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REVIEW
André Hoerning, Jörg Jüngert, Gregor Siebenlist, Ferdinand Knieling, Adrian P Regensburger
Inflammatory bowel disease (IBD) comprises a group of relapsing, chronic diseases of the gastrointestinal tract that, in addition to adults, can affect children and adolescents. To detect relapses of inflammation, these patients require close observation, frequent follow-up, and therapeutic adjustments. While reference standard diagnostics include anamnestic factors, laboratory and stool sample assessment, performing specific imaging in children and adolescents is much more challenging than in adults. Endoscopic and classic cross-sectional imaging modalities may be invasive and often require sedation for younger patients...
January 25, 2024: Children
#22
JOURNAL ARTICLE
Zyad J Carr, Judy Li, Daniel Agarkov, Makenzie Gazura, Kunal Karamchandani
The incidence of 30-day postoperative pulmonary complications (PPC) of gastrointestinal endoscopic procedures (GIEP) are not well characterized in the literature. The primary aim of this study was to identify the incidence of 30-day PPC after GIEP within a large healthcare system. We conducted a retrospective cohort study of 5377 patients presenting for GIEP between January 2013 and January 2022. Our primary outcome was the Agency for Healthcare Research and Quality PPC composite (AHRQ-PPC). Secondary outcomes were sub-composites derived from the AHRQ-PPC; including pneumonia (AHRQ-PNA), respiratory failure (AHRQ-RF), aspiration pneumonia/ pneumonitis (AHRQ-ASP) and pulmonary emboli (AHRQ-PE)...
2024: PloS One
#23
Satish Nagula, Sravanthi Parasa, Loren Laine, Shailja C Shah
DESCRIPTION: The purpose of this Clinical Practice Update (CPU) Expert Review is to provide clinicians with guidance on best practices for performing a high-quality upper endoscopic exam. METHODS: The best practice advice statements presented herein were developed from a combination of available evidence from published literature, guidelines, and consensus-based expert opinion. No formal rating of the strength or quality of the evidence was carried out, which aligns with standard processes for American Gastroenterological Association (AGA) Institute CPUs...
February 21, 2024: Clinical Gastroenterology and Hepatology
#24
JOURNAL ARTICLE
F A Michael, D Hessz, C Graf, C Zimmer, S Nour, M Jung, J Kloka, M Knabe, C Welsch, I Blumenstein, G Dultz, F Finkelmeier, D Walter, U Mihm, N Lingwal, S Zeuzem, J Bojunga, M Friedrich-Rust
STUDY OBJECTIVE: To assess the efficacy of an ECG-based method called thoracic impedance pneumography to reduce hypoxic events in endoscopy. DESIGN: This was a single center, 1:1 randomized controlled trial. SETTING: The trial was conducted during the placement of percutaneous endoscopic gastrostomy (PEG). PATIENTS: 173 patients who underwent PEG placement were enrolled in the present trial. Indication was oncological in most patients (89%)...
February 16, 2024: Journal of Clinical Anesthesia
#25
JOURNAL ARTICLE
Sharon Jeong, Samantha H Franklin, Andrew W Van Eps, Natasha Lean, Benjamin J Ahern
OBJECTIVE: Evaluate a prototype dynamic laryngoplasty system (DLPS) in horses; a feasibility study. ANIMALS: 7 healthy Standardbred adult horses. METHODS: This was an in vivo experimental study. Horses had a standing surgical procedure to induce complete laryngeal hemiplegia, which was subsequently treated using the dynamic laryngoplasty system (DLPS). Activation of the DLPS was achieved using an injection port exiting through the skin (n = 2) or a subcutaneous injection port (n = 5)...
February 15, 2024: American Journal of Veterinary Research
#26
JOURNAL ARTICLE
Behzat Can, Sedat Akgöl, Özgür Adıgüzel, Cihan Kaya
No abstract text is available yet for this article.
