Endotoxemia and mediator release during colonoscopy.

Abstract:

BACKGROUND AND STUDY AIMS:Previous clinical and experimental studies have shown evidence of a leakage of whole bacteria and bacterial products after major trauma through the gut barrier. By determining plasma endotoxin levels, products of the arachidonic pathway, interleukin-6, and the endotoxin-neutralizing capacity (ENC) of plasma during colonoscopy, we studied the gut barrier function and the pathogenetic sequelae of mediator release during a minimally invasive procedure. PATIENTS AND METHODS:Thirty-two patients were enrolled in a controlled prospective study. Endotoxin and ENC were determined by a chromogenic modification of the limulus amebocyte lysate test. Prostanoids and interleukin-6 were measured using commercially available ELISA tests. C-reactive protein levels were checked by nephelometry. RESULTS:Twenty-one of the 32 patients had elevated endotoxin plasma levels during colonoscopy. In one patient, gut-derived bacteria were detected in plasma. ENC decreased after 5 min, and thromboxane B2 levels also started to increase at that time. No acute-phase response took place after 24 h. CONCLUSION:During colonoscopy, endotoxin can be detected in blood. ENC measurement was shown to be even more sensitive. The pathogenetic sequelae leading to gut barrier failure remain unclear, because mediator release and endotoxemia, as checked by ENC, took place simultaneously.

journal_name

Endoscopy

journal_title

Endoscopy

authors

Berger D,Boelke E,Stanescu A,Buttenschoen K,Vasilescu C,Seidelmann M,Beger HG

doi

10.1055/s-2007-1005785

subject

Has Abstract

pub_date

1995-11-01 00:00:00

pages

671-5

issue

9

eissn

0013-726X

issn

1438-8812

journal_volume

27

pub_type

临床试验,杂志文章
  • Long-term outcome of endoscopic ultrasound-guided pelvic abscess drainage: a two-center series.

    abstract::Background and study aim Endoscopic ultrasound (EUS)-guided pelvic abscess drainage has been reported but long-term data remain limited. This two-center study evaluated long-term outcome of EUS-guided pelvic abscess drainage. Patients and methods Between May 2003 and December 2015, 37 consecutive patients were treated...

    journal_title:Endoscopy

    pub_type: 杂志文章,多中心研究

    doi:10.1055/s-0042-122011

    authors: Poincloux L,Caillol F,Allimant C,Bories E,Pesenti C,Mulliez A,Faure F,Rouquette O,Dapoigny M,Abergel A,Giovannini M

    更新日期:2017-05-01 00:00:00

  • Computer-aided prediction of polyp histology on white light colonoscopy using surface pattern analysis.

    abstract:BACKGROUND:This study aimed to evaluate a new computational histology prediction system based on colorectal polyp textural surface patterns using high definition white light images. METHODS:Textural elements (textons) were characterized according to their contrast with respect to the surface, shape, and number of bifu...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/a-0732-5250

    authors: Sánchez-Montes C,Sánchez FJ,Bernal J,Córdova H,López-Cerón M,Cuatrecasas M,Rodríguez de Miguel C,García-Rodríguez A,Garcés-Durán R,Pellisé M,Llach J,Fernández-Esparrach G

    更新日期:2019-03-01 00:00:00

  • Three-dimensional determination of gastric ulcer size with laser endoscopy.

    abstract::We have developed a new endoscopic system for measuring the three-dimensional structure of the gastric ulcer. The system consists of an argon ion laser generator, a side-viewing endoscope with diffraction grating made of glass fibers, and a graphic processing unit. Via a fiber grating fitted in the tip of the endoscop...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018189

    authors: Yamaguchi M,Okazaki Y,Yanai H,Takemoto T

    更新日期:1988-09-01 00:00:00

  • Endoscopic removal of colonic lipoma.

