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National endoscopy

Eun Young Park, Dong Hoon Baek, Gwang Ha Kim, Bong Eun Lee, So-Jeong Lee, Do Youn Park
Background: Chronic gastric anisakiasis is a rare, usually asymptomatic, and difficult to diagnose infection incidentally discovered during endoscopy, resembling a subepithelial tumor (SET). Because its endoscopic ultrasonography (EUS) findings are not established, it is occasionally misdiagnosed as gastrointestinal mesenchymal tumors and removed by endoscopic or surgical resection. We aimed to assess the characteristic EUS findings of chronic gastric anisakiasis and the clinical course during follow-up...
2018: Gastroenterology Research and Practice
Anne F Peery, Seth D Crockett, Caitlin C Murphy, Jennifer L Lund, Evan S Dellon, J Lucas Williams, Elizabeth T Jensen, Nicholas J Shaheen, Alfred S Barritt, Sarah R Lieber, Bharati Kochar, Edward L Barnes, Y Claire Fan, Virginia Pate, Joseph Galanko, Todd H Baron, Robert S Sandler
BACKGROUND & AIMS: Estimates of disease burden can inform national health priorities for research, clinical care, and policy. We aimed to estimate health care use and spending among gastrointestinal (GI) (including luminal, liver, and pancreatic) diseases in the United States. METHODS: We estimated health care use and spending based on the most currently available administrative claims from commercial and Medicare Supplemental plans, data from the GI Quality Improvement Consortium Registry, and national databases...
October 10, 2018: Gastroenterology
Vincent Yi-Fong Su, Han-Fang Liao, Diahn-Warng Perng, Yueh-Ching Chou, Chia-Chen Hsu, Chia-Lin Chou, Yuh-Lih Chang, Jiin-Cherng Yen, Tzeng-Ji Chen, Ting-Chun Chou
Objective: The effect of antacid therapy for patients with COPD and gastroesophageal reflux disease (GERD) remains unclear. Patients and methods: This nationwide population-based study was conducted using data from Taiwan's National Health Insurance Research Database, and enrolled COPD patients with or without GERD. Patients with COPD who were not prescribed COPD medications were excluded. Patients with GERD who underwent upper gastrointestinal endoscopy or 24-hour pH monitoring and received at least 1 antacid were enrolled as symptomatic GERD group...
2018: International Journal of Chronic Obstructive Pulmonary Disease
Yangyang Ji, Tao Peng, Guoqiang Wang, Yu Zhang, Mingfu Cao, Qiang Gao, Shuguang Li
OBJECTIVE: To evaluate the short-term efficacy and safety of neoadjuvant synchronous chemoradiotherapy (paclitaxel plus carboplatin regimen) in stage III adenocarcinoma of esophagogastric junction (AEG). METHODS: Forty cases clinically diagnosed as stage III AEG were prospectively enrolled at the Department of Gastrointestinal Oncology Surgery, the First Affiliated Hospital of Hebei North University from December 2014 to November 2017 and then were randomly divided into paclitaxel plus carboplatin combined with synchronous radiotherapy group(neoadjuvant group) and direct operation group...
September 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
Benjamin Clapp, Joshua Hahn, Christopher Dodoo, Angela Guerra, Elizabeth de la Rosa, Alan Tyroch
BACKGROUND: Marginal ulcer (MU) formation is a known problem after gastric bypass. The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database contains data from all US and Canadian Centers of Excellence including complication rates. We hypothesized that the short-term rate of ulceration is low. METHODS: We queried the MBSAQIP database for the year 2015. We searched patients with primary gastric bypass who developed MU. We then compared preoperative, operative, and postoperative characteristics with patients who did not develop MU...
September 24, 2018: Surgical Endoscopy
Maxime E S Bronzwaer, Annekatrien C T M Depla, Niels van Lelyveld, Marcel B W Spanier, Yvonne H Oosterhout, Monique E van Leerdam, Manon C W Spaander, Evelien Dekker, M van Haastert, J J Keller, A D Koch, J J Koornstra, M C A van Kouwen, A Masclee, M W Mundt, R J de Ridder, A van der Sluys-Veer, M van Wieren
Colorectal cancer (CRC) screening is capable of reducing CRC-related morbidity and mortality. Colonoscopy is the reference standard to detect CRC, also providing the opportunity to detect and resect its precursor lesions; colorectal polyps. Therefore, colonoscopy is either used as a primary screening tool or as a subsequent procedure after a positive triage test in screening programs based on non-invasive stool testing or sigmoidoscopy. However, in both settings, colonoscopy is not fully protective for the occurrence of post-colonoscopy CRCs (PCCRCs)...
