当前位置： SCI文献检索 > GASTROINTESTINAL ENDOSCOPY期刊下所有文献 > Safety of endoscopic interventions in patients with thrombocytopenia.

Safety of endoscopic interventions in patients with thrombocytopenia.

Abstract：

BACKGROUND:The risk of endoscopic interventions in thrombocytopenia has received little attention in the medical literature. OBJECTIVE:The aim of this study was to assess the safety of endoscopic interventions including evaluation of GI bleeding (GIB) in patients with thrombocytopenia. DESIGN AND SETTING:Retrospective study, tertiary oncology center. PATIENTS AND INTERVENTION:Review of consecutive endoscopies with preprocedure platelet counts (PCs) of 75 × 10(3)/μL or lower. MAIN OUTCOME MEASUREMENTS:Risk of bleeding with routine endoscopic interventions and transfusion requirement after evaluation of GIB. RESULTS:A total of 617 (351 upper, 266 lower [90 colonoscopies]) endoscopies were performed in 395 patients. Forceps-biopsy specimens were obtained in 398 endoscopies (mean ± standard deviation [SD] PC: 38.21 ± 11.7 × 10(3)/μL) and 45 polypectomies were performed in 17 endoscopies (mean ± SD PC: 39.65 ± 8.53 × 10(3)/μL). The risk of bleeding was 1.5% (6 of 398 endoscopies) at the biopsy site and 4% (2 of 45 polypectomies) at the polypectomy site. Active GIB (mean ± SD PC: 32.85 ± 4.0 × 10(3)/μL) was observed in 68 (11% of 617) endoscopies and intervention (mean ± SD PC: 33.68 ± 4.6 × 10(3)/μL) was performed in 41 procedures. Together, angiodysplasias and ulcers were the most common etiology (51.2% of 41). Hemostasis was achieved in 39 (95.1% of 41) procedures. Comparison of blood transfusions ± 3 days of successful therapy showed a 52% reduction (P < .001). By multivariate analysis, a higher aggregate blood transfusion 3 days preceding endoscopy (odds ratio 1.32; 95% confidence interval, 1.16-1.50; P < .001) predicted endoscopic findings of active GIB. LIMITATIONS:Retrospective design, single center. CONCLUSIONS:In the largest endoscopic experience reported in thrombocytopenic patients (Common Terminology Criteria for Adverse Events grade 3 or lower), bleeding caused by standard forceps biopsy and polypectomy (≤10 mm) was minor and easily controlled. Endoscopic therapy for GIB is safe and significantly reduces the packed red blood cell requirement and should be considered in patients with thrombocytopenia in the setting of an appropriate transfusion strategy.

journal_name

Gastrointest Endosc

journal_title

Gastrointestinal endoscopy

authors

Krishna SG,Rao BB,Thirumurthi S,Lee JH,Ramireddy S,Guindani M,Ross WA

doi

10.1016/j.gie.2014.02.023

subject

Has Abstract

pub_date

2014-09-01 00:00:00

pages

425-34

issue

3

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(14)00193-X

journal_volume

80

pub_type

杂志文章

相关文献

GASTROINTESTINAL ENDOSCOPY文献大全
  • Feasibility and safety of EUS-guided cryothermal ablation in patients with locally advanced pancreatic cancer.

    abstract：BACKGROUND:New therapies are needed for pancreatic cancer. OBJECTIVE:To determine the feasibility and safety of a new endoscopic treatment. Secondary endpoints were to determine effects on tumor growth measured with CT scan and to find the overall survival. DESIGN:A cohort study of patients with local progression of ...

    journal_title：Gastrointestinal endoscopy

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.gie.2012.08.006

    authors： Arcidiacono PG,Carrara S,Reni M,Petrone MC,Cappio S,Balzano G,Boemo C,Cereda S,Nicoletti R,Enderle MD,Neugebauer A,von Renteln D,Eickhoff A,Testoni PA

    更新日期：2012-12-01 00:00:00

  • Managing the post-liver transplantation anastomotic biliary stricture: multiple plastic versus metal stents: a systematic review.

