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Procedure: Endoscopy
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Total 249 results found since Jan 2013.
Dexmedetomidine and general anesthesia: a narrative literature review of its major indications for use in adults undergoing non-cardiac surgery.
CONCLUSIONS: The properties of dexmedetomidine lead to its use for elective indications such as awake fiberoptic intubation and neurosurgical anesthesia. New topics are under debate. These subjects must be studied thoroughly because of their implication in the patients' surgical course. These advantages must be weighed against the major drawback of dexmedetomidine administration which is the potential for hemodynamic abnormalities.
PMID: 28643999 [PubMed - as supplied by publisher]
Source: Minerva Anestesiologica - June 25, 2017 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research
Esophageal Injury and Atrioesophageal Fistula Caused by Ablation for Atrial Fibrillation.
Abstract
Esophageal perforation is a dreaded complication of atrial fibrillation ablation that occurs in 0.1% to 0.25% of atrial fibrillation ablation procedures. Delayed diagnosis is associated with the development of atrial-esophageal fistula (AEF) and increased mortality. The relationship between the esophagus and the left atrial posterior wall is variable, and the esophagus is most susceptible to injury where it is closest to areas of endocardial ablation. Esophageal ulcer seems to precede AEF development, and postablation endoscopy documenting esophageal ulcer may identify patients at higher risk for AEF. AEF...
Source: Circulation - September 26, 2017 Category: Cardiology Authors: Kapur S, Barbhaiya C, Deneke T, Michaud GF Tags: Circulation Source Type: research
Not as Simple as Canker Sores
BY NANA P. MATSUMOTO, & DEREK MEEKS, DOA 16-year-old boy presented to a rural ED with a swollen jaw, painful blisters in the mouth, and earache for the past day. One week before, he had a fever with chills, sore throat, and dry coughs. He was not taking any medications, and his immunizations were up-to-date. He had a mild learning disorder but no significant past medical or surgical history.An apthous ulcer, the most common and one of the earliest signs of Behçet's disease.The patient's vital signs were within normal limits, and his physical examination revealed anterior cervical lymphadenopathy, sinus con...
Source: The Case Files - October 11, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: research
Lymphatic imaging and intervention in a pediatric population: Anesthetic considerations.
Abstract
The recent adoption of an improved lymphatic access technique coupled with Dynamic Contrast-enhanced Magnetic Resonance Lymphangiography has introduced the ability to diagnose and treat severe lymphatic disorders unresponsive to other therapies. All pediatric patients presenting for lymphatic procedures require general anesthesia presenting challenges in managing highly morbid and comorbid conditions both from logistical as well as medical aspects. General anesthesia is used because of the procedural requirement for immobility to accurately place needles and catheters, treat pain secondary to contrast and...
Source: Paediatric Anaesthesia - April 23, 2018 Category: Anesthesiology Authors: Jobes DR, Brown LA, Dori Y, Itkin M, Nicolson SC Tags: Paediatr Anaesth Source Type: research
Management of severe and/or refractory epistaxis.
CONCLUSIONS: Most cases of severe and/or refractory epistaxis are resolved by conventional tamponade. Endoscopy ligation is associated with a decrease in hospital stay, without serious complications. It is advisable to have all the possible therapeutic options available, for which the presence of interventional radiologists and experienced surgeons is essential to avoid complications and decide the treatment to be performed individually for each patient.
PMID: 29784243 [PubMed - as supplied by publisher]
Source: Acta Otorrinolaringologica Espanola - May 18, 2018 Category: ENT & OMF Authors: García-Cabo P, Fernández-Vañes L, Pedregal D, Menéndez Del Castro M, Murias E, Vega P, Llorente JL, Rodrigo JP, López F Tags: Acta Otorrinolaringol Esp Source Type: research
Mo1133 PROSPECTIVE EVALUATION OF 30-DAY BLEEDING AND THROMBOEMBOLIC RISKS IN PATIENTS UNDERGOING COLONOSCOPY WHILE TAKING WARFARIN OR NOVEL ANTICOAGULANTS
With the rising prevalence of ischemic heart disease and atrial fibrillation as well as the expanding indications on the use of anticoagulants, there are increasing number of patients undergoing colonoscopies while on these agents. International societies issued guidelines on the peri-endoscopic management of the anticoagulants but little is known on the actual outcome of these patients, particularly those taking novel anti-coagulants (NOACs). We aim to prospectively evaluate the 30-day morbidities (gastrointestinal bleeding, stroke and cardiovascular complications) and mortalities of patients taking warfarin, NOACs and/or...
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Sze Hang Kevin Liu, Lijia Chen, Sze Kan Leung, Wai K. Leung Tags: Monday abstract Source Type: research
Mo1090 DIRECT-ACTING ORAL ANTICOAGULANT (DOAC) USE IS NOT ASSOCIATED WITH INCREASED RISK OF COMPLICATIONS AFTER POLYPECTOMY
Direct-acting oral anticoagulants (DOACs) such as rivaroxaban, apixaban, dabigatran, and edoxaban represent 62% of new anticoagulation prescriptions. Compared to warfarin, DOACs increase the risk of gastrointestinal bleeding but reduce the risk of stroke. Little is known about the risk of complications after polypectomy in patients with active DOAC use. We aimed to determine the risk of complications after polypectomy in this population.
