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https://www.readbyqxmd.com/read/27456180/survey-of-anaesthetists-practice-of-sedation-for-gastrointestinal-endoscopy
#1
K Leslie, M L Allen, E Hessian, A Y-S Lee
We conducted a survey of Australian specialist anaesthetists about their practice of sedation for elective and emergency gastroscopy, endoscopic retrograde cholangiopancreatography (ERCP), and colonoscopy. A 24-item survey was emailed to 1,000 anaesthetists in August 2015. Responses were received from 409 anaesthetists (response rate=41%) with responses from 395 anaesthetists analysed. Pulse oximetry and oxygen administration were routine for all procedures for all respondents. Blood pressure was routinely measured by most respondents during gastroscopy (elective=88%; emergency=97%), ERCP (elective=99%; emergency=99%) and colonoscopy (elective=91%; emergency=98%)...
July 2016: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/27451091/similar-risk-of-cardiopulmonary-adverse-events-between-propofol-and-traditional-anesthesia-for-gastrointestinal-endoscopy-a-systematic-review-and-meta-analysis
#2
Vaibhav Wadhwa, Danny Issa, Sushil Garg, Rocio Lopez, Madhusudhan R Sanaka, John J Vargo
BACKGROUND & AIMS: Even though propofol use for gastrointestinal endoscopic procedures has increased over the past decade, there is a perception that it causes a higher rate of cardiopulmonary adverse events. The aim of this study was to compare the sedation-related adverse events associated with use of propofol vs nonpropofol agents for endoscopic procedures. We also wanted to determine the influence of duration or complexity of the procedures and endoscopist-directed (gastroenterologist) vs non-gastroenterologist-directed sedation on the outcomes...
July 21, 2016: Clinical Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/27126387/association-between-type-of-sedation-and-the-adverse-events-associated-with-gastrointestinal-endoscopy-an-analysis-of-5-years-data-from-a-tertiary-center-in-the-usa
#3
Basavana Goudra, Ahmad Nuzat, Preet Mohinder Singh, Anuradha Borle, Augustus Carlin, Gowri Gouda
Background/Aims: The landscape of sedation for gastrointestinal (GI) endoscopic procedures and the nature of the procedures themselves have changed over the last decade. In this study, an attempt is made to analyze the frequency and etiology of all major adverse events associated with GI endoscopy. Methods: All adverse events extracted from the electronic database and local registry were analyzed. Although the data analysis was retrospective, the adverse events themselves were documented prospectively...
April 29, 2016: Clinical Endoscopy
https://www.readbyqxmd.com/read/27034804/metastatic-colon-cancer-from-extrahepatic-cholangiocarcinoma-presenting-as-painless-jaundice-case-report-and-literature-review
#4
Benjamin W Vabi, Jeffrey Carter, Rong Rong, Minhua Wang, James G Corasanti, John F Gibbs
Cholangiocarcinoma (CCA) is a rare cancer of the biliary epithelium comprising only about 3% of all gastrointestinal malignancies. It is a highly aggressive malignancy and confers a dismal prognosis with majority of patients presenting with metastatic disease. Metastatic CCA to the colon is extremely rare with only few cases reported in the literature. We present a 61-year-old patient with incidental synchronous metastatic colonic adenocarcinoma from extra-hepatic CCA. Laboratory data revealed significant indirect hyperbilirubinemia and transaminitis...