September 18, 2018: Gastrointestinal Endoscopy
Mahmoud Mosli, Sultan Alfaer, Turki Almalaki, Abdulrahman Albeshry, Saja Aljehani, Bashaer Alshmrani, Zaineb Habib, Hani Jawa, Yousif Qari
BACKGROUND AND AIMS: Treatment of ulcerative colitis (UC) typically follows a step-up approach and targets colonic mucosal healing. Although mucosal healing reduces the risk of colectomy, whether or not early treatment of patients with 'high-risk' features using tumor necrosis factor (TNF) antagonists reduces the risk of colectomy is not clear. Accordingly, we aim to evaluate the effect of baseline treatment selection according to the risk profile on 5-year outcomes and identify predictors of poor outcomes...
September 7, 2018: European Journal of Gastroenterology & Hepatology
Emery C Lin, Jennifer Holub, David Lieberman, Chin Hur
BACKGROUND & AIMS: Esophagogastroduodenoscopy (EGD) is frequently used to evaluate gastroesophageal reflux disease (GERD) without alarm symptoms, although the benefits are not clear. We aimed to determine the prevalence of uncomplicated GERD as an indication for EGD, the demographic characteristics of these patients, and the endoscopic outcomes of these procedures. METHODS: We collected endoscopy data from a large national database of 543,103 EGDs performed at 82 sites from 2003 through 2014...
September 7, 2018: Clinical Gastroenterology and Hepatology
Eun Young Lee, Yoon Young Lee, Mina Suh, Eunji Choi, Tran Thi Xuan Mai, Hyunsoon Cho, Boyoung Park, Jae Kwan Jun, Yeol Kim, Jin Kyung Oh, Moran Ki, Kui Son Choi
PURPOSE: This study aimed to investigate socioeconomic inequalities in stomach cancer screening in Korea and trends therein across income and education groups. MATERIALS AND METHODS: Data from the Korean National Cancer Screening Survey, a nationwide cross-sectional survey, were utilized. A total of 28913 men and women aged 40 to 74 years were included for analysis. Prior experience with stomach cancer screening was defined as having undergone either an endoscopy or gastrointestinal series within the past two years...
October 2018: Yonsei Medical Journal
Matthew Charles Mason, Rebecca Katie Griggs, Rachel Withecombe, Eunice Yun Xing, Charlotte Sandberg, Matthew Keith Molyneux
National Health Service England published the National Safety Standards for Invasive Procedures (NatSSIP) in 2015. They mandated that individual trusts produce Local Safety Standards for Invasive Procedures (LocSSIPs), a set of safety standards drawn from the NatSSIP that apply to a particular clinical situation in a given department, for all invasive procedures. The project goal was to design and implement the LocSSIP within the endoscopy department. A draft LocSSIP was produced, and a pilot study conducted to gain initial feedback on its use...
2018: BMJ Open Quality
Edith Lahner, Marilia Carabotti, Gianluca Esposito, Cesare Hassan, Angelo Zullo, Bruno Annibale
OBJECTIVES: The frequency of metaplastic atrophic gastritis in noninvestigated dyspepsia and its associated symptoms pattern are not known. This study aimed to assess the occurrence and clinical predictors of metaplastic atrophic gastritis in a consecutive endoscopic population presenting with upper gastrointestinal symptoms. PATIENTS AND METHODS: A post-hoc cross-sectional study was carried out on endoscopic-histological data from 668 patients (64% women, age: 58 years) with upper gastrointestinal symptoms obtained during a multicenter study...
November 2018: European Journal of Gastroenterology & Hepatology
David J Gibson, Therese Mooney, Jennifer Mooney, Hugh E Mulcahy, Diarmuid O'Donoghue
BACKGROUND AND AIMS: Fecal immunochemical test (FIT)-based colorectal cancer (CRC) screening is superior to the traditional binary fecal occult blood (FOB) test. Its quantitative nature allows the investigator to choose a positivity threshold, to match cost and endoscopic capacity. The optimal threshold is still debated. BowelScreen, the Irish national colorectal cancer screening program, has a cut-off of 45╬╝ Hb/g feces and in this study, we investigated the impact of a this threshold on pathology detected in round 2 in individuals who had a negative round 1 FIT (FIT1 )...
August 21, 2018: Gastrointestinal Endoscopy
Chan Hyung Lee, Hyuk Yoon, Yoon Jin Choi, Eun Sun Jang, Jaihwan Kim, Cheol Min Shin, Young Soo Park, Jin-Hyeok Hwang, Jin-Wook Kim, Sook-Hayng Jeong, Nayoung Kim, Dong Ho Lee, Joo Sung Kim
BACKGROUND AND AIMS: Performing an endoscopy out of hours confer significant burdens on limited health-care resources. However, not all on-call endoscopies lead to therapeutic interventions. The purpose of the present study was to analyze predictive factors for performing therapeutic intervention in patients with suspected gastrointestinal bleeding. METHODS: We reviewed and analyzed electronic medical records regarding on-call endoscopy that were prospectively collected for quality control...
