Robotic-Assisted Transthoracic Esophageal Diverticulectomy.
This report of robot-assisted surgery for esophageal diverticulectomy from a transthoracic approach adds to the literature regarding surgical treatment of epiphrenic esophageal diverticulum. It is a feasible method that can be used in selected patients with esophageal diverticulum. PMID: 29899656 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - June 16, 2018 Category: Surgery Tags: JSLS Source Type: research

A rare case of hyperplastic proximal esophageal polyps with foveolar dysplasia
A 62-year-old male with long-standing esophageal reflux underwent endoscopy at an outside institution that reported multiple polypoid lesions in upper esophagus and a small focal area of nodular mucosa at the gastroesophageal junction(GEJ). Biopsies of the proximal esophageal polyps demonstrated hyperplastic mucosa with ulceration, reactive epithelial changes, and focal intestinal metaplasia. Biopsies from the nodular GEJ mucosa were described as Barrett ’s esophagus with low grade dysplasia.An upper endoscopy performed at our medical center found multiple semi-pedunculated esophageal polyps between 18-24 cm from the...
Source: Clinical Gastroenterology and Hepatology - June 11, 2018 Category: Gastroenterology Authors: Maham Hayat, Sultan Mahmood, John T. Maple Tags: Image of the Month Source Type: research

A Case of a Magnesium Oxide Bezoar.
Authors: Iwamuro M, Saito S, Yoshioka M, Urata H, Ueda K, Yamamoto K, Okada H Abstract A 75-year-old Japanese woman presented with nausea and appetite loss. Computed tomography showed a radiopaque substance in the stomach. Esophagogastroduodenoscopy revealed bezoars in the stomach, which were endoscopically retrieved. The bezoars were mainly composed of magnesium and oxide. Although bezoar formation associated with magnesium oxide consumption is infrequently encountered, the present case indicates that pharmacobezoar should be considered among the differential diagnoses in patients who demonstrate a radiopaque mass...
Source: Internal Medicine - June 9, 2018 Category: Internal Medicine Tags: Intern Med Source Type: research

Factors Associated with Gastric Black Spot, White Flat Elevated Mucosa, and Cobblestone-Like Mucosa: A Cross-Sectional Study
Conclusions: All of the considered findings were correlated with PPI andH. pylori eradication.Digestion 2018;98:185 –193 (Source: Digestion)
Source: Digestion - June 5, 2018 Category: Gastroenterology Source Type: research

Gastric Ulceration and Bleeding with Hemodynamic Instability Caused by an Intragastric Balloon for Weight Loss.
We report a patient with a two-day history of melena, abdominal pain, hypotension, and syncope which developed five months after placement of an intragastric balloon. Esophagogastroduodenoscopy with balloon removal revealed a small 8-mm gastric ulcer in the incisura. This gastric ulcer probably developed secondary to mechanical compression of the stomach mucosa by the gastric balloon which contained 900 mL of saline. The FDA is now investigating five deaths since 2016 associated with these second-generation balloons. Clinicians should be aware of these complications when evaluating patients with gastrointestinal complicati...
Source: Clinical Endoscopy - June 3, 2018 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Prevalence and Predictors of Silent Gastroesophageal Reflux Disease in Patients with Hypertension.
Conclusions: High prevalence of GERD, specifically silent GERD, could be found in patients with hypertension. Abdominal obesity and untreated hypertension were positive predictors for silent GERD, while controlled hypertension was a negative predictor for it. PMID: 29849598 [PubMed] (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - June 3, 2018 Category: Gastroenterology Tags: Gastroenterol Res Pract Source Type: research

Screening Upper Endoscopy for Early Detection of Gastric Cancer.
Authors: Moon JS PMID: 29853824 [PubMed - in process] (Source: Journal of Korean Medical Science)
Source: Journal of Korean Medical Science - June 2, 2018 Category: Biomedical Science Tags: J Korean Med Sci Source Type: research

Factors predictive of gastroesophageal reflux disease and esophageal motility disorders in patients with non-cardiac chest pain.
Authors: Gomez Cifuentes J, Lopez R, Thota PN Abstract BACKGROUND: Patients with non-cardiac chest pain (NCCP) are referred for esophageal motility testing and pH monitoring since gastroesophageal reflux disease (GERD) and esophageal motility disorders are frequently encountered in these patients. Our aim was to determine the prevalence and distribution of these disorders and to identify predictors of abnormal esophageal function testing. METHODS: We performed a retrospective study of NCCP patients who presented after a negative cardiac evaluation and underwent esophageal manometry, esophageal pH monitoring and...
Source: Scandinavian Journal of Gastroenterology - June 2, 2018 Category: Gastroenterology Tags: Scand J Gastroenterol Source Type: research

