27/09/2005
La videocapsula non interferisce con i defibrillatori
23/09/2005
La videocapsula può diagnosticare l'ischemia intestinale?
21/09/2005
Le donne e lo screening .....
17/09/2005
L'allopurinolo non previene la pancreatite post-ERCP
Oral allopurinol does not prevent the frequency or the severity of post-ERCP pancreatitis .
Mosler P, Sherman S, Marks J, Watkins JL, Geenen JE, Jamidar P, Fogel EL, Lazzell-Pannell L, Temkit M, Tarnasky P, Block KP, Frakes JT, Aziz AA, Malik P, Nickl N, Slivka A, Goff J, Lehman GA
Gastrointest Endoscopy 2005; 62: 245-250
13/09/2005
Stent pancreatico nell'ampullectomia: un RCT !
G.Lombardi Scrive"Prospective, randomized, controlled trial of prophylactic pancreatic stent placement for endoscopic snare excision of the duodenal ampullaCHAR(13) + CHAR(10)Gavin C. Harewood, Nicole L. Pochron, Christopher J. Gostout.CHAR(13) + CHAR(10)CHAR(13) + CHAR(10)Gastrointest Endosc. 2005 Sep;62(3):367-70.
12/09/2005
L'endoscopia nel management della stipsi
ASGE guideline: Guideline on the use of endoscopy in the management of constipation.
Qureshi W, Adler DG, Davila RE, Egan J, Hirota WK, Jacobson BC, Leighton JA, Rajan E, Zuckerman MJ, Fanelli R, Wheeler-Harbaugh J, Baron TH, Faigel DO.
Gastrointest Endosc. 2005 Aug;62(2):199-201.
05/09/2005
Clips vs terapia combinata nelle emorragie del tratto superiore
Prospective Trial of Endoscopic Clips Versus Combination Therapy in Upper GI Bleeding (PROTECCT-UGI Bleeding).
Saltzman JR, Strate LL, Di Sena V, Huang C, Merrifield B, Ookubo R, Carr-Locke DL.
Am J Gastroenterol. 2005 Jul;100(7):1503-8.
14/08/2005
Impatto economico della sedazione in Endoscopia
05/08/2005
RIPETERE L’ESAME CON VIDEOCAPSULA PUÒ PERMETTERE DI IDENTIFICARE NUOVE LESION
Yield of repeat wireless video capsule endoscopy in patients with obscure gastrointestinal bleeding.
Jones BH, Fleischer DE, Sharma VK, Heigh RI, Shiff AD, Hernandez JL, Leighton JA.
Am J Gastroenterol. 2005 May;100(5):1058-64.
01/08/2005
Efficacia a lungo termine dell'Enteryx : un trial multicentrico
30/07/2005
Doppler optical coherence tomography
20/07/2005
Perchè gli stent pancreatici si occludono???
16/07/2005
Capsula vs Enteroscopia intraoperatoria...
05/07/2005
Chirurgia bariatrica per via endoscopica
G.Lombardi Scrive"Transoral Obesity Surgery: Endoluminal Gastroplasty with an Endoscopic Suture DeviceB. Hu, S. C. S. Chung, L. C. L. Sun, K. Kawashima, T. Yamamoto, P. B. Cotton, C. J. Gostout, R. H. Hawes, A. N. Kalloo, S. V. Kantsevoy, P. J. Pasricha.Endoscopy 2005; 37: 411-414CHAR(13) + CHAR(10) CHAR(13) + CHAR(10)
02/07/2005
Endoscopic full-thickness plication: è efficace?
30/06/2005
Videocapsula e varici esofagee........
