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Gastrointestinal Endoscopy

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https://www.readbyqxmd.com/read/28527615/a-multicenter-randomized-trial-comparing-the-use-of-touch-versus-no-touch-guidewire-technique-for-deep-biliary-cannulation-the-tnt-study
#1
Marco Bassi, Carmelo Luigiano, Stefania Ghersi, Carlo Fabbri, Giulia Gibiino, Lucio Balzani, Giuseppe Iabichino, Alberto Tringali, Raffaele Manta, Massimiliano Mutignani, Vincenzo Cennamo
BACKGROUND AND AIMS: There are 2 techniques described for selective bile duct guidewire cannulation, the touch (T) technique (engaging the papilla with a sphincterotome and then advancing the guidewire) and the no-touch (NT) technique (engaging the papilla only with the guidewire). The aim of this prospective, multicenter randomized study was to compare the outcomes of the 2 guidewire cannulation techniques. METHODS: 300 consecutive patients with naive papillae were enrolled in 2 groups (150 to T group and 150 to NT group)...
May 17, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28501594/the-safe-t-assessment-tool-derivation-and-validation-of-a-web-based-application-for-point-of-care-evaluation-of-gastroenterology-fellow-performance-in-colonoscopy
#2
Navin L Kumar, Guillaume Kugener, Molly L Perencevich, John R Saltzman
BACKGROUND AND AIMS: Attending assessment is a critical part of endoscopic education for gastroenterology fellows. The aim of this study was to develop and validate a concise assessment tool to evaluate real-time fellow performance in colonoscopy administered via a web-based application. METHODS: The Skill Assessment in Fellow Endoscopy Training (SAFE-T) tool was derived as a novel 5-question evaluation tool that captures both summative and formative feedback and adapted into a web-based application...
May 10, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28501593/transmural-ablation-of-the-normal-porcine-common-bile-duct-with-catheter-directed-irreversible-electroporation-is-feasible-and-does-not-impact-duct-patency
#3
Eisuke Ueshima, Mark Schattner, Robin Mendelsohn, Hans Gerdes, Sebastien Monette, Haruyuki Takaki, Jeremy C Durack, Stephen B Solomon, Govindarajan Srimathveeravalli
No abstract text is available yet for this article.
May 10, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28501592/endoscopic-and-molecular-characterization-of-colorectal-sessile-serrated-adenoma-polyps-with-cytological-dysplasia
#4
Yoshihito Tanaka, Hiro-O Yamano, Eiichiro Yamamoto, Hiro-O Matushita, Hironori Aoki, Kenjiro Yoshikawa, Ryo Takagi, Eiji Harada, Michiko Nakaoka, Yuko Yoshida, Makoto Eizuka, Tamotsu Sugai, Hiromu Suzuki, Hiroshi Nakase
BACKGROUND AND AIMS: Sessile serrated adenoma/polyps (SSA/Ps), which are precursor lesions of colorectal cancer (CRC) with BRAF mutation and the CpG island methylator phenotype (CIMP), develop cytological dysplasia (CD) during the progression of colorectal tumorigenesis. In the present study, we aimed to clarify the endoscopic and molecular signatures of SSA/Ps, with and without CD. METHODS: A series of 208 serrated lesions, including 41 hyperplastic polyps (HPs), 90 SSA/Ps, 33 SSA/Ps with CD and 44 traditional serrated adenomas (TSAs), were observed and resected using magnifying endoscopy...
May 10, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28499830/implementation-of-a-systematic-culturing-program-to-monitor-efficacy-of-endoscope-reprocessing-outcomes-and-costs
#5
Gene K Ma, David A Pegues, Michael L Kochman, Kevin Alby, Neil O Fishman, Marianne Saunders, Carolyn Grous, Daniel T Dempsey, Gregory G Ginsberg
BACKGROUND AND AIMS: In 2015, the U.S. Food and Drug Administration and Centers for Disease Control and Prevention (CDC) issued guidance for duodenoscope culturing and reprocessing in response to outbreaks of carbapenem-resistant Enterobacteriaceae (CRE) duodenoscope-related infections. Based on this guidance, we implemented best practices for reprocessing and developed a systematic process for culturing endoscopes with elevator levers. The aim of this study is to report the outcomes and direct costs of this program...
May 9, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28479494/gastric-mucosal-devitalization-reduces-adiposity-and-improves-lipid-and-glucose-metabolism-in-obese-rats
#6
Andreas Oberbach, Nadine Schlichting, Marco Heinrich, Yvonne Kullnick, Ulf Retschlag, Stefanie Lehman, Mouen A Khashab, Anthony N Kalloo, Vivek Kumbhari
BACKGROUND AND AIMS: The gastric mucosa is an endocrine organ that regulates satiation pathways by expression of orexigenic and anorexigenic hormones. Vertical sleeve gastrectomy (VSG), excludes gastric mucosa and reduces gastric volume. Our study aims to investigate the independent effects of altering gastric mucosa on obesity and its related comorbidities. METHODS: Gastric mucosal devitalization (GMD) of 70% of the stomach was achieved by argon plasma coagulation in a high-fat diet (HFD) rat model and compared with VSG and sham (SH)...
