Diagnostic and Therapeutic Endoscopy最新文献_第10页

Disinfection of the Access Orifice in NOTES: Evaluation of the Evidence Base. 《注:证据库评价》中通道孔的消毒。

Diagnostic and Therapeutic Endoscopy Pub Date : 2011-01-01 Epub Date: 2011-07-12 DOI: 10.1155/2011/245175

Mikael H Sodergren, Philip Pucher, James Clark, David R C James, Jenny Sockett, Nagy Matar, Julian Teare, Guang-Zhong Yang, Ara Darzi

{"title":"Disinfection of the Access Orifice in NOTES: Evaluation of the Evidence Base.","authors":"Mikael H Sodergren, Philip Pucher, James Clark, David R C James, Jenny Sockett, Nagy Matar, Julian Teare, Guang-Zhong Yang, Ara Darzi","doi":"10.1155/2011/245175","DOIUrl":"https://doi.org/10.1155/2011/245175","url":null,"abstract":"Introduction. Appropriate prevention of infection is a key area of research in natural orifice translumenal endoscopic surgery (NOTES), as identified by the Natural Orifice Surgery Consortium for Assessment and Research (NOSCAR). Methods. A review of the literature was conducted evaluating the evidence base for access orifice preparation/treatment in NOTES procedures in the context of infectious complications. Recommendations based on the Oxford Centre for Evidence-Based Medicine guidelines were made. Results. The most robust evidence includes several experimental randomised controlled trials assessing infectious complications in the transgastric approach to NOTES. Transvaginal procedures are long established for accessing the peritoneal cavity following disinfection with antiseptic. Only experimental case series for transcolonic and transvesical approaches are described. Conclusion. Grade C recommendation requiring no preoperative preparation can be made for the transgastric approach. Antiseptic irrigation is recommended for transvaginal (grade C) NOTES access, as is current practice. Further human trials need to be conducted to corroborate the current evidence base for transgastric closure. It is important that future trials are conducted in a methodologically robust fashion, with emphasis on clinical outcomes and standardisation of enterotomy closure and postoperative therapy.","PeriodicalId":11288,"journal":{"name":"Diagnostic and Therapeutic Endoscopy","volume":"2011 ","pages":"245175"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2011/245175","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30029021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11

Local resection by combined laparoendoscopic surgery for duodenal gastrointestinal stromal tumor. 腹腔镜联合手术局部切除十二指肠胃肠道间质瘤。

Diagnostic and Therapeutic Endoscopy Pub Date : 2011-01-01 Epub Date: 2011-07-27 DOI: 10.1155/2011/645609

Motohiko Kato, Kiyokazu Nakajima, Toshirou Nishida, Makoto Yamasaki, Tsutomu Nishida, Shusaku Tsutsui, Hideharu Ogiyama, Shunsuke Yamamoto, Takuya Yamada, Masaki Mori, Yuichiro Doki, Norio Hayashi

{"title":"Local resection by combined laparoendoscopic surgery for duodenal gastrointestinal stromal tumor.","authors":"Motohiko Kato, Kiyokazu Nakajima, Toshirou Nishida, Makoto Yamasaki, Tsutomu Nishida, Shusaku Tsutsui, Hideharu Ogiyama, Shunsuke Yamamoto, Takuya Yamada, Masaki Mori, Yuichiro Doki, Norio Hayashi","doi":"10.1155/2011/645609","DOIUrl":"https://doi.org/10.1155/2011/645609","url":null,"abstract":"Combined laparoendoscopic surgery is a novel surgical method which consists of both endoscopic surgery from inside the gastrointestinal tract and laparoscopic surgery from the outside. We report a case of duodenal GIST, in which combined laparoendoscopic local resection was attempted. The lesion was resected endoscopically using endoscopic submucosal dissection technique under laparoscopic assistance. Laparoscope was used for originating the orientation of the tumor, intra-operative EUS, and monitoring serosal injury from the peritoneal cavity. Postoperative hemorrhage occurred; however, precise orientation of the lesion helped us to manage the patient with minimal invasive reoperation. And thus, the bowel integrity was completely preserved, by avoiding segmental duodenal resection and pancreaticoduodenectomy. This novel, less invasive surgical procedure may become an attractive option for the lesions originating in the anatomically challenging portion of the GI tract for endoscopic or laparoscopic surgery alone.","PeriodicalId":11288,"journal":{"name":"Diagnostic and Therapeutic Endoscopy","volume":"2011 ","pages":"645609"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2011/645609","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30049069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 28

Training in EUS-Guided Fine Needle Aspiration: Safety and Diagnostic Yield of Attending Supervised, Trainee-Directed FNA from the Onset of Training. eus引导下的细针抽吸培训:从培训开始就参加有监督的、学员指导的FNA的安全性和诊断率。

