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https://www.readbyqxmd.com/read/27908511/double-balloon-enteroscopy
#1
REVIEW
Andrea May
Since the introduction of double-balloon enteroscopy 15 years ago, flexible enteroscopy has become an established method in the diagnostic and therapeutic work-up of small bowel disorders. With appropriate patient selection, diagnostic and therapeutic yields of 70% to 85% can be expected. The complication rates with diagnostic and therapeutic DBE are estimated at approximately 1% and 3% to 4%, respectively. Appropriate patient selection and device selection, as well as skill, are the key issues for successful enteroscopy...
January 2017: Gastrointestinal Endoscopy Clinics of North America
https://www.readbyqxmd.com/read/27833391/systematic-review-safety-of-balloon-assisted-enteroscopy-in-crohn-s-disease
#2
Ahilan Arulanandan, Parambir S Dulai, Siddharth Singh, William J Sandborn, Denise Kalmaz
AIM: To determine the overall and comparative risk of procedure related perforation of balloon assisted enteroscopy (BAE) in Crohn's disease (CD). METHODS: Systematic review (PROSPERO #CRD42015016381) of studies reporting on CD patients undergoing BAE. Seventy-three studies reporting on 1812 patients undergoing 2340 BAEs were included. Primary outcome of interest was the overall and comparative risk of procedure related perforation of diagnostic BAE in CD. Secondary outcomes of interest were risk of procedure related perforation of diagnostic double balloon enteroscopy (DBE), risk of procedure related perforation of therapeutic BAE, efficacy of stricture dilation, and clinical utility of endoscopically assessing small bowel disease activity...
October 28, 2016: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/27802018/self-assembled-and-cross-linked-animal-and-plant-based-polysaccharides-chitosan-cellulose-composites-and-their-anion-uptake-properties
#3
Inimfon A Udoetok, Lee D Wilson, John V Headley
Self-assembled and cross-linked chitosan/cellulose glutaraldehyde composite materials (CGC) were prepared with enhanced surface area and variable morphology. FTIR, CHN and 13C solid state NMR studies provided support for the cross-linking reaction between the amine groups of chitosan and glutaraldehyde; whereas, XRD and TGA studies provided evidence of cellulose-chitosan interactions for the composites. SEM, equilibrium swelling and nitrogen adsorption studies corroborate the enhanced surface area and variable morphology of the cross-linked biopolymers...
November 1, 2016: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/27785314/safety-of-deep-enteroscopy-and-capsule-endoscopy-in-lvad-patients-case-report-and-literature-review
#4
Wilson Tak-Yu Kwong, Michelle Pearlman, Denise Kalmaz
Patients with a left ventricular assist device (LVAD) have increased risk of gastrointestinal (GI) bleeding. They are prone to develop angiodysplasia of the small intestine, and have a higher risk of bleeding as these patients are all required to be on permanent therapeutic anticoagulation. Here we report a case of a critically ill 55-year-old male on pressors and inotropes with an LVAD, who successfully underwent an antegrade double balloon enteroscopy (DBE).
December 2015: Gastroenterology Research
https://www.readbyqxmd.com/read/27782391/emerging-and-legacy-flame-retardants-in-uk-indoor-air-and-dust-evidence-for-replacement-of-pbdes-by-emerging-flame-retardants
#5
Fang Tao, Mohamed Abou-Elwafa Abdallah, Stuart Harrad
Concentrations of 27 emerging (EFRs) and legacy flame retardants (LFRs) were measured in samples of indoor air (n=35) and indoor dust (n=77) from UK homes and offices. All target compounds were detected in indoor air and dust samples. Relatively volatile EFRs (e.g. tetrabromoethylcyclohexane - DBE-DBCH) were more frequently detected in indoor air (detection frequencies > 60%), while less volatile EFRs (e.g. tetrabromobisphenolA-bis(2,3-dibromopropyl ether (TBBPA-BDBPE) and decabromodiphenyl ethane (DBDPE)) were predominant in dust...
October 26, 2016: Environmental Science & Technology
https://www.readbyqxmd.com/read/27768060/imaging-cleared-embryonic-and-postnatal-hearts-at-single-cell-resolution
#6
Wasay M Shaikh Qureshi, Lianjie Miao, David Shieh, Jingjing Li, Yangyang Lu, Saiyang Hu, Margarida Barroso, Joseph Mazurkiewicz, Mingfu Wu
Single clonal tracing and analysis at the whole-heart level can determine cardiac progenitor cell behavior and differentiation during cardiac development, and allow for the study of the cellular and molecular basis of normal and abnormal cardiac morphogenesis. Recent emerging technologies of retrospective single clonal analyses make the study of cardiac morphogenesis at single cell resolution feasible. However, tissue opacity and light scattering of the heart as imaging depth is increased hinder whole-heart imaging at single cell resolution...
