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Procedure: Upper Endoscopy

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Total 101 results found since Jan 2013.

Fatal dabigatran toxicity secondary to acute renal failure
We describe the case of a 74-year-old man taking dabigatran 150 mg twice daily for atrial fibrillation who presented to the emergency department after 20 mL of hematemesis at home. Laboratory evaluation revealed a partial thromboplastin time of 99 seconds, international normalized ratio of 11.7, and creatine of 3.1 mg/dL (baseline creatine, 0.9 mg/dL). Upper endoscopy revealed diffuse gastritis and bleeding. Despite treatment with packed red blood cells and fresh frozen plasma, the patient's hematemesis persisted resulting in significant aspiration requiring endotracheal intubation. Per poison control center recommendation...
Source: The American Journal of Emergency Medicine - November 19, 2012 Category: Emergency Medicine Authors: Joseph K. Maddry, Mana Kouros Amir, Daniel Sessions, Kennon Heard Tags: Case Reports Source Type: research

Upper gastrointestinal bleeding in hospital inpatients: the role of antithrombotic drugs
Conclusions Subjects who develop NVGIB as inpatients have higher Rockall scores are mainly older females with cardiovascular disease and using antithrombotic drugs. Secondary care clinicians should be mindful of this at-risk group of patients and consider giving them prophylactic antiulcer therapy.
Source: Postgraduate Medical Journal - July 17, 2014 Category: Journals (General) Authors: Taha, A. S., Kelly, C., McCloskey, C., Craigen, T., Angerson, W. J. Tags: GI bleeding, Stomach and duodenum, Drugs: cardiovascular system, Stroke, Drugs: musculoskeletal and joint diseases Original article Source Type: research

A cerebrovascular stroke following endoscopy for an elderly patient with acute upper gastrointestinal bleeding
Publication date: Available online 2 February 2015 Source:Alexandria Journal of Medicine Author(s): Ahmed Gado , Basel Ebeid Elderly people constitute an increasing proportion of those presenting with acute upper gastrointestinal bleeding. Not only in upper gastrointestinal bleeding is advanced age a risk of death, but also exceeding 60years of age results in an increased risk of cerebrovascular and cardiovascular events. Factors likely to influence the morbidity and mortality associated with endoscopy in an elderly cohort with acute gastrointestinal bleeding include the acuity and severity of bleeding and the presence o...
Source: Alexandria Journal of Medicine - February 5, 2015 Category: Journals (General) Source Type: research

Long‐Term Safety of a Coordinated Delivery Tablet of Enteric‐Coated Aspirin 325 mg and Immediate‐Release Omeprazole 40 mg for Secondary Cardiovascular Disease Prevention in Patients at GI Risk
ConclusionsLong‐term treatment with PA32540 once daily for up to 12 months in subjects at risk for aspirin‐associated UGI events is not associated with any new or unexpected safety events. Clinical trials. gov identifier: NCT00995410.This article is protected by copyright. All rights reserved.
Source: Cardiovascular Therapeutics - January 4, 2016 Category: Cardiology Authors: Jay L. Goldstein, David J. Whellan, James M. Scheiman, Byron L. Cryer, Glenn M. Eisen, Angel Lanas, John G. Fort Tags: Original Research Article Source Type: research

Long‐Term Safety of a Coordinated Delivery Tablet of Enteric‐Coated Aspirin 325 mg and Immediate‐Release Omeprazole 40 mg for Secondary Cardiovascular Disease Prevention in Patients at GI Risk
ConclusionsLong‐term treatment with PA32540 once daily for up to 12 months in subjects at risk for aspirin‐associated UGI events is not associated with any new or unexpected safety events.
Source: Cardiovascular Therapeutics - March 3, 2016 Category: Cardiology Authors: Jay L. Goldstein, David J. Whellan, James M. Scheiman, Byron L. Cryer, Glenn M. Eisen, Angel Lanas, John G. Fort Tags: Original Research Article Source Type: research

Limitations of Routine Verification of Nasogastric Tube Insertion Using X-ray and Auscultation: Two Case Reports of Life-Threatening Complications.
We present 2 cases of rare complications in which the routine verification methods could not detect all the complications related to the nasogastric tube placement. Case 1 was a 17-year-old male who presented with a brain tumor and repeatedly required nasogastric tube placement. Despite normal auscultatory and X-ray findings, the patient's condition deteriorated rapidly after resuming the enteral nutrition (EN). Computed tomography images showed the presence of hepatic portal venous gas (HPVG). Urgent upper gastrointestinal endoscopy showed esophagogastric submucosal tunneling of the tube that required an emergency open to...
Source: Nutrition in Clinical Practice - May 12, 2016 Category: Nutrition Authors: Nejo T, Oya S, Tsukasa T, Yamaguchi N, Matsui T Tags: Nutr Clin Pract Source Type: research

