Journal of interventional gastroenterology最新文献_第10页

Meet the Editor-in-Chief: Professor William Chao Sai Chik. 这是总编辑赵世智教授。

Journal of interventional gastroenterology Pub Date : 2011-04-01 DOI: 10.4161/jig.1.2.16824

引用次数: 0

DDW 2011 cutting edge colonoscopy techniques - state of the art lecture master class - warm water infusion/CO(2) insufflation for colonoscopy. DDW 2011前沿结肠镜检查技术-最先进的讲座大师班-温水输注/CO(2)注入结肠镜检查。

Journal of interventional gastroenterology Pub Date : 2011-04-01 DOI: 10.4161/jig.1.2.16830

Felix W Leung, Joseph W Leung, Surinder K Mann, Shai Friedland, Francisco C Ramirez, Snorri Olafsson

{"title":"DDW 2011 cutting edge colonoscopy techniques - state of the art lecture master class - warm water infusion/CO(2) insufflation for colonoscopy.","authors":"Felix W Leung, Joseph W Leung, Surinder K Mann, Shai Friedland, Francisco C Ramirez, Snorri Olafsson","doi":"10.4161/jig.1.2.16830","DOIUrl":"https://doi.org/10.4161/jig.1.2.16830","url":null,"abstract":"Pain limits the success of cecal intubation in unsedated patient. Carbon dioxide infusion instead of air insufflation and water infusion as an adjunction to air insufflation have both been investigated as modalities to minimize pain associated with colonoscopy. Multiple RCT support an effect of carbon dioxide in reducing pain after colonoscopy. A modern method of water infusion as the sole modality for aiding colonoscope insertion has been shown to reduce pain during and after colonoscopy. Favorable effects in reducing discomfort have been documented in both sedated and unsedated patients. Because of the need to perform water exchange in the patients with suboptimal bowel perparation, a serendipitous consequence of salvage cleansing is evident with application of the water method. The associated increase in adenoma detection especially in the proximal colon is most intriguing. The hypothesis that the water method during insertion combined with carbon dioxide insufflation during withdrawal will optimally decrease colonoscopy pain should be evaluated. The implications of increased adenoma detection by the water method also deserve to be studied.","PeriodicalId":89416,"journal":{"name":"Journal of interventional gastroenterology","volume":"1 2","pages":"78-82"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3136858/pdf/jig0102_0078.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29876972","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

Quality endoscopists and quality endoscopy units. 优质的内窥镜医师和优质的内窥镜检查单位。

Journal of interventional gastroenterology Pub Date : 2011-04-01 DOI: 10.4161/jig.1.2.15048

Peter B Cotton

引用次数: 22

Which patients with dilated common bile and/or pancreatic ducts have positive findings on EUS? 哪些胆总管和/或胰管扩张的患者EUS检查呈阳性?

Journal of interventional gastroenterology Pub Date : 2011-04-01 DOI: 10.1016/J.GIE.2011.03.723

Vernon J. Carriere, Jason D. Conway, Jerry Evans, S. Shokoohi, G. Mishra

引用次数: 13

The water method significantly enhances detection of diminutive lesions (adenoma and hyperplastic polyp combined) in the proximal colon in screening colonoscopy - data derived from two RCT in US veterans. 水法在结肠镜筛查中显著提高了近端结肠小病变(腺瘤和增生性息肉合并)的检出率——数据来自美国退伍军人的两项随机对照试验。

Journal of interventional gastroenterology Pub Date : 2011-04-01 DOI: 10.4161/jig.1.2.16826

Felix W Leung, Joseph W Leung, Rodelei M Siao-Salera, Surinder K Mann, Guy Jackson