Linked color imaging can help gastric Helicobacter pylori infection diagnosis during endoscopy
Conclusion LCI could be playing a valuable initial screen tool for real-time diagnosis of H. pylori infections. It has a high accuracy of diagnosis of H. pylori infections. Therefore, in patients suspected to have H. pylori infections using LCI, the infections need to be carefully diagnosed using appropriate methods because, as per the consensus, they should be eradicated as soon as possible before precancerous lesions develop. (Source: Journal of the Chinese Medical Association)
Source: Journal of the Chinese Medical Association - June 2, 2018 Category: General Medicine Source Type: research

Small gastric hyperplastic polyp with acute bleeding as an unusual presentation of malignancy: A case report
Rationale: Gastric hyperplastic polyps are frequently found on upper gastrointestinal endoscopy and usually asymptomatic. Patients concerns: A 65-year-old man visited the emergency department due to melena. Emergency upper endoscopy revealed a semi-pedunculated polyp measuring 1.2 cm in diameter with blood oozing. We resected the polyp using snare polypectomy. Ulceration was noted on the polypectomy specimen and was thought to be a bleeding focus. Diagnoses: Histopathologic findings revealed hyperplastic polyp with focal well-differentiated adenocarcinoma in the ulcerated area and involvement of the lateral resecti...
Source: Medicine - June 1, 2018 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

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The authors and editors present a volume covering a wide variety of endoscopic (and nonendoscopic) “hot topics.” Spanning just>200 pages, the text includes 14  chapters that include applications relevant to endoscopic submucosal dissection (ESD), upper endoscopy, colonoscopy, endoscopic retrograde cholangiopancreatography, endoscopic ultrasound imaging, as well as a few other related techniques and procedures. The book has a strong international flair, w ith the vast majority of the authors coming from Italy (US and Asian authors served as contributors to the book as well). (Source: Gastroenterology)
Source: Gastroenterology - June 1, 2018 Category: Gastroenterology Authors: Douglas G. Adler Tags: Print and Digital Media Reviews Source Type: research

[Gallstone ileus, surgical management review].
Conclusion: GI is associated with complications secondary to diagnostic delay and its late surgical resolution, although the initial treatment is aimed at resolving the intestinal obstruction through enterotomy and gallstone extraction, there is controversy regarding the preferred time for cholecystectomy and repair of biliary-enteric fistula, being the two-stage surgery the surgical procedure of choice, especially in patients with a high risk of complications. PMID: 29809187 [PubMed - in process] (Source: Cirugia y Cirujanos)
Source: Cirugia y Cirujanos - May 30, 2018 Category: Surgery Authors: Salazar-Jiménez MI, Alvarado-Durán J, Fermín-Contreras MR, Rivero-Yáñez F, Lupian-Angulo AI, Herrera-González A Tags: Cir Cir Source Type: research

649 eus-fna peri-procedure adverse events are not higher in the elderly: results from the national endoscopic database
Multiple studies have reported the safety of esophagogastroduodenoscopy, colonoscopy, double balloon and ERCP in elderly patients. There has been an increased use of endoscopic ultrasound guided fine needle aspiration (EUS-FNA) in very elderly patients, yet the safety profile of this procedure has not been well-established. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Juan E. Corral, Paul T. Kr öner, Omar Y. Mousa, Annelise Howick, Massimo Raimondo, Frank Lukens, Timothy A. Woodward Tags: Oral abstract Source Type: research

176 rate of bleeding on antiplatelet and anticoagulant agents in patients undergoing double balloon enteroscopy.
Double balloon enteroscopy (DBE) is a widely used method of examining the portion of small bowel where conventional upper endoscopy and colonoscopy are unable to reach. Although theoretical increased risk of intra or post-operative bleeding exists in patients on antiplatelet (AP) or anticoagulant (AC) regimen, actual incidence is unclear at present. We sought to assess the rate of clinically significant intra and post-procedural bleeding in the patients undergoing DBE while on AP and AC treatment. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Abhik Bhattacharya, Matthew Hoscheit, Alfred Nelson, Rocio Lopez, Vaibhav Wadhwa, John J. Vargo, Madhusudhan R. Sanaka, Amit Bhatt, Roger Charles, Sunguk Jang Tags: Oral abstract Source Type: research

