Techniques in Gastrointestinal Endoscopy 
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This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.Biliary strictures in the liver transplant patient
Biliary complications are the most common adverse events following liver transplantation (LT). Living donor liver transplantation have a higher rate of biliary complications compared to deceased donor liver transplantation. Multiple risk factors have been implicated in the development of biliary strictures, which could be categorized into recipient, graft, operative factors and post-operative factors. Bile duct strictures following liver transplantation are classified as anastomotic strictures (BAS) or non-anastomotic strictures (NAS). (Source: Techniques in Gastrointestinal Endoscopy)
Source: Techniques in Gastrointestinal Endoscopy - June 21, 2016 Category: Gastroenterology Authors: Kaveh Sharzehi Source Type: research
Endoscopic management of hilar stricture
Hilar biliary strictures pose a special dilemma in terms of both diagnosis and therapy. While the majority are malignant, differentiating them from benign strictures is not straightforward.Endoscopy is the preferred first approach to diagnosis and therapy, although technical and functional success rates are uniformly poorer when compared to distal biliary strictures. We review the different endoscopic techniques and address some of the contentious issues including metal vs. plastic stents, unilateral vs. (Source: Techniques in Gastrointestinal Endoscopy)
Source: Techniques in Gastrointestinal Endoscopy - June 2, 2016 Category: Gastroenterology Authors: Abhishek Gulati, Payal Thakkar, Shyam Thakkar Tags: SI: Biliary Strictures Source Type: research
Diagnosis and endoscopic management of primary sclerosing cholangitis
Primary sclerosing cholangitis (PSC) is a complex, chronic, and progressive fibroinflammatory destructive cholestatic biliary disease. The exact etiology and pathogenesis are unknown and possibly related to an enhanced immune-mediated response and reaction in the biliary system. PSC is closely associated with inflammatory bowel disease and specifically, ulcerative colitis. It can be characterized by both intrahepatic and extrahepatic bile duct stricturing and dilation. Clinical manifestations include abnormal liver tests, jaundice, pruritus, and fatigue. (Source: Techniques in Gastrointestinal Endoscopy)
Source: Techniques in Gastrointestinal Endoscopy - June 1, 2016 Category: Gastroenterology Authors: Anthony Razzak, Richard Kozarek Tags: SI: Imaging in IBD Source Type: research
Diagnosis and endoscopic management of primary sclerosing cholangitis
Primary sclerosing cholangitis (PSC) is a complex, chronic and progressive fibro-inflammatory destructive cholestatic biliary disease. The exact etiology and pathogenesis are unknown and possibly related to an enhanced immune-mediated response and reaction in the biliary system. PSC is closely associated with inflammatory bowel disease (IBD) and specifically, ulcerative colitis (UC). It is characterized by intrahepatic and/or extrahepatic bile duct stricturing and dilation. Clinical manifestations include abnormal liver tests, jaundice, pruritus and fatigue. (Source: Techniques in Gastrointestinal Endoscopy)
Source: Techniques in Gastrointestinal Endoscopy - June 1, 2016 Category: Gastroenterology Authors: Anthony Razzak, Richard Kozarek Tags: SI: Imaging in IBD Source Type: research
Approach to the patient with a biliary stricture
Biliary strictures present a diagnostic challenge and are termed indeterminate when an etiology cannot be ascertained after careful history taking, laboratory evaluation, abdominal imaging, and tissue sampling typically via Endoscopic Retrograde Cholangiography (ERCP). The implications of missing malignancy are grave; however, up to 20% of patients undergoing surgery for suspected biliary malignancy have benign pathology. The diagnostic approach revolves around a detailed history and physical examination; initially ERCP with biopsy was the only modality for securing a tissue diagnosis however with the development of Endosc...
