Optimal timing and technique for endoscopic management of dysphagia in pediatric aerodigestive patients

2021 ◽  
pp. 110874
Author(s):  
Wineski Re ◽  
Panico E ◽  
Karas A ◽  
Rosen P ◽  
Van Diver B ◽  
...  
Keyword(s):  
Endoscopic Management ◽  
Optimal Timing ◽  
Management Of Dysphagia

scholarly journals Endoscopic management of refractory benign oesophageal strictures

2019 ◽  
Vol 12 ◽  
pp. 263177451986213
Author(s):  
Simon M. Everett
Keyword(s):  
Risk Factors ◽  
Molecular Level ◽  
Endoscopic Management ◽  
Future Research ◽  
Optimal Timing ◽  
Randomised Trials ◽  
Significant Morbidity ◽  
Practical Advice ◽  
Medical Therapies ◽  
New Evidence

Refractory benign oesophageal strictures are an infrequent presentation but a cause of significant morbidity and mortality. The treatment of these strictures has changed little in recent years, yet new evidence is emerging for the optimal timing and application of different therapies. In this article, we have carefully reviewed the current literature on the evaluation and management of refractory strictures and provided practical advice as to their management. A number of areas require attention in future research, including carefully designed randomised trials of endoscopic and medical therapies, and a focus on risk factors at a patient and molecular level to facilitate development of medical therapies that can reduce recurrent fibrosis in these patients.

scholarly journals Endoscopic management of dysphagia in plummer–vinson syndrome

2017 ◽  
pp. 25-28
Author(s):  
Ali Solmaz ◽  
Osman Bilgin Gulcicek ◽  
Talar Vartanoglu ◽  
Erkan Yavuz ◽  
Hakan Yigitbas ◽  
...  
Keyword(s):  
Endoscopic Management ◽  
Plummer Vinson Syndrome ◽  
Management Of Dysphagia

Endoscopic Management of Lower Gastrointestinal Hemorrhage

2019 ◽  
Author(s):  
Rebecca Kosowicz ◽  
Lisa L. Strate
Keyword(s):  
High Risk ◽  
Diagnostic Yield ◽  
Argon Plasma Coagulation ◽  
Argon Plasma ◽  
Endoscopic Management ◽  
Optimal Timing ◽  
Severe Bleeding ◽  
Diverticular Bleeding ◽  
Lower Gastrointestinal Hemorrhage ◽  
Vascular Ectasias

Lower gastrointestinal bleeding (LGIB) is a common gastrointestinal emergency. Colonoscopy is the initial diagnostic and therapeutic procedure for most patients with LGIB. The optimal timing of colonoscopy is uncertain, but earlier examinations are associated with higher diagnostic yield. In patients with severe bleeding, colonoscopy should be performed within 24 hours of presentation after an adequate orally administered colon preparation. Additional washing during colonoscopy and careful inspection should be performed to identify high-risk stigmata. Endoscopic therapy should be attempted if high-risk bleeding stigmata are identified. The endoscopic treatment modality depends on the bleeding source, location, operator expertise, and the need for ongoing anticoagulation or antiplatelet therapy. This review 5 tables, 5 figures, and 50 references. Keywords: argon plasma coagulation, clipping, colonoscopy, diverticular bleeding, endoscopic band ligation, endoscopic hemostasis, postpolypectomy bleeding, stigmata of recent hemorrhage, vascular ectasias

Abstract 14190: Optimal Peri-endoscopic Management of Anti-thrombotic Therapy in Chinese Elderly Patients: A Retrospective Study

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Hao Wang ◽  
Tao Tao ◽  
Hai-jun Wang ◽  
Yu-tao Guo ◽  
Yu-tang Wang
Keyword(s):  
Adverse Events ◽  
Elderly Patients ◽  
Gastrointestinal Endoscopy ◽  
Endoscopic Management ◽  
Optimal Timing ◽  
Low Molecular Weight ◽  
Bleeding Events ◽  
Bridging Therapy ◽  
Chinese Elderly ◽  
Study Population

