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Quality endoscopy

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https://www.readbyqxmd.com/read/29771079/-analysis-of-related-factors-of-coins-foreign-bodies-crossing-the-esophagus-in-204-cases-of-children
#1
W B Chen, Z R Zhou, Q Li, X F Shen
Objective: To analyze the related factors of coins crossing the esophagus by themselves in children. Method: Two hundred and four cases with coin esophageal foreign bodies in our hospital from April 2016 to June 2017 were selected,the sex, age, size and texture of foreign body and the time of foreign body insertion were analyzed. Result: Of the 204 children, 46 had esophageal foreign bodies falling off the digestive tract below the esophagus,44 cases were discharged by themselves,2 children were removed under digestive endoscopy,1 coins formed diverticulum at the entrance of esophagus...
May 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/29756019/size-of-colorectal-polyps-determines-time-taken-to-remove-them-endoscopically
#2
Heechan Kang, Mo Hameed Thoufeeq
Background an study aims:  Polypectomy and endoscopic mucosal resection (EMR) are effective and safe ways of removing polyps from the colon at endoscopy. Guidelines exist for advising the time allocation for diagnostic endoscopy but not for polypectomy and EMR. The aim of this study was to identify if time allocated for polypectomy and EMR at planned therapeutic lists in our endoscopy unit is sufficient for procedures to be carried out. We also wanted to identify factors that might be associated with procedures taking longer than the allocated time and to identify factors that might predict duration of these procedures...
May 2018: Endoscopy International Open
https://www.readbyqxmd.com/read/29755116/health-related-quality-of-life-after-treatment-for-bladder-cancer-in-england
#3
Samantha J Mason, Amy Downing, Penny Wright, Luke Hounsome, Sarah E Bottomley, Jessica Corner, Mike Richards, James W Catto, Adam W Glaser
BACKGROUND: Little is known about quality of life after bladder cancer treatment. This common cancer is managed using treatments that can affect urinary, sexual and bowel function. METHODS: To understand quality of life and inform future care, the Department of Health (England) surveyed adults surviving bladder cancer 1-5 years after diagnosis. Questions related to disease status, co-existing conditions, generic health (EQ-5D), cancer-generic (Social Difficulties Inventory) and cancer-specific outcomes (Functional Assessment of Cancer Therapy-Bladder)...
May 14, 2018: British Journal of Cancer
https://www.readbyqxmd.com/read/29750825/cyclamen-europaeum-extract-for-acute-sinusitis
#4
REVIEW
Anca Zalmanovici Trestioreanu, Ankur Barua, Barak Pertzov
BACKGROUND: Acute sinusitis is a common reason for primary care encounters. It causes significant symptoms including facial pain, congested nose, headache, thick nasal mucus, fever, and cough and often results in time off work or school. Sinusitis treatment focuses on eliminating causative factors and controlling the inflammatory and infectious components. The frozen, dried, natural fluid extract of the Cyclamen europaeum plant delivered intranasally is thought to have beneficial effects in relieving congestion by facilitating nasal drainage, and has an anti-inflammatory effect...
May 11, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29739440/smartphone-adapters-for-flexible-nasolaryngoscopy-a-systematic-review
#5
REVIEW
A E Quimby, S Kohlert, L Caulley, M Bromwich
BACKGROUND: Flexible nasolaryngoscopy is an essential component of the otolaryngological physical exam. Historically, the ability to create and share video recordings of these endoscopic exams has been limited by poor mobility of fixed endoscopy towers. The advent of smartphone endoscope adapters has allowed physicians to create and share video recordings of endoscopy in a wide variety of locations that would not have previously been feasible. This paper sought to review the literature on the effect of smartphone endoscope adapters on patient care, patient satisfaction, and resident learning...
