Gastrointestinal Intervention最新文献

{"title":"Most Americans support minimizing administrative burdens for Medicaid recipients as the public health emergency ends.","authors":"Simon F Haeder, Donald P Moynihan","doi":"10.1093/haschl/qxad001","DOIUrl":"10.1093/haschl/qxad001","url":null,"abstract":"<p><p>During the coronavirus disease 2019 (COVID-19) public health emergency (PHE), states were barred from disenrolling anyone from Medicaid unless the beneficiary asked to be disenrolled, moved out of state, or died. Coverage increased, but as the PHE ends an estimated 7 million eligible Americans are expected to lose insurance due to difficulty navigating the renewal process. The end of the PHE therefore offers state policymakers a chance to reassess the value of such administrative burdens as a variety of policy tools are available to mitigate these losses. We inform this discussion via a national survey that captures public preferences around administrative burdens in public health insurance. We find strong public support for burden-reduction techniques that minimize coverage losses such as using administrative data to shift burdens onto the state and better outreach and communication, with an average of 74% of respondents supporting each policy tool. This support holds across the ideological spectrum and demographic groups, but it is stronger among liberals than conservatives, for those with more direct experience of burdens, those who struggle with such burdens, and for those with lower racial prejudice.</p>","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"2 1","pages":"qxad001"},"PeriodicalIF":0.0,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10985919/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76146526","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}

{"title":"Role of surgery in gastrointestinal bleeding","authors":"Jae-Sun Kim, Inseob Lee","doi":"10.18528/GII180029","DOIUrl":"https://doi.org/10.18528/GII180029","url":null,"abstract":"With the help of the evolution of endoscopic and angiographic intervention, nonsurgical techniques became the procedures of choice for the diagnosis and treatment of gastrointestinal (GI) bleeding and role of surgery have been decreased. However, surgical operations are still necessary for controlling bleeding lesions when these maneuvers fail and conventional operations continue to be life-saving in many instances. Laparoscopic surgeries have an advantage of less postoperative pain and wound problem, quicker recovery, and shorter hospital stay and been widely used for GI bleeding. An elective laparoscopic resection of the intestine for appropriate indications may be an ideal application of this technique, while emergent use should be tempered by skillful surgeons because most patients are relatively unstable and time-limited. Newly developed technologies will continue to facilitate collaboration and cooperation between gastroenterologists, radiologists, and surgeons by encouraging working in multispecialty teams. This review will address the surgical approach associated with various treatments for GI bleeding according to many kinds of GI bleeding diseases. Copyright © 2018, Society of Gastrointestinal Intervention. Keyword: Gastrointestinal hemorrhage Department of Surgery, University of Ulsan College of Medicine and Asan Medical Center, Seoul, Korea Received July 23, 2018; Revised August 19, 2018; Accepted August 19, 2018 * Corresponding author. Department of Surgery, University of Ulsan College of Medicine and Asan Medical Center, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea. E-mail address: inseoblee77@gmail.com (I.-S. Lee). ORCID: https://orcid.org/0000-0003-3099-0140 pISSN 2213-1795 eISSN 2213-1809 https://doi.org/10.18528/gii180029 This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Introduction As a result of a series of technologic developments, the role of surgery for gastrointestinal (GI) bleeding has been gradually replaced by non-operative methods. The revolutions of esophagogastroduodenoscopy (EGD) and colonoscopy have enabled the effective hemostasis of bleeding from the stomach or colon at the same time as diagnosing a bleeding focus. In addition, angiography, together with the transcatheter delivery of vasoactive drugs or embolic materials, has significantly reduced the need for surgery of GI bleeding. Nevertheless, with the development of laparoscopic techniques, surgery remains an important modality to treat many bleeding lesions of the GI tract in patients who are highrisk for GI bleeding, such as the elderly, males, users of alcohol, tobacco, aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), and anticoagulants. Also, morbidity and mortality increase significantly i","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45768700","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}

{"title":"Essential vascular anatomy and choice of embolic materials in gastrointestinal bleeding","authors":"Somrach Thamtorawat, C. Nadarajan, Satit Rojwatcharapibarn","doi":"10.18528/GII180028","DOIUrl":"https://doi.org/10.18528/GII180028","url":null,"abstract":"Non-variceal gastrointestinal bleeding is the significant emergency problem to manage in the hospital. Transcatheter arterial embolization is minimally invasive treatment, which becomes an essential role in controlling bleeding, leading to lifesaving. To reach the goal, the interventional radiologist should have fundamental of vascular anatomy and choice of embolic material, which is the key to success. Copyright © 2018, Society of Gastrointestinal Intervention.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47895225","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}

{"title":"Endoscopic treatment of surgery or procedure-related gastrointestinal bleeding","authors":"K. Bang, H. Shin","doi":"10.18528/GII180031","DOIUrl":"https://doi.org/10.18528/GII180031","url":null,"abstract":"Endoscopy is a safe and effective modality for the diagnosis and treatment of lesions in the gastrointestinal (GI) tract. During the last few decades, improvements in image quality and technical advances have led to the widespread use of endoscopy in various medical fields. Because it is relatively noninvasive and generally safe, the role of endoscopy has been emphasized in morbid patients with postoperative GI bleeding. However, there has been concern about the safety and complications of endoscopy. Here, we review endoscopic management of GI bleeding as a complication of surgery and therapeutic endoscopy. Copyright © 2018, Society of Gastrointestinal Intervention.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44752465","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}

