113,789 results match your criteria Esophagogastroduodenoscopy


Towards screening Barrett's oesophagus: current guidelines, imaging modalities and future developments.

Clin J Gastroenterol 2020 Jun 3. Epub 2020 Jun 3.

Biocel Ltd, Hull, HU10 7TS, UK.

Barrett's oesophagus is the only known precursor to oesophageal adenocarcinoma (OAC). Although guidelines on the screening and surveillance exist in Barrett's oesophagus, the current strategies are inadequate. Oesophagogastroduodenoscopy (OGD) is the gold standard method in screening for Barrett's oesophagus. Read More

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http://dx.doi.org/10.1007/s12328-020-01135-2DOI Listing

Gastric adenocarcinoma appearance in leiomyoma: A case report.

Int J Surg Case Rep 2020 May 29;71:327-330. Epub 2020 May 29.

Department of Surgery, National Hospital Organization, Kure Medical Center, Chugoku Cancer Center, 3-1 Aoyama, Kure City, Hiroshima, 737-0023, Japan; Department of Gastroenterological and Transplant Surgery, Applied Life Sciences, Institute of Biomedical and Health Sciences, Hiroshima University, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8551, Japan.

Introduction: We experienced an extremely rare case of gastric adenocarcinoma wrapped by leiomyoma.

Presentation Of Case: A 65-year-old man had an abnormality (filling defect) of the upper gastrointestinal series in his first medical checkup five years prior. Esophagogastroduodenoscopy detected a 10 mm submucosal tumor-like lesion in the greater curvature of the upper gastric remnant body. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.05.050DOI Listing

Bouveret's syndrome as a rare complication of cholelithiasis: Disputes in current management and report of two cases.

Int J Surg Case Rep 2020 May 25;71:315-318. Epub 2020 May 25.

General Surgery Department, San Salvatore Hospital, Paternò, Catania, Italy.

Introduction: Bouveret's syndrome is a rare complication of cholelithiasis that determines an unusual type of gallstone ileus, secondary to an acquired fistula between the gallbladder and either the duodenum or stomach with impaction of a large gallbladder stone. Preoperative diagnosis is difficult because of its rarity and the absence of typical symptoms. Adequate treatment consists of endoscopic or surgical removal of obstructive stone. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.05.019DOI Listing

Delivery routes for faecal microbiota transplants: Available, anticipated and aspired.

Pharmacol Res 2020 May 31:104954. Epub 2020 May 31.

School of Pharmaceutical Sciences, Lovely Professional University, Phagwara, Punjab, 144411, India.

Fecal microbiota transplant (FMT) has seen a historic emergence in last decade with its sojourn recently entering into a chequered path, due to a few reports of infection and subsequent mortality. Though FMT has been extensively reported, there is no comprehensive report on the delivery routes available for this non-pharmacological treatment option. Safety, efficacy and cost of FMT not only depend on the quality of contents but also on the delivery route employed. Read More

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http://dx.doi.org/10.1016/j.phrs.2020.104954DOI Listing

Risks, Benefits, and Effects on Management for Biopsy of the Papilla in Patients with Familial Adenomatous Polyposis.

Clin Gastroenterol Hepatol 2020 May 31. Epub 2020 May 31.

Department of Gastroenterology, Hepatology, and Nutrition, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, United States. Sanford R. Weiss, MD Center for Hereditary Colorectal Neoplasia, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, United States.

Background & Aims: Ampullary and duodenal cancer are the leading causes of death in patients with familial adenomatous polyposis (FAP) after colectomy has been performed. Risk of duodenal cancer is determined based on Spigelman stage (SS) of duodenal polyposis. Guidelines recommend endoscopic surveillance of the duodenum and visualization of the papilla to stage duodenal polyposis. Read More

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http://dx.doi.org/10.1016/j.cgh.2020.05.054DOI Listing

Chronic Esophagitis and Gastritis After Ingestion of Box Jellyfish (Class Cubozoa).

Hawaii J Health Soc Welf 2020 May;79(5 Suppl 1):135-138

Department of Pediatrics, Madigan Army Medical Center, Tacoma, WA (CMS).

This is a case report of chronic esophagitis and gastritis following the ingestion of box jellyfish () by a 12-year old boy with severe autism spectrum disorder and pica. Biopsies taken at esophagogastroduodenoscopy at two months post ingestion revealed histological evidence of esophagitis and gastritis, which resolved after treatment with H2 receptor agonist and proton pump inhibitor. Read More

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Nodularity-like appearance in the cardia: novel endoscopic findings for infection.

