Giejournal.org
G-EYE colonoscopy is superior to standard colonoscopy …
WebColorectal cancer (CRC) is largely preventable with routine screening and surveillance colonoscopy; however, interval cancers arising from precancerous lesions missed by standard colonoscopy still occur. An increased adenoma detection rate (ADR) has been found to be inversely associated with interval cancers. The G-EYE device includes a …
Actived: 5 days ago
URL: https://www.giejournal.org/article/S0016-5107(18)33138-9/fulltext
Multicenter cohort study of patients with buried bumper …
WebBuried bumper syndrome (BBS) is a rare adverse event of percutaneous endoscopic gastrostomy (PEG) placement in which the internal bumper migrates through the stomal tract to become embedded within the gastric wall. Excessive tension between the internal and external bumpers, causing ischemic necrosis of the gastric wall, is believed to be the …
Environmental and health outcomes of single-use versus reusable
WebGreenhouse gas (GHG) emission was a major contributor to this health burden and came from 3 main sources: direct emissions from hospitals (eg, boilers, medical gases), indirect emissions from purchased electricity by hospitals, and supply chain emissions through the production of goods (eg, electricity for manufacturing, truck …
Single-use duodenoscopes: How concerned should we be about …
WebInfection outbreaks related to contaminated duodenoscopes have caused considerable concern. Worldwide, 490 cases were reported between 2008 and 2018, and 32 patients died as a consequence.1 Although the overall mortality is extremely low (approximately 1:150,000),2 transmission of infection and death seem avoidable. Most …
Impact of ethylene oxide gas sterilization of …
WebCarbapenem-resistant Enterobacteriaceae (CRE) outbreaks have been implicated at several medical institutions involving gastroenterology laboratories and, specifically, duodenoscopes. Currently, there are no specific guidelines to eradicate or prevent the outbreak of this bacteria. We describe ethylene oxide (ETO) gas …
Antireflux mucosal ablation as rescue therapy for fundoplication
WebA 65-year-old woman with hiatal hernia after having undergone Nissen fundoplication in 2015 presented with recurrent acid reflux symptoms even while receiving proton pump inhibitor (PPI) treatment for several years. EGD revealed a gastroesophageal flap valve, Hill’s classification III, and Barrett’s esophagus (A). The 24-hour pH impedance testing …
IMPACT OF THE EPISOD TRIAL ON PRACTICE: A RETROSPECTIVE …
WebPatients with SOD (ICD-10 K83.4) without a prior ES whose records overlapped the time window by at least one day were considered at-risk. Then, we performed a cohort study comparing patients diagnosed with SOD before and after Jan 1, 2014 for mortality and new-onset acute pancreatitis (AP), cholecystitis, and cholangitis within 30 days of the …
Endoscopic eversion and strangulation of a biliary intraductal
WebAn 81-year-old woman with multiple medical comorbidities presented with jaundice and sepsis. CT imaging demonstrated intrahepatic and extrahepatic biliary ductal dilatation, with a 19-mm soft tissue density in the common bile duct. Linear EUS examination delineated a large, round, hyperechoic intraductal lesion with no shadowing (A). ERCP …
Environmental and health outcomes of single-use versus …
WebOur aim was to perform an exploratory life cycle assessment comparing environmental and human health effects of single-use duodenoscopes (SDs) and reusable duodenoscopes (RDs). Methods: We evaluated 3 duodenoscopes: conventional RDs, RDs with disposable endcaps, and SDs. The primary outcomes were impacts on climate change and human …
David E. Bernstein, MD Northwell Health System Division of …
WebDivision of Gastroenterology Long Island Jewish Medical Center Zucker School of Medicine at Hofstra/Northwell Northwell Health System New Hyde Park, New York Institute of Health Innovations and Outcomes Research Feinstein Institutes for Medical Research Northwell Health Manhasset, New York, USA. and the Northwell COVID-19 Research Consortium.
Balancing risk and reward: a critical review of the intragastric
WebWorldwide, more than 1.4 billion adults are overweight or obese and either have or are at increased risk of numerous, potentially disabling conditions. In the United States, 68% of adults are overweight or obese, and the epidemic is spreading to children.1,2 Obesity is associated with a number of comorbidities including type 2 diabetes mellitus, …
Off-label use of large bariatric stent: how to open the angle
WebA 51-year-old woman with a stage IV mucinous adenocarcinoma of the appendix (with peritoneal implants) had undergone hyperthermic intraperitoneal chemotherapy along with several resection surgeries, including appendectomy, hysterectomy, subtotal gastrectomy, cholecystectomy, splenectomy, resection of peritoneal implants, and 2 surgeries …
Adenoma detection rate: in search of quality improvement, …
WebThe adenoma detection rate (ADR) has been widely accepted by expert groups as an important colonoscopy quality measure.1 The adoption of this measure is based largely on 2 studies showing an inverse relationship between ADR and subsequent risk of CRC. Kaminski et al2 followed up patients after they had undergone screening colonoscopies …
Pancreatic and biliary stents
WebThe ASGE Technology Committee provides reviews of existing, new, or emerging endoscopic technologies that have an impact on the practice of GI endoscopy. Evidence-based methodology is used, performing a MEDLINE literature search to identify pertinent clinical studies on the topic and a MAUDE (U.S. Food and Drug Administration Center for …
History of artificial intelligence in medicine
WebThe Stanford University Medical Experimental –Arti cial Intelligence in Medicine, a time-. fi. shared computer system, was created in 1973 and enhanced networking capabilities among clinical and biomedical researchers from several institutions.12 Largely as a result of these collaborations, the rst National. fi.
GI multisociety strategic plan on environmental sustainability
WebThe multisociety task force formulated a vision, mission, and 7 domains that are relevant to digestive health care and societal activities, with each domain coupled to a specific strategic goal ().Importantly, the strategic goals highlight not only the traditional society mission areas of clinical care, education, and research, but also emphasize the …
Mobile Health technology in pediatric …
WebUpper endoscopy procedures (UEP, esophagogastroduodenoscopy [EGDS] and retrograde endoscopic retrograde cholangiography [ERCP]) are an established standard of care in pediatric gastroenterology. The Pediatric endoscopy quality improvement network (PEnQuIN) recently published its pediatric-specific endoscopy quality guidelines. This …
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