Gastrointestinal endoscopy clinics of North America
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Endosonography-guided celiac plexus neurolysis is a new technique that permits chemical splanchnicectomy in patients with abdominal pain due to malignancy. The procedure can be performed on an outpatient basis in individuals undergoing endosonographic examinations for staging and biopsy purposes.
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Gastrointest. Endosc. Clin. N. Am. · Apr 1997
ReviewEndoscopic ultrasound-guided fine-needle aspiration biopsy and interventional endoscopic ultrasonography. Emerging technologies.
Endoscopic ultrasonography (EUS) has been shown to be useful in the detection and staging of gastrointestinal and pancreatic malignancies. However, EUS has some limitations including suboptimal specificity in lymph node staging. ⋯ The emergence of EUS-guided fine-needle aspiration (FNA) and other interventional applications of EUS appear likely to increase the clinical utility and cost-effectiveness of this modality. This article reviews recent literature describing the role of EUS in guiding FNA, detecting choledocholithiasis and assisting in interventions such as pseudocyst drainage.
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Gastrointest. Endosc. Clin. N. Am. · Jul 1994
ReviewSedation and monitoring for gastrointestinal endoscopy.
Delivery of safe but effective sedation can be a challenge for the endoscopist. Complications include respiratory depression, aspiration and cardiac arrhythmias, and the cardiopulmonary mortality of endoscopy may exceed that of general anesthesia. ⋯ They must develop a systematic approach to sedation in conjunction with well-trained gastrointestinal assistants and know the limitations of their abilities. These topics are reviewed in this article, and a general approach to sedation is presented.