August 22, 2018: Scandinavian Journal of Gastroenterology
Satyen Parida, Pankaj Kundra, V K Mohan, Sandeep K Mishra
Adherence to established standards of care is important for anaesthesiologists to avoid undesirable legal consequences of their actions. The judiciary lays stress on the need to perpetuate healthy doctor-patient correspondence, good documentation, and to bestow a justifiable standard of care. But what defines standard of care and who delineates such standards is something that lacks clarity. The American Society for Gastrointestinal Endoscopy (ASGE) has recently released updated guidelines on the use of sedation and anaesthesia for gastrointestinal endoscopic procedures...
July 2018: Indian Journal of Anaesthesia
Terral A Patel, Shaun A Nguyen, David R White
OBJECTIVE: Down Syndrome (DS) is the most common chromosome abnormality in humans. Due to the phenotype associated with DS, there are many disease states that require otolaryngologic procedures. Our goal is to use national data to study otolaryngologic procedures, their association with DS, and the degree of difference in risk profiles encountered with DS. METHODS: Data was obtained from the 2012-2015 American College of Surgeons' National Surgical Quality Improvement Program-Pediatric public use files...
September 2018: International Journal of Pediatric Otorhinolaryngology
Sujata Biswas, Laith Alrubaiy, Louise China, Melanie Lockett, Antony Ellis, Neil Hawkes
Background: Improvements in the structure of endoscopy training programmes resulting in certification from the Joint Advisory Group in Gastrointestinal Endoscopy have been acknowledged to improve training experience and contribute to enhanced colonoscopy performance. Objectives: The 2016 British Society of Gastroenterology trainees' survey of endoscopy training explored the delivery of endoscopy training - access to lists; level of supervision and trainee's progression through diagnostic, core therapy and subspecialty training...
July 2018: Frontline Gastroenterology
M J van der Wel, L C Duits, E Klaver, R E Pouw, C A Seldenrijk, Gja Offerhaus, M Visser, Fjw Ten Kate, J G Tijssen, Jjghm Bergman, S L Meijer
Background: Dysplasia in Barrett's esophagus (BE) biopsies is associated with low observer agreement among general pathologists. Therefore, expert review is advised. We are developing a web-based, national expert review panel for histological review of BE biopsies. Objective: The aim of this study was to create benchmark quality criteria for future members. Methods: Five expert BE pathologists, with 10-30 years of BE experience, weekly handling 5-10 cases (25% dysplastic), assessed a case set of 60 digitalized cases, enriched for dysplasia...
July 2018: United European Gastroenterology Journal
Haruhiro Inoue, Hironari Shiwaku, Katsuhiko Iwakiri, Manabu Onimaru, Yasutoshi Kobayashi, Hitomi Minami, Hiroki Sato, Seigo Kitano, Ryuichi Iwakiri, Nobuo Omura, Kazunari Murakami, Norio Fukami, Kazuma Fujimoto, Hisao Tajiri
Peroral endoscopic myotomy (POEM) is a novel clinical technique developed in Japan used to treat esophageal achalasia and esophageal motility disorders. This technique has been rapidly accepted and widely disseminated throughout our clinical practice because of its low invasiveness, technical novelty, and high efficacy. Since the advent of POEM, there have been no clinical guidelines that clearly indicated its standard of care, and these guidelines have been anticipated both nationally and internationally by clinicians who engage in POEM practice...
September 2018: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
George Ramsay, Jared M Wohlgemut, Jan O Jansen
BACKGROUND: The provision of emergency general surgery services is a global issue, with important implications for patients and workforce. The aim of this study was to analyze the characteristics of emergency general surgical patients in the United Kingdom, with reference to diagnostic case mix, operative workload, comorbidity, discharge destination, and outcomes, to facilitate comparisons and future service development. METHODS: This is a cross-sectional population-based study based in the National Health Service in Scotland, one of the home nations of the United Kingdom...
September 2018: Journal of Trauma and Acute Care Surgery
Keith Siau, Neil D Hawkes, Paul Dunckley
PURPOSE OF THE REVIEW: Progress towards the goal of high-quality endoscopy across health economies has been founded on high-quality structured training programmes linked to credentialing practice and ongoing performance monitoring. This review appraises the recent literature on training interventions, which may benefit performance and competency acquisition in novice endoscopy trainees. RECENT FINDINGS: Increasing data on the learning curves for different endoscopic procedures has highlighted variations in performance amongst trainees...
September 2018: Current Treatment Options in Gastroenterology
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