27/09/2004
Colonscopia: performance diagnostica deludente!!
Colonoscopic miss rates for right-sided colon cancer: A population-based analysis.
Brian Bressler, Lawrence F. Paszat, Christopher Vinden, Cindy Li, Jingsong He, Linda Rabeneck.
Gastroenterology 2004 Aug;127(2):452-6.
21/09/2004
La colonscopia è ancora il gold standard nella diagnosi degli adenomi del colon
Location of adenomas missed by optical colonoscopy.
Pickhardt PJ, Nugent PA, Mysliwiec PA, Choi JR, Schindler WR.
Ann Intern Med. 2004 Sep 7;141(5):352-9.
BACKGROUND: Previous estimates of the adenoma miss rate with optical colonoscopy (OC) are hindered by the use of OC as its own reference standard. OBJECTIVE: To evaluate the frequency and characteristics of colorectal neoplasms that are missed prospectively on OC by using virtual colonoscopy (VC) as a separate reference standard. DESIGN: Prospective, multicenter screening trial. SETTING: 3 medical centers. PARTICIPANTS: 1233 asymptomatic adults who underwent same-day VC and OC. MEASUREMENTS: Colorectal neoplasms (adenomatous polyps) missed at OC before VC results were unblinded. RESULTS: Fourteen (93.3%) of 15 nonrectal neoplasms were located on a fold; 10 (71.4%) of these were located on the backside of a fold. Five (83.3%) of 6 rectal lesions were located within 10 cm of the anal verge. LIMITATIONS: Estimation of the OC miss rate depended on polyp detection on both VC and second-look OC and therefore underestimates the true OC miss rate, particularly for smaller polyps. CONCLUSIONS: Most clinically significant adenomas missed prospectively on OC are located behind a fold or near the anal verge. The 12% OC miss rate for large adenomas (or=10 mm) when state-of-the-art 3-dimensional VC is used as a separate reference standard is increased from the previous 0% to 6% estimates derived by using OC as its own reference standard.
30/07/2004
Bella review sulla Terapia Endoscopica della MRGE
V.Annese Scrive"Endoscopic antireflux proceduresJ Arts, J Tack and J P GalmicheCHAR(13) + CHAR(10) Gut 2004;53:1207-1214CHAR(13) + CHAR(10)
24/07/2004
Diagnosi e trattamento del " water melon stomach"
Endoscopic Diagnosis and Treatment of Watermelon Stomach.Jensen D. M. ,Chaves D. M., Grund, K. E.Endoscopy. 2004 Jul;36(7):640-7.
24/07/2004
Sanguinamento non varicoso: EGDS urgente?
G.Lombardi Scrive"Urgent vs. elective endoscopy for acute non-variceal upper-GI bleeding: an effectiveness study. Bjorkman DJ, Zaman A, Fennerty MB, Lieberman D, Disario JA, Guest-Warnick G.Gastrointest Endosc. 2004 Jul;60(1):1-8.
24/07/2004
Mallory-Weiss: epinefrina vs band ligation
G.Lombardi Scrive"A prospective, randomized trial of endoscopic band ligation vs. epinephrine injection for actively bleeding Mallory-Weiss syndrome.CHAR(13) + CHAR(10)Park CH, Min SW, Sohn YH, Lee WS, Joo YE, Kim HS, Choi SK, Rew JS, Kim SJ.Gastrointest Endosc. 2004 Jul;60(1):22-7.
24/07/2004
Migliorare il management del paziente con sanguinamento gastrointestinale
G.Lombardi Scrive"Urgent endoscopy: does it matter if they don't listen to us?John G. Lee Gastrointest Endosc. 2004 Jul;60(1):94.
07/06/2004
Un nuovo score per la valutazione di gravità dei pazienti emorragici
G.Lombardi Scrive"A risk score system for identification of patients with upper-GI bleeding suitable for outpatient management.CHAR(13) + CHAR(10)Pedro Almela, Adolfo Benages, Salvador Peiró, Ramón Añón, Miguel Minguez Pérez, Andrés Peña, Isabel Pascual, Francisco Mora. Gastrointest Endosc 2004 Jun;59(7):772-81.
07/06/2004
Una sedazione moderata durante la colonscopia può essere comunque efficace?
