scholarly journals Special Issue “The Next Generation of Upper Gastrointestinal Endoscopy”

Diagnostics ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. 152
Author(s):  
Hiroki Kurumi ◽  
Hajime Isomoto
Keyword(s):  
Gastrointestinal Endoscopy ◽  
Gastrointestinal Symptoms ◽  
Upper Gastrointestinal Endoscopy ◽  
Next Generation ◽  
Special Issue ◽  
First Line ◽  
The World ◽  
Upper Gastrointestinal Symptoms ◽  
Upper Gastrointestinal

Upper gastrointestinal endoscopy is now widely used as a first-line procedure to investigate upper gastrointestinal symptoms in most countries around the world [...]

scholarly journals Study on incidence of hiatus hernia in patients undergoing upper gastrointestinal endoscopy for upper gastrointestinal symptoms in a secondary care hospital

2021 ◽  
Vol 8 (3) ◽  
pp. 935
Author(s):  
Shashidhara Puttaraju ◽  
Sanhitha Purushotham
Keyword(s):  
Hiatal Hernia ◽  
Hiatus Hernia ◽  
Gastrointestinal Endoscopy ◽  
Gastrointestinal Symptoms ◽  
Upper Gastrointestinal Endoscopy ◽  
Type I ◽  
Care Hospital ◽  
Upper Gi ◽  
Upper Gastrointestinal Symptoms ◽  
Upper Gastrointestinal

Background: Hiatus hernia refers to condition in which elements of the abdominal cavity, most commonly the stomach, herniate through the oesophageal hiatus into the mediastinum.Hiatal hernia is a frequent finding during upper gastrointestinal endoscopy. Type I hiatal hernia is the sliding hiatal hernia, which accounts for more than 95% of all hiatal hernias with the remaining 5% being paraesophageal hiatal hernias taken together. Surgical therapy is recommended for patients with severe and refractory GERD symptoms such as poor compliance to long-term medical therapy and young patients wishing to avoid lifetime medical treatment. The objective of this study was to identify the associated symptoms and to determine diagnostic accuracy of endoscopic evaluation in patients with hiatus hernia.Methods: Current retrospective study comprised of 250 patients who presented with complaints of upper gastrointestinal symptoms and underwent upper gastrointestinal endoscopy in JSS hospital, Chamarajnagar during the period of October 2018 to May 2020.Results: Out of 250 patients, 162 males (64.8%) and 88 females (35.2%) were part of the study, who presented with upper GI symptoms, 12 (4.8%) patients were diagnosed with hiatus hernia. Out of these 12 cases, 9 patients (75%) were found to be having sliding type of hiatus hernia and 3 patients (25%) having rolling type.Conclusions: Early diagnosis and timely management or surgical intervention reduces morbidity associated with hiatus hernia and acid reflux. Hence, all patients presenting with persistent upper gastrointestinal symptoms should undergo upper GI endoscopy managed accordingly.

scholarly journals Gastroduodenal Morphology and Related Symptoms in Chronic Alcoholics

1997 ◽  
Vol 4 (1) ◽  
pp. 29-33 ◽  
Author(s):  
T. Hauge ◽  
J. Persson ◽  
Å. Nilsson
Keyword(s):  
Electron Microscopy ◽  
Scanning Electron Microscopy ◽  
Gastrointestinal Endoscopy ◽  
Gastrointestinal Symptoms ◽  
Control Group ◽  
Upper Gastrointestinal Endoscopy ◽  
Alcohol Group ◽  
Group 12 ◽  
Upper Gastrointestinal ◽  
Scanning Electron

Twenty-four chronic alcoholics admitted to hospital for detoxification after a drinking spree were examined by upper gastrointestinal endoscopy. Biopsy specimens were taken from corpus/fundus, antrum and duodenum for tissue histology (eosin stain). From the duodenum villus index and ultrastructure (scanning electron microscopy, SEM) were also performed. As a control group 12 subjectively healthy non-alcoholics referred to upper gastrointestinal endoscopy mainly for dyspepsia were chosen.Gastrointestinal symptoms were common in alcoholics (88%). Endoscopic and histological gastroduodenitis were not more common in the alcohol group. There was no correlation between gastrointestinal symptoms and endoscopic or histological gastroduodenitis in both groups. In the duodenum, 50% of the alcoholics and 82% in the control group had alterations by scanning electron microscopy. Ten of the 11 alcoholics with an abnormal ultrastructure had diarrhoea. In the control group dyspepsia (ulcus suspect) was correlated to a pathological SEM.

scholarly journals Endoprotector: Protective box for safe endoscopy use during COVID-19 outbreak