Source: Techniques in Gastrointestinal Endoscopy - May 30, 2016 Category: Gastroenterology Authors: Alan Brijbassie, Paul Yeaton Source Type: research
Editorial Board
(Source: Techniques in Gastrointestinal Endoscopy)
Source: Techniques in Gastrointestinal Endoscopy - March 31, 2016 Category: Gastroenterology Source Type: research
Table of Contents
(Source: Techniques in Gastrointestinal Endoscopy)
Source: Techniques in Gastrointestinal Endoscopy - March 31, 2016 Category: Gastroenterology Source Type: research
Anesthesia and sedation data in the gastroenterology suite: Leveraging clinical data to support operational workflows
Technology and information management systems (IMS) have the potential to offer gastrointestinal endoscopy suites opportunities for improved efficiency and ultimately value to the patients. The clinical data obtained from an IMS can translate to improved workflows, decreased costs, and improved patient satisfaction. Benefits are both immediate and longitudinal. Information that already exists in the suite can be leveraged for shorter wait times, less frequent delays, decreased provider downtime, increased caseloads, higher revenues, and improved satisfaction scores. (Source: Techniques in Gastrointestinal Endoscopy)
Source: Techniques in Gastrointestinal Endoscopy - March 22, 2016 Category: Gastroenterology Authors: Douglas L. Hester, Jesse M. Ehrenfeld Source Type: research
Anesthesia & sedation data in the gastroenterology suite: Leveraging clinical data to support operational workflows
Technology and information management systems have the potential to offer gastrointestinal endoscopy suites opportunities for improved efficiency and ultimately value to patients. The clinical data obtained from an Information Management System (IMS) can translate to improved workflows, decreased costs, and improved patient satisfaction. Benefits are both immediate and longitudinal. Information that already exists in the suite can be leveraged for shorter wait times, less frequent delays, decreased provider downtime, increased caseloads, higher revenues and improved satisfaction scores. (Source: Techniques in Gastrointestinal Endoscopy)
Source: Techniques in Gastrointestinal Endoscopy - March 22, 2016 Category: Gastroenterology Authors: Douglas L. Hester, Jesse M. Ehrenfeld Source Type: research
Recent Advances in control of sedation
Procedural sedation is commonly employed in endoscopic procedures, and increasingly utilizes propofol. The use of propofol is commonly restricted to anesthesia providers, and this may increase the cost of care. Administration of propofol requires a special set of skills to deal with the variability of patient response and the consequences of improper dosing. This has stoked interest in use of automated systems to reduce manpower costs associated with propofol. This review will examine why propofol poses challenges for human control, and how various automated systems have been used to address these challenges. (Source: Tech...
Source: Techniques in Gastrointestinal Endoscopy - March 19, 2016 Category: Gastroenterology Authors: Jeff E. Mandel Source Type: research
Anesthesiologist managed sedation for ERCP: Experience at the university of Hong Kong Shenzhen Hospital
Providing sedation and analgesia to patients undergoing endoscopic retrograde cholangiopancreatography (ERCP) is challenging because of patient position, procedure duration and depth of sedation required. Conventionally sedation for ERCP is managed by endoscopists with intravenously administered benzodiazepines and opioids. With increasing complexity of ERCP procedures, there is a trend to involve anesthesiologists to provide sedation and anesthesia. Anesthesiologists are able to provide general anesthesia (GA) in failed sedation. (Source: Techniques in Gastrointestinal Endoscopy)
Source: Techniques in Gastrointestinal Endoscopy - March 19, 2016 Category: Gastroenterology Authors: Vivian M. Yuen, Heng F. Xia, Yau W. Chan, Xia Yan, Michael G. Irwin Source Type: research
Recent advances in control of sedation
This article examines why propofol poses challenges for human control, and how various automated systems have been used to address these challenges. (Source: Techniques in Gastrointestinal Endoscopy)
Source: Techniques in Gastrointestinal Endoscopy - March 18, 2016 Category: Gastroenterology Authors: Jeff E. Mandel Source Type: research
