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Endoscopy International Open

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https://www.readbyqxmd.com/read/28596986/international-core-curriculum-for-capsule-endoscopy-training-courses
#1
Ignacio Fernandez-Urien, Simon Panter, Cristina Carretero, Carolyn Davison, Xavier Dray, Evgeny Fedorov, Richard Makins, Miguel Mascarenhas, Mark McAlindon, Deirdre McNamara, Hansa Palmer, Jean Francoise Rey, Jean Christophe Saurin, Uwe Seitz, Cristiano Spada, Ervin Toth, Felix Wiedbrauck, Martin Keuchel
Capsule endoscopy (CE) has become a first-line noninvasive tool for visualisation of the small bowel (SB) and is being increasingly used for investigation of the colon. The European Society of Gastrointestinal Endoscopy (ESGE) guidelines have specified requirements for the clinical applications of CE. However, there are no standardized recommendations yet for CE training courses in Europe. The following suggestions in this curriculum are based on the experience of European CE training courses directors. It is suggested that 12 hours be dedicated for either a small bowel capsule endoscopy (SBCE) or a colon capsule endoscopy (CCE) course with 4 hours for an introductory CCE course delivered in conjunction with SBCE courses...
June 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/28596985/linked-color-imaging-improves-the-visibility-of-colorectal-polyps-a-video-study
#2
Naohisa Yoshida, Yuji Naito, Takaaki Murakami, Ryohei Hirose, Kiyoshi Ogiso, Yutaka Inada, Osamu Dohi, Kazuhiro Kamada, Kazuhiko Uchiyama, Osamu Handa, Hideyuki Konishi, Kewin Tien Ho Siah, Nobuaki Yagi, Yasuko Fujita, Mitsuo Kishimoto, Akio Yanagisawa, Yoshito Itoh
BACKGROUND/STUDY AIM:  Linked color imaging (LCI) by a laser endoscope (Fujifilm Co, Tokyo, Japan) is a novel narrow band light observation. In this study, we aimed to investigate whether LCI could improve the visibility of colorectal polyps using endoscopic videos. PATIENTS AND METHODS:  We prospectively recorded videos of consecutive polyps 2 - 20 mm in size diagnosed as neoplastic polyps. Three videos, white light (WL), blue laser imaging (BLI)-bright, and LCI, were recorded for each polyp by one expert...
June 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/28596984/use-of-a-novel-shorter-minimum-caliber-needle-for-creating-endoscopic-tattoos-for-preoperative-localization-a-comparative-ex-vivo-study
#3
Kenichiro Imai, Kinichi Hotta, Sayo Ito, Yuichiro Yamaguchi, Takeshi Kawakami, Takuya Wada, Kimihiro Igarashi, Yoshihiro Kishida, Yusuke Kinugasa, Noboru Kawata, Masaki Tanaka, Naomi Kakushima, Kohei Takizawa, Hirotoshi Ishiwatari, Hiroyuki Matsubayashi, Hiroyuki Ono
BACKGROUND AND STUDY AIMS : In colorectal cancer surgery, inadvertent deep injections during endoscopic tattooing can cause India ink leakage into the peritoneum, leading to complications or to poor visualization of the surgical plane. This ex vivo animal study compared the use of novel shorter, minimum caliber needles versus conventional injection needles for endoscopic tattooing. ANIMALS AND METHODS : Four endoscopists used the novel needles and conventional needles to make ten endoscopic tattoos (five tattoos/needle type/endoscopist) in harvested porcine rectum using a saline test-injection method...
June 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/28596983/prospective-randomized-comparison-of-a-22g-core-needle-using-standard-versus-capillary-suction-for-eus-guided-sampling-of-solid-pancreatic-masses
#4
Brian R Weston, William A Ross, Manoop S Bhutani, Jeffrey H Lee, Mala Pande, Andrew B Sholl, Savitri Krishnamurthy
BACKGROUND AND STUDY AIMS:  The optimal technique for sampling pancreatic lesions with a 22 G Procore needle (pc) is unknown. The aims of this study were to evaluate the 22 Gpc using standard suction technique (SST) and capillary suction technique (CST) and compare diagnostic adequacy of 22 Gpc with the standard 25 G needle. PATIENTS AND METHODS:  Sixty consecutive patients referred for EUS-FNA of a solid pancreatic mass were prospectively evaluated...
June 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/28580415/kid-project-an-internet-based-digital-video-atlas-of-capsule-endoscopy-for-research-purposes
#5
Anastasios Koulaouzidis, Dimitris K Iakovidis, Diana E Yung, Emanuele Rondonotti, Uri Kopylov, John N Plevris, Ervin Toth, Abraham Eliakim, Gabrielle Wurm Johansson, Wojciech Marlicz, Georgios Mavrogenis, Artur Nemeth, Henrik Thorlacius, Gian Eugenio Tontini
BACKGROUND AND AIMS:  Capsule endoscopy (CE) has revolutionized small-bowel (SB) investigation. Computational methods can enhance diagnostic yield (DY); however, incorporating machine learning algorithms (MLAs) into CE reading is difficult as large amounts of image annotations are required for training. Current databases lack graphic annotations of pathologies and cannot be used. A novel database, KID, aims to provide a reference for research and development of medical decision support systems (MDSS) for CE...
