Gastrointestinal endoscopy
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Gastrointest. Endosc. · Sep 2008
Randomized Controlled Trial Comparative StudyNurse-administered propofol sedation compared with midazolam and meperidine for EUS: a prospective, randomized trial.
The utility of nurse-administered propofol sedation (NAPS) compared with midazolam and meperidine (M/M) for EUS is not known. ⋯ Compared with M/M, NAPS for an EUS offered a faster sedation induction and full recovery time, higher postprocedure patient satisfaction, and a quicker anticipated return to baseline function. Total costs were similar between the groups.
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Gastrointest. Endosc. · Sep 2008
Multicenter Study Comparative StudyCaustic ingestion in children: is endoscopy always indicated? The results of an Italian multicenter observational study.
The ingestion of caustic substances can represent a serious medical problem in children. ⋯ The results demonstrated that the incidence of patients with third-degree lesions without any early symptoms and/or signs is very low, and an endoscopy could be avoided. The risk of severe damage increases proportionally with the number of signs and symptoms, and an endoscopy is always mandatory in symptomatic patients.
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Gastrointest. Endosc. · Sep 2008
Multicenter Study Clinical TrialAn assessment of computer-assisted personalized sedation: a sedation delivery system to administer propofol for gastrointestinal endoscopy.
Demand for colonoscopy and EGD procedures is increasing. Impediments to performing these examinations persist. Patients perceive these procedures as unpleasant and painful. The use of suboptimal sedatives results in inefficiency in endoscopy practices. Improving sedation methods utilizing precise control of preferred sedatives may increase patient satisfaction and practice efficiency. ⋯ Using CAPS, the endoscopist/nurse teams precisely controlled the administration of propofol achieving minimal to moderate sedation in subjects undergoing colonoscopy and EGD procedures. Mean propofol dosage was low and post-procedure recovery times were rapid. The device performed well when operated by the endoscopist/nurse team, with no device-related adverse events.
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Gastrointest. Endosc. · Sep 2008
Clinical manifestations and management of buried bumper syndrome in patients with percutaneous endoscopic gastrostomy.
Buried bumper syndrome has been regarded as an uncommon and late complication after percutaneous endoscopic gastrostomy (PEG) tube insertion. A variety of techniques have been reported to treat this problem, but only a few published cases exist. ⋯ Buried bumper syndrome is not that uncommon and can occur soon after insertion of a PEG tube. The buried tube can be safely removed by external traction and in most cases can then be replaced with a pull-type or balloon replacement tube.