2020 ◽  
Vol 08 (06) ◽  
pp. E817-E821 ◽  
Author(s):  
Sara Campos ◽  
Cátia Carreira ◽  
Pedro Pinto Marques ◽  
Ana Vieira
Keyword(s):  
Potential Benefit ◽  
Gastrointestinal Endoscopy ◽  
Viral Transmission ◽  
Fluorescent Dye ◽  
Healthcare Personnel ◽  
Upper Gastrointestinal Endoscopy ◽  
Healthcare Staff ◽  
Additional Tool ◽  
The World ◽  
Upper Gastrointestinal

Abstract Background and study aim Outbreak of COVID-19 began in Wuhan in December 2019 and has rapidly spread from China to the rest of the world. Although it is primarily transmitted by contact and droplets, aerosol-generating procedures also seem to carry the possibility of airborne viral transmission. As such, upper gastrointestinal endoscopy can be considered a risky procedure, with several position statements recommending the adoption of safe practices in endoscopic procedures. This article aims to describe an additional tool to protect healthcare personnel during endoscopy. Methods A covering box made of acrylic plastic, named Endoprotector, was designed to cover the patient’s head, while taking into consideration movements performed by patients and healthcare staff during an endoscopic procedure. Results A cough simulation using fluorescent dye confirmed the potential benefit of the box during endoscopy, thus protecting healthcare staff from air droplets. The feasibility and practicality of the box was also tested with patients during endoscopy. Conclusion The reusable Endoprotector is easily and affordably manufactured and may reduce air droplets and airborne transmission of SARS-CoV-2 and other microorganisms during endoscopy.

scholarly journals The Predictive Value of Pre-Operative Symptoms Including Upper Gastrointestinal Endoscopy Before Laparoscopic Cholecystectomy for Elective Symptomatic Cholecystolithiasis

2015 ◽  
Vol 11 (4) ◽  
pp. 300-304 ◽  
Author(s):  
A Karmacharya ◽  
BR Malla ◽  
HN Joshi ◽  
RB Gurung ◽  
M Rajbhandari
Keyword(s):  
Gastrointestinal Endoscopy ◽  
Gall Stone ◽  
Age Groups ◽  
Gastrointestinal Symptoms ◽  
Stone Disease ◽  
Upper Gastrointestinal Endoscopy ◽  
Ulcer Disease ◽  
Abdominal Symptoms ◽  
Gall Stones ◽  
Upper Gastrointestinal

Background It has always been a challenge to distinguish between upper gastrointestinal symptoms due to gall stones or any other causes. The persistence of abdominal symptoms even after cholecystectomy is highly discouraging for surgeons. Objective To evaluate the value of preoperative (UGE) as a routine investigative tool in patients with gall stone disease and to assess the outcome of cholecystectomy in patients with gallstones on preoperative abdominal symptoms.Methods This is a prospective study conducted on 96 cases at the Department of Surgery, Dhulikhel Hospital among ultrasonographically proven gall bladder stones irrespective of age and sex. After the examination, all the patients were subjected to UGE, and biopsy were obtained for histopathology if required. The statistical analysis were performed using spss version 16.Results Out of total patients, 84(87.5%) were females and 12(12.5%) were males with a M: F ratio of 1:7. Both the sexes were comparable in age groups. Out of total 96 patients, 53(55.2%) presented with typical pain and 43(44.8%) presented with atypical pain. All the patients were subjected to upper gastrointestinal endoscopy (UGE) and 53(55.2%) had normal findings and 43(44.8%) had various lesions. Patients with typical pattern of pain had normal endoscopic findings and those with atypical pain had pathology in upper gastroendoscopy (p<0.001). Serious pathology resulting to change of the planned treatment was found in three cases (3.12%). Among them two had gastric carcinoma and one had active peptic ulcer disease. The relief rate after the cholecystectomy was significant in patients with typical pain than among those with atypical pain (p<0.001). The commenest post cholecystectomy symptoms were heart burn (10%), abdominal discomfort (9%) and dyspepsia (7%).Conclusion Presence of atypical pain in patients with gall stones is highly likely to have other coexisting upper gastrointestinal pathologies. Hence, upper gastrointestinal endoscopy prior to elective cholecystectomy in patients with gall stones can be clinically helpful.Kathmandu Univ Med J 2013; 11(4): 300-304

scholarly journals Phlegmonous Gastritis Following Coronary Bypass Surgery

1999 ◽  
Vol 13 (10) ◽  
pp. 837-839 ◽  
Author(s):  
J Radhi ◽  
M Kamouna ◽  
J Nyssen
Keyword(s):  
Bacterial Infection ◽  
Bypass Surgery ◽  
Gastrointestinal Endoscopy ◽  
Gastrointestinal Symptoms ◽  
Coronary Bypass ◽  
Coronary Bypass Surgery ◽  
Upper Gastrointestinal Endoscopy ◽  
Gastric Aspirate ◽  
Phlegmonous Gastritis ◽  
Upper Gastrointestinal