G.Lombardi Scrive"Moderate level sedation during endoscopy: A prospective study using low-dose propofol, meperidine/fentanyl, and midazolamLawrence B. Cohen, Charles D. Hightower, Daniel A. Wood, Kenneth M. Miller, James Aisenberg. Gastrointest Endosc 2004 Jun;59(7):795-803.
05/06/2004
PROTESI METALLICHE O DI PLASTICA PER LE STENOSI BILIARI NEOPLASTICHE?
M.Koch Scrive"Palliation of malignant extrahepatic biliary obstruction with plastic versus expandable metal stents: An evidence-based approachCHAR(13) + CHAR(10)Michael J. Levy, Todd H. Baron, Christopher J. Gostout, Bret T. Petersen, Michael B. FarnellCHAR(13) + CHAR(10)CHAR(13) + CHAR(10)CLINICAL GASTROENTEROLOGY AND HEPATOLOGY 2004; 2: 273-285
05/06/2004
CLISMA OPACO DOPPIO CONTRASTO O COLONSCOPIA VIRTUALE? UN OTTIMO STUDIO IN CIECO
makoch Scrive"Comparison of the relative sensitivity of CT colonography and double-contrast barium enema for screen detection of colorectal polypsCHAR(13) + CHAR(10)C. Daniel Johnson,Robert L. MacCarty, Timothy J. Welch, Lynn A. Wilson,William S. Harmsen, Duane M. Ilstrup, David A. Ahlquist. CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2004; 2:314-321
10/05/2004
La cromoendoscopia è accurata nel predire l'efficacia della mucosectomia
G.Lombardi Scrive"A prospective evaluation of high-magnification chromoscopic colonoscopy in predicting completeness of EMR. Hurlstone DP, Cross SS, Brown S, Sanders DS, Lobo AJ. Gastrointest Endosc. 2004 May;59(6):642-650.
10/05/2004
Un nuovo dispositivo per il recupero dei polipi
G.Lombardi Scrive"A novel endoscopic device for retrieval of polyps resected from the colon and rectum. Sano Y, Kaihara T, Ito H, Fu KI, Machida H, Yoshino T, Fujii T, Yoshida S.Gastrointest Endosc. 2004;59(6):716-9
10/05/2004
Un "nuovo" trattamento endoscopico per la pancretite cronica
G.Lombardi Scrive"Metal stents in common bile duct strictures secondary to chronic pancreatitis: a "New" endoscopic treatment for an old problem. Costamagna G, Mutignani M. Endoscopy. 2004 May;36(5):450-2.
10/05/2004
Dieulafoy's Lesion: Management e prognosi a lungo termine.
G.Lombardi Scrive"Dieulafoy's Lesion: Management and Long-Term Outcome. Romaozinho JM, Pontes JM, Lerias C, Ferreira M, Freitas D. Endoscopy. 2004 May;36(5):416-20.
10/05/2004
Screening CCR : ampia variabilità della performance degli endoscopisti
G.Lombardi Scrive"Wide variation in adenoma detection rates at screening flexible sigmoidoscopy. Wendy Atkin, Pauline Rogers, Christopher Cardwell, Claire Cook, Jack Cuzick, Jane Wardle, Rob Edwards. Gastroenterology 2004 May;126(5):1247-56
17/04/2004
Bella review sulle varici gastriche
V.Annese Scrive"A pathophysiologic, gastroenterologic, and radiologic approach to the management of gastric varices. B.M. Ryan, R.W. Stockbrugger, J. M.Ryan.Gastroenterology, 2004;126:1175-89.