Su1373 UTILITY OF LIVER AND SPLEEN EUS-ELASTOGRAPHY AS A DIAGNOSTIC TOOL FOR PREDICTING LIVER CIRRHOSIS AND PORTAL HYPERTENSION: A CASE-CONTROL DIAGNOSTIC TRIAL
Liver Cirrhosis (LC) includes hepatic and splenic structural and functional changes, with subsequent Portal Hypertension (HP). Abdominal ultrasound, upper endoscopy and Transient Elastography (T-E) constitute LC and PH standard diagnostic workup, delaying it and increasing health care cost. EUS-Elastography (EUS-E) offers all of these workups in a single step. EUS-E has not been evaluated for this purpose, especially in the spleen. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Carlos Robles-Medranda, Manuel Valero, Miguel Puga-Tejada, Roberto Oleas, Joao A. Nebel, Sylon R. De Britto, Jesenia Ospina, Miguel Soria ALc ívar, Haydee Alvarado, Raquel S. Del Valle, Hannah P. Lukashok Tags: Sunday abstract Source Type: research

Su1284 COMPARISON OF OUTCOMES OF SINGLE VERSUS DOUBLE BALLOON ENTEROSCOPY: A LARGE TERTIARY CENTER EXPERIENCE
Deep balloon enteroscopy is used to examine the portion of small bowel where conventional upper endoscopy or colonoscopy cannot provide consistent visualization. Double balloon enteroscopy (DBE) applies push and pull technique with insufflation and deflation of tandem balloons in order to advance the scope whereas single balloon enteroscopy (SBE) utilizes only one balloon. Studies comparing the outcomes and safety of these distinct approaches are limited. We sought to compare the performance and safety between the two techniques. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Abhik Bhattacharya, Matthew Hoscheit, Alfred Nelson, Rocio Lopez, Vaibhav Wadhwa, John J. Vargo, Madhusudhan R. Sanaka, Amit Bhatt, Roger Charles, Luis F. Lara, Sunguk Jang Tags: Sunday abstract Source Type: research

Su1278 SMOKING IS ASSOCIATED WITH INCREASED LEVEL OF CARE AFTER DOUBLE BALLOON ENTEROSCOPY
Double balloon enteroscopy (DBE) is widely used to examine portion of small bowel where conventional upper endoscopy or colonoscopy cannot provide consistent visualization. While generally considered safe, its complications include perforation, pancreatitis and GI bleeding. In addition, longer procedure time often required with DBE can result in accumulation of significant concentration of anesthetics and intraluminal air that can delay adequate recovery of the patients. We aimed to assess the rates of adverse outcomes and identify the factors associated with the adverse outcomes. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Sunguk Jang, Abhik Bhattacharya, Madhusudhan R. Sanaka, Amit Bhatt, John J. Vargo, Luis F. Lara, Matthew Hoscheit, Alfred Nelson, Roger Charles Tags: Sunday abstract Source Type: research

Su1255 PREDICTORS FOR IDENTIFYING THE ETIOLOGY OF BLEEDING IN PATIENTS UNDERGOING VIDEO CAPSULE ENDOSCOPY (VCE) FOR SUSPECTED SMALL BOWEL BLEEDING
In 2015, the American College of Gastroenterology published guidelines regarding the management of suspected small bowel bleeding. Based on these guidelines, for patients with iron deficiency anemia or overt gastrointestinal bleeding without a diagnosis on either esophagogastroduodenoscopy (EGD) or colonoscopy, a VCE is recommended to identify a small bowel source of bleeding. The aim of our study is to determine what factors contribute to identifying the etiology of bleeding in the small bowel on VCE. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Neil B. Marya, Sonya Dasharathy, Adarsh M. Thaker, Jennifer Phan, M. Phillip Fejleh, Alireza Sedarat, V. Raman Muthusamy, Stephen Kim Tags: Sunday abstract Source Type: research

Su1146 THE YIELD OF MUCOSAL BIOPSY COMPARED TO BRUSH CYTOLOGY FOR ESOPHAGEAL CANDIDIASIS DURING UPPER ENDOSCOPY
Candidal esophagitis is increasingly suspected and diagnosed in both immunocompetent and immunocompromised patients with esophageal symptoms and endoscopic evidence of esophageal candidiasis. Endoscopic sampling optons for diagnosis include mucosal biopsy and brush cytology. However, the relative yield of esophageal biopsy compared brushing to has not been clearly delineated. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Stephanie Chan, Kathryn A. Peterson, Erinn Downs-Kelly, Roy P. Liu, Angela P. Presson, Linda J. Taylor, John C. Fang Tags: Sunday abstract Source Type: research

Sa1367 ABSENCE OF BILE ON ENDOSCOPY AS A PREDICTIVE FACTOR FOR SUPPURATIVE CHOLANGITIS IN ACUTE CALCULOUS CHOLANGITIS
An impacted bile duct stone is a risk factor for developing acute suppurative cholangitis (ASC). No study has classified biliary obstruction caused by impacted bile duct stones into complete and incomplete obstruction. Complete obstruction would show no bile juice on esophagogastroduodenoscopy (EGD), and it is more likely to be accompanied with ASC than with incomplete obstruction. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Ki Hyun Ryu, Young Woo Choi, Hoon Sup Koo, Kyung Ho Song, Sun Moon Kim, Tae Hee Lee, Kyu Chan Huh, Young Woo Kang, Mi Il Kang, Kyu-hyun Paik Tags: Saturday abstract Source Type: research

