Acta gastro-enterologica Belgica最新文献_第10页

Endoscopic management of buried bumper syndrome using the Balloon Dilation Pull (BDP) technique: a multicenter analysis. 内镜下使用球囊扩张拉(BDP)技术治疗隐匿性缓冲器综合征:一项多中心分析。

IF 1.5 4区医学

Acta gastro-enterologica Belgica Pub Date : 2023-01-01 DOI: 10.51821/86.1.11005

M Maly, M Bronswijk, P Christiaens, C Snauwaert

{"title":"Endoscopic management of buried bumper syndrome using the Balloon Dilation Pull (BDP) technique: a multicenter analysis.","authors":"M Maly, M Bronswijk, P Christiaens, C Snauwaert","doi":"10.51821/86.1.11005","DOIUrl":"https://doi.org/10.51821/86.1.11005","url":null,"abstract":"Background and study aims: Buried bumper syndrome (BBS) may complicate percutaneous endoscopic gastrostomy placement. In these patients, endoscopic treatment ought to be considered. Various approaches have been published, ranging from dissectionbased techniques to novel dedicated devices, although the evidence supporting the use of the Balloon Dilation Pull (BDP) technique has been limited to single case reports. The aim of this paper is to assess the feasibility, efficacy and safety of the systematic use of the BDPtechnique for the endoscopic treatment of BBS.Patients and methods: We performed a retrospective multicenter analysis of prospectively collected data from all patients treated with the BDP-technique between January 2011 and November 2021.Results: In total, 26 patients were identified (median age 72 (SD ± 13) years, 74% male, 84.6% underlying neurological disease). Technical success was achieved in 92.3%, with a median procedure time of 17.5 minutes (range 5-27). Adverse events were identified in 3.8% of patients (N=1, aspiration, ASGE lexicon severity grade: moderate).Conclusions: Our experience suggests that the BDP-technique is highly efficacious and safe, using accessories readily available in every endoscopic unit. Given the limited procedure time and tools required, this procedure has the potential to further optimize patient care in the context of BBS.","PeriodicalId":7322,"journal":{"name":"Acta gastro-enterologica Belgica","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10792172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Driving performance of outpatients achieving discharge criteria after deep sedation is worse than these of their escort-driver: a prospective observational study on simulator. 深度镇静后达到出院标准的门诊患者的驾驶表现差于其陪同司机:模拟器的前瞻性观察研究。

IF 1.5 4区医学

Acta gastro-enterologica Belgica Pub Date : 2023-01-01 DOI: 10.51821/86.1.11090

F J Lois, Q Massart, D O Warner, C Malengreaux, M Knops, A S Nyssen, J F Brichant, C O Hallet

{"title":"Driving performance of outpatients achieving discharge criteria after deep sedation is worse than these of their escort-driver: a prospective observational study on simulator.","authors":"F J Lois, Q Massart, D O Warner, C Malengreaux, M Knops, A S Nyssen, J F Brichant, C O Hallet","doi":"10.51821/86.1.11090","DOIUrl":"https://doi.org/10.51821/86.1.11090","url":null,"abstract":"Background: Achieving post-anesthesia discharge criteria after surgery or outpatient procedures does not mean that the patient has regained all his or her faculties, such as driving. Although mandated by many clinical guidelines, there is no evidence that escort-drivers reduce the risk of traffic accidents after deep sedation. The purpose of this study was to evaluate that hypothesis that driving performance as measured using a driving simulation would not differ between patients who had undergone deep sedation for gastrointestinal endoscopy meeting discharge criteria and their escorts.Methods: This prospective study included patients scheduled for ambulatory gastrointestinal endoscopy under deep propofol sedation (patient group) and their escorts (escort group). Driving performance of escorts and patients (when discharge criteria were met) was assessed using a driving simulator.Results: 30 patients and their escorts were included. Patients crossed the midline significantly more frequently than escorts (3 [2-4] (median [IQR]) and 2 [1-3] crossings, respectively, p=0.015]. Patients were speeding for a higher proportion of the distance traveled compared with escorts (37 (20)% (mean (SD)) and 24 (17)% in patients and escorts, respectively, p = 0.029). There were no significant differences between groups in other simulation parameters.Conclusions: The ability to stay within the traffic lanes, as measured by the number of midline crossing during a simulated driving performance, is impaired in patients who meet discharge criteria after gastrointestinal endoscopy under deep sedation compared with their escorts. This finding does not support a practice of allowing patients to drive themselves home after these procedures.","PeriodicalId":7322,"journal":{"name":"Acta gastro-enterologica Belgica","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9355289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 1