Endosc Int Open 2020 Jun 25;8(6):E770-E774. Epub 2020 May 25.

Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

  -associated nodular gastritis, which is associated with follicular lymphoid hyperplasia, is mainly recognized in the antrum. However, we have also observed nodularity-like appearance in the cardia. This study aimed to investigate the clinical significance of cardiac nodularity-like appearance in -associated gastritis. Read More

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http://dx.doi.org/10.1055/a-1136-9890DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7247899PMC

Pediatric Quality-of-Life Scores Following a Multidisciplinary Aerodigestive Team Approach to Manage Chronic Cough.

Ann Otol Rhinol Laryngol 2020 Jun 2:3489420931558. Epub 2020 Jun 2.

George Washington University School of Medicine, Washington, DC, USA.

Objectives: Chronic recalcitrant cough is present in 2/3 of pediatric patients evaluated in our tertiary-care multidisciplinary aerodigestive clinic (ADC). This study aimed to determine the impact of chronic cough and efficacy of ADC treatment using the validated Pediatric-Cough Quality-of-Life-27 tool (PC-QOL-27).

Methods: The PC-QOL-27 survey was administered to ADC patients with chronic cough at initial clinic visit and 6 to 12 weeks after cough management. Read More

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http://dx.doi.org/10.1177/0003489420931558DOI Listing

Case report of a familial triple: a syndrome and review of the literature.

Medicine (Baltimore) 2020 May;99(22):e20474

Pediatric Unit, Maternal and Child Department, Azienda USL of Reggio Emilia, Sant'Anna Hospital, Castelnovo ne' Monti, Italy.

Rationale: Triple-A syndrome, or Allgrove syndrome (AS), is a rare autosomal recessive disorder characterized by the alacrimia, achalasia, and adrenal insufficiency triad. Alacrimia usually starts at early infancy, while achalasia and adrenal insufficiency appear later during childhood or adulthood. Some patients may also present with the so-called Double-A syndrome (i. Read More

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http://dx.doi.org/10.1097/MD.0000000000020474DOI Listing

Gastric adenocarcinoma of the fundic gland type: A case report.

Medicine (Baltimore) 2020 May;99(21):e20361

Department of Gastroenterology.

Introduction: Gastric adenocarcinoma of the fundic gland type (GA-FG) is a newly described entity that is characterized by well-differentiated neoplasm with unclear etiopathogenesis.

Patient Concerns: A 60-year-old Chinese man was referred to our hospital for abdominal distension.

Diagnosis: Esophagogastroduodenoscopy (EGD) showed a depressed lesion found using in the greater curvature of the stomach. Read More

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http://dx.doi.org/10.1097/MD.0000000000020361DOI Listing

Effects of Sedation Performed by an Anesthesiologist on Pediatric Endoscopy: a Single-Center Retrospective Study in Korea.

J Korean Med Sci 2020 Jun 1;35(21):e183. Epub 2020 Jun 1.

Department of Pediatrics, Hanil General Hospital, Seoul, Korea.

Background: Endoscopy is used for diagnosing and treating various digestive diseases in children as well as in adults. However, in pediatric patients, it is recommended that sufficient sedation should be ensured before conducting endoscopy, since insufficient sedation may cause serious complications. However, in Korea, no studies have yet described the types of sedation drugs, effects of sedation, and efficiency of endoscopy with respect to the sedation instructor. Read More

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http://dx.doi.org/10.3346/jkms.2020.35.e183DOI Listing

Motor dysfunction of the gut in cystic fibrosis.

Neurogastroenterol Motil 2020 May 31:e13883. Epub 2020 May 31.

Digestive System Research Unit, University Hospital Vall d'Hebron; Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (Ciberehd), Barcelona, Spain.

Background: Cystic fibrosis (CF) is a multisystem disease caused by mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) protein. Cystic fibrosis transmembrane conductance regulator is extensively expressed in the intestine and has an important role in the regulation of the viscosity and pH of gut secretions. Several studies have reported a delay in small bowel and colonic transit times in patients with CF which have been attributed to the secretory dysfunction. Read More

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http://dx.doi.org/10.1111/nmo.13883DOI Listing

Trends in gastroesophageal reflux disease in Japanese children and adolescents.

Pediatr Int 2020 May 30. Epub 2020 May 30.

Department of Pediatrics, Shinshu University School of Medicine, Matsumoto, Japan.

Background: Although the prevalence of gastroesophageal reflux disease (GERD) has been increasing in Japan, little is known concerning the prevalence and severity of GERD in pediatric patients. This study compared the prevalence and severity of endoscopically proven GERD in pediatric patients over a 15-year period seen at an endoscopy center in Japan.