Sa1030 DETECTION RATE OF AMPULLA OF VATER AND PROPORTION OF NEOPLASMS DETECTED IN UPPER GASTROINTESTINAL ENDOSCOPY
Upper endoscopy or esophagogastroduodenoscopy (EGD) is a common diagnostic procedure performed to identify upper gastrointestinal (GI) malignancy., EGD allows the diagnosis of gastric cancer at an earlier stage, resulting in better survival. Several studies have reported on the missed or interval gastric cancers, implying the importance of quality control in EGD examination. In contrast to colonoscopic examination, there is little data on the assessment of a complete upper endoscopic procedure. In the present study, we evaluated whether the percentage of photo-documentation of the ampulla of Vater (AoV) affected the number...
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Jae Myung Park, Han Hee Lee, Ho Jin M. Song, Bo-In Lee, Myung-Gyu Choi Tags: Saturday abstract Source Type: research

971 from afferent to efferent: creating a new pathway
35 y/o female who underwent a Whipple procedure for a pancreatic neuroendocrine tumor presents with progressive nausea and emesis over the past year. Her post-operative course was complicated by complete mesenteric thrombosis requiring a Sugiura Procedure. A CT Scan demonstrated massive dilation of the afferent limb to the gastrojejunostomy suggestive of Afferent Loop Syndrome. The patient underwent upper endoscopy demonstrating a widely patent afferent outlet with a stenosed efferent limb at the gastrojejunostomy. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Sri Komanduri Tags: Oral abstract Source Type: research

Mo1135 INR IS SUPERIOR TO THE GLASGOW-BLATCHFORD SCORE FOR RISK STRATIFYING PATIENTS WITH COFFEE GROUND EMESIS
Upper endoscopy (EGD) is frequently requested in patients presenting to the emergency department with coffee ground emesis (CGE). However, EGD findings are frequently benign and the necessity of urgent interventions in these patients is unclear. While risk stratification instruments for upper gastrointestinal bleeding such as the Glasgow-Blatchford score (GBS) have been previously reported, these scoring systems have not been validated in low risk patients presenting with CGE alone (without frank bright red vomitus). (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: George Tan, Sean Harrell, Frank J. Crisona, Bradley White, Sebastian Larion, Jai E. Lee, Rami Abboud, Sumanth Daram Tags: Monday abstract Source Type: research

Mo1125 THE USE OF CAPSULE ENDOSCOPY FOR DIAGNOSIS OF IRON DEFICIENCY ANEMIA- A RETROSPECTIVE ANALYSIS
Many patients who present with undiagnosed iron deficiency anemia (IDA) are presumed to have occult gastrointestinal (GI) bleeding as the cause. When investigations include a negative upper endoscopy and colonoscopy, a negative celiac antibody screen and there is no obvious GI source of blood loss, occult GI bleeding from a small bowel source is considered and capsule endoscopy (CE) is pursued. Recent guidelines on the use of CE published in Gasroenterology suggested that CE is indicated in only selected cases of iron deficiency anemia; however, evidence on the yield of CE in IDA and how to optimally select cases is limite...
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: James Stone, Kanika Grover, Charles N. Bernstein Tags: Monday abstract Source Type: research

Mo1119 EARLY CAPSULE ENDOSCOPY IDENTIFIES BLEEDING LOCATION MORE OFTEN THAN STANDARD OF CARE IN PATIENTS PRESENTING WITH HEMATOCHEZIA AND ANEMIA
Patients presenting with hematochezia and anemia can have bleeding originating from the proximal gut to the rectum. It is generally accepted that an upper GI (gastrointestinal) source need be ruled out i.e. upper endoscopy is the first procedure. However, there is still no consensus as to the best primary diagnostic test to use in these patients. Thus, patients undergo multiple invasive non-diagnostic procedures, without clear identification of location of bleeding. We hypothesize, early deployment of video capsule endoscopy (VCE) in patients presenting with hematochezia/anemia would allow for higher rates of detecting loc...
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Salmaan Jawaid, Neil B. Marya, Anne Foley, Kanishka Bhattacharya, Christopher A. Marshall, David R. Cave Tags: Monday abstract Source Type: research

