Twinkle Award, Denver Health Medical Center
(2012)
Peak Performer Award, Rocky Mountain Hospital Medicine
(2012)
Faculty teaching award, Vanderbilt Medical School
(2008)
Research Interests
Chronic pancreatitis, gallstones
Teaching
Associate Professor of Medicine
(2010)
School of Medicine,
Medicine
General gastroenterology, hepatology, and pancreatic and biliary disease
Publications
Do M, Pokala SK, Yang MC, Attwell A. A Rare Cause of Abdominal Pain. Gastroenterology. 2024 Jan;166(1):e10-e12. PubMed PMID: 37393025
Montminy EM, Jones B, Heller JC, Attwell A. Endoscopic iatrogenic esophageal perforation and management: a retrospective outcome analysis in the modern era. BMC Gastroenterol. 2023 Oct 31;23(1):371. PubMed PMID: 37907880
Attwell AR. Endoscopic Management of Necrotic Pancreatic Fluid Collections in the Setting of Disrupted Pancreatic Duct Syndrome: Out Like a LAMS?. Dig Dis Sci. 2023 Aug;68(8):3213-3215. PubMed PMID: 37269370
Haydek JP, Attwell AR. Down to the Wire: A Case of Gastrointestinal Bleeding After Splenic Artery Coiling. ACG Case Rep J. 2022 Jul;9(7):e00835. PubMed PMID: 35919410
Swei E, Heller JC, Scott F, Attwell A. Adverse Event Fatalities Related to GI Endoscopy. Dig Dis Sci. 2022 May;67(5):1753-1760. PubMed PMID: 33860417
Pokala S, Attwell A. Proximal biliary stent migration causing cardiac. ACG Case Reports Journal 2022; Vol. 9: 2, 322-4.
Pokala SK, Attwell A. Commentary on Effect of prophylactic endoscopic clipping for prevention of delayed bleeding after endoscopic papillectomy for ampullary neoplasm: a multicenter randomized trial. PracticeUpdate website. March 2022.
Pokala SK, Attwell AR. Proximal Biliary Stent Migration Causing Cardiac Tamponade. ACG Case Rep J. 2022 Dec;9(12):e00924. PubMed PMID: 36628372
Swei E, Heller JC, Scott F, Attwell A. Adverse Event Fatalities Related to GI Endoscopy. Dig Dis Sci. 2021 Apr 15. [Epub ahead of print] PubMed PMID: 33860417
Attwell A, Han S, Kriss M. Endoscopic retrograde cholangiopancreatography and liver biopsy in the evaluation of elevated liver function tests after liver transplantation. World J Hepatol. 2021 Jan 27;13(1):132-143. PubMed PMID: 33584992
Haydek J, Attwell A. Down to the wire: a case of GI bleeding after splenic artery coiling. In press. ACG Case Reports Journal 2021.
Hepatocellular carcinoma presenting with obstructive jaundice and malignant hemobilia. JSM Case Reports. May 2020.
In Memoriam: Brian Brauer MD, FASGE. Gastrointest Endosc Jan 2020.
Timing of direct endoscopic necrosectomy through lumen-apposing metal stents for walled-off pancreatic necrosis impacts time to resolution. DDW 2020.
Iatrogenic esophageal perforation – a case series. DDW 2020.
Fatal endoscopic complications: trends from a retrospective analysis. DDW 2020.
Septic Shock after Travel to Rural Africa. Gastroenterology. 2020 Jan;158(1):56-57
Quach B, Han S, Attwell A. Septic shock after travel to rural Africa. Gastroenterology. 2019 Sep 24. [Epub ahead of print] PubMed PMID: 31560890
Vachon A, Attwell A. Migrated Surgical Mesh Masquerading as a Luminal Stent. Am J Gastroenterol. 2019 Jul;114(7):1023. PubMed PMID: 30420633
Han S, Shah RJ, Brauer BC, Edmundowicz SA, Hammad HT, Wagh MS, Wani S, Attwell AR. A Comparison of Endoscopic Retrograde Pancreatography With or Without Pancreatoscopy for Removal of Pancreatic Duct Stones. Pancreas. 2019 May Jun;48(5):690-697. PubMed PMID: 31091217
Vachon A, Attwell A. Migrated Surgical Mesh Masquerading as a Luminal Stent. Am J Gastroenterol. 2018 Nov 12. [Epub ahead of print] PubMed PMID: 30420633
Brimhall B, Han S, Tatman PD, Clark TJ, Wani S, Brauer B, Edmundowicz S, Wagh MS, Attwell A, Hammad H, Shah RJ. Increased Incidence of Pseudoaneurysm Bleeding With Lumen-Apposing Metal Stents Compared to Double-Pigtail Plastic Stents in Patients With Peripancreatic Fluid Collections. Clin Gastroenterol Hepatol. 2018 Sep;16(9):1521-1528. PubMed PMID: 29474970
Mittal C, Obuch JC, Hammad H, Edmundowicz SA, Wani S, Shah RJ, Brauer BC, Attwell AR, Kaplan JB, Wagh MS. Technical feasibility, diagnostic yield, and safety of microforceps biopsies during EUS evaluation of pancreatic cystic lesions (with video). Gastrointest Endosc. 2018 May;87(5):1263-1269. PubMed PMID: 29309781
