Forceful balloon dilation: an outpatient procedure for achalasia.

Abstract:

:The initial treatment of choice in patients with achalasia is balloon dilation. Heretofore, this procedure was performed on an in-hospital basis resulting in high patient cost. This study evaluated the safety and efficacy of pneumatic dilation as an outpatient procedure. Sixty-one procedures were performed on 50 patients at two centers. An overall treatment success rate of 95% (47 of 50 patients) was achieved. Two patients had elective surgical treatment and a third underwent surgery for perforation secondary to dilation. A total of three patients complained of post-procedure chest pain within 4 hours and were hospitalized. Two had perforations; one required surgical repair. The third patient had resolution of symptoms. We conclude that performing balloon dilation as an outpatient procedure is safe, efficacious, and cost effective.

journal_name

Gastrointest Endosc

authors

Barkin JS,Guelrud M,Reiner DK,Goldberg RI,Phillips RS

doi

10.1016/s0016-5107(90)70964-9

subject

Has Abstract

pub_date

1990-03-01 00:00:00

pages

123-6

issue

2

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(90)70964-9

journal_volume

36

pub_type

杂志文章
  • ERCP in the management of pancreatic diseases in children.

    abstract:BACKGROUND:ERCP experience in pancreatic disorders in children is limited. OBJECTIVE:This study evaluated the utility and efficacy of ERCP in children with pancreatic diseases at a tertiary care referral center. PATIENTS AND SETTINGS:Consecutive patients 18 years of age and younger who underwent ERCP for pancreatic d...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2013.07.060

    authors: Agarwal J,Nageshwar Reddy D,Talukdar R,Lakhtakia S,Ramchandani M,Tandan M,Gupta R,Pratap N,Rao GV

    更新日期:2014-02-01 00:00:00

  • Endoscopic submucosal dissection for early gastric cancer in the remnant stomach after gastrectomy.

    abstract:BACKGROUND:Endoscopic submucosal dissection (ESD) for early gastric cancer (EGC) after surgical gastrectomy is a technically difficult procedure because of the limited working space in the remnant stomach as well as the presence of severe gastric fibrosis and staples under the suture line. OBJECTIVE:We evaluated clini...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2013.02.006

    authors: Nonaka S,Oda I,Makazu M,Haruyama S,Abe S,Suzuki H,Yoshinaga S,Nakajima T,Kushima R,Saito Y

    更新日期:2013-07-01 00:00:00

  • Disposable, sheathed, flexible sigmoidoscopy: a prospective, multicenter, randomized trial. The Disposable Endoscope Study Group.

    abstract::A new fiberoptic sigmoidoscopic system has been developed that utilizes a disposable sheath to cover and protect all working surfaces of the endoscope from contamination. The reusable part of the endoscope has no air, water, or suction/biopsy channels. These are incorporated in the disposable sheath, which is easily r...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1016/s0016-5107(95)70192-3

    authors: Rothstein RI,Littenberg B

    更新日期:1995-06-01 00:00:00

  • Systemic absorption of epinephrine after endoscopic submucosal injection in patients with bleeding peptic ulcers.

    abstract::Epinephrine injection is an effective, simple, and economical method of endoscopic hemostasis for bleeding peptic ulcers. We measured catecholamine levels in 18 patients with actively bleeding ulcers (8 gastric ulcers and 10 duodenal ulcers) treated by endoscopic injection. Injection of epinephrine (1:10,000 IU) was g...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(93)70004-8

    authors: Sung JY,Chung SC,Low JM,Cocks R,Ip SM,Tan P,Leung JW,Li AK,Oh TE

    更新日期:1993-01-01 00:00:00

  • Combined use of a magnifying endoscope with a narrow band imaging system and a multibending endoscope for en bloc EMR of early stage gastric cancer.