May 4, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28479493/bilateral-versus-unilateral-placement-of-metal-stents-for-inoperable-high-grade-malignant-hilar-biliary-strictures-a-multicenter-prospective-randomized-study-with-video
#7
Tae Hoon Lee, Tae Hyeon Kim, Jong Ho Moon, Sang Hyub Lee, Hyun Jong Choi, Young Hwangbo, Jong Jin Hyun, Jun-Ho Choi, Seok Jeong, Jong Hyeok Kim, Do Hyun Park, Joung-Ho Han, Sang-Heum Park
BACKGROUND AND AIMS: The efficacy of palliative biliary drainage using bilateral or unilateral self-expandable metal stents (SEMSs) for a malignant hilar biliary stricture (MHS) remains controversial. This prospective, randomized, multicenter study investigated whether bilateral drainage using SEMSs is superior to unilateral drainage in patients with inoperable MHS. METHODS: Patients with inoperable high-grade MHS who underwent palliative endoscopic insertion of bilateral or unilateral SEMSs were enrolled...
May 4, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28478030/large-caliber-metal-stents-versus-plastic-stents-for-the-management-of-pancreatic-walled-off-necrosis
#8
Barham K Abu Dayyeh, Saurabh Mukewar, Shounak Majumder, Raja Zaghlol, Eric J Vargas Valls, Fateh Bazerbachi, Michael J Levy, Todd H Baron, Christopher J Gostout, Bret T Petersen, John Martin, Ferga C Gleeson, Randall K Pearson, Suresh T Chari, Santhi S Vege, Mark D Topazian
BACKGROUND AND AIMS: Symptomatic pancreatic walled-off necrosis (WON) may be managed by endoscopic transmural drainage and endoscopic transmural necrosectomy, with stent placement at endoscopic drainage sites. The optimal stent choice is yet to be determined. We compared outcomes after endoscopic management of WON using either large-caliber fully covered, self-expandable metal stents (LC-SEMSs) or double-pigtail plastic stents (DPPSs). METHODS: Retrospective comparison of outcomes among patients who received LC-SEMSs or DPPSs before endoscopic transmural necrosectomy for WON...
May 3, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28478029/gastric-neuroendocrine-tumor-mimicking-early-gastric-cancer
#9
Yun Duk Jung, Woo Chul Chung, Yeon-Ji Kim, Kyong-Hwa Jun, Hyung-Min Chin
No abstract text is available yet for this article.
May 3, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28478028/management-of-recurrent-symptoms-after-per-oral-endoscopic-myotomy-in-achalasia
#10
Froukje B van Hoeij, Fraukje A Ponds, Yuki Werner, Joel M Sternbach, Paul Fockens, Barbara A Bastiaansen, André Jpm Smout, John E Pandolfino, Thomas Rösch, Albert J Bredenoord
BACKGROUND AND AIM: Per-oral endoscopic myotomy (POEM) has been rapidly gaining ground as a treatment for achalasia. Although POEM is a safe and effective treatment, a subset of patients has persistent or recurrent symptoms after POEM. This study aimed to examine the efficacy of different retreatments after failed POEM. METHODS: POEM was performed on 441 achalasia patients at three tertiary care hospitals between 2010 and 2015. A review of prospectively collected data was conducted...
May 3, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28478027/acute-hemorrhagic-gastritis-after-nivolumab-treatment
#11
Masanori Kobayashi, Ou Yamaguchi, Koji Nagata, Kouichi Nonaka, Shomei Ryozawa
No abstract text is available yet for this article.
May 3, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28478026/neoplasia-at-10-year-follow-up-screening-colonoscopy-in-a-private-u-s-practice-comparison-of-yield-to-first-time-examinations
#12
Douglas K Rex, Prasanna Ponugoti, Cynthia S Johnson, Lisa Kittner, Randy Yanda
BACKGROUND AND AIMS: Prior studies assessing the yield of a second screening colonoscopy performed 10 years after an initial negative screening colonoscopy did not include a control group of persons undergoing their first screening colonoscopy during the same time interval. Our aim was to describe the incidence of neoplasia at a second screening colonoscopy (performed at least 8 years after the first colonoscopy) in average risk individuals and compare it with the yield of first screening examinations performed during the same time interval...
May 3, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28476375/provider-specific-quality-measurement-for-ercp-using-natural-language-processing
#13
Timothy D Imler, Stuart Sherman, Thomas F Imperiale, Huiping Xu, Fangqian Ouyang, Christopher Beesley, Charity Hilton, Gregory A Coté
BACKGROUND: Natural language processing (NLP) is an information retrieval technique that has been shown to accurately identify quality measures for colonoscopy. There are no systematic methods by which to track adherence to quality measures for ERCP, the highest risk endoscopic procedure widely used in practice. AIM: Our aim was to demonstrate the feasibility of using NLP to measure adherence to ERCP quality indicators across individual providers. METHODS: ERCPs performed by 6 providers at a single institution from 2006 to 2014 were identified...
