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Portal pneumatosis in a patient with severe Salmonella colitis
Rev Esp Enferm Dig. 2021 Jul 23. doi: 10.17235/reed.2021.8090/2021. Online ahead of print.ABSTRACT65-year-old patient with a history of ischemic stroke with residual ophthalmoparesis, positive in fecal occult blood screening, pending colonoscopy, who attended the emergency room due to 3 days with pain, abdominal distension and diarrhea. In the emergency room, he presented with diffuse abdominal pain, hemodynamic instability with acute renal failure and metabolic acidosis, with severe elevation of acute phase reactants. Abdominal fluid resuscitation and CT (computed tomography) were performed, which reported dilatation of t...
Source: Revista Espanola de Enfermedades Digestivas - July 23, 2021 Category: Gastroenterology Authors: Jaume Ortega Alcaide S ílvia Pérez Farré Jose Enrique Sierra Gra ñón Jorge Juan Olsina Kissler Source Type: research

Tu1164 HYGIEACARE PREP FOR COLONOSCOPY CONSISTENTLY PROVIDES 97% ADEQUACY, AND IS AGNOSTIC TO PREDICTORS OF POOR ORAL BOWEL PREP
The quality of bowel preparation (BP) before colonoscopy plays a pivotal role in the safety, efficacy and quality of the outcome of colonoscopy. Inadequate BP is evident in more than 25% of all colonoscopies. High-quality BP is critical for detection of precancerous lesions.. Inadequate BP is correlated with patient-specific factors including age, male gender, medications, comorbidities such as chronic constipation, diabetes, gastrointestinal surgery, cirrhosis, stroke, and irritable bowel disease (IBD).
Source: Gastrointestinal Endoscopy - May 31, 2020 Category: Gastroenterology Authors: James A. Underwood, Pradeep Bekal, Orly Levitan, Dawn B. Burleson, David A. Johnson Tags: Poster abstracts Source Type: research

Predictors of inadequate bowel preparation for colonoscopy: a systematic review and meta-analysis
The aim of this study was to investigate factors contributing to poor bowel preparation in patients undergoing colonoscopy procedures. We used a reproducible search strategy to identify studies, searching 10 medical databases, including PubMed, Ovid, Medline, and Cochrane Library Database for reports published between 2000 and 2016. Fully published studies, evaluating risk factors for inadequate bowel preparation, were included. Two reviewers independently scored the identified studies for methodology and abstracted pertinent data. Pooling was conducted with both fixed-effects and random-effects models; results were presen...
Source: European Journal of Gastroenterology and Hepatology - July 6, 2018 Category: Gastroenterology Tags: Review Articles: Gastroenterology 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

Diabetics on Narcotics Are Less Likely to Achieve Excellent Bowel Preparation Than Are Patients with Either Condition
ConclusionConcomitant narcotic use and diabetes have a compounding effect on the quality of bowel preparation prior to colonoscopy.
Source: Digestive Diseases and Sciences - December 28, 2016 Category: Gastroenterology Source Type: research

What is the best strategy for successful bowel preparation under special conditions?
Abstract Adequate bowel preparation is important for successful colonoscopic examination. Several effective colonic cleansing agents are available and routinely prescribed, but each carries its own limitations and benefits from particular dosing regimens. The most frequently prescribed colonic cleansing agent, the polyethylene glycol (PEG) cathartic solution, suffers from low patient compliance in general, due to its unpalatable taste and smell coupled with the large ingested volumes required. However, PEG is preferred over other cathartics for use in individuals of advanced age, sufferers of chronic kidney diseas...
Source: World Journal of Gastroenterology : WJG - March 21, 2014 Category: Gastroenterology Authors: Lim YJ, Hong SJ Tags: World J Gastroenterol Source Type: research

Pneumatosis cystoides intestinalis: Modern diagnostic modalities
We read with interest the article by Masuda et al. on the use of computed tomographic (CT) colonoscopy for the diagnosis of pneumatosis cystoides intestinalis. We would like to share our experience of a similar case. A 73-year-old woman with history of hypertension and ischemic stroke was referred for evaluation of chronic constipation and abdominal distention. Taking into account the patient's desire for a non-invasive exploration, a CT colonoscopy was initially performed; CT disclosed multiple air-containing cysts within the wall of the sigmoid colon, suggesting the diagnosis of idiopathic pneumatosis cystoides intestina...
Source: Digestive and Liver Disease - March 11, 2013 Category: Gastroenterology Authors: Georgios Mavrogenis, Xavier Chapeaux, Véronique Benali, Philippe Warzée Tags: Correspondence Source Type: research

Adverse events requiring hospitalization within 30 days after outpatient screening and nonscreening colonoscopies
Conclusions: This study provides further evidence of the safety of colonoscopy in routine practice with regard to delayed and non-GI AEs. Hospitalizations because of the investigated AEs were uncommon or rare for both screening and nonscreening colonoscopies.
Source: Gastrointestinal Endoscopy - February 15, 2013 Category: Gastroenterology Authors: Christian Stock, Peter Ihle, Andreas Sieg, Ingrid Schubert, Michael Hoffmeister, Hermann Brenner Tags: Clinical Endoscopy Source Type: research