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Sedation for Patients with LVAD and related devices for Techniques in GI endoscopy
The number of patients with left ventricular assist devices (LVADs) implanted for heart failure continues to grow each year. Despite the survival and quality of life benefit LVADs can afford, adverse events do occur. Gastrointestinal bleeding is a known complication associated with continuous flow LVADs, and many LVAD patients undergo endoscopic procedures to evaluate for sources of gastrointestinal bleeding. As the number of these patients increases, the approach to caring for them evolves. They present a number of challenges to the endoscopy team, including preprocedural planning, resource and personnel allocation, and p...
Source: Techniques in Gastrointestinal Endoscopy - February 16, 2016 Category: Gastroenterology Authors: Dionne F. Peacher Source Type: research

Sedation and anesthetic considerations in ambulatory endoscopy for patients with ventricular assist devices
The number of patients with left ventricular assist devices (LVADs) implanted for heart failure continues to grow each year. Despite the survival and quality-of-life benefit LVADs can afford, adverse events do occur. Gastrointestinal bleeding is a known complication associated with continuous-flow LVADs, and many LVAD patients undergo endoscopic procedures to evaluate for sources of gastrointestinal bleeding. As the number of these patients increases, the approach to caring for them evolves. They present a number of challenges to the endoscopy team, including preprocedural planning, resource and personnel allocation, and p...
Source: Techniques in Gastrointestinal Endoscopy - February 15, 2016 Category: Gastroenterology Authors: Dionne F. Peacher Source Type: research

Endoscopic management of Fistulas, Perforations and Leaks
Although endoscopic management of fistulas, perforations and leaks is rapidly evolving, management still revolves around the principles of closure, containment and drainage (CCD). Successful endoscopic management is dependent upon several factors, including underlying etiopathogenesis, lesion chronicity, local tissue viability, concurrent illnesses, device availability, and the expertise to deliver the desired endoscopic interventions. Unlike acute perforations, fistulas and leaks typically require a multimodal approach and more than one treatment session to achieve resolution. (Source: Techniques in Gastrointestinal Endoscopy)
Source: Techniques in Gastrointestinal Endoscopy - February 8, 2016 Category: Gastroenterology Authors: Anushka Baruah, Louis M. Wong Kee Song, Navtej S. Buttar Source Type: research

Endoscopic management of fistulas, perforations, and leaks
Although endoscopic management of fistulas, perforations, and leaks is rapidly evolving, management still revolves around the principles of closure, containment, and drainage. Successful endoscopic management is dependent upon several factors, including underlying etiopathogenesis, lesion chronicity, local tissue viability, concurrent illnesses, device availability, and the expertise to deliver the desired endoscopic interventions. Unlike acute perforations, fistulas and leaks typically require a multimodal approach and more than one treatment session to achieve resolution. (Source: Techniques in Gastrointestinal Endoscopy)
Source: Techniques in Gastrointestinal Endoscopy - February 7, 2016 Category: Gastroenterology Authors: Anushka Baruah, Louis M. Wong Kee Song, Navtej S. Buttar Source Type: research

Transparietal access techniques and technologies, and evolving natural orifice translumenal endoscopic surgery
This article describes the techniques for transparietal access and how NOTES has evolved through 2015. (Source: Techniques in Gastrointestinal Endoscopy)
Source: Techniques in Gastrointestinal Endoscopy - February 5, 2016 Category: Gastroenterology Authors: Edward D. Auyang, Lars Webb Source Type: research

Advances in nutritional delivery Interventions
This article will review the most common endoscopic methods with emphasis on helpful expert tips as well as recent innovations to facilitate placement success and decrease complications. (Source: Techniques in Gastrointestinal Endoscopy)
Source: Techniques in Gastrointestinal Endoscopy - February 5, 2016 Category: Gastroenterology Authors: Bryan Silon, John C. Fang Source Type: research

Transparietal access techniques and technologies, and evolving NOTES
This article describes the techniques for transparietal access and how NOTES has evolved through 2015. (Source: Techniques in Gastrointestinal Endoscopy)
Source: Techniques in Gastrointestinal Endoscopy - February 5, 2016 Category: Gastroenterology Authors: Edward D. Auyang, Lars Webb Source Type: research