May 2, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28461095/isolated-esophageal-tears-from-deceleration-trauma
#14
Eddie Y Liu, Paul J Belletrutti
No abstract text is available yet for this article.
April 28, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28461094/esophageal-dilation-with-either-bougie-or-balloon-technique-as-a-treatment-for-eosinophilic-esophagitis-a-systematic-review-and-meta-analysis
#15
REVIEW
Michael Dougherty, Thomas M Runge, Swathi Eluri, Evan S Dellon
BACKGROUND AND AIMS: Esophageal dilation is a now recognized to be an important therapeutic modality in eosinophilic esophagitis (EoE). We aimed to evaluate the safety of esophageal dilation in EoE, especially regarding perforation risk, and to examine perforation risk by dilator type. METHODS: We conducted a systematic review of the published literature from January 1, 1950 to June 30, 2016 using Pubmed, EMBASE, and Web of Science. Studies were included if they described patients with EoE who underwent esophageal dilation and also reported the presence or absence of at least 1 adverse event (eg, perforation, bleeding, pain, or hospitalization)...
April 28, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28461093/over-the-scope-clip-in-the-management-of-fibrotic-esophageal-variceal-bleeding-with-video
#16
Carlos Robles-Medranda, Miguel Puga-Tejada, Jesenia Ospina, Manuel Valero, Hannah Pitanga Lukashok
No abstract text is available yet for this article.
April 28, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28455162/the-episod-study-long-term-outcomes
#17
Peter B Cotton, Qi Pauls, Jamila Keith, Andre Thornhill, Douglas Drossman, April Williams, Valerie Durkalski-Mauldin
BACKGROUND AND AIMS: The EPISOD (Evaluating Predictors and Interventions in Sphincter of Oddi Dysfunction) study randomized subjects with post-cholecystectomy pain, and little or no objective evidence for biliary obstruction, to sphincterotomy or sham intervention. Results at 1 year showed no benefit for the active treatment. We now report the outcomes at up to 5 years. METHODS: 103 subjects completing 1 year, and still blinded to treatment allocation, were enrolled and followed by phone every 6 months for a median of 58 months (range 17-71)...
April 25, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28455161/outcomes-of-screening-gastroscopy-in-first-degree-relatives-of-patients-fulfilling-hereditary-diffuse-gastric-cancer-criteria
#18
Rachel S van der Post, Jolanda van Dieren, Anna Grelack, Nicoline Hoogerbrugge, Lizet E van der Kolk, Petur Snaebjornsson, Iris Lansdorp-Vogelaar, J Han van Krieken, Tanya M Bisseling, Annemieke Cats
BACKGROUND AND AIMS: The aim of this study was to determine the yield of endoscopic screening in first-degree relatives (FDR) of CDH1-negative hereditary diffuse gastric cancer (HDGC) patients. METHODS: Retrospective observational cohort study. In 2 expert centers in the Netherlands data were collected on FDR from families fulfilling the international HDGC criteria that underwent endoscopic screening. Extensive inspection of the stomach was performed by gastroscopy, taking random and/or targeted stomach biopsy specimens to identify diffuse-type gastric cancer...
April 25, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28455160/long-term-follow-up-results-of-stepwise-radical-endoscopic-resection-for-barrett-s-esophagus-with-early-neoplasia
#19
Kamar Belghazi, Frederike G I van Vilsteren, Bas L A M Weusten, Sybren L Meijer, Jacques J G H M Bergman, Roos E Pouw
BACKGROUND & AIMS: Stepwise radical endoscopic resection (SRER) has shown to be effective in eradicating Barrett's esophagus (BE) and its associated dysplasia. The aim of this study was to assess the long-term durability after successful SRER for early Barrett's neoplasia. METHODS: Patients who were treated with SRER for BE ≤5 cm with high-grade dysplasia (HGD) or early cancer (EC) and had reached complete eradication of intestinal metaplasia (CE-IM) and neoplasia (CE-neo) were included...
April 25, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28455159/metal-versus-plastic-stents-for-anastomotic-biliary-strictures-after-liver-transplantation-a-randomized-controlled-trial
#20
Fernanda Prata Martins, Gustavo Andrade De Paulo, Mônica L C Contini, Angelo Paulo Ferrari
BACKGROUND AND AIMS: biliary anastomotic stricture occurs in 15% to 20% of patients after deceased orthotopic liver transplantation (OLT). Usually treated endoscopically with multiple plastic stents (MPSs), although the use of fully covered self-expandable metal stents (cSEMSs) is emerging. This study aims to compare efficacy and safety of cSEMSs versus MPSs in these patients. METHODS: single center, open-label, randomized clinical trial. Patients were randomized to single cSEMSs for 6 months or to MPS placement, exchanged every 3 months during 1 year...
April 25, 2017: Gastrointestinal Endoscopy
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