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Total 249 results found since Jan 2013.

Mo1332 OUTCOMES OF PERCUTANEOUS ENDOSCOPIC GASTROTOMY (PEG) IN OCTOGENARIANS AND NONAGENARIANS
The 2010 US census showed that individual aged 80 years and above constituted 0.03% of the population, and are expected to grow in the coming decades. These patients have a much higher rate of PEG placement compared with the general population because of higher incidence of debilitating conditions like stroke and dementia. Our aim was to study the outcome and complications of PEG placement in this key demographic.
Source: Gastrointestinal Endoscopy - May 31, 2019 Category: Gastroenterology Authors: Eric D. Yoon, Prithvi Patil, Matthew Meriwether, Sara Ali, Andrew Herman, Paul G. Haddad, Akhil Munjal, Bijun S. Kannadath, Nirav Thosani Tags: Monday abstract Source Type: research

Tu1115 PERCUTANEOUS ENDOSCOPIC GASTROSTOMY (PEG) IS ASSOCIATED WITH BETTER OUTCOMES AS COMPARED TO INTERVENTIONAL RADIOLOGY (IR) GUIDED AND SURGICAL GASTROSTOMIES: INSIGHTS FROM THE NATIONWIDE INPATIENT SAMPLE
Gastrostomy is a commonly performed procedure for enteral feeding in patients with diverse conditions such as malnutrition, stroke, dementia, Parkinsonism and other neurodegenerative diseases as well as head and neck and upper gastrointestinal cancers. PEG is usually preferred but IR guided and surgical gastrostomies are often performed based on patient related factors and local practice preferences. The aim of our study was to review demographic and clinical characteristics of patients undergoing gastrostomies in the inpatient setting.
Source: Gastrointestinal Endoscopy - May 31, 2019 Category: Gastroenterology Authors: Ishani Shah, Abhishek Bhurwal, Harsh Mehta, Shruti Mony, Ananya Das Tags: Tuesday abstract 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

Management of Dysphagia in Patients with Parkinson's Disease and Related Disorders.
Authors: Umemoto G, Furuya H Abstract Various methods of rehabilitation for dysphagia have been suggested through the experience of treating stroke patients. Although most of these patients recover their swallowing function in a short period, dysphagia in Parkinson's disease (PD) and Parkinson-related disorder (PRD) degenerates with disease progression. Muscle rigidity and bradykinesia are recognized as causes of swallowing dysfunction, and it is difficult to easily apply the strategies for stroke to the rehabilitation of dysphagia in PD patients. Disease severity, weight loss, drooling, and dementia are important ...
Source: Internal Medicine - April 20, 2019 Category: Internal Medicine Tags: Intern Med Source Type: research

Gastrointestinal Hemorrhage Is Associated with Mortality after Acute Ischemic Stroke.
CONCLUSION: AF, oral anticoagulant use, brain herniation and male sex increase GI hemorrhage risk, while hyperlipidemia reduces risk. GI hemorrhage itself increases risk for mortality of acute ischemic stroke. The interaction between GI hemorrhage and brain herniation increased the risk for the mortality after acute ischemic stroke. PMID: 30977448 [PubMed - as supplied by publisher]
Source: Current Neurovascular Research - April 11, 2019 Category: Neurology Authors: Zhou Y, Xu W, Wang W, Yao S, Xiao B, Wang Y, Chen B Tags: Curr Neurovasc Res 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

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

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

Endoscopy Is Relatively Safe in Patients with Acute Ischemic Stroke and Gastrointestinal Hemorrhage
ConclusionsGastrointestinal endoscopy can be safely performed in a substantial number of patients with AIS and GIH.
Source: Digestive Diseases and Sciences - December 5, 2018 Category: Gastroenterology 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

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

Mo1147 SAFETY OF GASTROINTESTINAL ENDOSCOPY IN PATIENTS WITH STROKE IN THE SETTING OF GASTROINTESTINAL HEMORRHAGE: ANALYSIS OF NATIONWIDE INPATIENT SAMPLE (NIS) DATABASE
Gastrointestinal (GI) hemorrhage is a common complication in patients with cerebrovascular accidents. Reported incidence has ranged from 1% to 8% in several published studies. We studied a national inpatient database to assess the effects of GI endoscopy on mortality and length of hospital stay among patients with acute stroke.
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Mohamed Tausif Siddiqui, Mohammad Bilal, Lakshmi Asritha Gollapudi, Jonathan Barsa, Khwaja F. Haq, Zahava C. Farkas, Virendra Tewari Tags: Monday abstract 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

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