200 Upper GI Endoscopies ‘Appropriate’ Requirement for Competency200 Upper GI Endoscopies ‘Appropriate’ Requirement for Competency

The requirement of 200 esophago-gastro-duodenoscopies (EGDs) to achieve competency, as defined by the unassisted ability to pass the endoscope into the second part of the duodenum, seems reasonable, according to an analysis of the U.K. national training database. Reuters Health Information
Source: Medscape Radiology Headlines - Category: Radiology Tags: Gastroenterology News Source Type: news

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We reported a case with the IFP presented with atypical symptoms and the so-called "ball valve syndrome". The final diagnosis is ultimately made after surgery. At 18 months of follow-up, the case remained symptom-free. It is worth mentioning, the definitive diagnosis of IFPs is always difficult to reach, which should be clinical, radiologic, endoscopic, histological, and immunohistochemical, although abdominal imageology, gastrointestinal endoscopy and endoscopic ultrasonography(EUS) may provide some important clues of the disease. Although therapy options usually include endoscopic mucosal resection and surgical...
Source: Revista Espanola de Enfermedades Digestivas - Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research
We report a patient with highly advanced gastric carcinoma who was treated successfully with chemoradiotherapy (CRT) comprising S-1 and cisplatin. The patient was a 71-year-old male who was diagnosed with advanced gastric carcinoma by esophagogastroduodenoscopy (EGD) by medical examination. EGD demonstrated type 3 advanced gastric carcinoma in the posterior wall of the upper gastric body. An abdominal computed tomography (CT) scan showed that the gastric wall was thickened due to gastric primary tumor, and large lymph nodes (LNs) including the lesser curvature LN, anterosuperior LN along the common hepatic artery and some ...
Source: Case Reports in Gastroenterology - Category: Gastroenterology Source Type: research
CONCLUSION: The SS measured by 2D-SWE is not an accurate predictor of variceal grade and thus bleeding in patients of EHPVO. Advances in knowledge: EHPVO is a vascular pathology with most patients showing splenomegaly and preserved liver function. Although, elastography of spleen has been shown to be useful in patients with cirrhosis for predicting portal hypertension, it does not seem to be helpful in patients with EHPVO. PMID: 30226081 [PubMed - as supplied by publisher]
Source: The British Journal of Radiology - Category: Radiology Authors: Tags: Br J Radiol Source Type: research
AbstractBackgroundCapsule endoscopy can be used to identify the early stage of small bowel Crohn ’s disease (CD). We evaluated significant small bowel capsule endoscopy (SBCE) findings that can lead to early diagnosis of CD.MethodsWe retrospectively accumulated clinical and SBCE data of 108 patients (63 with and 45 without CD). Types of small bowel mucosal injuries, including erosion, ulceration, and cobblestone appearance, and the alignment of diminutive lesions were compared between patients with and without CD. Inter- and intra-observer agreement in the determination of lesions was assessed in 25 pairs of SBCE fro...
Source: Journal of Gastroenterology - Category: Gastroenterology Source Type: research
AbstractIndividuals with common variable immunodeficiency (CVID) have an increased risk of gastric cancer, and gastrointestinal lymphoma, yet screening for premalignant gastric lesions is rarely offered routinely to these patients. Proposed screening protocols are not widely accepted and are based on gastric cancer risk factors that are not applicable to all CVID patients. Fifty-two CVID patients were recruited for screening gastroscopy irrespective of symptoms or blood results and were compared to 40 controls presenting for gastroscopy for other clinical indications. Overall, 34% of CVID patients had intestinal metaplasia...
Source: Journal of Clinical Immunology - Category: Allergy & Immunology Source Type: research
Conclusion: Significantly higher incidence of cardiorespiratory complications was noted in the propofol-only versus other anesthetic regimens in pediatric patients undergoing GI endoscopy in this meta-analysis. However, the overall quality of the evidence is very low. How to Apply This Knowledge for Routine Clinical Practice: Clinicians providing sedation to a pediatric population for GI endoscopy should consider there may be increased risks when using a propofol-only regimen, but further study is needed. PMID: 30210535 [PubMed]
Source: Gastroenterology Research and Practice - Category: Gastroenterology Tags: Gastroenterol Res Pract Source Type: research
The diagnosis of duodenal epithelial neoplasms in the general population is relatively uncommon, occurring in less than 1% of patients undergoing upper endoscopy.1 However, with increasing widespread use of endoscopy, the incidence of duodenal polyps is likely to rise. Approximately 30% to 85% of duodenal adenomas can progress to malignancy.1 Therefore, early detection and  removal of duodenal adenomas before malignant transformation represents a key opportunity to prevent future cancer.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Original article Source Type: research
ConclusionSolitary gastric PJ-type polyps are rare. Careful follow-up should be recommended and further studies are needed to evaluate cancer risk of solitary gastric PJ-type polyps.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 48-year-old man is evaluated for a 4-week history of heartburn that awakens him at night. The symptoms occur about three times per week. He has been taking over-the-counter antacids with incomplete relief. Food triggers include coffee and spicy foods. He has not had unintentional weight loss or difficulty swallowing. Physical examination and laboratory studies are normal. Which of the following is the most appropriate next step in management? A. Ambulatory esophageal pH monitoring B. Esophageal manomet...
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Conditions Gastroenterology Source Type: blogs
Conclusion Earlier use of CE in inpatients with melena or IDA, no signs of lower gastrointestinal pathology and negative UGIE resulted in shortened hospital stays, significant DY from both small bowel and upper gastrointestinal tract, and two-thirds less unnecessary colon investigations without affecting clinical outcomes. [...] © Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text
Source: Endoscopy International Open - Category: Gastroenterology Authors: Tags: Original article Source Type: research
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