scholarly journals A COMPARISON OF CHLORMETHIAZOLE AND DIAZEPAM AS INTRAVENOUS SEDATIVES FOR FIBRE-ENDOSCOPIC EXAMINATION OF THE UPPER GASTROINTESTINAL TRACT

1975 ◽  
Vol 47 (3) ◽  
pp. 402-407 ◽  
Author(s):  
E.J. GALIZIA ◽  
C. METREWELI ◽  
B.J. PROUT
Keyword(s):  
Gastrointestinal Tract ◽  
Endoscopic Examination ◽  
Upper Gastrointestinal Tract ◽  
Upper Gastrointestinal

scholarly journals Full-thickness resection device (FTRD) for treatment of upper gastrointestinal tract lesions: the first international experience

2020 ◽  
Vol 08 (10) ◽  
pp. E1291-E1301
Author(s):  
Mouen A. Khashab ◽  
Reem Z. Sharaiha ◽  
Kaveh Hajifathalian ◽  
Yervant Ichkhanian ◽  
Qais Dawod ◽  
...  
Keyword(s):  
Gastrointestinal Tract ◽  
Endoscopic Resection ◽  
Early Recurrence ◽  
Endoscopic Examination ◽  
Upper Gastrointestinal Tract ◽  
R0 Resection ◽  
Full Thickness ◽  
Technical Success Rate ◽  
Average Size ◽  
Upper Gastrointestinal

Abstract Background and study aims The Full-Thickness Resection Device (FTRD) provides a novel treatment option for lesions not amenable to conventional endoscopic resection techniques. There are limited data on the efficacy and safety of FTRD for resection of upper gastrointestinal tract (GIT) lesions. Patients and methods This was an international multicenter retrospective study, including patients who had an endoscopic resection of an upper GIT lesion using the FTRD between January 2017 and February 2019. Results Fifty-six patients from 13 centers were included. The most common lesions were mesenchymal neoplasms (n = 23, 41 %), adenomas (n = 7, 13 %), and hamartomas (n = 6, 11 %). Eighty-four percent of lesions were located in the stomach, and 14 % in the duodenum. The average size of lesions was 14 mm (range 3 to 33 mm). Deployment of the FTRD was technically successful in 93 % of patients (n = 52) leading to complete and partial resection in 43 (77 %) and 9 (16 %) patients, respectively. Overall, the FTRD led to negative histological margins (R0 resection) in 38 (68 %) of patients. A total of 12 (21 %) mild or moderate adverse events (AEs) were reported. Follow-up endoscopy was performed in 31 patients (55 %), on average 88 days after the procedure (IQR 68–138 days). Of these, 30 patients (97 %) did not have any residual or recurrent lesion on endoscopic examination and biopsy, with residual adenoma in one patient (3 %). Conclusions Our results suggest a high technical success rate and an acceptable histologically complete resection rate, with a low risk of AEs and early recurrence for FTRD resection of upper GIT lesions.

scholarly journals THE USE OF THE FORCEPS BIOPSY AS AN AUXILIARY TECHNIQUE FOR THE VISUALIZATION OF THE MAJOR DUODENAL PAPILLA USING THE FOWARD-VIEWING UPPER ENDOSCOPY

2018 ◽  
Vol 55 (1) ◽  
pp. 46-49
Author(s):  
Nathalia Saber de ANDRADE ◽  
Ana Maria Félix ANDRÉ ◽  
Victor Hugo Perches FERREIRA ◽  
Lincoln Eduardo Villela Vieira de Castro FERREIRA
Keyword(s):  
Gastrointestinal Tract ◽  
Endoscopic Examination ◽  
Upper Gastrointestinal Tract ◽  
Upper Endoscopy ◽  
Biopsy Forceps ◽  
Duodenal Papilla ◽  
Forceps Biopsy ◽  
Additional Tool ◽  
Major Duodenal Papilla ◽  
Upper Gastrointestinal

ABSTRACT BACKGROUND: - Conventional esophagogastroduodenoscopy is the best method for evaluation of the upper gastrointestinal tract, but it has limitations for the identification of the major duodenal papilla, even after the use of the straightening maneuver. Side-viewing duodenoscope is recommended for optimal examination of major duodenal papilla in patients at high risk for lesions in this region. OBJECTIVE: To evaluate the use of the biopsy forceps during conventional esophagogastroduodenoscopy as an additional tool to the straightening maneuver, in the evaluation of the major duodenal papilla. METHODS: A total of 671 patients were studied between 2013 and 2015, with active major duodenal papilla search in three endoscope steps: not straightened, straightened and use of the biopsy forceps after straightening. In all of them it was recorded whether: major duodenal papilla was fully visualized (position A), partially visualized (position B) or not visualized (position C). If major duodenal papilla was not fully visualized, patients continued to the next step. RESULTS: A total of 341 were female (50.8%) with mean age of 49 years. Of the 671 patients, 324 (48.3%) major duodenal papilla was identified in position A, 112 (16.7%) in position B and 235 (35%) in position C. In the 347 patients who underwent the straightening maneuver, position A was found in 186 (53.6%), position B in 51 (14.7%) and position C in 110 (31.7%). Of the 161 remaining patients and after biopsy forceps use, position A was seen in 94 (58.4%), position B in 14 (8.7%) and position C in 53 (32.9%). The overall rate of complete visualization of major duodenal papilla was 90%. CONCLUSION: The use of the biopsy forceps significantly increased the total major duodenal papilla visualization rate by 14%, reaching 604/671 (90%) of the patients (P<0.01) and it can be easily incorporated into the routine endoscopic examination of the upper gastrointestinal tract.

Endoscopic examination of the upper gastrointestinal tract in infancy

1983 ◽  
Vol 29 (1) ◽  
pp. 15-17 ◽  
Author(s):  
Mei-Hwei Chang ◽  
Teh-Hong Wang ◽  
Juei-Yung Hsu ◽  
Ting-Chien Lee ◽  
Cheng-Yi Wang ◽  
...  
Keyword(s):  
Gastrointestinal Tract ◽  
Endoscopic Examination ◽  
Upper Gastrointestinal Tract ◽  
Upper Gastrointestinal

Intraluminal Pressures from the Upper Gastrointestinal Tract

1957 ◽  
Vol 32 (6) ◽  
pp. 1013-1024 ◽  
Author(s):  
E. Clinton Texter ◽  
Hubbard W. Smith ◽  
Hugo C. Moeller ◽  
Clifford J. Barborka
Keyword(s):  
Gastrointestinal Tract ◽  
Upper Gastrointestinal Tract ◽  
Upper Gastrointestinal
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