scholarly journals The endoluminal pressures during flexible gastrointestinal endoscopy

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Yuki Ushimaru ◽  
Kiyokazu Nakajima ◽  
Masashi Hirota ◽  
Yasuaki Miyazaki ◽  
Kotaro Yamashita ◽  
...  
Keyword(s):  
Adverse Events ◽  
Pressure Measurement ◽  
Gastrointestinal Endoscopy ◽  
Endoscopic Diagnosis ◽  
Related Factors ◽  
Gi Endoscopy ◽  
Upper Gi ◽  
Optimal Visualization

Abstract In flexible gastrointestinal (GI) endoscopy, endoscopic insufflation is crucial and directly affects visualization. Optimal visualization enables endoscopists to conduct better examinations and administer optimal treatments. However, endoscopic insufflation is typically performed manually and is subjective. We aimed to measure the GI endoluminal pressure during flexible GI endoscopy. Participants underwent esophagogastroduodenoscopy (EGD) at our endoscopy center. Pressure measurement was conducted after completing diagnostic or follow-up EGD. The endoluminal pressure in the esophagus and stomach was measured at 1-s intervals for 1 min while performing EGD for observational and diagnostic purposes. During the measurements, the endoscopists maintained what they subjectively considered to be adequate exposure for screening for lesions by dilating the lumen. Eighty patients were enrolled in this study. The upper GI endoluminal pressure was assessed during EGD without adverse events. The esophageal endoluminal pressure averaged 8.9 (− 3.0 to 20.7) mmHg, and the gastric endoluminal pressure averaged 10.0 (3.0–17.9) mmHg; the upper GI endoluminal pressures were not affected by patient-related factors or the number of endoscopists’ postgraduate years. We have successfully obtained the GI endoluminal pressures during EGD. Further accumulation of these data may lead to more stable and reproducible flexible endoscopic diagnosis and intervention.

scholarly journals Outcome of Esophageal Variceal Ligation in Cirrhotic Patients: Experience in a Tertiary Care Hospital in Dhaka

2019 ◽  
Vol 9 (1) ◽  
pp. 63-69
Author(s):  
Shireen Ahmed ◽  
Md Nazmul Hoque ◽  
Tareq Mahmud Bhuiyan
Keyword(s):  
Adverse Events ◽  
Esophageal Varices ◽  
Gastrointestinal Endoscopy ◽  
Upper Gastrointestinal Endoscopy ◽  
Care Hospital ◽  
Esophageal Variceal ◽  
Band Ligation ◽  
Esophageal Variceal Ligation ◽  
Upper Gastrointestinal

Background: Bleeding from esophageal varices in cirrhosis is an emergency condition. Esophageal varices band ligation has shown better results in terms of variceal obliteration as well as having fewer side effects like ulceration, perforation and stricture formation. Methods: This observational study was conducted at the gastroenterology department of BIRDEM general hospital, from September 2014 to March 2015. Subjects were eligible if they had a diagnosis of cirrhosis based on history, physical examination, biochemical parameters and presence of esophageal varices in upper gastrointestinal endoscopy. All patients were tested to determine the cause of liver cirrhosis. All patients under-went upper gastrointestinal endoscopy after consent. Esophageal variceal ligation was done at appropriate situation and patients were followed up later on. SPSS 23 was used for statistical analysis. Results: The sample size was 69. The cumulative mean age was 55.58±14.462 years (range: 20-90), with gender-based mean age of 54.76±15.704 years for males and 57.22±11.739 years for female. Mild portal hypertensive gastropathy (PHG) was found 31 (44.9%) patient and severe PHG 36 (52.2%). Patients were followed up for mean period of 8.52±3.6 months. Variceal obliteration was achieved in 25 (36.2%) patients, while 06 (8.7%) cases developed re-bleeding during the study period and this type of patients were managed by other modalities or combination therapies. Recurrence of varices occurred in 13 (18.8%). 25 (36.2%) patients reduction of varix size occured after esophageal variceal ligation (EVL), 32 (46.4%) required second session and 12 (17.4%) required more than second session (Table-2). Thirty nine (56.5%) patients experienced minor adverse events like GI discomfort (retrosternal pain or dysphagia), while severe adverse events were noticed in 13 (18.8%) patients. Fundal varix was found among 8 (11.6%) patient on follow up endoscopy and GAVE found in 6 (8.69%) patients. All patient developed PHG during follow up endoscopy. Conclusion: Band ligation eradicates esophageal varices with less complications and a lower re-bleeding rate, but at the same time eradication is associated with more frequent development of PHG and fundal varices. Birdem Med J 2019; 9(1): 63-69

