Abstract:
BACKGROUND AND STUDY AIMS:The routine utility of fluoroscopy during double-balloon enteroscopy (DBE) via the oral route has been not prospectively evaluated. Up to now, there have been no prospective randomized trials to assess whether fluoroscopy improves outcomes. The aim of this study was to assess the value of fluoroscopy during oral DBE. PATIENTS AND METHODS:A total of 156 patients (88 men, 56.4 %) of mean (standard deviation [SD]) age 56 (19) years were randomly assigned to undergo oral DBE either with or without fluoroscopy. The majority of the patients had obscure gastrointestinal bleeding (n = 96, 62 %). The primary target criteria for the study were postpyloric insertion depth and time required to reach the deepest insertion point. A secondary target criterion was the diagnostic yield achieved. RESULTS:The results in the fluoroscopy and nonfluoroscopy groups did not differ significantly with respect to the mean (SD) insertion depth (fluoroscopy, 284 [89] cm, range 70 - 470 cm; nonfluoroscopy, 256 [86] cm, 40 - 430 cm), the mean time required to reach the deepest point of insertion, or the diagnostic yield achieved. In patients with previous abdominal surgery and during difficult procedures, the mean insertion depth was significantly lower. CONCLUSIONS:Fluoroscopy during DBE via the oral route does not provide a significant gain in insertion depth, advancement time, or diagnostic yield in comparison with nonfluoroscopically guided procedures. In experienced hands, fluoroscopy does not have to be used routinely during oral DBE.
journal_name
Endoscopyjournal_title
Endoscopyauthors
Manner H,May A,Pohl J,Färber M,Ell Cdoi
10.1055/s-0030-1255727subject
Has Abstractpub_date
2010-10-01 00:00:00pages
820-6issue
10eissn
0013-726Xissn
1438-8812journal_volume
42pub_type
杂志文章,随机对照试验相关文献
ENDOSCOPY文献大全abstract:BACKGROUND AND STUDY AIMS:Endoscopic therapy of high-grade dysplasia (HGD) and superficial adenocarcinoma associated with Barrett's esophagus (BE), using Nd:YAG laser, KTP laser, or photodynamic therapy (PDT), has been reported to be effective in a curative role. Argon plasma coagulation (APC) appears to be effective i...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2001-12803
更新日期:2001-03-01 00:00:00
abstract::Three elderly females presenting with iron deficiency anaemia and faecal loss of blood were found to have a macronodular cirrhosis of the liver and an unusual red spotty appearence of the prepyloric antral mucosa. One patient underwent antral resection and the surgical specimen revealed abnormalities of the (sub)mucos...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0028-1098271
更新日期:1978-05-01 00:00:00
abstract::At present, video endoscopic systems (VE) are available from four companies. We have had an opportunity to test these instruments in clinical practice. In principle, all the VE's are similar in that they employ charge coupling devices (CCD-chips) as image sensors, but they differ significantly in CCD chip technology a...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1018255
更新日期:1987-05-01 00:00:00
abstract::Short cicatricial stenoses following surgery of the upper gastrointestinal tract are difficult to treat and have a high recurrence rate. A method of eliminating stenoses endoscopically with the aid of diathermy is described. This method has, to date, been employed in 51 patients, and only a single serious complication...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1018571
更新日期:1984-09-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Hemorrhage is induced in approximately 0.5-12% of endoscopic biliary sphincterotomy (ES) procedures. We prospectively investigated the risk factors for ES-induced hemorrhage and evaluated the safety as well as the effectiveness of endoscopic hemostasis. PATIENTS AND METHODS:The study included...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章
doi:10.1055/s-1999-42
更新日期:1999-08-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Despite the recognized efficacy of sclerotherapy and elastic band ligation in controlling variceal hemorrhage, the results of endoscopic treatment in Child-Pugh class C patients remain poor. The aim of this prospective, controlled, and randomized study was to compare conventional sclerotherapy...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1055/s-2001-14257
更新日期:2001-05-01 00:00:00
abstract::1: ESGE recommends that each center implements a written policy regarding the management of iatrogenic perforations, including the definition of procedures that carry a higher risk of this complication. This policy should be shared with the radiologists and surgeons at each center. 2 : ESGE recommends that in the cas...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/a-1222-3191
更新日期:2020-09-01 00:00:00
abstract::We report 14 patients with tuberculous peritonitis presenting as persistent and exudative ascites. We found a primary site of tuberculous infection in only 10% of the patients. PPD test was positive in 9 patients. Ascitic fluid showed a protein content in excess of 3.5 g/dl. and more than 300 cells/mm3, mainly lymphoc...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1021615
更新日期:1982-09-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Sedation and monitoring practice during colonoscopy varies between centers and over time. Knowledge of current practice is needed to ensure quality of care and help focus future research. The objective of this study was to examine sedation and monitoring practice in endoscopy centers internati...
journal_title:Endoscopy
pub_type: 杂志文章,多中心研究
doi:10.1055/s-2006-925368
更新日期:2006-05-01 00:00:00
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
更新日期:2008-11-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Endoscopic submucosal dissection (ESD) is a technique for "en bloc" resection of superficial tumors of the gastrointestinal tract. In France, experience with this technique is still limited. We wanted to assess the development of ESD in France, with special attention to short term outcomes. P...