Preface 17.4 John Martin
Flexible gastrointestinal endoscopy has come a long way in the past half-century. From humble beginnings as a rudimentary device to provide direct, albeit low-resolution, visibility of the upper gastrointestinal tract and the colon, the flexible endoscope became immensely more useful with the development of biopsy forceps to provide tissue diagnoses, and polypectomy with the advent of the monopolar snare to effect excisional therapy in the 1960’s. In the latter part of the same decade, ERCP was first described, and quickly ushered into the realm of pancreaticobiliary therapeutics when sphincterotomy was introduced in the...
Source: Techniques in Gastrointestinal Endoscopy - February 4, 2016 Category: Gastroenterology Authors: John A. Martin Source Type: research

Endoluminal bariatric and metabolic interventions
Obesity has become a global pandemic reaching epic proportions. Despite advances in pharmacotherapy, surgery, and lifestyle interventions obesity's health burden continues to rise. Endoscopic bariatric techniques (EBTs) have arisen over the years that are efficacious, reversible, safe, and cost effective; thus, potentially applicable to the larger cohort of patients with mild to moderate obesity. These therapies make gastrointestinal endoscopy a viable contender in the treatment of obesity. This review will summarize current EBTs that are available in the US market or in advanced stages of development and regulatory approv...
Source: Techniques in Gastrointestinal Endoscopy - February 4, 2016 Category: Gastroenterology Authors: Eric J. Vargas, Barham K. Abu Dayyeh Source Type: research

Preface
Flexible gastrointestinal endoscopy has come a long way in the past half-century. From humble beginnings as a rudimentary device to provide direct, albeit low resolution, visibility of the upper gastrointestinal tract and the colon, the flexible endoscope became immensely more useful with the development of biopsy forceps to provide tissue diagnoses, and polypectomy with the advent of the monopolar snare to effect excisional therapy in the 1960s. In the latter part of the same decade, endoscopic retrograde cholangiopancreatography was first described, and quickly ushered into the realm of pancreaticobiliary therapeutics wh...
Source: Techniques in Gastrointestinal Endoscopy - February 3, 2016 Category: Gastroenterology Authors: John A. Martin Source Type: research

Advanced colonoscopy techniques and technologies
Colonoscopy is the most frequently performed endoscopic procedure in the United States. It is the mainstay of diagnostic and therapeutic options for the practicing gastroenterologist. It plays a fundamental role in colorectal cancer (CRC) prevention, with a dominant position among screening options for CRC and pre-cancerous lesions.Over the past decade, there have been significant advances in the field of CRC and colonoscopy, including a better understanding of the importance of right-sided lesions, the sessile serrated pathway, and recognition of the significance of operator dependence in colonoscopy. (Source: Techniques ...
Source: Techniques in Gastrointestinal Endoscopy - February 1, 2016 Category: Gastroenterology Authors: Mark A. Gromski, Charles J. Kahi Source Type: research

Mucosal imaging advanced Technologies in the gastrointestinal tract
The use of advanced imaging technologies to image the gastrointestinal mucosa has evolved from being an experimental tool to a valuable adjunct in diagnostic and therapeutic endoscopy. Digital chromoendoscopy including narrow band imaging (NBI) has been incorporated into standard endoscopy systems as a practical instrument used to enhance the mucosal surface and microvasculature. NBI is now routinely used to evaluate mucosal irregularities associated with Barrett's esophagus dysplasia. A recent review of the literature suggests that NBI can be used to evaluate colorectal polyps and its use may even change our clinical mana...
Source: Techniques in Gastrointestinal Endoscopy - January 12, 2016 Category: Gastroenterology Authors: Cadman L. Leggett, Prasad G. Iyer Source Type: research

Pancreaticobiliary direct imaging and novel therapies
Known or suspected pathology within the pancreaticobiliary system is a common clinical problem which can often be assessed with data such as history, physical examination and laboratory tests. Non-invasive or indirect imaging techniques, such as ultrasound (US), computed tomography (CT), and magnetic resonance cholangiopancreatography (MRCP) are widely available and can provide useful information in the evaluation of pancreaticobiliary pathology.The gold standard for direct imaging and evaluation of the pancreaticobiliary tree is endoscopic retrograde cholangiopancreatography (ERCP). (Source: Techniques in Gastrointestinal Endoscopy)
Source: Techniques in Gastrointestinal Endoscopy - January 12, 2016 Category: Gastroenterology Authors: Sheeva Parbhu, Douglas G. Adler Source Type: research