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https://www.readbyqxmd.com/read/27908516/small-bowel-bleeding-updated-algorithm-and-outcomes
#1
REVIEW
Lauren B Gerson
Patients previously classified with "obscure gastrointestinal hemorrhage" should now be classified as "suspected small bowel bleeding" according to the 2015 American College of Gastroenterology guidelines. This article provides algorithms for how to manage patients with suspected small bowel bleeding, including utilization of second-look endoscopy and/or colonoscopy, video capsule endoscopy, computed tomographic enterography, magnetic resonance enterography, angiography, and deep enteroscopy.
January 2017: Gastrointestinal Endoscopy Clinics of North America
https://www.readbyqxmd.com/read/27670573/the-goalposts-have-moved-can-surgery-residents-meet-updated-quality-benchmarks-for-adenoma-detection-rate-in-colonoscopy
#2
John B Ortolani, Daniel R Tershak, John J Ferrara, Charles J Paget
The American Society for Gastrointestinal Endoscopy (ASGE)/American College of Gastroenterology Task Force (ACGTF) on Quality in Endoscopy released updated quality benchmarks for colonoscopy in 2015. Our initial study concluded that surgery residents could perform safe and competent screening colonoscopy within a structured endoscopy curriculum. In this follow-up study, we sought to determine whether surgery residents could achieve the increased adenoma detection rate (ADR) benchmarks endorsed by the ASGE/ACGTF...
September 2016: American Surgeon
https://www.readbyqxmd.com/read/27257737/reporting-of-randomized-controlled-trials-with-statistically-nonsignificant-primary-outcomes-published-in-high-impact-surgical-journals
#3
Lakshmanan Arunachalam, Iain A Hunter, Shane Killeen
OBJECTIVE: To determine the nature and frequency of distorted presentation or "spin" (ie, specific reporting strategies which highlight that the experimental treatment is beneficial, despite a statistically nonsignificant difference for the primary outcome, or distract the reader from statistically nonsignificant results) in published reports of randomized controlled trials (RCTs) with statistically nonsignificant results for primary outcomes in surgical journals. BACKGROUND: Multiple reports have suggested that interpretation of RCT results in medical journals can be distorted by authors of published reports...
June 1, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/26972646/eastern-cooperative-oncology-group-and-american-college-of-radiology-imaging-network-randomized-phase-2-trial-of-neoadjuvant-preoperative-paclitaxel-cisplatin-radiation-therapy-rt-or-irinotecan-cisplatin-rt-in-esophageal-adenocarcinoma-long-term-outcome-and
#4
RANDOMIZED CONTROLLED TRIAL
Lawrence R Kleinberg, Paul J Catalano, Arlene A Forastiere, Steven M Keller, Edith P Mitchel, Pramila Rani Anne, Al B Benson
PURPOSE: Toxicity, pathologic complete response, and long-term outcomes are reported for the neoadjuvant therapies assessed in a randomized phase 2 Eastern Cooperative Oncology Group and American College of Radiology Imaging Network trial for operable esophageal adenocarcinoma, staged as II-IVa by endoscopy/ultrasonography (EUS). METHODS AND MATERIALS: A total of 86 eligible patients began treatment. For arm A, preoperative chemotherapy was cisplatin, 30 mg/m(2), and irinotecan, 50 mg/m(2), on day 1, 8, 22, 29 during 45 Gy radiation therapy (RT), 1...
March 15, 2016: International Journal of Radiation Oncology, Biology, Physics
https://www.readbyqxmd.com/read/26942725/healthcare-cost-of-over-diagnosis-of-low-grade-dysplasia-in-barrett-s-esophagus
#5
Richard H Lash, Thomas M Deas, Frank H Wians
INTRODUCTION: Published reports have demonstrated that many Barrett's esophagus patients are over-diagnosed as low-grade dysplasia (BE-LGD). We performed an analysis of the surveillance and treatment costs associated with the over-diagnosis of BE-LGD. METHODS: As the principal cost variables, we used endoscopic and histologic procedures performed during the recommended surveillance intervals for patients with BE-LGD, the national average Medicare reimbursement for the Current Procedural Terminology codes of the procedures performed, and a spreadsheet-based tool we created to determine the overall healthcare cost associated with the over-diagnosis of BE-LGD in the US population...