Brewer Gutierrez OI, Bekkali NLH, Raijman I, Sturgess R, Sejpal DV, Aridi HD, Sherman S, Shah RJ, Kwon RS, Buxbaum JL, Zulli C, Wassef W, Adler DG, Kushnir V, Wang AY, Krishnan K, Kaul V, Tzimas D, DiMaio CJ, Ho S, Petersen B, Moon JH, Elmunzer BJ, Webster GJM, Chen YI, Dwyer LK, Inamdar S, Patrick VB, Attwell A, Hosmer A, Ko C, Maurano A, Sarkar A, Taylor LJ, Gregory MH, Strand DS, Raza A, Kothari S, Harris JP, Kumta NA, Manvar A, Topazian MD, Lee YN, Spiceland CM, Trindade AJ, Bukhari MA, Sanaei O, Ngamruengphong S, Khashab MA. Efficacy and Safety of Digital Single-Operator Cholangioscopy for Difficult Biliary Stones. Clin Gastroenterol Hepatol. 2018 Jun;16(6):918-926.e1. PubMed PMID: 29074446
Mittal C, Obuch JC, Hammad H, Edmundowicz SA, Wani S, Shah RJ, Brauer BC, Attwell AR, Kaplan JB, Wagh MS. Technical feasibility, diagnostic yield, and safety of microforceps biopsies during EUS evaluation of pancreatic cystic lesions (with video). Gastrointest Endosc. 2018 May;87(5):1263-1269. PubMed PMID: 29309781
Brimhall B, Han S, Tatman PD, Clark TJ, Wani S, Brauer B, Edmundowicz S, Wagh MS, Attwell A, Hammad H, Shah RJ. Increased Incidence of Pseudoaneurysm Bleeding With Lumen-Apposing Metal Stents Compared to Double-Pigtail Plastic Stents in Patients With Peripancreatic Fluid Collections. Clin Gastroenterol Hepatol. 2018 Sep;16(9):1521-1528. PubMed PMID: 29474970
Brown NG, Camilo J, Nordstrom E, Yen RD, Fukami N, Brauer BC, Wani S, Amateau SK, Attwell AR, Shah RJ. Advanced ERCP techniques for the extraction of complex biliary stones: a single referral center's 12-year experience. Scand J Gastroenterol. 2018 May;53(5):626-631. PubMed PMID: 29644909
Brewer Gutierrez OI, Bekkali NLH, Raijman I, Sturgess R, Sejpal DV, Aridi HD, Sherman S, Shah RJ, Kwon RS, Buxbaum JL, Zulli C, Wassef W, Adler DG, Kushnir V, Wang AY, Krishnan K, Kaul V, Tzimas D, DiMaio CJ, Ho S, Petersen B, Moon JH, Elmunzer BJ, Webster GJM, Chen YI, Dwyer LK, Inamdar S, Patrick VB, Attwell A, Hosmer A, Ko C, Maurano A, Sarkar A, Taylor LJ, Gregory MH, Strand DS, Raza A, Kothari S, Harris JP, Kumta NA, Manvar A, Topazian MD, Lee YN, Spiceland CM, Trindade AJ, Bukhari MA, Sanaei O, Ngamruengphong S, Khashab MA. Efficacy and Safety of Digital Single-Operator Cholangioscopy for Difficult Biliary Stones. Clin Gastroenterol Hepatol. 2018 Jun;16(6):918-926.e1. PubMed PMID: 29074446
Adverse event fatalities related to GI endoscopy. Dig Dis Sci. In press, Jan 2021.
ERCP and liver biopsy in the evaluation of elevated liver function tests after liver transplantation. World J Hep. In press, Dec 2020.
Digestive System - Gastroenterology (Stomach, Bowel, General GI Problems)
Digestive System - Therapeutic Endoscopy
Digestive System
Clinical Interests
My clinical interestes include pancreatic and biliary disease including gallstones, cancer, and pancreatitis; ERCP and endoscopic ultrasound
Care Philosophy
I strive to provide the best care for my patients. I believe in treating the person as a whole, taking not only disease but every aspect of a patient’s body and health, values, culture, and personality into consideration during diagnosis and treatment. I feel strongly about communicating the risks, benefits, and alternatives to treatment and having the patient be active in the discussion or decisions about his/her treatment. I believe that tests or treatment are appropriate when they make patients feel better, save or extend a life, or provide us/family with useful information. But I believe that unncessary, invasive tests or treatments that provide minimal information and do not result in improved quality of life should be avoided.
Personal Interests
Travel, running, swimming, golf, fishing, skiing, crosswords
Volunteer Activities
volunteer physician in indigent clinic/s, volunteer for animal rescue
Public Speaking Yes
I give 3-4 oral presentations per year.
General Information
Medical Schools:
MD, University of Texas Southwestern Medical Center at Dallas Southwestern Medical School
(1998)
Undergraduate Schools:
BA, Rice University (TX)
(1994)
Internships:
University of Colorado (University Hospital) Program
(1999)
Residency Programs:
University of Colorado (University Hospital) Program, Internal Medicine (2001)
Fellowships:
University of Colorado (University Hospital) Program, Gastroenterology
(2004)
Medical University of South Carolina Program, Gastroenterology - therapeutic endoscopy
(2005)