Gastric varices (GV) occur in 20% of patients with portal hypertension either in isolation or in combination with esophageal varices (EV). There is no consensus for optimum treatment of GV and because they comprise an inhomogenous entity, accurate classification is vital to determine the appropriate management. Gastroesophageal varices (GOV) are classified as GOV1 (EV extending down to cardia or lesser curve) or GOV2 (esophageal and fundal varices). Isolated gastric varices (IGV) may be located in the fundus (IGV1) or elsewhere in the stomach (IGV2). GV possibly bleed less frequently than EV, but GV bleeding is typically difficult to control, associated with a high risk for rebleeding, and high mortality. Fundal varices, large GV (5 mm), presence of a red spot, and Child’s C liver status are associated with a high risk for bleeding. GOV1 have a much lower risk for bleeding. A portosystemic pressure gradient of 12 mm Hg is not necessary for GV bleeding, probably related to the high frequency of spontaneous gastrorenal shunts in these patients. GOV1 should be treated as for EV. First-line treatment of bleeding fundal varices is endoscopic variceal obturation. TIPS is currently second-line acute treatment and is used for prevention of rebleeding. The role of some newer interventional radiologic techniques requires further appraisal. This review describes the pathophysiology, diagnosis, natural history, endoscopic, and interventional radiologic treatment options for GV.Keywords: B-RTOballoon occluded retrograde transvenous occlusion, EVesophageal varices, EVLendoscopic variceal ligation, EVOendoscopic variceal obturation, EVSendoscopic variceal sclerotherapy, GOVgastroesophageal varices, GRSgastrorenal shunt, GVgastric varices, IGVisolated gastric varices, PHTportal hypertension, PPGportosystemic pressure gradient, RCTrandomized controlled trial, TIPStransjugular intrahepatic portosystemic shunt
17/04/2004
Efficacia della dilatazione nell'Acalasia: una valutazione controtendenza
V.Annese Scrive"Pneumatic dilation for achalasia: late results of a prospective follow up investigation . VF Eckardt, I Gockel and G Bernhard. Gut 2004;53:629-633CHAR(13) + CHAR(10)
14/04/2004
Trial di confronto tra Endoscopia con Videocapsula ed Enteroscopia
G.Lombardi Scrive"A prospective comparison of capsule endoscopy and push enteroscopy in patients with GI bleeding of obscure originDouglas G. Adler, Mary Knipschield, Christopher Gostout. Gastrointest Endosc 2004 Apr;59(4):492-8.
14/04/2004
Nuova scala di valutazione della qualità della preparazione intestinale
G.Lombardi Scrive"Validation of a new scale for the assessment of bowel preparation qualityAlaa Rostom, Emilie Jolicoeur. Gastrointest Endosc 2004 Apr;59(4):482-6.
14/04/2004
Il simeticone migliora la performance della videocapsula
G.Lombardi Scrive"Simethicone for small bowel preparation for capsule endoscopy: A systematic, single-blinded, controlled study. Jörg Albert, Christa-Maria Göbel, Joachim Leßke, Erich Lotterer, Hubert Nietsch, Wolfgang E. Fleig. Gastrointest Endosc 2004 Apr;59(4):487-91.
09/03/2004
La musica aiuta a tollerare meglio la colonscopia !!!!!
G.Lombardi Scrive"Can visual distraction decrease the dose of patient-controlled sedation required during colonoscopy? A prospective randomized controlled trial.CHAR(13) + CHAR(10)Lee DW, Chan AC, Wong SK, Fung TM, Li AC, Chan SK, Mui LM, Ng EK, Chung SC. Endoscopy. 2004 Mar;36(3):197-201
09/03/2004
Un nuovo dispositivo per evitare il looping del sigma durante la colonscopia
G.Lombardi Scrive"A novel shape-locking guide for prevention of sigmoid looping during colonoscopyCHAR(13) + CHAR(10)Gottumukkala S. Raju, Douglas K. Rex, Richard A. Kozarek, Ijaz Ahmed, Douglas Brining, Pankaj Jay Pasricha. Gastrointestinal Endoscopy 2004;59 (3): 416-419CHAR(13) + CHAR(10)
06/03/2004
Quando eseguire la colonscopia nell'emorragia del tratto G-I inf.
V.Annese Scrive"Urgent colonoscopy for acute lower-GI bleedingCHAR(13) + CHAR(10)Grace H. EltaGastroint Endosc 2004;56:402-8
06/03/2004
Primo ampio trial sul PLICATOR nella MRGE
V.Annese Scrive"Endoscopic full-thickness plication for the treatment of GERD: A multicenter trialCHAR(13) + CHAR(10)Pleskow D, Rothstein R, Lo S, Hawes R, Kozarek R, Haber G, Gostout C, Lembo A.CHAR(13) + CHAR(10)Gastrointest Endosc 2004;59:163-71CHAR(13) + CHAR(10)
06/03/2004
Esofago di Barrett
V.Annese Scrive"Endoscopic classification of Barrett's esophagusCHAR(13) + CHAR(10)Guelrud M, Ehrlich EE. Gastroint Endosc 2004;59:58-65.CHAR(13) + CHAR(10)
26/02/2004
DISFAGIA NEL CA DELL'ESOFAGO: STENT O BRACHITERAPIA? UN GRANDE RCT!
