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Joseph C Anderson
The successful intubation of the cecum during screening or surveillance colonoscopy is vital to ensure complete mucosal inspection of the colon on withdrawal. Even when performed by an experienced endoscopist, colonoscope insertion can sometimes be challenging. Water-aided colonoscopy can be used to assist the endoscopist in navigating colons with anatomies that may be challenging owing to severe angulation or redundancy. Water-assisted colonoscopy involves the infusion of water without air and subsequent suctioning during insertion (exchange) or withdrawal (immersion or infusion)...
April 2015: Gastrointestinal Endoscopy Clinics of North America
F J Alados-Arboledas, P Millán-Bueno, J F Expósito-Montes, J de la Cruz-Moreno, A Pérez-Parras, A Arévalo-Garrido
INTRODUCTION: Invasive procedures (IP) are an important reason for admision to PICU. Paediatric patients need a special anaesthetic approach and deep sedation is frequently required. The objective was to evaluate the safety and efficacy of continuous infusion propofol to achieve sedation for diagnostic upper gastrointestinal endoscopy (UGE) in spontaneous breathing. PATIENTS AND METHODS: Prospective observational study. SCOPE: Secondary hospital Paediatric Intensive Care Unit...
August 2011: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
K Pei, H Zemon, A Venbrux, Fred Brody
Up to 5% of gastrointestinal bleeds occur between the ligament of Treitz and the ileocecal valve. These patients present with occult bleeding and pose diagnostic and therapeutic challenges. Currently, an array of technology exists for diagnostic purposes, including upper and lower endoscopies, capsule endoscopy, nuclear scans, angiography, and intraoperative endoscopy. All of these modalities have advantages and disadvantages. However, the diagnostic gold standard for occult gastrointestinal bleeding does not exist...
December 2005: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
N P von Haacke, C B Croft
Cerebrospinal fluid otorhinorrhoea is a well recognized problem. The otolaryngologist has a major role to play in the diagnosis and management of this condition. Five cases are described which illustrate the problems involved; four presented as leaks and one as pneumoencephalus and meningitis. Of the various methods of diagnosis and localization non-invasive techniques, i.e. tomography, CT and flexible endscopy are preferred. The extracranial extradural approach for anterior, middle and posterior fossa leaks allows a direct assault on the fistula...
October 1983: Clinical Otolaryngology and Allied Sciences
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