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https://www.readbyqxmd.com/read/29678145/evaluation-of-pet-and-laparoscopy-in-staging-advanced-gastric-cancer-a-multicenter-prospective-study-plastic-study
#1
H J F Brenkman, E C Gertsen, E Vegt, R van Hillegersberg, M I van Berge Henegouwen, S S Gisbertz, M D P Luyer, G A P Nieuwenhuijzen, J J B van Lanschot, S M Lagarde, W O de Steur, H H Hartgrink, J H M B Stoot, K W E Hulsewe, E J Spillenaar Bilgen, M J van Det, E A Kouwenhoven, D L van der Peet, F Daams, J W van Sandick, N C T van Grieken, J Heisterkamp, B van Etten, J W Haveman, J P Pierie, F Jonker, A Y Thijssen, E J T Belt, P van Duijvendijk, E Wassenaar, H W M van Laarhoven, F J Wessels, N Haj Mohammad, H F van Stel, G W J Frederix, P D Siersema, J P Ruurda
BACKGROUND: Initial staging of gastric cancer consists of computed tomography (CT) and gastroscopy. In locally advanced (cT3-4) gastric cancer, fluorodeoxyglucose positron emission tomography with CT (FDG-PET/CT or PET) and staging laparoscopy (SL) may have a role in staging, but evidence is scarce. The aim of this study is to evaluate the impact and cost-effectiveness of PET and SL in addition to initial staging in patients with locally advanced gastric cancer. METHODS: This prospective observational cohort study will include all patients with a surgically resectable, advanced gastric adenocarcinoma (cT3-4b, N0-3, M0), that are scheduled for treatment with curative intent after initial staging with gastroscopy and CT...
April 20, 2018: BMC Cancer
https://www.readbyqxmd.com/read/29676705/-a-man-with-a-black-oesophagus
#2
G J Boersen, E C T Geijteman, D H Schweitzer
An 85-year-old man came to the emergency room because of vomiting a black fluid and melaena. He was hypotensive and had severe anaemia. We suspected an upper digestive tract bleeding and a gastroscopy was performed, which showed necrosis of the entire oesophagus. Within 24 hours of admission the patient died of hypovolemic shock.
2018: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/29673681/a-rare-krukenberg-tumor-arising-from-a-primary-adenocarcinoma-of-the-small-intestine
#3
Angel An-Chieh Liu, Chi-Huang Chen, Wei-Min Liu, Ching-Wen Chang
OBJECTIVE: A Krukenberg tumor is a malignancy in the ovary that metastasizes from a primary site. Here, we report a very rare case of bilateral Krukenberg tumors of the ovaries arising from a primary adenocarcinoma of the small intestine in a 53-year-old Taiwanese woman. CASE REPORT: The patient presented with a 3-month history of abdominal distension and acid regurgitation. Gastroscopy and colonoscopy findings were negative. According to the preoperative image, we highly suspected that the small bowel mass was the primary tumor with metastatic tumors to bilateral ovarian masses...
April 2018: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29660168/risk-factors-for-equine-glandular-and-squamous-gastric-disease-in-show-jumping-warmbloods
#4
S K Pedersen, A E Cribb, M C Windeyer, E K Read, D French, H E Banse
BACKGROUND: Prevalence of, and risk factors for, equine squamous gastric disease (ESGD) are well established. Limited data exists on risk factors for equine glandular gastric disease (EGGD). OBJECTIVES: To identify management factors associated with EGGD in show jumping Warmbloods in training. A secondary objective was to identify management factors associated with ESGD. STUDY DESIGN: Cross-sectional. METHODS: Gastroscopies were performed in horses following a 12-16 hour fast...
April 16, 2018: Equine Veterinary Journal
https://www.readbyqxmd.com/read/29657608/the-use-of-endoscopic-ultrasonography-in-the-detection-and-differentiation-of-pathology-in-the-wall-of-the-upper-gastrointestinal-tract
#5
Przemysław Dyrla, Jerzy Gil, Stanisław Niemczyk, Marek Saracyn, Krzysztof Kosik, Sebastian Czarkowski, Arkadiusz Lubas
Introduction: The growing incidence of gastrointestinal diseases forces to improve imaging techniques. Identification of lesions located inside the wall of intestinal tract or in close proximity often was not possible using endoscopy or computed tomography. Aim: To assess the usefulness of endosonography (EUS) in the differentiation between compression from the outside and intramural lesions of the upper gastrointestinal tract. Material and methods: For 4 years 20,012 patients with performed gastroscopies were enrolled in the study...
