Best Practice & Research Clinical Gastroenterology最新文献_第9页

The evolving role of device-assisted enteroscopy: The state of the art as of August 2023 设备辅助肠镜检查的演变作用:截至2023年8月的最新状态

IF 3.2 3区医学

Best Practice & Research Clinical Gastroenterology Pub Date : 2023-06-01 DOI: 10.1016/j.bpg.2023.101858

Hironori Yamamoto , Edward J. Despott , Begoña González-Suárez , Marco Pennazio , Klaus Mönkemüller

{"title":"The evolving role of device-assisted enteroscopy: The state of the art as of August 2023","authors":"Hironori Yamamoto , Edward J. Despott , Begoña González-Suárez , Marco Pennazio , Klaus Mönkemüller","doi":"10.1016/j.bpg.2023.101858","DOIUrl":"10.1016/j.bpg.2023.101858","url":null,"abstract":"<div>Device-assisted enteroscopy (DAE), balloon-assisted enteroscopy (BAE) in particular, has become a routine endoscopic procedure which has revolutionized our approach to small-bowel disease. Evidence demonstrating the efficacy and safety of BAE spans over 22-years of experience, making it an established pillar of minimally invasive care. The robust evidence for BAE's safety and efficacy has now been incorporated into international clinical guidelines, technical reviews, benchmarking performance measures and curricula. The more recently introduced motorized spiral enteroscopy (MSE) which had replaced the previous manual version, abruptly ended its 7-year stint in clinical practice, when it was withdrawn and recalled from the market by its manufacturing company in July 2023, due to several associated serious adverse events (including fatalities).This article, written by the original developer of double-balloon enteroscopy (DBE) and other recognized international experts and pioneers in this field, focuses mainly on the technical aspects, evolving indications, and equipment-related technological advances. Despite the very recent withdrawal of MSE from clinical practice, for completeness, this technology and its technique is still briefly covered here, albeit importantly, along with a short description of reported, associated, serious adverse events which have contributed to its withdrawal/recall from the market and clinical practice.</div>","PeriodicalId":56031,"journal":{"name":"Best Practice & Research Clinical Gastroenterology","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10129376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Updates in the diagnosis and management of non-ampullary small-bowel polyposis 非壶腹性小肠息肉病的诊断和治疗进展

IF 3.2 3区医学

Best Practice & Research Clinical Gastroenterology Pub Date : 2023-06-01 DOI: 10.1016/j.bpg.2023.101852

Laura Lucaciu , Tomonori Yano , Jean Christophe Saurin

{"title":"Updates in the diagnosis and management of non-ampullary small-bowel polyposis","authors":"Laura Lucaciu , Tomonori Yano , Jean Christophe Saurin","doi":"10.1016/j.bpg.2023.101852","DOIUrl":"10.1016/j.bpg.2023.101852","url":null,"abstract":"<div>Advances in endoscopic instruments and techniques changed the strategy of diagnosis and management for non-ampullary small-bowel polyposis.In patients with Peutz-Jeghers syndrome, gastrointestinal surveillance using capsule endoscopy should commence no later than eight years old. Small bowel polyps >15 mm should be treated to prevent intussusception. Recently, endoscopic ischemic polypectomy and endoscopic reduction of intussusception were described.In patients with familial adenomatous polyposis, the first endoscopic screening using a lateral viewing and a longer endoscope to check the proximal jejunum should be performed around 25 years. Some experts recommend a first duodenal examination with a first colonoscopy (13 years). The surveillance intervals for duodenal polyposis should be adjusted individually. ESGE recommended the resection of every adenoma larger than 1 cm. Cold snare polypectomy has the potential to change the threshold of size for endoscopic resection.In patients with Juvenile polyposis syndrome, small bowel involvement seems infrequent and mostly located in the duodenal part. There is no indication for distal small bowel investigation.</div>","PeriodicalId":56031,"journal":{"name":"Best Practice & Research Clinical Gastroenterology","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10126554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Safe, non-surgical retrieval of foreign bodies from the small bowel 安全，非手术从小肠中取出异物

IF 3.2 3区医学

Best Practice & Research Clinical Gastroenterology Pub Date : 2023-06-01 DOI: 10.1016/j.bpg.2023.101853

Maria Elena Riccioni, Clelia Marmo

引用次数: 0

Diagnosis and management of mid-gut (small-bowel) diseases: The state of the art in 2023 中肠(小肠)疾病的诊断和管理:2023年的最新进展

IF 3.2 3区医学

Best Practice & Research Clinical Gastroenterology Pub Date : 2023-06-01 DOI: 10.1016/j.bpg.2023.101861

Edward J. Despott, Alberto Murino

引用次数: 0

Jejunal access for enteral nutrition: A practical guide for percutaneous endoscopic gastrostomy with jejunal extension and direct percutaneous endoscopic jejunostomy 肠内营养的空肠通路:经皮内镜下空肠延伸胃造口术和直接经皮内镜下空肠造口术的实用指南

IF 3.2 3区医学

Best Practice & Research Clinical Gastroenterology Pub Date : 2023-06-01 DOI: 10.1016/j.bpg.2023.101849

