Gastrointestinal endoscopy
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Gastrointest. Endosc. · Jan 2002
Randomized Controlled Trial Clinical TrialOutpatient management for low-risk nonvariceal upper GI bleeding: a randomized controlled trial.
Patients with acute nonvariceal upper GI hemorrhage are routinely hospitalized, regardless of clinical status or endoscopic findings. The aim of this study was to compare outcomes for outpatient versus hospital care of patients with nonvariceal upper GI hemorrhage at low risk of recurrent bleeding. ⋯ Outpatient care of patients at low risk for recurrent nonvariceal upper GI hemorrhage is safe and can lead to significant savings in hospital costs.
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Gastrointest. Endosc. · Sep 2001
A prospective study of EUS-guided celiac plexus neurolysis for pancreatic cancer pain.
Celiac plexus neurolysis, a chemical splanchnicectomy of the celiac plexus, is used to treat pain caused by pancreatic cancer. Most commonly, celiac plexus neurolysis is performed percutaneously under CT or fluoroscopic guidance, but can also be performed with EUS. The aim of this study was to prospectively assess the efficacy of EUS celiac plexus neurolysis in the management of pain caused by pancreatic cancer. ⋯ EUS celiac plexus neurolysis is safe and controls pain caused by unresectable pancreatic cancer.
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Gastrointest. Endosc. · Jul 2001
Randomized Controlled Trial Comparative Study Clinical TrialSafer colonoscopy with patient-controlled analgesia and sedation with propofol and alfentanil.
The aim of this study was to assess the efficacy of patient-controlled analgesia and sedation with propofol/alfentanil for colonoscopy compared with continuous drug infusion and conventional nurse-administered medication. ⋯ Patient-controlled administration of propofol and alfentanil for colonoscopy may provide a better margin of safety than conventional administration of midazolam and meperidine and results in a higher level of patient satisfaction and shorter recovery.
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Gastrointest. Endosc. · Jul 2001
Randomized Controlled Trial Comparative Study Clinical TrialPatient-controlled sedation with propofol for colonoscopy.
Patient-controlled sedation (PCS) allows the patient to titrate the dosage of sedative drugs according to need. ⋯ PCS with propofol is effective and results in high patient satisfaction and faster discharge.