V.Annese Scrive"Feasibility and Safety of String Wireless Capsule Endoscopy in the Diagnosis of Esophageal VaricesRamirez FC, Hakim S, Tharalson EM, Shaukat MS, Akins R.CHAR(13) + CHAR(10)Am J Gastroenterol. 2005 May;100(5):1065-71.CHAR(13) + CHAR(10)
10/06/2005
Capsula vs Enteroscopia: 1-Year Follow-up study
G.Lombardi Scrive"Clinical Impact of Capsule Endoscopy Compared to Push Enteroscopy: 1-Year Follow-Up Study J. C. Saurin, M. Delvaux, K. Vahedi, J. L. Gaudin, J. Villarejo, C. Florent, G. Gay, T. PonchonEndoscopy 2005; 37: 318-323CHAR(13) + CHAR(10)CHAR(13) + CHAR(10)CHAR(13) + CHAR(10)
04/06/2005
Endoscopia d'urgenza effettuata in "emergency room": è utile?
G.Lombardi Scrive"Is Early Endoscopy in the Emergency Room Beneficial in Patients with Bleeding Peptic Ulcer? A ”Fortuitously Controlled” Study G. M. Schacher, D. Lesbros-Pantoflickova, M. A. Ortner, J. B. Wasserfallen, A. L. Blum, G. DortaCHAR(13) + CHAR(10)Endoscopy 2005; 37: 324-328CHAR(13) + CHAR(10)CHAR(13) + CHAR(10)
30/05/2005
Studio dello svuotamento gastrico mediante endoscopia !!
G.Lombardi Scrive"Feasibility and Safety of Endoscopic Evaluation of Gastric Emptying T. Attila, R. S. Hellman, A. Z. Krasnow, C. L. Hofmann, K. Saeian, K. S. Dua, D. G. Binion, R. ShakerEndoscopy 2005; 37: 240-243CHAR(13) + CHAR(10)
26/05/2005
La qualità della preparazione intestinale e la performance della coloscopia ...
26/05/2005
Allopurinolo nella prevenzione della pancreatite post-ERCP
24/05/2005
Diarrea cronica: fare o non fare biopsie del colon ?
23/05/2005
Utilità dello stent nelle lesioni del dotto pancreatico....
22/05/2005
Efficacia del drenaggio del dotto pancreatico principale
G.Lombardi Scrive"Efficacy of main pancreatic-duct endoscopic drainage in patients with chronic pancreatitis, continuous pain, and dilated ductCHAR(13) + CHAR(10)CHAR(13) + CHAR(10)Armando Gabbrielli, Monica Pandolfi, Massimiliano Mutignani, Cristiano Spada, Vincenzo Perri, Lucio Petruzziello,Guido Costamagna,CHAR(13) + CHAR(10)Gastrointest Endosc. 2005 Apr;61(4):576-81.
04/05/2005
Complicanze mediastiniche post-enteryx!!!
24/04/2005
Enteryx: un trial multicentrico sham-controlled
Nonresorbable copolymer implantation for gastroesophageal reflux disease: A randomized sham-controlled multicenter trial.
Jacques Devière, Guido Costamagna, Horst Neuhaus, Winfried Voderholzer, Hubert Louis, Andrea Tringali, Michele Marchese, Thomas Fiedler, Patrick Darb-Esfahani, Brigitte Schumacher.br Gastroenterology 2005 Mar;128(3):532-40.
Background & Aims: This aim was to determine whether endoscopic implantation of a biocompatible nonresorbable copolymer (Enteryx; Boston Scientific Corp, Natick, MA) is a more effective therapy for gastroesophageal reflux disease (GERD) than a sham procedure. Methods: In a randomized, single-blind, prospective, multicenter clinical trial, 64 patients with GERD were enrolled whose symptoms were well controlled by proton pump inhibitor (PPI) therapy and rapidly recurred after cessation of PPI therapy. Thirty-two patients were assigned to Enteryx implantation and 32 to a sham procedure consisting of standard upper endoscopy. Patients in both groups with unsatisfactory symptom relief after 3 months were eligible for re-treatment by Enteryx implantation. The primary study end point was ≥50% reduction in PPI use. Secondary end points included ≥50% improvement in GERD score and the proportion of patients not undergoing re-treatment procedure. Follow-up evaluations were performed at 3 and 6 months. Results: The percentage of Enteryx-treated patients achieving a ≥50% reduction in PPI use (81%) was greater than that of the sham group (53%), with a rate ratio of 1.52 (confidence interval [CI], 1.06–2.28; P = .023). A higher proportion of the Enteryx (68%) than sham group (41%) ceased PPI use completely (rate ratio, 1.67; CI, 1.03–2.80; P = .033). GERD health-related quality of life heartburn score improvement ≥50% was achieved by 67% of the Enteryx group versus 22% of the sham group (rate ratio, 3.05; CI, 1.55–6.33; P Leggi l’articolo
Full-text disponibile per i soci AIGO !