April 2016: Advances in Therapy
https://www.readbyqxmd.com/read/26526079/acg-clinical-guideline-diagnosis-and-management-of-barrett-s-esophagus
#6
Nicholas J Shaheen, Gary W Falk, Prasad G Iyer, Lauren B Gerson
Barrett's esophagus (BE) is among the most common conditions encountered by the gastroenterologist. In this document, the American College of Gastroenterology updates its guidance for the best practices in caring for these patients. These guidelines continue to endorse screening of high-risk patients for BE; however, routine screening is limited to men with reflux symptoms and multiple other risk factors. Acknowledging recent data on the low risk of malignant progression in patients with nondysplastic BE, endoscopic surveillance intervals are attenuated in this population; patients with nondysplastic BE should undergo endoscopic surveillance no more frequently than every 3-5 years...
January 2016: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/26515955/risk-stratification-in-acute-upper-gi-bleeding-comparison-of-the-aims65-score-with-the-glasgow-blatchford-and-rockall-scoring-systems
#7
Marcus Robertson, Avik Majumdar, Ray Boyapati, William Chung, Tom Worland, Ryma Terbah, James Wei, Steve Lontos, Peter Angus, Rhys Vaughan
BACKGROUND AND AIMS: The American College of Gastroenterology recommends early risk stratification in patients presenting with upper GI bleeding (UGIB). The AIMS65 score is a risk stratification score previously validated to predict inpatient mortality. The aim of this study was to validate the AIMS65 score as a predictor of inpatient mortality in patients with acute UGIB and to compare it with established pre- and postendoscopy risk scores. METHODS: ICD-10 (International Classification of Diseases, Tenth Revision) codes identified patients presenting with UGIB requiring endoscopy...
June 2016: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/26148292/in-the-clinic-gastroesophageal-reflux-disease
#8
REVIEW
Ian G Harnik
This issue provides a clinical overview of gastroesophageal reflux disease, focusing on diagnosis, treatment, and practice improvement. The content of In the Clinic is drawn from the clinical information and education resources of the American College of Physicians (ACP), including ACP Smart Medicine and MKSAP (Medical Knowledge and Self-Assessment Program). Annals of Internal Medicine editors develop In the Clinic from these primary sources in collaboration with the ACP's Medical Education and Publishing divisions and with the assistance of science writers and physician writers...
July 7, 2015: Annals of Internal Medicine
https://www.readbyqxmd.com/read/26140892/quality-metrics-in-surgery-resident-performance-of-screening-colonoscopy
#9
John B Ortolani, Xin Zhong, Daniel R Tershak, John J Ferrara, Charles J Paget
In an attempt to further standardize surgical training, the American Board of Surgery now requires that residents provide evidence that they are certified in flexible endoscopy. This prospective study was designed to determine whether, through a structured curriculum, junior level residents could learn to conduct competent and safe screening colonoscopy (SC). An Institutional Review Board-approved prospective analysis of SC performed by five postgraduate year-2 residents during the 2012-2013 academic year was completed...
July 2015: American Surgeon
https://www.readbyqxmd.com/read/25535681/bariatric-surgery-and-the-changing-current-scope-of-general-surgery-practice-implications-for-general-surgery-residency-training
#10
Rouzbeh Mostaedi, Mohamed R Ali, Jonathan L Pierce, Lynette A Scherer, Joseph M Galante
IMPORTANCE: The scope of general surgery practice has evolved tremendously in the last 20 years. However, clinical experience in general surgery residency training has undergone relatively little change. OBJECTIVE: To evaluate the current scope of academic general surgery and its implications on surgical residency. DESIGN, SETTING, AND PARTICIPANTS: The University HealthSystem Consortium and Association of American Medical Colleges established the Faculty Practice Solution Center (FPSC) to characterize physician productivity...