May 8, 2018: Journal of Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/29738382/the-comparison-of-midazolam-and-propofol-in-gastrointestinal-endoscopy-a-systematic-review-and-meta-analysis
#6
Rongzan Zhang, Quan Lu, Younong Wu
INTRODUCTION: Midazolam and propofol are both used for sedation in gastrointestinal endoscopy. We conducted a systematic review and meta-analysis to compare the efficacy and safety of midazolam and propofol in gastrointestinal endoscopy. MATERIALS AND METHODS: PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases were systematically searched. Randomized controlled trials assessing the effect of midazolam versus propofol on sedation in gastrointestinal endoscopy are included...
May 5, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/29726295/duodenal-neuroendocrine-neoplasms-a-still-poorly-recognized-clinical-entity
#7
Roberta Elisa Rossi, Emanuele Rausa, Federica Cavalcoli, Dario Conte, Sara Massironi
BACKGROUND: Duodenal neuroendocrine neoplasms (dNENs) are rare tumors, which usually show good prognosis. The optimal management of these tumors is still far from being clearly understood because of their rarity and the poor level of knowledge about their natural history. Herein, we have reviewed the literature on dNENs to collect and analyze the current data on epidemiology, diagnosis and management of these rare tumors. METHODS: Bibliographical searches were performed in PubMed, using the following keywords: duodenal neuroendocrine neoplasm; duodenum; gastrinoma; diagnosis; therapy; guidelines...
May 4, 2018: Scandinavian Journal of Gastroenterology
https://www.readbyqxmd.com/read/29725753/availability-and-feasibility-of-structured-routine-collection-of-comorbidity-data-in-a-colorectal-cancer-multi-disciplinary-team-mdt-setting
#8
A A Abukar, A Ramsanahie, K Martin-Lumbard, E R Herrington, V Winslow, S Wong, S Ahmed, M A Thaha
PURPOSE: Availability of comorbidity assessment at multi-disciplinary team (MDT) discussions is cornerstone in making the MDT process more robust and decisive in optimising treatment and improving quality of survivorship. Comorbidity assessments using tools, such as the ACE-27 questionnaire would aid in optimising the decision-making process at MDTs so that treatment decisions can be made without delay. This study determined the availability of comorbidity data in a CRC MDT and the feasibility of routine comorbidity data collection using the validated ACE-27 questionnaire...
May 3, 2018: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/29712590/esophageal-achalasia-pathophysiology-clinical-presentation-and-diagnostic-evaluation
#9
Francisco Schlottmann, Rafael M L Neto, Fernando A M Herbella, Marco G Patti
Esophageal achalasia is a primary esophageal motility disorder characterized by the absence of esophageal peristalsis and failure of the lower esophageal sphincter to relax in response to swallowing. These abnormalities lead to impaired emptying of food from the esophagus into the stomach with resulting food stasis. Most patients experience severe dysphagia, and regurgitation can lead to aspiration and respiratory problems. Consequently, the quality of life of patients affected by achalasia is severely impacted...
April 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29696479/natural-language-processing-accurately-calculates-adenoma-and-sessile-serrated-polyp-detection-rates
#10
Jennifer Nayor, Lawrence F Borges, Sergey Goryachev, Vivian S Gainer, John R Saltzman
BACKGROUND: ADR is a widely used colonoscopy quality indicator. Calculation of ADR is labor-intensive and cumbersome using current electronic medical databases. Natural language processing (NLP) is a method used to extract meaning from unstructured or free text data. AIMS: (1) To develop and validate an accurate automated process for calculation of adenoma detection rate (ADR) and serrated polyp detection rate (SDR) on data stored in widely used electronic health record systems, specifically Epic electronic health record system, Provation® endoscopy reporting system, and Sunquest PowerPath pathology reporting system...
