Journal of interventional gastroenterology最新文献

{"title":"A novel technique on EUS-guided access to dorsal pancreatic duct in a patient with pancreas divisum.","authors":"Everson L A Artifon, Carolina Rebello, Mariana S V Frazão, José Pinhata Otoch","doi":"10.4161/jig.22208","DOIUrl":"https://doi.org/10.4161/jig.22208","url":null,"abstract":"","PeriodicalId":89416,"journal":{"name":"Journal of interventional gastroenterology","volume":"2 2","pages":"94-96"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3655351/pdf/jig0202_0094.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31442275","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":"Quality matters: A protocol-based strategy in ERCP training.","authors":"Brian S Lim","doi":"10.4161/jig.22201","DOIUrl":"https://doi.org/10.4161/jig.22201","url":null,"abstract":"","PeriodicalId":89416,"journal":{"name":"Journal of interventional gastroenterology","volume":"2 2","pages":"76-77"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3655345/pdf/jig0202_0076.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31535281","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":"Endoscopic retrograde cholangiopancreatography in patients with roux-en-Y anatomy.","authors":"Jason B Samarasena, Ninh T Nguyen, John G Lee","doi":"10.4161/jig.22203","DOIUrl":"10.4161/jig.22203","url":null,"abstract":"","PeriodicalId":89416,"journal":{"name":"Journal of interventional gastroenterology","volume":"2 2","pages":"78-83"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3655346/pdf/jig0202_0078.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31535283","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":"Successful management of recurrent biliary colic caused by pancreatic stent migration after Whipple procedure.","authors":"Muhammad Z Bawany, Ehsan Rafiq, Raja Thotakura, Michael D McPhee, Ali Nawras","doi":"10.4161/jig.22209","DOIUrl":"https://doi.org/10.4161/jig.22209","url":null,"abstract":"","PeriodicalId":89416,"journal":{"name":"Journal of interventional gastroenterology","volume":"2 2","pages":"97-98"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3655352/pdf/jig0202_0097.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31442276","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":"Colonic diverticulosis is associated with an increased adenoma detection rate in patients undergoing first-time screening colonoscopy.","authors":"Vishal B Gohil,&nbsp;James T Patrie,&nbsp;Vanessa M Shami,&nbsp;Bryan G Sauer,&nbsp;Curtis K Argo,&nbsp;Sheila E Crowe,&nbsp;Andrew Y Wang","doi":"10.4161/jig.22200","DOIUrl":"https://doi.org/10.4161/jig.22200","url":null,"abstract":"<p><strong>Background: </strong>Diverticulosis is a common finding in patients undergoing colonoscopy. The effect of colonic diverticulosis on the colorectal adenoma detection rate (ADR) and other colonoscopy quality indicators remains unclear.</p><p><strong>Objectives: </strong>To determine if colonic diverticulosis is associated with differences in (1) colorectal ADR and (2) other quality indicators and operating characteristics in patients undergoing first-time screening colonoscopy.</p><p><strong>Methods: </strong>Retrospective cohort study conducted at an outpatient surgical center affiliated with an academic medical center.</p><p><strong>Results: </strong>300 consecutive patients (190 women) with a median age of 57 years (range: 23-70 years) who underwent colonoscopy for various indications were included. 108 (36%) of these 300 patients had diverticulosis found on colonoscopy. 142 (47.3%) of these patients (88 women, median age of 52 years) underwent their first screening colonoscopy. In this population, the frequency of colonic diverticula was 39.2%, and the ADR was 47.5% for patients with diverticulosis and 27.4% for patients without diverticulosis. Multivariate analysis revealed that the presence of diverticulosis had an associated odds ratio of 2.3 (p=0.04) in favor of finding at least one adenoma. No statistically significant differences were found among the rates of total colonoscopy, median scope insertion and withdrawal times, and the amounts of midazolam and fentanyl required for sedation when patients with diverticulosis were compared to those without diverticulosis.</p><p><strong>Conclusion: </strong>Colonic diverticulosis was associated with an increased ADR in patients undergoing first-time screening colonoscopy. The presence of colonic diverticulosis did not adversely affect the cecal intubation rate, scope insertion or withdrawal times, or sedation requirements.</p>","PeriodicalId":89416,"journal":{"name":"Journal of interventional gastroenterology","volume":"2 2","pages":"70-75"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3655344/pdf/jig0202_0070.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31535280","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":"Is the use of prophylactic hemoclips in the endoscopic resection of large pedunculated polyps useful? A prospective and randomized study.","authors":"Elvira Quintanilla, José Luis Castro, Luis Ramón Rábago, Inmaculada Chico, Ana Olivares, Alejandro Ortega, Cristina Vicente, Jorge Carbó, Francisco Gea","doi":"10.4161/jig.22210","DOIUrl":"10.4161/jig.22210","url":null,"abstract":"<p><strong>Background: </strong>The methods for preventing post-polypectomy bleeding (PPB) are not standardised and there are groups that use hemoclips for this purpose.</p><p><strong>Objective: </strong>To study whether the use of hemoclips reduces PPB complications.</p><p><strong>Materials and methods: </strong>Prospective, randomised study of patients with pedunculated polyps larger than 10 mm. The patients were included in two groups (hemoclip before polypectomy -HC- and standard polypectomy -SP-). This study has been registered with the trial registration number NCT01565993.