Complications after outpatient upper GI endoscopy in children: 30-day follow-up

2003 ◽  
Vol 98 (7) ◽  
pp. 1508-1511 ◽  
Author(s):  
M. Samer Ammar ◽  
Marian D. Pfefferkorn ◽  
Joseph M. Croffie ◽  
Sandeep K. Gupta ◽  
Mark R. Corkins ◽  
...  
Keyword(s):  
Gi Endoscopy ◽  
Upper Gi ◽  
Upper Gi Endoscopy

scholarly journals Coronary Pressure Measurement After Stenting Predicts Adverse Events at Follow-Up

Circulation ◽  
2002 ◽  
Vol 105 (25) ◽  
pp. 2950-2954 ◽  
Author(s):  
Nico H.J. Pijls ◽  
Volker Klauss ◽  
Uwe Siebert ◽  
Eric Powers ◽  
Kenji Takazawa ◽  
...  
Keyword(s):  
Adverse Events ◽  
Pressure Measurement ◽  
Coronary Pressure

Adverse events of upper GI endoscopy

2012 ◽  
Vol 76 (4) ◽  
pp. 707-718 ◽  
Author(s):  
Tamir Ben-Menachem ◽  
G. Anton Decker ◽  
Dayna S. Early ◽  
Jerry Evans ◽  
Robert D. Fanelli ◽  
...  
Keyword(s):  
Adverse Events ◽  
Gi Endoscopy ◽  
Upper Gi ◽  
Upper Gi Endoscopy

Reuse of Biopsy Forceps may be Associated with Risk of Transmission of HCV in Egyptian Patients Undergoing Gastrointestinal Endoscopy.

2019 ◽  
Vol 19 (3) ◽  
pp. 279-283
Author(s):  
Taher El-Demerdash ◽  
Mohamed Yousef ◽  
Sherief Abd-Elsalam ◽  
Amal Helmy ◽  
Abdelrahman Kobtan ◽  
...  
Keyword(s):  
Infection Control ◽  
Gastrointestinal Endoscopy ◽  
Control Measures ◽  
Biopsy Forceps ◽  
Gi Endoscopy ◽  
Upper Gi ◽  
Infection Control Measures ◽  
Group I ◽  
Hcv Transmission ◽  
Upper Gi Endoscopy

Background and Aims: Hepatitis viruses are not transmitted via gastrointestinal endoscopy except if there are any mistakes in sterilization and disinfection of the endoscope that disrupt the infection control measures. So we aimed to measure the risk of transmitting HCV by GI endoscopy at department of Tropical Medicine and infectious Diseases, in a major University hospital in Egypt. Methods: Our study was conducted on four hundred patients with exclusion of those with HCV, HBV, and/or HIV positive antibodies. An ethical committee approval and a given consent were taken prior to enrollment on the study. Our patients are grouped into the following; 100 patients undergoing upper GI endoscopy without biopsy as group I; 100 patients undergoing upper GI endoscopy with biopsy as group II; 100 patients undergoing lower GI endoscopy without biopsy as group III and 100 patients undergoing lower GI endoscopy with biopsy as group IV. HCV antibodies were done 3 months after endoscopy with exclusion of other risks of HCV infection by a detailed questionnaire. Results: Only one case was reported positive after 3 months of procedure; it was after colonoscopy with biopsy using reusable forceps. Conclusion: Strict infection control measures of the GI endoscopes despite being effective in preventing HCV transmission, the reuse of disinfected biopsy forceps may be associated with a risk of transmission. So, we recommend using disposable forceps for every patient to omit the risk of HCV transmission during endoscopy.

scholarly journals Upper Gastrointestinal Endoscopy in ENT Practice: How Worth is It?

