A prospective, randomized comparison of the ease and safety of variceal ligation using a multiband vs. a conventional ligation device.

Abstract:

BACKGROUND AND STUDY AIMS:Recent advances in endoscopic technology have led to the development of multiple-banding devices which avoid the use of an overtube in endoscopic variceal ligation. In the present study we prospectively examined the safety and efficacy of one such device compared with the conventional single-band ligator. PATIENTS AND METHODS:A total of 45 patients undergoing band ligation were randomly assigned to receive ligation using conventional techniques (n = 22), or multiband ligation (n = 23). RESULTS:The use of the multiband device was associated with a significant reduction in sedation requirements (midazolam 7.1 mg vs. 9.9 mg, P < 0.01, multiband vs. conventional, respectively), less discomfort (4% vs. 23% severe discomfort, P < 0.05). The total time of the endoscopic session was reduced in the multiband group (8 minutes 25 seconds vs. 12 minutes 21 seconds, P < 0.01), as was the time required for application of all the bands (2 minutes 22 seconds vs. 5 minutes 34 seconds, P < 0.001), and average time taken per individual band application (36 seconds vs. 1 minute 36 secs, P < 0.01). In three patients who underwent ligation using the conventional method, the procedure was stopped because of trauma secondary to overtube application. CONCLUSIONS:Multiband ligation is safer, quicker, and associated with less patient discomfort and morbidity when compared with conventional ligation.

journal_name

Endoscopy

journal_title

Endoscopy

authors

Wong T,Pereira SP,McNair A,Harrison PM

doi

10.1055/s-2000-9617

subject

Has Abstract

pub_date

2000-12-01 00:00:00

pages

931-4

issue

12

eissn

0013-726X

issn

1438-8812

journal_volume

32

pub_type

临床试验,杂志文章,随机对照试验
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    abstract:BACKGROUND AND AIMS:Automatic smoke evacuation has not been feasible inside the gastrointestinal tract as evacuation collapses pneumoviscera. As previously reported, steady pressure automatically controlled endoscopy (SPACE) may resolve this problem. The aims of this study were to clarify the potential dangers of surgi...

    journal_title:Endoscopy

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    doi:10.1055/s-0042-102782

    authors: Takahashi H,Hirota M,Takahashi T,Yamasaki M,Miyazaki Y,Makino T,Kurokawa Y,Takiguchi S,Mori M,Doki Y,Nakajima K

    更新日期:2016-06-01 00:00:00

  • Chromoendoscopy using indigo carmine dye spraying with magnifying observation is the most reliable method for differential diagnosis between non-neoplastic and neoplastic colorectal lesions: a prospective study.

    abstract:BACKGROUND AND AIMS:Differential diagnosis between non-neoplastic and neoplastic lesions is very important at colonoscopy, since removal or biopsy of non-neoplastic polyps wastes time and resources. We therefore conducted a prospective study to examine whether indigo carmine dye spraying with and without magnification ...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1055/s-2004-826039

    authors: Fu KI,Sano Y,Kato S,Fujii T,Nagashima F,Yoshino T,Okuno T,Yoshida S,Fujimori T

    更新日期:2004-12-01 00:00:00

  • 25 years of endoscopic sphincterotomy in Erlangen: assessment of the experience in 3498 patients.

    abstract:BACKGROUND AND STUDY AIMS:The aim of the study was to investigate the evolution of endoscopic sphincterotomy (EST) over a period of 25 years at its birthplace in Erlangen, Germany. PATIENTS AND METHODS:A total of 3498 consecutive ESTs between 1973 and the end of 1997 were reviewed with respect to indications, technolo...

    journal_title:Endoscopy

    pub_type: 历史文章,杂志文章

    doi:10.1055/s-2007-1001439

    authors: Rabenstein T,Schneider HT,Hahn EG,Ell C

    更新日期:1998-11-01 00:00:00

  • Performance measures for ERCP and endoscopic ultrasound: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative.