October 7, 2016: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/27759639/double-balloon-enteroscopy-in-small-bowel-diseases-eight-years-single-center-experience-in-china
#7
Wen-Guo Chen, Guo-Dong Shan, Hong Zhang, Ming Yang, Lin L, Min Yue, Guang-Wu Chen, Qing Gu, Hua-Tuo Zhu, Guo-Qiang Xu, Li-Hua Chen
The aim of the study was to evaluate the diagnostic and therapeutic value of double-balloon entoroscopy (DBE) in small bowel diseases (SBDs) in China.A retrospective review of 674 consecutive patients who underwent DBE between January 2007 and November 2015 was conducted. Patients were divided into 3 groups by age, young group (<45 years), middle-aged group (45-65 years), and elderly group (>65 years). Data were collected with regard to demographics, clinical, endoscopic findings, complications, diagnostic yield, and management...
October 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27752914/chemical-diversity-and-complexity-of-scotch-whisky-as-revealed-by-high-resolution-mass-spectrometry
#8
Will Kew, Ian Goodall, David Clarke, Dušan Uhrín
Scotch Whisky is an important product, both culturally and economically. Chemically, Scotch Whisky is a complex mixture, which comprises thousands of compounds, the nature of which are largely unknown. Here, we present a thorough overview of the chemistry of Scotch Whisky as observed by Fourier transform ion cyclotron resonance mass spectrometry (FT-ICR MS). Eighty-five whiskies, representing the majority of Scotch Whisky produced and sold, were analyzed by untargeted high-resolution mass spectrometry. Thousands of chemical formulae were assigned for each sample based on parts-per-billion mass accuracy of FT-ICR MS spectra...
October 17, 2016: Journal of the American Society for Mass Spectrometry
https://www.readbyqxmd.com/read/27743389/mesalazine-induced-enteritis-causing-refractory-diarrhea
#9
Ichiro Otani, Shiro Oka, Shinji Tanaka
A 72-year-old woman with ulcerative colitis was referred to our hospital because of refractory diarrhea. Although she had been treated with prednisolone 12.5 mg/day and mesalazine suppositories 1 g/day, her watery diarrhea persisted. Colonoscopy was undergone 30 days after she started administration of mesalazine suppositories, and showed granularity of the mucosa with little erythematous appearance in the entire colon with endoscopic Mayo score 1. Double-contrast small-bowel radiography showed a rough mucosal surface in the terminal ileum...
October 15, 2016: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/27718381/molecular-characterization-of-lake-sediment-weon-by-fourier-transform-ion-cyclotron-resonance-mass-spectrometry-and-its-environmental-implications
#10
Li Zhang, Shengrui Wang, Yisheng Xu, Quan Shi, Haichao Zhao, Bin Jiang, Jiachun Yang
The compositional properties of water-extractable organic nitrogen (WEON) affect its behavior in lake ecosystems. This work is the first comprehensive study using Fourier transform ion cyclotron resonance mass spectrometry (FT-ICR MS) for the characterization of the molecular composition of WEON in lake sediment. In sediments of Erhai Lake in China, this study found complex WEON species, with N-containing compounds in the northern, central, and southern regions contributing 34.47%, 42.44%, and 40.6%, respectively, of total compounds...
September 28, 2016: Water Research
https://www.readbyqxmd.com/read/27670601/diagnostic-and-therapeutic-endoscopic-retrograde-cholangiography-using-a-short-type-double-balloon-endoscope-in-patients-with-altered-gastrointestinal-anatomy-a-multicenter-prospective-study-in-japan
#11
Masaaki Shimatani, Hisashi Hatanaka, Hirofumi Kogure, Koichiro Tsutsumi, Hiroki Kawashima, Keiji Hanada, Tomoki Matsuda, Tomoki Fujita, Makoto Takaoka, Tomonori Yano, Atsuo Yamada, Hironari Kato, Kazuichi Okazaki, Hironori Yamamoto, Hideki Ishikawa, Kentaro Sugano
OBJECTIVES: To evaluate the utility and safety of a short-type double-balloon endoscope (DBE) in the treatment of biliary disease in patients with surgically altered gastrointestinal (GI) anatomy. METHODS: This study was conducted as a multicenter, single-arm, prospective trial at five tertiary academic care centers and three community-based hospitals in Japan. Consecutive patients with biliary disease with altered GI anatomy were prospectively included in this study...