February 5, 2024: International Journal of Gynecological Cancer
#27
JOURNAL ARTICLE
Riad Sarraj, Lorenz Theiler, Nima Vakilzadeh, Niklas Krupka, Reiner Wiest
BACKGROUND: Many studies have addressed safety and effectiveness of non-anaesthesiologist propofol sedation (NAPS) for gastrointestinal (GI) endoscopy Target controlled infusion (TCI) is claimed to provide an optimal sedation regimen by avoiding under- or oversedation. AIM: To assess safety and performance of propofol TCI sedation in comparison with nurse-administered bolus-sedation. METHODS: Fouty-five patients undergoing endoscopy under TCI propofol sedation were prospectively included from November 2016 to May 2017 and compared to 87 patients retrospectively included that underwent endoscopy with NAPS...
January 16, 2024: World Journal of Gastrointestinal Endoscopy
#28
JOURNAL ARTICLE
Zhi Li, Daming Yuan, Yu Yu, Jie Xu, Weili Yang, Li Chen, Nanbo Luo
BACKGROUND: Procedural sedation is essential for optimizing upper gastrointestinal endoscopy, particularly in high-risk patients with multiple underlying diseases. Respiratory and circulatory complications present significant challenges for procedural sedation in this population. This non-inferiority randomized controlled trial aims to investigate the safety and comfort of remimazolam compared to propofol for procedural sedation during upper gastrointestinal endoscopy in high-risk patients...
January 27, 2024: Trials
#29
JOURNAL ARTICLE
Grace Y Lai, Andria Powers, Taylor Chung, Peter P Sun
OBJECTIVE: Neuronavigation is a useful adjunct for catheter placement during neurosurgical procedures for hydrocephalus or ventricular access. MRI protocols for navigation are lengthy and require sedation for young children. CT involves ionizing radiation. In this study, the authors introduce the clinical application of a 1-minute rapid MRI sequence that does not require sedation in young children and report their preliminary clinical experience using this technique in their pediatric population...
January 26, 2024: Journal of Neurosurgery. Pediatrics
#30
JOURNAL ARTICLE
Salome Ouazana, Peter Baltes, Ervin Toth, Hannah Lüttge, Artur Nemeth, Hanneke Beaumont, Begoña González-Suárez, Phey Shen Lee, Cristina Carretero, Reuma Margalit Yehuda, Luca Elli, Cristiano Spada, Mauro Bruno, Alessandro Mussetto, Pablo Cortegoso Valdivia, Aymeric Becq, Gareth Corbett, Antoine Martin, Alexander Robertson, Robert Benamouzig, Edward Despott, Maria Elena Riccioni, Reena Sidhu, Laura Calavas, Pierre Ellul, Adam Finta, Konstantinos Triantafyllou, Emanuele Rondonotti, Julien Kirchgesner, Alfonso Elosua, Deirdre McNamara, Xavier Dray
BACKGROUND AND AIMS: Small bowel (SB) capsule endoscopy (CE) is a first line procedure for exploring the SB. Endoscopic GastroIntestinal PlacemenT (EGIPT) of SB CE is sometimes necessary. While the experience of EGIPT is large in pediatric populations, we aimed to describe the safety, efficacy and outcomes of EGIPT of SB CE in adult patients. METHODS: The international CApsule endoscopy REsearch (iCARE) group set up a retrospective multicenter study. Patients over 18 year-old who underwent EGIPT of SB CE before May 2022 were included...
January 23, 2024: Gastrointestinal Endoscopy
#31
REVIEW
Wania Ahmer, Sahar Imtiaz, Daniyal Muhammad Alam, Khadija Ahmed, Barka Sajid, Juvairia Yousuf, Sunny Asnani, Muhammad Ahmed Ali Fahim, Rahmeen Ali, Marium Mansoor, Muhammad Talha Safdar, Muhammad Umair Anjum, Muhammad Hasanain, Muhammad Omar Larik
PURPOSE: Propofol has become the sedative of choice for endoscopy and colonoscopy. However, it has shown associations with various adverse effects, specifically in the geriatric population. In contrast, remimazolam is a novel benzodiazepine, demonstrating a superior clinical safety profile. Hence, this systematic review and meta-analysis aims to clarify the efficacy and safety of remimazolam versus propofol in elderly patients (≥ 60 years) undergoing gastrointestinal endoscopic and colonoscopy procedures...
