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Josephine Sheu, Stanford Chun, Emily O'Day, Sara Cheung, Rusvelda Cruz, Jenifer R Lightdale, Douglas S Fishman, Athos Bousvaros, Jeannie S Huang
OBJECTIVES: Beginning in 2013, the North American Society of Pediatric Gastroenterology Hepatology and Nutrition (NASPGHAN) sponsored and developed subspecialty-field specific quality improvement (QI) activities to provide Part 4 Maintenance of Certification (MOC) credit for ongoing certification of pediatric gastroenterologists by the American Board of Pediatrics (ABP). Each activity was a web-based module that measured clinical practice data repeatedly over at least 3 months as participants implemented rapid cycle change...
December 13, 2016: Journal of Pediatric Gastroenterology and Nutrition
Carlos Castañeda-Guillot
INTRODUCTION The professional practice of pediatric gastroenterology arose in Cuba as an expression of the specialty's development internationally and Cuba's new strategies in public health, and in response to national needs for health care expertise in digestive diseases of infants, older children and adolescents. OBJECTIVES Describe the history of pediatric gastroenterology's development in Cuba since its inception at the National Gastroenterology Institute in the early 1970s, its contributions, and efforts to extend it to pediatric hospitals throughout Cuba...
October 2016: MEDICC Review
Joel A Friedlander, Quin Y Liu, Benjamin Sahn, Koorosh Kooros, Catharine M Walsh, Robert E Kramer, Jenifer R Lightdale, Julie Khlevner, Mark McOmber, Jacob Kurowski, Matthew J Giefer, Harpreet Pall, David M Troendle, Elizabeth C Utterson, Herbert Brill, George M Zacur, Richard A Lirio, Diana G Lerner, Carrie Reynolds, Troy E Gibbons, Michael Wilsey, Chris A Liacouras, Douglas S Fishman
Wireless capsule endoscopy (CE) was introduced in 2000 as a less invasive method to visualize the distal small bowel in adults. As this technology has advanced it has been adapted for use in pediatric gastroenterology. Several studies have described its clinical use, utility, and various training methods but pediatric literature regarding capsule endoscopy is limited. This clinical report developed by the Endoscopic and Procedures Committee of the North American Society of Pediatric Gastroenterology, Hepatology, and Nutrition outlines the current literature, and describes the recommended current role, use, training, and future areas of research for CE in pediatrics...
September 16, 2016: Journal of Pediatric Gastroenterology and Nutrition
Mike Thomson, Andrea Tringali, Jean-Marc Dumonceau, Marta Tavares, Merit M Tabbers, Raoul Furlano, Manon Spaander, Cesare Hassan, Christos Tzvinikos, Hanneke Ijsselstijn, Jérôme Viala, Luigi Dall'Oglio, Marc Benninga, Rok Orel, Yvan Vandenplas, Radan Keil, Claudio Romano, Eva Brownstone, Štěpán Hlava, Patrick Gerner, Werner Dolak, Rosario Landi, Wolf D Huber, Simon Everett, Andreas Vecsei, Lars Aabakken, Jorge Amil-Dias, Alessandro Zambelli
This guideline refers to infants, children, and adolescents ages 0 to 18 years. The areas covered include indications for diagnostic and therapeutic esophagogastroduodenoscopy and ileocolonoscopy; endoscopy for foreign body ingestion; corrosive ingestion and stricture/stenosis endoscopic management; upper and lower gastrointestinal bleeding; endoscopic retrograde cholangiopancreatography; and endoscopic ultrasonography. Percutaneous endoscopic gastrostomy and endoscopy specific to inflammatory bowel disease has been dealt with in other guidelines and are therefore not mentioned in this guideline...
