Diagnostic and Therapeutic Endoscopy 
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This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.Role of endobronchial ultrasound in the diagnosis of bronchogenic cysts.
Authors: Anantham D, Phua GC, Low SY, Koh MS
Abstract
Diagnosis of bronchogenic cysts is possible with computed tomography, but half of all cases present as soft tissue densities. Two such cases are highlighted where asymptomatic bronchogenic cysts that presented as soft tissue masses were evaluated by endobronchial ultrasound (EBUS). After studying the ultrasound image characteristics, the diagnosis was confirmed using EBUS-guided transbronchial needle aspiration (EBUS-TBNA). The first case had ultrasound findings of an anechoic collection, and the aspirate was serous with negative microbiologic cultures....
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research
Bedside Endoscopic Ultrasound in Critically Ill patients.
Conclusions. In this series, bedside EUS in critically ill patients was technically feasible, safe and had a major impact on the majority of patients.
PMID: 21747653 [PubMed] (Source: Diagnostic and Therapeutic Endoscopy)
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research
Multicenter experience with nonischemic multiport laparoscopic and laparoendoscopic single-site partial nephrectomy utilizing bipolar radiofrequency ablation coagulator.
Conclusion. Initial experience demonstrates that nonischemic multiport and LESS-PN is safe and efficacious, with excellent short-term preservation of renal function. Long-term data are needed to confirm oncological efficacy.
PMID: 21747654 [PubMed] (Source: Diagnostic and Therapeutic Endoscopy)
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research
Minimally invasive approaches for the management of "difficult" colonic polyps.
Authors: Cruz RA, Ragupathi M, Pedraza R, Pickron TB, Le AT, Haas EM
Abstract
Traditionally, patients with colonic polyps not amenable to endoscopic removal require open colectomy for management. We evaluated our experience with minimally invasive approaches including endoscopic mucosal resection (EMR), laparoscopic-assisted endoscopic polypectomy (LAEP), and laparoscopic-assisted colectomy (LAC). Patients referred for surgery for colonic polyps were selected for one of three minimally invasive modalities. A total of 123 patients were referred for resection of "difficult" polyps. Thirty underwent EMR, 25 u...
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research
Prospective Case Study on Characterization of Colorectal Adenomas Comparing AFI with NBI.
Conclusion. This study indicated that AFI may be more effective for the characterization of colorectal adenomas because of better visualization of such lesions compared to NBI.
PMID: 21747656 [PubMed] (Source: Diagnostic and Therapeutic Endoscopy)
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research
NSAIDs-Related Pyloroduodenal Obstruction and Its Endoscopic Management.
We report 10 cases of NSAID-induced pyloroduodenal obstruction and their endoscopic management. The most common site of involvement was duodenum (5/10) followed by both pylorus and duodenum (4/10) and pylorus (1/10). Most of the strictures were short web-like, and the mean (SD) number of stricture was 2.0 (0.94). Endoscopic balloon dilatation was successful in 90% (9/10) cases requiring mean (SD) of 2.0 (1.6) sessions of dilatation to achieve target diameter of 15 mm and mean (SD) of 5.3 (2.7) sessions to maintain it over a treatment period of 4.5 months (IQR 2-15 months). There was no procedure-related complication or m...
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research
Disinfection of the Access Orifice in NOTES: Evaluation of the Evidence Base.
Conclusion. Grade C recommendation requiring no preoperative preparation can be made for the transgastric approach. Antiseptic irrigation is recommended for transvaginal (grade C) NOTES access, as is current practice. Further human trials need to be conducted to corroborate the current evidence base for transgastric closure. It is important that future trials are conducted in a methodologically robust fashion, with emphasis on clinical outcomes and standardisation of enterotomy closure and postoperative therapy.
PMID: 21785559 [PubMed] (Source: Diagnostic and Therapeutic Endoscopy)
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research
The use of self-expanding plastic stents in the management of oesophageal leaks and spontaneous oesophageal perforations.
