Techniques in Gastrointestinal Endoscopy最新文献_第5页

Preface to surgical endoscopy in techniques in gastrointestinal endoscopy 胃肠内镜技术的外科内镜前言

Techniques in Gastrointestinal Endoscopy Pub Date : 2018-10-01 DOI: 10.1016/j.tgie.2018.10.005

Jeffrey M. Marks MD, FACS, FASGE , Michael Ujiki MD, FACS

引用次数: 0

Update on the endoscopic management of colonic neoplasia – how endoscopy is replacing surgery 结肠肿瘤内窥镜治疗的最新进展——内窥镜如何取代手术

Techniques in Gastrointestinal Endoscopy Pub Date : 2018-10-01 DOI: 10.1016/j.tgie.2018.10.006

Jennifer L. Paruch MD, MS , Lai Xue MD

引用次数: 0

Update on endoscopic enteral access 内镜下肠内通路的最新进展

Techniques in Gastrointestinal Endoscopy Pub Date : 2018-10-01 DOI: 10.1016/j.tgie.2018.09.005

Kamthorn Yolsuriyanwong MD , Bipan Chand MD

{"title":"Update on endoscopic enteral access","authors":"Kamthorn Yolsuriyanwong MD , Bipan Chand MD","doi":"10.1016/j.tgie.2018.09.005","DOIUrl":"10.1016/j.tgie.2018.09.005","url":null,"abstract":"<div><p>Enteral access is a common procedure in managing patients in need of enteral nutrition<span> and decompression. Enhancements of technology and improvements in operator skills have resulted in the development of several techniques of enteral access including endoscopic-guided, imaging-guided, laparoscopic-assisted, or combined techniques. Endoscopic enteral access techniques are the most commonly used and preferred method. These include endoscopy-guided nasoenteric tube placement and percutaneous endoscopic enterostomy<span>. These techniques can be safely performed even in challenging conditions such as prior operative intervention, ascites, and head and neck obstructions. However, each type of procedure has its unique set of indication as well as complications. The decision to use endoscopic enteral access should be carefully considered and individualized based on the patient's specific anatomical limitations, preference, overall health status, and disease. In this article, we review current knowledge focusing on endoscopic enteral feeding access including indications, contraindications, preprocedural preparation, procedure technique, enteral access in specific conditions, postprocedural care, and prevention and management of associated complications.</span></span></p></div>","PeriodicalId":43887,"journal":{"name":"Techniques in Gastrointestinal Endoscopy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.tgie.2018.09.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43306109","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: 3

Curriculum for surgical training 外科培训课程

Techniques in Gastrointestinal Endoscopy Pub Date : 2018-10-01 DOI: 10.1016/j.tgie.2018.09.004

Joshua S. Winder MD , Ryan M. Juza MD

{"title":"Curriculum for surgical training","authors":"Joshua S. Winder MD , Ryan M. Juza MD","doi":"10.1016/j.tgie.2018.09.004","DOIUrl":"10.1016/j.tgie.2018.09.004","url":null,"abstract":"<div><p>Since introduction, flexible endoscopy has been a mainstay of surgical practice for the management of gastrointestinal disorders. In rural settings, many surgeons are the primary providers of flexible endoscopy. However, in larger institutions gastroenterologists perform the majority of endoscopic procedures. Surgical training primarily occurs in large cities and academic institutions leaving many surgical trainees with inadequate exposure and training in flexible endoscopy during their residencies. Additionally, as the technology has developed, the utility of flexible endoscopy is being recognized and surgeons are taking advantage of the value added by being able to provide endoscopic therapy for their patients. This has led to an initiative by the American Board of Surgery and the Society of American Gastrointestinal and Endoscopic Surgeons to formalize a flexible endoscopy curriculum to promote endoscopic training in US surgical residencies. The comprehensive curriculum includes progressive cognitive and skills-based learning objectives to enhance training efficacy and ensure proficiency when completed. As of 2018, surgical trainees must successfully complete all components of the curriculum in order to be eligible for graduation. This paper reviews the development and components of a flexible endoscopy curriculum for US surgical residents.</p></div>","PeriodicalId":43887,"journal":{"name":"Techniques in Gastrointestinal Endoscopy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.tgie.2018.09.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42679595","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: 0