    abstract::The European Society of Gastrointestinal Endoscopy and United European Gastroenterology present a short list of key performance measures for endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP). We recommend that endoscopy services across Europe adopt the following seven key and one mi...

    journal_title:Endoscopy

    pub_type: 杂志文章,实务指引

    doi:10.1055/a-0749-8767

    authors: Domagk D,Oppong KW,Aabakken L,Czakó L,Gyökeres T,Manes G,Meier P,Poley JW,Ponchon T,Tringali A,Bellisario C,Minozzi S,Senore C,Bennett C,Bretthauer M,Hassan C,Kaminski MF,Dinis-Ribeiro M,Rees CJ,Spada C,Valori R,

    更新日期:2018-11-01 00:00:00

  • Didactic training vs. computer-based self-learning in the prediction of diminutive colon polyp histology by trainees: a randomized controlled study.

    abstract::Background and study aim Experts can accurately predict diminutive polyp histology, but the ideal method to train nonexperts is not known. The aim of the study was to compare accuracy in diminutive polyp histology characterization using narrow-band imaging (NBI) between participants undergoing classroom didactic train...

    journal_title:Endoscopy

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1055/s-0043-116015

    authors: Khan T,Cinnor B,Gupta N,Hosford L,Bansal A,Olyaee MS,Wani S,Rastogi A

    更新日期:2017-12-01 00:00:00

  • Utility of laser-cut covered self-expandable metal stents for unresectable malignant distal biliary obstruction: a single-center experience.

    abstract:BACKGROUND:Few reports have evaluated the effectiveness of laser-cut, covered, self-expandable metal stents (LC-CSEMS) for unresectable malignant distal biliary obstruction (MDBO) and whether reintervention is feasible after placement. We describe our experience with LC-CSEMS placement for unresectable MDBO. METHODS:P...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/a-1149-1700

    authors: Marui S,Uza N,Yamazaki H,Ota S,Nakamura T,Yoshida H,Okada H,Hirano T,Kuwada T,Sogabe Y,Tomono T,Matsumori T,Morita T,Nishikawa Y,Tsuda M,Maruno T,Shiokawa M,Kodama Y,Seno H

    更新日期:2020-08-01 00:00:00

  • Minimally invasive surgery.

    abstract::In 1987, Mouret performed the first laparoscopic cholecystectomy - dramatically changing the history of surgical practice. No other aspect of surgery has developed with such vigor as laparoscopy. Previously, surgeons had attempted to define the maximum level of surgical intervention a patient could withstand - but as ...

    journal_title:Endoscopy

    pub_type: 杂志文章,评审

    doi:10.1055/s-2001-13689

    authors: Rosen M,Ponsky J

    更新日期:2001-04-01 00:00:00

  • Endoscopic injection of ethanolamine as a treatment for achalasia: a first report.

    abstract:BACKGROUND AND STUDY AIMS:The present study aimed to test the hypothesis that endoscopic sclerotherapy may effectively reduce the occurrence of spasm at the level of the gastric cardia, offering an effective treatment for achalasia. PATIENTS AND METHODS:We prospectively treated 33 achalasia patients by repeated inject...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1055/s-2007-1005551

    authors: Moretó M,Ojembarrena E,Rodríguez ML

    更新日期:1996-09-01 00:00:00

  • Wireless pH capsule--yield in clinical practice.

    abstract::Wireless pH monitoring is one of the recent technologies that focus on improving the diagnosis of gastroesophageal reflux disease (GERD). The capsule, which is fixed within the esophagus, transmits data via telemetry to an external receiver. The capsule is usually inserted 6 cm above the squamocolumnar junction during...

    journal_title:Endoscopy

    pub_type: 杂志文章,评审

    doi:10.1055/s-0031-1291541

    authors: Roman S,Mion F,Zerbib F,Benamouzig R,Letard JC,Bruley des Varannes S

    更新日期:2012-03-01 00:00:00

  • The role of gastrointestinal endoscopy in a developing country.

