Diagnostic and Therapeutic Endoscopy最新文献_第2页

Long-Term Endoscopic Follow-Up of Patients with Chronic Radiation Proctopathy after Brachytherapy for Prostate Cancer. 前列腺癌近距离放射治疗后慢性放射直病变患者的长期内镜随访。

Diagnostic and Therapeutic Endoscopy Pub Date : 2016-01-01 Epub Date: 2016-06-09 DOI: 10.1155/2016/1414090

Masahiro Ohtani, Hiroyuki Suto, Takuto Nosaka, Yasushi Saito, Yoshihiko Ozaki, Ryoko Hayama, Tatsushi Naito, Kazuto Takahashi, Kazuya Ofuji, Hidetaka Matsuda, Katsushi Hiramatsu, Tomoyuki Nemoto, Hiroki Shioura, Hirohiko Kimura, Yoshitaka Aoki, Osamu Yokoyama, Yasunari Nakamoto

{"title":"Long-Term Endoscopic Follow-Up of Patients with Chronic Radiation Proctopathy after Brachytherapy for Prostate Cancer.","authors":"Masahiro Ohtani, Hiroyuki Suto, Takuto Nosaka, Yasushi Saito, Yoshihiko Ozaki, Ryoko Hayama, Tatsushi Naito, Kazuto Takahashi, Kazuya Ofuji, Hidetaka Matsuda, Katsushi Hiramatsu, Tomoyuki Nemoto, Hiroki Shioura, Hirohiko Kimura, Yoshitaka Aoki, Osamu Yokoyama, Yasunari Nakamoto","doi":"10.1155/2016/1414090","DOIUrl":"https://doi.org/10.1155/2016/1414090","url":null,"abstract":"Background. Chronic radiation proctopathy (CRP) is late toxicity and associated with morbidity. Aim. To investigate the predictors of prognosis in patients with CRP after brachytherapy (BT). Methods. One hundred four patients with prostate cancer were treated with BT or BT followed by external-beam radiotherapy (BT + EBRT). We retrospectively investigated the 5-year incidence of rectal bleeding and endoscopic findings of CRP using the Vienna Rectoscopy Score (VRS). Twenty patients with VRS ≥ 1 were divided into the improved VRS group without treatment, unchanged VRS group, and treated group. The parameters associated with alteration of VRS were analyzed. Results. The incidence of rectal bleeding was 24%. The risk of rectal bleeding was higher in patients treated with BT + EBRT compared to those treated with BT (p < 0.0001). The incidence of superficial microulceration was higher in the improved VRS group than in the unchanged VRS group (p < 0.05). The incidence of multiple confluent telangiectasia or superficial ulcers > 1 cm(2) was higher in the treated group than in both the improved and unchanged VRS groups (p < 0.05). Conclusions. Patients treated with BT + EBRT have a high risk of CRP. Endoscopic findings were useful for prognostic prediction of CRP. ","PeriodicalId":11288,"journal":{"name":"Diagnostic and Therapeutic Endoscopy","volume":"2016 ","pages":"1414090"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/1414090","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34638276","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: 1

Efficacy of the Ovesco Clip for Closure of Endoscope Related Perforations. Ovesco夹封闭内窥镜相关穿孔的疗效观察。

Diagnostic and Therapeutic Endoscopy Pub Date : 2016-01-01 Epub Date: 2016-05-16 DOI: 10.1155/2016/9371878

Phonthep Angsuwatcharakon, Piyapan Prueksapanich, Pradermchai Kongkam, Thawee Rattanachu-Ek, Jaksin Sottisuporn, Rungsun Rerknimitr

