Gastrointestinal endoscopy
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Gastrointest. Endosc. · Dec 2011
Randomized Controlled Trial Comparative StudyA prospective, randomized study of EUS-guided celiac plexus neurolysis for pancreatic cancer: one injection or two?
The technique of alcohol injection during EUS-guided celiac plexus neurolysis (CPN) in patients with pancreatic cancer-related pain has not been standardized. ⋯ There were no differences in onset or duration of pain relief when either 1 or 2 injections were used. There was no difference in safety or survival between the 2 groups.
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Gastrointest. Endosc. · Dec 2011
Randomized Controlled Trial Multicenter Study Comparative StudyPropofol sedation alone or in combination with pharyngeal lidocaine anesthesia for routine upper GI endoscopy: a randomized, double-blind, placebo-controlled, non-inferiority trial.
In patients undergoing routine upper EGD, propofol is increasingly used without pharyngeal anesthesia because of its excellent sedative properties. It is unclear whether this practice is non-inferior in regard to ease of endoscopic intubation and patient comfort. ⋯ Topical pharyngeal anesthesia reduces the gag reflex in patients sedated with propofol even though it does not seem to have an influence on the ease of the procedure and on patient or endoscopist satisfaction in adequately sedated patients.
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Gastrointest. Endosc. · Dec 2011
Randomized Controlled Trial Comparative StudyNitrous oxide for analgesia in colonoscopy without sedation.
Colonoscopy is associated with pain and discomfort, and intravenous analgesics and sedatives are widely used. There are several disadvantages regarding this practice, including risk of complications, resources demanded, and amnesia after sedation. In spite of promising results in previous studies, nitrous oxide is rarely used at endoscopy centers around the world. ⋯ Nitrous oxide given intermittently is not an effective substitution for intravenous on-demand sedation and analgesics in the setting of colonoscopy without sedation.
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Gastrointest. Endosc. · Dec 2011
Multicenter Study Comparative StudyA simple risk score accurately predicts in-hospital mortality, length of stay, and cost in acute upper GI bleeding.
Although the early use of a risk stratification score in upper GI bleeding is recommended, existing risk scores are not widely used in clinical practice. ⋯ AIMS65 is a simple, accurate risk score that predicts in-hospital mortality, LOS, and cost in patients with acute upper GI bleeding.