September 27, 2016: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/27664154/use-of-an-over-the-scope-clipping-device-for-closure-of-a-jejuno-sigmoid-fistula-a-case-report-with-long-term-follow-up
#12
Yuichi Sagara, Satoshi Shinozaki, Tomonori Yano, Hirotsugu Sakamoto, Yoshikazu Hayashi, Alan Kawarai Lefor, Hironori Yamamoto
The over-the-scope clip (OTSC) system is a new technology that enables closure of fistulae which cannot be closed with a conventional clip. A 57-year-old woman had long-term hypoalbuminemia, edema and general malaise. Peroral double-balloon endoscopy (DBE) showed a jejuno-sigmoid fistula and blind loop syndrome of the jejunum and ileum, because ingested food bypassed the ileum through the fistula. She was advised to undergo surgical closure of the fistula, but she refused the procedure. For 7 years following DBE, repeat courses of antibiotics were required to treat bacterial overgrowth due to blind loop syndrome...
December 2016: Clinical Journal of Gastroenterology
https://www.readbyqxmd.com/read/27652171/double-balloon-endoscopy-was-effective-in-diagnosing-small-intestinal-duplication-a-case-report
#13
Yuji Nadatani, Toshio Watanabe, Takashi Sugawa, Shinpei Eguchi, Sunao Shimada, Koji Otani, Hirokazu Yamagami, Tetsuya Tanigawa, Masatsugu Shiba, Kazunari Tominaga, Yasuhiro Fujiwara, Tetsuo Arakawa
INTRODUCTION: Ileal duplications are encountered infrequently in adults, because symptoms including abdominal pain, intussusception, hemorrhage, and perforation usually present in early childhood. In this report, we present an adult case of ileal duplication that was revealed by double-balloon endoscopy (DBE). CASE DESCRIPTION: A 73-year-old Japanese man presented with anemia and melena. Anal DBE detected the narrow opening of an extra lumen in the ileum about 100 cm proximal to the ileocecal valve...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27650462/minimally-invasive-treatment-of-difficult-bleeding-lesions-of-the-small-bowel
#14
Mario A Masrur, Despoina Daskalaki, Andrea Vannucchi, Siddharth N Vannemreddy, Luis F Gonzalez-Ciccarelli, Ross Rbrown, C Pier
BACKGROUND: Bleeding lesions of the small bowel are often difficult to identify due to the obscure symptomatology. Localizing these lesions requires specific techniques. The Double-balloon enteroscopy (DBE) could be used to precisely localize and mark lesions, so that a minimally invasive surgical treatment could be performed. METHODS: Twenty robot-assisted small bowel procedures are presented using a combination of DBE for localization and robotic resection. RESULTS: There were 10 jejunal resections and 10 ileal resections...
October 2016: Minerva Chirurgica
https://www.readbyqxmd.com/read/27638962/risk-factors-of-acute-pancreatitis-in-oral-double-balloon-enteroscopy
#15
Marcela Kopáčová, Jan Bureš, Stanislav Rejchrt, Jaroslava Vávrová, Jolana Bártová, Tomáš Soukup, Jan Tomš, Ilja Tachecí
Double balloon enteroscopy (DBE) was introduced 15 years ago. The complications of diagnostic DBE are rare, acute pancreatitis is most redoubtable one (incidence about 0.3%). Hyperamylasemia after DBE seems to be a rather common condition respectively. The most probable cause seems to be a mechanical straining of the pancreas. We tried to identify patients in a higher risk of acute pancreatitis after DBE. We investigated several laboratory markers before and after DBE (serum cathepsin B, lactoferrin, E-selectin, SPINK 1, procalcitonin, S100 proteins, alfa-1-antitrypsin, hs-CRP, malondialdehyde, serum and urine amylase and serum lipase)...
September 1, 2016: Acta Medica (Hradec Králové)
https://www.readbyqxmd.com/read/27637997/predictors-of-success-for-double-balloon-assisted-endoscopic-retrograde-cholangiopancreatography-in-patients-with-roux-en-y-anastomosis
#16
Ken Liu, Vikram Joshi, Payal Saxena, Arthur J Kaffes
BACKGROUND AND AIM: Endoscopic retrograde cholangiopancreatography (ERCP) in patients with roux-en-Y anastomosis (REYA) is challenging. Use of double balloon enteroscope-assisted ERCP (DBE-ERCP) has been successful. We aim to determine predictors of successful biliary cannulation with DBE-ERCP in patients with REYA. METHODS: We retrospectively studied patients with REYA who had DBE-ERCP between 2009 and 2015. RESULTS: 86 DBE-ERCP were done on 52 patients...
