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Gastroenterology and endoscopy

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https://www.readbyqxmd.com/read/29922763/gastrointestinal-endoscopy-in-patients-on-direct-oral-anticoagulants-a-consensus-paper-of-the-romanian-society-of-gastroenterology-and-hepatology
#1
Andreea Farcas, Simona Bataga, Cristina Cijevschi, Mircea Diculescu, Daniela Dobru, Eugen Dumitru, Adrian Goldis, Laurentiu Nedelcu, Alina Popescu, Ioan Sporea, Anca Trifan, Simona Valean, Cristian Gheorghe, Dan Lucian Dumitrascu
Management of patients undergoing endoscopy and under treatment with the newer direct oral anticoagulants (DOACs) is a common and a complex clinical issue that gastroenterologists have to face more and more often these days. The increasing use of DOACs in patients requiring both short- and long-term anticoagulation is mostly due to the advantages these agents offer, among which the lack of monitoring requirements and the reduced need of dose adjustments are perhaps the most important ones. Managing these patients in the peri-endoscopic period implies balancing the risk for thrombosis that a certain patient carries and the bleeding risk associated with the endoscopic procedure itself...
June 2018: Journal of Gastrointestinal and Liver Diseases: JGLD
https://www.readbyqxmd.com/read/29916948/prospective-evaluation-of-the-espghan-guidelines-for-diagnosis-of-coeliac-disease-in-new-zealand-children
#2
Jonathan Bishop, Peter Reed, Paul Austin, Miriam Hurst, Rohan Ameratunga, Alyson Craigie, Jeannette McFarlane, Simon E Chin, Stephen M Mouat, Helen M Evans
OBJECTIVE: The 2012 European Society of Pediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) guideline for diagnosis of celiac disease (CD) questioned the requirement for intestinal biopsy to confirm the diagnosis. The guideline recommends that, in symptomatic patients with consistent HLA subtypes, the diagnostic accuracy of strongly positive serology is sufficient to confirm the diagnosis. We prospectively assessed these guidelines in a "real-life" clinical setting...
June 18, 2018: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/29914168/association-of-low-fecal-elastase-1-and-non-ulcer-dyspepsia
#3
Mustafa Tahtaci, Huseyin Koseoglu, Murat Alisik, Oyku Tayfur Yurekli, Gozde Tahtaci, Ozcan Erel, Osman Ersoy
Non-ulcer dyspepsia (NUD) is a term used to define a set of symptoms that are believed to originate from the gastroduodenal region, and no underlying organic, systemic, or metabolic reason can be found. The majority of patients suffer from chronic symptoms although half of the patients report improvement in symptoms with time. The potential role exocrine pancreatic insufficiency in NUD patients has not been clarified yet. We aimed to identify exocrine pancreas function with pancreatic fecal elastase-1 in patients diagnosed with non-ulcer dyspepsia and no typical exocrine pancreatic insufficiency (EPI) symptoms...
June 16, 2018: Journal of Clinical Medicine
https://www.readbyqxmd.com/read/29900743/basic-training-in-digestive-endoscopy-for-resident-physicians-in-gastroenterology-recommendations-by-the-sociedad-espa%C3%A3-ola-de-endoscopia-digestiva-seed
#4
Álvaro Brotons, Angels Vilella, Cristina Sánchez-Montes, Catalina Garau, Albert Vila, Vicente Pons Beltrán, Carlos Dolz Abadía
Digestive endoscopy is the most effective tool available for the diagnosis of multiple gastrointestinal (GI) tract conditions, and it represents a key aspect in the training of gastroenterology residents according to the Spanish MIR (médico interno residente) program. The Sociedad Española de Endoscopia Digestiva (SEED), aware of all the technical advances that have emerged during the past few years, deems it necessary to define a program of the skills specialists-in-training in gastroenterology should acquire during their residency...
