检索结果-南通市图书馆

Gastrostomy tubes: Fundamentals, periprocedural considerations, and best practices

World Journal of Gastrointestinal Surgery 2022年第4期14卷 286-303页

作者： Anand Rajan Peerapol Wangrattanapranee Jonathan Kessler trilokesh dey kidambi James H Tabibian Department ofGastroenterology Olive View-UCLA Medical CenterSylmarCA 91342United States Department ofGastroenterology City of Hope Medical CenterDuarteCA 91010United States Department ofMedicine Keck School of Medicine of USCLos AngelesCA 90033United States Department ofInterventional Radiology City of Hope Medical CenterDuarteCA 91010United States Department ofGastroenterology UCLA-Olive View Medical CenterSylmarCA 91342United States

Gastrostomy tube placement is a procedure that achieves enteral access for nutrition,decompression,and medication *** evaluation and selection of patients is necessary to provide optimal benefit and reduce the risk of adverse events(AEs).Appropriate indications,contraindications,ethical considerations,and comorbidities of patients referred for gastrostomy placement should be weighed and ***,endoscopist should consider either a transoral or transabdominal approach is appropriate,and radiologic or surgical gastrostomy tube placement is ***,medical history,physical examination,and imaging prior to the procedure should be considered to tailor the appropriate approach and reduce the risk of AEs.

关键词： Gastrostomy Gastropexy Enterostomy Decompression Enteral nutrition Endoscopy

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Assessing the yield and safety of endoscopy in acute graft-vs-host disease after hematopoietic stem cell transplant

引用

World Journal of Gastrointestinal Endoscopy 2020年第10期12卷 341-354页

作者： Anand V Rajan Harry Trieu Peiguo Chu James Lin trilokesh dey kidambi Department of Medicine City of Hope Medical CenterDuarteCA 91010United States Department of Medicine UCLA-Olive View Medical CenterSylmarCA 91342United States Keck School of Medicine University of Southern CaliforniaLos AngelesCA 90089United States Department of Gastroenterology City of HopeDuarteCA 91010United States

BACKGROUND Acute gastrointestinal(GI)graft-vs-host disease(aGVHD)is the most complication of hematopoietic stem cell transplant(HSCT)in patients with hematologic *** data exists on endoscopic evaluation of GVHD in post-HSCT patients with differing GI ***,the diagnostic value of gross endoscopic findings as well as the safety of endoscopy in this commonly thrombocytopenic and neutropenic patient population remains *** To understand the diagnostic value of symptoms and gross endoscopic findings as well as safety of endoscopy in aGVHD *** We analyzed 195 endoscopies performed at City of Hope in patients who underwent allogeneic HSCT less than 100 d prior for hematologic malignancy and were subsequently evaluated for aGVHD via *** yield,sensitivity,and specificity of diagnosing aGVHD were calculated for upper and lower endoscopy,various GI tract locations,and presenting *** Combined esophagogastroduodenoscopy(EGD)and flexible sigmoidoscopy(FS)demonstrated a greater diagnostic yield for aGVHD(83.1%)compared to EGD(66.7%)or FS(77.2%)alone with any presenting *** upper and lower GI tract demonstrated similar yields regardless of whether patients presented with diarrhea(95.7%vs 99.1%)or nausea/vomiting(97.5%vs 96.8%).Normalappearing mucosa was generally as specific(91.3%)as abnormal mucosa(58.7%-97.8%)for the presence of *** events such as bleeding(1.0%),infection(1.0%),and perforation(0.5%)only occurred in a small proportion of patients,with no significant differences in those with underlying thrombocytopenia(P=1.000)and neutropenia(P=0.425).CONCLUSION Combined EGD and FS with biopsies of normal and inflamed mucosa demonstrated the greatest diagnostic yield regardless of presenting symptom and appears to be safe in this population of patients.

