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Gastrointestinal Endoscopy

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https://www.readbyqxmd.com/read/29779609/gastrointestinal-endoscopy-editorial-board-top-10-topics-advances-in-gi-endoscopy-in-2017
#1
David J Desilets, Joo Ha Hwang, Kondal R Kyanam Kabir Baig, Felix W Leung, Jennifer L Maranki, Girish Mishra, Raj J Shah, Lee L Swanstrom, Amitabh Chak
No abstract text is available yet for this article.
May 17, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29758192/gastric-mucosal-metastasis-of-prostate-cancer
#2
Hayretdin Koklu, Gokhan Gedikoglu, Taylan Kav
A 65-year-old male patient who had been hospitalized in the ıntensive care unit for pneumonia presented with hematemesis and melena. He was diagnosed with metastatic adenocarcinoma of prostate (multiple bone and lung metastases), which was accompanied by diabetes mellitus, hypertension, and coronary heart disease. The hemoglobin levels decreased from 11.4 g/dL to 7.3 g/dL during follow-up. Upper endoscopy revealed widespread distribution of numerous umbilicated nodules with varying sizes (from 0.5 to 2 cm) on gastric mucosa (A, B, C)...
May 11, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29758191/an-atypical-infection-of-esophagus-mimicking-malignancy
#3
Ssu-Han Wang, Cheng-Kuan Lin, Yu-Chen Chang, Tzong-Hsi Lee, Chen-Shuan Chung
A 49-year-old man, who was an outdoor builder, had habitual consumption of cigarette, alcohol, and betel nut. He had dysphagia and hoarseness, accompanied with a weight loss of about 5 to 6 kg within 6 months. His esophagogastroduodenoscopy (EGD) (GIF-Q260, Olympus Medical Systems, Tokyo, Japan) demonstrated numerous granular lesions with some erosions and ulcers, mainly distributed at the middle to lower esophagus as seen by white-light imaging.
May 11, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29753040/outcomes-of-endoscopic-resection-for-superficial-duodenal-epithelial-neoplasia
#4
Naohisa Yahagi, Motohiko Kato, Yasutoshi Ocihai, Tadateru Maehata, Motoki Sasaki, Yoshiyuki Kiguchi, Teppei Akimoto, Atsushi Nakayama, Ai Fujimoto, Osamu Goto, Toshio Uraoka
BACKGROUND AND AIM: Pancreaticoduodenectomy is an invasive procedure, and endoscopic resection (ER) is an alternative therapy. However, details regarding the outcomes of ER are unknown, especially for superficial duodenal epithelial neoplasia (SDET). The aim of this study was to elucidate the outcomes of ER for SDET and to compare endoscopic mucosal resection (EMR) with endoscopic submucosal dissection (ESD). METHODS: This was a retrospective observational study...
May 9, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29753039/screening-for-gastric-cancer-with-magnetically-controlled-capsule-gastroscopy-in-asymptomatic-individuals
#5
An-Jing Zhao, Yang-Yang Qian, Hui Sun, Xi Hou, Jun Pan, Xiao Liu, Wei Zhou, Yi-Zhi Chen, Xi Jiang, Zhao-Shen Li, Zhuan Liao
BACKGROUND AND AIMS: Gastric cancer (GC) is the fourth most common cancer and the fourth leading cause of cancer death worldwide. In some Asian countries, screening esophagogastroduodenoscopy (EGD) has greatly improved the survival rate. However, patients' discomfort and the need for sedation may limit adherence to screening programs. Prior studies have shown good tolerance and good agreement of magnetically controlled capsule gastroscopy (MCCG) with EGD. This study was designed to assess the application of MCCG in GC detection in an asymptomatic population...