    abstract::Eight-thousand-six-hundred-and-eighty patients were examined endoscopically over a period of six years. Significant pathological lesions were detected in 79.6% of the cases. While duodenal ulcers were seen at the same frequency as in the West, the number of gastric ulcers were considerably fewer, the ratio of gastric ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018321

    authors: Al Nakib B,Radhakrishnan S,Al Liddawi H,Jacob GS,Al Ruwaih A

    更新日期:1986-03-01 00:00:00

  • Endometrial pathological changes after Fallopian ring tubal ligation.

    abstract::Endometrial biopsy was used to study the luteal phase in patients with Fallopian ring (Yoon ring) tubal ligation. Luteal phase insufficiency was found in 9.3% of patients in the study group and in 3.4% of patients in the control group. THe differences are statistically not significant (p = 0.5). The patients with hist...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1021602

    authors: de Cristofaro D,Zancanari C,Fiaccavento S,Pezzoli C

    更新日期:1982-07-01 00:00:00

  • A percussion lithotripter.

    abstract::A mechanical lithotripter producing a percussion action on biliary stones is described. This device seems to be robust and flexible at the same time. Every biliary stone is easily crushed by this lithotripter. Sixty-seven patients have been endoscopically treated with the aid of this probe. ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018387

    authors: Oselladore D,Rossoni R,Stevanato G

    更新日期:1986-11-01 00:00:00

  • Palliative laser therapy.

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    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018301

    authors: Takemoto T,Okazaki Y,Otani T,Tanabe I,Fujimura H,Yoshida T,Fukumoto Y

    更新日期:1987-11-01 00:00:00

  • Predictive value of endoscopic findings in the diagnosis of active intestinal amebiasis.

    abstract::Endoscopic diagnosis of amebic colitis can be difficult because its appearance may mimic other forms of colonic disease. The aim of this study was to identify predictive endoscopic findings for amebic colitis. Patients with suspected amebic colitis based on distinctive endoscopic findings such as aphthae or erosions, ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0031-1291631

    authors: Nagata N,Shimbo T,Akiyama J,Nakashima R,Niikura R,Nishimura S,Yada T,Watanabe K,Oka S,Uemura N

    更新日期:2012-04-01 00:00:00

  • Impact of preprocedure simethicone on adenoma detection rate during colonoscopy: a multicenter, endoscopist-blinded randomized controlled trial.

    abstract:BACKGROUND AND STUDY AIMS:Ideal bowel preparation for colonoscopy requires complete removal of fluid and foam from the colon. Polyethylene glycol (PEG) is widely used for bowel preparation, with antifoaming agents such as simethicone commonly used in combination with PEG. Data on the effect of simethicone on the adenom...

    journal_title:Endoscopy

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1055/s-0043-119213

    authors: Bai Y,Fang J,Zhao SB,Wang D,Li YQ,Shi RH,Sun ZQ,Sun MJ,Ji F,Si JM,Li ZS

    更新日期:2018-02-01 00:00:00

  • Prediction of rebleeding in peptic ulcers by visual stigmata and endoscopic Doppler ultrasound criteria.

    abstract::Following peptic ulcer hemorrhage, the ability to accurately determine those patients at highest risk of rebleeding relies on clinical and endoscopic criteria which are accurate in only a variable proportion of cases. In this study we have assessed prediction of rebleeding in peptic ulcers using a transendoscopic vasc...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1012795

    authors: Fullarton GM,Murray WR

    更新日期:1990-03-01 00:00:00

  • Endoscopic ultrasound-guided bile duct access for rendezvous ERCP drainage in the setting of intradiverticular papilla.

    abstract::Cannulation of an intradiverticular papilla during endoscopic retrograde cholangiopancreatography (ERCP) can be challenging. We present here a technique for endoscopic ultrasound-guided puncture of the common bile duct followed by rendezvous ERCP for biliary drainage through the native intradiverticular papilla. ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2005-861250

    authors: Lai R,Freeman ML

    更新日期:2005-05-01 00:00:00

  • Endoscopic ultrasonography in the diagnosis and staging of pancreatic adenocarcinoma. Results of a prospective study with comparison to ultrasonography and CT scan.

