Techniques in Gastrointestinal 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.Training and Competency in Endoscopic Mucosal Resection
Endoscopic mucosal resection (EMR) should be the preferred method of removal for colonic laterally spreading lesions (LSLs) ≥ 2cm in size since it is safer, more efficient and more cost-effective than endoscopic submucosal dissection (ESD) or surgery. Although competent endoscopists should be comfortable in removing colonic lesions up to 2cm in size, removal of larger LSLs by modern EMR requires advanced skills and met iculous execution of systematic technique to minimize incomplete resection and subsequent interval cancer. (Source: Techniques in Gastrointestinal Endoscopy)
Source: Techniques in Gastrointestinal Endoscopy - June 24, 2017 Category: Gastroenterology Authors: Ralph F. Lee, Steven J. Heitman, Michael J. Bourke Source Type: research
Endoscopic eradication therapy in barrett ′s esophagus
Endoscopic eradication therapy (EET), the standard of care for treatment of Barrett ′s esophagus with dysplasia and early neoplasia, consists of a combination of endoscopic resection and ablative modalities. Resection techniques primarily include endoscopic mucosal resection or endoscopic submucosal dissection. Resection of nodular disease is generally followed by one of multiple ablative therapies among which radiofrequency ablation has the best evidence supporting safety and efficacy. These advanced endoscopic procedures require both experience and expertise in the cognitive and procedural aspects of EET. (Source: Tech...
Source: Techniques in Gastrointestinal Endoscopy - June 14, 2017 Category: Gastroenterology Authors: Swathi Eluri, Nicholas J. Shaheen Source Type: research
Preface
Despite advances in the care of patients with varices and variceal hemorrhage, an overall mortality of 10 –20% still remains. Strategies that encompass a multidisciplinary approach with the latest developments in periprocedural management and technology will further optimize patient care and improve survival following an episode of variceal hemorrhage. (Source: Techniques in Gastrointestinal Endoscopy)
Source: Techniques in Gastrointestinal Endoscopy - May 3, 2017 Category: Gastroenterology Authors: Louis M. Wong Kee Song Source Type: research
Nonendoscopic Management of Gastric Varices
Patients with underlying cirrhosis and portal hypertension have a 30% risk of developing varices. In patients that have developed varices, gastric varices (GVs) represent 10 –20%. While GVs carry a lower risk of bleeding than esophageal varices (EVs), GVs have higher rates of morbidity and mortality [1]. Upper gastrointestinal (GI) endoscopy continues to be the first-line diagnostic and management tool for managing upper GI bleeding secondary to varices. However defin itive endovascular treatment is becoming more prevalent. (Source: Techniques in Gastrointestinal Endoscopy)
Source: Techniques in Gastrointestinal Endoscopy - April 4, 2017 Category: Gastroenterology Authors: Luke R. Wilkins, Saher S. Sabri Tags: SI: Management of Variceal GI Bleeding Source Type: research
Masthead
(Source: Techniques in Gastrointestinal Endoscopy)
Source: Techniques in Gastrointestinal Endoscopy - April 1, 2017 Category: Gastroenterology Source Type: research
Editorial Board
(Source: Techniques in Gastrointestinal Endoscopy)
Source: Techniques in Gastrointestinal Endoscopy - April 1, 2017 Category: Gastroenterology Source Type: research
Table of Contents
(Source: Techniques in Gastrointestinal Endoscopy)
Source: Techniques in Gastrointestinal Endoscopy - April 1, 2017 Category: Gastroenterology Source Type: research
Endoscopic management of gastric varices
Understanding the basic pathophysiology and anatomy of gastric varices is critical to the appropriate management of acute variceal bleeding. The high morbidity and mortality of gastric variceal bleeding combined with poor response to treatments for esophageal variceal bleeding has demanded a highly-differentiated approach. This review will focus on gastric fundal varices for which the most recent Baveno VI consensus guidelines recommend endoscopic cyanoacrylate (CYA)-based therapy as first-line intervention. (Source: Techniques in Gastrointestinal Endoscopy)
Source: Techniques in Gastrointestinal Endoscopy - March 28, 2017 Category: Gastroenterology Authors: Frank Weilert, Kenneth F. Binmoeller Source Type: research
Management of bleeding ectopic varices
Ectopic varices are a heterogeneous group of portosystemic shunts that occur in the presence of portal hypertension. The shunts occur throughout the abdomen and pelvis, including the gallbladder, the genitourinary system, and the retroperitoneal space, but are most common within the bowel (small intestine and colon) and at the mucocutaneous junction of a stoma. Bleeding rates vary depending on the location but overall ectopic varices account for 1 –5% of all variceal bleeding and can lead to significant morbidity and mortality. (Source: Techniques in Gastrointestinal Endoscopy)
Source: Techniques in Gastrointestinal Endoscopy - March 28, 2017 Category: Gastroenterology Authors: Zachary H. Henry, Stephen H. Caldwell Source Type: research