2018: Przegla̜d Gastroenterologiczny
https://www.readbyqxmd.com/read/29650837/-laparoscopic-distal-gastrectomy-for-elderly-patients-with-advanced-gastric-cancer-and-gastric-outlet-obstruction-a-case-report
#6
Kurumi Tsuchihashi, Ken Yuu, Satoshi Okumura, Sho Toyoda, Hiroshi Yasuda, Kansuke Yamamoto, Aya Ito, Naoto Mizumura, Hiroshi Tsuchihashi, Masao Ogawa, Masayasu Kawasaki, Masao Kameyama
A 90-year-old female patient was admitted to our hospital with a chief complaint of vomiting.Gastroscopy revealed type 3 gastric cancer and gastric outlet obstruction(GOO).Abdominal computed tomography revealed thickening of the antral wall and suggested the presence of 3 perigastric lymph node metastases, but there was no ascitic fluid or distant metastasis.The clinical diagnosis was T4a(SE)N2H0CYXP0M0, Stage III B, according to the Japanese Classification of Gastric Carcinoma.Her general conditions including kidney and cardiac function were good, we considered that she was able to tolerate radical distal gastrectomy...
April 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29629892/does-digestive-symptoms-require-esophago-gastroscopy-prior-to-bariatric-procedure-assessment-of-6-years-experience
#7
Serdar Yormaz, Kafali Yilmaz, Husnu Alptekin, Ilhan Ece, Fahrettin Acar, Bayram Colak, Mehmet Ertugrul Kafali, Enes Sahin, Mustafa Sahin
AIM: Performance of routine preoperative esophagogastroduodenal endoscopy (EGE) in patients undergoing bariatric surgery is still a controversial subject. The purpose of our study was to evaluate the benefits of performing preoperative EGE in a cohort of bariatric patients. MATERIAL AND METHODS: The present retrospective study was performed between March 2010 and June 2016. We divided the study participants into two groups: group A comprised subjects without disturbing upper digestive signs, while group B comprised patients with disturbing upper digestive signs...
2018: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/29626014/glasgow-blatchford-score-and-risk-stratifications-in-acute-upper-gastrointestinal-bleed-can-we-extend-this-to-2-for-urgent-outpatient-management
#8
Kelly Chatten, Huw Purssell, Ashwini Kumar Banerjee, Stephanie Soteriadou, Yeng Ang
Upper gastrointestinal (GI) bleeds are a common presentation to emergency departments in the UK. The Glasgow Blatchford score (GBS) predicts the outcome of patients at presentation. Current UK and European guidelines recommend outpatient management for a GBS of 0. In the current study, our aim was to assess whether extending the GBS allows for early discharge while maintaining patient safety. We also analysed whether pathologies could be missed by discharging patients too early. Data were retrospectively collected on patients admitted with symptoms of an upper GI bleed between 1 October 2013 and 10 June 2016...
March 2018: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29614526/changes-in-scoring-of-direct-observation-of-procedural-skills-dops-forms-and-the-impact-on-competence-assessment
#9
Keith Siau, Paul Dunckley, Roland Valori, Mark Feeney, Neil D Hawkes, John T Anderson, Ian L P Beales, Christopher Wells, Siwan Thomas-Gibson, Gavin Johnson
BACKGROUND: Direct Observation of Procedural Skills (DOPS) is an established competence assessment tool in endoscopy. In July 2016, the DOPS scoring format changed from a performance-based scale to a supervision-based scale. We aimed to evaluate the impact of changes to the DOPS scale format on the distribution of scores in novice trainees and on competence assessment. METHODS: We performed a prospective, multicenter (n = 276), observational study of formative DOPS assessments in endoscopy trainees with ≤ 100 lifetime procedures...
April 3, 2018: Endoscopy
https://www.readbyqxmd.com/read/29610018/study-of-the-standard-direct-costs-of-various-techniques-of-advanced-endoscopy-comparison-with-surgical-alternatives
#10
Carme Loras, Vicenç Mayor, Fernando Fernández-Bañares, Maria Esteve
INTRODUCTION: The complexity of endoscopy has carried out an increase in cost that has a direct effect on the healthcare systems. However, few studies have analyzed the cost of advanced endoscopic procedures (AEP). OBJECTIVES: To carry out a calculation of the standard direct costs of AEP, and to make a financial comparison with their surgical alternatives. METHODS: Calculation of the standard direct cost in carrying out each procedure. An endoscopist detailed the time, personnel, materials, consumables, recovery room time, stents, pathology and medication used...