    abstract::Endoscopic ultrasonography (EUS) was compared to ultrasonography (US) and CT scan (CT) in order to evaluate its role in the diagnosis and the locoregional spread assessment of pancreatic cancer. Sixty-four patients suspected of pancreatic cancer were studied prospectively, and the results of imaging techniques were co...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1010273

    authors: Palazzo L,Roseau G,Gayet B,Vilgrain V,Belghiti J,Fékéte F,Paolaggi JA

    更新日期:1993-02-01 00:00:00

  • Surveillance colonoscopy and biopsy in patients with ureterosigmoidostomy.

    abstract::Colonoscopy with biopsy was included in the surveillance of 19 patients with ureterosigmoidostomy, because of the high incidence of colonic carcinoma reported in such cases. The patients were examined 1-6 times, at intervals of 1-2 years, 4-36 years after the urinary diversion. Random biopsies from the distal colon an...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018236

    authors: Berg NO,Fredlund P,Månsson W,Olsson SA

    更新日期:1987-03-01 00:00:00

  • EUS training in a live pig model: does it improve echo endoscope hands-on and trainee competence?

    abstract:BACKGROUND AND STUDY AIM:The learning curve for endoscopic ultrasonography (EUS) is known to be difficult, especially in the field of pancreatic and biliary diseases. The aim of this study was to assess the impact of a live pig model developed for EUS credentialing in France. METHODS:A total of 17 trainees obtained ha...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-966336

    authors: Barthet M,Gasmi M,Boustiere C,Giovannini M,Grimaud JC,Berdah S,Club Francophone d'Echoendoscopie Digestive.

    更新日期:2007-06-01 00:00:00

  • Single-operator method for double-balloon endoscopy: a pilot study.

    abstract::Double-balloon endoscopy (DBE) is a new technique that allows diagnosis and treatment throughout the entire small intestine. We have recently developed a method that allows a single operator to perform DBE, by employing "grip and pinch" and "hold (or 'keep') and slide" techniques. This one-person method obviates the n...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2008-1077545

    authors: Araki A,Tsuchiya K,Okada E,Suzuki S,Oshima S,Okamoto R,Kanai T,Watanabe M

    更新日期:2008-11-01 00:00:00

  • Site and size of bleeding peptic ulcer. Is there any relation to the efficacy of hemostatic sclerotherapy?

    abstract::In 78 patients with high-risk bleeding peptic ulcers (either with active bleeding or non-bleeding visible vessel) endoscopic hemostasis by injection of adrenaline and polidocanol was attempted. Sclerotherapy was performed in 70 (90%) patients. Initial hemostasis was achieved in 35 (94.5%) patients with active bleeding...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1010616

    authors: Brullet E,Campo R,Bedos G,Barcons S,Gubern JM,Bordas JM

    更新日期:1991-03-01 00:00:00

  • Endocytoscopy is a promising modality with high diagnostic accuracy for gastric cancer.

    abstract:BACKGROUND AND STUDY AIM:Endocytoscopy (ECS) enables in vivo microscopic imaging, which allows analysis of mucosal structures at the cellular level; however, limited data are available on the validity of ECS in the stomach. The aim of this study was to evaluate the feasibility of ECS in the diagnosis of early gastric c...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1055/s-0034-1377965

    authors: Kaise M,Ohkura Y,Iizuka T,Kimura R,Nomura K,Kuribayashi Y,Yamada A,Yamashita S,Furuhata T,Kikuchi D,Ogawa O,Matsui A,Mitani T,Hoteya S

    更新日期:2015-01-01 00:00:00

  • Clinical response to dorsal duct drainage via the minor papilla in refractory obstructing chronic calcific pancreatitis.