    abstract：BACKGROUND:Anastomotic biliary strictures (ABSs) are common after liver transplantation, especially with living donors. The strategy of balloon dilation and multiple plastic stents (MPSs) is effective in treating ABSs, but requires multiple ERCPs with the associated risks, cost, and patient burden. Covered self-expanda...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章,评审

    doi：10.1016/j.gie.2013.01.015

    authors： Kao D,Zepeda-Gomez S,Tandon P,Bain VG

    更新日期：2013-05-01 00:00:00

  • Advantage of EUS Trucut biopsy combined with fine-needle aspiration without immediate on-site cytopathologic examination.

    abstract：BACKGROUND:Endoscopic ultrasonographically guided fine-needle aspiration (EUS-FNA) is a safe and accurate method for obtaining diagnostic material from lesions within and immediately adjacent to the upper GI tract. OBJECTIVE:To determine whether EUS Trucut biopsy (EUS-TCB) (Quickcore, Wilson-Cook, Winstom Salem, NC) c...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2006.02.056

    authors： Storch I,Jorda M,Thurer R,Raez L,Rocha-Lima C,Vernon S,Ribeiro A

    更新日期：2006-10-01 00:00:00

  • Endoscopic cryotherapy for the treatment of bleeding mucosal vascular lesions of the GI tract: a pilot study.

    abstract：BACKGROUND:Thermal therapy is the cornerstone of endoscopic treatment of bleeding mucosal lesions of the GI tract. However, there is a 20% failure rate and contact devices may be cumbersome in the treatment of large bleeding areas. A pilot study was conducted to evaluate the safety and efficacy of endoscopic cryotherap...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1067/mge.2003.115

    authors： Kantsevoy SV,Cruz-Correa MR,Vaughn CA,Jagannath SB,Pasricha PJ,Kalloo AN

    更新日期：2003-03-01 00:00:00

  • EUS elastography to predict pancreatic exocrine insufficiency in patients with chronic pancreatitis.

    abstract：BACKGROUND:Diagnosis of pancreatic exocrine insufficiency (PEI) is hindered by methodological difficulties of pancreatic function tests. The probability of PEI in chronic pancreatitis (CP) increases as pancreatic fibrosis develops. Pancreatic fibrosis in CP may be quantified by EUS elastography. OBJECTIVE:To evaluate ...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2014.06.040

    authors： Dominguez-Muñoz JE,Iglesias-Garcia J,Castiñeira Alvariño M,Luaces Regueira M,Lariño-Noia J

    更新日期：2015-01-01 00:00:00

  • Laparoscopic adhesiolysis for recurrent small bowel obstruction: long-term follow-up.

    abstract：BACKGROUND:Recurrent small bowel obstruction caused by postoperative adhesions has traditionally been treated by conventional laparotomy, but laparoscopic management of acute small bowel obstruction has been reported. The aim of this study was to assess the long-term efficacy and clinical outcome of laparoscopic adhesi...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1067/mge.2001.117760

    authors： Sato Y,Ido K,Kumagai M,Isoda N,Hozumi M,Nagamine N,Ono K,Shibusawa H,Togashi K,Sugano K

    更新日期：2001-10-01 00:00:00

  • EUS-guided FNA for the diagnosis of advanced lung cancer.

    abstract：BACKGROUND:A majority of patients with lung cancer are incurable but are symptomatic and may benefit from palliative therapy. Currently available diagnostic methods are either too risky or unsuccessful in obtaining a tissue diagnosis in up to 30% of patients. OBJECTIVE:To evaluate the role of EUS-guided FNA in obtaini...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2005.11.061

    authors： Sawhney MS,Kratzke RA,Lederle FA,Holmstrom AM,Nelson DB,Kelly RF

    更新日期：2006-06-01 00:00:00

  • Decision analysis of prophylactic treatment for patients with high-risk esophageal varices.

    abstract：BACKGROUND:Clinical decision analyses were conducted to quantify the uncertainty and to identify important factors in selection of prophylactic therapy for patients with esophageal varices. METHODS:A Markov model compared variceal ligation, beta-blockers, and "watchful waiting" strategies in terms of bleeding-free lif...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1067/mge.2000.110729

    authors： Aoki N,Kajiyama T,Beck JR,Cone RW,Soma K,Fukui T

    更新日期：2000-12-01 00:00:00

  • American Gastroenterological Association guidelines are inaccurate in detecting pancreatic cysts with advanced neoplasia: a clinicopathologic study of 225 patients with supporting molecular data.