Diagnostic and Therapeutic Endoscopy Pub Date : 2011-01-01 Epub Date: 2011-11-24 DOI: 10.1155/2011/378540

Gregory A Coté, Christine E Hovis, Cara Kohlmeier, Tarek Ammar, Abed Al-Lehibi, Riad R Azar, Steven A Edmundowicz, Daniel K Mullady, Hannah Krigman, Lourdes Ylagan, Michael Hull, Dayna S Early

{"title":"Training in EUS-Guided Fine Needle Aspiration: Safety and Diagnostic Yield of Attending Supervised, Trainee-Directed FNA from the Onset of Training.","authors":"Gregory A Coté, Christine E Hovis, Cara Kohlmeier, Tarek Ammar, Abed Al-Lehibi, Riad R Azar, Steven A Edmundowicz, Daniel K Mullady, Hannah Krigman, Lourdes Ylagan, Michael Hull, Dayna S Early","doi":"10.1155/2011/378540","DOIUrl":"https://doi.org/10.1155/2011/378540","url":null,"abstract":"Background. The optimal time to initiate hands-on training in endoscopic ultrasound fine needle aspiration (EUS-FNA) is unclear. We studied the feasibility of initiating EUS-FNA training concurrent with EUS training. Methods. Three supervised trainees were instructed on EUS-FNA technique and allowed hands-on exposure from the onset of training. The trainee and attending each performed passes in no particular order. During trainee FNA, the attending provided verbal instruction as needed but no hands-on assistance. A blinded cytopathologist assessed the adequacy (cellularity) and diagnostic yield of individual passes. Primary outcomes compared cellularity and diagnostic yield of attending versus fellow FNA passes. Results. We analyzed 305 FNA sites, including pancreas (51.2%), mediastinal/upper abdominal lymph node (LN) (28.5%) and others (20.3%). The average proportion of fellow passes with AC was similar to attending FNA-pancreas: 70.3 versus 68.8%; LN: 79.0 versus 81.7%; others 65.5 versus 68.7%; P > 0.05); these did not change significantly during the training period. Among cases with confirmed malignancy (n = 179), the sensitivity of EUS-FNA was 78.8% (68.4% fellow-only versus 69.6% attending only). There were no EUS-FNA complications. Conclusions. When initiated at the onset of EUS training, attending-supervised, trainee-directed FNA is safe and has comparable performance characteristics to attending FNA.","PeriodicalId":11288,"journal":{"name":"Diagnostic and Therapeutic Endoscopy","volume":"2011 ","pages":"378540"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2011/378540","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30352971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 25

Multiple Intestinal Erosions as a Result of Hemorrhage due to Parasites: Case Reports and Review of the Literature. 寄生虫引起的出血导致多发性肠道糜烂:病例报告和文献回顾。

Diagnostic and Therapeutic Endoscopy Pub Date : 2011-01-01 Epub Date: 2011-06-01 DOI: 10.1155/2011/340869

Hannah Pitanga Lukashok, Carlos Robles-Jara, Carlos Robles-Medranda

引用次数: 6

Diagnostic and Therapeutic Endoscopy Pub Date : 2011-01-01 Epub Date: 2011-06-06 DOI: 10.1155/2011/967957

Mohd Talha Noor, Pankaj Dixit, Rakesh Kochhar, Birinder Nagi, Usha Dutta, Kartar Singh, Kuchhangi Suresh Poornachandra

引用次数: 9

Comparison of postoperative complications after endoscopic submucosal dissection: differences of insufflations and anesthesias. 内镜下粘膜下剥离术后并发症的比较:插管与麻醉的差异。

Diagnostic and Therapeutic Endoscopy Pub Date : 2011-01-01 Epub Date: 2011-07-07 DOI: 10.1155/2011/709237

Hirohito Mori, Hideki Kobara, Akemi Muramatsu, Hideyuki Inoue, Mitsuyoshi Kobayashi, Takako Nomura, Masanobu Hagiike, Kunihiko Izuishi, Yasuyuki Suzuki, Jian Gong, Tsutomu Masaki