June 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/28573183/fiducial-markers-coupled-with-3d-pet-ct-offer-more-accurate-radiation-treatment-delivery-for-locally-advanced-esophageal-cancer
#6
Jasmine A Oliver, Puja Venkat, Jessica M Frakes, Jason Klapman, Cynthia Harris, Jaime Montilla-Soler, Gautamy C Dhadham, Baderaldeen A Altazi, Geoffrey G Zhang, Eduardo G Moros, Ravi Shridhar, Sarah E Hoffe, Kujtim Latifi
BACKGROUND AND AIMS:  The role of three-dimensional positron emission tomography/computed tomography (3 D PET/CT) in esophageal tumors that move with respiration and have potential for significant mucosal inflammation is unclear. The aim of this study was to determine the correlation between gross tumor volumes derived from 3 D PET/CT and endoscopically placed fiducial markers. METHODS:  This was a retrospective, IRB approved analysis of 40 patients with esophageal cancer with fiducials implanted and PET/CT...
June 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/28573182/cecum-intubation-rate-as-quality-indicator-in-clinical-versus-screening-colonoscopy
#7
Geir Hoff, Øyvind Holme, Michael Bretthauer, Per Sandvei, Ole Darre-Næss, Asbjørn Stallemo, Håvard Wiig, Ole Høie, Geir Noraberg, Volker Moritz, Thomas de Lange
BACKGROUND AND STUDY AIMS : Some guidelines recommend a minimum standard of 90 % cecal intubation rate (CIR) in routine clinics and 95 % in screening colonoscopy, while others have not made this distinction - both with limited evidence to support either view. This study questions the rationale for making such differentiation. PATIENTS AND METHODS:  We assessed cecum intubation rates amongst colonoscopies recorded in the Norwegian national quality register Gastronet by 35 endoscopists performing both clinical and screening colonoscopies...
June 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/28573181/rings-in-the-esophagus-are-not-always-eosinophilic-esophagitis-case-series-of-ring-forming-lymphocytic-esophagitis-and-review-of-the-literature
#8
Julia L Pleet, Sofia Taboada, Arvind Rishi, Perry J Milman, Arvind J Trindade
Background and study aims  Lymphocytic esophagitis (LyE) is a form of chronic esophagitis characterized by edema and lymphocytic infiltration of the epithelial peripapillary fields, without eosinophils. Its significance is unclear, as it was previously thought to have little clinical impact. More recent literature, however, describes a paradigm shift suggesting a distinct entity. We report on 3 patients with dysphagia who were found to have esophageal rings on endoscopy. Histology was consistent with LyE...
June 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/28573180/retrospective-analysis-of-large-bowel-obstruction-or-perforation-caused-by-oral-preparation-for-colonoscopy
#9
Akihiro Yamauchi, Shin-Ei Kudo, Yuichi Mori, Hideyuki Miyachi, Masashi Misawa, Hatsumi Kamo, Tomokazu Hisayuki, Toyoki Kudo, Takemasa Hayashi, Kunihiko Wakamura, Atsushi Katagiri, Toshiyuki Baba, Eiji Hidaka, Fumio Ishida
BACKGROUND AND STUDY AIMS:  Patients undergoing bowel preparation for colonoscopy are at risk of potentially severe adverse events such as large-bowel obstruction (LBO) and perforation. These patients usually need emergency surgery and the consequences may be fatal. Little is known about the risk factors for LBO and perforation in these circumstances. We sought to establish the natural history of LBO and perforation caused by oral preparation for colonoscopy. PATIENTS AND METHODS:  We retrospectively analyzed data from 20 patients with LBO or perforation associated with oral preparation for colonoscopy...
June 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/28573179/small-bowel-malignancy-in-patients-undergoing-capsule-endoscopy-at-a-tertiary-care-academic-center-case-series-and-review-of-the-literature
#10
Connor A Johnston, Diana E Yung, Alka Joshi, John N Plevris, Anastasios Koulaouzidis
BACKGROUND AND STUDY AIMS : Small bowel cancer is rare, accounting for < 5 % of all gastrointestinal neoplasms. Capsule endoscopy has become the procedure of choice for non-invasive diagnosis of small bowel diseases. Data on capsule endoscopy diagnosis of small bowel cancer are limited. The objective of the study was to determine the frequency, indications and diagnostic work-up of patients with small bowel malignancy found by capsule endoscopy at a Scottish tertiary center. PATIENTS AND METHODS : In this retrospective study, records all patients who underwent small bowel capsule endoscopy at our center over a 10-year period were reviewed for possible malignancy...