Amélie Bourgeois , Paraskevas Gkolfakis , Lucia Fry , Marianna Arvanitakis

{"title":"Jejunal access for enteral nutrition: A practical guide for percutaneous endoscopic gastrostomy with jejunal extension and direct percutaneous endoscopic jejunostomy","authors":"Amélie Bourgeois , Paraskevas Gkolfakis , Lucia Fry , Marianna Arvanitakis","doi":"10.1016/j.bpg.2023.101849","DOIUrl":"10.1016/j.bpg.2023.101849","url":null,"abstract":"<div>For patients requiring long-term (>4 weeks) jejunal nutrition, jejunal medication delivery, or decompression, a percutaneous endoscopic gastrostomy with jejunal extension (PEG-J) or a direct percutaneous endoscopic jejunostomy (DPEJ) may be indicated. PEG-J is the preferred option if a PEG tube is already in place or if simultaneous gastric decompression and jejunal nutrition are needed. DPEJ is recommended for patients with altered anatomy due to foregut surgery, high risk of jejunal extension migration, and whenever PEG-J fails. Successful placement rates are lower for DPEJ but recent publications have reported improvements, partly due to the use of balloon-assisted enteroscopy. Both techniques are contraindicated in cases of active peritonitis, uncorrectable coagulopathy, and ongoing bowel ischaemia, and relative contraindications include, among other, peptic ulcer disease and haemodynamic or respiratory instability. In this narrative review, we present the most recent evidence on indications, contraindications, technical considerations, adverse events, and outcomes of PEG-J and DPEJ.</div>","PeriodicalId":56031,"journal":{"name":"Best Practice & Research Clinical Gastroenterology","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10126557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The evolving role of small-bowel capsule endoscopy 小肠胶囊内窥镜的作用演变

IF 3.2 3区医学

Best Practice & Research Clinical Gastroenterology Pub Date : 2023-06-01 DOI: 10.1016/j.bpg.2023.101857

Silvia Pecere , Michele Francesco Chiappetta , Livio Enrico Del Vecchio , Edward Despott , Xavier Dray , Anastasios Koulaouzidis , Lorenzo Fuccio , Alberto Murino , Emanuele Rondonotti , Manon Spaander , Cristiano Spada

引用次数: 0

Updates in the diagnosis and management of small-bowel tumors 小肠肿瘤诊断和治疗的最新进展

IF 3.2 3区医学

Best Practice & Research Clinical Gastroenterology Pub Date : 2023-06-01 DOI: 10.1016/j.bpg.2023.101860

Erasmia Vlachou , Apostolos Koffas , Christos Toumpanakis , Martin Keuchel

引用次数: 0

Updates in the diagnosis and management of small-bowel Crohn's disease 小肠克罗恩病诊断和治疗的最新进展

IF 3.2 3区医学

Best Practice & Research Clinical Gastroenterology Pub Date : 2023-06-01 DOI: 10.1016/j.bpg.2023.101855

Cristina Carretero , Alejandro Bojorquez , Rami Eliakim , Nikolaos Lazaridis

引用次数: 0

Updates on the diagnosis and management of cryptogenic multifocal ulcerative stenosing enteropathy (CMUSE) and non-steroidal enteropathy 隐源性多灶性溃疡性狭窄性肠病(CMUSE)和非甾体性肠病的诊断和治疗进展

IF 3.2 3区医学

Best Practice & Research Clinical Gastroenterology Pub Date : 2023-06-01 DOI: 10.1016/j.bpg.2023.101847

Tom G. Moreels , Ayaskanta Singh

{"title":"Updates on the diagnosis and management of cryptogenic multifocal ulcerative stenosing enteropathy (CMUSE) and non-steroidal enteropathy","authors":"Tom G. Moreels , Ayaskanta Singh","doi":"10.1016/j.bpg.2023.101847","DOIUrl":"10.1016/j.bpg.2023.101847","url":null,"abstract":"<div>Crohn's disease and coeliac disease are well-known to induce ulcerations in the small-bowel. However, there is a group of very rare chronic ulcerative conditions of the small intestine that has emerged from the intestinal black box nearly 70 years ago, and that has gained interest with the advent of small-bowel capsule endoscopy and device-assisted enteroscopy. These distinct ulcerative enteropathies have come to our attention, and continue to reveal their aetiology and treatment options. Two distinct entities, called cryptogenic multifocal ulcerative stenosing enteritis/enteropathy (CMUSE) and chronic nonspecific multiple ulcers of the small intestine (CNSU) are gaining more clinical attention. CMUSE was first reported in Europe, whereas CNSU was exclusively diagnosed in Japanese patients. With the identification of susceptibility genes impacting prostaglandin metabolism, CMUSE and CNSU have become two distinct pathologies within the group of prostaglandin-associated enteropathies, to be differentiated from medication-induced enteropathies, especially non-steroidal anti-inflammatory drugs (NSAID)-induced enteropathy with similar intestinal ulcerations due to interference with prostaglandin metabolism. The current review provides an historical overview of CMUSE and CNSU publications, in addition to the currently available diagnostic and treatment options, and how to differentiate these rare enteropathies from NSAID-induced enteropathy.</div>","PeriodicalId":56031,"journal":{"name":"Best Practice & Research Clinical Gastroenterology","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10126560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Updates in the diagnosis and management of coeliac disease 乳糜泻诊断和治疗的最新进展

IF 3.2 3区医学

Best Practice & Research Clinical Gastroenterology Pub Date : 2023-06-01 DOI: 10.1016/j.bpg.2023.101843

Mohamed G. Shiha , Stefania Chetcuti Zammit , Luca Elli , David S. Sanders , Reena Sidhu

引用次数: 0