Mo1113 RATE OF BLEEDING ON ANTIPLATELET AND ANTICOAGULANT AGENTS IN PATIENTS UNDERGOING SINGLE BALLOON ENTEROSCOPY
Single balloon enteroscopy (SBE) is a widely used method of examining the portion of small bowel where conventional upper endoscopy and colonoscopy are unable to reach. Although theoretical increased risk of intra or post-operative bleeding exists in patients on antiplatelet (AP) or anticoagulant (AC) regimen, actual incidence is unclear at present. We sought to assess the rate of clinically significant intra and post-procedural bleeding in the patients undergoing SBE while on AP and AC treatment. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Abhik Bhattacharya, Alfred Nelson, Matthew Hoscheit, Rocio Lopez, John J. Vargo, Madhusudhan R. Sanaka, Amit Bhatt, Sunguk Jang Tags: Monday abstract Source Type: research

Mo1084 ENDOSCOPIC ULTRASOUND-GUIDED FINE NEEDLE ASPIRATION VS. A MUCOSAL INCISION-ASSISTED BIOPSY FOR GASTRIC SUBMUCOSAL TUMORS: A  RANDOMIZED COMPARATIVE STUDY
Gastric submucosal tumors (SMTs) suspected of being gastrointestinal stromal tumors (GISTs) are sometimes incidentally found during esophagogastroduodenoscopy. It is important to differentiate potentially malignant GISTs from other benign tumors pathologically. Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) has been a gold standard method for obtaining samples for a pathological diagnosis for SMTs, and a mucosal incision-assisted biopsy (MIAB) has been suggested to be useful for sampling gastric GISTs with an intraluminal growth pattern. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Yosuke Minoda, Takashi Osoegawa, Soichi Itaba, Aso Akira, Tsutomu Iwasa, Haruei Ogino, Naohiko Harada, Eikichi Ihara, Kazuhiko Nakamura, Yoshihiro Ogawa Tags: Monday abstract Source Type: research

Su1424 UTILITY OF PERFORMING ESOPHAGOGASTRODUODENOSCOPY AT THE TIME OF ENDOSCOPIC ULTRASOUND
Esophagogastroduodenoscopy (EGD) at the time of endoscopic ultrasound (EUS) is not routinely performed unless there is a clear indication for EGD. It is unknown whether significant incidental upper gastrointestinal lesions are missed when using non-forward-viewing endoscopes without completing a forward-viewing exam. The purpose of this study is to examine the prevalence of clinically significant incidental upper gastrointestinal tract lesions that were found using a standard forward-viewing scope at the same time of EUS exam and whether this led to change in the management. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Shilpa Lingala, Thomas B. Wells, Claudio Tombazzi Tags: Sunday abstract Source Type: research

Tu1153 UTILITY OF EARLY ESOPHAGOGASTRODUODENOSCOPY IN PATIENTS WITH GASTRO-ESOPHAGEAL VARICEAL BLEEDING: ANALYSIS OF A NATIONAL DATABASE
Gastroesophageal variceal bleeding (GVB) remains a medical emergency associated with high morbidity and mortality. Esophagogastroduodenoscopy (EGD) within 24 hours has been associated with decreasing mortality in patients presenting with GVB. Aim of our study is to analyze outcomes and performance of early EGD in patients with variceal UGH. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Thamer Kassim, Alexander Hall, Ryan W. Walters, Jonathan J. Gapp, Avanija Buddam, Adil Abdalla, Sandeep Mukherjee, Savio Reddymasu Tags: Tuesday abstract Source Type: research

Tu1089 ESOPHAGEAL FOOD BOLUS IMPACTION: ADVERSE EVENTS WITH OVERTUBE USE, FORCEPS BIOPSY AND ESOPHAGEAL DILATION
Esophageal food impaction (EFI) is an emergency, requiring esophagogastroduodenoscopy (EGD) if spontaneous resolution does not occur. However, there is no consensus if all patients should have endotracheal intubation prior to EGD, and the safety of interventions like overtube use, biopsy or dilation is poorly described in literature. We aim to evaluate adverse events (AE) after overtube placement, forceps biopsy and dilation in patients undergoing EGD for EFI. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Sheetal Patel, Juan E. Corral, Jose Melendez-Rosado, Raul J. Badillo, Dawn L. Francis Tags: Tuesday abstract Source Type: research

Tu1075 EFFECTIVENESS OF SCOPOLAMINE FOR DETECTING GASTRIC CANCER IN SCREENING ESOPHAGOGASTRODUODENOSCOPY: PROPENSITY SCORE MATCHED STUDY
Due to the prevalence of gastric cancer (GC), screening via esophagogastroduodenoscopy (EGD) demonstrates a prevalence in Japan comparable to colorectal cancer screening in western countries. Antispasmodics, such as scopolamine, has been widely used prior to diagnostic or screening EGD in order to optimize detection of minute lesion typically early GC (T1 lesion), despite little evidence to support its effectiveness for this indication and its potentially serious side effects. The aim of this study was to determine whether scopolamine was effective in promoting detection of GC in screening setting. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Fumio Omata, Gautam A. Deshpande, Yasuhisa Kumakura, Katsunori Masuda Tags: Tuesday abstract Source Type: research

