Diagnostic and Therapeutic Endoscopy最新文献_第8页

Management of Complications during Gastric Endoscopic Submucosal Dissection. 胃镜下粘膜下剥离术并发症的处理。

Diagnostic and Therapeutic Endoscopy Pub Date : 2012-01-01 Epub Date: 2012-10-03 DOI: 10.1155/2012/624835

Dong Wook Lee, Seong Woo Jeon

{"title":"Management of Complications during Gastric Endoscopic Submucosal Dissection.","authors":"Dong Wook Lee, Seong Woo Jeon","doi":"10.1155/2012/624835","DOIUrl":"https://doi.org/10.1155/2012/624835","url":null,"abstract":"Popularity of endoscopic submucosal dissection (ESD) has shown an increase during the last decade, and may, for the time being, be the most important technique in treatment of early gastrointestinal cancer or a premalignant lesion. This technique has advantages in the aspect of en bloc resection, which enables evaluation of the completeness of resection and other pathologic characteristics; however, it has limitation in terms of complications, compared to endoscopic mucosal resection (EMR). Bleeding and perforation are the most common complications encountered during the procedure. These complications can cause embarrassment for the endoscopist and hamper performance of the procedure, which can result in an incomplete resection. To overcome these obstacles during performance of the procedure, we should be familiar with management of complications. In particular, beginners who start performing ESD should have full knowledge of and be in good handling of the method of hemostasis using hemoclips or electrocoagulation for management of complications. Various methods, procedures, and equipment are under development, which will provide us with powerful tools for achievement of successful ESD without complications in the near future.","PeriodicalId":11288,"journal":{"name":"Diagnostic and Therapeutic Endoscopy","volume":"2012 ","pages":"624835"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2012/624835","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30997024","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

The valuable role of endoscopy in inflammatory bowel disease. 内镜检查在炎症性肠病中的重要作用。

Diagnostic and Therapeutic Endoscopy Pub Date : 2012-01-01 Epub Date: 2012-02-29 DOI: 10.1155/2012/467979

Matthew J Hamilton

引用次数: 16

Outcome and complications of colonoscopy: a prospective multicenter study in northern Israel. 结肠镜检查的结果和并发症:以色列北部的一项前瞻性多中心研究。

Diagnostic and Therapeutic Endoscopy Pub Date : 2012-01-01 Epub Date: 2012-06-19 DOI: 10.1155/2012/612542

A Suissa, O S Bentur, J Lachter, K Yassin, I Chermesh, I Gralnek, A Karban, I Khamaysi, Y Naveh, A Tamir, A Shahbari, R Eliakim

{"title":"Outcome and complications of colonoscopy: a prospective multicenter study in northern Israel.","authors":"A Suissa, O S Bentur, J Lachter, K Yassin, I Chermesh, I Gralnek, A Karban, I Khamaysi, Y Naveh, A Tamir, A Shahbari, R Eliakim","doi":"10.1155/2012/612542","DOIUrl":"https://doi.org/10.1155/2012/612542","url":null,"abstract":"Background. Colonoscopy for screening the population at an average risk of colorectal cancer (CRC) is recommended by many leading gastrointestinal associations. Objectives. The objective was to assess the quality, complications and acceptance rate of colonoscopy by patients. Methods. We prospectively gathered data from colonoscopies which were performed between October 2003 and September 2006. Patients were asked to return a follow-up form seven days after the procedure. Those who failed to do so were contacted by phone. Results. 6584 patients were included (50.4% males). The average age of subjects was 57.73 (SD 15.22). CRC screening was the main indication in 12.8%. Cecal intubation was achieved in 92% of patients and bowel preparation was good to excellent in 76.2%. The immediate outcome after colonoscopy was good in 99.4%. Perforations occurred in 3 cases-1 in every 2200 colonoscopies. Significant bleeding occurred in 3 cases (treated conservatively). 94.2% of patients agreed to undergo repeat colonoscopy in the future if indicated. Conclusions. The good quality of examinations, coupled with the low risk for complications and the good acceptance by the patients, encourages us to recommend colonoscopy as a primary screening test for CRC in Israel.","PeriodicalId":11288,"journal":{"name":"Diagnostic and Therapeutic Endoscopy","volume":"2012 ","pages":"612542"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2012/612542","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30750152","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: 6