June 14, 2018: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/29900588/a-multicenter-cohort-analysis-of-post-endoscopy-complications-in-children-undergoing-elective-outpatient-diagnostic-procedures
#5
Thomas M Attard, Mikaela Miller, Brian Lee, Thomas W Champion, Mike Thomson
BACKGROUND: Increased access to endoscopic procedures have entrenched these investigative tools in routine pediatric gastroenterology practice. Patient outcomes following endoscopy therefore are topical in the decision toward endoscopy. We studied the likelihood and patient characteristics of children admitted following ambulatory endoscopy. METHODS: Hospitalization data was obtained from the Pediatric Hospital Information System including 49 tertiary children's hospitals in the US...
June 13, 2018: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/29893228/scoping-the-problem-endoscopy-associated-infections
#6
EDITORIAL
The Lancet Gastroenterology Hepatology
No abstract text is available yet for this article.
July 2018: Lancet. Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/29890556/-management-of-clostridium-difficile-infections-at-german-intensive-care-units-results-from-a-survey-among-intensivists
#7
Jan Bruensing, Lukas Buendgens, Christoph Jochum, Ulf Herbers, Ali Canbay, Georg Braun, Christian Trautwein, Wolfgang Huber, Alexander Koch, Frank Tacke
BACKGROUND: Clostridium difficile associated colitis is a frequent cause of nosocomial diarrhea at the intensive care unit (ICU) and is associated with poor prognosis in critically ill patients. Few studies have evaluated the efficacy of treatment options or adherence to guideline recommendations of Clostridium difficile infections at the ICU. METHODS: Therefore, on behalf of the Gastroenterology Intensive Care Medicine working group of the DGVS, we have conducted an online-based survey among leading intensivists in Germany...
June 2018: Zeitschrift Für Gastroenterologie
https://www.readbyqxmd.com/read/29876624/eosinophilic-esophagitis-an-underdiagnosed-cause-of-dysphagia-and-food-impaction-to-be-recognized-by-otolaryngologists
#8
REVIEW
C Górriz Gil, V Matallana Royo, Ó Álvarez Montero, A Rodríguez Valiente, C Fernández Manzano, B Conde García, J R García-Berrocal
Eosinophilic esophagitis (EoE) is a recently recognised pathologic entity whose prevalence has risen significantly since first being described in 1993. Defined as a chronic, local immune-mediated disease with predominant eosinophil infiltration, it is nowadays the leading cause of dysphagia and food bolus impaction in children and young adults. Genetic and environmental risk factors, and especially food antigens, trigger the disease and are in the focus of investigation as avoidance can cure three quarters of patients...
June 6, 2018: HNO
https://www.readbyqxmd.com/read/29864066/the-presence-of-periampullary-diverticulum-increased-the-complications-of-endoscopic-retrograde-cholangiopancreatography
#9
Fatih Karaahmet, Murat Kekilli
BACKGROUND: The use of needle-knife fistulotomy technique in patient with periampullary diverticula (PAD) for biliary duct cannulation may lead to risk of complications. The present study aimed to investigate the association between PAD and the complications of endoscopic retrograde cholangiopancreatography (ERCP), unsuccessful cannulation rates and to determine the rates of cannulation complications using sphincterotomy and needle-knife fistulotomy. MATERIALS AND METHODS: The ERCP procedures were held in Gastroenterology Endoscopy Unit between September 2015 and October 2016 and were retrospectively evaluated...
June 1, 2018: European Journal of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/29733468/guidelines-for-gastroenterological-endoscopy-in-patients-undergoing-antithrombotic-treatment-2017-appendix-on-anticoagulants-including-direct-oral-anticoagulants-doacs
#10
REVIEW
Mototsugu Kato, Noriya Uedo, Seiji Hokimoto, Masahiro Ieko, Kazuhide Higuchi, Kazunari Murakami, Kazuma Fujimoto
In 2012, the Japan Gastroenterological Endoscopy Society has published "Guidelines for Gastroenterological Endoscopy in Patients Undergoing Antithrombotic Treatment" concerning thromboembolism associated with antithrombotic therapy withdrawal. Since then, physicians have started prescribing oral anticoagulants, creating a need for standards reflecting their use in clinical practice. Therefore, new findings regarding anticoagulants are included in this appendix. However, the evidence levels are low for many statements contained herein and these appended guidelines still need to be verified in clinical settings...