February 2015: JAMA Surgery
https://www.readbyqxmd.com/read/25519079/additional-procedures-performed-during-elective-colon-surgery-and-their-adverse-impact-on-postoperative-outcomes
#11
Imran Hassan, Paul E Pacheco, Stephen J Markwell, Sajida Ahad
BACKGROUND: The need for additional procedures during a segmental elective colectomy is considered to lead to increased postoperative morbidity, but there have been few data that have validated and quantified this risk. PURPOSE: We hypothesized that patients having additional procedures performed during a segmental colectomy have worse outcomes compared to patients undergoing a colectomy alone. PATIENTS AND METHODS: All patients in the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database who underwent an elective open or laparoscopic segmental colectomy during 2005-2009 and met the inclusion criteria were analyzed...
March 2015: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/25014238/outcomes-of-patients-with-acute-upper-gastrointestinal-nonvariceal-hemorrhage-referred-to-interventional-radiology-for-potential-embolotherapy
#12
Onur Sildiroglu, Jamil Muasher, Bulent Arslan, Saher S Sabri, Wael E Saad, John F Angle, Alan H Matsumoto, Ulku C Turba
PURPOSE: To report the outcomes following catheter angiography with or without embolization in patients with acute upper gastrointestinal nonvariceal hemorrhage (UGINH). MATERIALS AND METHODS: A review of electronic medical records was performed to identify all potential patients for this study between 2001 and 2011. Patients with first-time UGINH who required angiographic localization and endovascular treatment were included. Patients with variceal bleeding and prior surgical or endovascular intervention for the gastrointestinal system were excluded...
September 2014: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/24950640/entrustable-professional-activities-for-gastroenterology-fellowship-training
#13
Suzanne Rose, Oren K Fix, Brijen J Shah, Tamara N Jones, Ronald D Szyjkowski, Brian P Bosworth, Kathy Bull-Henry, Walter Coyle, C Prakash Gyawali, Ayman Koteish, Jane Onken, John Pandolfino, Darrell Pardi, Gautham Reddy, Seth Richter, Thomas J Savides, Robert E Sedlack
No abstract text is available yet for this article.
July 2014: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/24762010/measurement-tools-for-the-diagnosis-of-nasal-septal-deviation-a-systematic-review
#14
REVIEW
Tehnia Aziz, Vincent L Biron, Kal Ansari, Carlos Flores-Mir
OBJECTIVE: To perform a systematic review of measurement tools utilized for the diagnosis of nasal septal deviation (NSD). METHODS: Electronic database searches were performed using MEDLINE (from 1966 to second week of August 2013), EMBASE (from 1966 to second week of August 2013), Web of Science (from 1945 to second week of August 2013) and all Evidence Based Medicine Reviews Files (EBMR); Cochrane Database of Systematic Review (CDSR), Cochrane Central Register of Controlled Trials (CCTR), Cochrane Methodology Register (CMR), Database of Abstracts of Reviews of Effects (DARE), American College of Physicians Journal Club (ACP Journal Club), Health Technology Assessments (HTA), NHS Economic Evaluation Database (NHSEED) till the second quarter of 2013...
2014: Journal of Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/24760732/methodological-quality-of-guidelines-in-gastroenterology
#15
REVIEW
Rui Malheiro, Matilde de Monteiro-Soares, Cesare Hassan, Mário Dinis-Ribeiro
BACKGROUND AND STUDY AIMS: Clinical guidelines are a common feature in modern endoscopy practice and they are being produced faster than ever. However, their methodological quality is rarely assessed. This study evaluated the methodological quality of current clinical guidelines in the field of gastroenterology, with an emphasis on endoscopy. MATERIALS AND METHODS: Practice guidelines published by the American College of Gastroenterology (ACG), American Gastroenterological Association (AGA), American Society for Gastrointestinal Endoscopy (ASGE), European Society of Gastrointestinal Endoscopy (ESGE), British Society of Gastroenterology (BSG), National Institute for Health and Care Excellence (NICE), and the Scottish Intercollegiate Guidelines Network (SIGN) were searched between September and October 2012 and evaluated using the AGREE II (Appraisal of Guidelines for Research and Evaluation) instrument (23 items, scores 1 - 7 for each item; higher scores mean better quality)...
