Gastrointestinal endoscopy
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Gastrointest. Endosc. · May 2010
Postpolypectomy bleeding in patients undergoing colonoscopy on uninterrupted clopidogrel therapy.
The risk of postpolypectomy bleeding (PPB) in patients undergoing colonoscopy on uninterrupted clopidogrel therapy has not been established. ⋯ The PPB rate is significantly higher in patients undergoing polypectomy while taking clopidogrel and concomitant aspirin/nonsteroidal anti-inflammatory drugs; however, the risk is small and the outcome is favorable. Routine cessation of clopidogrel in patients before colonoscopy/polypectomy is not necessary.
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Gastrointest. Endosc. · May 2010
Clinical TrialEffect of the BioEnterics intragastric balloon on weight, insulin resistance, and liver steatosis in obese patients.
In obese patients, positioning of the BioEnterics intragastric balloon (BIB) proved beneficial for weight loss, but the effect of the device on ameliorating some components of the metabolic syndrome associated with obesity remains uncertain. ⋯ Treatment was effective in inducing weight loss, improving liver steatosis, and restoring some components of the metabolic syndrome.
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Gastrointest. Endosc. · Apr 2010
Endoscopic submucosal dissection in patients with early esophageal squamous cell carcinoma: results from a prospective Western series.
Although endoscopic submucosal dissection (ESD) is becoming accepted as an established treatment for superficial esophageal squamous cell neoplasia, the majority of data on this endoscopic modality has been provided by Japanese series. ⋯ This Western series study confirms that ESD is a potentially curative treatment for superficial esophageal squamous cell neoplasia. Early and late complication rates were comparable to those of Japanese series. ESD should be probably considered as the treatment of choice in all large lesions amenable to endoscopic treatment.
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Gastrointest. Endosc. · Apr 2010
Nasoenteral feeding tube placement by nurses using an electromagnetic guidance system (with video).
The early institution of feeding in patients who need postpyloric feeding tubes is often hampered by a limited availability of endoscopists experienced in safe tube positioning. ⋯ Postpyloric positioning of feeding tubes by nurses at the bedside without endoscopy is feasible and safe. Nurses may take over some of the tasks of doctors in a time of high endoscopic needs.