journal_title:Endoscopy
pub_type: 杂志文章,多中心研究
doi:10.1055/s-0030-1256413
更新日期:2011-08-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:The nitinol stent is a self-expandable spiral stent made of nickel-titanium alloy. We performed a pilot study to evaluate the method of stent insertion and stent efficacy. PATIENTS AND METHODS:Twenty-eight patients with irresectable malignancy had nitinol stents inserted for obstructive jaund...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1005756
更新日期:1995-09-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Diagnosis of submucosal lesions, pancreatic tumors, and mediastinal or celiac lymph nodes or masses is possible using endoscopic ultrasonography (EUS), but histological confirmation to differentiate between benign and malignant lesions is still required. The aim of this study was to evaluate t...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1005657
更新日期:1995-02-01 00:00:00
abstract:BACKGROUND AND AIMS:Push-enteroscopy is well established in many gastroenterological departments. There is no agreement about whether the use of an overtube is helpful to optimize the depth of insertion. In this prospective and randomized study we investigated the effect of the overtube for push-type enteroscopy. PATI...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1055/s-2001-16208
更新日期:2001-08-01 00:00:00
abstract::The incidence of esophageal tumors, and of adenocarcinoma in particular, has risen markedly in recent years in the developed countries. The use of a variety of histopathological and biological markers is now offering promising prospects for the future. Vertical tumor invasion, intratumoral microvessel density, antimuc...
journal_title:Endoscopy
pub_type: 杂志文章,评审
doi:10.1055/s-2001-11182
更新日期:2001-01-01 00:00:00
abstract::Pharmacological treatment and/or temporary pancreatic stenting can reduce the risk of pancreatitis after endoscopic retrograde cholangiopancreatography. Potential candidates are patients who are at high risk for this complication. Extensive diagnostic work-up is needed for patients with acute recurrent pancreatitis be...
journal_title:Endoscopy
pub_type: 杂志文章,评审
doi:10.1055/s-2002-19391
更新日期:2002-01-01 00:00:00
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
更新日期:1987-03-01 00:00:00
abstract::Background and study aims: To avoid bacterial contamination and tumor seeding during gastrectomy surgery, we developed a nonexposure technique for endoscopic full-thickness resection with laparoscopic assistance. The feasibility and safety of nonexposed endoscopic wall-inversion surgery (NEWS) for gastric subepithelia...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0042-111000
更新日期:2016-11-01 00:00:00
abstract::The present prospective randomized trial has been carried out to assess the efficacy of the endoscopic injection of epinephrine plus polidocanol, in the prompt treatment of upper gastrointestinal bleeding due to peptic lesions. Over a period of one year, 72 patients were admitted to the study. Thirty-six of these unde...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1055/s-2007-1013023
更新日期:1988-11-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Although endoscopic ultrasound (EUS)-guided transmural drainage (EUD) is preferred over conventional transmural drainage (CTD) of pancreatic pseudocysts by endoscopy in many centers, its superiority with respect to technical success and clinical outcome has not yet been demonstrated in a prosp...
journal_title:Endoscopy
pub_type: 杂志文章,随机对照试验
doi:10.1055/s-0029-1215133
更新日期:2009-10-01 00:00:00
abstract::Vascular malformations of the GI tract can be treated by thermal methods, including the YAG laser. The diagnosis of these lesions is not always easy, and it is difficult to evaluate the completeness of therapy of these lesions. We investigated the value of Doppler ultrasound in this respect. The TVD-1 (Key Med) transe...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1018146
更新日期:1988-05-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:To reduce the risk of complications related to the use of knives in endoscopic submucosal dissection (ESD), we developed the Clutch Cutter which can grasp and incise targeted tissue using electrosurgical current, similarly to a biopsy technique. The study aim was to evaluate the efficacy and s...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章
doi:10.1055/s-0033-1344863
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:The curability of endoscopic resection for superficial pharyngeal squamous cell carcinoma (SPSCC) has not been fully elucidated, particularly for lesions invading the subepithelial layer, which carry the risk of metastasis. The aim of this study was to evaluate the curative potential of endosc...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0034-1378107
更新日期:2015-01-01 00:00:00
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
更新日期:2004-12-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Patients undergoing colonoscopy are often sedated with benzodiazepines and long-acting opiates. Since low-dose midazolam also acts synergistically with short-acting propofol, we compared this synergistic sedation with a standard combination of midazolam and the opioid nalbuphine for colonoscop...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1055/s-2000-134
更新日期:2000-03-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Despite ample research on the dysplasia to carcinoma risk in ulcerative colitis, there are scant data on the prevalence of adenomatous polyps in this population. METHODS:The number and histology of all polyps detected at colonoscopies of ulcerative colitis patients aged > 50 during 2006 - 201...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0034-1393119
更新日期:2016-03-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Transluminal closure is fundamental to the safe introduction of natural orifice transluminal endoscopic surgery (NOTES) into humans. Suture, staples, and clips have been used. We aimed to evaluate the acute strength of various gastrotomy and colotomy closure techniques in an ex vivo porcine mo...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-995691
更新日期:2008-05-01 00:00:00
abstract::A pull-through trocar is described which establishes a percutaneous access to the stomach and may immediately be used for endoscopy. The trocar is placed in a similar fashion to PEG probes. The technique was evaluated in animals. Using rigid endoscopes and instruments introduced through the trocar operative manipulati...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1010711
更新日期:1991-11-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:The aim of this study in canines was to investigate the effectiveness and safety of self-expandable metal stents, which were coated with paclitaxel to minimize the tissue response. MATERIALS AND METHODS:14 dogs (5-10 kg) were randomly allocated to two groups. Drug-eluting stents (DES, n = 7) ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0029-1214607
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Primary sclerosing cholangitis (PSC) is associated with the development of cholangiocarcinoma in up to 10 % of patients. Cholangiography or endoscopic tissue sampling does not reliably distinguish between cholangiocarcinoma and a benign dominant bile duct stenosis. The aim of the present study...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2006-925257
更新日期:2006-07-01 00:00:00