May 9, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29753038/inspection-of-endoscope-instrument-channels-after-reprocessing-using-a-prototype-borescope
#6
Adarsh M Thaker, Stephen Kim, Alireza Sedarat, Rabindra R Watson, V Raman Muthusamy
BACKGROUND AND AIMS: Visual inspection of the instrument channel has been proposed as a quality assurance step during endoscope reprocessing. However, the nature and severity of findings in a broad array of endoscopes (gastroscopes, colonoscopes, duodenoscopes, and echoendoscopes) after systemic implementation of an inspection protocol remain unknown. In addition, a study using borescope inspection in upper endoscopes and colonoscopes raised concerns about persistent simethicone residue despite full reprocessing...
May 9, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29753037/acute-severe-colitis-revealing-a-tuberculosis
#7
Dorra Trad, Bibani Norsaf, Sabbah Meriam, Jouini Raja, Ben Brahim Ehsen
No abstract text is available yet for this article.
May 9, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29750985/esophageal-intramural-pseudodiverticulosis
#8
Sinha Neera, Mikityanskiy Yevgeniy, Mularz Stephen, Trillo John
No abstract text is available yet for this article.
May 8, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29750984/liquid-nitrogen-spray-cryotherapy-for-dysphagia-palliation-in-patients-with-inoperable-esophageal-cancer
#9
Toufic Kachaamy, Ravi Prakash, Madappa Kundranda, Raman Batish, Jeffrey Weber, Scott Hendrickson, Leon Yoder, Hannah Do, Theresa Magat, Rajeev Nayar, Digant Gupta, Trisha DaSilva, Ashish Sangal, Shivangi Kothari, Vivek Kaul, Pankaj Vashi
BACKGROUND AND AIMS: Dysphagia is a debilitating symptom in patients with inoperable esophageal cancer contributing to poor quality of life and worsening nutritional status. The 2 most commonly used palliative modalities for dysphagia are radiation therapy (RT) and esophageal stent placement. However, RT is limited by adverse events (AEs) and total dose, and stent placement has a high rate of AEs including reflux, migration, and chest pain. A relatively new modality of liquid nitrogen endoscopic spray cryotherapy has been described as salvage when other options have been exhausted and when patients are no longer receiving systemic therapy...
May 8, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29750983/a-novel-submucosal-injection-solution-for-endoscopic-resection-of-large-colorectal-lesions-a-randomized-double-blind-trial
#10
Alessandro Repici, Michael Wallace, Prateek Sharma, Pradeep Bhandari, Gianluca Lollo, Roberta Maselli, Cesare Hassan, Douglas K Rex
BACKGROUND: SIC-8000 (Eleview) is a new FDA-approved solution for submucosal injection developed to provide long-lasting cushion to facilitate endoscopic resection maneuvers. Our aim was to compare the efficacy and safety of SIC-8000 with those of saline solution, when performing endoscopic mucosal resection (EMR) of large colorectal lesions. METHODS: In a randomized double-blind trial, patients undergoing EMR for ≥20 mm colorectal non-pedunculated lesions were randomized in a 1:1 ratio between SIC-8000 and saline solution as control solution in 5 tertiary centers...
May 8, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29750982/technical-feasibility-and-oncological-safety-of-diagnostic-endoscopic-resection-for-superficial-esophageal-cancer
#11
Masashi Takeuchi, Koichi Suda, Yasuo Hamamoto, Motohiko Kato, Shuhei Mayanagi, Kayo Yoshida, Kazumasa Fukuda, Rieko Nakamura, Norihito Wada, Hirofumi Kawakubo, Hiroya Takeuchi, Naohisa Yahagi, Yuko Kitagawa
BACKGROUND: Active use of endoscopic resection (ER) for cM3-SM2 esophageal cancer may enable sufficient extent of esophageal resection and help determine the need for lymph node dissection based on histopathological findings. However, ER preceding esophagectomy may have an adverse impact on outcomes. This study was designed to determine the technical feasibility and oncological safety of diagnostic ER. METHODS: A single-institution retrospective cohort study was performed between July 2008 and June 2014...
