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endoscopy gastroenterology obesity

Linn Såve Nymo, Lars Aabakken, Kristoffer Lassen
INTRODUCTION: An unwanted socioeconomic health gap is observed in Western countries with easily accessible, government-financed health care systems. Survival rates from several malignancies differ between socioeconomic clusters and the disparities remain after adjusting for major co-morbidities and health related behavior. The possibility of biased conduct among health care workers has been proposed as a contributing factor, but evidence is sparse. METHODS: A blinded, randomized online questionnaire survey was conducted among specialists in gastroenterology in Norway...
November 16, 2017: Scandinavian Journal of Gastroenterology
David S Estores, Ku-Lang Chang
Eosinophilic esophagitis (EE) is an allergic disorder of the esophagus. This diagnosis requires the presence of specific symptoms and a significantly elevated number of eosinophils in the esophageal lining as determined by endoscopic biopsies. Symptoms tend to be nonspecific among patients younger than 15 years. Among adults, dysphagia is the most common symptom. Comanagement with a gastroenterology subspecialist is essential, particularly for EE patients with a stricture. EE is commonly misdiagnosed as gastroesophageal reflux disease (GERD)...
July 2017: FP Essentials
Andres Acosta, Sarah Streett, Mathew D Kroh, Lawrence J Cheskin, Katherine H Saunders, Marina Kurian, Marsha Schofield, Sarah E Barlow, Louis Aronne
The epidemic of obesity continues at alarming rates, with a high burden to our economy and society. The American Gastroenterological Association understands the importance of embracing obesity as a chronic, relapsing disease and supports a multidisciplinary approach to the management of obesity. Because gastrointestinal disorders resulting from obesity are more frequent and often present sooner than type 2 diabetes mellitus and cardiovascular disease, gastroenterologists have an opportunity to address obesity and provide an effective therapy early...
May 2017: Clinical Gastroenterology and Hepatology
Tomasz Klimczak, Tomasz Szewczyk, Przemysław Janczak, Piotr Jurałowicz
Laparoscopic adjustible gastric binding (LAGB) is one of most common surgical methods of treating obesity. Gastric band migration (erosion) is a typical LAGB complication, with a frequency of about 1-4%. The aim of the study was to present the possibilities of endoscopic diagnosis and treatment of this complication. MATERIAL AND METHODS: The study was carried out in the Department of Gastroenterological, Oncological and General Surgery in Łódź. Between 2008 and 2015, 450 gastric bands were implanted using the laparoscopic technique in 318 (71%) women and 132 (29%) men...
December 1, 2016: Polski Przeglad Chirurgiczny
V Thoguluva Chandrasekar, P Vennalaganti, P Sharma
Barrett's esophagus is a premalignant condition of the esophagus in which the squamous epithelium of the lower end of the esophagus is replaced with columnar epithelium. Since the incidence of esophageal adenocarcinoma is on the rise, the major gastroenterology societies have come up with their recommendations for screening and surveillance. Specific factors like obesity, white race, age over 50 years, early age of onset of GERD, smoking and hiatal hernia have been identified as increasing the risk of Barrett's esophagus and adenocarcinoma...
April 2016: Revista de Gastroenterología de México
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
Samuele De Minicis, Filippo Antonini, Valerio Belfiori, Massimiliano Lo Cascio, Barbara Marraccini, Simona Piergallini, Piergiorgio Mosca, Giampiero Macarri
The current case report is related to a male patient with diabetes, obesity [body mass index (BMI) 33], hypertension and recurrence of anemia associated to melena and deep asthenia. M.P., a 60-year-old obese individual, was referred to our department by the primary care unit (PCU) of our hospital for severe anemia (Hemoglobin 6.5 g/dL) associated to episodes of melena and abdominal pain. In the past 5 mo the patient referred to the local hospital 3 times for episodes of melena (hemoglobin levels showed anemia 9...
May 16, 2015: World Journal of Clinical Cases
E Siegel, G Kähler, W Schepp
No abstract text is available yet for this article.
June 2014: Zeitschrift Für Gastroenterologie
Meltem Ergün, İbrahim Doğan, Selahattin Ünal
BACKGROUND/AIMS: An association between ineffective esophageal motility and gastroesophageal reflux disease is already known, but there are also some conflicting data. We evaluated the association between ineffective esophageal motility and gastroesophageal reflux disease in patients who underwent ambulatory pH monitoring for the evaluation of reflux symptoms at Gazi University, Gastroenterology Clinic. MATERIALS AND METHODS: A total of 239 patients who underwent endoscopy, esophageal manometry and ambulatory 24-h pH monitoring due to reflux symptoms were enrolled...