Phlegmonous gastritis is a rare, rapidly progressive and potentially fatal gastric bacterial infection. A case of phlegmonous gastritis following a coronary bypass surgery is described. This condition was not diagnosed premortem due to the nonspecific nature of the gastrointestinal symptoms. Upper gastrointestinal endoscopy may be of value in establishing the diagnosis in emergencies with culture of gastric aspirate and biopsy.

scholarly journals Study of upper gastrointestinal endoscopy in patients with gastrointestinal symptoms

2019 ◽  
Vol 6 (10) ◽  
pp. 3595
Author(s):  
Shashidhara Puttaraju ◽  
Sudarshana Sreramaseshadri R. M.
Keyword(s):  
Gastrointestinal Endoscopy ◽  
Gastrointestinal Symptoms ◽  
Significant Risk ◽  
Upper Gastrointestinal Endoscopy ◽  
Therapeutic Tool ◽  
Gi Endoscopy ◽  
Upper Gi ◽  
Gi Symptoms ◽  
Upper Gi Endoscopy ◽  
Upper Gastrointestinal

Background: Upper gastrointestinal (GI) symptoms are the commonest complaints among the general population and the diseases associated with them carries a significant risk of morbidity and mortality. Hence early diagnosis and appropriate management of the condition can prevent life threatening complications. Upper GI endoscopy is an effective diagnostic as well as therapeutic tool for the patients presenting with upper GI symptoms. The objective of the study is to show the effectiveness of upper gastrointestinal endoscopy as an initial diagnostic, screening and therapeutic tool in patients with upper GI symptoms.Methods: Present study comprises of 100 patients presenting with upper gastrointestinal symptoms at JSS Hospital, Chamarajanagar (both out-patients and referred patients) during the period of October 2018 to June 2019, who underwent upper GI endoscopy.Results: Out of 100 patients, 60 were males and 40 were females. In the study majority of the patients were found to have gastritis, esophagitis and acid peptic disease. Other patients had malignant changes, reflux disease, hiatus hernia, perforation, foreign body, obstruction and esophageal varices.Conclusions: Upper GI endoscopy is a simple, safe, more reliable and valuable tool with easy learning curve. It will remain as the initial investigation of choice for the patients with upper GI symptoms. It plays a significant role as a screening, diagnostic as well as therapeutic tool.

scholarly journals Study on incidence of oesophageal carcinoma in patients undergoing upper gastrointestinal endoscopy for upper gastrointestinal symptoms in a secondary care hospital

2019 ◽  
Vol 7 (1) ◽  
pp. 222
Author(s):  
Shashidhara Puttaraju ◽  
Deva Keerthana Yesudian Gnanakumar
Keyword(s):  
Early Stage ◽  
Gastrointestinal Symptoms ◽  
Oesophageal Carcinoma ◽  
Upper Gastrointestinal Endoscopy ◽  
High Morbidity ◽  
Care Hospital ◽  
Multiple Biopsies ◽  
Upper Gastrointestinal Symptoms ◽  
Upper Gastrointestinal ◽  
Suspicious Lesions

Background: Oesophageal carcinoma is one of the leading causes of cancer related deaths worldwide and is also associated with high morbidity. Hence early diagnosis and treatment are the only effective way to improve survival and quality of life in oesophageal carcinoma patients. Early-stage oesophageal carcinoma are often asymptomatic and may also present with common upper gastrointestinal symptoms hence diagnosis of early oesophageal carcinoma is only based on detection of suspicious lesions through endoscopy and histopathological evaluation of biopsies from these suspicious lesions. The study is designed to see whether using alarming upper gastrointestinal symptoms, risk of oesophageal carcinoma in patients can be predicted.Methods: Present study comprises of 200 patients presenting with upper gastrointestinal symptoms at JSS Hospital, Chamarajanagar (both out patients and referred patients) during the period of October 2018 to December 2019, who underwent upper gastrointestinal endoscopy.Results: Out of 200 patients, 135 patients were males and 65 patients were females. According to the study, dysphagia was found to be a significant predictive factor and in contrary to the global statistics this study showed females aged more than 60 years were significantly at higher risk of developing oesophageal carcinoma.Conclusions: We recommend to do an early endoscopy for any patient presenting with upper gastrointestinal symptoms and to take multiple biopsies from any suspicious lesion especially for male gender older than 50 years and female gender older than 60 years presenting with dysphagia.

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