Methods: This was a retrospective chart review of Japanese children between the ages of 5 and 18 years undergoing esophagogastroduodenoscopy for upper gastrointestinal symptoms or anemia between 2005 and 2019. Read More

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http://dx.doi.org/10.1111/ped.14324DOI Listing

Use of artificial intelligence for detection of gastric lesions by magnetically controlled capsule endoscopy.

Gastrointest Endosc 2020 May 26. Epub 2020 May 26.

National Clinical Research Center for Digestive Diseases; Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China. Electronic address:

Background And Aims: Magnetically controlled capsule endoscopy (MCE) has become an efficient diagnostic modality for gastric diseases. We developed a novel automatic gastric lesion detection system to assist in diagnosis and reduce inter-physician variations. This study aimed to evaluate the diagnostic capability of the computer-aided detection system for MCE images. Read More

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http://dx.doi.org/10.1016/j.gie.2020.05.027DOI Listing

[Ingestion of magnetic foreign bodies during the paediatric age. Case report, location and endoscopic extraction aided by a magnet].

Arch Argent Pediatr 2020 Jun;118(3):e296-e299

Servicio de Cirugía Pediátrica, Hospital General Universitario Gregorio Marañón, Madrid, España.

The ingestion of more than one magnet can cause multiple complications. Current protocols recommend endoscopic extraction if possible. We report a patient who swallowed two magnets and the endoscopic extraction technique. Read More

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http://dx.doi.org/10.5546/aap.2020.e296DOI Listing

A case of gastric adenocarcinoma considered to originate from a sporadic fundic gland polyp in a Helicobacter pylori-uninfected stomach.

Clin J Gastroenterol 2020 May 28. Epub 2020 May 28.

Department of Gastroenterology, Sendai Kousei Hospital, 4-15 Hirosemachi, Aoba-ku, Sendai-shi, Miyagi-ken, 980-0873, Japan.

We encountered a rare case of gastric adenocarcinoma considered to arise from a sporadic fundic gland polyp (FGP). A woman in her 70 s, who had been prescribed a proton pump inhibitor for 5 years, was referred to our institution for further investigation and treatment of a gastric lesion. White light endoscopy showed numerous isochromatic FGPs in the greater curvature of the gastric body and a 15-mm reddish polypoid lesion with uneven surface characteristics. Read More

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http://dx.doi.org/10.1007/s12328-020-01139-yDOI Listing

Iron pill induced gastritis causing severe anemia.

Clin J Gastroenterol 2020 May 28. Epub 2020 May 28.

Section of Digestive Diseases, Department of Medicine, West Virginia University School of Medicine, 1 Stadium Dr., Morgantown, WV, 26506, USA.

Iron supplementation is ubiquitously prescribed and considered a benign means of therapy. However, side effects such as iron pill gastritis can be life threatening prompting discontinuation. We describe a case of a 71-year-old man who presents with severe iron deficiency anemia on oral iron therapy. Read More

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http://dx.doi.org/10.1007/s12328-020-01141-4DOI Listing

Is Routine Preoperative Esophagogastroduodenoscopy Prior to Bariatric Surgery Mandatory? Systematic Review and Meta-analysis of 10,685 Patients.

Obes Surg 2020 May 28. Epub 2020 May 28.

Department of Surgery, Hamad Medical Corporation, Doha, Qatar.

Background: This systematic review and meta-analysis searched, retrieved and synthesized the evidence as to whether preoperative esophagogastroduodenoscopy (p-EGD) should be routine before bariatric surgery (BS).

Methods: Databases searched for retrospective, prospective, and randomized (RCT) or quasi-RCT studies (01 January 2000-30 April 2019) of outcomes of routine p-EGD before BS. STROBE checklist assessed the quality of the studies. Read More

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http://dx.doi.org/10.1007/s11695-020-04672-4DOI Listing

Individual feedback and monitoring of endoscopist performance improves the adenoma detection rate in screening colonoscopy: a prospective case-control study.

Surg Endosc 2020 May 28. Epub 2020 May 28.

Shinjuku Tsurukame Clinic, Digestive Disease Center, 2-11-15, Yoyogi, Shibuya-ku, Tokyo, 151-0053, Japan.

Background And Purpose: Previous reports have suggested that a longer withdrawal time (WT) during colonoscopy led to an improved adenoma detection rate (ADR); however, there are few controlled studies that substantiated monitoring WT as an educational method. We aimed to validate a feedback and monitoring system to improve the ADR in screening colonoscopy in a prospective case-control setting.

