Gastrointestinal endoscopy
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Gastrointest. Endosc. · Jul 2008
Clinical impact of capsule endoscopy on further strategy and long-term clinical outcome in patients with obscure bleeding.
Capsule endoscopy (CE) is highly effective in detecting small-bowel lesions in patients with obscure GI bleeding (OGIB). Little is known about the impact of CE on further management and outcomes in patients with OGIB. ⋯ A CE has an important impact on a further diagnostic workup, therapeutic strategy, and long-term clinical evolution in patients with OGIB, with a favorable outcome in 66.3% of patients after CE-guided therapy.
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Gastrointest. Endosc. · Jul 2008
Mask adaptor--a novel method of positive pressure ventilation during propofol deep sedation for upper GI endoscopy.
Propofol dosages required for upper GI endoscopy are often high enough to pose serious risks of respiratory depression. Stopping the procedure and bag ventilating a patient until the propofol wears off may be a safer management because traditional mask ventilation is not available. ⋯ By use of the MAUGE, positive pressure ventilation was efficaciously achieved, and desaturation and carbon dioxide retention were effectively avoided during the upper GI endoscopy procedure.
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Gastrointest. Endosc. · Jun 2008
Comparative StudyEfficiency of propofol versus midazolam and fentanyl sedation at a pediatric teaching hospital: a prospective study.
Many pediatric endoscopists are adopting propofol in their practices, with the expectation that propofol will increase their overall efficiency. ⋯ Anesthesiologist-administered propofol sedation in a pediatric teaching endoscopy unit may not lead to faster hospital times when compared with endoscopist-administered midazolam and fentanyl. These results are not explained by controlling for patient characteristics, the presence of a trainee, the sedative doses, or endotracheal intubation for airway management.
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Gastrointest. Endosc. · Jun 2008
Comparative StudyCost-effectiveness analysis of high-dose omeprazole infusion before endoscopy for patients with upper-GI bleeding.
The use of intravenous (i.v.) proton pump inhibitors (PPI) before an endoscopy in upper-GI bleeding (UGIB) was shown to reduce the need of endoscopic therapy and shorten hospital stay. ⋯ Preemptive use of IV PPI before an endoscopy is a cost-effective strategy in the management of UGIB.