{"title":"Efficacy of the Ovesco Clip for Closure of Endoscope Related Perforations.","authors":"Phonthep Angsuwatcharakon, Piyapan Prueksapanich, Pradermchai Kongkam, Thawee Rattanachu-Ek, Jaksin Sottisuporn, Rungsun Rerknimitr","doi":"10.1155/2016/9371878","DOIUrl":"https://doi.org/10.1155/2016/9371878","url":null,"abstract":"Aim. To study the efficacy and other treatment outcomes of Ovesco clip closure of iatrogenic perforation. Methods. Retrospective study from 3 tertiary-care hospitals in Thailand. Patients with iatrogenic perforation who underwent immediate endoscopic closure by Ovesco clip were included. Patients' demographic data, perforation size, number of Ovesco clips used, fasting day, length of hospital stay, success rates, and complication rate were recorded. Technical success was defined as closure achievement during endoscopic procedure and clinical success was defined as the patient can be discharged without the need of additional surgical or radiological intervention. Results. There were 6 iatrogenic perforations in 2 male and 4 female patients. The median age was 59 years (range 39-78 years). The locations of perforation were 5 duodenal walls and 1 rectosigmoid junction. The median perforation size was 13 mm (range 10-40 mm). The technical success was 100% and the clinical success was 83.3%. The success rates per locations were 100% in colon and 80% in duodenum, respectively. The median fasting time was 5 days (range 1-10 days) and the median length of hospital stay was 10 days (range 2-22 days). There was no mortality in any. Conclusion. Ovesco clip seems to be an effective and safe tool for a closure of iatrogenic perforation. ","PeriodicalId":11288,"journal":{"name":"Diagnostic and Therapeutic Endoscopy","volume":"2016 ","pages":"9371878"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/9371878","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34570851","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: 18

Analysis of Non-Small Bowel Lesions Detected by Capsule Endoscopy in Patients with Potential Small Bowel Bleeding. 潜在小肠出血患者胶囊内镜检查非小肠病变的分析。

Diagnostic and Therapeutic Endoscopy Pub Date : 2016-01-01 Epub Date: 2016-03-22 DOI: 10.1155/2016/9063293

Fatma Ebru Akin, Oyku Tayfur Yurekli, Aylin Demirezer Bolat, Mustafa Tahtacı, Huseyin Koseoglu, Eyup Selvi, Naciye Semnur Buyukasik, Osman Ersoy

{"title":"Analysis of Non-Small Bowel Lesions Detected by Capsule Endoscopy in Patients with Potential Small Bowel Bleeding.","authors":"Fatma Ebru Akin, Oyku Tayfur Yurekli, Aylin Demirezer Bolat, Mustafa Tahtacı, Huseyin Koseoglu, Eyup Selvi, Naciye Semnur Buyukasik, Osman Ersoy","doi":"10.1155/2016/9063293","DOIUrl":"https://doi.org/10.1155/2016/9063293","url":null,"abstract":"Gastrointestinal (GI) bleeding cases in whom source cannot be identified after conventional upper and lower GI endoscopy are defined as potential small bowel bleeding. We aimed to search for lesions in the reach of conventional endoscopy in patients to whom video capsule endoscopy (VCE) had been applied for potential small bowel bleeding. 114 patients who had VCE evaluation for potential small bowel bleeding between January 2009 and August 2015 were retrospectively evaluated. Mean age of the patients was 55 ± 17 years. Female/male ratio is 39/75. In 58 patients (50.9%) bleeding lesion could be determined. Among these 58 patients 8 patients' lesions were in the reach of conventional endoscopes. Overall these 8 patients comprised 7% of patients in whom VCE was performed for potential small bowel bleeding. Among these 8 patients 5 had colonic lesions (4 angiodysplasia, 1 ulcerated polypoid cecal lesion), 2 had gastric lesions (1 GAVE, 1 anastomotic bleeding), and 1 patient had a bleeding lesion in the duodenal bulbus. Although capsule endoscopy is usually performed for potential small bowel bleeding gastroenterologists should always keep in mind that these patients may be suffering from bleeding from non-small bowel segments and should carefully review images captured from non-small bowel areas. ","PeriodicalId":11288,"journal":{"name":"Diagnostic and Therapeutic Endoscopy","volume":"2016 ","pages":"9063293"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/9063293","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34326853","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: 5

Spiral Enteroscopy Utilizing Capsule Location Index for Achieving High Diagnostic and Therapeutic Yield 利用胶囊定位指数的螺旋肠镜检查达到高诊断和治疗率