Introduction: To investigate optimal timing of cessation and resumption of anti-thrombotic therapy (ATT) during gastrointestinal endoscopy in Chinese elderly patients. Methods: Between January 1st 2008 and December 31st 2014,at Chinese PLA General Hospital, 3747 patients (76.03±10.3 years) hospitalized for elective gastrointestinal endoscopy were retrospectively analyzed. The study population were predominately male(96.1%) and senile(age ≥60, 92.3%).Patients‘ peri-endoscopic management of ATT and adverse events (thromboembolism and bleeding) were recorded. RхC tables were used to compare the differences of peri-endoscopic adverse events among patients with different peri-endoscopic management of ATT. Results: the peri-endoscopic thromboembolic incidence in those with discontinuing ATT ≥7 days before procedure was significantly higher (8.12%). No difference of bleeding incidence was found among different cessation time before procedure. The peri-endoscopic thromboembolic incidence increased as the delaying of resuming ATT after procedure. However, the incidence of peri-endoscopic bleeding in patients with resuming ATT 2-7 days after procedure was lowest (0.63%). The reason why bleeding incidences in patients with resuming ATT >7 days, and those without resuming ATT were much higher than those with resuming ATT 2-7 days was that occurrence of bleeding urged physician to postpone or cancel resumption of ATT. When discontinuing ATT, the differences of peri-endoscopic thromboembolic or bleeding events between patients receiving low-molecular-weight heparin bridging therapy and those without bridging therapy were not significant. Conclusions: Cessation of ATT <7 days before endoscopic procedure and resumption of ATT in 2-7days after procedure were optimal peri-endoscopic ATT management strategy for Chinese elderly patients.Bridging therapy couldn’t protect elderly patients from peri-endoscopic thromboembolic events.

scholarly journals Endoscopic Management of Dysphagia

2021 ◽  
Vol 77 (2) ◽  
pp. 77-83
Author(s):  
Min Ji Kim ◽  
Yang Won Min
Keyword(s):  
Endoscopic Management ◽  
Management Of Dysphagia

Endoscopic Management of Lower Gastrointestinal Hemorrhage

2019 ◽  
Author(s):  
Rebecca Kosowicz ◽  
Lisa L. Strate
Keyword(s):  
High Risk ◽  
Diagnostic Yield ◽  
Argon Plasma Coagulation ◽  
Argon Plasma ◽  
Endoscopic Management ◽  
Optimal Timing ◽  
Severe Bleeding ◽  
Diverticular Bleeding ◽  
Lower Gastrointestinal Hemorrhage ◽  
Vascular Ectasias

Lower gastrointestinal bleeding (LGIB) is a common gastrointestinal emergency. Colonoscopy is the initial diagnostic and therapeutic procedure for most patients with LGIB. The optimal timing of colonoscopy is uncertain, but earlier examinations are associated with higher diagnostic yield. In patients with severe bleeding, colonoscopy should be performed within 24 hours of presentation after an adequate orally administered colon preparation. Additional washing during colonoscopy and careful inspection should be performed to identify high-risk stigmata. Endoscopic therapy should be attempted if high-risk bleeding stigmata are identified. The endoscopic treatment modality depends on the bleeding source, location, operator expertise, and the need for ongoing anticoagulation or antiplatelet therapy. This review 5 tables, 5 figures, and 50 references. Keywords: argon plasma coagulation, clipping, colonoscopy, diverticular bleeding, endoscopic band ligation, endoscopic hemostasis, postpolypectomy bleeding, stigmata of recent hemorrhage, vascular ectasias

Considerations in Dysphagia Management Following Esophagectomy

2016 ◽  
Vol 1 (13) ◽  
pp. 169-176
Author(s):  
Lisa M. Evangelista ◽  
James L. Coyle
Keyword(s):  
Esophageal Cancer ◽  
Minimally Invasive ◽  
Minimally Invasive Surgical Procedures ◽  
Esophageal Resection ◽  
Minimally Invasive Surgical ◽  
Operative Complications ◽  
Swallowing Difficulties ◽  
Epidemiological Impact ◽  
Invasive Techniques ◽  
Management Of Dysphagia

Esophageal cancer is the sixth leading cause of death from cancer worldwide. Esophageal resection is the mainstay treatment for cancers of the esophagus. While curative, surgical resection may result in swallowing difficulties that require intervention from speech-language pathologists (SLPs). Minimally invasive surgical procedures for esophageal resection have aimed to reduce morbidity and mortality associated with more invasive techniques. Both intra-operative and post-operative complications, regardless of the surgical approach, can result in dysphagia. This article will review the epidemiological impact of esophageal cancers, operative complications resulting in dysphagia, and clinical assessment and management of dysphagia pertinent to esophageal resection.

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