April 26, 2018: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/29658767/quality-indicators-in-colonoscopy-the-colonoscopy-procedure
#11
Antonio Sánchez Del Río, Shirley Pérez Romero, Julio López-Picazo, Fernando Alberca de Las Parras, Javier Júdez, Joaquín León Molina
The aim of the project this paper is part of was to propose quality and safety procedures and indicators to facilitate quality improvement in digestive endoscopy units. In this second issue, procedures and indicators are suggested regarding colonoscopy. First, a diagram charting the previous and subsequent steps of colonoscopy was designed. A group of experts in health care quality and/or endoscopy, under the auspices of the Sociedad Española de Patología Digestiva (SEPD), performed a qualitative review of the literature regarding colonoscopy-related quality indicators...
April 16, 2018: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/29643961/cecal-intubation-rates-in-different-eras-of-endoscopic-technological-development
#12
Maciej Matyja, Artur Pasternak, Mirosław Szura, Michał Pędziwiatr, Piotr Major, Kazimierz Rembiasz
Introduction: Colonoscopy plays a critical role in colorectal cancer (CRC) screening and has been widely regarded as the gold standard. Cecal intubation rate (CIR) is one of the well-defined quality indicators used to assess colonoscopy. Aim: To assess the impact of new technologies on the quality of colonoscopy by assessing completion rates. Material and methods: This was a dual-center study at the 2nd Department of Surgery at Jagiellonian University Medical College and at the Specialist Center "Medicina" in Krakow, Poland...
March 2018: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
https://www.readbyqxmd.com/read/29626844/self-reported-anxiety-and-depression-are-unchanged-after-endoscopic-sinus-surgery-for-chronic-rhinosinusitis
#13
K N Adams, T A Schuman, C S Ebert, W You, M O Tomoum, B A Senior
BACKGROUND: Prior research has established that anxiety and depression, as measured by the Hospital Anxiety Depression Score (HADS), are strongly correlated with disease-specific quality of life (Rhinosinusitis Disability Index - RSDI) in chronic rhinosinusitis (CRS). We hypothesized that anxiety and depression would decrease after functional endoscopic sinus surgery (FESS), and furthermore that HADS would predict improvement in RSDI following surgery. METHODOLOGY: The study cohort from 2014 consisted of 99 CRS patients who underwent nasal endoscopy, RSDI, and HADS evaluation...
April 8, 2018: Rhinology
https://www.readbyqxmd.com/read/29620411/patients-perspective-on-sedation-during-upper-gastrointestinal-endoscopy-systematic-use-of-sedation-or-systematic-prior-information
#14
Juan Ángel Ferrer Rosique, Héctor Julián Canaval Zuleta, Guillermo Cacho Acosta
Although sedation in endoscopy is increasingly used and contributes to the quality of procedures, its role in upper gastrointestinal endoscopy (UGE) is not as well defined as in other procedures. For this reason, we conducted a prospective pilot study where the patient, once informed of the different options, decided whether or not to undergo sedation for UGE. Remarkably, almost 60% preferred not to undergo sedation, with a high degree of satisfaction and no adverse effects in any of the groups (Ferrer Rosique JA, et al...
April 2018: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/29620410/sedation-assisted-by-an-endoscopist-sae-for-complex-endoscopic-procedures-is-it-time-to-change-the-current-guidelines
#15
Pablo Hernán Ocaña
Currently, sedation in endoscopic procedures is considered a necessary condition and a criterion of quality in digestive endoscopy. The role of SAE in conventional endoscopic procedures is clearly established in clinical guidelines, but this is not so clear in complex endoscopic procedures, such as ERCP. In recent years, numerous studies have been published, with results similar to those noticed in this article, endorsing the safety, efficacy and efficiency of SAE, when performed by properly trained staff.
April 2018: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/29619519/fluoroscopic-subtraction-eustachian-tubography-initial-feasibility-test-in-a-cadaver-model
#16
Kun Yung Kim, Woo Seok Kang, Jung-Hoon Park, Byung-Chul Kang, Jun Woo Park, Min Tae Kim, Nader G Bekheet, Seung Jun Hwang, Joonmyeong Choi, Kyu-Jin Cho, Hong Ju Park, Ho-Young Song
OBJECTIVES: To evaluate the technical feasibility of direct Eustachian tube catheterisation and subtraction Eustachian tubography in a cadaver model. METHODS: A total of 12 separate sessions were performed on both sides of the Eustachian tube (ET) in six human cadavers. Cadavers were positioned for the submentovertical view on a fluoroscopy table. Endoscopy-guided ET selection was used in the first three cadavers, whereas fluoroscopy-guided ET selection was used in the remaining three...