Neuromodulating agents in functional dyspepsia: a comprehensive review. 神经调节剂在功能性消化不良中的应用综述。

IF 1.5 4区医学

Acta gastro-enterologica Belgica Pub Date : 2023-01-01 DOI: 10.51821/86.1.10998

L Bosman, L Wauters, T Vanuytsel

{"title":"Neuromodulating agents in functional dyspepsia: a comprehensive review.","authors":"L Bosman, L Wauters, T Vanuytsel","doi":"10.51821/86.1.10998","DOIUrl":"https://doi.org/10.51821/86.1.10998","url":null,"abstract":"Background and study aims: Functional dyspepsia is a common chronic condition with upper abdominal symptoms in the absence of an organic cause. The first line treatment consists of protonpomp inhibition or Helicobacter pylori eradication. However, this approach often does not provide enough symptom relief. Neuromodulating agents are commonly used in clinical practice but only tricyclic antidepressant (TCAs) are mentioned in European and American and Canadian guidelines.Methods: We performed a comprehensive review of the literature in Pubmed for full-text randomized controlled trials in English with adult participants (>18 years) who met the Rome II, III or IV criteria or were diagnosed by a physician with a negative upper endoscopy and that compared a neuromodulating agent with placebo.Results: The search strategy identified 386 articles of which 14 articles met the eligibility criteria. TCAs like amitriptyline and imipramine have been shown to be effective in the treatment of functional dyspepsia whereas other neuromodulating agents like tetracyclic antidepressants, levosulpiride and anxiolytics might be beneficial but conclusive evidence is lacking. serotonin and noradrenaline reuptake inhibitors (SNRI) and selective serotonin reuptake inhibitors (SSRI) have not shown benefit in patients with functional dyspepsia.Conclusion: Selected neuromodulators have an established efficacy in functional dyspepsia. The best supporting evidence is available for TCAs with a potential role for tetracyclic antidepressants, levosulpiride and anxiolytics.","PeriodicalId":7322,"journal":{"name":"Acta gastro-enterologica Belgica","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10846893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Epidemiological characteristics of a population visiting a patient-centered informative website about irritable bowel syndrome. 访问以患者为中心的肠易激综合征信息网站的人群的流行病学特征。

IF 1.5 4区医学

Acta gastro-enterologica Belgica Pub Date : 2023-01-01 DOI: 10.51821/86.1.10885

K Van Malderen, J G De Man, B Y De Winter, H U De Schepper

{"title":"Epidemiological characteristics of a population visiting a patient-centered informative website about irritable bowel syndrome.","authors":"K Van Malderen, J G De Man, B Y De Winter, H U De Schepper","doi":"10.51821/86.1.10885","DOIUrl":"https://doi.org/10.51821/86.1.10885","url":null,"abstract":"Background and aims: Irritable bowel syndrome (IBS) is a chronic disorder characterized by abdominal pain and an altered bowel habit. The aim of this study was to evaluate the characteristics of a population visiting a patient-centered informative website about IBS.Methods: Five digital surveys were used to assess the Rome IV criteria, red flag symptoms, healthcare use, psychological comorbidities, quality of life, symptom severity, diet, physical activity. Patients were divided into a Rome positive and negative population with the Rome positive population being further subtyped based on dominant stool pattern.Results: Red flag symptoms (42%) and comorbid psychological disorders (65% anxiety and 39% depression) were common. Despite consulting health care professionals and therapy, most patients (96%) still experienced moderate to severe symptoms with an average impact on quality of life. 73% performed regular physical exercise and 25% of the Rome positive population followed the FODMAP diet. Almost all participants consulted a health care professional at one point in time and used some form of therapy. 54% of the patients believed there is generally sufficient information available and 57% thinks that their physician takes IBS seriously. However, only 41% thinks that their physician has sufficient knowledge about IBS.Conclusions: This study underlines the importance of a thorough characterization of IBS patients. Furthermore, patients expressed an urgent need for high quality information and education for both health care professionals and patients.","PeriodicalId":7322,"journal":{"name":"Acta gastro-enterologica Belgica","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10792171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Secondary anal fissures: a pain in the a*. 继发性肛裂:肛门疼痛。