April 2016: Journal of Gastrointestinal Oncology
https://www.readbyqxmd.com/read/26796535/questionnaire-based-survey-on-diagnostic-and-therapeutic-endoscopies-and-h-pylori-eradication-for-elderly-patients-in-east-asian-countries
#5
Juntaro Matsuzaki, Ryoma Hayashi, Tetsuo Arakawa, Fumiaki Ueno, Yoshikazu Kinoshita, Takashi Joh, Shin'ichi Takahashi, Yuji Naito, Shin Fukudo, Francis K L Chan, Ki-Baik Hahm, Udom Kachintorn, Kwong Ming Fock, Ari Fahrial Syam, Abdul Aziz Rani, Jose D Sollano, Qi Zhu, Yasuhiro Fujiwara, Eiji Kubota, Hiromi Kataoka, Kengo Tokunaga, Kazuhiko Uchiyama, Hidekazu Suzuki
BACKGROUND: Gastrointestinal endoscopy and Helicobacter pylori(H. pylori) eradication therapy are commonly performed even among the elderly population. The aim of this study was to understand the way endoscopists viewed the application of endoscopy and H. pylori eradication in the elderly of East Asian countries. METHODS: Self-administered questionnaires containing 13 questions on endoscopy and H. pylori eradication in the elderly were distributed to major institutions in Japan, South Korea, China, Indonesia, and the Philippines...
2016: Digestion
https://www.readbyqxmd.com/read/26192939/streptococcus-bovis-bacteremia-association-with-gastrointestinal-and-liver-disease-in-a-predominantly-hispanic-population
#6
Alicia Alvarez, Cesar J Garcia, Yi Jia, Darius Boman, Marc J Zuckerman
OBJECTIVES: Streptococcus bovis bacteremia has been associated with gastrointestinal diseases, especially colon cancer, neoplastic colon polyps, and other malignancies of the gastrointestinal tract. Studies have suggested an association with chronic liver parenchymal and biliary tract disorders. We report a series of patients with S. bovis bacteremia in a county hospital in a US city on the border of Mexico to examine the demographic and clinical associations. METHODS: We characterized the demographics, clinical features, and the endoscopic and histopathologic findings in all patients with blood cultures positive for S...
July 2015: Southern Medical Journal
https://www.readbyqxmd.com/read/25961441/single-channel-endoscopic-closure-of-large-endoscopy-related-perforations
#7
Chun-Yan Zeng, Guo-Hua Li, Yin Zhu, Xiao-Jiang Zhou, Nong-Hua Lv, You-Xiang Chen
BACKGROUND AND STUDY AIMS: Gastrointestinal endoscopy procedures, such as endoscopic retrograde cholangiopancreatography (ERCP), endoscopic submucosal dissection (ESD), and colonoscopy are widely used for the diagnosis or treatment of digestive diseases. Perforation is a rare but potentially lethal complication. Large perforations usually require immediate endoscopic or surgical repair. Endoscopic closure using a nylon loop pouch suture is usually performed with a double-channel endoscope...
August 2015: Endoscopy
https://www.readbyqxmd.com/read/25636697/training-and-competence-assessment-in-gi-endoscopy-a-systematic-review
#8
REVIEW
Vivian E Ekkelenkamp, Arjun D Koch, Robert A de Man, Ernst J Kuipers
INTRODUCTION: Training procedural skills in GI endoscopy once focused on threshold numbers. As threshold numbers poorly reflect individual competence, the focus gradually shifts towards a more individual approach. Tools to assess and document individual learning progress are being developed and incorporated in dedicated training curricula. However, there is a lack of consensus and training guidelines differ worldwide, which reflects uncertainties on optimal set-up of a training programme...
April 2016: Gut
https://www.readbyqxmd.com/read/25442954/consent-common-adverse-events-and-post-adverse-event-actions-in-endoscopy
#9
REVIEW
Douglas G Adler
Endoscopy constitutes a wide range of procedures with many indications. Esophagogastroduodenoscopy, colonoscopy, endoscopic retrograde cholangiopancreatography, endoscopic ultrasonography, and enteroscopy comprise the most commonly performed procedures. These examinations all carry risk to the patient, and incumbent in this is some legal risk with regard to how the procedure is conducted, decisions made based on the intraprocedure findings, and the postprocedure results, in addition to events that occur following the procedure...
January 2015: Gastrointestinal Endoscopy Clinics of North America
https://www.readbyqxmd.com/read/25386072/gastrointestinal-endoscopy-in-pregnancy
#10
REVIEW
Nurten Savas
Gastrointestinal endoscopy has a major diagnostic and therapeutic role in most gastrointestinal disorders; however, limited information is available about clinical efficacy and safety in pregnant patients. The major risks of endoscopy during pregnancy include potential harm to the fetus because of hypoxia, premature labor, trauma and teratogenesis. In some cases, endoscopic procedures may be postponed until after delivery. When emergency or urgent indications are present, endoscopic procedures may be considered with some precautions...