{"title":"Comparison of postoperative complications after endoscopic submucosal dissection: differences of insufflations and anesthesias.","authors":"Hirohito Mori, Hideki Kobara, Akemi Muramatsu, Hideyuki Inoue, Mitsuyoshi Kobayashi, Takako Nomura, Masanobu Hagiike, Kunihiko Izuishi, Yasuyuki Suzuki, Jian Gong, Tsutomu Masaki","doi":"10.1155/2011/709237","DOIUrl":"https://doi.org/10.1155/2011/709237","url":null,"abstract":"Endoscopic submucosal dissection (ESD) has enabled the collective resection and increased the accuracy of pathological diagnosis. However, ESD requires a long operation time, which results in increased doses of analgesics/sedatives, and causes worsening of respiratory and hemodynamic statuses. To reduce postoperative complications, we have applied ESD with CO(2) insufflation and general anesthesia. This study included 50 patients who underwent ESD for early gastric cancer, 25 with air insufflation and intravenous anesthesia (Air/IV group), and the remaining 25 with CO(2) insufflation and general anesthesia (CO(2)/GA group). Postoperative enlarged feeling of the abdomen was observed only in 1 of 25 patients in the CO(2)/GA group (P = 0.0416). Postoperative severe unrest was observed in none of the patients in the CO(2)/GA group and in 4 of 25 (16%) patients in the Air/IV group (P = 0.0371). CO(2) insufflation and general anesthesia are useful in stabilizing intraoperative conditions and reducing postoperative complications.","PeriodicalId":11288,"journal":{"name":"Diagnostic and Therapeutic Endoscopy","volume":"2011 ","pages":"709237"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2011/709237","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29883669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13

SILS Incisional Hernia Repair: Is It Feasible in Giant Hernias? A Report of Three Cases. SILS切口疝修补术:在巨大疝中是否可行?三例报告

Diagnostic and Therapeutic Endoscopy Pub Date : 2011-01-01 Epub Date: 2011-08-11 DOI: 10.1155/2011/387040

Umut Barbaros, Tugrul Demirel, Aziz Sumer, Ugur Deveci, Mustafa Tukenmez, Mehmet Ibrahim Cansunar, Murat Kalayci, Ahmet Dınccag, Ridvan Seven, Selcuk Mercan

引用次数: 3

Outcomes of sphincter of oddi manometry when performed in low volumes. 在低容量下进行oddi括约肌测压的结果。

Diagnostic and Therapeutic Endoscopy Pub Date : 2011-01-01 Epub Date: 2011-06-02 DOI: 10.1155/2011/435806

John P Rice, Bret J Spier, Deepak V Gopal, Anurag Soni, Mark Reichelderfer, Patrick R Pfau

{"title":"Outcomes of sphincter of oddi manometry when performed in low volumes.","authors":"John P Rice, Bret J Spier, Deepak V Gopal, Anurag Soni, Mark Reichelderfer, Patrick R Pfau","doi":"10.1155/2011/435806","DOIUrl":"https://doi.org/10.1155/2011/435806","url":null,"abstract":"Background. Sphincter of Oddi manometry is a highly specialized procedure associated with an increased risk of procedural complications. Published studies have typically been performed in large volume manometry centers. Objective. To examine the outcomes and complication rate of SOM when performed in small volumes. Design. Retrospective analysis at a tertiary care referral hospital that infrequently performs Sphincter of Oddi manometry. Patient records were reviewed for procedural details, patient outcomes, and complications after sphincter of Oddi manometry. Results. 36 patients, 23 (23 type II sphincter of Oddi dysfunction (SOD), 13 type III SOD) underwent sphincter of Oddi manometry and were followed up for mean of 16 months. Nine Type II patients (90%) with elevated basal sphincter pressures noted symptom improvement after sphincterotomy compared with only 3 patients (43%) of the patients with normal basal pressures. In type III SOD, 7 patients had elevated basal SO pressure and underwent sphincterotomy. Three patients (43%) improved. There were six (16%) procedure-related complications. There were four cases of post ERCP pancreatitis (11%), all of which were mild. Conclusion. In low numbers, sphincter of Oddi manometry can be performed successfully and safely by experienced biliary endoscopists with results that are comparable to large volume centers.","PeriodicalId":11288,"journal":{"name":"Diagnostic and Therapeutic Endoscopy","volume":"2011 ","pages":"435806"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2011/435806","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29998967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

The use of self-expanding plastic stents in the management of oesophageal leaks and spontaneous oesophageal perforations. 自膨胀塑料支架在食管渗漏和自发性食管穿孔治疗中的应用。

Diagnostic and Therapeutic Endoscopy Pub Date : 2011-01-01 Epub Date: 2011-07-07 DOI: 10.1155/2011/418103

L H Moyes, C K Mackay, M J Forshaw

引用次数: 13

EUS-FNA for the Diagnosis of Retroperitoneal Primitive Neuroectodermal Tumor. EUS-FNA对腹膜后原始神经外胚层肿瘤的诊断价值。

Diagnostic and Therapeutic Endoscopy Pub Date : 2011-01-01 Epub Date: 2011-04-06 DOI: 10.1155/2011/198029

Aijaz A Sofi, Ashish D Thekdi, Ali Nawras

引用次数: 8