March 12, 2018: Digestive and Liver Disease
https://www.readbyqxmd.com/read/29607390/duplication-cyst-of-the-ileum-presenting-with-severe-anemia-detected-by-double-balloon-endoscopy
#11
Yumi Takegawa, Katsushi Hiramatsu, Yosuke Murata, Yu Akazawa, Yasushi Saito, Yoshihiko Ozaki, Kazuto Takahashi, Tatsushi Naito, Kazuya Ofuji, Hidetaka Matsuda, Masahiro Ohtani, Tomoyuki Nemoto, Hiroyuki Suto, Takanori Goi, Yoshiaki Imamura, Yasunari Nakamoto
Background and study aims  Duplication cysts of the ileum are rare and present with non-specific clinical manifestations such as abdominal pain, vomiting, melena, and intussusception. Therefore, preoperative diagnosis is difficult. Here, we report a case of duplication cyst of the small intestine that was diagnosed preoperatively using double-balloon enteroscopy. A 19-year-old man presented with severe iron deficiency anemia, abdominal pain, and exertional dyspnea. Gastroscopy and colonoscopy revealed no remarkable findings...
April 2018: Endoscopy International Open
https://www.readbyqxmd.com/read/29599609/correlation-between-serum-vitamin-b12-level-and-peripheral-neuropathy-in-atrophic-gastritis
#12
Guo-Tao Yang, Hong-Ying Zhao, Yu Kong, Ning-Ning Sun, Ai-Qin Dong
AIM: To explore the correlation between serum vitamin B12 level and peripheral neuropathy in patients with chronic atrophic gastritis (CAG). METHODS: A total of 593 patients diagnosed with chronic gastritis by gastroscopy and pathological examination from September 2013 to September 2016 were selected for this study. The age of these patients ranged within 18- to 75-years-old. Blood pressure, height and weight were measured in each patient, and the body mass index value was calculated...
March 28, 2018: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/29599357/gastric-cancer-of-crawling-type-detected-by-additional-gastrectomy-after-endoscopic-submucosal-resection
#13
Yasuhiro Haruta, Ryota Nakanishi, Tomoko Jogo, Yuichiro Nakashima, Hiroshi Saeki, Eiji Oki, Minako Fujiwara, Yoshinao Oda, Yoshihiko Maehara
"Crawling type" gastric cancer (GC) is known as a rare variant of early GCs, which is difficult to diagnose at an early stage because of low-grade nuclear atypia and a morphology mimicking intestinal metaplasia. This is a case report of a 69-year-old woman who was diagnosed with early-stage gastric cancer. She had endoscopic submucosal resection (ESD) and histologically, both horizontal and vertical margins were negative. Seven months after ESD, a new lesion of the stomach was detected by follow-up gastroscopy...
April 2018: Anticancer Research
https://www.readbyqxmd.com/read/29595684/gastric-metastasis-from-invasive-lobular-breast-cancer-mimicking-primary-gastric-cancer-a-case-report
#14
Dae Hoon Kim, Seung-Myoung Son, Young Jin Choi
RATIONALE: Gastric metastasis from invasive lobular breast cancer is relatively rare, commonly presented among multiple metastases, several years after primary diagnosis of breast cancer. Importantly, gastric cancer that is synchronously presented with lobular breast cancer can be misdiagnosed as primary gastric cancer; therefore, accurate differential diagnosis is required. PATIENT CONCERNS: A 39-year-old woman was visited to our hospital because of right breast mass and progressive dyspepsia...
March 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29588841/non-technical-skills-and-gastrointestinal-endoscopy-a-review-of-the-literature
#15
REVIEW
Charlotte R Hitchins, Magdalena Metzner, Judy Edworthy, Catherine Ward
Background: Non-technical skills (NTS) have gained increasing recognition in recent years for their role in safe, effective team performance in healthcare. Gastrointestinal endoscopy is a procedure-based specialty with rapidly advancing technology, significant operational pressures and rapidly changing 'teams of experts'. However, to date there has been little focus on the effect of NTS in this field. Objectives: This review aims to examine the existing literature on NTS in gastrointestinal endoscopy and identify areas for further research...