Methods: After collecting data in the pre-feedback period (3. Read More

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http://dx.doi.org/10.1007/s00464-020-07672-8DOI Listing

Lesser Omental Panniculitis.

Intern Med 2020 May 26. Epub 2020 May 26.

Division of Gastroenterology, Shinko Hospital, Japan.

A 44-year-old woman presented to our hospital with abdominal pain. Abdominal ultrasonography and computed tomography showed a mass-like change in the lesser omentum between the liver and stomach. Esophagogastroduodenoscopy revealed a submucosal tumor-like change, and endoscopic ultrasonography (EUS) revealed that the mass was located outside of the stomach wall. Read More

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http://dx.doi.org/10.2169/internalmedicine.4300-19DOI Listing

Cervical squamous cell carcinoma coexisting with ectopic gastric mucosa treated by endoscopic submucosal dissection: A case report.

Mol Clin Oncol 2020 Jul 27;13(1):23-26. Epub 2020 Apr 27.

Department of Gastroenterology and Hepatology, Fukuchiyama City Hospital, Fukuchiyama City, Kyoto 620-8505, Japan.

A 69-year-old Japanese man underwent an endoscopic submucosal dissection (ESD) for early gastric cancer 2 years prior to admission at Fukuchiyama City Hospital. A follow-up esophagogastroduodenoscopy (EGD) revealed a butterfly-shaped brownish area in the cervical esophagus. A successful endoscopic submucosal dissection of the esophageal lesion was performed for total biopsy. Read More

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http://dx.doi.org/10.3892/mco.2020.2037DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7241236PMC

Varices on Computed Tomography Could Predict Survival after Hepatic Resection in Patients with Single Hepatocellular Carcinoma.

J Gastroenterol Hepatol 2020 May 26. Epub 2020 May 26.

Center for Liver and Pancreatobiliary Cancer, National Cancer Center, Goyang, South Korea.

To evaluate whether presence of varices on CT could predict treatment outcome for hepatocellular carcinoma (HCC) patients.

Methods: We enrolled 241 patients with single HCC≤5cm treated by surgery. Using preoperative CT/endoscopy, patients were classified into: presence of standard clinically significant portal hypertension (CSPH) surrogate, defined as varices on esophagogastroduodenoscopy and/or thrombocytopenia with splenomegaly (group 1, n=47); Varices on CT without standard CSPH surrogate (group 2, n=45); and none of both (group 3, n=149). Read More

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http://dx.doi.org/10.1111/jgh.15117DOI Listing

WCE polyp detection based on novel feature descriptor with normalized variance locality-constrained linear coding.

Int J Comput Assist Radiol Surg 2020 May 23. Epub 2020 May 23.

College of Information Engineering, Zhejiang University of Technology, Hangzhou, 310023, Zhejiang, People's Republic of China.

Purpose: Wireless capsule endoscopy (WCE) has become an effective facility to detect digestive tract diseases. To further improve the accuracy and efficiency of computer-aided diagnosis system in the detection of intestine polyps, a novel algorithm is proposed for WCE polyp detection in this paper.

Methods: First, by considering the rich color information of endoscopic images, a novel local color texture feature called histogram of local color difference (LCDH) is proposed for describing endoscopic images. Read More

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http://dx.doi.org/10.1007/s11548-020-02190-3DOI Listing

Full-field optical coherence tomography: novel imaging technique for extemporaneous high-resolution analysis of mucosal architecture in human gut biopsies.

Gut 2020 May 23. Epub 2020 May 23.

Université de Nantes, Inserm, TENS, The Enteric Nervous System in Gut and Brain Diseases, IMAD, Nantes, France.

Full-field optical coherence tomography (FFOCT) is an imaging technique of biological tissue based on tissue light reflectance analysis. We evaluated the feasibility of imaging fresh digestive mucosal biopsies after a quick mounting procedure (5 min) using two distinct modalities of FFOCT. In static FFOCT mode, we gained high-resolution images of general gut tissue-specific architecture, such as oesophageal papillae, gastric pits, duodenal villi and colonic crypts. Read More

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http://dx.doi.org/10.1136/gutjnl-2020-321228DOI Listing

Laparoscopic and endoscopic cooperative surgery for cholecystogastric fistula: A case report.

Authors:
Goshi Fujimoto

Int J Surg Case Rep 2020 May 15;71:116-119. Epub 2020 May 15.

