Double balloon endoscopy for pancreatic and biliary access in altered anatomy (with videos).

abstract：BACKGROUND:There is increasing interest in the use of propofol, an ultrashort-acting hypnotic agent, for sedation during endoscopic examinations. A protocol was developed for administration of propofol, combined with small doses of midazolam and meperidine, for endoscopic sedation under the direction of a gastroenterol...

journal_title：Gastrointestinal endoscopy

authors： Cohen LB,Dubovsky AN,Aisenberg J,Miller KM

更新日期：2003-11-01 00:00:00

abstract：BACKGROUND AND AIMS:EUS-guided gallbladder drainage (EUS-GBD) is a challenging technique for endoscopists that requires a high level of skill. EUS-GBD is challenging because the gallbladder can be easily collapsed. To resolve this issue, we aimed to develop a retrievable puncture anchor traction (RPAT) method for EUS-G...

journal_title：Gastrointestinal endoscopy

authors： Zhang K,Sun S,Guo J,Wang S,Ge N,Liu X,Wang G

更新日期：2018-12-01 00:00:00

abstract：BACKGROUND:Mechanical lithotripsy has become a well-accepted method of bile duct stone fragmentation and removal. The Olympus lithotripter (Olympus American, Melville, NY) is the standard reusable lithotripter at the institutions that participated in this study. A disposable device with a preassembled pistol grip may p...

journal_title：Gastrointestinal endoscopy

authors： Sorbi D,Van Os EC,Aberger FJ,Derfus GA,Erickson R,Meier P,Nelson D,Nelson P,Shaw M,Gostout CJ

更新日期：1999-02-01 00:00:00

abstract：:The role of noninvasive evaluation of the common bile duct combined with selective preoperative endoscopic retrograde cholangiography and sphincterotomy was prospectively evaluated in 1390 consecutive patients subjected to laparoscopic cholecystectomy. Preoperative common bile duct testing included liver chemistries, ...

journal_title：Gastrointestinal endoscopy

authors： Rieger R,Wayand W

更新日期：1995-07-01 00:00:00

abstract：:Obstruction of the main pancreatic duct with secondary upstream ductal hypertension is one cause of pain in patients with pancreatic cancer. Pancreatic endoscopic stenting and decompression of the pancreatic duct have been effective in the treatment of pain secondary to chronic calcifying pancreatitis and in one case ...

journal_title：Gastrointestinal endoscopy

authors： Costamagna G,Gabbrielli A,Mutignani M,Perri V,Crucitti F

更新日期：1993-11-01 00:00:00

abstract：BACKGROUND AND AIMS:The role of electroacupuncture (EA) in reducing sedative and analgesic requirements during EUS is uncertain. The aim of this study was to investigate the efficacy of EA in reducing procedure-related pain and discomfort during EUS. METHODS:This was a double-blinded randomized controlled study conduc...

journal_title：Gastrointestinal endoscopy

authors： Teoh AYB,Chong CCN,Leung WW,Chan SKC,Tse YK,Ng EKW,Lai PBS,Wu JCY,Lau JYW

更新日期：2018-02-01 00:00:00

abstract：BACKGROUND:Duodenal diverticulum (DD) is a rare cause of upper-GI bleeding. The diagnosis and treatment of DD bleeding (DDB) is challenging. Surgical management was the mainstay of therapy before the 1990s. OBJECTIVE:To evaluate the clinical feature, diagnosis, and management of cases of DDB at our institution and the...

journal_title：Gastrointestinal endoscopy

authors： Chen YY,Yen HH,Soon MS

更新日期：2007-10-01 00:00:00

abstract：BACKGROUND:Urgent colonoscopy is not always the preferred initial intervention in severe lower GI bleeding because of the need for a large volume of oral bowel preparation, the time required for administering the preparation, and concern regarding adequate visualization. OBJECTIVE:To evaluate the feasibility, safety, ...

journal_title：Gastrointestinal endoscopy

authors： Repaka A,Atkinson MR,Faulx AL,Isenberg GA,Cooper GS,Chak A,Wong RC

更新日期：2012-08-01 00:00:00

abstract：:Although the technique of endoscopic reflectance spectrophotometry has been applied in clinical studies, factors that modify the reproducibility of measurements have not been assessed systematically. To determine the limitations of the technique, measurements were made while endoscopic light intensity, systemic oxygen...

journal_title：Gastrointestinal endoscopy

authors： Leung FW,Lo SK,Phan QQ,Leung JW,Yanni GS,Jing J

更新日期：1995-01-01 00:00:00

abstract：BACKGROUND:Diverticulotomy is a standard treatment for Zenker's diverticulum (ZD). This technique was adapted to flexible endoscopy. OBJECTIVE:We report our long-term results of ZD treatment by using flexible endoscopy assisted by a soft diverticuloscope. DESIGN:Follow-up study. SETTING:Academic hospital. Tertiary-c...