    abstract：BACKGROUND AND AIMS:The American Gastroenterological Association (AGA) recently reported evidence-based guidelines for the management of asymptomatic neoplastic pancreatic cysts. These guidelines advocate a higher threshold for surgical resection than prior guidelines and imaging surveillance for a considerable number ...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2015.12.009

    authors： Singhi AD,Zeh HJ,Brand RE,Nikiforova MN,Chennat JS,Fasanella KE,Khalid A,Papachristou GI,Slivka A,Hogg M,Lee KK,Tsung A,Zureikat AH,McGrath K

    更新日期：2016-06-01 00:00:00

  • EUS-guided drainage of pancreatic fluid collections using a novel lumen-apposing metal stent on an electrocautery-enhanced delivery system: a large retrospective study (with video).

    abstract：BACKGROUND AND AIMS:A lumen-apposing, self-expanding metal stent incorporated in an electrocautery-enhanced delivery system for EUS-guided drainage of pancreatic fluid collections (PFCs) recently has become available. The aim of this study was to analyze the safety and clinical effectiveness of this newly developed dev...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2015.04.006

    authors： Rinninella E,Kunda R,Dollhopf M,Sanchez-Yague A,Will U,Tarantino I,Gornals Soler J,Ullrich S,Meining A,Esteban JM,Enz T,Vanbiervliet G,Vleggaar F,Attili F,Larghi A

    更新日期：2015-12-01 00:00:00

  • Human tissue responses to metal stents implanted in vivo for the palliation of malignant stenoses.

    abstract：BACKGROUND:We sought to determine the histologic effects of metal stent placement on tumor tissue and on normal tissue proximal and distal to the tumor in patients with expandable metal stents implanted in vivo. METHODS:Twelve patients with 10 to 16 mm uncovered Wallstents were studied, 5 with esophageal stents, 4 wit...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(96)70198-0

    authors： Bethge N,Sommer A,Gross U,von Kleist D,Vakil N

    更新日期：1996-06-01 00:00:00

  • Covered versus uncovered self-expandable metal stent for palliation of primary malignant extrahepatic biliary strictures: a randomized multicenter study.

    abstract：BACKGROUND AND AIMS:Self-expandable metal stents (SEMSs) are used to relieve malignant biliary obstructions. We aimed to compare stent patency, the adverse events rate, and overall survival of covered versus uncovered self-conformable metal stents in patients with primary malignant extrahepatic biliary strictures, not ...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.gie.2018.03.029

    authors： Conio M,Mangiavillano B,Caruso A,Filiberti RA,Baron TH,De Luca L,Signorelli S,Crespi M,Marini M,Ravelli P,Conigliaro R,De Ceglie A

    更新日期：2018-08-01 00:00:00

  • Capsule endoscopy in nonresponsive celiac disease.

    abstract：BACKGROUND:Nonresponsive celiac disease (CD) is defined by persistent or recurrent symptoms, common after treatment with a gluten-free diet (GFD). OBJECTIVE:To evaluate the utility of capsule endoscopy (CE) in nonresponsive CD. DESIGN:Case-control study. SETTING:Tertiary-care center. PATIENTS:Forty-two consecutive ...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2011.05.049

    authors： Atlas DS,Rubio-Tapia A,Van Dyke CT,Lahr BD,Murray JA

    更新日期：2011-12-01 00:00:00

  • WITHDRAWN: Endoscopic intervention for acute appendicitis: retrospective study of 101 cases.

    abstract：:This article has been withdrawn at the request of the author(s) and/or editor. The Publisher apologizes for any inconvenience this may cause. The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal. ...

    journal_title：Gastrointestinal endoscopy

    pub_type： 撤回出版物

    doi：10.1016/j.gie.2019.06.012

    authors： Chen Y,Wang M,Chen H,Zhao L,Liu L,Wang X,Huang J,Fan Z

    更新日期：2019-06-19 00:00:00

  • Jumbo biopsy forceps versus cold snares for removing diminutive colorectal polyps: a prospective randomized controlled trial.

    abstract：BACKGROUND AND AIMS:Cold snare polypectomy (CSP) and jumbo forceps polypectomy (JFP) have been shown to be effective for removing diminutive colorectal polyps (DCPs) (≤5 mm). However, no study has compared complete resection rates between CSP and JFP for DCPs. The aim of this study was to compare the efficacy and safet...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.gie.2019.01.016

    authors： Huh CW,Kim JS,Choi HH,Maeng IS,Jun SY,Kim BW

    更新日期：2019-07-01 00:00:00

  • Wire-assisted minor papilla precut papillotomy.