January 23, 2024: European Journal of Clinical Pharmacology
#32
REVIEW
Rishad Khan, Sunil Samnani, Marcus Vaska, Samir C Grover, Catharine M Walsh, Jeffrey Mosko, Michael Bourke, Steven J Heitman, Nauzer Forbes
Background and study aims Cold-snare polypectomy (CSP) is considered the standard of care for resection of colorectal polyps ≤10 mm. Data on the efficacy of CSP performed with thin-wire snares compared0 with thick-wire snares are conflicting. We performed a meta-analysis comparing complete resection (CR) and adverse event rates of CSP using thin-wire and thick-wire snares. Patients and methods Comparative studies of adult patients with ≧1 colorectal polyp(s) ≦10 mm who underwent CSP with thin-wire or thick-wire snares were included...
January 2024: Endoscopy International Open
#33
REVIEW
Marta Corral-Blanco, Javier Sayas-Catalán, Ana Hernández-Voth, Laura Rey-Terrón, Victoria Villena-Garrido
High-flow nasal cannula (HFNC) is a respiratory support technique that delivers a controlled concentration of oxygen with high flow, heat, and humidity via the nasal pathway. As it has many physiological effects, its use has increased for a variety of clinical indications; however, there is limited guidance on using HFNC as a respiratory support tool during endoscopic procedures. We conducted a narrative review to evaluate the effect of HFNC as an adjuvant tool during fiberoptic bronchoscopy (FOB), upper gastrointestinal tract endoscopy, and surgical procedures in adults...
December 22, 2023: Journal of Clinical Medicine
#34
JOURNAL ARTICLE
Sunil Gupta, Rajiv Kurup, Neal Shahidi, Sergei Vosko, Owen McKay, Simmi Zahid, Anthony Whitfield, Eric Y Lee, Stephen John Williams, Nicholas Graeme Burgess, Michael J Bourke
Background and study aims Because of concerns about peri-procedural adverse events (AEs), guidelines recommend anesthetist-managed sedation (AMS) for long and complex endoscopic procedures. The safety and efficacy of physician-administered balanced sedation (PA-BS) for endoscopic mucosal resection (EMR) of large non-pedunculated colorectal polyps (LNPCPs) ≥20 mm is unknown. Patients and methods We compared PA-BS with AMS in a retrospective study of prospectively collected data from consecutive patients referred for management of LNPCPs (NCT01368289; NCT02000141)...
January 2024: Endoscopy International Open
#35
JOURNAL ARTICLE
Hai-Jun Hou, Lu Liu, Ming Tian, Fu-Shan Xue
BACKGROUND: Tussis, which increases the incidence of airway spasm, aspiration, nausea, and vomiting, is a common complication faced during upper gastrointestinal (GI) endoscopy. However, sedatives and analgesics exhibit inhibitory actions against airway reflexes to different degrees. Our assumption is a combination of propofol and small doses of sufentanil, esketamine, or lidocaine, especially the combination of propofol and esketamine, might reduce tussis incidence. METHOD: The study will be performed as a randomised controlled three-blind, two-centre trial...
January 4, 2024: Trials
#36
JOURNAL ARTICLE
Le-Qiang Xia, Rui Zhou, Rui Deng, Dan Zhou, Jia Han, Zhi-Fu Zhao, San-Jie Gao, Xian-Jie Zhang, Yu-Kai Zhou, Li-Ze Xiong
BACKGROUND: Dreaming sometimes occurs during sedation. It has been reported that factors such as different anesthetics, depth of anesthesia, age, sex, and preoperative psychological state may affect dreams. Ciprofol and remimazolam are novel choices for painless endoscopy. Herein, we aimed to investigate dreaming during gastrointestinal endoscopy under propofol, ciprofol, and remimazolam anesthesia respectively. METHODS: This is a prospective, parallel-design double-blind, single-center clinical trial...