Diagnostic and Therapeutic Endoscopy Pub Date : 2015-11-19 DOI: 10.1155/2015/793516

R. Mandaliya, Jason Korenblit, B. O'hare, A. Shnitser, Ramalinga Kedika, R. Matro, D. Halegoua-De Marzio, A. Infantolino, M. Conn

{"title":"Spiral Enteroscopy Utilizing Capsule Location Index for Achieving High Diagnostic and Therapeutic Yield","authors":"R. Mandaliya, Jason Korenblit, B. O'hare, A. Shnitser, Ramalinga Kedika, R. Matro, D. Halegoua-De Marzio, A. Infantolino, M. Conn","doi":"10.1155/2015/793516","DOIUrl":"https://doi.org/10.1155/2015/793516","url":null,"abstract":"Background and Aim. Spiral enteroscopy (SE) is a new small bowel endoscopic technique. Our aim is to review the diagnostic and therapeutic yield, safety of SE, and the predictive role of prior capsule endoscopy (CE) at an academic center. Methods. A retrospective review of patients undergoing SE after prior CE between 2008 and 2013 was performed. Capsule location index (CLI) was defined as the fraction of total small bowel transit time when the lesion was seen on CE. Results. A total of 174 SEs were performed: antegrade (147) and retrograde (27). Abnormalities on SE were detected in 65% patients. The procedure was safe in patients with surgically altered bowel anatomy (n = 12). The diagnostic yield of antegrade SE decreased with increasing CLI range. The diagnostic yield of retrograde SE decreased on decreasing CLI range. A CLI cutoff of 0.6 was derived that determined the initial route of SE. Vascular ectasias seen on CE were detected in 83% cases on SE; p < 0.01. Conclusions. SE is safe with a high diagnostic and therapeutic yield. CLI is predictive of the success of SE and determines the best route of SE. The type of small bowel pathology targeted by SE may affect its utility and yield.","PeriodicalId":11288,"journal":{"name":"Diagnostic and Therapeutic Endoscopy","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85416967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Laparoscopic treatment of 1522 adnexal masses: an 8-year experience. 腹腔镜治疗附件肿物1522例:8年经验。

Diagnostic and Therapeutic Endoscopy Pub Date : 2015-01-01 Epub Date: 2015-02-11 DOI: 10.1155/2015/979162

I Grammatikakis, P Trompoukis, S Zervoudis, C Mavrelos, P Economides, V Tziortzioti, N Evangelinakis, D Kassanos

{"title":"Laparoscopic treatment of 1522 adnexal masses: an 8-year experience.","authors":"I Grammatikakis, P Trompoukis, S Zervoudis, C Mavrelos, P Economides, V Tziortzioti, N Evangelinakis, D Kassanos","doi":"10.1155/2015/979162","DOIUrl":"https://doi.org/10.1155/2015/979162","url":null,"abstract":"Objective. To reevaluate the long-term effectiveness and safety of laparoscopy in benign ovarian pathology. Materials and Methods. 1522 women with benign adnexal cysts, laparoscopically treated in the 3rd Department of Ob/Gyn, General University hospital \"Attikon\" and \"Lito\" Maternity Hospital between July 1998 and December 2006, were included. Results. The diagnosis in 1222 (80,6%) cases was endometriosis of the ovary, 60 (4%) hydrosalpinx, 51 (3,3%) serous cystadenomas, 44 (2,9%) dermoid ovarian cyst, 38 (2,5%) borderline tumors, 35 (2,3%) unruptured follicles, and 33 (2,2%) paraovarian cysts. In 174 cases (11,5%) laparoscopy was converted to laparotomy due to technical difficulties or suspicion of cancer. In particular, laparotomy was performed in 119 (8%) women due to severe adhesions and 18 (1,2%) women due to bleeding that could not be controlled safely by laparoscopy. In 36 (2,4%) women frozen section during operation revealed malignancy and laparoscopy was converted to laparotomy. A few operative complications were recorded like post-op fever, small hematomas at the trocar entries. Conclusions. Laparoscopic surgery seems to offer significant advantages such as reduced hospital stay, less adverse effects, better quality of life, and superior vision especially on surgical treatment of cases like endometriosis. ","PeriodicalId":11288,"journal":{"name":"Diagnostic and Therapeutic Endoscopy","volume":"2015 ","pages":"979162"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2015/979162","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33124500","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: 15

