Gastrointestinal endoscopy
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Gastrointest. Endosc. · Jul 2013
Comparative Study Clinical TrialEffect of peroral endoscopic myotomy on esophagogastric junction physiology in patients with achalasia.
Pneumatic dilation and laparoscopic Heller myotomy improve parameters of esophageal function such as lower esophageal sphincter (LES) pressure, esophageal emptying, and esophagogastric junction (EGJ) distensibility. ⋯ POEM improves esophagogastric function and suggests favorable long-term results based on Eckardt score, esophageal manometry, esophageal emptying, and EGJ distensibility. Long-term follow-up of larger series will determine whether the high rate of reflux esophagitis affects the clinical application of POEM.
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Gastrointest. Endosc. · Jul 2013
Comparative StudyDelay in performing ERCP and adverse events increase the 30-day readmission risk in patients with acute cholangitis.
Readmission to the hospital within 30 days of discharge (30-day readmission rate) is used as a quality measure. ⋯ Delays in performing ERCP during the index admission, development of after-ERCP adverse events, and etiology of cholangitis not related to stones increased the risk of 30-day readmissions.
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Gastrointest. Endosc. · Jul 2013
Endoscopic submucosal dissection for early gastric cancer in the remnant stomach after gastrectomy.
Endoscopic submucosal dissection (ESD) for early gastric cancer (EGC) after surgical gastrectomy is a technically difficult procedure because of the limited working space in the remnant stomach as well as the presence of severe gastric fibrosis and staples under the suture line. ⋯ ESD for EGC in the remnant stomach of patients after gastrectomy was a feasible and effective therapeutic method and should become the standard treatment in such cases, based on the favorable long-term outcomes.