November 7, 2014: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/25376335/what-is-the-necessity-of-endoscopist-for-successful-endoscopic-stenting-in-patients-with-malignant-colorectal-obstruction
#11
Hyun Jung Lee, Soo Jung Park, Jae Hee Cheon, Tae Il Kim, Won Ho Kim, Sung Pil Hong
BACKGROUND AND AIM: Recently, self-expandable metal stents (SEMSs) have been widely used as an initial therapy for relieving malignant colorectal obstructions. However, several factors, including the endoscopist's experience, affect the clinical outcome of SEMSs. The aim of this study was to define the adequate level of experience necessary to perform endoscopic stenting effectively and safely and to identify technical factors for successful stenting. METHODS: Between March 2009 and June 2012, 160 patients underwent SEMS placement for malignant colorectal obstruction with the intent of palliation or as a bridge to surgery by a single endoscopist who experienced colonoscopy and endoscopic retrograde cholangiopancreatography...
January 2015: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/25328725/gallstone-ileus-following-endoscopic-stone-extraction
#12
Yoshiya Yamauchi, Noritaka Wakui, Yasutsugu Asai, Nobuhiro Dan, Yuki Takeda, Nobuo Ueki, Takahumi Otsuka, Nobuyuki Oba, Shuta Nisinakagawa, Tatsuya Kojima
An 85-year-old woman was an outpatient treated at Tokyo Rosai Hospital for cirrhosis caused by hepatitis B. She had previously been diagnosed as having common bile duct stones, for which she underwent endoscopic retrograde cholangiopancreatography (ERCP). However, as stone removal was unsuccessful, a plastic stent was placed after endoscopic sphincterotomy. In October 2012, the stent was replaced endoscopically because she developed cholangitis due to stent occlusion. Seven days later, we performed ERCP to treat recurring cholangitis...
2014: Case Reports in Gastrointestinal Medicine
https://www.readbyqxmd.com/read/24891928/gastrointestinal-endoscopy-in-the-pregnant-woman
#13
REVIEW
David Friedel, Stavros Stavropoulos, Shahzad Iqbal, Mitchell S Cappell
About 20000 gastrointestinal endoscopies are performed annually in America in pregnant women. Gastrointestinal endoscopy during pregnancy raises the critical issue of fetal safety in addition to patient safety. Endoscopic medications may be potentially abortifacient or teratogenic. Generally, Food and Drug Administration category B or C drugs should be used for endoscopy. Esophagogastroduodenoscopy (EGD) seems to be relatively safe for both mother and fetus based on two retrospective studies of 83 and 60 pregnant patients...
May 16, 2014: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/24707131/advanced-therapeutic-endoscopist-and-inflammatory-bowel-disease-dawn-of-a-new-role
#14
REVIEW
Kunjam Modha, Udayakumar Navaneethan
Endoscopy plays a key role in the diagnosis and treatment of patients with inflammatory bowel disease (IBD). Colonoscopy has been traditionally used in the diagnosis of IBD and helps in determination of an important end point in patient management, "mucosal healing". However, the involvement of an advanced endoscopist has expanded with innovations in therapeutic and newer imaging techniques. Endoscopists are increasingly being involved in the management of anastomotic and small bowel strictures in these patients...
April 7, 2014: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/24605018/is-the-type-of-insufflation-a-key-issue-in-gastro-intestinal-endoscopy
#15
REVIEW
Amy C Lord, Stefan Riss
Endoscopic procedures continue to play an emerging role in diagnosing and treating upper and lower gastrointestinal (GI) disorders. In particular, the introduction of colonoscopy in bowel cancer screening has underlined its promising role in decreasing the incidence of colorectal cancer and reducing tumour related mortality. To achieve these goals patients need to contemplate endoscopic examinations as painless and fearless procedures. The use of carbon dioxide (CO₂) as an alternative insufflation gas in comparison to air has been considered as an essential key to improving patients' acceptance in undergoing endoscopic procedures...