Authors: Moyes LH, Mackay CK, Forshaw MJ
Abstract
Leakage after oesophageal anastomosis or perforation remains a challenge for the surgeon. Traditional management has been operative repair or intensive conservative management. Both treatments are associated with prolonged hospitalisation and high morbidity and mortality rates. Self-expanding metallic stents have played an important role in the palliation of malignant oesophageal strictures and the treatment of tracheoesophageal fistulae. However, self-expanding metal stents in benign oesophageal disease are associated with complications such as bleeding, f...
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research
Balanced Propofol Sedation in Patients Undergoing EUS-FNA: A Pilot Study to Assess Feasibility and Safety.
Conclusions. In our experience BPS administered by non-anaesthesiologists provided safe and successful sedation in patients undergoing EUS-FNA.
PMID: 21785561 [PubMed] (Source: Diagnostic and Therapeutic Endoscopy)
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research
Comparison of postoperative complications after endoscopic submucosal dissection: differences of insufflations and anesthesias.
This study included 50 patients who underwent ESD for early gastric cancer, 25 with air insufflation and intravenous anesthesia (Air/IV group), and the remaining 25 with CO(2) insufflation and general anesthesia (CO(2)/GA group). Postoperative enlarged feeling of the abdomen was observed only in 1 of 25 patients in the CO(2)/GA group (P = 0.0416). Postoperative severe unrest was observed in none of the patients in the CO(2)/GA group and in 4 of 25 (16%) patients in the Air/IV group (P = 0.0371). CO(2) insufflation and general anesthesia are useful in stabilizing intraoperative conditions and reducing postoperative complica...
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research
Successful bronchoscopic cryorecanalization in a case of endobronchial lipoma.
We report the case of a 67-year-old man with a history of heavy smoking (100 pack years), dyspnea on exertion, cough, and malaise who was treated for pneumonia for three weeks. Due to nonresolving atelectasis of the superior segment of the right lower lobe, a malignant endobronchial tumor was suspected. Rigid bronchoscopy with cryorecanalization led to both the definite histopathological diagnosis of endobronchial lipoma and the reopening of an endoluminal airway obstruction during one procedure.
PMID: 21789029 [PubMed] (Source: Diagnostic and Therapeutic Endoscopy)
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research
Pilot study on clinical effectiveness of autofluorescence imaging for early gastric cancer diagnosis by less experienced endoscopists.
This study aimed to assess and compare effectiveness of Autofluorescence imaging (AFI) in diagnosis of early gastric cancer (EGC) between experienced and less experienced endoscopists. Fifty selected images (20 neoplastic lesions and 30 benign lesions/areas) of both white light endoscopy (WLE) and AFI were blindly reviewed by two groups; first consisted of five experienced endoscopists and second included five less experienced endoscopists. Sensitivity, specificity, and accuracy were 70%, 78%, and 75%, respectively, for AFI and 81%, 76%, and 78%, respectively, for WLE in the experienced group. In the less experienced group...
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research
Local resection by combined laparoendoscopic surgery for duodenal gastrointestinal stromal tumor.
We report a case of duodenal GIST, in which combined laparoendoscopic local resection was attempted. The lesion was resected endoscopically using endoscopic submucosal dissection technique under laparoscopic assistance. Laparoscope was used for originating the orientation of the tumor, intra-operative EUS, and monitoring serosal injury from the peritoneal cavity. Postoperative hemorrhage occurred; however, precise orientation of the lesion helped us to manage the patient with minimal invasive reoperation. And thus, the bowel integrity was completely preserved, by avoiding segmental duodenal resection and pancreaticoduodene...
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research
Biliary complications postlaparoscopic cholecystectomy: mechanism, preventive measures, and approach to management: a review.
This article based on the literature review aims to review the biliary complications following laparoscopic cholecystectomy with reference to its mechanism , preventive measures to be taken, and the management approach.
PMID: 21822368 [PubMed] (Source: Diagnostic and Therapeutic Endoscopy)
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research
Simethicone for the Preparation before Esophagogastroduodenoscopy.
Conclusion. Administration of simethicone prior to EGD reduces the amount of gastric foam and bubbles and provides better visibility for evaluating the mucosa. It also decreases the duration of endoscopy. Further trials are required to find the final effect of the drug on diagnosis of pathological lesions.
PMID: 21826120 [PubMed] (Source: Diagnostic and Therapeutic Endoscopy)
Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research