January 2017: Journal of Pediatric Gastroenterology and Nutrition
Andrea Tringali, Mike Thomson, Jean-Marc Dumonceau, Marta Tavares, Merit M Tabbers, Raoul Furlano, Manon Spaander, Cesare Hassan, Christos Tzvinikos, Hanneke Ijsselstijn, Jérôme Viala, Luigi Dall'Oglio, Marc Benninga, Rok Orel, Yvan Vandenplas, Radan Keil, Claudio Romano, Eva Brownstone, Štěpán Hlava, Patrick Gerner, Werner Dolak, Rosario Landi, Wolf Dietrich Huber, Simon Everett, Andreas Vecsei, Lars Aabakken, Jorge Amil-Dias, Alessandro Zambelli
This Executive summary of the Guideline on pediatric gastrointestinal endoscopy from the European Society of Gastrointestinal Endoscopy (ESGE) and the European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) refers to infants, children, and adolescents aged 0 - 18 years. The areas covered include: indications for diagnostic and therapeutic esophagogastroduodenoscopy and ileocolonoscopy; endoscopy for foreign body ingestion; endoscopic management of corrosive ingestion and stricture/stenosis; upper and lower gastrointestinal bleeding; endoscopic retrograde cholangiopancreatography, and endoscopic ultrasonography...
January 2017: Endoscopy
Afaf H A Elayyat, Ahmed Sadek
BACKGROUND: The Theodor Bilharz Research Institute (TBRI) Hospital is a research and referral center for gastroenterology and hepatology. The Hepatogastroenterology (HGE) Department in TBRI Hospital is a center for endoscopy and sonography. The department also has a hepatology ICU. As a part of hospital performance improvement, medical records that satisfy the needs and demands of the healthcare team, setting a practical framework to improve the quality of medical care in TBRI Hospital, were generated...
June 2016: Journal of the Egyptian Public Health Association
Brennan Spiegel
Our patients spend most of their lives far away from an examination room. If we are truly going to capture our patients' attention and engage them in their care, then we must reach beyond the four walls of the clinic, hospital, or endoscopy suite. This is the vision of the digital health movement-an effort to monitor patients remotely and dynamically with mobile health ("mHealth") smartphone applications, electronic health record portals, social media, and wearable biosensors to improve health care outside of the clinical trenches...
May 2016: American Journal of Gastroenterology
Chris J J Mulder, Geert J A Wanten, Carol E Semrad, Palle B Jeppesen, Hinke M Kruizenga, Nicolette J Wierdsma, Matthijs E Grasman, Adriaan A van Bodegraven
Gastroenterology (GE) used to be considered a subspecialty of internal medicine. Today, GE is generally recognized as a wide-ranging specialty incorporating capacities, such as hepatology, oncology and interventional endoscopy, necessitating GE-expert differentiation. Although the European Board of Gastroenterology and Hepatology has defined specific expertise areas in Advanced endoscopy, hepatology, digestive oncology and clinical nutrition, training for the latter topic is lacking in the current hepatogastroenterology (HGE) curriculum...
February 7, 2016: World Journal of Gastroenterology: WJG
M S Lalosevic, M Stojkovic, T Naumovic, D Culafic, M Stojanovic, M Stulic, T Alempijevic, A P Markovic
INTRODUCTION: Esophageal bleeding is one of the most important and dramatic complications of liver cirrhosis in our everyday practice. Considering the costs of repeated upper endoscopy (UE) there is an increasing number of studies focusing on noninvasive para-meters for the assessment of esophageal varices (EV). PATIENTS AND METHODS: Retrospective study included 74 patients with alcoholic and viral liver cirrhosis treated at Clinic of Gastroenterology and Hepatology, Clinical Center of Serbia...
March 2016: Acta Gastro-enterologica Belgica
Jin Huan Lin, Jun Fang, Dong Wang, He Zhong Chen, Qiang Guo, Xue Gang Guo, Shu Tang Han, Li Ping He, Shui Xiang He, Hui Qing Jiang, Zhen Dong Jin, Xun Li, Zhuan Liao, Bing Mei, Xu Ren, Yong Jin Tang, Bang Mao Wang, Li Wang, Hong Xu, Lei Ming Xu, Xu Chao Xue, Yu Xiu Yang, Xiao Feng Zhang, Zi Qi Zhang, Hong Liang Zheng, Fa Chao Zhi, Liang Zhong, Duo Wu Zou, Xiao Ping Zou, Zhao Shen Li
No abstract text is available yet for this article.