{"title":"The water method significantly enhances detection of diminutive lesions (adenoma and hyperplastic polyp combined) in the proximal colon in screening colonoscopy - data derived from two RCT in US veterans.","authors":"Felix W Leung, Joseph W Leung, Rodelei M Siao-Salera, Surinder K Mann, Guy Jackson","doi":"10.4161/jig.1.2.16826","DOIUrl":"https://doi.org/10.4161/jig.1.2.16826","url":null,"abstract":"PURPOSE: Emerging data indicate a colonoscopist-controlled method is needed to avoid missing proximal colon pre-malignant lesions. Screening colonoscopy does not prevent all proximal colon cancers. Even diminutive lesions in the proximal colon harbor dysplasia. In addition to adenomas (presumptive cancer precursors), recent proposals to reevaluate proximal colon hyperplastic polyps as serrated polyps which could be pre-malignant or harbingers of interval neoplasia dramatize the importance of attending to these lesions. The finding that the water method increased yield of proximal diminutive adenomas prompted assessment of the hypothesis that the water method increases yield of all proximal diminutive lesions (adenoma and hyperplastic polyp) in screening cases. METHODS: Two RCT assessed the water method with primary outcome of completion of unsedated colonoscopy when the option of scheduled, unsedated or sedation on demand was used. Diminutive (<10 mm) lesions proximal to the splenic flexure were tracked. RESULTS: In screening cases, 31% and 6% of the water and air group had at least one proximal diminutive lesion (p=0.0012). Regression analysis revealed withdrawal time, method and volume of water used were significant predictors of proximal diminutive lesions. Effect of the water method on detection of proximal diminutive lesions was independent of age, body mass index, endoscopist, sedation, cecal intubation rate, bowel cleanliness score on withdrawal and total procedure time. LIMITATION: Male subject predominance, analysis of secondary outcomes of pooled RCT data. CONCLUSION: The hypothesis that the water method effectively enhances proximal diminutive lesion detection in screening colonoscopy in diverse clinical settings should be tested.","PeriodicalId":89416,"journal":{"name":"Journal of interventional gastroenterology","volume":"1 2","pages":"48-52"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3136853/pdf/jig0102_0048.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29876968","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: 31

The water method combined with chromoendoscopy enhances adenoma detection. 水法结合色镜检查提高了腺瘤的检出率。

Journal of interventional gastroenterology Pub Date : 2011-04-01 DOI: 10.4161/jig.1.2.16827

Joseph W Leung, Kanat Ransibrahmanakul, Lee Toomsen, Surinder K Mann, Rodelei Siao-Salera, Felix W Leung

{"title":"The water method combined with chromoendoscopy enhances adenoma detection.","authors":"Joseph W Leung, Kanat Ransibrahmanakul, Lee Toomsen, Surinder K Mann, Rodelei Siao-Salera, Felix W Leung","doi":"10.4161/jig.1.2.16827","DOIUrl":"https://doi.org/10.4161/jig.1.2.16827","url":null,"abstract":"BACKGROUND: The water method is easy-to-learn and improves colonoscopy outcomes. Dye-spray chromoendoscopy enhances ADR but has not been widely accepted for routine application in screening or surveillance colonoscopy. HYPOTHESIS: With dye added to the water used in the water method, ADR can be enhanced compared with the water or air method alone. OBJECTIVE: To compare ADR determined by the air method, water method alone, and water method with indigo carmine (0.008%) added. DESIGN: Review of prospectively collected data in a performance improvement program. SETTING: VA endoscopy unit. PATIENT: Screening or surveillance colonoscopy. METHODS: Patients (n=50/group) underwent colonoscopy with each of the three methods. Water method involved warm water infusion in lieu of air insufflation coupled with removal of residual air by suction and residual feces by water exchange. ADR and procedural data were collected prospectively to monitor performance. MAIN OUTCOME MEASUREMENTS: ADR. RESULTS: ADR in the air method, water method alone and water method with indigo carmine were 36%, 40% and 62%, respectively. Water method with indigo carmine produced significantly higher ADR than the air or water method alone (p<0.05). LIMITATIONS: Non-randomized data, single VA site, retrospective comparison. Absence of significant difference between air and water methods could be a type II error due to small number of patients CONCLUSIONS: The approach with indigo carmine added to the water used in the water method yielded significantly higher ADR than the water or the air method alone. The data suggest that a prospective RCT to compare the different methods is warranted.","PeriodicalId":89416,"journal":{"name":"Journal of interventional gastroenterology","volume":"1 2","pages":"53-58"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3136854/pdf/jig0102_0053.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29876969","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: 12

Is there a place for sedationless colonoscopy? 有没有地方可以做无镇静剂结肠镜检查?