19/04/2005
Videocapsula e celiachia.......
Given® Capsule Endoscopy in Celiac Disease: Evaluation of Diagnostic Accuracy and Interobserver Agreement
Rima Petroniene, Elena Dubcenco, Jeffrey P. Baker, Clifford A. Ottaway, Shou-Jiang Tang, Simon A. Zanati, Cathy J. Streutker, Geoffrey W. Gardiner, Ralph E. Warren, Khursheed N. Jeejeebhoy
Am J Gastroenterol 2005; 100 (3): 685-694
BACKGROUND AND AIMS: Capsule endoscopy (CE) has been increasingly used for diagnosing diseases of the small bowel. It is an attractive technique for assessing celiac disease (CD) because it is noninvasive and provides a close and magnified view of the mucosa of the entire small bowel. In this study, we evaluated the accuracy of CE and interobserver agreement in recognizing villous atrophy (VA) using histopathology as the reference. We also explored the extent of small bowel involvement with CD and the relationship between the length of the affected bowel and the clinical presentation.METHODS: Ten CD patients with histologically proven VA and the same number of controls were subjected to CE. Four, blinded to histology findings, investigators (two with and two without prestudy CE experience) were asked to diagnose VA on CE images.RESULTS: Based on assessment of all four investigators, the overall sensitivity, specificity, PPV, and NPV of CE in diagnosing VA were 70%, 100%, 100%, and 77%, respectively. The sensitivity and the specificity of the test was 100% when the reports of experienced capsule endoscopists only were analyzed. The interobserver agreement was perfect (= 1.0) between investigators with prestudy CE experience and poor (= 0.2) between the investigators who had limited prestudy exposure to CE. Celiac patients with extensive small bowel involvement had typical symptoms of malabsorption (diarrhea, weight loss) as opposed to mild and nonspecific symptoms in patients whose disease was limited to the proximal small bowel. CE was tolerated well by all study participants with 95% reporting absence of any discomfort.CONCLUSIONS: Although based on a small sample size, the study suggests that CE may be useful in assessing patients with CD. Familiarity with CE technology appears to be a critical factor affecting the accuracy of the test. Larger studies are warranted to more precisely define the advantages and limitations of CE in CD.
10/04/2005
Esecuzione di esami endoscopici nelle donne in gravidanza o allattamento
15/03/2005
Capsula vs Enteroscopia nel sospetto Crohn ileale
Capsule endoscopy vs. push enteroscopy and enteroclysis in suspected small-bowel Crohn's disease.
André Kheng Ho Chong, Andrew Taylor, Ashley Miller, Oliver Hennessy, William Connell, Paul Desmond.
Gastrointest Endosc 2005 Feb;61(2):255-61.
Background The diagnosis of small-bowel Crohn's disease sometimes is difficult and may be missed by conventional imaging studies. Capsule endoscopy might identify small-bowel disease undetected by other investigations.Methods Patients with or without known Crohn's disease who were suspected to have small-bowel Crohn's disease were prospectively evaluated with push enteroscopy, enteroclysis, and capsule endoscopy. Each examiner was blinded to results of other investigations. Referring doctors were required to complete questionnaires before and after the investigations.Results Twenty-two patients were known to have Crohn's disease (Group 1), and 21 were suspected to have small-bowel Crohn's disease (Group 2). In Group 1, capsule endoscopy detected more erosions than the other two investigations (p Leggi l’articolo
14/03/2005
La sedazione con midazolam per via orale !!!!
