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
Colonic ischaemia (CI) is a devastating complication after abdominal aortic aneurysm (AAA) surgery. The aim of this review was to evaluate the diagnostic test accuracy of routine endoscopy in diagnosing CI after treatment for elective and acute AAA.
Publication date: Available online 19 July 2018Source: Clinics and Research in Hepatology and GastroenterologyAuthor(s): Andrew Antony, Charles Pohanka, Susan Keogh, Robert Klein, Mohammad Alshelleh, Calvin Lee, Arvind J. TrindadeSummaryBackground and aimsThe American Gastroenterological Association introduced quality guidelines for the endoscopic management of Barrett's esophagus (BE) in 2015. Our aim was to determine if these guidelines are being followed and to correlate adherence with outcomes in surveillance endoscopy.MethodsThis is a retrospective study from December 2015 to June 2017. Charts were abstracted to deter...
Previous studies on pediatric endoscopic training have not examined if adverse events (AEs) are affected by the fellow ’s training level in detail. We aimed to determine whether trainee presence and educational level increases AEs or operative time (OT) for pediatric intestinal endoscopy.
Patients with many different digestive diseases undergo repeated esophagogastroduodenoscopy throughout their life. Tethered capsule endomicroscopy (TCE) is a less invasive method for obtaining high-resolution images of the gastrointestinal mucosa for diagnosis and treatment planning of diseases. In this paper, we present our results from a single center, aimed at testing the safety and the feasibility of TCE for imaging the esophagus, stomach, and duodenum.
Simulation-based training in colonoscopy is increasingly replacing the traditional apprenticeship method to avoid patient-related risk. Mentoring during simulation is necessary to provide feedback and to motivate, but expert supervisors are a scarce resource. We aimed to determine whether computerized feedback in simulated colonoscopy would improve performance, optimize time spent practicing, and optimize the pattern of training.
ConclusionAmong patients with radiologically confirmed GV, preoperative UGIE rarely demonstrates clinically significant findings and can potentially delay definitive surgical intervention.
AbstractIntroductionIt is commonly stated in bariatric surgical forums that leaks following laparoscopic sleeve gastrectomy (LSG) are more difficult to manage than those following laparoscopic roux-en-Y gastric bypass (LRYGB). However, no previous study has provided a thorough comparison of leak management following these two operations.MethodsOur database was retrospectively reviewed to identify patients with leak following LSG and LRYGB performed between January 2007 and December 2017.ResultsPostoperative leak was diagnosed in 16/2132 (0.75%) LSG and 9/595 (1.5%) LRYGB patients. More of the LRYGB leaks had undergone revi...
Digestive Endoscopy,Volume 0, Issue ja, -Not available-.