Gastrointestinal endoscopy
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Gastrointest. Endosc. · Sep 2007
Survival of elderly persons undergoing colonoscopy: implications for colorectal cancer screening and surveillance.
In the elderly, the increased prevalence of colorectal neoplasia and the protective effect of colonoscopy may be offset by advancing age and comorbidity. ⋯ In this cohort of elders, age and comorbidity were predictors of death. The protective effect of younger age lessens as comorbidity increases. These findings may have important implications for CRC screening and surveillance in elders.
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Gastrointest. Endosc. · Sep 2007
Randomized Controlled TrialPremedication with orally administered lorazepam in adults undergoing ERCP: a randomized double-blind study.
Restlessness often complicates ERCP and may be a reason for premature termination of the procedure. ⋯ The trial failed to show an advantage of an oral premedication with lorazepam. The amount of sedatives administered in the lorazepam group even tended to be higher. A premedication with lorazepam may be counterproductive when followed by sedation containing another benzodiazepine.
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Gastrointest. Endosc. · Sep 2007
Multicenter StudyDiagnosis and treatment of small-bowel stricture by double balloon endoscopy.
The source of small-bowel stricture is often difficult to diagnose due to the difficulty of placing an endoscope into the small bowel. It has recently become possible to examine the entire small bowel and perform balloon dilatation for stricture by means of double balloon endoscopy (DBE). ⋯ DBE appears to be useful for the detection as well as treatment of small-bowel lesions.
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Gastrointest. Endosc. · Sep 2007
Multicenter StudyPropofol sedation during endoscopic procedures: how much staff and monitoring are necessary?
Propofol has been shown to be safe for nonanesthetist use during GI endoscopy. However, published studies involved propofol administration by an additional nurse or used specialized patient monitoring or were carried out in tertiary hospitals. ⋯ An endoscopy team, consisting of 1 physician endoscopist and 1 endoscopy nurse, can safely administer propofol sedation for GI endoscopy in a practice setting without additional staff or specialized monitoring.