    abstract:BACKGROUND:En bloc EMR is performed in Japan as a curative treatment for early stage gastric cancer. However, current methods of EMR are technically difficult and require proficiency in determining the extent of the cancer. This study assessed the feasibility of a new method to obviate these problems and to facilitate ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(04)01285-4

    authors: Sumiyama K,Kaise M,Nakayoshi T,Kato M,Mashiko T,Uchiyama Y,Goda K,Hino S,Nakamura Y,Matsuda K,Mochizuki K,Kawamura M,Tajiri H

    更新日期:2004-07-01 00:00:00

  • Endoscopy and EUS are key for effective surveillance and management of duodenal adenomas in familial adenomatous polyposis.

    abstract:BACKGROUND:Patients with familial adenomatous polyposis (FAP) are prone to developing duodenal adenoma and cancer. Optimal surveillance and management of these adenomas are not well established. OBJECTIVE:We assessed the outcome of FAP patients undergoing intense multimodal surveillance and subsequent endoscopic resec...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2014.08.029

    authors: Gluck N,Strul H,Rozner G,Leshno M,Santo E

    更新日期:2015-04-01 00:00:00

  • The frequency of peptic ulcer as a cause of upper-GI bleeding is exaggerated.

    abstract:BACKGROUND:Peptic ulcer disease is considered the cause of upper-GI bleeding in 50% of cases. A recent decline in the proportion of cases of upper-GI bleeding because of a peptic ulcer was noted by us. The objectives of this study were to evaluate the frequency of peptic ulcer in patients with upper-GI bleeding and the...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(04)00181-6

    authors: Boonpongmanee S,Fleischer DE,Pezzullo JC,Collier K,Mayoral W,Al-Kawas F,Chutkan R,Lewis JH,Tio TL,Benjamin SB

    更新日期:2004-06-01 00:00:00

  • Automatic detection and classification of protruding lesions in wireless capsule endoscopy images based on a deep convolutional neural network.

    abstract:BACKGROUND AND AIMS:Protruding lesions of the small bowel vary in wireless capsule endoscopy (WCE) images, and their automatic detection may be difficult. We aimed to develop and test a deep learning-based system to automatically detect protruding lesions of various types in WCE images. METHODS:We trained a deep convo...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2020.01.054

    authors: Saito H,Aoki T,Aoyama K,Kato Y,Tsuboi A,Yamada A,Fujishiro M,Oka S,Ishihara S,Matsuda T,Nakahori M,Tanaka S,Koike K,Tada T

    更新日期:2020-07-01 00:00:00

  • Gastric endoscopic submucosal dissection assisted by a new traction method: the clip-band technique. A feasibility study in a porcine model (with video).

    abstract:BACKGROUND:Endoscopic submucosal dissection (ESD) is the standard of care for treating gastric intramucosal neoplasias in Japan. However, it is seldom performed in Western countries, mainly because it is technically very challenging. Several traction methods have been proposed to facilitate submucosal dissection, but t...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2011.07.037

    authors: Parra-Blanco A,Nicolas D,Arnau MR,Gimeno-Garcia AZ,Rodrigo L,Quintero E

    更新日期:2011-11-01 00:00:00

  • Variability in cecal intubation rate by calculation method: a call for standardization of key performance indicators in endoscopy.

    abstract:BACKGROUND AND AIMS:The cecal intubation rate (CIR) is a widely accepted key performance indicator (KPI) in colonoscopy but lacks a universal calculation method. We aimed to assess whether differences in CIR calculation methods could have an impact on perceived trainee outcomes. METHODS:A systematic review of CIR calc...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,meta分析

    doi:10.1016/j.gie.2018.12.026

    authors: Siau K,Hodson J,Ravindran S,Rutter MD,Iacucci M,Dunckley P

    更新日期:2019-05-01 00:00:00

  • Characteristics, goals, and motivations of applicants pursuing a fourth-year advanced endoscopy fellowship.