September 17, 2016: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/27607757/utility-of-endoscopic-therapy-using-a-double-balloon-endoscope-combined-with-a-long-type-ultra-slim-endoscope-in-post-operative-patient-allergic-to-contrast-media-with-video
#17
Masaaki Shimatani, Makoto Takaoka, Kazuichi Okazaki
We report a successful endoscopic stone extraction using a short type double-balloon endoscope (DBE) (EI-530 B; FUJIFILM Co, Tokyo, Japan) combined with long-type ultra-slim endoscope (L-USE) (EC-530XP; FUJIFILM Co, Tokyo, Japan) without using contrast media for intrahepatic stones in patient allergic to iodine with post-operation. A 43 year-old man with a history of congenital biliary dilatation who had undergone choledocojejunostomy and Roux-en Y reconstruction 37 years previously (Fig. 1-A) and posterior lateral hepatic segmentectomy and caudate lobectomy for intrahepatic stone 10 years previously was admitted for acute cholangitis caused by recurrence of intrahepatic stone and stenosis in choledochojejunal anastomosis (Fig...
September 8, 2016: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/27596611/molecular-characterization-of-thiols-in-fossil-fuels-by-michael-addition-reaction-derivatization-and-electrospray-ionization-fourier-transform-ion-cyclotron-resonance-mass-spectrometry
#18
Meng Wang, Suoqi Zhao, Xuxia Liu, Quan Shi
Thiols widely occur in sediments and fossil fuels. However, the molecular composition of these compounds is unclear due to the lack of appropriate analytical methods. In this work, a characterization method for thiols in fossil fuels was developed on the basis of Michael addition reaction derivatization followed by electrospray ionization Fourier transform ion cyclotron resonance mass spectrometry (ESI FT-ICR MS). Model thiol compound studies showed that thiols were selectively reacted with phenylvinylsulfone and transformed to sulfones with greater than 98% conversions...
October 4, 2016: Analytical Chemistry
https://www.readbyqxmd.com/read/27578916/cox-2-inhibitory-nsaid-induced-multiple-stenosis-in-the-small-intestine-diagnosed-by-double-balloon-endoscopy
#19
Yasuaki Ueno, Masanao Nakamura, Osamu Watanabe, Takeshi Yamamura, Kohei Funasaka, Eizaburo Ohno, Ryoji Miyahara, Hiroki Kawashima, Hidemi Goto, Yoshiki Hirooka
The patient was a 72 year old man who had been given non-steroidal anti-inflammatory drug (NSAID) for two years. He repeatedly developed small intestinal ileus; therefore, he underwent several imaging examinations, but the cause was not identified. He subsequently underwent a double-balloon endoscopy (DBE). The membranous stenoses were detected in the jejunum, and the biopsy specimens were taken during the DBE. The membranous stenoses in the gastrointestinal tract were characteristic of NSAID-induced enteropathy, and he was endoscopically and histopathologically diagnosed with NSAID-induced small intestinal disorder...
August 2016: Nagoya Journal of Medical Science
https://www.readbyqxmd.com/read/27578908/evaluation-of-radiation-exposure-dose-at-double-balloon-endoscopy-for-the-patients-with-small-bowel-disease
#20
Asuka Nagura, Masanao Nakamura, Osamu Watanabe, Takeshi Yamamura, Kohei Funasaka, Eizaburo Ohno, Ryoji Miyahara, Hiroki Kawashima, Shuji Koyama, Tomoki Hinami, Hidemi Goto, Yoshiki Hirooka
UNLABELLED: Double-balloon endoscopy (DBE) is useful for the diagnosis and treatment of small bowel diseases. Although fluoroscopy is used to confirm the position of endoscope at DBE, the endoscopist does not have the knowledge with regard to the radiation exposure dose. In this study, we evaluated the absorbed dose during DBE in patients with suspected or established small bowel diseases. This was a retrospective study in which the estimated fluoroscopic radiation absorbed doses loaded on the small bowel and skin were determined according to the data of the referential X-ray experiment with a human body phantom...
August 2016: Nagoya Journal of Medical Science
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