Digestive diseases and sciences
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Administrative procedure code data can estimate colonoscopy utilization; however, determining colonoscopy indication is more difficult as procedure codes do not inherently reflect the purpose (screening, surveillance, diagnosis) of the colonoscopy. ⋯ VHA procedure codes are very accurate for colonoscopy utilization; however, algorithms to ascertain indication have only moderate accuracy.
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To determine whether outcomes for patients admitted with UGIH differ depending on weekend versus weekday admission, and whether any such differences are mediated by discrepancies in the use and timing of endoscopy. ⋯ Weekend admission for UGIH is associated with an increased risk of death, slightly longer lengths of stay, and marginally higher in-patient charges. Discrepancies in the use and timing of endoscopy do not account for these differences.
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Ingestion of a foreign body (FB) is a common occurrence; however, few studies have reported its characteristics and endoscopic management in South China. The aim of this study is to investigate the clinical features of FB ingestion in South China and report its management through endoscopy. ⋯ In South China, fish bone is the most common FB found in the upper gastrointestinal tract. Endoscopic management is a safe and effective approach in managing FBs. A new technique with reworked transparent cap is useful and promising, but further study is needed for confirmation.
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BACKGROUND The endoscopy unit before remediation may be a high-risk area for slip and fall injuries due to a large number of exposed above-the-floor wires in the endoscopy rooms, dimmed lighting during endoscopic procedures, and staff inattention to obstacles due to preoccupation with the endoscopic patient. AIM To describe a novel, previously unappreciated workplace hazard to endoscopic personnel: Exposed wires in the endoscopy unit. METHODS This study is a retrospective review of 110,000 endoscopic procedures performed during the last 5 years at an academic, teaching hospital with a high-volume endoscopy unit. ⋯ Remediation of exposed wires included: bundling related wires together in a cable to reduce the number of independent wires, covering exposed wires on the floor with a nonslip heavy mat, and running wires from ceiling outlets to equipment high above ground (e.g. mounted endoscopy video monitors). CONCLUSIONS Tripping, slipping, and falling over exposed wires can cause significant injury to endoscopic personnel. This previously undescribed hazard should be preventable by simple remediation, and all endoscopic personnel, hospital architects, hospital administrators, and governmental regulators should be alerted to this potential hazard
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Previous studies have shown that gastric tone is inhibited by the electrical stimulation of some parts of the gut. The aims of this study were to investigate the effects of gastric electrical stimulation (GES), duodenal electrical stimulation (DES), ileal electrical stimulation (IES), and colonic electrical stimulation (CES) on gastric tone and the possible mechanism of electrical stimulation on gastric tone. Experiments were performed to study: (1) the effects of the four stimulations (GES, DES, IES, CES) on gastric tone; (2) the role of the nitrergic pathway's involvement in the effect of IES on gastric tone. ⋯ It was concluded that electrical stimulation of the stomach, intestine, or colon with long pulses has an inhibitory effect on gastric tone, and the most effective stimulation is CES. The inhibitory effect is not organ-specific and is unrelated to the distance between the stimulation site and the affected organ. The inhibitory effect of IES on gastric tone is mediated by the nitrergic pathway.