2012: Turkish Journal of Gastroenterology: the Official Journal of Turkish Society of Gastroenterology
Zoltán Döbrönte, Mária Szenes, Beáta Gasztonyi, Lajos Csermely, Márta Kovács, László Lakatos, Lilla Lakner, Gábor Mester, Tünde Pandur, Arpád Patai, Péter Pák, Gyula Pécsi, István Rácz, Krisztina Sarang, Anikó Stöckert, András Székely, Lajos Varga Szabó
INTRODUCTION: Recent guidelines recommend routine pulse oximetric monitoring during endoscopy, however, this has not been the common practice yet in the majority of the local endoscopic units. AIMS: To draw attention to the importance of the routine use of pulse oximetric recording during endoscopy. METHOD: A prospective multicenter study was performed with the participation of 11 gastrointestinal endoscopic units. Data of pulse oximetric monitoring of 1249 endoscopic investigations were evaluated, of which 1183 were carried out with and 66 without sedation...
May 26, 2013: Orvosi Hetilap
Haruhiko Sugimura, Satoshi Osawa
Even though the small intestine occupies a major portion of the abdominal space and is essential for life, in most pathology textbooks any chapter on small intestinal diseases, especially in human beings, is typically shorter than those for other gastrointestinal organs. Clinical and experimental investigations of the small intestine in various clinical situations, such as nutrition management, obesity interventions, and emergency care, have elucidated several important biological problems associated with the small intestine, the last frontier of gastroenterology...
January 14, 2013: World Journal of Gastroenterology: WJG
Bojan Miletic, Marko Boban, Igor Prpic, Zeljko Jovanovic
Obesity is among the greatest health problems worldwide. However, there is a certain lack in regard to objective evidence-based clinical therapeutic algorithms. The conservative therapy (lifestyle changes, pharmacotherapy) often fails to attain clinically significant weight lost. For this reason, more effective forms of treatment were developed (for example bariatric surgery or newly emerging field of endoscopic gastroenterological devices). The implementation of surgical therapy is marked with relatively narrowly stated indication parameters...
May 2013: Current Clinical Pharmacology
Geoffrey C Farrell
Fifty years of the Gastroenterological Society of Australia have witnessed the changing appearance of Australians. Asian immigration has transformed the dominant urban culture from European to Eurasian, with some unique Australian attributes. Meanwhile, global conditions have altered body shape, and our sports-proud country is now fat! Thus, as in North America, Europe, China, and affluent Asia-Pacific countries, prosperity and lifestyle, cheap processed foods coupled with reduced physical activity have created an epidemic of over-nutrition resulting in overweight/obesity...
October 2009: Journal of Gastroenterology and Hepatology
Brian C Jacobson, George Triadafilopoulos
No abstract text is available yet for this article.
October 2009: Gastrointestinal Endoscopy
Christopher S Huang
No abstract text is available yet for this article.
October 2009: Gastrointestinal Endoscopy
James C Ellsmere, Christopher C Thompson, William R Brugge, Ram Chuttani, David J Desilets, David W Rattner, Michael E Tarnoff, Lee M Kaplan
In this paper we review the state-of-the-art in endoscopic interventions for obesity treatment and make best practice recommendations for weight loss surgery (WLS). We performed a systematic search of English-language literature published between April 2004 and June 2008 in MEDLINE and the Cochrane Library on WLS and endoscopic interventions, endoscopically placed devices, minimally invasive surgery, image-guided surgery, endoluminal surgery, endoscopic instrumentation, interventional gastroenterology, transluminal surgery, and natural orifice transluminal surgery...
May 2009: Obesity
Ryan S Carvalho, Sonia Michail, Farhat Ashai-Khan, Adam G Mezoff
No abstract text is available yet for this article.
August 2008: Current Problems in Pediatric and Adolescent Health Care
James S Scolapio, Alan L Buchman, Martin Floch
BACKGROUND AND AIMS: The degree of nutrition training in gastrointestinal (GI) fellowship programs has not been reported previously, but it is thought to be inadequate. The aim of this study was to determine GI fellows' exposure to nutrition and to assess nutrition knowledge and practice behaviors before and after completing a live nutrition course. METHODS: This course was geared specifically for GI fellows. Nineteen faculty members from the United States and Canada participated...
February 2008: Journal of Clinical Gastroenterology
Daniel D Moos
Patients with obstructive sleep apnea are at risk of mortality and morbidity related to the administration of sedatives, anesthetics, and opioids. Commonly employed sedatives and analgesics promote pharyngeal collapse and alter normal respiratory responses to obstruction and apnea. Literature concerning patients with obstructive sleep apnea undergoing moderate and deep sedation in the endoscopy suite is lacking. The purpose of this article is to provide the reader with a review of normal airway patency, the effects of obstructive sleep apnea on airway patency, and the impact that analgesics and sedatives may impart on the airway of patients with obstructive sleep apnea...
November 2006: Gastroenterology Nursing: the Official Journal of the Society of Gastroenterology Nurses and Associates
(no author information available yet)
No abstract text is available yet for this article.
2004: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
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