May 8, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29750981/comparison-of-endoscopic-submucosal-dissection-and-surgery-for-superficial-esophageal-squamous-cell-carcinoma-a-propensity-score-matched-analysis
#12
Yang Won Min, Hyuk Lee, Byeong Geun Song, Byung-Hoon Min, Hong Kwan Kim, Yong Soo Choi, Jun Haeng Lee, Na-Young Hwang, Keumhee C Carriere, Poong-Lyul Rhee, Jae J Kim, Jae Ill Zo, Young Mog Shim
BACKGROUND AND AIMS: Endoscopic submucosal dissection (ESD) has been widely accepted for treating superficial esophageal squamous cell carcinoma (SESCC). However, long-term outcomes of ESD and esophagectomy for SESCC have not been compared. We compared the clinical outcomes of ESD and esophagectomy in a matched cohort. METHODS: Patients who underwent ESD and esophagectomy for SESCC were included. We selected SESCCs without obvious submucosal invasion from the surgical database by reviewing endoscopic images...
May 8, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29730228/an-international-multicenter-comparative-trial-of-eus-guided-gastrogastrostomy-assisted-ercp-versus-enteroscopy-assisted-ercp-in-patients-with-roux-en-y-gastric-bypass-anatomy
#13
Majidah Bukhari, Thomas Kowalski, Jose Nieto, Rastislav Kunda, Nitin K Ahuja, Shayan Irani, Apeksha Shah, David Loren, Olaya Brewer, Omid Sanaei, Lea Fayad, Yen-I Chen, Saowanee Ngamruengphong, Vivek Kumbhari, Vikesh Singh, Hanaa Dakour Aridi, Mouen A Khashab
BACKGROUND & AIMS: ERCP is challenging in patients with Roux-en-Y gastric bypass (RYGB) anatomy. EUS-guided gastrogastrostomy (GG) creation is a promising novel technique to access the excluded stomach in order to facilitate conventional ERCP. We aimed to compare procedural outcomes and adverse events (AEs) between EUS-guided gastrogastrostomy-assisted ERCP (EUS-GG-ERCP) and enteroscopy assisted ERCP (e-ERCP) in patients with RYGB. METHODS: Patients with RYGB anatomy who underwent EUS-GG-ERCP or e-ERCP between 2014 and 2016 at 5 tertiary centers were included...
May 3, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29730227/trends-in-the-timing-of-inpatient-ercp-relative-to-cholecystectomy-a-nationwide-database-studied-longitudinally
#14
Alejandro L Suarez, Huiping Xu, Peter B Cotton, B Joseph Elmunzer, David Adams, Katherine A Morgan, Douglas Sheafor, Gregory A Coté
BACKGROUND AND AIMS: ERCP has largely replaced common bile duct exploration for therapy of common bile duct pathology, yet its use as a purely diagnostic test has declined. Among inpatients, we hypothesized that timing between ERCP and cholecystectomy (CCY) have changed. The objectives were to measure temporal trends in the timing between inpatient ERCP and CCY, and to examine factors associated with delays. METHODS: We used the National Inpatient Sample between 1998 and 2013 to classify admissions for gallstone-related diagnoses who underwent inpatient CCY and ERCP by timing relative to CCY: within (±) 1 day, >2 days before, and >2 days after...
May 3, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29729226/eus-guided-hepaticoenterostomy-as-a-portal-to-allow-definitive-antegrade-treatment-of-benign-biliary-diseases-in-patients-with-surgically-altered-anatomy
#15
Theodore W James, Y Claire Fan, Todd H Baron
BACKGROUND & AIMS: EUS-guided hepaticoenterostomy (EUS-HE) is usually reserved for palliation of malignant biliary obstruction after failed endoscopic retrograde cholangiography (ERC) or inaccessible biliary tree in surgically altered anatomy (SAA). We describe outcome of EUS-HE and antegrade therapy for benign biliary disease in patients with SAA. METHODS: Retrospective review of 20 consecutive patients with surgically altered anatomy and benign biliary obstruction who underwent EUS-HE performed by one endoscopist at a tertiary center over a three-year period...
