Gastrointestinal endoscopy
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Gastrointest. Endosc. · Jul 2008
Multicenter StudyCircumferential ablation of Barrett's esophagus that contains high-grade dysplasia: a U.S. Multicenter Registry.
The management strategies for Barrett's esophagus (BE) that contains high-grade dysplasia (HGD) include intensive endoscopic surveillance, photodynamic therapy, thermal ablation, EMR, and esophagectomy. ⋯ Endoscopic circumferential ablation is a promising modality for the treatment of BE that contains HGD. In this multicenter registry, the intervention safely achieved a CR for HGD in 90.2% of patients at a median of 12 months of follow-up.
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Gastrointest. Endosc. · Jul 2008
Disconnected pancreatic duct syndrome in severe acute pancreatitis: clinical and imaging characteristics and outcomes in a cohort of 31 cases.
Information regarding the natural history, clinical characteristics, and outcomes of disconnected pancreatic duct syndrome (DPDS) is limited. ⋯ Endoscopic treatment temporarily improved DPDS, with a failure rate of 23%. Immediate surgery was not required in all cases. CP and/or pancreatic atrophy occurred relatively shortly after the DPDS diagnosis in 26% and DM in 16% of cases. DPDS did not lead to mortality. Early surgery may be considered after initially stabilizing the fluid collection with endoscopic therapy.
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Gastrointest. Endosc. · Jul 2008
Clinical impact of capsule endoscopy on further strategy and long-term clinical outcome in patients with obscure bleeding.
Capsule endoscopy (CE) is highly effective in detecting small-bowel lesions in patients with obscure GI bleeding (OGIB). Little is known about the impact of CE on further management and outcomes in patients with OGIB. ⋯ A CE has an important impact on a further diagnostic workup, therapeutic strategy, and long-term clinical evolution in patients with OGIB, with a favorable outcome in 66.3% of patients after CE-guided therapy.
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Gastrointest. Endosc. · Jul 2008
Mask adaptor--a novel method of positive pressure ventilation during propofol deep sedation for upper GI endoscopy.
Propofol dosages required for upper GI endoscopy are often high enough to pose serious risks of respiratory depression. Stopping the procedure and bag ventilating a patient until the propofol wears off may be a safer management because traditional mask ventilation is not available. ⋯ By use of the MAUGE, positive pressure ventilation was efficaciously achieved, and desaturation and carbon dioxide retention were effectively avoided during the upper GI endoscopy procedure.