</p><p><strong>Results: </strong>105 polypectomies were performed (98 patients), 66 (62.9%) in the HC group. The total rate of complications was 10,6% in the HC group (4.5% early bleeding, 1.5% severe delayed bleeding, 4,5% mucosal burns, 1.5% perforation). In the SP group, the rate of total complications was 7,7%, (7,7% early bleeding, no significant differences). In view of the unexpected increase in the morbidity of the hemoclip group, the study was suspended without reaching the sample size. In an ad hoc analysis, which includes the standard polypectomy patients who refused to participate in the study (35 polyps), the total morbidity was 5,7% (no perforations and 2 patients with premature bleeding).When we compared the morbidity of the HC group to the morbidity of SP group plus R group (74 polyps), we also failed to detect any significant differences in terms of PPB, but did in terms of perforation.</p><p><strong>Conclusion: </strong>The prophylactic use of hemoclips in polypectomies of large pedunculated polyps leads to a further risk of mucosal burns and perforation that is not acceptable, and does not reduce the risk of PPB.</p>","PeriodicalId":89416,"journal":{"name":"Journal of interventional gastroenterology","volume":"2 2","pages":"99-104"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3655353/pdf/jig0202_0099.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31442278","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":"Synchronous EUS-guided choledochoduodenostomy with metallic biliary and duodenal stents placement in a patient with malignant papillary tumor.","authors":"Raja V Thotakura,&nbsp;Sreekiran Thotakura,&nbsp;Aijaz Sofi,&nbsp;Muhammad Z Bawany,&nbsp;Ali Nawras","doi":"10.4161/jig.22206","DOIUrl":"https://doi.org/10.4161/jig.22206","url":null,"abstract":"","PeriodicalId":89416,"journal":{"name":"Journal of interventional gastroenterology","volume":"2 2","pages":"88-90"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3655349/pdf/jig0202_0088.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31535285","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":"Interim report of a randomized cross-over study comparing clinical performance of novice trainee endoscopists using conventional air insufflation versus warm water infusion colonoscopy.","authors":"C. Ngo, J. Leung, S. Mann, Cecilia Terrado, C. Bowlus, D. Ingram, F. Leung","doi":"10.1016/J.GIE.2012.03.724","DOIUrl":"https://doi.org/10.1016/J.GIE.2012.03.724","url":null,"abstract":"","PeriodicalId":89416,"journal":{"name":"Journal of interventional gastroenterology","volume":"2 3 1","pages":"135-139"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/J.GIE.2012.03.724","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54632325","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":"Introduction to the volume 2, second issue.","authors":"","doi":"10.4161/jig.22171","DOIUrl":"https://doi.org/10.4161/jig.22171","url":null,"abstract":"","PeriodicalId":89416,"journal":{"name":"Journal of interventional gastroenterology","volume":"2 2","pages":"53"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3655340/pdf/jig0202_0053.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31535276","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":"String capsule endoscopy for screening and surveillance of esophageal varices in patients with cirrhosis.","authors":"Sally Stipho,&nbsp;Erin Tharalson,&nbsp;Shahina Hakim,&nbsp;Rodney Akins,&nbsp;Masud Shaukat,&nbsp;Francisco C Ramirez","doi":"10.4161/jig.22173","DOIUrl":"https://doi.org/10.4161/jig.22173","url":null,"abstract":"<p><strong>Background: </strong>EGD is the gold standard for the screening and surveillance of esophageal varices. A less invasive, safer and sedationless alternative procedure is needed.</p><p><strong>Objective: </strong>To assess the sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) as well as the beyond the chance agreement (kappa index), of string capsule endoscopy (SCE) in the diagnosis of esophageal varices.</p><p><strong>Methods: </strong>Cirrhotic patients underwent string capsule endoscopy (SCE) and EGD for screening and surveillance purposes. Varices were graded at EGD and SCE as small, medium and large. Descriptors at SCE were added as follows: PLUS, for the presence of red wale signs or, MINUS for their absence, irrespective of the estimated variceal size. Clinically significant varices were defined by their size (medium/large at either EGD or SCE) and/or, the PLUS descriptor irrespective of the estimated size at SCE. Sensitivity, specificity, PPV, NPV, accuracy and kappa index were calculated. Procedure time, procedure-related discomfort and patient's preference were documented.</p><p><strong>Results: </strong>100 patients (33 for screening and 67 for surveillance) were enrolled. The sensitivity and specificity of SCE for clinically significant varices when using the PLUS/MINUS descriptors were 82% and 90%, respectively with a PPV of 84% and NPV of 89% and a kappa of 0.73.</p><p><strong>Conclusion: </strong>String capsule endoscopy had an acceptable sensitivity and specificity for the diagnosis of clinically significant esophageal varices but the lack of air insufflation still hampers its correlation with the grading used with EGD.</p>","PeriodicalId":89416,"journal":{"name":"Journal of interventional gastroenterology","volume":"2 2","pages":"54-60"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3655341/pdf/jig0202_0054.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31535277","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}