    abstract::A 71-year-old female with symptomatic colonic lipoma is described. An uneventful colonoscopic removal of the lipoma was performed. Colonoscopic removal of symptomatic pedunculated submucosal colonic lipoma may be recommended. ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1021668

    authors: Bar-Meir S,Halla A,Baratz M

    更新日期:1981-05-01 00:00:00

  • A prospective study of fully covered metal stents for different types of refractory benign biliary strictures.

    abstract:BACKGROUND:While endoscopic management of benign biliary strictures (BBSs) is the standard of care, long-term treatment remains the issue in refractory cases, especially for anastomotic strictures after living-donor liver transplantation (LDLT) and hepaticojejunostomy anastomotic strictures (HJAS). The aim of this pros...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1055/a-1111-8666

    authors: Sato T,Kogure H,Nakai Y,Ishigaki K,Hakuta R,Saito K,Saito T,Takahara N,Hamada T,Mizuno S,Tada M,Isayama H,Koike K

    更新日期:2020-05-01 00:00:00

  • Gastrointestinal fiberoptic endoscopy in pediatric patients and juveniles.

    abstract::Over a period of 8 years 351 upper gastrointestinal endoscopies and 72 coloscopies were performed in infants, children and juvenile patients. Development of special pediatric instruments provides increasing application even to the youngest patients. Fiberendoscopy is a safe and sensitive diagnostic tool also in the pe...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0028-1098284

    authors: Lux G,Rösch W,Phillip J,Frühmorgen P

    更新日期:1978-08-01 00:00:00

  • A novel and effective delivery method for polyglycolic acid sheets to post-endoscopic submucosal dissection ulcers.

    abstract::Background and aims Shielding methods for post-endoscopic submucosal dissection (ESD) ulcers have delivery-related problems. We developed an enveloped device for this purpose and evaluated its usefulness. Materials and methods Polyglycolic acid (PGA) sheets were delivered to six 3.0-cm ulcers in two resected porcine s...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0042-120997

    authors: Takao T,Takegawa Y,Ono H,Takao M,Oka S,Shinya N,Kutsumi H,Azuma T

    更新日期:2017-04-01 00:00:00

  • Prospective evaluation of patient tolerability, satisfaction with patient information, and complications in endoscopic ultrasonography.

    abstract:BACKGROUND AND STUDY AIMS:Prospective data are lacking on the safety of endoscopic ultrasonography (EUS) and on patient satisfaction with the procedure. We prospectively recorded complications related to EUS in order to establish morbidity and mortality. In addition the levels of patient satisfaction were evaluated, wi...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2005-861142

    authors: Mortensen MB,Fristrup C,Holm FS,Pless T,Durup J,Ainsworth AP,Nielsen HO,Hovendal C

    更新日期:2005-02-01 00:00:00

  • Endoscopic placement of expandable metal stents for biliary strictures--a preliminary report on experience with 33 patients.

    abstract::The main problem with palliative treatment of extrahepatic cholestasis with an endoscopic biliary endoprosthesis is clogging. One of the factors thought to be of importance is the diameter of the stent. In order to avoid being limited by the size of the instrumentation channel of the endoscope, expandable stents have ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1012969

    authors: Huibregtse K,Cheng J,Coene PP,Fockens P,Tytgat GN

    更新日期:1989-11-01 00:00:00

  • Colonoscopy and multidetector-array computed-tomographic colonography: detection rates and feasibility.

    abstract:BACKGROUND AND STUDY AIMS:Computed-tomographic (CT) colonography has been introduced as a minimally invasive colon examination for the detection of colorectal neoplasms. The aim of this study was to compare the performance characteristics of multidetector-array CT colonography (MDCTC) and conventional colonoscopy in a ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2003-41584

    authors: Ginnerup Pedersen B,Christiansen TE,Bjerregaard NC,Ljungmann K,Laurberg S

    更新日期:2003-09-01 00:00:00

  • Dedicated Barrett's surveillance sessions managed by trained endoscopists improve dysplasia detection rate.