journal_title：Gastrointestinal endoscopy

authors： Huberty V,El Bacha S,Blero D,Le Moine O,Hassid S,Devière J

更新日期：2013-05-01 00:00:00

abstract：BACKGROUND:Sedation and analgesia are routinely used to improve patient tolerance for GI endoscopy. Currently, assessment of postprocedure recovery uses cardiovascular and respiratory parameters but not psychomotor function. The two aims of this study were to determine degree of psychomotor recovery after conscious sed...

journal_title：Gastrointestinal endoscopy

authors： Willey J,Vargo JJ,Connor JT,Dumot JA,Conwell DL,Zuccaro G

更新日期：2002-12-01 00:00:00

abstract：BACKGROUND:The magnifying colonoscope allows 100-fold magnified viewing of the colonic surface. METHODS:We examined 2050 colorectal tumorous lesions by magnifying endoscopy, stereomicroscopy, and histopathology and classified these lesions according to pit pattern. Based on stereomicroscopy, lesions with a type 1 or 2...

journal_title：Gastrointestinal endoscopy

authors： Kudo S,Tamura S,Nakajima T,Yamano H,Kusaka H,Watanabe H

更新日期：1996-07-01 00:00:00

abstract：BACKGROUND:Use of colonoscopy is thought to reduce colorectal cancer (CRC) mortality, but its impact at the population level is unclear. OBJECTIVE:To estimate the effect of current colonoscopy use on CRC mortality and its further potential in reducing CRC mortality. DESIGN:Population-level analysis was performed by u...

journal_title：Gastrointestinal endoscopy

authors： Stock C,Knudsen AB,Lansdorp-Vogelaar I,Haug U,Brenner H

更新日期：2011-03-01 00:00:00

abstract：BACKGROUND:Ileoscopy is the criterion standard for mucosal lesions of terminal ileum but is performed in 5% of colonoscopy activity, and the need for training is undefined. OBJECTIVE:To assess the learning curve and skill-keeping line of ileoscopy. DESIGN:Prospective randomized study. SETTING:Single GI endoscopy uni...

journal_title：Gastrointestinal endoscopy

authors： Iacopini G,Frontespezi S,Vitale MA,Villotti G,Bella A,d'Alba L,De Cesare A,Iacopini F

更新日期：2006-02-01 00:00:00

abstract：BACKGROUND:Our objective was to (1) determine whether more complications are reported by patients 30 days after outpatient colonoscopy than are discussed at our monthly morbidity and mortality conferences, (2) identify complications resulting in visits to the emergency department or physician's office or leading to hos...

journal_title：Gastrointestinal endoscopy

authors： Zubarik R,Fleischer DE,Mastropietro C,Lopez J,Carroll J,Benjamin S,Eisen G

更新日期：1999-09-01 00:00:00

abstract：BACKGROUND:No objective measure of the level of sedation is universally accepted. However, bispectral index monitoring is currently used to objectively measure sedation levels in several clinical settings. This study compares the temporal relationship of bispectral index levels versus the Observer's Assessment of Alert...

journal_title：Gastrointestinal endoscopy

authors： Bower AL,Ripepi A,Dilger J,Boparai N,Brody FJ,Ponsky JL

更新日期：2000-08-01 00:00:00

abstract：BACKGROUND:Neoadjuvant chemoradiotherapy followed by surgery is the primary treatment option for patients with locally advanced esophageal cancer. This multicenter phase I trial examined intratumoral injection of TNFerade biologic, an adenoviral vector that expresses the human tumor necrosis factor-α gene, with chemora...

journal_title：Gastrointestinal endoscopy

authors： Chang KJ,Reid T,Senzer N,Swisher S,Pinto H,Hanna N,Chak A,Soetikno R

更新日期：2012-06-01 00:00:00

abstract：BACKGROUND:The nonlifting sign is widely used for evaluating the invasion depth of colorectal tumors, and it is commonly accepted that EMR is contraindicated for colorectal tumors with a nonlifting sign because of the probability of massive submucosal invasion. OBJECTIVE:To identify the clinicopathologic factors that ...

journal_title：Gastrointestinal endoscopy

authors： Han KS,Sohn DK,Choi DH,Hong CW,Chang HJ,Lim SB,Choi HS,Jeong SY,Park JG

更新日期：2008-01-01 00:00:00

abstract：BACKGROUND:EUS determination of lymph nodal spread of intestinal cancer based on imaging alone is problematic. A noninvasive, reliable means of determining tumor spread to lymph nodes is desirable. This study investigated the feasibility of a computer-assisted evaluation of lymph nodes detected by EUS in patients with ...

journal_title：Gastrointestinal endoscopy

authors： Loren DE,Seghal CM,Ginsberg GG,Kochman ML

更新日期：2002-11-01 00:00:00

abstract：BACKGROUND AND AIMS:Many patients with sigmoid volvulus are old with co-morbidities, making elective surgery prohibitive. Colonoscopic management is often successful but volvulus often recurs. We devised a method of colonoscopy-assisted percutaneous sigmoidopexy as an alternative method to prevent recurrence of sigmoid...

journal_title：Gastrointestinal endoscopy

authors： Imakita T,Suzuki Y,Ohdaira H,Urashima M

更新日期：2019-09-01 00:00:00

abstract：BACKGROUND AND AIMS:Combining simethicone (SIM) with a colon preparation agent has been shown to improve mucosal visibility during screening colonoscopy, but its effect on the adenoma detection rate (ADR) remains unclear. SIM is commonly used through the endoscope to eliminate bubbles during endoscopy. However, this pr...