The Epidemiology and Pathogenesis of Gastrointestinal Varices
Gastrointestinal varices are a consequence of portal hypertension that can occur in the setting of cirrhosis or extrahepatic portal vein obstruction. Increased intrahepatic vascular resistance, a hyperdynamic circulation, and increased flow through the portal and collateral venous system lead to persistently elevated portal pressures that result in angiogenesis and formation of collaterals between the portal and systemic circulation. Despite this physiologic attempt at decompression, portal hypertension persists as collateral vessels have higher resistance than the normal liver. (Source: Techniques in Gastrointestinal Endoscopy)
Source: Techniques in Gastrointestinal Endoscopy - March 27, 2017 Category: Gastroenterology Authors: Aliya F. Gulamhusein, Patrick S. Kamath Tags: SI: Management of Variceal GI Bleeding Source Type: research
Primary and Secondary Prophylaxis of Esophageal Variceal Bleeding
Cirrhosis is a chronic condition with high mortality. Portal hypertension (PH) is the initial and main consequence of cirrhosis and is responsible for the majority of its complications, including esophageal varices. It has been shown that portal pressure determined by the hepatic venous pressure gradient (HVPG) is better than liver biopsy in predicting development of complications of cirrhosis in patients with chronic liver disease without cirrhosis on liver biopsy. An HVPG greater than 5mmHg defines PH. (Source: Techniques in Gastrointestinal Endoscopy)
Source: Techniques in Gastrointestinal Endoscopy - March 24, 2017 Category: Gastroenterology Authors: Parastoo Jangouk, Guadalupe Garcia-Tsao Tags: SI: Management of Variceal GI Bleeding Source Type: research
Periprocedural Management of Acute Variceal Bleeding
Acute variceal hemorrhage is a life-threatening complication of cirrhosis and certain non-cirrhotic conditions. The incidence of esophagogastric varices ranges from 20 –80% among cirrhotic patients, establishing it as a well-known health concern. Management of variceal bleeding has advanced over the past 30 years but an overall mortality rate of 10–20% remains. Patient death is often due to complications of hemodynamic instability, coagulopathy, infection, mal nutrition or subsequent rebleeding. Herein, we highlight the periprocedural management of variceal hemorrhage and its complications. (Source: Techniques in Gastr...
Source: Techniques in Gastrointestinal Endoscopy - March 23, 2017 Category: Gastroenterology Authors: Avery L. Smith, Sumeet K. Asrani Source Type: research
Nonendoscopic management of acute esophageal variceal bleeding
Acute esophageal variceal bleeding is a life-threatening complication of portal hypertension in patients with liver cirrhosis. Its management has improved over the past several years, leading to a significant reduction in rebleeding episodes and in bleeding-related deaths. Although endoscopic therapy is an integral part in the management of the acute variceal bleeder, pharmacologic and radiologic therapies are important interventions, in addition to optimal supportive care. Herein, we highlight the nonendoscopic management of acute esophageal variceal bleeding. (Source: Techniques in Gastrointestinal Endoscopy)
Source: Techniques in Gastrointestinal Endoscopy - March 19, 2017 Category: Gastroenterology Authors: Gilberto Silva-Junior, Anna Baiges, Fanny Turon, Virginia Hernandez-Gea, Juan Carlos Garcia-Pagan Source Type: research
Non-Endoscopic management of acute esophageal variceal bleeding
Acute esophageal variceal bleeding is a life-threatening complication of portal hypertension in patients with liver cirrhosis. Its management has improved over the past several years, leading to a significant reduction in rebleeding episodes and in bleeding-related deaths. Although endoscopic therapy is an integral part in the management of the acute variceal bleeder, pharmacologic and radiologic therapies are important interventions, in addition to optimal supportive care. Herein, we highlight the non-endoscopic management of acute esophageal variceal bleeding. (Source: Techniques in Gastrointestinal Endoscopy)
Source: Techniques in Gastrointestinal Endoscopy - March 18, 2017 Category: Gastroenterology Authors: Gilberto Silva-Junior, Anna Baiges, Fanny Turon, Virginia Hernandez-Gea, Juan Carlos Garcia-Pagan Source Type: research
Endoscopic management of acute esophageal variceal bleeding
Esophageal varices develop in the setting of portal hypertension, most commonly caused by cirrhosis. Esophagogastroduodenoscopy is considered the gold standard for both diagnosis and treatment of acute variceal bleeding. In this review, we highlight the management of both acute and refractory bleeding from esophageal varices, with an emphasis on endoscopic therapies, including injection sclerotherapy, band ligation, and esophageal stent placement. (Source: Techniques in Gastrointestinal Endoscopy)
Source: Techniques in Gastrointestinal Endoscopy - March 18, 2017 Category: Gastroenterology Authors: Sheeva K. Parbhu, Douglas G. Adler Source Type: research