2013 ◽  
Vol 3 (2) ◽  
pp. 35-38
Author(s):  
MC Anup Kumar ◽  
Lavanya Karanam
Keyword(s):  
Prospective Study ◽  
Gastrointestinal Endoscopy ◽  
Indirect Laryngoscopy ◽  
Upper Gastrointestinal Endoscopy ◽  
Tertiary Referral ◽  
Gi Endoscopy ◽  
Tertiary Referral Center ◽  
Upper Gi ◽  
Upper Gi Endoscopy ◽  
Upper Gastrointestinal

ABSTRACT Objective The need for upper gastrointestinal (GI) endoscopy in the evaluation of hoarseness. Study design Prospective study, conducted during the period from June 2012 to February 2013. Setting Tertiary referral center. Results A total of 125 patients were selected for the study and they were evaluated with appropriate history and clinical examination. Out of 125 patients, 41 (32.8%) patients showed laryngeal findings leading to hoarseness, 13 (10.4%) patients showed features of suspected malignancy in other adjacent regions which was confirmed later, two (1.6%) patients showed phonetic gap and 69 (55.2%) patients showed normal laryngeal inlet on indirect laryngoscopy examination. Of the 69 normal patients which were treated conservatively and since they did not show any response they were subjected to upper GI endoscopy. Out of 69 patients, 41 (60%) patients showed features of gastritis, 28 (40%) patients showed features of duodenitis. Conclusion It is estimated that more than 50% of patients presenting to the ENT OPD for hoarseness are because of GI problems. We strongly advise upper GI endoscopy for the symptomatic otorhinolaryngological patients with a normal laryngeal finding on indirect laryngoscopy for treating the condition accurately or near accurately. Adding to this upper GI endoscopy has the additional advantages of documentation and medicolegal aspect in the present day scenario. How to cite this article Santosh UP, Kumar MCA, Karanam L. Upper Gastrointestinal Endoscopy in ENT Practice: How Worth is It? Int J Phonosurg Laryngol 2013;3(2):35-38.

scholarly journals Rare presentation of TB oesophagus: a case report

2018 ◽  
Vol 5 (9) ◽  
pp. 3180 ◽  
Author(s):  
Nagella Pradeep Kumar Reddy ◽  
S. Sabu Jeyasekharan ◽  
Nithila C. ◽  
A. Sai Kishore
Keyword(s):  
Case Report ◽  
Gastrointestinal Endoscopy ◽  
Tuberculosis Patient ◽  
Oesophageal Perforation ◽  
Upper Gastrointestinal Endoscopy ◽  
Rare Presentation ◽  
Upper Gi ◽  
Rare Case Report ◽  
Upper Gastrointestinal

This is a rare case report of Tb oesophagus presenting as upper GI bleeding. Patient was subjected to upper gastrointestinal endoscopy, which revealed an ulcerative growth in the mid oesophagus. Biopsy revealed oesophageal tuberculosis. Patient was managed conservatively with Anti-Tuberculosis Treatment (ATT). Follow up endoscopy after six months revealed resolution of the ulcer and patient was symptomatically better. In spite of the rare nature of the disease, it can be managed effectively with ATT to avoid complications (fistula, stricture, and oesophageal perforation), which might warrant surgery.

scholarly journals Study of upper gastrointestinal endoscopy in patients with gastrointestinal symptoms

2019 ◽  
Vol 6 (10) ◽  
pp. 3595
Author(s):  
Shashidhara Puttaraju ◽  
Sudarshana Sreramaseshadri R. M.
Keyword(s):  
Gastrointestinal Endoscopy ◽  
Gastrointestinal Symptoms ◽  
Significant Risk ◽  
Upper Gastrointestinal Endoscopy ◽  
Therapeutic Tool ◽  
Gi Endoscopy ◽  
Upper Gi ◽  
Gi Symptoms ◽  
Upper Gi Endoscopy ◽  
Upper Gastrointestinal