January 2, 2024: Trials
#37
REVIEW
Roberta Maselli, Davide Massimi, Chiara Ferrari, Alessandra Nelly Mondovì, Cesare Hassan, Alessandro Repici
Enhanced recovery after surgery (ERAS) guidelines are evidence-based recommendations designed to improve patient outcomes and reduce complications after surgery. Although the ERAS guidelines focus primarily on surgical procedures, many of the principles could be applied also to therapeutic endoscopy as well. An extensive literature research on Embase and PubMed was thus made to reviewed articles regarding ERAS protocols applied to therapeutic endoscopy, organized by specific endoscopic field. Out of 214 papers, only 6 were relevant to the topic...
December 30, 2023: Digestive and Liver Disease
#38
JOURNAL ARTICLE
Yuqing Yan, Yuzhan Jin, Yuanyuan Cao, Chen Chen, Xiuxiu Zhao, Huaming Xia, Libo Yan, Yanna Si, Jianjun Zou
BACKGROUND: Gastric contents may contribute to patients' aspiration during anesthesia. Ultrasound can accurately assess the risk of gastric contents in patients undergoing sedative gastrointestinal endoscopy (GIE) procedures, but its efficiency is limited. Therefore, developing an accurate and efficient model to predict gastric contents in outpatients undergoing elective sedative GIE procedures is greatly desirable. METHODS: This study retrospectively analyzed 1501 patients undergoing sedative GIE procedures...
December 28, 2023: Clinics and Research in Hepatology and Gastroenterology
#39
JOURNAL ARTICLE
Angelo Zullo, Vincenzo De Francesco, Arnaldo Amato, Irene Bergna, Emanuele Bendia, Giorgia Giorgini, Elisabetta Buscarini, Guido Manfredi, Sergio Cadoni, Renato Cannizzaro, Stefano Realdon, Mario Ciuffi, Orazio Ignomirelli, Paola Da Massa Carrara, Giovanni Finucci, Antonietta Di Somma, Chiara Frandina, Mariafrancesca Loria, Francesca Galeazzi, Francesco Ferrara, Carlo Gemme, Noemi Sara Bertetti, Federica Gentili, Antonio Lotito, Bastianello Germanà, Nunzia Russo, Giuseppe Grande, Rita Conigliaro, Federico Cravero, Giovanna Venezia, Riccardo Marmo, Piera Senneca, Angelo Milano, Konstantinos Efthymakis, Fabio Monica, Paolo Montalto, Mario Lombardi, Olivia Morelli, Danilo Castellani, Daniela Nigro, Roberto Festa, Sergio Peralta, Maria Grasso, Antonello Privitera, Maria Emanuela Distefano, Giuseppe Scaccianoce, Mariangela Loiacono, Sergio Segato, Marco Balzarini, Paolo Usai Satta, Mariantonia Lai, Raffaele Manta
BACKGROUND AND AIMS: International guidelines advise improving esophagogastroduodenoscopy (EGD) quality in Western countries, where gastric cancer is still diagnosed in advanced stages. This nationwide study investigated some indicators for the quality of EGD performed in endoscopic centers in Italy. METHODS: Clinical, endoscopic, and procedural data of consecutive EGDs performed in one month in the participating centers were reviewed and collected in a specific database...
December 22, 2023: Journal of Gastrointestinal and Liver Diseases: JGLD
#40
JOURNAL ARTICLE
Francesco Vito Mandarino, Lorella Fanti, Alberto Barchi, Emanuele Sinagra, Luca Massimino, Francesco Azzolini, Edi Viale, Maria Napolitano, Noemi Salmeri, Massimo Agostoni, Silvio Danese
BACKGROUND AND AIMS: Non-Anesthesiologist-Administered Propofol (NAAP) is increasingly accepted, but there is limited data on drug administration via Target Controlled Infusion (TCI) in clinical practice. TCI adjusts drug infusion based on patient-specific parameters, maintaining a constant drug dose to reduce the risk of adverse events due to drug overdosing and enhance patient comfort. The aims of this study are to assess the rate of adverse events (AEs) and evaluate patient satisfaction with NAAP via TCI in a retrospective cohort of 18,302 procedures...
December 19, 2023: Gastrointestinal Endoscopy
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