    abstract：BACKGROUND:Deep cannulation of the dorsal duct in patients with pancreas divisum may not be possible, even for the experienced endoscopist. This is a description of a technique to facilitate access to the dorsal duct. METHODS:Patients undergoing dorsal ductography in whom endoscopic therapy was indicated and in whom a...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1067/mge.2001.115474

    authors： Wilcox CM,Mönkemüller KF

    更新日期：2001-07-01 00:00:00

  • Endosonography-guided cholangiopancreatography.

    abstract：BACKGROUND:Detailed imaging of the common bile duct and main pancreatic duct is possible with endosonography. Utilizing a custom manufactured flexible needle, we have developed a technique of performing endosonography-guided cholangiopancreatography (EGCP). METHODS:Of 205 patients undergoing ERCP, complete ductography...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(06)80108-2

    authors： Wiersema MJ,Sandusky D,Carr R,Wiersema LM,Erdel WC,Frederick PK

    更新日期：1996-02-01 00:00:00

  • Endoscopic ultrasonography in the differential diagnosis of pancreatic disease.

    abstract：:Endoscopic ultrasonography was performed in 25 patients with suspected pancreatic disease. Cancer of the pancreas was recognized in 9 of 10 cases with 1 false negative and 2 false positive diagnoses. Chronic pancreatitis was recognized in 89% of cases. Technical difficulties limited the success of the examination in 2...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(89)72761-9

    authors： Kaufman AR,Sivak MV Jr

    更新日期：1989-05-01 00:00:00

  • Immunoglobulin G4-related lymphoplasmacytic sclerosing cholangitis that mimics infiltrating hilar cholangiocarcinoma: part of a spectrum of autoimmune pancreatitis?

    abstract：BACKGROUND:Autoimmune pancreatitis has been designated as sclerosing pancreatocholangitis, because this disease shows a high prevalence of bile-duct lesions. We present herein the clinical characteristics of unusual cases that show dominant bile-duct lesions and mimicking infiltrating hilar cholangiocarcinomas. METHOD...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(05)00561-4

    authors： Hamano H,Kawa S,Uehara T,Ochi Y,Takayama M,Komatsu K,Muraki T,Umino J,Kiyosawa K,Miyagawa S

    更新日期：2005-07-01 00:00:00

  • Success rate of retrograde double-balloon enteroscopy.

    abstract：BACKGROUND:Retrograde double-balloon enteroscopy (rDBE) is technically a different procedure from its antegrade counterpart. Its unique indications, success rate, and learning curve have not been specifically reported. OBJECTIVE:To examine technical issues specific to the rDBE approach. DESIGN:Retrospective review. ...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2006.12.038

    authors： Mehdizadeh S,Han NJ,Cheng DW,Chen GC,Lo SK

    更新日期：2007-04-01 00:00:00

  • The predictive value of small versus diminutive adenomas for subsequent advanced neoplasia.

    abstract：BACKGROUND AND AIMS:Patients with previous colorectal adenomas are at increased risk of colorectal cancer. Current guidelines for postpolypectomy surveillance intervals treat all tubular adenomas 1 to 9 mm in size with low-grade dysplasia as carrying the same level of risk. We evaluated whether 6 to 9 mm adenomas detec...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2019.08.047

    authors： Hartstein JD,Vemulapalli KC,Rex DK

    更新日期：2020-03-01 00:00:00

  • Outcomes of endoscopic resection for superficial duodenal epithelial neoplasia.

    abstract：BACKGROUND AND AIMS:Pancreaticoduodenectomy is an invasive procedure, and endoscopic resection (ER) is an alternative therapy. However, details regarding the outcomes of ER are unknown, especially for superficial duodenal epithelial neoplasia (SDET). The aim of this study was to elucidate the outcomes of ER for SDET an...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2018.05.002

    authors： Yahagi N,Kato M,Ochiai Y,Maehata T,Sasaki M,Kiguchi Y,Akimoto T,Nakayama A,Fujimoto A,Goto O,Uraoka T

    更新日期：2018-10-01 00:00:00

  • Unsedated transnasal endoscopy accurately detects Barrett's metaplasia and dysplasia.