{"title":"Role of computed tomography angiography for acute gastrointestinal bleeding","authors":"Chul-min Lee, Jong Keon Jang, J. Shin, Soon-Young Song, B. Kang","doi":"10.18528/GII180027","DOIUrl":"https://doi.org/10.18528/GII180027","url":null,"abstract":"Acute gastrointestinal (GI) bleeding is a common cause of emergency department admission and hospitalization. Diagnosis and treatment requires promptly with a multidisciplinary approach to reduce morbidity and mortality of acute GI bleeding. Many diagnostic modalities are being used in the evaluation of GI bleeding, each with its own strengths and weaknesses. With the recent advances in technology, computed tomography (CT) angiog- raphy has become an effective first-line method for imaging the cause of GI bleeding to guide management. The purpose of this review is to discuss diagnostic modalities of GI bleeding, with a focus on the emerging role of CT angiography.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44797236","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}

{"title":"Balloon dilation of epidermolysis bullosa-related esophageal strictures: A report of two cases","authors":"Wei-Zhong Zhou, Jingguo Xia, Zheng-Qiang Yang, Chun-gao Zhou, Lin-Bo Zhao, Sheng Liu, Hai-bin Shi","doi":"10.18528/GII170030","DOIUrl":"https://doi.org/10.18528/GII170030","url":null,"abstract":"Epidermolysis bullosa (EB) is a very rare inherited disease featured with skin blistering resulting from minor trauma. Sometimes the esophageal mucosa could also be involved, which leads to esophageal strictures. Here we report two cases of EB-related esophageal strictures who were successfully treated with esophageal balloon dilations. The two cases with EB had severe dysphagia. Clinical examination showed signs of malnutrition, skin blisters and loss of toenails due to EB. They underwent careful fluoroscopic balloon dilation with 10and 16-mm-sized balloon catheters, respectively. They could ingest soft and some solid foods after the procedure and maintained during the 20 months and 16 months follow-up periods. Copyright © 2018, Society of Gastrointestinal Intervention.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45204214","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}

{"title":"Comprehensive review of outcomes of endoscopic treatment of gastrointestinal bleeding","authors":"T. Gweon, Jinsu Kim","doi":"10.18528/GII180022","DOIUrl":"https://doi.org/10.18528/GII180022","url":null,"abstract":"Gastrointestinal bleeding (GIB) is a major cause of hospital admission and death. Endoscopic treatment is an important therapeutic modality for the treatment of GIB, and can involve injection therapy, thermal therapy, hemoclipping, and ligation therapy. In addition to hemostatic devices, new endoscopic techniques such as capsule endoscopy and balloon-assisted enteroscopy have been developed. The causes, therapeutic modalities, and outcomes of GIB differ according to bleeding source. This review comprehensively describes the outcomes of endoscopic treatment of GIB.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46766117","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}

{"title":"Provocative mesenteric angiography for diagnosis and treatment of occult gastrointestinal hemorrhage","authors":"Charles Y. Kim","doi":"10.18528/GII180034","DOIUrl":"https://doi.org/10.18528/GII180034","url":null,"abstract":"","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":"45 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41287536","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}

{"title":"Endovascular treatment of pancreatitis-related gastrointestinal bleeding","authors":"S. Noh, J. Shin","doi":"10.18528/GII180032","DOIUrl":"https://doi.org/10.18528/GII180032","url":null,"abstract":"Hemorrhage following pancreatitis may become complicated during the disease course and with possibly fatal consequences. Radiologic findings are as follows: the presence of hematomas, hemorrhagic pseudocysts, extravasation of contrast media or the formation of arterial pseudoaneurysms. The digital subtraction angiography findings are as follows: contrast extravasation due to arterial rupture; pseudoaneurysm formation; and luminal irregularity. A pseudoaneurysm is considered to be treated as soon as detected due to its risk of rupture. Endovascular management, which includes embolization using coils, N-butyl cyanoacrylate, gelatin sponge, stents, and thrombin, is an effective option for the treatment for pancreatitis-related bleeding. Copyright © 2018, Society of Gastrointestinal Intervention.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43542551","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}

{"title":"Is glue embolization safe and effective for gastrointestinal bleeding?","authors":"Shinsaku Yata, Y. Ohuchi, A. Adachi, M. Endo, Shohei Takasugi, Kazumichi Tsukamoto, Kensuke Matsumoto, Mika Kodani, J. Makishima, S. Fujii","doi":"10.18528/GII180030","DOIUrl":"https://doi.org/10.18528/GII180030","url":null,"abstract":"Transcatheter arterial embolization using N-butyl-2-cyanoacrylate (NBCA) for gastrointestinal arterial bleeding enables higher cessation rate and lower recurrent bleeding rate compared with conventional embolic materials including gelatin sponge, metallic coil, and polyvinyl alcohol (PVA) particle. Glue embolization is particularly effective in patients with coagulopathy. Even in the lower gastrointestinal tract, ischemic bowel complications by glue embolization are comparable to other agents. Glue embolization is also effective for arterial esophageal bleeding without any serious ischemic complications although the anatomy of the esophageal artery is complex and varied. For bleeding after abdominal surgery such as pancreaticoduodenectomy or hepatic lobectomy, interventional radiologists should be careful with indicating glue embolization because the presence of fewer collateral vessels can easily result in serious ischemic complications. Modified glue such as Glubran 2 (NBCA associated with methacryloxyfulfolane) can reduce the risk of ischemic complication due to its less thermal reaction, but the outcomes seem unsatisfactory. Copyright © 2018, Society of Gastrointestinal Intervention.","PeriodicalId":32516,"journal":{"name":"Gastrointestinal Intervention","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46903664","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}