    abstract::Background and study aim Barrett's esophagus (BE)-associated dysplasia is an important marker for risk of progression to esophageal adenocarcinoma (EAC) and an indication for endoscopic therapy. However, BE surveillance technique is variable. The aim of this study was to assess the effect of dedicated BE surveillance ...

    journal_title:Endoscopy

    pub_type: 杂志文章,多中心研究

    doi:10.1055/s-0043-103410

    authors: Ooi J,Wilson P,Walker G,Blaker P,DeMartino S,O'Donohue J,Reffitt D,Lanaspre E,Chang F,Meenan J,Dunn JM

    更新日期:2017-06-01 00:00:00

  • Comparison of cap-assisted endoscopy vs. side-viewing endoscopy for examination of the major duodenal papilla: a randomized, controlled, noninferiority crossover study.

    abstract::BACKGROUND : Use of a side-viewing endoscope is currently mandatory to examine the major duodenal papilla; however, previous studies have used cap-assisted endoscopy for complete examination of the papilla. The aim of this study was to compare cap-assisted endoscopy with side-viewing endoscopy for examination of the m...

    journal_title:Endoscopy

    pub_type: 杂志文章,随机对照试验

    doi:10.1055/a-0662-5445

    authors: Abdelhafez M,Phillip V,Hapfelmeier A,Sturm V,Elnegouly M,Dollhopf M,Kassem A,Klare P,Nennstiel S,Schmid RM,von Delius S,Eckel F

    更新日期:2019-05-01 00:00:00

  • The role of video capsule endoscopy in the diagnosis of digestive diseases: a review of current possibilities.

    abstract::Video capsule endoscopy represents a significant advance in the investigation of intestinal diseases. The performance of the procedure and indications are reviewed here in order to establish guidelines for its use, in accordance with current knowledge from the published literature. Capsule endoscopy is performed in pa...

    journal_title:Endoscopy

    pub_type: 杂志文章,评审

    doi:10.1055/s-2004-825868

    authors: Gay G,Delvaux M,Rey JF

    更新日期:2004-10-01 00:00:00

  • Endoscopic resection in the duodenum: current limitations and future directions.

    abstract::Duodenal lesions that should be considered for endoscopic resection comprise a heterogeneous group of disorders. Most are adenomas, primarily located in the descending duodenum. In comparison to lesions of a similar size elsewhere in the gastrointestinal tract, the risk of major complications from endoscopic resection...

    journal_title:Endoscopy

    pub_type: 杂志文章,评审

    doi:10.1055/s-0032-1326177

    authors: Bourke MJ

    更新日期:2013-01-01 00:00:00

  • Sedation with propofol for interventional endoscopy by trained nurses in high-risk octogenarians: a prospective, randomized, controlled study.

    abstract:BACKGROUND AND STUDY AIMS:Sedation with the short-acting anesthetic agent propofol has shown several advantages, particularly in interventional endoscopy. So far, however, there are no valid data on the safety of nurse-administered propofol sedation (NAPS) during interventional endoscopy in elderly high-risk patients. ...

    journal_title:Endoscopy

    pub_type: 杂志文章,随机对照试验

    doi:10.1055/s-0028-1119671

    authors: Schilling D,Rosenbaum A,Schweizer S,Richter H,Rumstadt B

    更新日期:2009-04-01 00:00:00

  • Endoscopy-assisted emergency treatment of gastroduodenal and pancreatobiliary ascariasis.

    abstract::Five patients with gastrointestinal tract and pancreatobiliary ascariasis presenting as emergency cases are reported here. Two patients presented with hematemesis due to gastric ascariasis, one with abdominal pain due to duodenal ascariasis, and one each with biliary and pancreatic ascariasis manifesting as acute chol...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1005560

    authors: Misra SP,Dwivedi M

    更新日期:1996-09-01 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

  • Endoscopic anti-reflux valve for post-esophagectomy reflux: an animal study.