    abstract：BACKGROUND:Unsedated transnasal upper endoscopy has a diagnostic yield comparable with that of sedated conventional upper endoscopy. The ability of transnasal upper endoscopy to detect Barrett's metaplasia or dysplastic change has not been systematically evaluated. The aim of this study was to assess the feasibility of...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1067/mge.2002.128131

    authors： Saeian K,Staff DM,Vasilopoulos S,Townsend WF,Almagro UA,Komorowski RA,Choi H,Shaker R

    更新日期：2002-10-01 00:00:00

  • Comparison of uncovered stent with covered stent for treatment of malignant colorectal obstruction.

    abstract：BACKGROUND:Insertion of self-expandable metallic stents (SEMS) can provide rapid relief of malignant colorectal obstruction and can be used as a palliative treatment or as a bridge to surgery. A SEMS can be classified as an uncovered or covered stent. Both types of stents have their own merits and demerits. OBJECTIVE:...

    journal_title：Gastrointestinal endoscopy

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.gie.2007.02.064

    authors： Lee KM,Shin SJ,Hwang JC,Cheong JY,Yoo BM,Lee KJ,Hahm KB,Kim JH,Cho SW

    更新日期：2007-11-01 00:00:00

  • EUS-derived criteria for distinguishing benign from malignant metastatic solid hepatic masses.

    abstract：BACKGROUND:Detection of hepatic metastases during EUS is an important component of tumor staging. OBJECTIVE:To describe our experience with EUS-guided FNA (EUS-FNA) of solid hepatic masses and derive and validate criteria to help distinguish between benign and malignant hepatic masses. DESIGN:Retrospective study, sur...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2014.10.035

    authors： Fujii-Lau LL,Abu Dayyeh BK,Bruno MJ,Chang KJ,DeWitt JM,Fockens P,Forcione D,Napoleon B,Palazzo L,Topazian MD,Wiersema MJ,Chak A,Clain JE,Faigel DO,Gleeson FC,Hawes R,Iyer PG,Rajan E,Stevens T,Wallace MB,Wang KK,

    更新日期：2015-05-01 00:00:00

  • Asymptomatic pancreatic cystic neoplasm: a cost-effectiveness analysis of different strategies of management.

    abstract：BACKGROUND:Optimal management of asymptomatic pancreatic cystic neoplasm is not known. OBJECTIVE:In a decision analysis, the cost-effectiveness of different strategies for managing solitary, asymptomatic pancreatic cystic neoplasm were compared. INTERVENTION:Three strategies were examined in a Markov model with a thi...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2009.02.013

    authors： Das A,Ngamruengphong S,Nagendra S,Chak A

    更新日期：2009-10-01 00:00:00

  • Case series of intra-abdominal adhesions induced by artificial ulceration after endoscopic submucosal dissection before additional laparoscopic gastrectomy.

    abstract：BACKGROUND:As endoscopic submucosal dissection (ESD) for early gastric cancer (EGC) increases, increasing numbers of patients require additional gastrectomy with lymph node dissection after noncurative ESD. ESD may cause intra-abdominal adhesions, making additional laparoscopic gastrectomy technically difficult. OBJEC...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2010.03.1066

    authors： Akagi T,Shiraishi N,Hiroishi K,Etoh T,Yasuda K,Kitano S

    更新日期：2010-08-01 00:00:00

  • A comparison of transnasal and transoral endoscopy with small-diameter endoscopes in unsedated patients.

    abstract：BACKGROUND:The aim of this study was to compare use and tolerance of transnasal and transoral diagnostic endoscopy with small-diameter endoscopes in unsedated patients. METHODS:Patients being seen for diagnostic endoscopy were randomly assigned to have an unsedated transnasal or transoral procedure. Two prototype narr...

    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(99)70003-9

    authors： Craig A,Hanlon J,Dent J,Schoeman M

    更新日期：1999-03-01 00:00:00

  • Factors that affect gastric passage of video capsule.

    abstract：BACKGROUND:Gastric retention and delayed gastric emptying of the video capsule are major limitations. We retrospectively studied gastric transit time, gastric retention, and completeness of capsule endoscopy (CE) in relation to the conditions in which it was performed. METHODS:From May 2002 to September 2004, CE was p...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2005.07.040

    authors： Ben-Soussan E,Savoye G,Antonietti M,Ramirez S,Lerebours E,Ducrotté P

    更新日期：2005-11-01 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