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https://www.readbyqxmd.com/read/29456942/bacterial-biofilms-in-chronic-rhinosinusitis-and-their-implications-for-clinical-management
#1
Abhilasha Karunasagar, Santosh S Garag, Suma B Appannavar, Raghavendra D Kulkarni, Ashok S Naik
To study the microbiological profile in patients with chronic rhino-sinusitis. To correlate disease severity with the presence of biofilms and host risk factors. To assess outcome of Sinus Surgery 2 weeks post operatively in terms of presence of bacteria and their ability to form biofilm. Prospective study. 50 cases of chronic rhino-sinusitis requiring Functional Endoscopic Sinus Surgery admitted in SDM Hospital, Dharwad, Karnataka were studied using intra-operative mucosal samples for microbiological analysis...
March 2018: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/29454796/endoscopic-myotomy-for-foregut-motility-disorders
#2
Mouen A Khashab, Petros C Benias, Lee L Swanstrom
Peroral endoscopic myotomy (POEM) is an advanced endoscopic procedure classically performed for the treatment of achalasia. The procedure is based on principles of submucosal endoscopy and is comprised of a mucosal incision, submucosal tunneling, myotomy and mucosal closure. Multiple published studies that collectively include more than 6000 patients reported clinical success in more than 80-90% of patients. Recent literature also suggested durability of response over a medium-term follow-up. POEM is associated with a low rate of adverse events when performed by experienced operators...
February 15, 2018: Gastroenterology
https://www.readbyqxmd.com/read/29454571/feasibility-of-restorative-proctocolectomy-in-patients-with-ulcerative-colitis-associated-lower-rectal-cancer-a-retrospective-study
#3
Shinnosuke Hotta, Yoshifumi Shimada, Mae Nakano, Saki Yamada, Kaoru Abe, Hidehito Oyanagi, Ryoma Yagi, Yosuke Tajima, Masato Nakano, Hitoshi Kameyama, Masayuki Nagahashi, Jun Sakata, Takashi Kobayashi, Toshifumi Wakai
BACKGROUND/OBJECTIVE: Restorative proctocolectomy (RP) may improve quality of life in patients with ulcerative colitis (UC)-associated lower rectal cancer to a greater extent than total proctocolectomy. However, patients with UC-associated cancer often have flat mucosal lesions that make it extremely difficult to endoscopically delineate the tumor margins. Therefore, there is a potential risk of residual tumor and local recurrence after RP in patients with UC-associated lower rectal cancer...
February 14, 2018: Asian Journal of Surgery
https://www.readbyqxmd.com/read/29453825/iatrogenic-hepatic-portal-venous-gas-following-balloon-endoscopy-in-a-patient-with-hepaticojejunostomy-stricture
#4
Hiroshi Kawakami, Tesshin Ban, Yoshimasa Kubota
Hepatic portal venous gas (HPVG) is caused by gastrointestinal (GI) mucosal damage alone or in combination with bowel distension, sepsis, and invasion by gas-producing bacteria. The most common cause is mesenteric ischemia associated with bowel necrosis. Iatrogenic HPVG is a rare condition that occurs following various endoscopic procedures 1 . Herein, we present an unusual case of HPVG following balloon endoscopy (BE). This article is protected by copyright. All rights reserved.
February 17, 2018: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29453478/endoscopic-sinus-surgery-for-sinonasal-polyposis-microdebrider-or-conventional-instruments
#5
Nabin Lageju, Bibhu Pradhan, Narmaya Thapa
INTRODUCTION: Sinonasal polyposis is one of the commonest causes of nasal obstruction. Surgical management is treatment of choice. Microdebrider offers more advantage to conventional instruments. We aimed to find out outcome using microdebrider versus conventional instruments in endoscopic sinus surgery of sinonasal polyposis. METHODS: The cross sectional descriptive study carried out in patients aged 13 years and above with diagnosis of sinonasal polyposis. Total of 51 patients were operated on the right side with microdebrider and left side with conventional instruments...
October 2017: JNMA; Journal of the Nepal Medical Association
https://www.readbyqxmd.com/read/29453469/demographic-and-clinical-profile-in-patients-with-liver-cirrhosis-in-a-tertiary-care-hospital-in-central-nepal
#6
Subash Bhattarai, Merina Gyawali, Khus Raj Dewan, Gaurav Shrestha
INTRODUCTION: Liver cirrhosis is an important health problem worldwide and is a common disease in Nepal. The profile of cirrhosis may vary due to different factors. This study was undertaken to see the demographic and clinical profiles of patients with cirrhosis of liver attending a tertiary care hospital in Central Nepal. METHODS: Six hundred patients with clinical features, laboratory and sonological findings suggestive of chronic liver dysfunction and endoscopic evidence of portal hypertension were included in the study...