March 7, 2014: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/24560303/adult-colonoscopy-or-single-balloon-enteroscopy-assisted-ercp-in-long-limb-surgical-bypass-patients
#16
Ke Li, Yong-Hui Huang, Wei Yao, Hong Chang, Xue-Biao Huang, Yao-Peng Zhang, Zhi-Qiang Song
OBJECTIVE: The aim of this study was to evaluate the usefulness of adult colonoscopy or single-balloon enteroscopy (SBE)-assisted endoscopic retrograde cholangiopancreatography (ERCP) in long-limb surgical bypass patients. METHODS: Retrospective analysis of 16 patients with long-limb surgical bypasses who underwent therapeutic ERCP because of suspected pancreaticobiliary diseases. Small-bowel intubation was performed by peroral adult colonoscopy or SBE. If colonoscopy success was achieved, ERCP was performed subsequently...
September 2014: Clinics and Research in Hepatology and Gastroenterology
https://www.readbyqxmd.com/read/24413547/a-prospective-evaluation-of-the-incidence-of-adverse-events-in-nurse-administered-moderate-sedation-guided-by-sedation-scores-or-bispectral-index
#17
Katie S Yang, Ashraf S Habib, Minyi Lu, M S Branch, Holly Muir, Paul Manberg, Jeffrey C Sigl, Tong J Gan
BACKGROUND: Moderate sedation is routinely performed in patients undergoing minor therapeutic and diagnostic procedures outside the operating room. The level of sedation is often monitored by sedation nurses using clinical criteria, such as sedation scores. The Bispectral Index (BIS) is derived from changes in the electroencephalograph profile that may provide an objective measure of the level of sedation. In this prospective observational study, we investigated whether using BIS values to guide sedative drug administration influences the level of sedation and the incidence of adverse events compared with using Ramsay sedation scale (RSS) only in nurse-administered moderate sedation...
July 2014: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/24288224/ueg-week-2013-highlights-putting-endoscopy-into-perspective
#18
Ioannis S Papanikolaou, Peter D Siersema
The 21st United European Gastroenterology (UEG) Week was held in Berlin in October 2013 and presented the opportunity for those interested in gastrointestinal endoscopy to learn of recent developments and research trends from all over the world. This report highlights oral presentations of the most important and exciting topics in gastrointestinal endoscopy and reviews them in the context of current knowledge.
December 2013: Endoscopy
https://www.readbyqxmd.com/read/24267608/endoscopy-in-the-elderly-risks-benefits-and-yield-of-common-endoscopic-procedures
#19
REVIEW
Farid Razavi, Seth Gross, Seymour Katz
There has been limited research examining the risks, benefits, and use of common endoscopic procedures in the elderly. Furthermore, gastroenterology training programs do not routinely incorporate elderly concerns when dealing with common gastrointestinal issues. There exists a broad array of endoscopic procedures with varying inherent risks that must be weighed with each elderly patient in mind. This article discusses the benefits and drawbacks of the most common procedures and indications for endoscopy including upper endoscopy, colonoscopy, endoscopic retrograde cholangiopancreatography, endoscopic ultrasound, percutaneous endoscopic gastrostomy, and deep enteroscopy...
February 2014: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/24174395/readability-and-content-of-patient-information-leaflets-for-endoscopic-procedures
#20
MULTICENTER STUDY
F S Gargoum, S T O'Keeffe
BACKGROUND: Informed consent requires good communication. Patient information leaflets (PILs) may be helpful, although some PILs are too hard to read for the average patient. AIMS: We sought to examine the readability of PILs provided for patients prior to endoscopic procedures in 24 gastrointestinal and 16 respiratory departments of 24 Irish public hospitals. METHODS: Readability, measured using the Flesch Reading Ease and the Flesch-Kincaid Grade Level scores, and content of all PILs were examined...
September 2014: Irish Journal of Medical Science
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