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Department of Medicine

Gastroenterology

Our division provides state-of-the-art treatment for patients with gastrointestinal and liver diseases, educates students in the pathophysiology of digestive diseases, and provides a strong basic science program for advancing the understanding of these disease processes.

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Gastroenterology

Our division provides state-of-the-art treatment for patients with gastrointestinal and liver diseases, educates students in the pathophysiology of digestive diseases, and provides a strong basic science program for advancing the understanding of these disease processes.

Overview

The Academic Division of Gastroenterology & Hepatology at The Warren Alpert Medical School of Brown University is located at Rhode Island Hospital and the Veteran’s Administration Medical Center. The major missions of the Division are to provide state-of-the-art treatment for patients with gastrointestinal and liver diseases, to educate undergraduates, medical students, medical residents and gastroenterology fellows in the pathophysiology of digestive diseases and to lead clinical and translational science research for enhancing the understanding of these disease processes and to advance care regionally and nationally.

The clinical program is robust and serves as a focus for translational research activities. Currently, there are advanced specialty clinics for IBD, Liver Disease, Esophageal Disease and Women’s Gastroenterology.

Faculty

  • Paul Akerman, MD

    Paul Akerman, MD

    Clinical Assistant Professor of Medicine; Clinical Assistant Professor of Surgery
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    William Chen, MD

    Clinical Assistant Professor of Medicine
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    Jason Ferreira, MD

    Clinical Assistant Professor of Medicine
  • Sean Fine, MD

    Sean Fine, MD

    Assistant Professor of Medicine; Director, Inflammatory Bowel Disease Center; Clinician Educator
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    Jeanette Giedrimas, MD

    Assistant Professor of Medicine; Clinician Educator
  • Fadlallah Habr, MD

    Fadlallah Habr, MD

    Associate Professor of Medicine; Director of Endoscopy, RI Hospital; Director, Global Health; Clinician Educator
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    May Min, MD

    Assistant Professor of Medicine; Clinician Educator
  • Steven Moss, MD

    Steven Moss, MD

    Professor of Medicine; Program Director, GI Fellowship
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    Eric Newton, MD

    Clinical Assistant Professor of Medicine
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    Nnenna Okpara, MD

    Assistant Professor of Medicine; Clinician Educator
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    Edward Pensa, MD

    Clinical Assistant Professor of Medicine
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    Pranith Perera, MD

    Clinical Assistant Professor of Medicine
  • Amanda Pressman, MD

    Amanda Pressman, MD

    Associate Professor of Medicine; Director of Women’s GI Program; Associate Program Director, GI Fellowship; Clinician Educator
  • Kittichai Promrat, MD

    Kittichai Promrat, MD

    Professor of Medicine; Interim Division Director; Director of Gastroenterology, VA Medical Center; Clinician Educator
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    Harlan Rich, MD

    Associate Professor of Medical Science; Associate Professor of Medicine
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    Thomas Sepe, MD

    Clinical Professor of Medicine
  • Samir Shah, MD

    Samir Shah, MD

    Clinical Professor of Medicine
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    Shannon Simmons, MD

    Assistant Professor of Medicine; Clinician Educator
  • Li Wang, MD

    Li Wang, MD

    Assistant Professor of Medicine; Clinician Educator

Fellowship Program

Gastroenterology Fellowship

The goal of the program is to prepare board eligible internists for a career in clinical or academic gastroenterology.

Gastroenterology Fellowship

Clinical Centers & Research Programs

General Gastroenterology & Hepatology

Workup and management of GI and liver symptoms, disorders and diseases with a multidisciplinary team at Chapman St. outpatient facility. Providers include GI faculty, GI fellows, advanced practice providers, registered dieticians, and pharmacists. 

IBD Center

 Advancing IBD care with access to intestinal ultrasound, the IBD Center offers a team-based approach to treatment of IBD with collaboration with our dietician, psychologist, and pharmacy team.

Liver Center

The liver center provides comprehensive and multidisciplinary care for complex liver conditions ranging from asymptomatic hepatitis, to end stage liver disease. Partnering with transplant centers, we offer pre and post liver transplant care.