Discharge hemoglobin and outcome in patients with acute nonvariceal upper gastrointestinal bleeding
Conclusions: In patients with acute upper gastrointestinal bleeding, a discharge Hb between 8 and 10 g/dL was linked to favorable outcomes on outpatient follow-up. Most patients recovered from anemia without any critical complication within 45 days after discharge. [...]© Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals:Table of contents  |  Abstract  |  open access Full text
Source: Endoscopy International Open - July 20, 2016 Category: Gastroenterology Authors: Lee, Jae Min Kim, Eun Sun Chun, Hoon Jai Hwang, Young-Jae Lee, Jae Hyung Kang, Seung Hun Yoo, In Kyung Kim, Seung Han Choi, Hyuk Soon Keum, Bora Seo, Yeon Seok Jeen, Yoon Tae Lee, Hong Sik Um, Soon Ho Kim, Chang Duck Tags: Original article Source Type: research

All bleeding stops — but does idarucizumab (Praxbind) make it stop faster?
3.5 out of 5 stars Persistent life-threatening hemorrhage after administration of idarucizumab. Alhashem HM et al. Am J Emerg Med 2016 June 30 [Epub ahead of print] Reference Dabigatran (Pradaxa) is a direct thrombin inhibitor approved for stroke and embolism prophylaxis in patients with non-valve-related atrial fibrillation. When it was first released in 2008, a major disincentive to widespread use was the lack of a reliable reversal agent to treat major bleeds, or to administer before necessary invasive procedures. In October 2015, the U.S. Food and Drug Administration approved idarucizumab (Praxbind), a monoclonal ant...
Source: The Poison Review - July 27, 2016 Category: Toxicology Authors: Leon Gussow Tags: Medical anticoagulant hemorrhage idarucizumab pradaxa praxbind reversal agent Source Type: news

Clinical Risk Factors for Gastroduodenal Ulcer in Romanian Low-Dose Aspirin Consumers.
Conclusions. Concomitant use of NSAIDs or anticoagulants, comorbidities (cerebrovascular disease), and male gender are the most important independent risk factors for ulcer on endoscopy in low-dose aspirin consumers, in a population with a high prevalence of H. pylori infection. PMID: 27579036 [PubMed]
Source: Gastroenterology Research and Practice - September 2, 2016 Category: Gastroenterology Tags: Gastroenterol Res Pract Source Type: research

New predictive model for acute gastrointestinal bleeding in patients taking oral anticoagulants: A cohort study
ConclusionsGastrointestinal bleeding increased the risk of subsequent mortality during follow‐up of anticoagulated patients, highlighting the importance of prevention. The study developed a new scoring model for acute GI bleeding risk based on five factors (no‐proton pump inhibitor use, chronic kidney disease, chronic obstructive pulmonary disease, history of peptic ulcer disease, and liver cirrhosis), which was superior to the HAS‐BLED score.
Source: Journal of Gastroenterology and Hepatology - December 28, 2017 Category: Gastroenterology Authors: Akira Shimomura, Naoyoshi Nagata, Takuro Shimbo, Toshiyuki Sakurai, Shiori Moriyasu, Hidetaka Okubo, Kazuhiro Watanabe, Chizu Yokoi, Junichi Akiyama, Naomi Uemura Tags: Gastroenterology Source Type: research

Oesophageal injury following magnetically guided single-catheter ablation for atrial fibrillation: insights from the MAGNA-AF registry
ConclusionMagnetically guided CA for AF with careful energy titration at the posterior LA wall and no oesophageal temperature monitoring is not associated with an increased incidence of oesophageal thermal injury. The routine use of periprocedural TOE may cause a low rate of mechanical oesophageal lesions but reliably prevents major complications like transient ischaemic attack, stroke, or cardiac tamponade. An observed high prevalence of upper digestive system inflammation (63%) may further support the recommendation for a routine post-interventional treatment with a proton-pump-inhibitor.
Source: Europace - May 1, 2018 Category: Cardiology 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

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

Esophageal Thermal Injury after Catheter Ablation for Atrial Fibrillation with High-Power (50 Watts) Radiofrequency Energy.
CONCLUSIONS: In Asian patients, AF ablations using 50 W resulted in very low rates of mild esophageal complications. PMID: 33525069 [PubMed - as supplied by publisher]
Source: Korean Circulation Journal - February 2, 2021 Category: Cardiology Tags: Korean Circ J Source Type: research

Indications, effectiveness and safety of percutaneous endoscopic gastrostomy: A single center experience and literature review
CONCLUSIONS: The results of our study showed that long-term enteral feeding with PEG is an effective and safe method that provides improvement in nutritional status.PMID:33787039 | DOI:10.6133/apjcn.202103_30(1).0006
Source: Asia Pacific Journal of Clinical Nutrition - March 31, 2021 Category: Nutrition Authors: Bulent Saka Cansu Zirtil Sebile Nilgun Erten Timur Selcuk Akpinar Mustafa Altinkaynak Filiz Akyuz Bilger Cavus Bahar Ozmen Serpil Buyukdemir Cemil Tasc ıoglu Source Type: research