Gastrointestinal endoscopy
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Gastrointest. Endosc. · Dec 2007
Evaluation of capsule endoscopy in active, mild-to-moderate, overt, obscure GI bleeding.
The role of capsule endoscopy (CE) in the diagnosis of active mild-to-moderate GI bleeding (GIB) immediately after a negative EGD and ileocolonoscopy has not been prospectively evaluated. ⋯ CE appeared to have a high diagnostic yield in patients with acute, mild-to-moderate, active hemorrhage of obscure origin when performed in the hospital after a negative standard endoscopic evaluation and has important clinical value in guiding medical management.
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Gastrointest. Endosc. · Oct 2007
Randomized Controlled TrialLidocaine lollipop as single-agent anesthesia in upper GI endoscopy.
Conscious sedation is usually achieved during EGD by a combination of intravenous benzodiazepines and opiates; however, these have potential serious adverse effects. The addition of topical oropharyngeal anesthetics such as lidocaine may be useful. Recent data suggest that the administration of topical lidocaine by means of a lollipop is effective for endotracheal intubation and bronchoscopy. ⋯ Lidocaine lollipop is a promising form of local oropharyngeal anesthesia for EGD. Its use resulted in sparing the use of intravenous sedation. It is well tolerated and safe and may be particularly important in the elderly, patients with comorbidities, and office-based endoscopy.
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Gastrointest. Endosc. · Oct 2007
Randomized Controlled TrialSublingual L-hyoscyamine for duodenal antimotility during ERCP: a prospective randomized double-blinded study.
ERCP is often made difficult by duodenal motility. Glucagon is typically used to inhibit this motility. L-hyoscyamine is an antimuscarinic, anticholinergic agent shown to be a feasible intravenous alternative to glucagon. ⋯ Preprocedure administration of sublingual L-hyoscyamine did not reduce the amount of glucagon required to complete ERCP.