Department of Gastroenterological Surgery, Ofuna Chuo Hospital, 6-2-24, Ofuna, Kamakura, Kanagawa 247-0056, Japan. Electronic address:

Introduction: Cholecystoenteric fistula (CEF) is rare in biliary tract surgery, and cholecystogastric fistula (CGF) is the rarest form of CEF. Although open cholecystectomy with the closure of the fistula is the gold standard treatment for nonobstructing biliary-enteric fistulas, the optimal treatment for CGF has not been established. Laparoscopic and endoscopic cooperative surgery (LECS), a minimally invasive surgery for gastric submucosal tumors, reportedly helps achieve favorable postoperative outcomes. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.04.100DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7242993PMC

Serum Mac-2-binding protein glycosylation isomer predicts esophagogastric varices in cirrhotic patients with chronic hepatitis C virus infection treated with IFN-free direct-acting antiviral agent: M2BPGi levels predict varices in SVR patients.

Ann Hepatol 2020 May 11. Epub 2020 May 11.

Department of Hepatology, Endowed Department of Liver Cirrhosis Therapeutics, Japan; Department of Premier Preventive Medicine, Japan.

Introduction And Objectives: We examined whether Mac-2-binding protein glycosylation isomer (M2BPGi) levels could be a predictive marker for the presence of esophagogastric varices (EGV) in cirrhotic patients after hepatitis C virus (HCV) eradication with direct-acting antivirals (DAAs).

Patients And Methods: A total of 102 cirrhotic patients with HCV infection treated with DAAs were enrolled. Esophagogastroduodenoscopy was performed in 84 of the patients before treatment (Cohort A), in 66 after treatment (Cohort B), and in 48 at both time points (Cohort C). Read More

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http://dx.doi.org/10.1016/j.aohep.2020.04.002DOI Listing

An Unusual Dysphagia for Solids in a 17-Year-Old Girl Due To a Lusoria Artery: A Case Report and Review of the Literature.

Int J Environ Res Public Health 2020 May 20;17(10). Epub 2020 May 20.

Paediatric Clinic, Pietro Barilla Children's Hospital, Department of Medicine and Surgery, University of Parma, 43121 Parma, Italy.

Dysphagia is a condition that can have many underlying causes, often different between adults and children and its early diagnosis is crucial especially during childhood and adolescence, given the importance of proper nutritional intake to ensure adequate growth and development. We described the case of a 17-year-old girl reporting dysphagia for solids for approximately one month. No symptoms were previously referred. Read More

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http://dx.doi.org/10.3390/ijerph17103581DOI Listing

Impact of cuff-assisted colonoscopy for adenoma detection: A protocol of systematic review and meta-analysis.

Medicine (Baltimore) 2020 May;99(20):e20243

Department of Digestive Surgery, The Medical Group of Zhengzhou First People's Hospital, Zhengzhou, 450004, China.

Background: Previous studies have reported that cuff-assisted colonoscopy (CAC) can be used for detection of adenoma (DA). However, there are inconsistent results regarding the CAC for DA. Thus, this study will systematically explore the impact of CAC for DA. Read More

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http://dx.doi.org/10.1097/MD.0000000000020243DOI Listing

National trends in healthcare outcomes and utilization of endoscopic and surgical interventions in patients hospitalized with esophageal foreign body and food impaction.

Dis Esophagus 2020 May 22. Epub 2020 May 22.

Department of Gastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, USA.

The incidence and number of emergency room visits for esophageal foreign body and food impaction (EFB) are on the rise. However, its impact on the rate of inpatient admissions, utilization of endoscopic and surgical interventions, and healthcare outcomes is poorly understood. We conducted a study to analyze these outcomes using the national inpatient sample (NIS) database. Read More

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http://dx.doi.org/10.1093/dote/doaa018DOI Listing

Relationship between colonic diverticulosis and colon neoplasms in Japanese patients.

Dig Endosc 2020 May 21. Epub 2020 May 21.

Department of Internal Medicine II, Shimane University, Faculty of Medicine, Shimane, Japan.

Background And Aim: Colonic diverticulosis (CD) has been reported to be associated with presence of colon neoplasms (CNs) in Western patients, since most of the associated risk factors are common between them. However, such correlation has not been fully investigated in Asian patients. In this study, the association of CNs with CD was evaluated in a multicenter investigation. Read More

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http://dx.doi.org/10.1111/den.13745DOI Listing

Covid-19 digestive system involvement and clinical outcomes in a large academic hospital in Milan, Italy.

Clin Gastroenterol Hepatol 2020 May 10. Epub 2020 May 10.

Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy; IBD Center, Department of Gastroenterology, Humanitas Clinical and Research Center IRCCS, Rozzano, Milan, Italy.