April 2018: Frontline Gastroenterology
https://www.readbyqxmd.com/read/29578369/migration-of-metal-clips-into-the-duodenum-after-laparoscopic-cholecystectomy-a-report-of-two-cases
#16
Gang-Hong Chen, Tie-Ming Zhu, Xiu-Li Xu, Ke-Xiang Jiang
Migration of metal clips into the duodenum after laparoscopic cholecystectomy is rare. We herein present two cases of migration of metal clips into the duodenum in patients who developed upper quadrant discomfort and a poor appetite after laparoscopic cholecystectomy. Gastroscopy revealed metal clips in the duodenum. In one patient, the clip dropped from the duodenum after 2 months; the other patient went to another institution to undergo duodenotomy. The mechanism underlying migration of a metal clip into the duodenum remains unclear but might be related to chronic inflammation and duodenal peristalsis...
January 1, 2018: Journal of International Medical Research
https://www.readbyqxmd.com/read/29578350/severe-cardiorespiratory-complications-derived-from-propofol-sedation-monitored-by-an-endoscopist
#17
Sergio Maestro Antolín, Bruno Antonio Moreira Da Silva, Fernando Santos Santamarta, Arantza Germade, Laura Pérez Citores, Ana Santamaría, Rocío Bonoso Criado, Rosa Eva Madrigal, Esther Saracibar, Javier Barcenilla Laguna, Francisco Igea Arisqueta, Antonio Germán Pérez-Millán
INTRODUCTION: deep sedation with propofol monitored by an endoscopist in different endoscopy units is a controversial subject and the source of conflicts of interest between the various scientific societies of Anesthesiology and Gastroenterology. Many studies have already demonstrated the efficacy, efficiency and low incidence of complications associated with sedation when under the control of a trained endoscopist vs an anesthesiologist. MATERIAL AND METHODS: the rate of severe cardiorespiratory complications during various endoscopic examinations (gastroscopy, colonoscopy, endoscopic retrograde cholangiopancreatography [ERCP] and endoscopic ultrasound [EUS]) where sedation was controlled by an endoscopist within our unit, from 2011 to 2016, was reviewed...
April 2018: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/29571636/comment-on-is-preoperative-gastroscopy-necessary-prior-to-sleeve-gastrectomy-and-roux-en-y-gastric-bypass
#18
EDITORIAL
Kalman P Bencsath
No abstract text is available yet for this article.
February 23, 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/29566383/gastritis-can-cause-and-trigger-chronic-spontaneous-urticaria-independent-of-the-presence-of-helicobacter-pylori
#19
Semen Zheleznov, Galina Urzhumtseva, Natalia Petrova, Zhanna Sarsaniia, Nikolai Didkovskii, Tamara Dörr, Torsten Zuberbier
BACKGROUND/AIM: In chronic spontaneous urticaria (CSU), Helicobacter pylori (HP) has been discussed as a cause, but it is unknown whether the bacterium itself or concomitant inflammation is causing the urticaria. Our aim was to investigate HP and upper gastrointestinal lesions as signs of inflammation independently of each other in the pathogenesis of CSU. METHODS: A total of 36 prospectively enrolled CSU patients from Moscow were investigated by gastroscopy and screened for the presence of HP and/or upper gastrointestinal lesions...
March 22, 2018: International Archives of Allergy and Immunology
https://www.readbyqxmd.com/read/29564036/gastric-and-enteric-anisakiasis-successfully-treated-with-gastrografin-therapy-a-case-report
#20
Hiroki Fujikawa, Toshio Kuwai, Toshiki Yamaguchi, Ryoichi Miura, Yuki Sumida, Takeshi Takasago, Yuki Miyasako, Tomoyuki Nishimura, Sumio Iio, Hiroki Imagawa, Atsushi Yamaguchi, Hirotaka Kouno, Hiroshi Kohno
We report a case of a 59-year-old woman who was diagnosed with gastric and small intestinal anisakiasis, which was successfully treated with endoscopic extraction and Gastrografin therapy. She was admitted to our hospital with epigastric pain and vomiting one day after eating raw fish. She exhibited tenderness in the epigastrium without obvious rebound tenderness or guarding. Computed tomography (CT) demonstrated segmental edema of the intestinal wall with proximal dilatation and a small number of ascites. Because enteric anisakiasis was suspected based on the patient's history of recent raw fish consumption and abdominal CT, we performed gastroscopy and confirmed that nine Anisakis larvae were attached to the gastric mucosa...
March 16, 2018: World Journal of Gastrointestinal Endoscopy
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