journal_title：Gastrointestinal endoscopy

authors： Moraveji S,Casner N,Bashashati M,Garcia C,Dwivedi A,Zuckerman MJ,Carrion A,Ladd AM

更新日期：2019-07-01 00:00:00

abstract：:In a retrospective study, 33 achalasia patients were treated with dilation therapy using large diameter mercury bougienage (mean, 56 French) and/or pneumatic balloon dilation. Mean follow-up time was 35 months. Mercury bougienage, performed in 20 patients, was successful in 10 (50%) with no complications. Pneumatic di...

journal_title：Gastrointestinal endoscopy

authors： McJunkin B,McMillan WO Jr,Duncan HE Jr,Harman KM,White JJ Jr,McJunkin JE

更新日期：1991-01-01 00:00:00

abstract：BACKGROUND:The significance of the small distal tubular adenoma detected by sigmoidoscopy as a predictor of proximal neoplasm remains controversial. The aim of this study was to examine the prevalence of proximal neoplasms in patients with and without distal neoplasms. METHODS:This is a retrospective study of 3131 asy...

journal_title：Gastrointestinal endoscopy

authors： Ikeda Y,Mori M,Miyazaki M,Yoshizumi T,Maehara Y,Sugimachi K

更新日期：2000-09-01 00:00:00

abstract：BACKGROUND AND AIMS:Capsule endoscopy (CE) can detect lesions outside the scope of ileocolonoscopy in postoperative patients with Crohn's disease (CD). However, the impact of such findings on patient outcomes remains unknown. This study is intended to evaluate the impact of CE findings on clinical management and outcom...

journal_title：Gastrointestinal endoscopy

authors： Han ZM,Qiao WG,Ai XY,Li AM,Chen ZY,Feng XC,Zhang J,Wan TM,Xu ZM,Bai Y,Li MS,Liu SD,Zhi FC

更新日期：2018-06-01 00:00:00

abstract：BACKGROUND:Increasingly, pancreatic stents are being placed to prevent post-ERCP pancreatitis. However, guidewire and stent placement may fail if the duct is small or tortuous, potentially exacerbating the risk. This study assessed the impact of unsuccessful pancreatic stent placement on complications and the efficacy ...

journal_title：Gastrointestinal endoscopy

authors： Freeman ML,Overby C,Qi D

更新日期：2004-01-01 00:00:00

abstract：:Omeprazole is a potent antisecretory drug that acts by inhibiting the gastric proton pump. In the present study, we have observed the effects of this drug on gastrointestinal mucosal perfusion, oxygenation, and hexosamine generation in humans. Sixteen healthy volunteers were included. Gastrointestinal mucosal perfusio...

journal_title：Gastrointestinal endoscopy

authors： Iwao T,Toyonaga A,Shigemori H,Ikegami M,Tanikawa K

更新日期：1995-05-01 00:00:00

abstract：BACKGROUND AND AIMS:Despite a paucity of women occupying leadership positions in academic medicine, studies have shown a higher ratio of female representation in the program director position compared with division chief in multiple specialties. This study aims to determine whether this trend exists in 3-year gastroent...

journal_title：Gastrointestinal endoscopy

authors： Woodward Z,Rodriguez Z,Jou JH,Keyashian K,Chen Y,Thomas CR Jr,Elta GH,D'Souza SL

更新日期：2017-10-01 00:00:00

abstract：BACKGROUND:Endoscopic ultrasound (EUS) guided fine-needle aspiration (FNA) of pancreatic lesions is being increasingly used. Our aim was to determine the safety, accuracy, and clinical utility of EUS-guided FNA in both the diagnosis and staging of pancreatic cancer. METHODS:Forty-four patients (24 men/20 women) had EU...

journal_title：Gastrointestinal endoscopy

authors： Chang KJ,Nguyen P,Erickson RA,Durbin TE,Katz KD

更新日期：1997-05-01 00:00:00

abstract：BACKGROUND:This report describes the development and the clinical evaluation of a novel confocal endomicroscope for obtaining fluorescence images of cellular morphology of the mucosae of the upper- and the lower-GI tract in vivo. The work assessed the feasibility of performing in vivo microscopy at endoscopic examinati...

journal_title：Gastrointestinal endoscopy

authors： Polglase AL,McLaren WJ,Skinner SA,Kiesslich R,Neurath MF,Delaney PM

更新日期：2005-11-01 00:00:00

abstract：BACKGROUND:Direct percutaneous endoscopic jejunostomy (DPEJ) placement succeeds in 72% to 86% of attempts. Failure is most often because of inadequate transillumination or gastroduodenal obstruction. Even in failed cases, patients are exposed to the risks of anesthesia, exploratory percutaneous needle punctures, and th...

journal_title：Gastrointestinal endoscopy

authors： Maple JT,Petersen BT,Baron TH,Harewood GC,Johnson CD,Schmit GD

更新日期：2006-03-01 00:00:00