SMJ articles in the category "endoscopy"

Original Article

Factors Affecting Gastroenterologists’ Fear When Performing Endoscopies during the COVID Pandemic: Results of a US National Survey

Objectives: The coronavirus disease 2019 (COVID-19) pandemic affected the practice of gastroenterology. Endoscopic procedures are aerosolizing procedures that carry the risk of COVID-19 transmission. Our national survey examined factors affecting gastroenterologists’ fear of contracting COVID-19 during endoscopy. Methods: An institutional review board–approved multicenter cross-sectional study used a snowball sample approach…

Posted in: COVID-19 55 endoscopy 10 fear 2

Original Article

Procedural Anxiety, Pain Catastrophizing, and Procedure-Related Pain during EGD and Colonoscopy

Objectives: Although sedatives and analgesic drugs defuse anxiety and relieve pain, digestive endoscopy still is uncomfortable and painful for some patients. Identifying patients who tolerate digestive endoscopy less well remains difficult. The present study evaluated the relations between procedural anxiety, catastrophizing thoughts, and pain, using a prospective design and multimodal…

Posted in: endoscopy 10

Original Article

Increased Anesthesia Usage in a Large-Volume Endoscopy Unit: Patient Acuity Is Not the Main Predictor

Objectives: The use of monitored anesthesia care (MAC) for colonoscopy sedation continues to increase. This study examined trends during a 9-year period in the use of MAC and explored which patient variables may have influenced these trends. Methods: This was a retrospective review of all colonoscopies performed in our hospital-based…

Posted in: anesthesia 4 colon cancer 6 colonoscopy 24 endoscopy 10

Original Article

Endoscopic Surveillance for Gastric Ulcers

Objective: Gastric ulcers (GUs) can be caused by a malignancy, and endoscopists are challenged with the question of how to rule out underlying malignancy. Although routine endoscopic surveillance is not advised, it is still overused. The purpose of this study was to explore the practice in our tertiary referral center…

Posted in: endoscopy 10

Original Article

Safety of Conscious Sedation in Patients with Sleep Apnea in a Veteran Population

Objectives: Due to the presumed higher risk of cardiopulmonary complications in patients with obstructive sleep apnea (OSA), many endoscopy centers consider OSA a contraindication to using conscious sedation. We evaluated the safety of conscious sedation during endoscopy for patients with OSA in a veteran population, and compared this to patients…

Posted in: complications 13 conscious sedation 4 endoscopy 10 safety 6

Case Report

Acute Buried Bumper Syndrome

Buried bumper syndrome (BBS) is an uncommon complication of percutaneous endoscopic gastrostomy (PEG) tube placement. This unusual phenomenon occurs when the internal bumper of a PEG tube erodes and migrates through the gastric wall and becomes lodged anywhere between the gastric wall and the skin. If not removed and treated…

Posted in: endoscopy 10 PEG 2

Case Report

Pneumoretroperitoneum and Pneumoperitoneum Following Argon Plasma Coagulation for a Bleeding Duodenal Diverticulum: A Case Report

Duodenal diverticula are usually asymptomatic, with an incidence of 0.16% to 22%. Symptomatic bleeding from a duodenal diverticulum is an even rarer event. The management of such a hemorrhage is almost entirely surgically based. Since the first reported case of endoscopic therapy for duodenal diverticular bleeding (DDB) by Sim et…

Posted in: endoscopy 10 hemorrhage 7

Expired CME Article

Capsule Endoscopy: A Review

Capsule endoscopy (CE) is a novel technology that allows direct noninvasive visualization of the entire small intestine. CE permits a detailed examination in the ambulatory setting, allowing identification of clinically relevant lesions, and it is appealing to both patients and providers. There are two types of capsules that are currently…

Posted in: capsule endoscopy 3 endoscopy 10 esophagus 2 imaging 5 small intestine 4

Case Report

Gastric MALT Lymphoma in the Absence of Helicobacter pylori Infection Presenting as an Upper Gastrointestinal Hemorrhage

Gastric MALT lymphoma is almost exclusively a sequelae of Helicobacter pylori infection and rarely presents with profuse bleeding. Gastric mucosa is not normally thought to contain lymphoid tissue, yet in the presence of H pylori reactive lymphoid follicles form which are possibly throught to predispose the patient to developing lymphoma….

Posted in: endoscopy 10 radiation therapy 4 upper gastrointestinal bleeding 3

Original Article

Who Is Willing to Undergo Endoscopy Without Sedation: Patients, Nurses, or the Physicians?

Objectives: Some studies suggest that the majority of the United States population is now willing to undergo unsedated endoscopy. We studied the willingness of patients, nurses, and physicians to undergo endoscopy without sedation. Methods: Adult patients presenting to us for outpatient endoscopy at two large tertiary care level 1 trauma…

Posted in: endoscopy 10 sedation 2
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