October 2017: JNMA; Journal of the Nepal Medical Association
https://www.readbyqxmd.com/read/29449039/clinical-guidelines-for-endoscopic-mucosal-resection-of-non-pedunculated-colorectal-lesions
#7
Eduardo Albéniz, María Pellisé, Antonio Z Gimeno García, Alfredo José Lucendo, Pedro A Alonso Aguirre, Alberto Herreros de Tejada, Marco Antonio Álvarez, María Fraile, Maite Herráiz Bayod, Leopoldo López Rosés, David Martínez Ares, Akiko Ono, Adolfo Parra Blanco, Eduardo Redondo, Andrés Sánchez Yagüe, Santiago Soto, José Díaz Tasende, Marta Montes Díaz, Manuel Rodríguez Téllez, Orlando García, Alba Zuñiga Ripa, Marta Hernández Conde, Fernando Alberca de Las Parras, Carla Gargallo, Esteban Saperas, Miguel Muñoz Navas, Javier Gordillo, Felipe Ramos Zabala, José Manuel Echevarría, Marco Bustamante, Mariano González Haba, Ferrán González Huix, Begoña González Suárez, Juan José Vila Costas, Carlos Guarner Argente, Fernando Múgica, Julyssa Cobián, Joaquín Rodríguez Sánchez, Bartolomé López Viedma, Noel Pin, José Carlos Marín Gabriel, Óscar Nogales, Joaquín de la Peña, Francisco Javier Navajas León, Helena León Brito, David Remedios, José Miguel Esteban, David Barquero, Juan Gabriel Martínez Cara, Felipe Martínez Alcalá, Ignacio Fernández Urién, Eduardo Valdivielso
This document summarizes the contents of the Clinical Guidelines for the Endoscopic Mucosal Resection of Non-Pedunculated Colorectal Lesions that was developed by the working group of the Spanish Society of Digestive Endoscopy (GSEED of Endoscopic Resection). This document presents recommendations for the endoscopic management of superficial colorectal neoplastic lesions.
February 12, 2018: Gastroenterología y Hepatología
https://www.readbyqxmd.com/read/29444278/effectiveness-of-modified-oral-steroid-administration-for-preventing-esophageal-stricture-after-entire-circumferential-endoscopic-submucosal-dissection
#8
T Iizuka, D Kikuchi, S Hoteya, M Kaise
Esophageal stricture occurs at a high rate after endoscopic submucosal dissection, especially after entire circumferential dissection, leading to poor quality of life. This retrospective cohort study evaluated the stricture rate in circumferential mucosal defect cases following modified steroid administration. We enrolled 22 consecutive patients who underwent entire circumferential endoscopic submucosal dissection for superficial esophageal cancer between April 2010 and April 2015 at our hospital. Until January 2013, a systemic steroid-prednisolone-was administered at 30 mg/day and tapered over 8 weeks in the original method group (original group)...
February 9, 2018: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://www.readbyqxmd.com/read/29438118/nsaids-and-the-small-bowel
#9
Foong Way David Tai, Mark E McAlindon
PURPOSE OF REVIEW: The review describes the effects of NSAID gastrointestinal toxicity on the small bowel, wherein injury is as prevalent as in the gastroduodenum. This is well documented by capsule endoscopy, which also provides an endoscopic endpoint for novel treatment strategies. RECENT FINDINGS: Appreciation of the prevalence of NSAID enteropathy has grown with capsule endoscopy and the use of composite end points that include obscure haemoglobin decreases in clinical studies...
February 12, 2018: Current Opinion in Gastroenterology
https://www.readbyqxmd.com/read/29435875/a-prospective-study-to-evaluate-the-role-of-duodenal-bulb-biopsy-in-the-diagnosis-of-celiac-disease
#10
Bhanwar Singh Dhandhu, Gaurav Kumar Gupta, Shashank J Wanjari, Nidhi Sharma, Sandeep Nijhawan
BACKGROUND: Celiac disease (CeD) requires a biopsy from the small intestine to confirm the diagnosis. Conventionally, duodenal bulb (D1) was avoided as a biopsy site due to histological confounding factors at this site. However, sometimes, the bulb mucosa is the only affected site. The aim of the present study was to assess changes in duodenal bulb histology and compare it to distal duodenal histology and to analyze whether the addition of duodenal bulb biopsy increases the diagnostic yield of the CeD...
