Gastrointestinal endoscopy
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Gastrointest. Endosc. · Dec 2009
Sedation during endoscopy for patients at risk of obstructive sleep apnea.
Obstructive sleep apnea (OSA) has become increasingly prevalent in the United States and often goes undiagnosed. ⋯ Approximately one third of patients undergoing routine outpatient endoscopic procedures at a university hospital scored as being at high risk of OSA. There was no significant difference in the rates of transient hypoxia between high- and low-risk groups, suggesting that the majority of patients with no diagnosis of OSA can undergo conscious sedation for routine endoscopic procedures with standard monitoring practices.
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Gastrointest. Endosc. · Nov 2009
Randomized Controlled Trial Comparative StudySimulator training improves practical skills in therapeutic GI endoscopy: results from a randomized, blinded, controlled study.
Therapeutic endoscopic procedures are technically challenging and have higher complication rates than diagnostic procedures. Less-experienced practitioners are significantly more likely to have a complication, yet there is very limited evidence of the efficacy of training in such procedures. ⋯ Hands-on skills training significantly improved performance in 3 therapeutic modalities. Knowledge-based teaching alone did not have a measurable effect. These results strongly support the benefit of intensive hands-on, simulation-based courses for endoscopic skills training.
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Gastrointest. Endosc. · Nov 2009
Comparative StudyLong-term outcomes of endoscopic submucosal dissection for superficial esophageal squamous cell neoplasms.
The long-term outcomes of endoscopic submucosal dissection (ESD) for superficial esophageal squamous cell neoplasms (ESCNs) have not been evaluated to date. ⋯ This long-term follow-up study revealed that ESD is a potentially curative treatment for superficial ESCNs. There were substantial risks of perforation and stricture that were successfully managed endoscopically.