The American journal of gastroenterology
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Am. J. Gastroenterol. · Feb 2011
Editorial CommentEditorial: consensus guidelines: method or madness?
Consensus development methodologies are used to develop evidence-based guidelines and include the Delphi process, the nominal group technique, and the National Institutes of Health (NIH) consensus process. Attention to methodology improves the outcomes of the consensus process and better guidelines.
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Am. J. Gastroenterol. · Feb 2011
Federal funding for endoscopic research in the United States: 2003-2008.
Endoscopic research is underfunded compared with other areas of research. In 2003 we evaluated trends in National Institutes of Health (NIH) funding for endoscopic research from 1972 through 2002. Here, we update those trends for 2003-2008. ⋯ Endoscopic research remains underfunded compared with other areas of research.
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Am. J. Gastroenterol. · Dec 2010
Comparative StudyA comparison of optical colonoscopy and CT colonography screening strategies in the detection and recovery of subcentimeter adenomas.
Evidence has shown that computerized tomographic colonography (CTC) and optical colonoscopy (OC) can detect advanced adenomas at an equal rate; however, a comparison of the subcentimeter adenoma detection has not been performed. The objective of this study is to compare CTC and OC screening programs, with a focus on the detection and recovery of subcentimeter adenomas. ⋯ (i) An OC screening program detects and recovers a significant four and a half fold greater number of non-advanced adenomas compared with a CTC screening program. (ii) The primary difference between screening with OC and CTC is the recovery and management of the subcentimeter adenoma.
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Am. J. Gastroenterol. · Dec 2010
EUS-guided broad plexus neurolysis over the superior mesenteric artery using a 25-gauge needle.
Endoscopic ultrasonography (EUS)-guided celiac plexus neurolysis (EUS-CPN) is safe and effective but not beneficial for some patients with extended abdominal cancer. We compared the effectiveness of standard EUS-CPN and EUS-guided broad plexus neurolysis (EUS-BPN) that extends over the superior mesenteric artery (SMA) using a 25-gauge needle. ⋯ Our preliminary data suggested that EUS-BPN using a 25-gauge needle provides patients with advanced abdominal cancer with better pain relief than standard EUS-CPN, and without incurring serious complications. Moreover, it seems that broad neurolysis over the SMA may provide superior analgesia.