Treatment of Internal Hemorrhoids by Endoscopic Sclerotherapy with Aluminum Potassium Sulfate and Tannic Acid. 硫酸铝钾联合单宁酸治疗内痔的内镜硬化疗法。

Diagnostic and Therapeutic Endoscopy Pub Date : 2015-01-01 Epub Date: 2015-07-12 DOI: 10.1155/2015/517690

Yuichi Tomiki, Seigo Ono, Jun Aoki, Rina Takahashi, Shun Ishiyama, Kiichi Sugimoto, Yukihiro Yaginuma, Yutaka Kojima, Michitoshi Goto, Atsushi Okuzawa, Kazuhiro Sakamoto

{"title":"Treatment of Internal Hemorrhoids by Endoscopic Sclerotherapy with Aluminum Potassium Sulfate and Tannic Acid.","authors":"Yuichi Tomiki, Seigo Ono, Jun Aoki, Rina Takahashi, Shun Ishiyama, Kiichi Sugimoto, Yukihiro Yaginuma, Yutaka Kojima, Michitoshi Goto, Atsushi Okuzawa, Kazuhiro Sakamoto","doi":"10.1155/2015/517690","DOIUrl":"https://doi.org/10.1155/2015/517690","url":null,"abstract":"Objective. A new sclerosing agent for hemorrhoids, aluminum potassium sulfate and tannic acid (ALTA), is attracting attention as a curative treatment for internal hemorrhoids without resection. The outcome and safety of ALTA sclerotherapy using an endoscope were investigated in the present study. Materials and Methods. Subjects comprised 83 internal hemorrhoid patients (61 males and 22 females). An endoscope was inserted and retroflexed in the rectum, and a 1st-step injection was applied to the upper parts of the hemorrhoids. The retroflexed scope was returned to the normal position, and 2nd-4th-step injections were applied to the middle and lower parts of the hemorrhoids under direct vision. The effects of endoscopic ALTA sclerotherapy were determined by evaluating the condition of the hemorrhoids using an anoscope and interviewing the patient 28 days after the treatment. Results. A cure, improvement, and failure were observed in 54 (65.1%), 27 (32.5%), and 2 (2.4%) patients, respectively, treated with ALTA. Complications developed in 4 patients (mild fever in 3 and hematuria in 1). Recurrence occurred in 9.6%. Conclusions. The results of the present study suggest that endoscopic ALTA has the potential to become a useful and minimally invasive approach for ALTA sclerotherapy. ","PeriodicalId":11288,"journal":{"name":"Diagnostic and Therapeutic Endoscopy","volume":"2015 ","pages":"517690"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2015/517690","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33900378","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: 21

Comparison of Capsule Endoscopy Findings to Subsequent Double Balloon Enteroscopy: A Dual Center Experience. 胶囊内窥镜检查结果与随后的双球囊肠镜检查结果的比较:双中心经验。

Diagnostic and Therapeutic Endoscopy Pub Date : 2015-01-01 Epub Date: 2015-09-01 DOI: 10.1155/2015/438757

Amandeep S Kalra, Andrew J Walker, Mark E Benson, Anurag Soni, Nalini M Guda, Mehak Misha, Deepak V Gopal

