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Percutaneous left atrial appendage closure in patients with gastrointestinal bleeding associated with oral anticoagulants
CONCLUSIONS: LAAC could be a safe and effective alternative to OAC in patients with non-valvular AF presenting significant, recurrent or potentially unresolvable GIB. This intervention also leads to important savings in the consumption of healthcare resources.PMID:37489111 | DOI:10.1080/00365521.2023.2239973
Source: Scandinavian Journal of Gastroenterology - July 25, 2023 Category: Gastroenterology Authors: Patricia Sanz Segura Javier Jimeno S ánchez Jos é Miguel Arbonés-Mainar Juan S ánchez-Rubio Lezcano Gabriel Galache Osuna Vanesa Bernal Monterde Source Type: research

Endoscopic vacuum therapy for esophageal perforation: a multicenter retrospective cohort study
Conclusion EVT is a promising organ-preserving treatment for esophageal perforations, with a success rate of 89 %. More experience with the technique and indications will likely improve success rates. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text
Source: Endoscopy - April 20, 2023 Category: Gastroenterology Authors: Luttikhold, Joanna Pattynama, Lisanne M. D. Seewald, Stefan Groth, Stefan Morell, Bernhard K. Gutschow, Christian A. Ida, Satoshi Nilsson, Magnus Eshuis, Wietse J. Pouw, Roos E. Tags: Innovations and brief communications 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

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

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

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

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

Health systems organization for emergency care
Abstract: The increasing number of acute and severe digestive diseases presenting to hospital emergency departments, mainly related with an ageing population, demands an appropriate answer from health systems organization, taking into account the escalating pressure on cost reduction. However, patients expect and deserve a response that is appropriate, effective, efficient and safe. The huge variety of variables which can influence the evolution of such cases warranting intensive monitoring, and the coordination and optimization of a range of human and technical resources involved in the care of these high-risk patients, r...
Source: Best Practice and Research. Clinical Gastroenterology - October 1, 2013 Category: Gastroenterology Authors: Isabel Pedroto, Pedro Amaro, José Manuel Romãozinho Tags: Chapters Source Type: research