Carbon dioxide insufflation in colonoscopy is safe: a prospective trial of 347 patients. 一项347例患者的前瞻性试验表明，在结肠镜检查中二氧化碳注入是安全的。

Diagnostic and Therapeutic Endoscopy Pub Date : 2012-01-01 Epub Date: 2012-09-29 DOI: 10.1155/2012/692532

M Geyer, U Guller, Ch Beglinger

{"title":"Carbon dioxide insufflation in colonoscopy is safe: a prospective trial of 347 patients.","authors":"M Geyer, U Guller, Ch Beglinger","doi":"10.1155/2012/692532","DOIUrl":"https://doi.org/10.1155/2012/692532","url":null,"abstract":"Available evidence suggests that the use of CO(2) insufflation in endoscopy is more comfortable for the patient. The safety of CO(2) use in colonoscopy remains contentious, particularly in sedated patients. The objective of the present prospective trial was to assess the safety of CO(2) colonoscopies. Methods. 109 patients from our previous randomized CO(2) colonoscopy study and an additional 238 subsequent consecutive unselected patients who had a routine colonoscopy performed in a private practice were enrolled from April 2008 through September 2008. All but 2 patients were sedated. All patients were routinely monitored with transcutaneous CO(2) measurement. Volumes of CO(2) administered were correlated with capnographic measurements from transcutaneous monitoring. Results. Of the 347 patients examined, 57% were women; mean (SD) age of participants was of 60.2 years (12.8). Mean propofol dosage was 136 mg (64 mg). Mean CO(2) values were 34.7 mm Hg (5.3) at baseline, 38.9 mm Hg (5.5) upon reaching the ileum, and 36.9 mm Hg (5.0) at examination's end. Mean maximum increase of CO(2) was 4.5 mm Hg (3.6). No correlation was observed between volume of CO(2) administered and increase in level of CO(2) (correlation coefficient: 0.01; P value: 0.84). No complications were observed. Conclusions. The present prospective study, which was based on one of the largest sedated patient sample reported to date in this setting, provides compelling evidence that CO(2) insufflation in colonoscopy is safe and unassociated with relevant increases in transcutaneously measured levels of CO(2).","PeriodicalId":11288,"journal":{"name":"Diagnostic and Therapeutic Endoscopy","volume":"2012 ","pages":"692532"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2012/692532","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30968914","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

The learning curve of gastric intestinal metaplasia interpretation on the images obtained by probe-based confocal laser endomicroscopy. 探针共聚焦激光内镜图像对胃肠道化生的学习曲线解释。

Diagnostic and Therapeutic Endoscopy Pub Date : 2012-01-01 Epub Date: 2012-12-01 DOI: 10.1155/2012/278045

Rapat Pittayanon, Rungsun Rerknimitr, Naruemon Wisedopas, Suparat Khemnark, Kessarin Thanapirom, Pornpahn Thienchanachaiya, Nuttaporn Norrasetwanich, Kriangsak Charoensuk, Wiriyaporn Ridtitid, Sombat Treeprasertsuk, Pradermchai Kongkam, Pinit Kullavanijaya