Tu1051 TO DRINK OR NOT TO DRINK: DOES THE USE OF DEFOAMERS IMPROVE THE VISION OF UPPER ENDOSCOPY?
The foam, bubbles and mucus accumulated in the upper gastrointestinal tract (UGIT) can interfere with the mucosa visualization (MV) and have the potential risk of impairing the vision of early lesions. The use of medications prior to upper gastrointestinal endoscopy (UGE) is not a routine practice in the West due to fear of pulmonary aspiration. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Diego E. Sartori, Silvia Niveyro, Lucila Petruzzi, Mariano Glemon, Claudia Fuxman, Carlos Lowenstein, Claudio J. Gonzalez, Hui Hwang, Cecilia Carraro, Eduardo Bilesio, Juan Rey, Guillermo Orce, Fabio Nachman Tags: Tuesday abstract Source Type: research

Tu1047 PROPOFOL VERSUS MIDAZOLAM FOR CONSCIOUS SEDATION ADMINISTERED BY THE NURSE UNDER ENDOSCOPIST ’S SUPERVISION IN PATIENTS UNDERGOING ELECTIVE ESOPHAGOGASTRODUODENOSCOPY: THE IMPACT ON ENDOSCOPY UNIT EFFICIENCY
Since esophagogastroduodenoscopy (EGD) is a short procedure, using conventional sedation with midazolam may require a long and similar recovery time as colonoscopy. Due to its rapid onset of action and short recovery time (RT), the use of propofol sedation for colonoscopic procedures has increased in the past decade. However, the data of propofol sedation in EGD are sparse and mostly administered by anesthesiologists. We aimed to compare safety and endoscopy unit efficacy (EE) between propofol and midazolam sedation by the nurse under endoscopist ’s supervision in patients undergoing elective EGD. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Vinita Oranrap, Wiriyaporn Ridtitid, Sahadol Poonyathawon, Sakolkan Sumbin, Sumitra Wiangngoen, Yuwadee Y. Ponauthai, Naiyana Kamonsunthornroj, Kannikar Puangput, Gittiya Thipvoratham, Piyapoom Pakvisal, Panida Piyachaturawat, Piyapan Prueksapanich, Phont Tags: Tuesday abstract Source Type: research

New report preparation system for endoscopic procedures using speech recognition technology
Endosc Int Open 2018; 06: E676-E687 DOI: 10.1055/a-0579-6494 Background and study aims We developed a new reporting system based on structured data entry, which selectively extracts only endoscopic findings from endoscopists’ oral statements and automatically inputs them into appropriate columns in real time during endoscopic procedures. Methods We compared the time for endoscopic procedures and report preparation (ER time) by using an esophagogastroduodenoscopy simulator in three groups: one preparing reports using a mouse after endoscopic procedures (CE group); a second group preparing reports by u...
Source: Endoscopy International Open - May 25, 2018 Category: Gastroenterology Authors: Takao, Toshitatsu Masumura, Ryo Sakauchi, Sumitaka Ohara, Yoshiko Bilgic, Elif Umegaki, Eiji Kutsumi, Hiromu Azuma, Takeshi Tags: Original article Source Type: research

Plasma concentration based response surface model predict better than effect-site concentration based model for wake-up time during gastrointestinal endoscopy sedation
Conclusion The early phases of drug distribution are unique and complicated by nonsteady-state concentrations, and our study revealed that Ce-based wake-up time prediction is more difficult under these circumstances. (Source: Journal of the Formosan Medical Association)
Source: Journal of the Formosan Medical Association - May 24, 2018 Category: General Medicine Source Type: research

Synchronous Triple Gastric Cancer Incorporating Mixed Adenocarcinoma and Neuroendocrine Tumor Completely Resected with Endoscopic Submucosal Dissection.
Authors: Kubo K, Kimura N, Mabe K, Nishimura Y, Kato M Abstract The endoscopic and pathological features of early gastric mixed adenoneuroendocrine carcinoma (MANEC), as well as its carcinogenesis, remain largely unclear. Screening esophagogastroduodenoscopy was performed on an 80-year-old man, revealing 3 superficial elevated lesions. Endoscopic submucosal dissection (ESD) was performed, and the patient was diagnosed with intramucosal gastric cancer comprising mixed adenocarcinoma and neuroendocrine tumor, well-differentiated adenocarcinoma and well-differentiated adenocarcinoma, with negative margins. To our know...
Source: Internal Medicine - May 23, 2018 Category: Internal Medicine Tags: Intern Med Source Type: research