February 2016: Journal of Digestive Diseases
Daniel C Baumgart, Marie le Claire
BACKGROUND: Crohn's disease (CD) and ulcerative colitis (UC) challenge economies worldwide. Detailed health economic data of DRG based academic inpatient care for inflammatory bowel disease (IBD) patients in Europe is unavailable. METHODS: IBD was identified through ICD-10 K50 and K51 code groups. We took an actual costing approach, compared expenditures to G-DRG and non-DRG proceeds and performed detailed cost center and type accounting to identify coverage determinants...
2016: PloS One
Dalia Belsha, Mike Thomson
Endoscoic variceal ligation (EVL) by the application of bands on small bowel varices is a relatively rare procedure in gastroenterology and hepatology. There are no previously reported paediatric cases of EVL for jejunal varices. We report a case of an eight-year-old male patient with a complex surgical background leading to jejunal varices and short bowel syndrome, presenting with obscure but profound acute gastrointestinal bleeding. Wireless capsule endoscopy and double balloon enteroscopy (DBE) confirmed jejunal varices as the source of bleeding...
December 25, 2015: World Journal of Gastrointestinal Endoscopy
Federico Argüelles Arias, Ester Donat, Ignacio Fernández-Urien, Fernando Alberca, Federico Argüelles-Martín, María José Martínez, Manuel Molina, Vicente Varea, Juan Manuel Herrerías Gutiérrez, Carmen Ribes-Koninckx
INTRODUCTION: Capsule Endoscopy (CE) in children has limitations based mainly on age. The objective of this consensus was reviewing the scientific evidence. MATERIAL AND METHODS: Some experts from the Spanish Society of Gastroenterology (SEPD) and Spanish Society for Pediatric Gastroenterology, Hepatology, and Nutrition (SEGHNP) were invited to answer different issues about CE in children. These sections were: a) Indications, contraindications and limitations; b) efficacy of CE in different clinical scenarios; c) CE performance; d) CE-related complications; e) Patency Capsule; and f) colon capsule endoscopy...
November 2, 2015: Revista Española de Enfermedades Digestivas
Rania Hadayat, Attique-ur-Rehman Jehangiri, Rahid Gul, Adil Naseer Khan, Khalid Said, Asadullah Gandapur
BACKGROUND: Acute upper gastrointestinal (GI) bleeding is a common medical emergency. A common risk factor of upper GI bleeding is cirrhosis of liver, which can lead to variceal haemorrhage. 30-40% of cirrhotic patients who bleed may have non-variceal upper GI bleeding and it is frequently caused by peptic ulcers, portal gastropathy, Mallory-Weiss tear, and gastroduodenal erosions. The objective of this study was to determine the frequency of upper gastrointestinal endoscopic findings among patients presenting with upper gastrointestinal bleeding with liver cirrhosis...
April 2015: Journal of Ayub Medical College, Abbottabad: JAMC
Chiara Maria Trovato, Monica Montuori, Caterina Anania, Maria Barbato, Anna Rita Vestri, Sofia Guida, Salvatore Oliva, Fabrizio Mainiero, Salvatore Cucchiara, Francesco Valitutti
OBJECTIVES: In 2012, European Society of Pediatric Gastroenterology, Hepatology, and Nutrition published novel guidelines on celiac disease (CD) diagnosis. Symptomatic children with serum anti-transglutaminase (anti-tTG) antibody levels ≥10 times upper limit of normal (ULN) could avoid duodenal biopsies after positive HLA test and serum anti-endomysial antibodies (EMAs). So far, both asymptomatic and symptomatic patients with anti-tTG titer <10 times ULN should undergo upper endoscopy with duodenal biopsies to confirm diagnosis...
