Gastrointestinal endoscopy
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Gastrointest. Endosc. · Jul 2008
Multicenter StudyCircumferential ablation of Barrett's esophagus that contains high-grade dysplasia: a U.S. Multicenter Registry.
The management strategies for Barrett's esophagus (BE) that contains high-grade dysplasia (HGD) include intensive endoscopic surveillance, photodynamic therapy, thermal ablation, EMR, and esophagectomy. ⋯ Endoscopic circumferential ablation is a promising modality for the treatment of BE that contains HGD. In this multicenter registry, the intervention safely achieved a CR for HGD in 90.2% of patients at a median of 12 months of follow-up.
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Gastrointest. Endosc. · Jul 2008
Clinical impact of capsule endoscopy on further strategy and long-term clinical outcome in patients with obscure bleeding.
Capsule endoscopy (CE) is highly effective in detecting small-bowel lesions in patients with obscure GI bleeding (OGIB). Little is known about the impact of CE on further management and outcomes in patients with OGIB. ⋯ A CE has an important impact on a further diagnostic workup, therapeutic strategy, and long-term clinical evolution in patients with OGIB, with a favorable outcome in 66.3% of patients after CE-guided therapy.
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Gastrointest. Endosc. · Jun 2008
Comparative StudyEfficiency of propofol versus midazolam and fentanyl sedation at a pediatric teaching hospital: a prospective study.
Many pediatric endoscopists are adopting propofol in their practices, with the expectation that propofol will increase their overall efficiency. ⋯ Anesthesiologist-administered propofol sedation in a pediatric teaching endoscopy unit may not lead to faster hospital times when compared with endoscopist-administered midazolam and fentanyl. These results are not explained by controlling for patient characteristics, the presence of a trainee, the sedative doses, or endotracheal intubation for airway management.
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Gastrointest. Endosc. · Jun 2008
Comparative StudyCost-effectiveness analysis of high-dose omeprazole infusion before endoscopy for patients with upper-GI bleeding.
The use of intravenous (i.v.) proton pump inhibitors (PPI) before an endoscopy in upper-GI bleeding (UGIB) was shown to reduce the need of endoscopic therapy and shorten hospital stay. ⋯ Preemptive use of IV PPI before an endoscopy is a cost-effective strategy in the management of UGIB.