Journal of interventional gastroenterology Pub Date : 2011-01-01 DOI: 10.4161/jig.1.1.14592

Felix W Leung

{"title":"Is there a place for sedationless colonoscopy?","authors":"Felix W Leung","doi":"10.4161/jig.1.1.14592","DOIUrl":"https://doi.org/10.4161/jig.1.1.14592","url":null,"abstract":"Usedated colonoscopy is routinely available in many parts of the world. In the US, only educated professionals appear to be knowledgeable enough to request the unsedated option. Colonoscopists have also been willing to perform unsedated colonoscopy when a patient presents without an escort after undergoing bowel purge preparation. While the actual side-effects of sedation are minimal, the escort requirement and time burden of sedation are barriers to the uptake of screening colonoscopy in the US. The recent trend of deep sedation with propofol for screening colonoscopy increases the efficiency of the colonoscopists at significant costs (e.g. anesthetist reimbursement). The options of as needed and on demand sedation permit patients to complete colonoscopy without sedation. The latter appears to be potentially less coercive. Nurses with experience in the unsedated options recognize the benefit of the quick turn-around of the examination room and shortened occupancy of the recovery area. Discharge planning can be optimized due to absence of amnesia. Patients completing unsedated colonoscopy have given their endorsement of the options. Pain and discomfort continue to limit the success rate of cecal intubation to about 80%. A recently described water method (warm water infusion in lieu of air insufflation combined with removal of all residual colonic air by suction and residual feces by water exchange) has the potential of decreasing procedural discomfort and enhancing cecal intubation in unsedated colonoscopy. The availability of the novel water method assures colonoscopists that high success rate of cecal intubation can be achieved in the unsedated patients.","PeriodicalId":89416,"journal":{"name":"Journal of interventional gastroenterology","volume":"1 1","pages":"19-22"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3109472/pdf/jig0101_0019.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29948302","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: 46

Porto-gastric fistula from penetration of coil from gastric varix after TIPS procedure for bleeding gastric varices. 胃静脉曲张出血TIPS手术后胃静脉曲张线圈穿透胃门-胃瘘。

Journal of interventional gastroenterology Pub Date : 2011-01-01 DOI: 10.4161/jig.1.1.14599

Syed Hussain, Rony Ghaoui

引用次数: 7

Editorial Introduction: Welcome to Journal of Interventional Gastroenterology (JIG). 编辑简介:欢迎来到介入胃肠病学杂志(JIG)。

Journal of interventional gastroenterology Pub Date : 2011-01-01 DOI: 10.4161/jig.1.1.14580

William Sc Chao, Joseph W Leung

引用次数: 0

Options of sedation or no sedation for colonoscopy - the perspective of the GI nurses and technicians. 结肠镜检查中镇静或不镇静的选择——GI护士和技术人员的观点。

Journal of interventional gastroenterology Pub Date : 2011-01-01 DOI: 10.4161/jig.1.1.14601

Rodelei Siao-Salera, Joseph W Leung, Surinder K Mann, Wilhelmina Canete, Rebeck Gutierrez, Claire Reyes Galzote, Felix W Leung

{"title":"Options of sedation or no sedation for colonoscopy - the perspective of the GI nurses and technicians.","authors":"Rodelei Siao-Salera, Joseph W Leung, Surinder K Mann, Wilhelmina Canete, Rebeck Gutierrez, Claire Reyes Galzote, Felix W Leung","doi":"10.4161/jig.1.1.14601","DOIUrl":"https://doi.org/10.4161/jig.1.1.14601","url":null,"abstract":"OBJECTIVE: Nurses (patient-advocates) and technicians (member of colonoscopy team) collected data on patient discomfort and evaluated various options of sedation or no sedation associated with the air and water methods for performing colonoscopy. METHOD: Veterans participated in studies comparing air and water method colonoscopy. Options using minimal or on demand sedation were evaluated. RESULTS: Compared with the air method, the water method was associated with significantly lower pain scores, higher patient satisfaction ratings and shorter recovery times. On demand sedation was comparable to routine sedation when the water method was used. Patients prefer to be in control of when their medications would be administered during colonoscopy. CONCLUSION: Evaluations by nurses (patient advocates) and technicians (member of colonoscopy team) with experience in assisting patients undergoing colonoscopy using the various options indicate the following. In settings without access to sedation, the water method is ideal for unsedated colonoscopy or extended flexible sigmoidoscopy for screening. Otherwise, the water method and on demand sedation is the most credible combination of options for patient care.","PeriodicalId":89416,"journal":{"name":"Journal of interventional gastroenterology","volume":"1 1","pages":"37-41"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3109464/pdf/jig0101_0037.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29948307","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: 9