Premedication with orally administered midazolam in adults undergoing diagnostic upper endoscopy: A double-blind placebo-controlled randomized trial.
Lik-man Mui, Anthony Y.B. Teoh, Enders K.W. Ng, Yuk-tong Lee, Alex C.M. Au Yeung, Yuk-ling Chan, James Y.W. Lau, S.C. Sydney Chung.
Gastrointest Endosc 2005 Feb;61(2):195-200.
Background A double-blind placebo-controlled randomized trial was conducted to investigate the safety and the efficacy of orally administered midazolam as premedication for patients undergoing elective EGD.Methods A total of 130 patients were randomized to receive either 7.5 mg of midazolam orally (n=65) or a placebo (n=65) as premedication. Outcomes measures included the anxiety score (visual analog scale) during EGD, overall tolerance, extent of amnesia, overall satisfaction, patient willingness to repeat the procedure, recovery time, and hemodynamic changes after medication.Results The median (interquartile range) anxiety score during the procedure in the midazolam group was significantly lower than that in the control group (2.0 [0-4.9] vs. 3.8 [2.1-7.95], p Leggi l’articolo
10/03/2005
Appropriatezza della colonscopia
The European Panel on the Appropriateness of Gastrointestinal Endoscopy guidelines colonoscopy in an open-access endoscopy unit: a prospective study.
F. Balaguer, J. Llach, A. Castells, J. M. Bordas, M. Ppellisé, F. Rodríguez-Moranta, A. Mata, G. Fernández-Esparrach, A. Ginès & J. M. Piqué .
Alimentary Pharmacology & Therapeutics 2005;21 (5): 609-613.
Background: The demand for gastrointestinal endoscopy is increasing in most developed countries, resulting in an important rise in overall costs and waiting lists for endoscopic procedures. Therefore, adherence to appropriate indications for these procedures is essential for the rational use of finite resources in an open-access system.Aim: To assess indications and appropriateness of colonoscopy according to the European Panel on the Appropriateness of Gastrointestinal Endoscopy (EPAGE) criteria.Methods: From May to June 2004, all consecutive patients referred to our Unit for open-access colonoscopy were considered for inclusion in this prospective study. Appropriateness of each colonoscopy was established according to the EPAGE criteria. In order to evaluate whether appropriateness of use correlated with the diagnostic yield of colonoscopy, relevant endoscopic findings were also recorded.Results: A total of 350 consecutive patients were included in the study. In 38 of them, the colonoscopy indication was not listed in the EPAGE guidelines and, consequently, they were not evaluated. In the remaining 312 patients, the indication for the procedure was considered inappropriate in 73 (23%) patients. Both referring doctor characteristics (specialty and health care setting) and patient data (age) correlated with appropriateness of endoscopy. The diagnostic yield was significantly higher for appropriate colonoscopies (42%) than in those judged inappropriate (21%) (P = 0.001).Conclusions: A noteworthy proportion of patients referred for colonoscopy to an open-access endoscopy unit are considered inappropriate because of their indication, with significant differences among specialties. These results suggest that implementation of validated guidelines for its appropriate use could improve this situation and, considering the correlation between appropriateness and diagnostic yield, even contribute to improve the prognosis of patients with colorectal diseases.
28/02/2005
Endoscopia con propofol (somministrato dagli infermieri)
V.Annese Scrive"Trained Registered Nurses/Endoscopy Teams Can Administer Propofol Safely for EndoscopyCHAR(13) + CHAR(10)Rex DK, Heuss LT, Walker JA, Qi R.CHAR(13) + CHAR(10)Gastroenterology 2005;129:1384CHAR(13) + CHAR(10)
25/02/2005
Pancreatite acuta biliare: quando l'ERCP si può evitare...
G.Lombardi Scrive"Noninvasive vs. selective invasive biliary imaging for acute biliary pancreatitis: an economic evaluation by using decision tree analysisCHAR(13) + CHAR(10)CHAR(13) + CHAR(10)Joseph Romagnuolo, Gillian Currie, the Calgary Advanced Therapeutic Endoscopy Center (ATEC) study groupCHAR(13) + CHAR(10)Gastrointest Endosc 2005 Jan;61(1):86-97
24/02/2005
Partecipare a corsi di aggiornamento migliora la performance endoscopica?
