Gastrointestinal endoscopy
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Gastrointest. Endosc. · Jan 2012
Multicenter StudyLong-term effect of Helicobacter pylori eradication on the development of metachronous gastric cancer after endoscopic resection of early gastric cancer.
A prospective, randomized trial proved that Helicobacter pylori eradication significantly reduces the incidence of metachronous gastric cancer during a 3-year follow-up. ⋯ H pylori eradication does not reduce the incidence of metachronous gastric cancer. H pylori eradication should be performed before the progression of gastric mucosal atrophy.
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Gastrointest. Endosc. · Dec 2011
Multicenter Study Comparative StudyA simple risk score accurately predicts in-hospital mortality, length of stay, and cost in acute upper GI bleeding.
Although the early use of a risk stratification score in upper GI bleeding is recommended, existing risk scores are not widely used in clinical practice. ⋯ AIMS65 is a simple, accurate risk score that predicts in-hospital mortality, LOS, and cost in patients with acute upper GI bleeding.
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Gastrointest. Endosc. · Dec 2011
Randomized Controlled Trial Multicenter Study Comparative StudyPropofol sedation alone or in combination with pharyngeal lidocaine anesthesia for routine upper GI endoscopy: a randomized, double-blind, placebo-controlled, non-inferiority trial.
In patients undergoing routine upper EGD, propofol is increasingly used without pharyngeal anesthesia because of its excellent sedative properties. It is unclear whether this practice is non-inferior in regard to ease of endoscopic intubation and patient comfort. ⋯ Topical pharyngeal anesthesia reduces the gag reflex in patients sedated with propofol even though it does not seem to have an influence on the ease of the procedure and on patient or endoscopist satisfaction in adequately sedated patients.
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Gastrointest. Endosc. · Nov 2011
Randomized Controlled Trial Multicenter StudyParticipation by experienced endoscopy nurses increases the detection rate of colon polyps during a screening colonoscopy: a multicenter, prospective, randomized study.
No reported prospective, randomized study has evaluated the impact of an endoscopy nurse participating as a second observer during colonoscopy. ⋯ Experienced endoscopy nurse participation increased the PDR and ADR during screening colonoscopy. However, the benefit of participation by experienced nurses appears to be exclusively with inexperienced colonoscopists.
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Gastrointest. Endosc. · Apr 2011
Randomized Controlled Trial Multicenter Study Comparative StudyComputer-assisted personalized sedation for upper endoscopy and colonoscopy: a comparative, multicenter randomized study.
The SEDASYS System is an investigational computer-assisted personalized sedation system integrating propofol delivery with patient monitoring to enable endoscopist/nurse teams to safely administer propofol. ⋯ The SEDASYS System could provide endoscopist/nurse teams a safe and effective on-label means to administer propofol to effect minimal to moderate sedation during routine colonoscopy and EGD.