A Novel Method of Diagnosing Aberrant Pancreas: Needle-based Confocal Laser Endomicroscopy.
Authors: Yasuda M, Hara K, Kurita Y, Tanaka H, Obata M, Kuraoka N, Matsumoto S, Ito A, Iwaya H, Toriyama K, Okuno N, Kuwahara T, Hijioka S, Mizuno N, Onishi S, Hirayama Y, Ishihara M, Tanaka T, Tajika M, Niwa Y Abstract Aberrant pancreas is defined as pancreatic tissue present outside of the pancreas and is often found incidentally during esophagogastroduodenoscopy. Obtaining sufficient tissue to differentiate aberrant pancreas from other subepithelial lesions is sometimes difficult. Due to the lack of a definitive diagnosis, patients often undergo unnecessary surgery. We herein report the first case of aberrant pa...
Source: Internal Medicine - May 23, 2018 Category: Internal Medicine Tags: Intern Med Source Type: research

Lanthanum deposition corresponds to white lesions in the stomach.
Abstract OBJECTIVE: Although lanthanum deposition in the stomach has been most frequently reported to occur as white lesions, no study has investigated whether the white lesions observed during esophagogastroduodenoscopy are truly lanthanum-related. Here, we retrospectively investigated the amount of lanthanum in endoscopic biopsy specimens. METHODS: We reviewed four patients showing gastric white spots or annular whitish mucosa in the gastric white lesions (Bw) and peripheral mucosa where the white substance was not endoscopically observed (Bp) during biopsy. We also reviewed three patients with diffuse whit...
Source: Pathology, Research and Practice - May 23, 2018 Category: Pathology Authors: Iwamuro M, Urata H, Tanaka T, Kawano S, Kawahara Y, Kimoto K, Okada H Tags: Pathol Res Pract Source Type: research

Upper gastrointestinal alterations in kidney transplant candidates.
CONCLUSION: Abnormal upper endoscopy findings were detected in all studied patients. This study suggested that upper endoscopy is a valid procedure for kidney transplant candidates. However, prospective studies are needed to shed more light on this matter. PMID: 29771269 [PubMed - as supplied by publisher] (Source: Jornal Brasileiro de Nefrologia)
Source: Jornal Brasileiro de Nefrologia - May 21, 2018 Category: Urology & Nephrology Tags: J Bras Nefrol Source Type: research

Absence of Complications after Endoscopic Mucosal Biopsy
Conclusions: These data confirm that EGD biopsy is safe within community settings and suggest that the risk/benefit ratio for performing EGD biopsy for research is likely to be favorable if the research has scientific merit. Serious complications or perforation following EGD biopsy did not occur in 13,233 patients in community hospitals in North Dakota.Dig Dis (Source: Digestive Diseases)
Source: Digestive Diseases - May 15, 2018 Category: Gastroenterology Source Type: research

Gastric Mucosal Metastasis of Prostate Cancer
A 65-year-old male patient who had been hospitalized in the ıntensive care unit for pneumonia presented with hematemesis and melena. He was diagnosed with metastatic adenocarcinoma of prostate (multiple bone and lung metastases), which was accompanied by diabetes mellitus, hypertension, and coronary heart disease. The hemoglobin levels decreased from 11.4 g /dL to 7.3 g/dL during follow-up. Upper endoscopy revealed widespread distribution of numerous umbilicated nodules with varying sizes (from 0.5 to 2 cm) on gastric mucosa (A, B, C). (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 11, 2018 Category: Gastroenterology Authors: Hayretdin Koklu, Gokhan Gedikoglu, Taylan Kav Source Type: research

An atypical infection of esophagus mimicking malignancy
A 49-year-old man, who was an outdoor builder, had habitual consumption of cigarette, alcohol, and betel nut. He had dysphagia and hoarseness, accompanied with a weight loss of about 5 to 6 kg within 6 months. His esophagogastroduodenoscopy (EGD) (GIF-Q260, Olympus Medical Systems, Tokyo, Japan) demonstrated numerous granular lesions with some erosions and ulcers, mainly distributed at the middle to lower esophagus as seen by white-light imaging. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 11, 2018 Category: Gastroenterology Authors: Ssu-Han Wang, Cheng-Kuan Lin, Yu-Chen Chang, Tzong-Hsi Lee, Chen-Shuan Chung Source Type: research