Endoscopic management of surgical complications 外科并发症的内镜治疗

Techniques in Gastrointestinal Endoscopy Pub Date : 2018-10-01 DOI: 10.1016/j.tgie.2018.10.002

Robert J. Bowles-Cintron MD, FACS, Armando Perez-Ginnari MD, Jose M. Martinez MD, FACS

引用次数: 1

The surgeon as endoscopist: A look back with a view to the future 外科医生作为内窥镜医生：展望未来

Techniques in Gastrointestinal Endoscopy Pub Date : 2018-10-01 DOI: 10.1016/j.tgie.2018.09.002

Matthew R. Smith DO, Adam J. Reid MD, Brandt D. Whitehurst MD, John D. Mellinger MD

引用次数: 2

Primary endoluminal bariatric procedures 初级腔内减肥手术

Techniques in Gastrointestinal Endoscopy Pub Date : 2018-10-01 DOI: 10.1016/j.tgie.2018.10.003

Mujjahid Abbas MD, Leena Khaitan MD, MPH

引用次数: 3

Techniques in gastrointestinal endoscopy: surgical endoscopy 胃肠内窥镜技术:手术内窥镜

Techniques in Gastrointestinal Endoscopy Pub Date : 2018-10-01 DOI: 10.1016/j.tgie.2018.10.004

Mark J. Anderson MD, Victor Sandoval MD, Jeffrey M. Marks MD

引用次数: 0

Common postoperative anatomy that requires special endoscopic consideration 需要特殊内镜考虑的常见术后解剖结构

Techniques in Gastrointestinal Endoscopy Pub Date : 2018-10-01 DOI: 10.1016/j.tgie.2018.10.001

R.M. Juza MD, E.M. Pauli MD

{"title":"Common postoperative anatomy that requires special endoscopic consideration","authors":"R.M. Juza MD, E.M. Pauli MD","doi":"10.1016/j.tgie.2018.10.001","DOIUrl":"10.1016/j.tgie.2018.10.001","url":null,"abstract":"<div><p>Technological advancements have continued to expand the utility of flexible endoscopy<span><span><span> in the diagnosis and treatment of </span>gastrointestinal disorders<span> [1]. While the majority of these procedures occur in patients with native </span></span>anatomy, the cohort of patients with surgically altered gastrointestinal anatomy continues to rise. Understanding the types of and variations of surgically-altered anatomy is paramount to effectively performing endoscopy in the postsurgical patient, as the anatomic rearrangements have implications to procedural safety and success. Additionally, the ability to distinguish “normal” from “abnormal” from “abnormally abnormal” postoperative findings is essential to correctly identify and report problems.</span></p><p>This article will describe common postsurgical anatomy that the endoscopist is likely to encounter. We describe normal and abnormal findings and detail technical considerations for obtaining accurate diagnostic information and performing therapeutic procedures vis-à-vis specific anatomical changes. Additionally, we highlight the essential components of specific endoscopic evaluations and outline methods to more effectively communicate such information to the referring provider (with particular focus on communicating anatomical findings with a surgeon).</p></div>","PeriodicalId":43887,"journal":{"name":"Techniques in Gastrointestinal Endoscopy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.tgie.2018.10.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45061010","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: 1

Intraoperative endoscopy: An important skill for general surgeons 术中内窥镜检查：普通外科医生的一项重要技能

Techniques in Gastrointestinal Endoscopy Pub Date : 2018-10-01 DOI: 10.1016/j.tgie.2018.09.003

Robert D. Fanelli MD, MHA, FACS, FASGE , Stephanie M. Fanelli

引用次数: 4