23/02/2005
Legatura vs scleroterapia in pz con trombosi portale
22/02/2005
Videocapsula: è utile la preparazione intestinale ?
21/02/2005
Obesità: efficacia del trattamento con pallone intragastrico
09/02/2005
Meta-analisi americana sulla videocapsula!
08/02/2005
Meta-analisi Italiana sulla videocapsula !
03/02/2005
La Litotrissia elettroidraulica nel trattamento dei ''calcoli difficili
28/01/2005
Gatekeeper : effetto sulle caratteristiche dinamiche del reflusso
Effect of endoscopic augmentation of the lower oesophageal sphincter (Gatekeeper reflux repair system) on intraoesophageal dynamic characteristics of acid reflux.
M Cicala, A Gabbrielli, S Emerenziani, M P L Guarino, M Ribolsi, R Caviglia, G Costamagna.
Gut 2005;54:183-186
Background and aims: Improvements in symptoms following endoscopic procedures for gastro-oesophageal reflux disease (GORD) are seldom supported by normalisation of acid exposure time at the distal oesophagus. However, the distribution of gastric acid within the proximal oesophagus is a main determinant of symptom generation in GORD patients. In this study, our aim was to assess the effect of endoscopic insertion of hydrogel expandable prostheses into the oesophageal submucosa on spatiotemporal characteristics of gastro-oesophageal reflux. Methods: Oesophageal manometry and multichannel ambulatory 24 hour pH monitoring were carried out in nine patients before and six months after the endoscopic procedure. Dynamic characteristics of gastro-oesophageal reflux in patients were also compared with those in 13 asymptomatic controls. Results: Acid exposure time (AET) at the distal oesophagus decreased from 11.7% (95% confidence interval 6.1–21.8) at baseline to 7.7% (3.7–11.6) at follow up (NS). Of the nine patients, distal AET normalised in three. AET at the middle (7.6% (2.9–12.3)) and proximal (2.4% (0.1–4.8)) oesophagus decreased significantly in all patients (2.4% (0.3–4.5), p
26/01/2005
Profilassi antibiotica per la PEG?
Antibiotic prophylaxis for percutaneous endoscopic gastrostomy for non-malignant conditions: a double-blind prospective randomized controlled trial.
Saadeddin A, Freshwater DA, Fisher NC, Jones BJ.
Aliment Pharmacol Ther. 2005 Sep 15;22(6):565-70.
22/01/2005
Correlazione della capsula con reperti radiologici, endoscopici, istologici
G.Lombardi Scrive"Capsule endoscopy findings in patients with established and suspected small-bowel Crohn’s disease: correlation with radiologic, endoscopic, and histologic findings.
Dubcenco E, Jeejeebhoy KN, Petroniene R, Tang SJ, Zalev AH, Gardiner GW, Baker JP.
Gastrointest Endosc 2005;62:538-44.CHAR(13) + CHAR(10)
19/01/2005
Valutazione tecnologica della capsula Bravo
ASGE Technology Status Evaluation Report: wireless esophageal pH monitoring system.
Chotiprashidi P, Liu J, Carpenter S, Chuttani R, Disario J, Hussain N, Somogyi L, Petersen BT; Prepared by: Technology Assessment Committee.
Gastrointest Endosc. 2005 Oct;62(4):485-7.
17/01/2005
Valutazione tecnologica dei mezzi di contrasto utilizzati durante l'ERCP
13/01/2005
Valutazione tecnologica degli accessori monouso
01/01/2005
L'esercizio migliora la preparazione intestinale!
Effectiveness of walking exercise as a bowel preparation for colonoscopy: a randomized controlled trial.
Kim HS, Park DH, Kim JW, Jee MG, Baik SK, Kwon SO, Lee DK.
Am J Gastroenterol. 2005 Sep;100(9):1964-9.