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http://dx.doi.org/10.1016/j.cgh.2020.05.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7211605PMC

Application of Supersonic Shear Imaging to the Baveno VI Criteria and a Combination Model with Spleen Stiffness Measurement to Rule Out High-Risk Varices in Compensated Advanced Chronic Liver Disease.

Ultraschall Med 2020 May 20. Epub 2020 May 20.

Internal Medicine, Hanyang University Guri Hospital, Guri-si, Korea (the Republic of).

Purpose:  Recently, Colecchia et al. reported that by adding a spleen stiffness (SS) criterion sequentially to the Baveno VI criteria, screening endoscopy could be safely avoided. We aimed to compare the Baveno VI criteria, SS values and a sequential combination of the Baveno VI and SS values, measured by supersonic shear imaging (SSI), as approaches for safely avoiding screening endoscopy for high-risk varices (HRV). Read More

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http://dx.doi.org/10.1055/a-1168-6271DOI Listing

Propofol alone prevents worsening hepatic encephalopathy rather than midazolam alone or combined sedation after esophagogastroduodenoscopy in compensated or decompensated cirrhotic patients.

Eur J Gastroenterol Hepatol 2020 Jun 1. Epub 2020 Jun 1.

Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea.

Background: This study was conducted to determine which type and dose of sedative drugs should be given to cirrhotic patients with compensation or decompensation during esophagogastroduodenoscopy (EGD) to prevent hepatic encephalopathy (HE) after sedation.

Methods: We reviewed the medical records of cirrhotic patients consecutively admitted to the hospital and conducted a number connection test (NCT) before and 2 h after EGD with moderate sedation. Sedation was performed using either propofol alone, midazolam alone, or combined propofol + midazolam. Read More

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http://dx.doi.org/10.1097/MEG.0000000000001755DOI Listing

Catastrophic Caustic Ingestion: A Case Report.

Authors:
Kerri L Bouchard

J Crit Care Med (Targu Mures) 2020 Apr 6;6(2):130-135. Epub 2020 May 6.

University of Maryland Medical Center, Baltimore, USA.

Introduction: The majority of oral ingestion of caustic material by adults is intentional, and the aftermath varies widely with potentially fatal results. Injuries range from superficial burns of facial and oropharyngeal structures to extensive necrosis of the gastrointestinal tract. Management focuses on the identification of the ingested substance and prompt treatment and supportive care of the multiple complications stemming from the ingestion. Read More

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http://dx.doi.org/10.2478/jccm-2020-0017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216025PMC

"Impact of the COVID-19 pandemic on Gastroenterology Divisions in Italy: a national survey".

Dig Liver Dis 2020 May 16. Epub 2020 May 16.

Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Digestive Disease Center, Rome.

Background: In Italy, the spread of the COVID-19 pandemic has stressed the entire healthcare system and required a huge re-organization of many Divisions, including those of Gastroenterology.

Aims: to assess the impact of COVID-19 pandemic on Gastroenterology Divisions across Italy.

Methods: All members of the Italian Society of Gastroenterology (SIGE) were invited to answer a web-based survey. Read More

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http://dx.doi.org/10.1016/j.dld.2020.05.017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7229963PMC

Duodenal Stenosis Due to Carcinoma of the Lower Bile Duct: A Case Report.

Clin Med Insights Case Rep 2020 28;13:1179547620919453. Epub 2020 Apr 28.

Department of Surgery, Aizu Medical Center, Fukushima Medical University, Fukushima, Japan.

An 83-year-old man was referred to our hospital for a detailed evaluation for vomiting. Esophagogastroduodenoscopy and abdominal computed tomography showed duodenal stenosis with wall thickness. Biopsy including endoscopic ultrasound-guided fine-needle aspiration of the thickened wall showed inflammation without malignancy. Read More

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http://dx.doi.org/10.1177/1179547620919453DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7218460PMC

Correction to: Comprehensive analysis of adverse events associated with gastric peroral endoscopic myotomy: an international multicenter study.

Surg Endosc 2020 May 18. Epub 2020 May 18.

Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institution, Baltimore, MD, USA.

This article was updated to correct author M.I. Itani's name in the author listing. Read More

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http://dx.doi.org/10.1007/s00464-020-07651-zDOI Listing

Descriptive Analysis of Extubations Performed in an Emergency Department-based Intensive Care Unit.

West J Emerg Med 2020 Apr 24;21(3):532-537. Epub 2020 Apr 24.

University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan.