    abstract:BACKGROUND:The number of applications to advanced endoscopy fellowships has increased in past years. There is limited knowledge regarding why gastroenterology fellows pursue interventional/advanced endoscopy (AE) as a career. OBJECTIVE:To explore the characteristics, goals, and motivations of applicants applying for A...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2012.07.025

    authors: Trindade AJ,Gonzalez S,Tinsley A,Kim M,Dimaio CJ

    更新日期:2012-11-01 00:00:00

  • Risk factors for recurrence of primary bile duct stones after endoscopic biliary sphincterotomy.

    abstract:BACKGROUND:Endoscopic biliary sphincterotomy (EST) is a well-established procedure for bile duct stone extraction. Bile duct stones can be classified as primary or secondary. However, few data are available on the recurrence of primary and secondary bile duct stones after EST. Therefore risk factors for the recurrence ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2001.115335

    authors: Kim DI,Kim MH,Lee SK,Seo DW,Choi WB,Lee SS,Park HJ,Joo YH,Yoo KS,Kim HJ,Min YI

    更新日期:2001-07-01 00:00:00

  • Anatomic-manometric correlation of the upper esophageal sphincter: a concurrent US and manometry study.

    abstract:BACKGROUND:The pharyngoesophageal segment commonly referred to as the upper esophageal sphincter (UES) generates a high-pressure zone (HPZ) between the pharynx and the esophagus. However, the exact anatomical components of the UES-HPZ remain incompletely determined. OBJECTIVE:To systematically define the US signature ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2010.04.029

    authors: Hernandez LV,Dua KS,Surapaneni SN,Rittman T,Shaker R

    更新日期:2010-09-01 00:00:00

  • Endoscopic retrieval of magnetic foreign body ingestions with a nasal bridle: description of a novel technique (with video).

    abstract:BACKGROUND AND AIMS:Accidental and intentional foreign body ingestions are common and frequently require endoscopic intervention. Sharp metallic objects pose a risk of perforation to the entire GI tract and are often difficult to visualize among food and other matter in the stomach. METHODS:Three patients with histori...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2019.10.023

    authors: Flynn DJ,Howell D,Rolshud D

    更新日期:2020-02-01 00:00:00

  • Adverse events during monitored anesthesia care for GI endoscopy: an 8-year experience.

    abstract:BACKGROUND:The importance of sedation during endoscopy is well established. There is no consensus about the best techniques for sedation, which specialist should perform it, and in which location. OBJECTIVE:To provide data on the epidemiology of adverse events during sedation for endoscopy. DESIGN:Retrospective analy...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2011.04.028

    authors: Agostoni M,Fanti L,Gemma M,Pasculli N,Beretta L,Testoni PA

    更新日期:2011-08-01 00:00:00

  • A multicenter, U.S. experience of single-balloon, double-balloon, and rotational overtube-assisted enteroscopy ERCP in patients with surgically altered pancreaticobiliary anatomy (with video).

    abstract:BACKGROUND:Data on overtube-assisted enteroscopy to facilitate ERCP in patients with surgically altered pancreaticobiliary anatomy, or long-limb surgical bypass, is limited. OBJECTIVE:To evaluate and compare ERCP success by using single-balloon (SBE), double-balloon (DBE), or rotational overtube enteroscopy. DESIGN:C...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.gie.2012.10.015

    authors: Shah RJ,Smolkin M,Yen R,Ross A,Kozarek RA,Howell DA,Bakis G,Jonnalagadda SS,Al-Lehibi AA,Hardy A,Morgan DR,Sethi A,Stevens PD,Akerman PA,Thakkar SJ,Brauer BC

    更新日期:2013-04-01 00:00:00

  • Endoscopic injection sclerotherapy with doxycycline for mediastinal and esophageal lymphangiohemangioma.