    abstract::Background and study aims: Gastric reflux into the remnant esophagus after subtotal or partial esophagectomy is associated with impairment in patient quality of life. We evaluated the feasibility, safety, and potential effectiveness of a novel procedure using a new endoscopic suturing device to create an anti-reflux v...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0042-112572

    authors: Yanagimoto Y,Yamasaki M,Nagase H,Kanemura T,Higashi S,Miyazaki Y,Makino T,Takahashi T,Kurokawa Y,Miyata H,Takiguchi S,Mori M,Doki Y,Nakajima K

    更新日期:2016-12-01 00:00:00

  • Comparison of prophylactic clip and endoloop application for the prevention of postpolypectomy bleeding in pedunculated colonic polyps: a prospective, randomized, multicenter study.

    abstract:BACKGROUND AND STUDY AIMS:The effectiveness of the prophylactic clip for the prevention of postpolypectomy bleeding in pedunculated colonic polyps has not been confirmed. The aim of this prospective, randomized study was to compare the efficacy of prophylactic clip and endoloop application in the prevention of postpoly...

    journal_title:Endoscopy

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1055/s-0034-1365515

    authors: Ji JS,Lee SW,Kim TH,Cho YS,Kim HK,Lee KM,Kim SW,Choi H

    更新日期:2014-07-01 00:00:00

  • Clinical outcome of endoscopic resection for nonampullary duodenal tumors.

    abstract:BACKGROUND AND STUDY AIMS:Compared with any other location in the gastrointestinal tract, the duodenum presents the most challenging site for endoscopic resection. The aim of this study was to analyze the clinical outcomes of duodenal endoscopic resection and to assess the feasibility of the technique as a therapeutic ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0034-1390774

    authors: Nonaka S,Oda I,Tada K,Mori G,Sato Y,Abe S,Suzuki H,Yoshinaga S,Nakajima T,Matsuda T,Taniguchi H,Saito Y,Maetani I

    更新日期:2015-02-01 00:00:00

  • Methylene blue dye spraying method in patients with ulcerative proctitis: a comparative study with morphological findings and functional capacity of the rectal epithelium.

    abstract::Methylene Blue dye spraying method is currently used in the endoscopic assessment of the colonic mucosa of patients with chronic ulcerative proctocolitis. We have assessed the validity of this method in the evaluation of the functional capacity of the rectal mucosa in 17 patients with ulcerative proctitis and in 5 nor...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0028-1098348

    authors: Baldi F,di Febo G,Biasco G,Gizzi G,Ferrarini F,Milazzo G,Barbara L

    更新日期:1979-09-01 00:00:00

  • A further case of submucosal lymphangioma of the duodenum diagnosed during endoscopy.

    abstract::Submucosal lymphangiomas are benign tumors which rarely occur in the gastrointestinal tract. The current report describes the tenth case of a submucosal cavernous-cystic lymphangioma of the duodenum. The diagnosis was made during endoscopy and was confirmed histologically in a biopsy specimen. Following a brief review...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1021740

    authors: Gangl A,Polterauer P,Krepler R,Kumpan W

    更新日期:1980-07-01 00:00:00

  • Transpapillary bile duct drainage with a large-caliber endoprosthesis.

    abstract::A new method for transpapillary bile duct drainage by means of a large-caliber endoprosthesis is described. It facilitates the transpapillary introduction of endoprostheses with an internal diameter of 3.5 to 5 mm irrespective of the actual diameter of the duodenoscope instrument channel. The method has been successfu...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1021542

    authors: Kautz G

    更新日期:1983-09-01 00:00:00

  • Does passage of a patency capsule indicate small-bowel patency? A prospective clinical trial?