May 2, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29723512/a-phase-iii-study-evaluating-the-efficacy-and-safety-of-remimazolam-cns-7056-compared-with-placebo-and-midazolam-in-patients-undergoing-colonoscopy
#16
Douglas K Rex, Raj Bhandari, Taddese Desta, Michael DeMicco, Cynthia Schaeffer, Kyle Etzkorn, Charles Barish, Ronald Pruitt, Brooks D Cash, Daniel Quirk, Felix Tiongco, Shelby Sullivan, David Bernstein
BACKGROUND: Remimazolam is an ultrashort-acting benzodiazepine. METHODS: We performed a randomized double-blind comparison of remimazolam to placebo for outpatient colonoscopy. This study design was a requirement of the U.S. Food and Drug Administration. An additional group was randomized to open-label midazolam administered according to its package insert instructions (randomization ratio for remimazolam:placebo:midazolam was 30:6:10). Study medications were administered under the supervision of the endoscopist, without any involvement of an anesthesia specialist...
April 30, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29709526/screening-for-esophageal-squamous-cell-carcinoma-recent-advances
#17
REVIEW
Don C Codipilly, Yi Qin, Sanford M Dawsey, John Kisiel, Mark Topazian, David Ahlquist, Prasad G Iyer
No abstract text is available yet for this article.
April 27, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29709305/training-in-eus-and-ercp-standardizing-methods-to-assess-competence
#18
Sachin Wani, Rajesh N Keswani, Bret Petersen, Steven A Edmundowicz, Catharine M Walsh, Christopher Huang, Jonathan Cohen, Gregory Cote
No abstract text is available yet for this article.
April 27, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29704471/transplantation-of-autologous-esophageal-mucosa-to-prevent-stricture-after-circumferential-endoscopic-submucosal-dissection-of-early-esophageal-cancer-with-video
#19
ZhongLi Liao, GuoBin Liao, Xin Yang, Xue Peng, Xia Zhang, Xia Xie, XiaoYan Zhao, ShiMing Yang, ChaoQiang Fan, JianYing Bai
BACKGROUD AND STUDY AIMS: Esophageal stricture is a common adverse event after endoscopic submucosal dissection (ESD) when it involves entire circumference of esophagus. We aimed to assess the effectiveness and safety of endoscopic transplantation of autologous esophageal mucosa in preventing stricture formation after circumferential ESD. PATIENTS AND METHODS: Nine patients who underwent circumferential ESD for early esophageal cancer were enrolled. After undergoing ESD, autologous esophageal mucosal patches were attached to the "ulcer surface" using hemoclips and then fixed with a covered metal mesh stent...
April 25, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29702101/the-impact-of-chromoendoscopy-for-surveillance-of-the-duodenum-in-patients-with-mutyh-associated-polyposis-and-familial-adenomatous-polyposis
#20
Joanna J Hurley, Laura E Thomas, Sarah-Jane Walton, Siwan Thomas-Gibson, Adam Haycock, Noriko Suzuki, Matthew Mort, Geraint Williams, Meleri Morgan, Susan K Clark, Julian R Sampson, Sunil Dolwani
BACKGROUND AND AIMS: Duodenal polyposis and cancer have become a key issue for patients with familial adenomatous polyposis (FAP) and MUTYH-associated polyposis (MAP). Almost all patients with FAP will develop duodenal adenomas, with 5% developing cancer. The incidence of duodenal adenomas in MAP appears to be lower than in FAP but the limited available data suggest a comparable increase in the relative risk and lifetime risk of duodenal cancer. Current surveillance recommendations, however, are the same for FAP and MAP, using the Spigelman score--incorporating polyp number, size, dysplasia, and histology--for risk stratification and determination of surveillance intervals...
April 24, 2018: Gastrointestinal Endoscopy
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