{"title":"Comparison of Capsule Endoscopy Findings to Subsequent Double Balloon Enteroscopy: A Dual Center Experience.","authors":"Amandeep S Kalra, Andrew J Walker, Mark E Benson, Anurag Soni, Nalini M Guda, Mehak Misha, Deepak V Gopal","doi":"10.1155/2015/438757","DOIUrl":"https://doi.org/10.1155/2015/438757","url":null,"abstract":"Background. There has been a growing use of both capsule endoscopy (CE) and double balloon enteroscopy (DBE) to diagnose and treat patients with obscure gastrointestinal blood loss and suspected small bowel pathology. Aim. To compare and correlate sequential CE and DBE findings in a large series of patients at two tertiary level hospitals in Wisconsin. Methods. An IRB approved retrospective study of patients who underwent sequential CE and DBE, at two separate tertiary care academic centers from May 2007 to December 2011, was performed. Results. 116 patients were included in the study. The mean age ± SD was 66.6 ± 13.2 years. There were 56% males and 43.9% females. Measure of agreement between prior capsule and DBE findings was performed using kappa statistics, which gave kappa value of 0.396 with P < 0.001. Also contingency coefficient was calculated and was found to be 0.732 (P < 0.001). Conclusions. Our study showed good overall agreement between DBE and CE. Findings of angioectasia had maximum agreement of 69%. ","PeriodicalId":11288,"journal":{"name":"Diagnostic and Therapeutic Endoscopy","volume":"2015 ","pages":"438757"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2015/438757","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34116148","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

High Definition Colonoscopy Combined with i-SCAN Imaging Technology Is Superior in the Detection of Adenomas and Advanced Lesions Compared to High Definition Colonoscopy Alone. 高清结肠镜检查与 i-SCAN 成像技术相结合在腺瘤和晚期病变的检测方面优于单独使用高清结肠镜检查。

Diagnostic and Therapeutic Endoscopy Pub Date : 2015-01-01 Epub Date: 2015-06-18 DOI: 10.1155/2015/167406

Erik A Bowman, Patrick R Pfau, Arnab Mitra, Mark Reichelderfer, Deepak V Gopal, Benjamin S Hall, Mark E Benson

{"title":"High Definition Colonoscopy Combined with i-SCAN Imaging Technology Is Superior in the Detection of Adenomas and Advanced Lesions Compared to High Definition Colonoscopy Alone.","authors":"Erik A Bowman, Patrick R Pfau, Arnab Mitra, Mark Reichelderfer, Deepak V Gopal, Benjamin S Hall, Mark E Benson","doi":"10.1155/2015/167406","DOIUrl":"10.1155/2015/167406","url":null,"abstract":"Background. Improved detection of adenomatous polyps using i-SCAN has mixed results in small studies. Utility of i-SCAN as a primary surveillance modality for colorectal cancer screening during colonoscopy is uncertain. Aim. Comparing high definition white light endoscopy (HDWLE) to i-SCAN in their ability to detect adenomas during colonoscopy. Methods. Prospective cohort study of 1936 average risk patients who had a screening colonoscopy at an ambulatory procedure center. Patients underwent colonoscopy with high definition white light endoscopy withdrawal versus i-SCAN withdrawal during endoscopic screening exam. Primary outcome measurement was adenoma detection rate for i-SCAN versus high definition white light endoscopy. Secondary measurements included polyp size, pathology, and morphology. Results. 1007 patients underwent colonoscopy with i-SCAN and 929 with HDWLE. 618 adenomas were detected in the i-SCAN group compared to 402 in the HDWLE group (p < 0.01). More advanced adenomas (≥10 mm) were found by i-SCAN, 79 versus 47 (p = 0.021) and based upon histology alone 37 versus 18 (p = 0.028). Conclusions. i-SCAN detected significantly more adenomas and advanced adenomas compared to high definition white light endoscopy. ","PeriodicalId":11288,"journal":{"name":"Diagnostic and Therapeutic Endoscopy","volume":"2015 ","pages":"167406"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4488533/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33898666","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: 0

Opioid use is not associated with incomplete wireless capsule endoscopy for inpatient or outpatient procedures. 阿片类药物的使用与住院或门诊手术不完全无线胶囊内窥镜检查无关。

Diagnostic and Therapeutic Endoscopy Pub Date : 2014-01-01 Epub Date: 2014-08-19 DOI: 10.1155/2014/651259