Introduction: Extubation of appropriate patients in the emergency department (ED) may be a strategy to avoid preventable or short-stay intensive care unit (ICU) admissions, and could allow for increased ventilator and ICU bed availability when demand outweighs supply. Extubation is infrequently performed in the ED, and a paucity of outcome data exists. Our objective was to descriptively analyze characteristics and outcomes of patients extubated in an ED-ICU setting. Read More

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http://dx.doi.org/10.5811/westjem.2020.4.47475DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7234716PMC

Improving Efficacy of Endoscopic Diagnosis of Early Gastric Cancer: Gaps to Overcome from the Real-World Practice in Vietnam.

Biomed Res Int 2020 26;2020:7239075. Epub 2020 Apr 26.

Department of Diagnostic Imaging, Saint Paul Hospital, Hanoi, Vietnam.

Objective: To identify factors associated with increased proportion of early gastric cancer to total detected gastric cancer among patients undergoing diagnostic esophagogastroduodenoscopy.

Methods: A nationwide survey was conducted across 6 central-type and 6 municipal-type Vietnamese hospitals. A questionnaire regarding annual esophagogastroduodenoscopy volume, esophagogastroduodenoscopy preparation, the use of image-enhanced endoscopy, and number of gastric cancer diagnosed in 2018 was sent to each hospital. Read More

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http://dx.doi.org/10.1155/2020/7239075DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7201490PMC

Patient experience of gastrointestinal endoscopy: informing the development of the Newcastle ENDOPREM™.

Frontline Gastroenterol 2020 13;11(3):209-217. Epub 2020 Jan 13.

Department of Gastroenterology, South Tyneside District Hospital, South Tyneside and Sunderland NHS Foundation Trust, South Shields, UK.

Background: Measuring patient experience is important for evaluating the quality of patient care, identifying aspects requiring improvement and optimising patient outcomes. Patient Reported Experience Measures (PREMs) should, ideally, be patient derived, however no such PREMs for gastrointestinal (GI) endoscopy exist. This study explored the experiences of patients undergoing GI endoscopy and CT colonography (CTC) in order to: identify aspects of care important to them; determine whether the same themes are relevant across investigative modalities; develop the framework for a GI endoscopy PREM. Read More

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http://dx.doi.org/10.1136/flgastro-2019-101321DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7223270PMC
January 2020

Validating the BAVENO VI criteria to identify low risk biliary atresia patients without endoscopy for esophageal varix.

Clin Res Hepatol Gastroenterol 2020 May 13. Epub 2020 May 13.

Department of Pediatrics, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea; Severance Pediatric Liver Disease Research Group, Seoul, Republic of Korea. Electronic address:

Background And Aims: Portoenterostomy is the initial surgical treatment for biliary atresia (BA); however, no curative therapy exists for BA. Varix bleeding is a major complication of end-stage liver disease and must be determined in patients with BA, necessitating routine surveillance using esophagogastroduodenoscopy (EGD). We attempted to validate criteria to identify BA patients requiring EGD. Read More

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http://dx.doi.org/10.1016/j.clinre.2020.04.007DOI Listing

Is surveillance colonoscopy necessary for all patients with bowel polyps?

BMJ 2020 05 15;369:m1706. Epub 2020 May 15.

Cancer Screening and Prevention Research Group (CSPRG), Department of Surgery and Cancer, Imperial College London, London, UK

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http://dx.doi.org/10.1136/bmj.m1706DOI Listing

Is routine preoperative esophagogastroduodenscopy prior to bariatric surgery mandatory? protocol for a systematic review and meta-analysis.

Int J Surg Protoc 2020 22;22:1-5. Epub 2020 Apr 22.

Department of Surgery, Trauma and Vascular Surgery, Clinical Research, Hamad General Hospital, Doha 3050, Qatar.

Introduction: Routine preoperative esophagogastroduodenscopy (p-EGD) prior to bariatric surgery (BS) is currently widely undertaken, and hence an important issue with many clinical and financial repercussions. Yet, the true extent of why p-EGD is routinely undertaken for all bariatric patients remains not well understood.

Methods And Analysis: To address this, we will undertake a systematic review and meta-analysis of routine p-EGD prior to BS from around the world. Read More

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http://dx.doi.org/10.1016/j.isjp.2020.04.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7210597PMC

The influence of esophagogastroduodenoscopy using carbon dioxide insufflation on abdominal ultrasonographic imaging efficiency.

J Med Ultrason (2001) 2020 May 12. Epub 2020 May 12.

Department of Gastroenterology, Tokyo Metropolitan Cancer Detection Center, Tokyo, Japan.

Purpose: The ability to perform abdominal ultrasonography after esophagogastroduodenoscopy (EGD) is hypothesized to improve examination efficiency. Therefore, we performed abdominal ultrasonography before and after EGD to verify the effects of EGD on abdominal ultrasonographic imaging efficiency.