June 2014: Endoscopy
https://www.readbyqxmd.com/read/24711767/quality-metrics-in-endoscopy
#16
Suryakanth R Gurudu, Francisco C Ramirez
Endoscopy has evolved in the past 4 decades to become an important tool in the diagnosis and management of many digestive diseases. Greater focus on endoscopic quality has highlighted the need to ensure competency among endoscopists. A joint task force of the American College of Gastroenterology and the American Society for Gastrointestinal Endoscopy has proposed several quality metrics to establish competence and help define areas of continuous quality improvement. These metrics represent quality in endoscopy pertinent to pre-, intra-, and postprocedural periods...
April 2013: Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/24566725/is-there-a-need-for-bacterial-endocarditis-prophylaxis-in-patients-undergoing-gastrointestinal-endoscopy
#17
Salvatore Patanè
Heart valve repair or replacement is a serious problem. Patients can benefit from an open dialogue between both cardiologists and gastroenterologists for the optimal effective patients care. The focused update on infective endocarditis of the American College of Cardiology/American Heart Association 2008 (ACC/AHA guidelines) and guidelines on the prevention, diagnosis, and treatment of infective endocarditis (new version 2009) of the European Society of Cardiology (ESC guidelines) describe prophylaxis against infective endocarditis (IE) as not recommended for gastroscopy and colonoscopy in the absence of active infection but increasing evidence suggests that the role of IE antibiotic prophylaxis remains a dark side of the cardio-oncology prevention...
April 2014: Journal of Cardiovascular Translational Research
https://www.readbyqxmd.com/read/24496417/the-impact-of-bowel-cleansing-on-follow-up-recommendations-in-average-risk-patients-with-a-normal-colonoscopy
#18
Stacy B Menees, Eric Elliott, Shail Govani, Constantinos Anastassiades, Stephanie Judd, Annette Urganus, Suzanna Boyce, Philip Schoenfeld
OBJECTIVES: Repeat colonoscopy in 10 years after a normal screening colonoscopy is recommended in an average-risk patient, and it has been proposed by American Gastroenterological Association (AGA), American College of Gastroenterology (ACG), and American Society for Gastrointestinal Endoscopy (ASGE) as a quality measure. However, there are little quantitative data about adherence to this recommendation or factors that may improve adherence. Our study quantifies adherence to this recommendation and the impact of suboptimal bowel preparation on adherence...
February 2014: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/24487154/bibliometric-analysis-of-scientific-contributions-in-minimally-invasive-general-surgery
#19
REVIEW
Stavros A Antoniou, Konstantinos Lasithiotakis, Oliver O Koch, George A Antoniou, Rudolph Pointner, Frank A Granderath
Publication of scientific articles in peer-reviewed medical journals is considered as a measure of research productivity. The aim of the present study was to quantify the research contributions of different countries in minimally invasive surgery and to critically discuss the results under the prism of recent socioeconomic developments. The electronical archives of 4 major surgical journals (Annals of Surgery, British Journal of Surgery, Journal of the American College of Surgeons, and Surgical Endoscopy) were searched between 2009 and 2012...
February 2014: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/24388018/systematic-analysis-underlying-the-quality-of-the-scientific-evidence-and-conflicts-of-interest-in-interventional-medicine-subspecialty-guidelines
#20
Joseph D Feuerstein, Mona Akbari, Anne E Gifford, Christine M Hurley, Daniel A Leffler, Sunil G Sheth, Adam S Cheifetz
OBJECTIVE: To determine the validity of guidelines published by interventional medical societies. METHODS: We reviewed the interventional medicine subspecialty society websites of the American Association for Bronchology and Interventional Pulmonology (AABIP), American Society of Diagnostic and Interventional Nephrology (ASDIN), American Society for Gastrointestinal Endoscopy (ASGE), and Society for Cardiovascular Angiography and Interventions (SCAI) as of November 15, 2012, for published interventional guidelines...
January 2014: Mayo Clinic Proceedings
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