    abstract:BACKGROUND:Lymphangiohemangioma, also called lymphatic-venous or venolymphatic malformation, is a rare malformation of the lymphatics, with vascular elements. These are low-flow vascular lesions. OBJECTIVE:To evaluate the feasibility and efficacy of endoscopic injection sclerotherapy with doxycycline for low-flow vasc...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2007.06.023

    authors: Tang SJ,Sreenarasimhaiah J,Tang L,Rollins N,Purdy PD

    更新日期:2007-12-01 00:00:00

  • Accuracy of assessment of the extent of examination by experienced colonoscopists.

    abstract::One hundred colonoscopies were done. The colonoscopist noted whether the cecum had been intubated as well as the markers used to make this determination. With the colonoscope in position at maximum penetration, a radiologist independently determined its position using fluoroscopy, with a contrast agent delivered throu...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(92)70516-1

    authors: Anderson ML,Heigh RI,McCoy GA,Parent K,Muhm JR,McKee GS,Eversman WG,Collins JM

    更新日期:1992-09-01 00:00:00

  • Transluminal endosurgery: single lumen access anastomotic device for flexible endoscopy.

    abstract:BACKGROUND:Forming anastomoses between two hollow organs at flexible endoscopy might reduce the need for surgery for obstructing malignancy. Current methods require access to both lumens. The aim of this work was to develop methods of forming an anastomosis at flexible endoscopy, such as a gastrojejunostomy or cholecys...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,评审

    doi:10.1016/s0016-5107(03)02006-6

    authors: Fritscher-Ravens A,Mosse CA,Mukherjee D,Mills T,Park PO,Swain CP

    更新日期:2003-10-01 00:00:00

  • Family history of colorectal cancer and prevalence of advanced colorectal neoplasia in asymptomatic screened populations in different age groups.

    abstract:BACKGROUND AND AIMS:The clinical significance of a family history (FH) of colorectal cancer (CRC) in first-degree relatives (FDRs) in CRC screening stratified by different age groups of screened individuals is not fully understood. We investigated the relationship between FH and the presence of advanced colorectal neop...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2020.01.033

    authors: Sekiguchi M,Kakugawa Y,Nakamura K,Matsumoto M,Tomizawa Y,Murakami Y,Saito Y,Matsuda T

    更新日期:2020-06-01 00:00:00

  • Cure with omeprazole plus amoxicillin versus long-term ranitidine therapy in Helicobacter pylori-associated peptic ulcer bleeding.

    abstract:BACKGROUND:Long-term prophylaxis with ranitidine reduces the risk of recurrent bleeding in patients with a history of bleeding peptic ulcers. To date, no randomized study has been performed to compare cure of Helicobacter pylori infection versus H2 blocker prophylaxis in patients with bleeding peptic ulcer. METHODS:In...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0016-5107(97)70114-7

    authors: Riemann JF,Schilling D,Schauwecker P,Wehlen G,Dorlars D,Kohler B,Maier M

    更新日期:1997-10-01 00:00:00

  • Overtube-balloon-assisted direct peroral cholangioscopy by using an ultra-slim upper endoscope (with videos).

    abstract:BACKGROUND:The "mother-baby" endoscope system currently used for peroral cholangioscopy (POC) has several limitations. Endoscopic direct cholangioscopy when using an ultra-slim upper endoscope with a guidewire to maintain access has been reported, but appropriate accessories are required to increase the success rate. H...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2008.08.043

    authors: Choi HJ,Moon JH,Ko BM,Hong SJ,Koo HC,Cheon YK,Cho YD,Lee JS,Lee MS,Shim CS

    更新日期:2009-04-01 00:00:00

  • Flumazenil used for reversal of midazolam-induced sedation in endoscopy outpatients.

    abstract::A double-blind, placebo-controlled randomized clinical study was performed in 69 outpatients scheduled for endoscopy and sedated with midazolam to assess the efficacy, safety, and usefulness of flumazenil in reversing the effects of midazolam-induced sedation. Midazolam was administered intravenously before endoscopy ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Bartelsman JF,Sars PR,Tytgat GN

    更新日期:1990-05-01 00:00:00

  • Quantitative assessment of psychomotor recovery after sedation and analgesia for outpatient EGD.