Bryan Kleinman, Peter P Stanich, Kavita Betkerur, Kyle Porter, Marty M Meyer

{"title":"Opioid use is not associated with incomplete wireless capsule endoscopy for inpatient or outpatient procedures.","authors":"Bryan Kleinman, Peter P Stanich, Kavita Betkerur, Kyle Porter, Marty M Meyer","doi":"10.1155/2014/651259","DOIUrl":"https://doi.org/10.1155/2014/651259","url":null,"abstract":"Objective. Wireless capsule endoscopy (WCE) is commonly used to directly visualize the small bowel. Opioids have variably been linked with incomplete studies and prolonged transit times in heterogeneous cohorts. We aimed to investigate the effect of opioid use on WCE for inpatient and outpatient cohorts. Methods. We performed a retrospective review of patients receiving WCE at our institution from April 2010 to March 2013. Demographic data, medical history, and WCE details were collected. Transit times were compared by log-rank analysis. Multivariable logistic regression and Cox proportional hazard models were utilized. Results. We performed 314 outpatient and 280 inpatient WCE that met study criteria. In the outpatient cohort, gastric transit time (GTT) was not significantly different between opioid and nonopioid users. Completion rates were similar as well (88% and 87%, P = 0.91). In the inpatient cohort, GTT was significantly longer in patients receiving opioids than in patients not receiving opioids (44 versus 23 min, P = 0.04), but completion rates were similar (71% versus 75%, P = 0.31). Conclusion. Opioid use within 24 hours of WCE did not significantly affect completion rates for inpatients or outpatients. GTT was prolonged in inpatients receiving opioids but not in outpatients. ","PeriodicalId":11288,"journal":{"name":"Diagnostic and Therapeutic Endoscopy","volume":"2014 ","pages":"651259"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/651259","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32663103","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: 3

Interobserver agreement for single operator choledochoscopy imaging: can we do better? 单一手术者胆道镜成像的观察者间一致性:我们能做得更好吗?

Diagnostic and Therapeutic Endoscopy Pub Date : 2014-01-01 Epub Date: 2014-10-08 DOI: 10.1155/2014/730731

Amrita Sethi, Theodore Doukides, Divyesh V Sejpal, Douglas K Pleskow, Adam Slivka, Douglas G Adler, Raj J Shah, Steven A Edmundowicz, Takao Itoi, Bret T Petersen, Frank G Gress, Monica Gaidhane, Michel Kahaleh

{"title":"Interobserver agreement for single operator choledochoscopy imaging: can we do better?","authors":"Amrita Sethi, Theodore Doukides, Divyesh V Sejpal, Douglas K Pleskow, Adam Slivka, Douglas G Adler, Raj J Shah, Steven A Edmundowicz, Takao Itoi, Bret T Petersen, Frank G Gress, Monica Gaidhane, Michel Kahaleh","doi":"10.1155/2014/730731","DOIUrl":"https://doi.org/10.1155/2014/730731","url":null,"abstract":"Background. The SpyGlass Direct Visualization System (Boston Scientific, Natick, MA) is routinely used during single operator choledochoscopy (SOC) to identify biliary lesions or strictures with a diagnostic accuracy up to 88%. The objective of this study was to determine the interobserver agreement (IOA) of modified scoring criteria for diagnosing biliary lesions/strictures. Methods. 27 SPY SOC video clips were reviewed and scored by 9 interventional endoscopists based on published criteria that included the presence and severity of surface structure, vasculature visualization, lesions, and findings. Results. Overall IOA was \"slight\" for all variables. The K statistics are as follows: surface (K = 0.12, SE = 0.02); vessels (K = 0.14, SE = 0.02); lesions (K = 0.11, SE = 0.02); findings (K = 0.08, SE = 0.03); and final diagnosis (K = 0.08, SE = 0.02). The IOA for \"findings\" and \"final diagnosis\" was also only \"slight.\" The final diagnosis was malignant (11), benign (11), and indeterminate (5). Conclusion. IOA using the modified criteria of SOC images was slight to almost poor. The average accuracy was less than 50%. These findings reaffirm that imaging criteria for benign and malignant biliary pathology need to be formally established and validated. ","PeriodicalId":11288,"journal":{"name":"Diagnostic and Therapeutic Endoscopy","volume":"2014 ","pages":"730731"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/730731","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32816946","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: 30