June 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/28573178/endoscopic-esophagogastric-anastomosis-with-luminal-apposition-axios-stent-las-approach-a-new-concept-for-hybrid-lewis-santy
#11
Adrian Culetto, Jean-Michel Gonzalez, Geoffroy Vanbiervliet, Pablo Mira da Garcia, Juan Ignacio Tellechea, Emmanuelle Garnier, Stephane Berdah, Marc Barthet
BACKGROUND AND STUDY AIMS:  Esophagogastric anastomosis (EGA) has a high risk of leakage. Based upon our experience in endoscopic gastrojejunal anastomosis using LAS, the aim of this study was to verify the technical feasibility and the safety of performing an EGA using a hybrid approach (endoscopic and surgical). MATERIALS AND METHODS:  A pilot prospective study was performed on 8 survival pigs. The procedure was carried out in 2 stages: (i) surgical step consisting of an esogastrectomy by laparotomy with separated suture of the esophagus and stomach; (ii) endoscopic esophagogastric anastomosis using the LAS...
June 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/28573177/efficacy-and-safety-of-a-combination-of-hyaluronic-acid-chondroitin-sulfate-and-poloxamer-407-as-a-submucosal-injection-solution-for-endoscopic-resection-pilot-study-on-a-swine-model
#12
G Fernández-Esparrach, M Cuatrecasas, C Rodríguez de Miguel, C Sánchez-Montes, H Córdova
BACKGROUND AND AIMS:  Endoscopic resection techniques require use of submucosal injection. The aim of this study was to assess a new solution that combines hyaluronic acid, chondroitin sulfate, and poloxamer 407 for submucosal injection. METHODS:  A total of 48 gastric submucosal cushions were created in fresh porcine stomachs using gelafundin (n = 16) or the new solution diluted at 50 % (n = 16), or 80 % (n = 16). The duration of mucosal elevation was measured...
June 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/28573176/recurrence-of-intestinal-metaplasia-and-early-neoplasia-after-endoscopic-eradication-therapy-for-barrett-s-esophagus-a-systematic-review-and-meta-analysis
#13
Larissa L Fujii-Lau, Birtukan Cinnor, Nicholas Shaheen, Srinivas Gaddam, Srinadh Komanduri, V Raman Muthusamy, Ananya Das, Robert Wilson, Violette C Simon, Vladimir Kushnir, Daniel Mullady, Steven A Edmundowicz, Dayna S Early, Sachin Wani
BACKGROUND:  Conflicting data exist with regard to recurrence rates of intestinal metaplasia (IM) and dysplasia after achieving complete eradication of intestinal metaplasia (CE-IM) in Barrett's esophagus (BE) patients. AIM:  (i) To determine the incidence of recurrent IM and dysplasia achieving CE-IM and (ii) to compare recurrence rates between treatment modalities [radiofrequency ablation (RFA) with or without endoscopic mucosal resection (EMR) vs stepwise complete EMR (SRER)]...
June 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/28573175/lubiprostone-improves-visualization-of-small-bowel-for-capsule-endoscopy-a-double-blind-placebo-controlled-2-way-crossover-study
#14
Mizue Matsuura, Masahiko Inamori, Yumi Inou, Kenji Kanoshima, Takuma Higurashi, Hidenori Ohkubo, Hiroshi Iida, Hiroki Endo, Takashi Nonaka, Akihiko Kusakabe, Shin Maeda, Atsushi Nakajima
BACKGROUND AND STUDY AIMS:  Lubiprostone has been reported to be an anti-constipation drug. The aim of the study was to investigate the usefulness of lubiprostone both for bowel preparation and as a propulsive agent in small bowel endoscopy. PATIENTS AND METHODS:  This was a double-blind, placebo-controlled, 2-way crossover study of subjects who volunteered to undergo capsule endoscopy (CE). A total of 20 subjects (16 male and 4 female volunteers) were randomly assigned to receive a 24-μg tablet of lubiprostone 120 minutes prior to capsule ingestion for CE (L regimen), or a placebo tablet 120 minutes prior to capsule ingestion for CE (P regimen)...
