Easwaran Variyam, M.D.
Professor, Division of Gastroenterology and Hetapology
Easwaran Variyam, M.D.
Department of Internal Medicine
University of Texas Medical Branch
301 University Blvd.
Galveston, TX 77555-0764
Dr. Easwaran Variyam is a Professor in the Division of Gastroenterology and Hepatology, Department of Internal Medicine at The University of Texas Medical Branch (UTMB) in Galveston. Dr. Variyam earned his MBBS degree in 1964 from the Medical College, Calicut (Kozhikode), Kerala, India graduating at the top of his class and then completed a rotating internship. He did his internship training in Internal Medicine at the District of Columbia General Hospital in Washington, DC. and his Internal Medicine residency training at the Mount Sinai Medical Center - Chicago Medical School in Chicago, Illinois. Dr. Variyam completed fellowship training in Gastroenterology at the University Hospitals and Veterans Administration Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio. He previously held academic positions at Case Western Reserve University School of Medicine and Texas Tech University Health Sciences Center.
Dr. Variyam is Board Certified in Gastroenterology. He is a member of the American Gastroenterological Association, American Society for Gastrointestinal Endoscopy, American Association for the Study of Liver Disease, American College of Physicians, Southern Society for Clinical Investigation, American Federation for Medical Research, and Society of Microbial Ecology and Diseases. His major research interest focuses on the role of normal gut bacteria as host defense against Entamoeba histolytica.
General gastroenterology, Gastrointestinal infections, pancreaticobiliary disorders.
Variyam EP, Banwell JG: Worm infections of the gastrointestinal tract. IN Textbook of Gastroenterology. IAD Bouchier, RN Allan, HJF Hodgson, and MRB Keighley (Editors), Bailliere â€“ Tindall (WB Saunders) 1984; pages 1074-1091.
Banwell JG, Variyam EP: Worm Infestations. IN Gastroenterology. Clinical Science and Practice. Second Edition, Bouchier IAD, Allan RA, Hodgson HJF, and Keighley MRB (Editors), WB Saunders, London 1993; pages 1401-1418.
Variyam EP: Amebic Colitis. IN Inflammatory Bowel Disease, Third Edition. Allan R, Keighley M, Alexander-Williams J, Fazio VW, Hanauer S, and Rhodes JM (Editors), Churchill Livingstone, London 1997; pages 409-412.
Variyam EP, Hoskins LC: Mucin degradation in human colon ecosystems. Degradation of hog gastric mucin by fecal extracts and fecal cultures. Gastroenterology 81: 751-758, 1981.
Variyam EP, Banwell JG: Nutritional implications of hookworm infection. Reviews of Infectious Diseases 4:840-845, 1982.
Variyam EP, Hoskins LC: In vitro degradation of gastric mucin. Carbohydrate side chains protect polypeptide core from pancreatic proteases. Gastroenterology 84:533-537, 1983.
Variyam EP: Central vein hyperalimentation in pancreatic ascites. Am J. Gastroenterology 78:178-181, 1983.
Variyam EP, Fuller RK, Brown FM, Quallich LG: The effect of parenteral amino acids on human pancreatic exocrine secretion. Digestive Diseases and Sciences 1985; 30:541-546.
Variyam EP, Shah AS: Pericardial effusion and left ventricular function in patients with acute alcoholic pancreatitis. Arch Int Med 1987; 147:923-925.
Shah AS, Variyam EP: Pericardial effusion and left ventricular dysfunction associated with ascites secondary to hepatic cirrhosis. Arch Int Med 1988; 148:585-588.
Variyam EP: Investigation of disorders of the stomach. Medical Rounds 1988; 1:248-256.
Variyam EP, Gogate P, Hassan M, Costerton WJ, Pillai S, Ward H, Jalan K: Nondysenteric intestinal amebiasis: colonic morphology and search for Entamoeba histolytica adherence and invasion. Digestive Diseases and Sciences 1989; 34:732-740. Stanley MM et al (Variyam EP, Principal Investigator, in Cleveland of V.A. Cooperative Study No. 142): Peritoneovenous shunting as compared with medical treatment inpatients with alcoholic cirrhosis and massive ascites. New England Journal of Medicine 1989; 321:1632-1638.
Variyam EP: Bile salts promote adherence-decreasing effect of colonic luminal hydrolases on Entamoeba histolytica. Arch Med Research 1992; 23:223-225.
Kowdley K, Variyam EP, Sivak M: Obstructive jaundice, caused by pancreatic carcinoma in the setting of a normal pancreatogram. Gastrointestinal Endoscopy 1995; 41:158-160.
Durden F, Variyam EP, Chren M: Pancreatic fat necrosis with features of erythema nodosum. International Journal of Dermatology 1996; 35:39-41.
Variyam EP: Luminal bacteria and proteases together decrease adherence of Entamoeba histolytica trophozoites to Chinese hamster ovary epithelial cells. A novel host defense against an enteric pathogen. Gut 1996; 39:521-527.
Variyam EP: Intestinal parasitic infections. Current Opinion in Gastroenterology 1998; 14:50-56.
Das A, Variyam EP: Intestinal parasitic infections. Current Opinion in Gastroenterology 1999; 15:59-65.
Variyam, EP, Gogate P, Eaton K: Animal model of noninvasive Entamoeba histolytica infection. Arch Medical Research 2000; 31: S245-S246.
Variyam, EP: Luminal host defenses against invasive amebiasis. Trends in Parasitology 2007; 23: 108 â€“ 111.
Cardenas V, Mena KD, Ortiz M, Karri S, Variyam EP, Barton BC, Snowden KF, Flisser A, Bristol JR, Mayberry LF, Ortega YR, Fukuda Y, Campos A, Graham DY: Helicobacter pylori, protozoa, helminthes and household hygiene in a US â€“ Mexico border population. Public Health Reports 2010; 125: 441 â€“ 447.
The department of internal medicine is developing evidence based clinical protocols which will be available in EPIC (as order sets) for use when admitting patients with these diagnoses. Their AIM is to standardize care and decrease length of stay and readmission rates.Currently available protocols are:
- CAP - Community Acquired Pneumonia Order set
- Congestive Heart Failure (CHF)
- Chronic Obstructive Pulmonary Disease (COPD)
- Diabetic Ketoacidosis Adult, ICU
- General Medicine Admission
- Immunodeficiency Flow Panel
- MICU/CCU Admission Order Set
- Oral Analgesic Medications
- Parenteral Opioids
- Sepsis, Adult ICU
- 111 - Stroke Alert
- 112 - Stroke Activation
- 300086 - Stroke Floor Admission
- 3000000001 - Stroke Critical care without tPA
- 300088 Stroke - Transfer from Critical care to floor
- 3004002 - Stroke Discharge
All protocols can be found in the EPIC order set section.
The department of Internal Medicine has a large role in the Meaningful Use Initiative. Our participation is key for the success of the initiative. Please visit the meaningful use website for important communication and updates from the Meaningful Use Initiative.