October 2015: American Journal of Gastroenterology
Jennifer A Flemming, Varun Saxena, Hui Shen, Norah A Terrault, Catherine Rongey
BACKGROUND AND AIM: The American Association for the Study of Liver Disease (AASLD) recommends screening for esophageal varices (EV) by esophagoduodenoscopy (EGD) in patients with cirrhosis to guide decisions regarding primary prophylaxis for EV hemorrhage. We aimed to identify patient and facility factors associated with EV screening in veterans with hepatitis C (HCV)-associated cirrhosis. METHODS: This was a population-based cohort study. Veterans with HCV and newly diagnosed cirrhosis between 1/1/2004 and 12/31/2005 and followed until 12/31/2011 were included...
January 2016: Digestive Diseases and Sciences
Luca Elli, Roberto Maieron, Stefano Martelossi, Graziella Guariso, Elisabetta Buscarini, Dario Conte, Emilio di Giulio, Annamaria Staiano, Jacopo Barp, Gabrio Bassotti, Maria Antonia Bianco, Luigi Buri, Maurizio Carrara, Benedetta Ghidini, Olivia Giannini, Daniela Knafelz, Erasmo Miele, Sergio Peralta, Elisabetta Riccio, Carolina Tomba, Maurizio Zilli, Tiziana Guadagnini
In 2013, four Italian Gastroenterological Societies (the Italian Society of Paediatric Gastroenterology, Hepatology and Nutrition, the Italian Society of Hospital Gastroenterologists and Endoscopists, the Italian Society of Endoscopy, and the Italian Society of Gastroenterology) formed a joint panel of experts with the aim of preparing an official statement on transition medicine in Gastroenterology. The transition of adolescents from paediatric to adult care is a crucial moment in managing chronic diseases such as celiac disease, inflammatory bowel disease, liver disease and liver transplantation...
September 2015: Digestive and Liver Disease
Barath Jagadisan
BACKGROUND: Sedation practices for pediatric gastrointestinal endoscopic procedures (PGEP) vary based on infrastructure, availability of trained personnel, and local protocols. Data on prevalent sedation practices is lacking from India. This study aimed to survey the sedation practices for PGEP in India. METHODS: A mailing list was constituted with the e-mail addresses of the members of the Indian Society of Pediatric Gastroenterology, Hepatology and Nutrition, Indian Academy of Pediatrics, Association of Surgeons of India, Indian Association of Pediatric Surgeons, and Indian Society of Gastroenterology...
March 2015: Indian Journal of Gastroenterology: Official Journal of the Indian Society of Gastroenterology
Michelle T Long, Ania Leszczynski, Katherine D Thompson, Sharmeel K Wasan, Audrey H Calderwood
BACKGROUND: Authorship in peer-reviewed medical journals is a marker for success in academic medicine. OBJECTIVE: To determine the representation of female physicians among authors of original research in U.S. gastroenterology journals. DESIGN: Retrospective. SUBJECTS: All first and senior U.S. authors of original research published in the years 1992, 1997, 2002, 2007, and 2012 in the following journals: Gastroenterology, Hepatology, American Journal of Gastroenterology, Clinical Gastroenterology and Hepatology (CGH), and Gastrointestinal Endoscopy (GIE)...
2015: Gastrointestinal Endoscopy
Stig Borbjerg Laursen, Henrik Stig Jørgensen, Ove B Schaffalitzky de Muckadell
DESCRIPTION: The Danish Society of Gastroenterology and Hepatology have compiled a national guideline for the management of peptic ulcer bleeding. Sources of data included published studies up to June 2014. Quality of evidence and strength of recommendations have been graded. The guideline was approved by the Danish Society of Gastroenterology and Hepatology September 4, 2011. The current version is revised June 2014. RECOMMENDATIONS: RECOMMENDATIONS emphasize the importance of early and efficient resuscitation...
November 2014: Danish Medical Journal
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