June 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/28573174/optimal-intake-of-clear-liquids-during-preparation-for-afternoon-colonoscopy-with-low-volume-polyethylene-glycol-plus-ascorbic-acid
#15
Masahiro Tajika, Tsutomu Tanaka, Makoto Ishihara, Yutaka Hirayama, Sachiyo Oonishi, Nobumasa Mizuno, Kazuo Hara, Susumu Hijioka, Hiroshi Imaoka, Toshihisa Fujiyoshi, Nobuhiro Hieda, Nozomi Okuno, Tsukasa Yoshida, Kenji Yamao, Vikram Bhatia, Masahiko Ando, Yasumasa Niwa
BACKGROUND AND STUDY AIMS : The standard colonoscopy preparation regimen in Japan for afternoon procedures is sequential intake of 1 L of polyethylene glycol electrolyte lavage solution containing ascorbic acid (PEG-ASC), 0.5 L of clear liquid, 0.5 L of PEG-ASC, and finally 0.25 L of clear fluids (all at a rate of 0.25 L every 15 min). However, this regimen seems poorly tolerated and complicated for many patients compared to previous regimen of polyethylene glycol electrolyte lavage solution...
June 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/28573173/ex-vivo-experimental-study-on-the-thulium-laser-system-new-horizons-for-interventional-endoscopy-with-videos
#16
Gian Eugenio Tontini, Helmut Neumann, Alessandro Rimondi, Sara Vavassori, Barbara Bruni, Gregorio Cattignoli, Ping-Hong Zhou, Luca Pastorelli, Maurizio Vecchi
BACKGROUND AND STUDY AIMS:  The Thulium laser system (TLS) is an emerging interventional tool adopted in many surgical specialties. Its 2.0-μm wavelength allows precise coagulation (0.2 - 0.4 mm in depth) and cutting, limiting the possibilities of collateral injuries. We tested the impact of the TLS for gastric endoscopic submucosal dissection (ESD) and per oral endoscopic myotomy (POEM) ex vivo in pigs. MATERIALS AND METHODS:   Ex vivo porcine stomach and esophagus models underwent 2 POEMs, and 3 ESDs (mean diameter 3...
June 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/28573172/topical-antispasmodics-during-colonoscopy-do-they-have-a-role
#17
EDITORIAL
Leonardo Zorron Cheng Tao Pu, Rajvinder Singh
No abstract text is available yet for this article.
June 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/28573171/topical-lidocaine-inhibits-spasm-during-colonoscopy-a-double-blind-randomized-controlled-trial-with-video
#18
Daiki Nemoto, Kenichi Utano, Noriyuki Isohata, Shungo Endo, Kensuke Kumamoto, Taka-Aki Koshimizu, Alan Lefor, Kazutomo Togashi
BACKGROUND AND STUDY AIMS:  Topical peppermint oil prevents intestinal spasm, but can cause rebound spasm. Lidocaine hydrochloride, a local anesthetic, may work as an antispasmodic by blocking Na + channels. The aim of this study was to investigate the effect of topical lidocaine on the inhibition of colonic spasm during colonoscopy, compared with peppermint oil. PATIENTS AND METHODS:  A randomized, controlled double-blind trial was conducted in an academic endoscopy unit...
June 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/28512648/revision-of-biliary-sphincterotomy-by-re-cut-balloon-dilation-or-temporary-stenting-comparison-of-clinical-outcome-and-complication-rate-with-video
#19
Gianfranco Donatelli, Jean-Loup Dumont, Fabrizio Cereatti, Thierry Tuszynski, Bertrand Marie Vergeau, Bruno Meduri
Background and study aims Revision of endoscopic retrograde cholangiopancreatography (ERCP) may be necessary following previous biliary endoscopic sphincterotomy for recurrent biliary symptoms related to biliary stone recurrence, cholangitis or post-biliary endoscopic sphincterotomy (bEST) papillary stenosis and cholestasis. The aim of this retrospective study was to evaluate the clinical outcome and complication rate associated with re-cut, balloon dilation and biliary metal stenting in revision ERCP. Patients and methods From January 2010 to January 2015, 139 subjects with stigma of a previous sphincterotomy required a revision ERCP (64 Men/75 Women; mean age 71 years; range 32 - 101 years)...
May 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/28512647/early-esophagogastroduodenoscopy-is-associated-with-better-outcomes-in-upper-gastrointestinal-bleeding-a-nationwide-study
#20
Sushil K Garg, Chimaobi Anugwom, James Campbell, Vaibhav Wadhwa, Nancy Gupta, Rocio Lopez, Sukhman Shergill, Madhusudhan R Sanaka
Background and study aims We analyzed NIS (National Inpatient Sample) database from 2007 - 2013 to determine if early esophagogastroduodenoscopy (EGD) (24 hours) for upper gastrointestinal bleeding improved the outcomes in terms of mortality, length of stay and costs. Patients and methods Patients were classified as having upper gastrointestinal hemorrhage by querying all diagnostic codes for the ICD-9-CM codes corresponding to upper gastrointestinal bleeding. For these patients, performance of EGD during admission was determined by querying all procedural codes for the ICD-9-CM codes corresponding to EGD; early EGD was defined as having EGD performed within 24 hours of admission and late EGD was defined as having EGD performed after 24 hours of admission...
May 2017: Endoscopy International Open
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