    abstract:BACKGROUND AND STUDY AIMS:At many centers wireless capsule endoscopy (WCE) without prior radiographic examination to rule out relevant strictures is considered to be contraindicated in suspected obstructive small-bowel disease. However, the accuracy of radiography in this situation has often been questioned. The purpos...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2005-870220

    authors: Boivin ML,Lochs H,Voderholzer WA

    更新日期:2005-09-01 00:00:00

  • Complete bile duct sequestration after liver transplantation, caused by ischemic-type biliary lesions.

    abstract::Ischemic-type biliary lesions (ITBLs) are the most frequent cause of nonanastomotic biliary strictures in liver grafts, affecting about 2-19 % of patients after liver transplantation. ITBL is characterized by bile duct destruction, subsequent stricture formation, and sequestration. We report here the case of a patient...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2003-40242

    authors: Abou-Rebyeh H,Veltzke-Schlieker W,Radke C,Steinmüller T,Wiedenmann B,Hintze RE

    更新日期:2003-07-01 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

  • Development, standardization, and evaluation of NOTES cholecystectomy using a transsigmoid approach in the porcine model: an acute feasibility study.

    abstract:BACKGROUND:Transluminal cholecystectomy is feasible. However, the procedure is time consuming, difficult, and poorly standardized so far. In the present study we therefore aimed to further evaluate and optimize a transsigmoid approach for cholecystectomy with minimal transabdominal assistance in the porcine model. MET...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-966904

    authors: Meining A,Wilhelm D,Burian M,Dundoulakis M,Schneider A,von Delius S,Feussner H

    更新日期:2007-10-01 00:00:00

  • Hemostatic spray powder TC-325 in the primary endoscopic treatment of peptic ulcer-related bleeding: multicenter international registry.

    abstract:BACKGROUND: Upper gastrointestinal bleeding (UGIB) is a leading cause of morbidity and is associated with a 2 % - 17 % mortality rate in the UK and USA. Bleeding peptic ulcers account for 50 % of UGIB cases. Endoscopic intervention in a timely manner can improve outcomes. Hemostatic spray is an endoscopic hemostatic po...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/a-1186-5360

    authors: Hussein M,Alzoubaidi D,Lopez MF,Weaver M,Ortiz-Fernandez-Sordo J,Bassett P,Rey JW,Hayee BH,Despott E,Murino A,Moreea S,Boger P,Dunn J,Mainie I,Graham D,Mullady DK,Early DS,Ragunath K,Anderson JT,Bhandari P,Goetz M

    更新日期:2021-01-01 00:00:00

  • Laparoscopic diagnosis of mesenteric venous thrombosis.

    abstract::Diagnosis of mesenteric venous thrombosis is almost always delayed, due to the aspecificity of the complaints and the clinical findings, as well as the laboratory investigations. Earlier diagnosis is essential to improve the present grim mortality rate. We report a case of mesenteric venous thrombosis in a 25-year-old...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018392

    authors: Serreyn RF,Schoofs PR,Baetens PR,Vandekerckhove D

    更新日期:1986-11-01 00:00:00

  • Endoscopy and antiplatelet agents. European Society of Gastrointestinal Endoscopy (ESGE) Guideline.

    abstract::With the increasing use of antiplatelet agents (APA), their management during the periendoscopic period has become a more common and more difficult problem. The increase in use is due to the availability of new drugs and the widespread use of drug-eluting coronary stents. Acute coronary syndromes can occur when APA th...

    journal_title:Endoscopy

    pub_type: 杂志文章,实务指引

    doi:10.1055/s-0030-1256317

    authors: Boustière C,Veitch A,Vanbiervliet G,Bulois P,Deprez P,Laquiere A,Laugier R,Lesur G,Mosler P,Nalet B,Napoleon B,Rembacken B,Ajzenberg N,Collet JP,Baron T,Dumonceau JM,European Society of Gastrointestinal Endoscopy.

    更新日期:2011-05-01 00:00:00