May 7, 2018: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29733017/zenker-diverticulum-treatment-endoscopic-or-surgical
#11
Diana Ciuc, Rodica Birlă, Eugenia Panaitescu, Marcel Tanţău, Silviu Constantinoiu
Introduction: The Zenker Diverticulum is a rare pathology, the selection of patients for invasive treatments is questionable, as well as the applied therapeutic method. The aim of the study is to evaluate the main methods of classical and endoscopic surgical treatment in this pathology and to correlate pathophysiological aspects with clinical consequences. MATERIAL AND METHOD: We included 36 patients with Zenker hypopharyngeal diverticulum treated in 2010/2017 in two university clinics: 7 patients by classical surgical approach at the General and Esophageal Surgery Clinic of St...
March 2018: Chirurgia
https://www.readbyqxmd.com/read/29732296/histologic-improvement-after-6-weeks-of-dietary-elimination-for-eosinophilic-esophagitis-may-be-insufficient-to-determine-efficacy
#12
Hamish Philpott, Evan Dellon
Background: Elimination diets are used to treat eosinophilic esophagitis (EoE), with success (remission) defined at endoscopy and oesophageal biopsy as fewer than 15 eosinophils per high power field (HPF). Response is assessed after 6 weeks of treatment by convention, but we have observed that this period of time may be insufficient. Objective: To characterise a subset of patients with EoE who require prolonged (>6 weeks) of dietary therapy to achieve histologic remission...
April 2018: Asia Pacific Allergy
https://www.readbyqxmd.com/read/29726737/delayed-diagnosis-of-a-case-of-zenker-s-diverticulum-what-may-happen-when-a-family-physician-does-not-visit-his-family-physician
#13
Zekeriya Akturk, Ali Bilal Ulas, Atila Eroglu
INTRODUCTION: Zenker's diverticulum is a diverticulum of the mucosa of the pharynx, just above the cricopharyngeal muscle. It occurs commonly in elderly patients (over 70 years) and the typical symptoms include dysphagia, regurgitation, chronic cough, aspiration and weight loss. CASE: We are reporting dysphagia in a 49-years old man who was treated as having Helicobacter Pylori gastritis for three years. Being a family physician himself, the patient applied to specialists in gastroenterology, bypassing primary care...
December 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/29726067/readability-of-endoscopy-information-leaflets-implications-for-informed-consent
#14
Matthew C Mason, James M L Williamson
INTRODUCTION: Valid consent for gastrointestinal endoscopy is required for ethical and legal reasons. Patients are frequently met by an endoscopist for the first time on the day of their procedure. For valid consent to be possible, the patient needs to have received and understood generic information regarding endoscopy in advance. Patient information leaflets (PILs) need to be easily understood by the majority of the population. METHOD: PILs from 14 secondary care institutions and a sample PIL from the British Society of Gastroenterology were analysed using an online readability tool...
May 3, 2018: International Journal of Clinical Practice
https://www.readbyqxmd.com/read/29705029/usefulness-of-contrast-enhanced-ultrasound-ceus-in-inflammatory-bowel-disease-ibd
#15
REVIEW
Silvia Pecere, Grainne Holleran, Maria Elena Ainora, Matteo Garcovich, Franco Scaldaferri, Antonio Gasbarrini, Maria Assunta Zocco
Intestinal ultrasonography has emerged as a cheap, non-invasive and readily accessible modality for the assessment of a number of gastroenterological diseases. Over the last decade, particularly due to the widespread use of biological agents in Inflammatory Bowel Disease (IBD), guidelines regarding management and follow-up advise more regular disease assessment and surveillance in order to guide treatment adjustments, and provide more personalised care. Given the young age of the majority of patients with IBD the availability of an alternative modality to harmful radiation or the risks of endoscopy for this indication offers an appealing advantage...