M.Koch Scrive"Single-dose brachytherapy versus metal stent placement for the palliation of dysphagia from oesophageal cancer: multicentre randomised trial.Marjolein Y V Homs, Ewout W Steyerberg, Wilhelmina M H Eijkenboom, Hugo W Tilanus, Lukas J A Stalpers, Joep F W M Bartelsman, Jan J B van Lanschot, Harm K Wijrdeman, Chris J J Mulder, Janny G Reinders, Henk Boot, Berthe M P Aleman, Ernst J Kuipers, Peter D Siersema, for the Dutch SIREC study group.Lancet 2004; 364: 1497-504CHAR(13) + CHAR(10)CHAR(13) + CHAR(10)
25/02/2004
Meta-analisi = due emostasi sono meglio di una!
V.Annese Scrive"Addition of a second endoscopic treatment following epinephrine injection improves outcome in high-risk bleeding ulcers. Xavier Calvet, Mercedes Vergara, Enric Brullet, Javier P. Gisbert, Rafel Campo. Gastroenterology, 2004;126:441-50.CHAR(13) + CHAR(10)
25/02/2004
La VideoCapsula in Italia
V.Annese Scrive"Outcome of patients with obscure gastrointestinal bleeding after capsule endoscopy: Report of 100 consecutive cases. Marco Pennazio, Renato Santucci, Emanuele Rondonotti, Carla Abbiati, Gizela Beccari, Francesco P. Rossini, Roberto de Franchis. Gastroenterology; 126:(3):643-53.CHAR(13) + CHAR(10)
23/02/2004
CASPULA O NON CAPSULA? UN NUOVO STUDIO RETROSPETTIVO VERSUS TAC
M.Koch Scrive"Preliminary Comparison of Capsule Endoscopy with Barium Study and CT. Amy K. Hara, Jonathan A. Leighton, Virender K. Sharma, and David E. Fleischer. Radiology 2004;230:260-265CHAR(13) + CHAR(10)CHAR(13) + CHAR(10)
23/02/2004
COLONSCOPIA VIRTUALE VS ENDOSCOPIA: UNA MAGNIFICA META-ANALISI
M.Koch Scrive"CT Colonography of Colorectal Polyps: A Metaanalysis . Jacob Sosna, Martina M. Morrin, Jonathan B. Kruskal, Philip T. Lavin, Max P. Rosen and Vassilios Raptopoulos. AJR 2003; 181:1593-1598CHAR(13) + CHAR(10)
23/02/2004
"Test and treat" vs Endoscopia: un trial randomizzato
22/02/2004
Follow up della displasia di alto grado nel Barrett: quale la migliore strategia
G.Lombardi Scrive"What is the best management strategy for high grade dysplasia in Barrett’s oesophagus? A cost effectiveness analysisShaheen NJ, Inadomi JM, Overholt BF, Sharma P.
Gut 2004;53:1736-1744CHAR(13) + CHAR(10)
19/02/2004
Sedazione ed anestesia topica servono durante la gastroscopia?
16/02/2004
Frequenza e outcome clinico della ritenzione della videocapsula
G.Lombardi Scrive"Frequency and clinical outcome of capsule retention during capsule endoscopy for GI bleeding of obscure originCHAR(13) + CHAR(10)Dawn M. Sears, Andrejs Avots-Avotins, Kim Culp, Michael W. Gavin.
Gastrointest Endosc 2004 Nov;60(5):822-7.
15/02/2004
Visualizzazione dei villi con endoscopio ad alta risoluzione
07/02/2004
Endoscopic classification of Barrett's esophagus
G.Lombardi Scrive"Endoscopic classification of Barrett's esophagus. Guelrud M, Ehrlich EE. Gastrointest Endosc. 2004 Jan;59(1):58-65.