{"title":"The learning curve of gastric intestinal metaplasia interpretation on the images obtained by probe-based confocal laser endomicroscopy.","authors":"Rapat Pittayanon, Rungsun Rerknimitr, Naruemon Wisedopas, Suparat Khemnark, Kessarin Thanapirom, Pornpahn Thienchanachaiya, Nuttaporn Norrasetwanich, Kriangsak Charoensuk, Wiriyaporn Ridtitid, Sombat Treeprasertsuk, Pradermchai Kongkam, Pinit Kullavanijaya","doi":"10.1155/2012/278045","DOIUrl":"https://doi.org/10.1155/2012/278045","url":null,"abstract":"Background. Reading the results of gastric intestinal metaplasia (GIM) with probe-based confocal laser endomicroscopy (pCLE) by the expert was excellent. There is a lack of study on the learning curve for GIM interpretation. Therefore, we conducted a study to explore the learning curve in the beginners. Material and Method. Five GI fellows who had no experience in GIM interpretation had been trained with a set of 10 pCLE video clips of GIM and non-GIM until they were able to interpret correctly. Then they were asked to interpret another 80 video clips of GIM and non-GIM. The sensitivity, specificity, accuracy, PPV, NPV, and interobserver agreement on each session were analyzed. Results. Within 2 sessions, all beginners can achieve 80% accuracy with substantial to almost perfect level of interobserver agreement. The sensitivities and specificities among all interpreters were not different statistically. Four out of five interpreters can maintain their high quality of reading skill. Conclusion. After a short session of training on GIM interpretation of pCLE images, the beginners can achieve a high level of reading accuracy with at least substantial level of interobserver agreement. Once they achieve the high reading accuracy, almost all can maintain their high quality of reading skill.","PeriodicalId":11288,"journal":{"name":"Diagnostic and Therapeutic Endoscopy","volume":"2012 ","pages":"278045"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2012/278045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31125372","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: 20

NBI and NBI Combined with Magnifying Colonoscopy. NBI和NBI联合放大结肠镜。

Diagnostic and Therapeutic Endoscopy Pub Date : 2012-01-01 Epub Date: 2012-12-09 DOI: 10.1155/2012/173269

Mineo Iwatate, Taro Ikumoto, Santa Hattori, Wataru Sano, Yasushi Sano, Takahiro Fujimori

{"title":"NBI and NBI Combined with Magnifying Colonoscopy.","authors":"Mineo Iwatate, Taro Ikumoto, Santa Hattori, Wataru Sano, Yasushi Sano, Takahiro Fujimori","doi":"10.1155/2012/173269","DOIUrl":"https://doi.org/10.1155/2012/173269","url":null,"abstract":"Although magnifying chromoendoscopy had been a reliable diagnostic tool, narrow-band imaging (NBI) has been developed in Japan since 1999 and has now replaced the major role of chromoendoscopy because of its convenience and simplicity. In this paper, we principally describe the efficacy of magnifying chromoendoscopy and magnifying colonoscopy with NBI for detection, histological prediction, estimation of the depth of early colorectal cancer, and future prospects. Although some meta-analyses have concluded that NBI is not superior to white light imaging for detection of adenomatous polyps in screening colonoscopy, NBI with magnification colonoscopy is useful for histological prediction, or for estimating the depth of invasion. To standardize these diagnostic strategies, we will focus on the NBI International Colorectal Endoscopic (NICE) classification proposed for use by endoscopists with or without a magnifying endoscope. However, more prospective research is needed to prove that this classification can be applied with satisfactory availability, feasibility, and reliability. In the future, NBI might contribute to the evaluation of real-time histological prediction during colonoscopy, which has substantial benefits for both reducing the risk of polypectomy and saving the cost of histological evaluation by resecting and discarding diminutive adenomatous polyps (resect and discard strategy).","PeriodicalId":11288,"journal":{"name":"Diagnostic and Therapeutic Endoscopy","volume":" ","pages":"173269"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2012/173269","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40225246","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: 43

Detectability of colon polyp using computed virtual chromoendoscopy with flexible spectral imaging color enhancement. 利用柔性光谱成像彩色增强的计算机虚拟色内窥镜检测结肠息肉。

Diagnostic and Therapeutic Endoscopy Pub Date : 2012-01-01 Epub Date: 2012-03-05 DOI: 10.1155/2012/596303

Shinsuke Kiriyama, Takahisa Matsuda, Takeshi Nakajima, Taku Sakamoto, Yutaka Saito, Hiroyuki Kuwano