April 3, 2018: Digestive and Liver Disease
https://www.readbyqxmd.com/read/29695148/accuracy-of-endoscopic-diagnosis-for-mild-atrophic-gastritis-infected-with-helicobacter-pylori
#16
Takuma Okamura, Yugo Iwaya, Kei Kitahara, Tomoaki Suga, Eiji Tanaka
Background/Aims: This study examined the accuracy of endoscopic evaluation for determining the Helicobacter pylori infection status in patients with mild atrophy who might not exhibit characteristic endoscopic findings. Methods: Forty endoscopists determined the H. pylori infection status of 50 randomly presented H. pylori-positive and H. pylorinegative cases on the basis of a list of established findings. Results: The median clinical endoscopy experience was 7 years (range, 1-35 years), including 22 board-certified endoscopists (55%) of the Japan Gastroenterological Endoscopy Society...
April 26, 2018: Clinical Endoscopy
https://www.readbyqxmd.com/read/29684421/duodenoscopy-an-amplifier-of-cross-transmission-during-a-carbapenemase-producing-enterobacteriaceae-outbreak-in-a-gastroenterology-pathway
#17
C Bourigault, F Le Gallou, N Bodet, N Musquer, M-E Juvin, S Corvec, N Ferronnière, S Wiesel, J Gournay, G Birgand, M Le Rhun, D Lepelletier
Carbapenemase-producing Klebsiella pneumoniae (OXA-48 CPE) were identified in five patients who underwent an endoscopy with the same duodenoscope in October 2015. The endoscope was the only epidemiological link between these cases. A transient contamination of the duodenoscope following a failure in the disinfection process may have been the cause of transmission.
April 21, 2018: Journal of Hospital Infection
https://www.readbyqxmd.com/read/29622833/fibreoptic-gastro-intestinal-endoscopy-at-the-korle-bu-teaching-hospital-accra-ghana-a-historical-perspective
#18
Kofi N Nkrumah, Emmanuel Q Archampong
Fibreoptic (or Flexible) endoscopy has revolutionized and completely transformed practice of gastroenterology, and many other medical specialties, over the past half century or so. At the Korle Bu Teaching Hospital, Accra the development of this facility has evolved gradually, especially involving specialists from the Departments of Medicine and Surgery since the 1970s. This article is an attempt to trace and record this journey and to highlight some of the problems and challenges yet to be overcome. It is an anecdotal account based on the authors' recollection with attempts at verification of important dates...
December 2017: Ghana Medical Journal
https://www.readbyqxmd.com/read/29620407/enhancing-the-current-evidence-on-endoscopist-directed-propofol-based-sedation
#19
COMMENT
Enrique Pérez-Cuadrado-Robles, Alexandre Ferreira, Jesús García-Cano
During the last years, there is more and more scientific evidence about the safety and feasibility of non-anesthesiologist administration of propofol (NAAP) in gastrointestinal endoscopy, reducing sedation induction and recovery time as well as increasing patient and endoscopist satisfaction. Furthermore, a similar risk of adverse events compared with traditional agents or anesthesiologist administration of propofol (AAP) has been described. The present special issue of the Spanish Journal of Gastroenterology (Revista Española de Enfermedades Digestivas) focusses on NAAP in different settings, including complex endoscopic procedures...
April 2018: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/29578351/endoscopy-and-sedation-an-inseparable-binomial-for-the-gastroenterologist
#20
Javier Crespo, Álvaro Terán
The development of endoscopy and its increasing demand among the population have led to a growing need for propofol-based sedation techniques. Benefit is indisputable for both patients and endoscopists, but some aspects require considering the "who" and "how" of sedation as related to safety and health care costs. Propofol is first-choice in endoscopy for the European Society of Gastrointestinal Endoscopy because of its fast onset of action and short half-life, and many reports exist on its safety when used by gastroenterologists rather than anesthesiologists...
April 2018: Revista Española de Enfermedades Digestivas
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