Log in to search using one of your social media accounts:

 

Narrow Band Imaging Enhances the Detection Rate of Penetration and Aspiration in FEES

AbstractNarrow band imaging (NBI) is widely used in gastrointestinal, laryngeal, and urological endoscopy. Its original purpose was to visualize vessels and epithelial irregularities. Based on our observation that adding NBI to common white light (WL) improves the contrast of the test bolus in fiberoptic endoscopic evaluation of swallowing (FEES), we now investigated the potential value of NBI in swallowing disorders. 148 FEES images were analyzed from 74 consecutive patients with swallowing disorders, including 74 with and 74 without NBI. All images were evaluated by four dysphagia specialists. Findings were classified according to Rosenbek ’s penetration-aspiration scale modified for evaluating these FEES images. Intra- and inter-rater reliability was determined as well as observer confidence. A better visualization of the bolus is the main advantage of NBI in FEES. This generally leads to sharper optical contrasts and better detect ion of small bolus quantities. Accordingly, NBI enhances the detection rate of penetration and aspiration. On average, identification of laryngeal penetration increased from 40 to 73% and of aspiration from 13 to 24% (eachp 
Source: Dysphagia - Category: Speech Therapy Source Type: research

Related Links:

Authors: Handa H, Gomi D, Fukushima T, Kobayashi T, Sekiguchi N, Sakamoto A, Tsukahara Y, Matsushita H, Sasaki S, Mamiya K, Koizumi T, Ichiyama T Abstract A 63-year-old woman underwent thyroidectomy for papillary thyroid adenocarcinoma and cervical lymph node resection. Pathological analyses revealed the presence of signet cell carcinoma in a resected lymph node, which were apparently different from the pathological findings of thyroid carcinoma. No evidence of a primary tumor could be found elsewhere despite detailed examinations, including esophagogastroduodenoscopy, colonoscopy, capsule endoscopy, CT scan, and f...
Source: Internal Medicine - Category: Internal Medicine Tags: Intern Med Source Type: research
Authors: Nakagawa S, Shimoyama T, Nakamura M, Chiba D, Kikuchi H, Sawaya M, Chinda D, Mikami T, Fukuda S Abstract A reddish depressed lesion was found in the corpus of the stomach of a 56-year-old man. Gastric biopsy showed no findings of MALT lymphoma, including lympho-epithelial lesions. A urea breath test, stool antigen test and serum IgG antibody to Helicobacter pylori test were negative. Magnifying endoscopy using narrow-band-imaging showed no malignant structures. Gastric biopsy specimens were subjected to immunohistochemistry and a PCR, which identified Helicobacter suis infection. Triple therapy with esomep...
Source: Internal Medicine - Category: Internal Medicine Tags: Intern Med Source Type: research
AbstractThe study was done with the aims to evaluate the accuracy of nasal endoscopy as compared to computed tomography (CT) in diagnosing chronic rhinosinusitis (CRS) and to evaluate the correlation between Endoscopy Score and CT Score. It was a cross sectional study. Every consecutive, symptomatic patient of CRS who fulfilled the criteria of American Academy of Otolaryngology —Head and Neck Surgery Task Force were included in the study. Rigid diagnostic nasal endoscopy (DNE) was done and Lund-Kennedy scoring system was used. Plain CT of paranasal sinuses was done on the same day and severity was assessed using Lund...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - Category: ENT & OMF Source Type: research
This week and next at the American College of Gastroenterology’s World Congress of Gastroenterology conference in Orlando, Olympus is unveiling its SB Knives. The devices are designed to be used for endoscopic submucosal dissection (ESD), a procedure that was defined as unique from endoscopic mucosal resection only about fifteen years ago. The three-in-one SB Knives can be used for mucosal incision, submucosal dissection, and hemostasis when removing early GI cancers that have not yet penetrated into the muscle. In many cases such procedures can help patients avoid open surgeries, as long as the cancer...
Source: Medgadget - Category: Medical Devices Authors: Tags: GI Source Type: blogs
CONCLUSION: This article presents a useful technique with low morbidity and mortality. Further investigation is needed, especially in our Mexico, where neuroendoscopical techniques are still in the development phase. PMID: 29026668 [PubMed]
Source: Surgical Neurology International - Category: Neurosurgery Tags: Surg Neurol Int Source Type: research
Conclusions: Endoscopy-negative variant still remains the predominant endoscopic finding in GORD patients.
Source: Annals of African Medicine - Category: African Health Authors: Source Type: research
Abstract Expansion Sphincter Pharyngoplasty (ESP) was introduced in 2007 and represents a promising surgical technique to treat patients with oropharyngeal walls collapse with reduced morbidity and high success rates. Between December 2012 and January 2015 17 patients underwent ESP at the department of Otorhinolaryngology of the University of Brescia (Italy), using barbed knotless sutures to improve the biomechanical effect of sutures on tissue collapse (BESP). Patients with moderate to severe OSAS and BMI
Source: Clinical Otolaryngology - Category: ENT & OMF Authors: Tags: Our Experience Source Type: research
AbstractTo assess the role of sialendoscopy as a diagnostic and therapeutic modality in juvenile recurrent parotitis. Juvenile recurrent parotitis (JRP) is the second most frequent salivary gland disease in childhood and is characterized by recurrent non suppurative and non obstructive parotid inflammation. These attacks influence the quality of life and can even lead to gland destruction, and there are no definitive treatment to avoid them. Sialendoscopic dilatation is emerging as the new treatment modality in this aspect. Study design:  retrospective study. Study setting: Department of Otorhinolaryngology in tertiar...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - Category: ENT & OMF Source Type: research
Authors: So H, Yoo SH, Han S, Kim GU, Seo M, Hwang SW, Yang DH, Byeon JS Abstract Background/Aims: Endoscopic resection is the first-line treatment for rectal neuroendocrine tumors (NETs) measuring
Source: Clinical Endoscopy - Category: Gastroenterology Tags: Clin Endosc Source Type: research
Authors: Sato Y, Takenaka R, Matsumi A, Takei K, Okanoue S, Yasutomi E, Kawai D, Takemoto K, Tsugeno H, Miyake T, Fujiki S Abstract Esophageal lichen planus (ELP) is rare and only about 80 cases have been reported in the literature. An 85-year-old woman presented with dysphagia and odynophagia. Endoscopy revealed a severe stricture in the proximal esophagus. Oral examinations at two years after the first endoscopy revealed erosions around the gingiva, and an examination of biopsy specimens taken from the site of erosion led to a diagnosis of oral LP. Esophageal endoscopy was performed again, and biopsy specimens sh...
Source: Internal Medicine - Category: Internal Medicine Tags: Intern Med Source Type: research
More News: Endoscopy | Gastroenterology | Speech-Language Pathology | Urology & Nephrology