April 4, 2018: European Radiology
https://www.readbyqxmd.com/read/29616238/development-and-validation-of-an-automated-algorithm-to-evaluate-the-abundance-of-bubbles-in-small-bowel-capsule-endoscopy
#17
Olivia Pietri, Gada Rezgui, Aymeric Histace, Marine Camus, Isabelle Nion-Larmurier, Cynthia Li, Aymeric Becq, Einas Abou Ali, Olivier Romain, Ulriikka Chaput, Philippe Marteau, Christian Florent, Xavier Dray
Background and study aims : Bubbles can impair visualization of the small bowel (SB) mucosa during capsule endoscopy (CE). We aimed to develop and validate a computed algorithm that would allow evaluation of the abundance of bubbles in SB-CE still frames. Patients and methods : Two sets of 200 SB-CE normal still frames were created. Two experienced SB-CE readers analyzed both sets of images twice, in a random order. Each still frame was categorized as presenting with < 10 % or ≥ 10 % of bubbles...
April 2018: Endoscopy International Open
https://www.readbyqxmd.com/read/29615125/in-office-laryngeal-procedures-iolp-in-canada-current-safety-practices-and-procedural-care
#18
Yael Bensoussan, Jennifer Anderson
BACKGROUND: The advent of chip tip technology combined with advanced endoscopy has revolutionized the field of laryngology in the past decade. Procedures such as transnasal esophagoscopy, site-specific steroid injections, injection laryngoplasty and laryngeal laser treatment can now be performed in the office setting under local anaesthesia. Although In-Office Laryngeal Procedures (IOLPs) have become standard-of-care in many American and several Canadian centers, there are no guidelines regulating the practice of these procedures...
April 3, 2018: Journal of Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/29614262/cost-effectiveness-analysis-comparing-lumen-apposing-metal-stents-with-plastic-stents-in-the-management-of-pancreatic-walled-off-necrosis
#19
Yen-I Chen, Alan N Barkun, Viviane Adam, Ge Bai, Vikesh K Singh, Majidah Bukhari, Olaya Brewer Gutierrez, B Joseph Elmunzer, Robert Moran, Lea Fayad, Mohamad El Zein, Vivek Kumbhari, Alessandro Repici, Mouen A Khashab
BACKGROUND AND AIMS: EUS-guided transmural drainage is effective in the management of pancreatic walled-off necrosis (WON). A lumen-apposing metal stent (LAMS) has recently been developed specifically for the drainage of pancreatic fluid collections showing promising results. However, no cost-effectiveness data have been published in comparison to endoscopic drainage with traditional plastic stents (PSs). The aim is to compare the cost-effectiveness of LAMSs to PSs in the management of WON...
March 31, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29611462/diagnostic-performance-of-narrow-band-imaging-for-nasopharyngeal-cancer-a-systematic-review-and-meta-analysis
#20
Changling Sun, Yayun Zhang, Xue Han, Xiaodong Du
Objective The purposes of this study were to verify the effectiveness of the narrow band imaging (NBI) system in diagnosing nasopharyngeal cancer (NPC) as compared with white light endoscopy. Data Sources PubMed, Cochrane Library, EMBASE, CNKI, and Wan Fang databases. Review Methods Data analyses were performed with Meta-Disc. The updated Quality Assessment of Diagnostic Accuracy Studies-2 tool was used to assess study quality and potential bias. Publication bias was assessed with a Deeks asymmetry test. The registry number of the protocol published on PROSPERO is CRD42015026244...
March 1, 2018: Otolaryngology—Head and Neck Surgery
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