IF 1.5 4区医学

Acta gastro-enterologica Belgica Pub Date : 2023-01-01 DOI: 10.51821/86.1.11310

H Ruymbeke, J Geldof, D De Looze, M A Denis, H De Schepper, P Dewint, I Gijsen, M Surmont, J Wyndaele, P Roelandt

引用次数: 0

Olmesartan induced enteropathy affecting the entire gastrointestinal tract: a case report. 奥美沙坦致全胃肠道肠病1例。

IF 1.5 4区医学

Acta gastro-enterologica Belgica Pub Date : 2023-01-01 DOI: 10.51821/86.1.9815

N Van Horebeek, R Croes, A Vonck, E Colpaert

引用次数: 2

Metabolic steatosis: recent scientific data also support a change in nomenclature. 代谢性脂肪变性:最近的科学数据也支持命名法的改变。

IF 1.5 4区医学

Acta gastro-enterologica Belgica Pub Date : 2023-01-01 DOI: 10.51821/86.1.11385

N Lanthier, M J Armstrong

引用次数: 1

Colorectal endoscopic submucosal dissection: a review on patient selection and indications. 结肠内镜下粘膜下剥离:患者选择和适应症的回顾。

IF 1.5 4区医学

Acta gastro-enterologica Belgica Pub Date : 2023-01-01 DOI: 10.51821/86.1.10856

M Bronswijk, G Rasschaert, Y Hayashi, H Yamamoto

{"title":"Colorectal endoscopic submucosal dissection: a review on patient selection and indications.","authors":"M Bronswijk, G Rasschaert, Y Hayashi, H Yamamoto","doi":"10.51821/86.1.10856","DOIUrl":"https://doi.org/10.51821/86.1.10856","url":null,"abstract":"Background: The development of 'third-space'-endoscopy has paved the way towards en-bloc resection of early gastrointestinal neoplasia. Endoscopic submucosal dissection (ESD) has improved the endoscopic management of colorectal lesions by facilitating R0-resection, improving histological assessment and preventing recurrence.Methods: The purpose of this review is to provide an evidence-based overview of indications for which ESD should be considered within colorectal endoscopy.Results: The development of ESD has partially bridged the gap between endoscopy and surgery, but depends heavily on adequate pre-resection visual evaluation, ruling out potential deep submucosal invasion. ESD should be considered for large colorectal polyps (≥20mm) and/or lesions diagnosed as harbouring high-grade dysplasia, in-situ carcinoma or superficial submucosal invasion. Not only has it found its way into our guidelines for the treatment of neuroendocrine neoplasms, ESD also seems a promising alternative for the controlled resection of large pedunculated lesions. ESD can also be applied in more challenging situations, such as in pre-treated lesions, post-surgical context and in patients with IBD, although this requires a high level of skill and expertise.Conclusions: In this review we have described the different indications for ESD and attempted to define its place within our current endoscopic armamentarium. For both non-expert and expert endoscopists, knowledge about ESD indications, patient selection and therapeutic alternatives, remains crucial in the care for patients with colorectal neoplasia.","PeriodicalId":7322,"journal":{"name":"Acta gastro-enterologica Belgica","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9355288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 1

A 43-year-old male with acute right upper quadrant pain and skin rash. 43岁男性右上腹急性疼痛伴皮疹。

IF 1.5 4区医学

Acta gastro-enterologica Belgica Pub Date : 2023-01-01 DOI: 10.51821/86.1.10813

F Ufuk, A R Utebey, S Yilmaz

引用次数: 0

Essential reading from the editor's desk. 从编辑的办公桌上必不可少的阅读。

IF 1.5 4区医学

Acta gastro-enterologica Belgica Pub Date : 2023-01-01 DOI: 10.51821/86.1.11630

T Vanuytsel, C Reenaers

引用次数: 1