Effect of Abdominal Visceral Fat Change on Regression of Erosive Esophagitis: Prospective Cohort Study.
Authors: Nam SY, Kim YW, Park BJ, Ryu KH, Kim HB Abstract Background/Aims: Although abdominal visceral fat has been associated with erosive esophagitis in cross-sectional studies, there are few data on the longitudinal effect. We evaluated the effects of abdominal visceral fat change on the regression of erosive esophagitis in a prospective cohort study. Methods: A total of 163 participants with erosive esophagitis at baseline were followed up at 34 months and underwent esophagogastroduodenoscopy and computed tomography at both baseline and follow-up. The longitudinal effects of abdominal visceral fat on the re...
Source: Gut and Liver - May 9, 2018 Category: Gastroenterology Tags: Gut Liver Source Type: research

Screening for gastric cancer with magnetically controlled capsule gastroscopy in asymptomatic individuals
This study was designed to assess the application of MCCG in GC detection in an asymptomatic population. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 9, 2018 Category: Gastroenterology Authors: An-Jing Zhao, Yang-Yang Qian, Hui Sun, Xi Hou, Jun Pan, Xiao Liu, Wei Zhou, Yi-Zhi Chen, Xi Jiang, Zhao-Shen Li, Zhuan Liao Source Type: research

Transoral incisional fundoplication for reflux after peroral endoscopic myotomy: a crucial addition to our arsenal
Conclusion TIF post-POEM appears feasible, safe, and efficacious in improving symptoms and esophagitis, decreasing long-term risks of acid exposure, and decreasing risks of long-term PPI use in patients post-POEM in this small cohort of patients. Larger studies are needed to confirm these initial findings. [...] © Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Endoscopy International Open)
Source: Endoscopy International Open - May 8, 2018 Category: Gastroenterology Authors: Tyberg, Amy Choi, Anthony Gaidhane, Monica Kahaleh, Michel Tags: Original article Source Type: research

Transoral Incisionless fundoplication for reflux after peroral endoscopic myotomy: a crucial addition to our arsenal
Conclusion TIF post-POEM appears feasible, safe, and efficacious in improving symptoms and esophagitis, decreasing long-term risks of acid exposure, and decreasing risks of long-term PPI use in patients post-POEM in this small cohort of patients. Larger studies are needed to confirm these initial findings. [...] © Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Endoscopy International Open)
Source: Endoscopy International Open - May 8, 2018 Category: Gastroenterology Authors: Tyberg, Amy Choi, Anthony Gaidhane, Monica Kahaleh, Michel Tags: Original article Source Type: research

Assessment and management of presumed branchial cleft cysts: our experience.
CONCLUSIONS: Patients>40 years with or without multiple lymph nod 'es on imaging should be treated as presumed meta- static cancer. Consideration should be given to concurrent panendoscopy and intra-operative frozen section +/- selective neck dissection after discussion at the Head & Neck MDT. PMID: 29709133 [PubMed - in process] (Source: B-ENT)
Source: B-ENT - May 3, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research

Meyenburg Complexes as an Incidental Benign Finding: A Case Report
A 72-year-old man presented with abdominal pain and gastrointestinal bleeding. Upper endoscopy revealed 2 suspicious lesions, in the stomach and in the  duodenum. Biopsy revealed type III gastric carcinoid and periampullary duodenal adenocarcinoma. Pancreaticoduodenectomy and partial gastrectomy were planned. During surgical exploration, gross examination of the liver revealed innumerable lesions (Figure A), suspicious for metastatic carcinoid, not detected on preoperative computed tomography or magnetic resonance imaging (Figure B). (Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - May 3, 2018 Category: Gastroenterology Authors: Samantha Seitter, Libby Copeland-Halperin, George Younan Tags: Electronic Image of the Month Source Type: research

Serious complications after button battery ingestion in children
AbstractSerious and fatal complications after button battery ingestion are increasing worldwide. The aim of this study is to describe serious complications after battery ingestion in children in the Netherlands.All pediatric gastroenterologists in the Netherlands performing upper endoscopies were asked to report all serious complications after battery ingestion in children (0 –18 years) between 2008 and 2016 retrospectively.Sixteen serious complications were reported: death after massive bleeding through esophageal-aortal fistula (n = 1), esophageal-tracheal fistula (n = 5), stenosis ...
Source: European Journal of Pediatrics - May 2, 2018 Category: Pediatrics Source Type: research

Tu1966 - Observer Reliability of Visible Light Spectroscopy During Upper Endoscopy
(Source: Gastroenterology)
Source: Gastroenterology - May 1, 2018 Category: Gastroenterology Authors: Louisa J. van Dijk, Twan van der Wel, Desir ée van Noord, Adriaan Moelker, Hence J. Verhagen, Daan Nieboer, Ernst J. Kuipers, Marco J. Bruno Tags: AGA Abstracts Source Type: research