Methods: We performed abdominal ultrasonography before, immediately after, 30 min after, and 60 min after EGD with carbon dioxide (CO) insufflation in 23 consecutive patients who visited our center between July 2015 and December 2016. Read More

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http://dx.doi.org/10.1007/s10396-020-01024-8DOI Listing

A Rare Presentation of Poorly Differentiated Lung Carcinoma with Duodenal Metastasis and Literature Review.

Case Rep Gastroenterol 2020 Jan-Apr;14(1):186-196. Epub 2020 Apr 21.

Gastroenterology and Hepatology, East Orange Department of Veteran's Affair, East Orange, New Jersey, USA.

Lung cancer is a common malignancy which is frequently found to metastasize to distant sites including bone, liver, and adrenal glands. There are rare reports of metastases to the gastrointestinal (GI) tract, with the duodenum being the most uncommon. We present a rare case of a poorly differentiated lung carcinoma metastasizing to the duodenum. Read More

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http://dx.doi.org/10.1159/000506927DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204736PMC

Ferrous Sulfate-Induced Esophageal Injury Leading to Esophagitis Dissecans Superficialis.

Case Rep Gastroenterol 2020 Jan-Apr;14(1):172-177. Epub 2020 Apr 17.

Division of Gastroenterology, Department of Medicine, Rutgers, New Jersey Medical School, Newark, New Jersey, USA.

Medication-induced esophagitis is a well-known but relatively rare clinical diagnosis, most common in patients with preexisting esophageal dysmotility, obstruction, or altered anatomy. Esophagitis dissecans superficialis (EDS) is a rare endoscopic finding characterized by sloughing of large fragments of the esophageal mucosal lining. The causes of EDS include prior trauma, heavy smoking history, ingestion of alcoholic and hot beverages, and immunosuppression. Read More

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http://dx.doi.org/10.1159/000506935DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204857PMC

High-Flow Nasal Cannula Oxygen in Patients Having Anesthesia for Advanced Esophagogastroduodenoscopy: HIFLOW-ENDO, a Randomized Clinical Trial.

Anesth Analg 2020 May 7. Epub 2020 May 7.

From the Department of Anesthesiology.

Background: Over 6 million esophagogastroduodenoscopy (EGD) procedures are performed in the United States each year. Patients having anesthesia for advanced EGD procedures, such as interventional procedures, are at high risk for hypoxemia.

Methods: Our primary study aim was to evaluate whether high-flow nasal cannula (HFNC) oxygen reduces the incidence of hypoxemia during anesthesia for advanced EGD. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004837DOI Listing

Production of ERCP training model using a 3D printing technique (with video).

BMC Gastroenterol 2020 May 11;20(1):145. Epub 2020 May 11.

Research Group for Endoscopic Instruments and Stents, Korean Society of Gastrointestinal Endoscopy, Seoul, Korea.

Background: ERCP training models are very different in terms of anatomical differences, ethical issues, storage problems, realistic tactile sensation, durability and portability. There is no easy way to select an optimized model for ERCP training. If the ERCP training model could be made as a soft silicone model using 3D printing technique, it would have numerous advantages over the models presented so far. Read More

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http://dx.doi.org/10.1186/s12876-020-01295-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216470PMC

Ulcerative reflux esophagitis associated with Clostridium ventriculi following hiatoplasty - is antibiotic treatment necessary? A case report.

Z Gastroenterol 2020 May 11;58(5):456-460. Epub 2020 May 11.

Diagnostic and Research Institute of Pathology, Medical University of Graz, Graz, Austria.

Clostridium (C.) ventriculi (known as Sarcina ventriculi) is a ubiquitous gram-positive, anaerobic, acidophilic coccus found in patients with gastric motility disorders. The microorganisms can be identified histologically by their characteristic presentation in tetrads or packets of 8 in hematoxylin and eosin stains. Read More

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http://dx.doi.org/10.1055/a-1123-7984DOI Listing

Upper Gastrointestinal Bleeding Due to a Duodenal Metastasis from Primary Testicular Squamous Cell Carcinoma.

Am J Case Rep 2020 May 11;21:e922007. Epub 2020 May 11.

Department of Internal Medicine, Division of Hematology and Oncology, University of Michigan, Ann Arbor, MI, USA.

BACKGROUND Primary squamous cell carcinoma of the testis (tSCC) is exceptionally rare. To date, only 5 cases have been described in the literature. We report the first case of upper gastrointestinal bleeding due to a duodenal metastasis from tSCC. Read More

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http://dx.doi.org/10.12659/AJCR.922007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7244224PMC