Gastrointestinal endoscopy
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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.
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Gastrointest. Endosc. · Jun 2013
Comparative Study Observational StudyImpact of fentanyl in lieu of meperidine on endoscopy unit efficiency: a prospective comparative study in patients undergoing EGD.
Turnaround time is an important component of endoscopy unit efficiency. Any reduction in the total time from patient arrival in the endoscopy room to departure from the recovery area may translate into better endoscopy unit efficiency. ⋯ Compared with meperidine, fentanyl in combination with midazolam was associated with significantly shorter total procedure time. By improving the turnaround time, sedation-dependent endoscopy unit efficiency may be improved by 22%.
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Gastrointest. Endosc. · May 2013
Randomized Controlled TrialWater exchange enhanced cecal intubation in potentially difficult colonoscopy. Unsedated patients with prior abdominal or pelvic surgery: a prospective, randomized, controlled trial.
Colonoscopy is widely used for management of colorectal diseases. A history of abdominal or pelvic surgery is a well-recognized factor associated with difficult colonoscopy. Although water exchange colonoscopy (WEC) was effective in small groups of male U.S. veterans with such a history, its application in other cultural settings is uncertain. ⋯ NCT01485133.).
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Gastrointest. Endosc. · Apr 2013
Comparative StudyThe AIMS65 score compared with the Glasgow-Blatchford score in predicting outcomes in upper GI bleeding.
We previously derived and validated the AIMS65 score, a mortality prognostic scale for upper GI bleeding (UGIB). ⋯ The AIMS65 score is superior to the GBRS in predicting inpatient mortality from UGIB, whereas the GBRS is superior for predicting blood transfusion. Both scores are similar in predicting the composite clinical endpoint and other outcomes in clinical care and resource use.
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Gastrointest. Endosc. · Mar 2013
Is the American Society of Anesthesiologists classification useful in risk stratification for endoscopic procedures?
The American Society of Anesthesiologists (ASA) physical status classification is a measurement of comorbidity and a predictor of perioperative morbidity and mortality. ⋯ ASA class is associated with increased risk of adverse events at endoscopy, particularly for EGD and colonoscopy. It is useful in endoscopic risk stratification and an important quality indicator for endoscopy.