    abstract::Background and study aims Complete stone removal from the main pancreatic duct might not be achieved in all patients with obstructive chronic calcific pancreatitis. We report our results for endoscopic dorsal pancreatic duct (DPD) bypass of obstructing stones in the ventral pancreatic duct (VPD). Patients and methods ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0042-120996

    authors: Kwon CI,Gromski MA,Sherman S,El Hajj II,Easler JJ,Watkins J,McHenry L,Lehman GA,Fogel EL

    更新日期:2017-04-01 00:00:00

  • Efficacy of bispectral index monitoring as an adjunct to propofol deep sedation for ERCP: a randomized controlled trial.

    abstract:BACKGROUND AND STUDY AIMS:We sought to determine whether bispectral index (BIS) monitoring is a useful adjunct to the administration of propofol titrated to deep sedation, as measured by reductions of doses of propofol administered during endoscopic retrograde cholangiopancreatography (ERCP). PATIENTS AND METHODS:90 c...

    journal_title:Endoscopy

    pub_type: 杂志文章,随机对照试验

    doi:10.1055/s-0029-1215342

    authors: Paspatis GA,Chainaki I,Manolaraki MM,Vardas E,Theodoropoulou A,Tribonias G,Konstantinidis K,Karmiris K,Chlouverakis G

    更新日期:2009-12-01 00:00:00

  • Diagnosis of early gastric cancers in the upper part of the stomach by the endoscopic Congo red-methylene blue test.

    abstract::The clinicopathological features of the early gastric cancers in the upper part of the stomach, and the accuracy of their diagnosis by routine endoscopic examination were examined, and the accuracy of diagnosis of minute and flat cancers in the upper portion of the stomach by routine endoscopic examination and by the ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018556

    authors: Tatsuta M,Iishi H,Okuda S,Taniguchi H

    更新日期:1984-07-01 00:00:00

  • Endoscopic submucosal dissection of early colorectal tumors using a grasping-type scissors forceps: a preliminary clinical study.

    abstract::To reduce the risk of complications related to endoscopic submucosal dissection (ESD), we developed a new grasping-type scissors forceps (GSF), which can grasp and incise the targeted tissue using an electrosurgical current. We prospectively evaluated the efficacy and safety of ESD using GSF for the removal of colorec...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0029-1243973

    authors: Akahoshi K,Okamoto R,Akahane H,Motomura Y,Kubokawa M,Osoegawa T,Nakama N,Chaen T,Oya M,Nakamura K

    更新日期:2010-05-01 00:00:00

  • High definition colonoscopy vs. standard video endoscopy for the detection of colonic polyps: a meta-analysis.

    abstract:BACKGROUND AND STUDY AIMS:High definition colonoscopy may improve adenoma detection rates but studies report conflicting results. The aim of this meta-analysis was to compare the diagnostic yield of colonic polyps between high definition colonoscopy and standard video endoscopy (SVE). METHODS:Various electronic databa...

    journal_title:Endoscopy

    pub_type: 杂志文章,meta分析

    doi:10.1055/s-0030-1256207

    authors: Subramanian V,Mannath J,Hawkey CJ,Ragunath K

    更新日期:2011-06-01 00:00:00

  • Endoscopic management of pancreatic pseudocyst: a long-term follow-up.

    abstract:BACKGROUND AND STUDY AIMS:No studies with real long-term follow-up after endoscopic drainage of pancreatic pseudocysts are available. The present study was undertaken to investigate the long-term outcome of endoscopic management of pancreatic pseudocyst with a minimum follow-up of 2 years. PATIENTS AND METHODS:A total...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2002-20292

    authors: Sharma SS,Bhargawa N,Govil A

    更新日期:2002-03-01 00:00:00

  • Nitinol versus steel partially covered self-expandable metal stent for malignant distal biliary obstruction: a randomized trial.

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    journal_title:Endoscopy

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1055/s-0034-1377936

    authors: Soderlund C,Linder S,Bergenzaun PE,Grape T,Hakansson HO,Kilander A,Lindell G,Ljungman M,Ohlin B,Nielsen J,Rudberg C,Stotzer PO,Svartholm E,Toth E,Frozanpor F

    更新日期:2014-11-01 00:00:00