February 13, 2018: Indian Journal of Gastroenterology: Official Journal of the Indian Society of Gastroenterology
https://www.readbyqxmd.com/read/29435819/expanding-role-of-third-space-endoscopy-in-the-management-of-esophageal-diseases
#11
REVIEW
Dennis Yang, Peter V Draganov
OPINION STATEMENT: "Third space" endoscopy, also commonly referred as submucosal endoscopy, is founded on the principle that the deeper layers of the gastrointestinal (GI) tract can be accessed by tunneling in the submucosal space without compromising the integrity of the overlying mucosa. Peroral endoscopic myotomy (POEM), endoscopic submucosal dissection (ESD), and submucosal tunneling endoscopic resection (STER) are innovative techniques within the field of third space endoscopy in the management of esophageal disorders...
February 12, 2018: Current Treatment Options in Gastroenterology
https://www.readbyqxmd.com/read/29435750/clinical-efficacy-of-endoscopic-ultrasonography-for-decision-of-treatment-strategy-of-gastric-cancer
#12
Jung Kim, Sang Gyun Kim, Hyunsoo Chung, Joo Hyun Lim, Ji Min Choi, Jae Yong Park, Hyo-Joon Yang, Seung Jun Han, Sooyeon Oh, Min Seong Kim, Hyun Ju Kim, Hyoungju Hong, Hee Jong Lee, Jue Lie Kim, Eunwoo Lee, Hyun Chae Jung
BACKGROUND: Accurate preoperative tumor staging of gastric cancer is indispensable with expansion of indications for laparoscopic surgery and endoscopic resection. It is important to distinguish mucosal cancer (T1a) in smaller lesion and differentiate early gastric cancer (EGC) in larger lesion considering endoscopic resection indication and laparoscopic surgery indication. We evaluated the clinical outcomes of endoscopic ultrasonography (EUS) for the decision of treatment strategy of gastric cancer compared with pathological staging...
February 12, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29435273/efficacy-of-vonoprazan-for-24-week-maintenance-therapy-of-patients-with-healed-reflux-esophagitis-refractory-to-proton-pump-inhibitors
#13
Hideki Mizuno, Kazutoshi Yamada, Keiji Minouchi, Shinji Kamiyamamoto, Yoshinobu Hinoue
The aim of the present study was to evaluate the efficacy of a potassium-competitive acid blocker (P-CAB), vonoprazan, for the maintenance therapy of healed reflux esophagitis (RE). A total of 60 patients were enrolled in this open-label, single-center, prospective study. All patients were diagnosed with RE with a frequency scale for the symptoms of gastroesophageal reflux disease (FSSG) total score ≥8 following treatment with standard proton pump inhibitors (PPIs) for a minimum of 8 weeks. Standard PPI treatment was switched to vonoprazan 20 mg once daily for 4 weeks...
February 2018: Biomedical Reports
https://www.readbyqxmd.com/read/29434711/endoscopic-management-of-foreign-bodies-in-the-upper-gastrointestinal-tract-an-analysis-of-846-cases-in-china
#14
Fangfang Yuan, Xiaowei Tang, Wei Gong, Lei Su, Yali Zhang
Foreign body ingestion is a relatively common occurrence, which may lead to morbidity and mortality. The aim of the present study was to report the experience of management of upper gastrointestinal foreign bodies by endoscopy in a large center. All patients who presented at the Department of Gastroenterology at Nanfang Hospital (Guangzhou, China) with complaints regarding upper gastrointestinal (GI) foreign body ingestion from December 1987 to December 2013. Hospital medical charts and endoscopic records were examined to evaluate etiology, treatment, and outcomes for these patients...
February 2018: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/29430468/endoscopic-submucosal-dissection-of-rectal-cancer-close-to-the-dentate-line-accompanied-by-mucosal-prolapse-syndrome
#15
Hirokazu Honda, Kenji Nakamura, Naoki Ishii, Koyu Suzuki, Katsuyuki Fukuda
A 37-year-old man presented to our hospital for early rectal cancer accompanied by mucosal prolapse syndrome. Biopsy confirmed an adenocarcinoma, and endoscopic ultrasonography indicated proximity to the dentate line but no submucosal invasion. The tumor was removed en bloc via endoscopic submucosal dissection without complications, and its margin was free of tumor cells. The total procedure duration was 37 minutes, and the resected specimen measured 23 × 13 mm. There was no recurrence during the 3-year observation period...
