg, and Cynthia A. Moylan. “Nonalcoholic Fatty Liver Disease: Key Considerations Before and After Liver Transplantation.” Dig Dis Sci 61, no. 5 (May 2016): 1406–16. https://doi.org/10.1007/s10620-016-4035-3.
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  - Sinha, Amitasha, Yuval A. Patel, Michael Cruise, Karen Matsukuma, Atif Zaheer, Elham Afghani, Dhiraj Yadav, et al. “Predictors of Post-Operative Pain Relief in Patients with Chronic Pancreatitis Undergoing the Frey or Whipple Procedure.” J Gastrointest Surg 20, no. 4 (April 2016): 734–40. https://doi.org/10.1007/s11605-016-3081-7.
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  - Anand, Gobind, Yuval A. Patel, Hsin-Chieh Yeh, Mouen A. Khashab, Anne Marie Lennon, Eun Ji Shin, Marcia I. Canto, Patrick I. Okolo, Anthony N. Kalloo, and Vikesh K. Singh. “Factors and Outcomes Associated with MRCP Use prior to ERCP in Patients at High Risk for Choledocholithiasis.” Can J Gastroenterol Hepatol 2016 (2016): 5132052. https://doi.org/10.1155/2016/5132052.
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  - Tieu, Alan H., Vivek Kumbhari, Neha Jakhete, Frances Onyimba, Yuval Patel, Eun Ji Shin, and Zhiping Li. “Diagnostic and therapeutic utility of SpyGlass(®) peroral cholangioscopy in intraductal biliary disease: single-center, retrospective, cohort study.” Dig Endosc 27, no. 4 (May 2015): 479–85. https://doi.org/10.1111/den.12405.
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  - Patel, Yuval A., Sameer Dhalla, Matthew T. Olson, Anne Marie Lennon, Mouen A. Khashab, and Vikesh K. Singh. “Pancreatic metastasis from a solitary fibrous tumor of the kidney: a rare cause of acute recurrent pancreatitis.” Pancreatology 13, no. 6 (November 2013): 631–33. https://doi.org/10.1016/j.pan.2013.06.004.
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  - Anand, G., Y. Patel, H. C. Yeh, M. Khashab, A. M. Lennon, E. J. Shin, M. I. Canto, P. I. Okolo, A. Kalloo, and V. K. Singh. “Factors and outcomes associated with magnetic resonance cholangiopancreatography use before endoscopic retrograde cholangiopancreatography in patients at high risk for choledocholithiasis.” Can J Gastroenterol Hepatol., n.d.
- Conference Papers
  - Kappus, Matthew R., Kara Wegermann, Erol Bozdogan, Yuval A. Patel, Gemini Janas, Erin Shropshire, Alice Parish, Donna Niedzwiecki, Andrew J. Muir, and Mustafa Bashir. “Use of Skeletal Muscle Index as a Predictor of Wait-List Mortality in Patients With End-Stage Liver Disease.” In Liver Transpl, 26:1090–99, 2020. https://doi.org/10.1002/lt.25802.
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Education, Training, & Certifications

Previous Appointments & Affiliations

Selected Grants

Fellowships, Supported Research, & Other Grants

External Relationships

Selected Publications

Academic Articles

Conference Papers