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Jessica X. Yu, Melissa Oliver, Jody Lin, Matthew S. Chang, Allison J. Kwong, Berkeley Limketkai, Roy M. Soetikno, Jayanta Bhattacharya, Tonya R. Kaltenbach Tags: Monday abstract Source Type: research
Massive air embolism as a complication of upper gastrointestinal endoscopy: A case report illustrating a stroke mimic, literature review, and suggested management
Clinical Case Reports, EarlyView.
Source: Clinical Case Reports - August 9, 2018 Category: General Medicine Authors: Anders
Kjellberg
,
Harriet
Nystr öm
,
Martin
Söderberg
,
Aldona
Dlugosz
,
Henrik
Jörnvall
,
Anna
Steinberg Source Type: research
Gastroparesis: Current Opinions and New Endoscopic Therapies
Gastroparesis is a disease with a complex pathophysiology that is not yet fully understood. Antroduodenal hypomotility, impaired fundic accommodation, and pylorospasm are believed to play major roles in delaying gastric emptying. Patients with gastroparesis suffer from frequent nausea, vomiting, earlier satiety, regurgitation, and so forth. Diabetes is the most common cause. Other causes include gastrointestinal surgery, some disorders of the nervous system, such as Parkinson disease and stroke, and some medicines, such as tricyclic ant idepressants, calcium channel blockers, and opiate pain relievers and others.
Source: Gastrointestinal Endoscopy Clinics of North America - November 3, 2018 Category: Gastroenterology Authors: Huimin Chen, Qiang Cai Tags: Preface Source Type: research
Antithrombotic therapy and gastric EMR or endoscopic submucosal dissection: The bleeding edge?
The number and complexity of endoscopic procedures performed by gastroenterologists and surgeons have increased in parallel with the increasing number of antithrombotic agents in clinical use.1,2 The decision to stop and resume 1 or more of these antithrombotic agents in the periprocedural period is challenging, and one must consider several patient-specific and procedure-specific factors, most notably the indication for antithrombotic use and the bleeding risk associated with the procedure. Acute coronary syndrome and stroke carry high rates of morbidity and mortality and are dreaded adverse events of withholding antithrombotic agents.
Source: Gastrointestinal Endoscopy - January 19, 2019 Category: Gastroenterology Authors: Theodore W. James, Todd H. Baron Tags: Original article Source Type: research
Gastrointestinal Hemorrhage in Patients with Acute Ischemic Stroke: Should Endoscopy Be Within the Scope of Practice?
Source: Digestive Diseases and Sciences - February 7, 2019 Category: Gastroenterology Source Type: research
Caregivers' Perspectives on the Slight Recovery of Oral Intake of Home-Dwelling Patients Living With a Percutaneous Endoscopic Gastrostomy Tube: A Qualitative Study Using Focus Group Interviews.
CONCLUSIONS: Slight recovery of patients' oral intake changed the daily lives of emotionally overwhelmed caregivers. The evaluation of swallowing disabilities using video endoscopy for patients with a PEG tube for HEN may reveal recovery of eating function and increase compliance with eating safety.
PMID: 30741499 [PubMed - as supplied by publisher]
Source: Nutrition in Clinical Practice - February 11, 2019 Category: Nutrition Authors: Mori H, Naito M, Nakane A, Tohara H Tags: Nutr Clin Pract Source Type: research
High cardiovascular risk patients benefit more from bariatric surgery than low cardiovascular risk patients
ConclusionStudy results suggest ASCVD and FRS are equally reduced after bariatric surgery, especially after LSG and LRYGB. Moreover, preoperative FRS and ASCVD risk score showed an inversely proportional relationship with %EBMIL loss at 12 months.
Source: Surgical Endoscopy - April 24, 2019 Category: Surgery Source Type: research
478 what kind of direct oral anticoagulant presents the lowest bleeding risk after endoscopic resection of colorectal polyps?
Direct oral anticoagulants (DOACs), including dabigatran, rivaroxaban, apixaban, and edoxaban, have become popular as equivalent to warfarin for stroke prevention in non-valvular atrial fibrillation; however, bleeding risk from DOACs, especially the difference in risks among DOACs in endoscopic treatment, has not been reported. The study aimed to evaluate delayed bleeding risk related to early resumption of DOACs and compare the bleeding risk among DOACs after endoscopic resection of colorectal polyps.
Source: Gastrointestinal Endoscopy - May 31, 2019 Category: Gastroenterology Authors: Kazuko Beppu, Kazunori Yokoi, Hisafumi Yamagata, Satoko Suzuki, Tatsuo Ogihara Tags: Oral abstract Source Type: research
