Endoscopy
-
Multicenter Study Clinical Trial
Prospective multicenter trial of capsule endoscopy in patients with chronic abdominal pain, diarrhea and other signs and symptoms (CEDAP-Plus Study).
On the basis of the published data, capsule endoscopy cannot be recommended in patients whose only symptom is chronic abdominal pain. The present study therefore focused on the diagnostic yield of capsule endoscopy in patients with chronic abdominal pain who were also suffering from additional symptoms. ⋯ Strict patient selection on the basis of additional symptoms or signs is the key to increasing the yield of capsule endoscopy in patients with chronic abdominal pain. Inflammation seemed to be the additional sign with the highest value.
-
Prior studies have suggested that music therapy can provide stress relief and analgesia. In this meta-analysis we focused on the effects of music therapy on patients undergoing gastrointestinal endoscopic procedures. ⋯ Music therapy is an effective tool for stress relief and analgesia in patients undergoing gastrointestinal endoscopic procedures.
-
Computed tomographic colonography (CTC) is a specialized computed tomographic examination that has been optimized for the detection of colorectal polyps. The technology has undergone major advances in recent years and there is emerging consensus that state-of-the-art CTC results in performance characteristics comparable to those of optical colonoscopy for polyps > or = 8 mm in size. Effective polyp detection rests on the quality of several components of the examination, which must all be optimized in order to maintain appropriate sensitivity and specificity, including adequate bowel preparation, good colonic distension, sufficient scanning parameters, and appropriate interpretation. ⋯ The ultimate role of this technique in the screening program continues to evolve. There is currently considerable variability in the materials and methods used in CTC. This article describes the approach used at the University of Wisconsin, which has been validated in a large multicenter screening trial and which is currently used for an active CTC-based colorectal cancer screening program.
-
Randomized Controlled Trial Comparative Study
The effect of sedation on the quality of upper gastrointestinal endoscopy: an investigator-blinded, randomized study comparing propofol with midazolam.
Sedation with propofol is associated with a high acceptance rate in upper gastrointestinal endoscopy. So far, however, there are no valid data on whether the use of propofol can increase the general quality of the endoscopic examination. ⋯ Sedation with propofol might increase the quality of upper endoscopy. This finding may have a significant impact on the selection of the type of sedation, not only in terms of increasing patients' acceptance of the procedure, but also for improving the diagnostic accuracy of upper gastrointestinal endoscopy.