{"title":"Detectability of colon polyp using computed virtual chromoendoscopy with flexible spectral imaging color enhancement.","authors":"Shinsuke Kiriyama, Takahisa Matsuda, Takeshi Nakajima, Taku Sakamoto, Yutaka Saito, Hiroyuki Kuwano","doi":"10.1155/2012/596303","DOIUrl":"https://doi.org/10.1155/2012/596303","url":null,"abstract":"The aim of this pilot study was to assess the feasibility of using computed virtual chromoendoscopy with the flexible spectral imaging color enhancement (FICE) for colon neoplasia screening. A modified back-to-back colonoscopy using FICE and white light in the right-sided colon was conducted prospectively for the consecutive patients attending for the postoperative (sigmoidectomy or anterior resection) follow-up colonoscopy. Histopathology of detected lesions was confirmed by evaluation of endoscopic resection or biopsy specimens. One-hundred and two patients were enrolled, and 100 patients (61 males and mean age 63 years) were finally analyzed. The total number of polyps detected by FICE and white light colonoscopy was 65 and 45, respectively. The miss rate for all polyps with FICE (24%) was significantly less than that with white light (46%) (P = 0.03). Colonoscopy using FICE could beneficially enhance the detection of neoplastic lesions in the right-sided colon compared to white light colonoscopy.","PeriodicalId":11288,"journal":{"name":"Diagnostic and Therapeutic Endoscopy","volume":"2012 ","pages":"596303"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2012/596303","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30550568","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

Endoscopic-ultrasound-guided tissue sampling facilitates the detection of local recurrence and extra pelvic metastasis in pelvic urologic malignancy. 超声内镜引导下的组织取样有助于盆腔泌尿系统恶性肿瘤局部复发和盆腔外转移的检测。

Diagnostic and Therapeutic Endoscopy Pub Date : 2012-01-01 Epub Date: 2012-06-19 DOI: 10.1155/2012/219521

Ferga C Gleeson, Jonathan E Clain, R Jeffrey Karnes, Elizabeth Rajan, Mark D Topazian, Kenneth K Wang, Michael J Levy

{"title":"Endoscopic-ultrasound-guided tissue sampling facilitates the detection of local recurrence and extra pelvic metastasis in pelvic urologic malignancy.","authors":"Ferga C Gleeson, Jonathan E Clain, R Jeffrey Karnes, Elizabeth Rajan, Mark D Topazian, Kenneth K Wang, Michael J Levy","doi":"10.1155/2012/219521","DOIUrl":"https://doi.org/10.1155/2012/219521","url":null,"abstract":"Pelvic lymph node dissection is the gold standard for assessing nodal disease in prostate or bladder cancer and is superior to CT, MRI and PET staging. Endoscopic ultrasound (EUS) provides an alternative, less invasive method of cytohistologic material acquisition, but its performance in pelvic urologic malignancy is unknown. Therefore, our aim was to evaluate the diagnostic accuracy of EUS guided tissue sampling for these malignancies when compared to a composite cytohistologic and surgical gold standard. A median of 3 FNA passes were performed (n = 19 patients) revealing a sensitivity, specificity, PPV and NPV of 94.4% (72-99), 100% (2-100), 100% (80-100) and 50% (1-98) respectively. The perirectal space was the most frequently sampled location irrespective of the primary urological cancer origin. Final diagnosis established by EUS tissue sampling included bladder cancer (n = 1), bladder cancer local recurrence (n = 8), bladder cancer extra pelvic metastases (n = 1), prostate cancer (n = 2), prostate cancer local recurrence (n = 4), prostate cancer extra pelvic metastases (n = 1), testicular cancer extra pelvic metastases (n = 1) and a benign seminal vesicle (n = 1). EUS guided sampling of the gut wall, lymph nodes, or perirectal space yields suitable diagnostic material to establish the presence of primary, local recurrence or extra pelvic metastases of pelvic urologic malignancy.","PeriodicalId":11288,"journal":{"name":"Diagnostic and Therapeutic Endoscopy","volume":"2012 ","pages":"219521"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2012/219521","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30750151","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: 10

Contrast-enhanced harmonic endoscopic ultrasonography in pancreatic diseases. 超声内镜增强谐波造影在胰腺疾病中的应用。

Diagnostic and Therapeutic Endoscopy Pub Date : 2012-01-01 Epub Date: 2012-11-01 DOI: 10.1155/2012/786239

Can Xu, Zhaoshen Li, Michael Wallace

引用次数: 13

Pancreaticopleural fistula: revisited. 胰胸膜瘘:复诊。

Diagnostic and Therapeutic Endoscopy Pub Date : 2012-01-01 Epub Date: 2012-01-31 DOI: 10.1155/2012/815476

Norman Oneil Machado

引用次数: 54