2018: ACG Case Reports Journal
https://www.readbyqxmd.com/read/29429024/middle-ear-microvascularization-an-in-vivo-endoscopic-anatomical-study
#16
Matteo Alicandri-Ciufelli, Pierre Guarino, Filippo Fabbri, Elio Maria Cunsolo, Livio Presutti, Lukas Anschuetz
PURPOSE: To describe the in vivo vascularization of middle ear by an endoscopic point of view, particularly focusing on the medial wall of tympanic cavity and incudostapedial region (ISR). STUDY DESIGN: Case series with surgical videos review and anatomical description. METHODS: 48 videos from exclusive endoscopic middle ear surgery performed at the University Hospital of Modena from November 2015 to July 2017 were reviewed. Data about anatomy of vessels, and blood flow direction (BFD) were collected in an appropriate database for further analyses...
February 10, 2018: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29426723/topical-therapy-for-refractory-rhinosinusitis-caused-by-methicillin-resistant-staphylococcus-aureus-first-report-in-a-prospective-series
#17
Alan H Shikani, Nadim Khoueir, Mary Ann Jabra-Rizk, Henry J Shikani, Randall J Basaraba, Jeff G Leid
OBJECTIVE: The incidence of refractory chronic rhinosinusitis (CRS) associated with methicillin-resistant Staphylococcus aureus (MRSA) is rising and remains a therapeutic challenge. The goal of this study is to demonstrate the efficacy of a non-invasive topical therapy against MRSA in these patients. METHODS: Seventeen patients with refractory CRS caused by MRSA were treated with a topical therapy protocol. Treatment consisted of weekly endoscopic sinus debridement followed by intra-sinus installation of a hydroxyl-ethylcellulose gel that releases mometasone and a culture-directed antibiotic for a period of 6 weeks, along with daily nasal nebulization of mometasone with the same antibiotic and saline rinses...
February 6, 2018: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/29423433/adenoma-recurrence-after-endoscopic-mucosal-resection-propensity-score-analysis-of-old-and-new-colonoscopes-and-sydney-recurrence-tool-implementation
#18
Daniela Guerrero Vinsard, Pujan Kandel, Lady Katherine Mejia Perez, Russell L Bingham, Ryan J Lennon, Timothy A Woodward, Victoria Gomez, Massimo Raimondo, Ernest P Bouras, Michael B Wallace
Background and study aims:  Risk factors for colorectal adenoma recurrence after endoscopic mucosal resection (EMR) have been well documented. We assessed the efficacy of the newer 190 colonoscope versus the standard 180 colonoscope for complete resection of lateral spreading lesions. Patients and methods:  A single-center, retrospective study of patients who underwent EMR with Olympus 180 or 190 colonoscopes from January 1, 2010 to September 30, 2016. We included patients with lesions ≥ 20 mm and surveillance colonoscopy (SC1) after index EMR...
February 2018: Endoscopy International Open
https://www.readbyqxmd.com/read/29422798/association-of-endoscopic-and-histological-remission-with-clinical-course-in-patients-of-ulcerative-colitis
#19
Vikram Narang, Ravneet Kaur, Bhavna Garg, Ramit Mahajan, Vandana Midha, Neena Sood, Ajit Sood
Background/Aims: The therapeutic goal for treating ulcerative colitis (UC) patients has shifted to achieving mucosal healing over the past few years. However, at present, limited data is available on the correlation between endoscopic findings and histological remission in patients with endoscopic mucosal healing. Methods: This was a prospective observational study conducted over a period of 18 months (January 2014 to June 2015) at Dayanand Medical College and Hospital, Ludhiana, Punjab, India...
January 2018: Intestinal Research
https://www.readbyqxmd.com/read/29422792/can-histologic-remission-be-a-better-prognostic-factor-and-therapeutic-target-beyond-endoscopic-mucosal-healing-in-patients-with-ulcerative-colitis
#20
EDITORIAL
Hyo Jun Ahn, Sang-Bum Kang
No abstract text is available yet for this article.
January 2018: Intestinal Research
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