07/02/2004
Clinical applications of the argon plasma coagulator
G.Lombardi Scrive"Clinical applications of the argon plasma coagulator. J J. Vargo. Gastrointestinal Endoscopy 2004; 59 (1): 81-88
07/02/2004
Full-thickness plication for the treatment of GERD
G.Lombardi Scrive"Endoscopic full-thickness plication for the treatment of GERD: A multicenter trial . D.Pleskow,R.Rothstein, S.Lo, R.Hawes, R. Kozarek, G.Haber, C.Gostout, A.Lembo. Gastrointestinal Endoscopy 2004 ; 59 ( 2 ): 163-171
07/02/2004
Tutto sull'uso delle endoclips
G.Lombardi Scrive"Endoclips for GI endoscopy. G.S. Raju, L.Gajula. Gastrointestinal Endoscopy 2004 ;59 (2):267-279
28/01/2004
Il ''venerabile'' sondino naso-gastrico
Nasogastric aspirate predicts high-risk endoscopic lesions in patients with acute upper-GI bleeding.A. M. Aljebreen, C.A. Fallone, A.N. Barkun, for the RUGBE investigators. Gastrointest Endosc 2004 Feb;59(2):172-8.
26/01/2004
Ruolo della Cromoendoscopia per il rilievo di DALM nella colite ulcerosa
V.Annese Scrive"Pancolonic indigo carmine dye spraying for the detection of dysplasia in ulcerative colitisM D Rutter, B P Saunders, G Schofield, A Forbes, A B Price,I C Talbot. Gut 2004;53:256-260CHAR(13) + CHAR(10)
26/01/2004
La colonscopia nella pratica clinica nel Regno Unito. E in Italia ?
V.Annese Scrive"A prospective study of colonoscopy practice in the UK today: are we adequately prepared for national colorectal cancer screening tomorrow?C J A Bowles, R Leicester, C Romaya, E Swarbrick, C B Williams, O Epstein. Gut 2004;53:277-283CHAR(13) + CHAR(10)
26/01/2004
L'infermiere di Endoscopia seleziona correttamente le immagini della Given
V.Annese Scrive"The accuracy of an endoscopy nurse in interpreting capsule endoscopyCHAR(13) + CHAR(10)Levinthal GN, Burke CA, Santisi JM. The American Journal of Gastroenterology 2003;98:pp: 2669-2671
16/01/2004
Prevenzione della pancreatite post-ERCP: ruolo del tipo di corrente.
11/01/2004
Nuovo score endoscopico per il Morbo di Crohn
10/01/2004
Valutazione della capsula nella routine clinica
09/01/2004
Prevenzione del sanguinamento post-polipectomia: adrenalina o loop?
06/01/2004
FUNZIONA LA BARRIERA ANTI-REFLUSSO !!!!!
Endoscopic augmentation of the lower esophageal sphincter for the treatment of gastroesophageal reflux disease: multicenter study of the gatekeeper reflux repair system.
Fockens P, Bruno MJ, Gabbrielli A, Odegaard S, Hatlebakk J, Allescher HD, Rosch T, Rhodes M, Bastid C, Rey J, Boyer J, Muehldorffer S, van den Hombergh U, Costamagna G. Endoscopy. 2004 Aug;36(8):682-9.
BACKGROUND AND STUDY AIMS: The safety and effectiveness of the Gatekeeper Reflux Repair System (Medtronic Europe, Tolochenaz, Switzerland) in the treatment of gastroesophageal reflux disease (GERD) was evaluated. This new, reversible treatment modality involves the endoscopic introduction of expandable polyacrylonitrile-based hydrogel prostheses into the esophageal submucosa to augment the lower esophageal sphincter (LES). PATIENTS AND METHODS: For this study, data from two prospective, nonrandomized European multicenter trials were pooled. Sixty-nine GERD patients with heartburn and regurgitation and abnormal esophageal acid exposure (24-h pH 4 % of the total time) who had responded to proton-pump inhibitor (PPI) therapy were recruited, and 68 were treated with up to six prostheses placed at the gastroesophageal junction. Patients underwent esophageal manometry, endoscopy, 24-h pH-metry, and symptom scoring at intake and 1, 3, and 6 months after the procedure. RESULTS: A total of 77 procedures were performed in 67 patients, and a total of 270 prostheses were placed (mean 4.3 per procedure). At 1 and 6 months, 80.4 % and 70.4 % of the prostheses were retained, respectively. At 6 months, 24-h pH-metry outcomes with pH 4.0 % of the time decreased from 9.1 % to 6.1 % (n = 45; P