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
ConclusionsLMWH does not increase the risk of post‐procedural bleeding and does not affect survival of cirrhotic patients undergoing prophylactic EVL.This article is protected by copyright. All rights reserved.
CONCLUSIONS: EMR for NASDA is effective with a favorable long-term outcome. Local recurrences can be retreated endoscopically. A recall system, patient's compliance to endoscopic follow-up are mandatory to detect recurrences and their prompt treatment. PMID: 29458293 [PubMed - as supplied by publisher]
CONCLUSIONS: Multidetector-CT, performed after distension of the small bowel with oral contrast material and intravenous injection of iodinated contrast material, is a useful method for the diagnosis and staging of small bowel neoplasms. PMID: 29461587 [PubMed - in process]
Transition Consultants presents rare opportunity to own a very successful Gastroenterology/Endoscopy practice in Alaska. Gross revenues of $1,912,000 in 2017 with low overhead of just over 30% on 4.5 days a week by seller. The office is equipped with state of the art endoscopy Olympus 190 equipment. The practice is 98% outpatient and 75% PPO. High reimbursement rates. EMR system is in place. Seller takes 10 weeks off for vacation per year. There are several parks and preserves in the area... Gastroenterology, Endoscopy Practice for Sale
Abstract Background and AimsA “treat‐to‐target” approach has been proposed for ulcerative colitis (UC), with a target of combined clinical and endoscopic remission. The aim of the study was to evaluate the extent to which proposed targets are achieved in real‐world care, along with clinician perceptions and potential challenges. MethodsA multicentre, retrospective, cross‐sectional review of patients with UC attending outpatient services in South Australia was conducted. Clinical and objective assessment of disease activity (endoscopy, histology, and/or biomarkers) was recorded. A survey evaluated gastro...
The optimal time to endoscopy in patients with a high-risk of upper GI bleeding is unknown. In this issue of Clinical Gastroenterology and Hepatology, Cho and colleagues1 compared outcomes between high-risk patients (defined as Glasgow-Blatchford score> 7) who underwent “urgent endoscopy” within 6 hours (n = 571) to those who underwent “elective endoscopy” between 6-48 hours (n = 390). Patients undergoing urgent endoscopy had a higher proportion of active hemorrhage on endoscopy and need for endoscopic intervention.
Conclusion: Our study suggests that FC level #x3e;194 µg/g may be a useful SBCE filter test, identifying patients at risk of SB CD.Dig Dis
ConclusionsWhen heartburn responds to PPI, elevated serum NTFs decline to normal. These data suggest that cleaved products of e-cadherin may serve as biomarkers of NERD. Further data are needed to assess and confirm this concept.