Background: Upper gastrointestinal (GI) symptoms are the commonest complaints among the general population and the diseases associated with them carries a significant risk of morbidity and mortality. Hence early diagnosis and appropriate management of the condition can prevent life threatening complications. Upper GI endoscopy is an effective diagnostic as well as therapeutic tool for the patients presenting with upper GI symptoms. The objective of the study is to show the effectiveness of upper gastrointestinal endoscopy as an initial diagnostic, screening and therapeutic tool in patients with upper GI symptoms.Methods: Present study comprises of 100 patients presenting with upper gastrointestinal symptoms at JSS Hospital, Chamarajanagar (both out-patients and referred patients) during the period of October 2018 to June 2019, who underwent upper GI endoscopy.Results: Out of 100 patients, 60 were males and 40 were females. In the study majority of the patients were found to have gastritis, esophagitis and acid peptic disease. Other patients had malignant changes, reflux disease, hiatus hernia, perforation, foreign body, obstruction and esophageal varices.Conclusions: Upper GI endoscopy is a simple, safe, more reliable and valuable tool with easy learning curve. It will remain as the initial investigation of choice for the patients with upper GI symptoms. It plays a significant role as a screening, diagnostic as well as therapeutic tool.

scholarly journals Safety Profile and Patient Satisfaction of the Routine use of Propofol in Gastrointestinal Endoscopy

2015 ◽  
Vol 12 (2) ◽  
pp. 101-105
Author(s):  
RB Gurung ◽  
B Purbe ◽  
B Malla ◽  
A Dhungel ◽  
S Yogol ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Safety Profile ◽  
Gastrointestinal Endoscopy ◽  
Endoscopic Examination ◽  
University Hospital ◽  
Upper Gastrointestinal Endoscopy ◽  
Gi Endoscopy ◽  
Propofol Sedation ◽  
Upper Gi ◽  
Upper Gi Endoscopy

Background Routine use of sedation in upper gastrointestinal endoscopy is uncommon in Nepal. There is no study on use of propofol sedation in routine endoscopy examination in Nepal. This study was conducted in order to assess the patient satisfaction and safety profile in patient undergoing routine upper GI endoscopic examination on outpatients.Objective To study safety profile and patient satisfaction of use of propofol in patients undergoing upper GI endoscopy.Method A prospective, observational study was conducted in the endoscopy unit of Dhulikhel hospital, Kathmandu University Hospital from July 2011 to 2012 July. Patients who were referred to upper GI endoscopy were offered to sedation under propofol. Informed consent was taken after explaining side effects, advantages and risk-benefit to the clients. The propofol was administered by the endoscopy nurse under guidance and supervision of the endoscopy performing physician.Data were collected and analyzed using SPSS version 16.0 with 0.05 level of significance.Result Total of 203 patients included in the study. Among 203 patients, 21. 2% were males and 78.8% were females; 83.7% were of less than of 60 years age and 16.3% above 60 years of age. The mean total dose of propofol required was 136.08 ± 48.82 mg. Total of 29.1 % of cases required O2 administration during the procedure time due to transient drop in O2 saturation. Total of 4.4% of cases required fluid administration due to transient fall in blood pressure. Total of 68.0% of cases were completely sedated; 28.6% had minor restless and 3.4% showed agitation during induction period of propofol sedation. Total of 99.5% of patients reported pleasant experience while 0.5% reported unpleasant. Among 203 respondents, 98.5% responded they would prefer to do the procedure under propofol sedation in the future; 1.5% responded they did not want sedations in the future.Conclusion Upper GI endoscopy can safely be performed under propofol sedation administered by registered trained nurse under the supervision of endoscopist.Kathmandu University Medical Journal Vol.12(2) 2014: 101-105

Complications after outpatient upper GI endoscopy in children: 45-day follow-up

2003 ◽  
Vol 98 (12) ◽  
pp. 2810-2811 ◽  
Author(s):  
Makbule Eren ◽  
Inci Nur Saltik-Temizel ◽  
Aysel Yuce
Keyword(s):  
Gi Endoscopy ◽  
Upper Gi ◽  
Upper Gi Endoscopy
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