关键词： Graft-vs-host disease Esophagogastroduodenoscopy Colonoscopy Endoscopy Flexible sigmoidoscopy Stem cell transplant Hematopoietic stem cell transplant Thrombocytopenia Neutropenia Malignancy

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Temporal trends in the relative prevalence of dysphagia etiologies from 1999-2009

引用

World Journal of Gastroenterology 2012年第32期18卷 4335-4341页

作者： trilokesh kidambi Erin Toto Nancy Ho Tiffany Taft Ikuo Hirano Division of Gastroenterology Northwestern University Feinberg School of MedicineChicagoIL 60611United States Department of Medicine University of California at San FranciscoSan FranciscoCA 94143United States Department of Medicine Northwestern University Feinberg School of MedicineChicagoIL 60611United States

AIM:To examine the relative prevalence and temporal variation of dysphagia etiologies in patients undergoing upper endoscopy(EGD) over the past ***:EGDs with the indication of dysphagia at an urban,university medical center in 1999,2004 and 2009 were retrospectively identified from the electronic medical *** entire patient chart,including EGD,pathology,manometry,radiographic and clinician reports,was reviewed for demographic and clinical data and to determine the etiology of *** number of EGDs in which an esophageal biopsy was performed was also *** reflux disease(GERD) as a cause of dysphagia independent of peptic stricture was defined by symptoms with erosive esophagitis or symptom response to proton pump inhibition(PPI).Cases of eosinophilic esophagitis(EoE) were defined by an appropriate clinical history and histological criteria of ≥ 15 eosinophils per high powered ***-responsive esophageal eosinophilia was not routinely reported prior to *** analysis was performed using one-way analysis of variance to analyze for trends between 1999,2004 and 2009 and a post-hoc Tukey analysis was performed following a significant main ***:A total of 1371 cases(mean age 54 years,43% male) met pre-specified inclusion criteria with 191,504 and 675 cases in 1999,2004 and 2009,*** were older in 2004 compared to 2009(mean ± SD,54.0 ± 15.7 years vs 52.3 ± 16.8 years,P = 0.02) and there were more males in 1999 compared to 2004(57.5% vs 40.8%,P = 0.005).Overall,GERD(27.6%) and EoE(7.7%) were the most common identifiable causes of *** unspecified diagnosis accounted for 21% of overall *** were no significant differences in the relative prevalence of achalasia or other motility disorders,peptic stricture,Schatzki's ring,esophageal cancer or unspecified diagnoses over the 10-year time *** was,however,a decrease in the relative prevalence of GERD(39.3% vs 24.1%,P < 0.001

关键词： Eosinophilic esophagitis Gastroesophageal reflux disease Dysphagia Endoscopy Esophagitis Esophageal diseases

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Endoscopy is of low yield in the identification of gastrointestinal neoplasia in patients with dermatomyositis: A cross-sectional study

引用

World Journal of Gastroenterology 2017年第26期23卷 4788-4795页

作者： trilokesh D kidambi Gabriela Schmajuk Andrew J Gross James W Ostroff Jonathan P Terdiman Jeffrey K Lee Division of Gastroenterology University of California Division of Rheumatology University of California Division of Rheumatology San Francisco Veterans Affairs Medical Center

To determine the prevalence of gastrointestinal neoplasia among dermatomyositis patients who underwent an esophagogastroduodenoscopy and/or colonoscopy. METHODSA cross-sectional study examining the results of upper endoscopy and colonoscopy in adults with dermatomyositis at an urban, university hospital over a ten year period was performed. Chart review was performed to confirm the diagnosis of dermatomyositis. Findings on endoscopy were collected and statistical analyses stratified by age and presence of symptoms were performed. RESULTSAmong 373 adult patients identified through a code based search strategy, only 163 patients had dermatomyositis confirmed by chart review. Of the 47 patients who underwent upper endoscopy, two cases of Barrett’s esophagus without dysplasia were identified and there were no cases of malignancy. Of the 67 patients who underwent colonoscopy, no cases of malignancy were identified and an adenoma was identified in 15% of cases. No significant differences were identified in the yield of endoscopy when stratified by age or presence of symptoms. CONCLUSIONThe yield of endoscopy is low in patients with dermatomyositis and is likely similar to the general population; we identified no cases of malignancy. A code based search strategy is inaccurate for the diagnosis of dermatomyositis, calling into question the results of prior population-based studies. Larger studies with rigorously validated search strategies are necessary to understand the risk of gastrointestinal malignancy in patients with dermatomyositis.

关键词： Endoscopy Dermatomyositis Colon cancer Screening

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：