    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

    pub_type: 杂志文章

    doi:10.1067/mge.2002.129609

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

    更新日期:2002-12-01 00:00:00

  • Performance characteristics of unsedated ultrathin video endoscopy in the assessment of the upper GI tract: systematic review and meta-analysis.

    abstract:BACKGROUND AND AIMS:Reports on the performance of unsedated ultrathin endoscopy via the transnasal (uTNE) and transoral (uTOE) routes are conflicting. We aimed to estimate the technical success rate, patient preference, and acceptability of uTNE and uTOE alone and in comparison with conventional EGD (cEGD; with or with...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.gie.2015.07.016

    authors: Sami SS,Subramanian V,Ortiz-Fernández-Sordo J,Saeed A,Singh S,Guha IN,Iyer PG,Ragunath K

    更新日期:2015-11-01 00:00:00

  • A prospective, double-blind trial of somatostatin analog (octreotide) versus glucagon for the inhibition of small intestinal motility during endoscopic retrograde cholangiopancreatography.

    abstract:BACKGROUND:Glucagon is effective when used as an antimotility agent during ERCP, but at high doses it may cause nausea and vomiting. Octreotide acetate, a long-acting synthetic analog of somatostatin, inhibits contractility of the small intestine and is generally well tolerated. The purpose of this study was to determi...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0016-5107(95)70130-3

    authors: Van Dam J,Catalano MF,Ferguson DR,Barnes DS,Zuccaro G Jr,Sivak MV Jr

    更新日期:1995-10-01 00:00:00

  • Nitrous oxide for colonoscopy: a randomized controlled study.

    abstract:BACKGROUND:Intravenous sedation/analgesia for colonoscopy is accompanied with certain risks and postprocedure drowsiness. We sought to determine whether inhaled nitrous oxide (Entonox: 50% nitrous oxide, 50% oxygen) provides adequate analgesia for colonoscopy and the impact of this agent on recovery. METHODS:All patie...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0016-5107(00)70354-3

    authors: Forbes GM,Collins BJ

    更新日期:2000-03-01 00:00:00

  • Disposable versus reusable biopsy forceps: a prospective evaluation of costs.

    abstract:BACKGROUND:Disposable biopsy forceps have been heavily marketed as cost-effective, convenient, and safer to use than conventional forceps. METHODS:In an attempt to define whether disposable or reusable biopsy forceps were cheaper to use, we prospectively evaluated the purchase price, number of uses, repair record, and...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(96)70252-3

    authors: Kozarek RA,Raltz SL,Merriam LD,Sumida SE

    更新日期:1996-01-01 00:00:00

  • Transgastric ventral hernia repair: a controlled study in a live porcine model (with videos).

    abstract:BACKGROUND:Ventral hernia repair is currently performed via open surgery or laparoscopic approach. OBJECTIVE:To develop an alternative ventral hernia repair technique. SETTING:Acute and survival experiments on twelve 50-kg pigs. DESIGN AND INTERVENTIONS:An endoscope was introduced transgastrically into the peritonea...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2008.04.014

    authors: Kantsevoy SV,Dray X,Shin EJ,Buscaglia JM,Magno P,Assumpcao L,Marohn MR,Redan J,Giday SA,Schweitzer MA,Apollo Group.

    更新日期:2009-01-01 00:00:00

  • Endoscopic palliative treatment in pancreatic cancer.

    abstract::Patients with carcinoma of the head of the pancreas will develop obstructive jaundice at some point in their course in 80% to 90% of the cases. Surgical biliary digestive anastomosis carries a high 30-day mortality (20%), and hospitalization may be prolonged for several weeks owing to postoperative morbidity. We attem...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(86)71878-6

    authors: Huibregtse K,Katon RM,Coene PP,Tytgat GN

    更新日期:1986-10-01 00:00:00