Women’s Gastroenterology 

Women’s Gastroenterology focuses on recognizing and treating diseases that manifest differently in women or exclusively in women including pregnancy related disease, functional GI disorders, physiological changes linked to hormonal fluctuation, and pelvic floor dysfunction. There is an emphasis on the social, economic and psychological factors unique to women, including childbearing, menopause, sexual abuse and domestic violence. The approach is multidisciplinary, focused on academic excellence with a caring, personal touch.

Motility Lab 

The Motility Lab at Rhode Island Hospital performs High Resolution Esophageal Manometry and Anorectal Manometry.  We also offer pH and Impedance testing. 

Advanced Endoscopy

Offering state-of-the-art therapeutic treatment with third-space endoscopies, our advanced endoscopists provide management of pre-neoplastic and malignant conditions, hepatopancreatobiliary disease, and motility disorders.

Clinical and Translational Research

There are over 20 active clinical research projects in the Division of Gastroenterology. Almost all the projects involve trainees, including GI fellows, medical residents, and medical students. Current IRB-approved projects are listed below (with principal investigators in parentheses) 

This is a clinical and translational lab run by Dr. Bryce Perler. There are four key integrated pillars that make up the core of this program - 1) sustainable food systems focusing on plant predominate food to improve cardiometabolic health and reduce ecologic damage of domestic livestock; 2) precision medicine, which takes an individualized approach emphasizing factors such as personal environment and lifestyle, to optimize health, prevent and treat disease, and personalize nutrition leveraging high resolution biomarkers including objective dietary biomarkers, body composition analysis and wearable technologies; 3) food waste mitigation strategies including food waste reduction, upcycling, and scalable composting efforts; and 4) holistic modernization of the medical school nutrition curriculum that empowers future providers, supports patients optimizing health, and promotes efforts that improve sustainability of our food systems and the health of our planet.

Active Research Studies:

  • HRV and Energy Assessment of Recorded Trends in Food Utilization, Expenditure, and Lifestyle (HEART-FUEL) (Perler)
  • A Single Device Cooking Intervention to Enhance Healthy Eating Behaviors: A Pilot Study (Perler)
  • Resident Nutrition, Well-Being, and Burnout (Perler)
  • Skin and Scale: Innovating GI Disease Phenotyping Through Biometric Insights (Perler)
  • A Community-Based Produce Prescription Intervention To Improve Nutrition Security In Underserved Populations With Nutrition Insecurity and Obesity (Perler)
  • Rhode Island Hospital Pilot Composting Program (Perler)
  • Wearable-Derived Physiological and Nutritional Predictors of Burnout in Medical Students (Perler)
  • Real world outcomes of novel therapy agents in patients with IBD (S. Fine)
  • Racial Disparities and ability to meet treat to Target goals in patients with IBD (S. Fine)
  • Intestinal Ultrasound and clinical outcomes data (S. Fine)
  • Understanding delays in care/treatment for patients presenting with IBD flare (S. Fine)
  • IBDqorus: a nationwide consortium of collaboration and outcomes for patients with IBD (S. Fine)
  • The Role of Inpatient Palliative Care Consultation in End-Stage Liver Disease: A Systematic Review and Retrospective Study (K. Promrat)
  • Biobehavioral Pathways Underlying Alcohol Use and Health (K. Promrat)
  • Food impactions and real world experience study understanding of safety, timing, sedation mode and outcomes (S. Fine)
  • Utility and outcomes of inpatient capsule endoscopy (M. Min)
  • Spray Cryotherapy Patient Registry (F. Habr)
  • Clinical psychiatric characteristics of patients undergoing moderate sedation and anesthesia assisted deep sedation for gastrointestinal procedures (H. Rich)
  • Human-Assisted Deep Learning for Capsule Endoscopy (H. Rich)
  • Outcome of H. pylori eradication therapy tailored using next generation sequencing for antibiotic susceptibility (S. Moss)
  • Development of a national H. pylori clinical registry (S. Moss)
  • GI toxicities related to immune checkpoint inhibitors (M. Min)
  • Produce prescription program to improve dietary quality in populations with obesity (B. Perler)
  • Cooking intervention in collaboration with Johnson and Wales University to improve dietary quality and healthy eating behaviors in populations with obesity (B. Perler)
  • Body composition testing with dietary biomarkers to assess disease phenotypes among patients with various GI diseases and disorders (B. Perler)
  • Composting program at Rhode Island Hospital to reduce hospital based food waste and carbon emissions (B. Perler)
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