Accuratezza dell’NBI nel valutare il livello di invasione dei polipi del colon-retto
- Dettagli
- Categoria: Endoscopia
Accuracy of the Narrow-band Imaging International Colorectal Endoscopic Classification System in Identification of Deep Invasion in Colorectal Polyps.Puig I, López-Cerón M, Arnau A, Rosiñol Ò, Cuatrecasas M, Herreros-de-Tejada A, Ferrández Á, Serra-Burriel M, Nogales Ó, Vida F, de Castro L, López-Vicente J, Vega P, Álvarez-González MA, González-Santiago J, Hernández-Conde M, Díez-Redondo P, Sánchez LR, Gimeno-García AZ, Burgos A, García-Alonso FJ, Bustamante-Balén M, Martínez-Bauer E, Peñas B, Pellise M; EndoCAR group, Spanish Gastroenterological Association and the Spanish Digestive Endoscopy Society. Gastroenterology. 2018 [Epub ahead of print]
BACKGROUND & AIMS:T1 colorectal polyps with at least 1 risk factor for metastasis to lymph node should be treated surgically and are considered endoscopically unresectable. Optical analysis, based on the narrow-band imaging international colorectal endoscopic (NICE) classification system, is used to identify neoplasias with invasion of the submucosa that require endoscopic treatment. We assessed the accuracy of the NICE classification, along with other morphologic characteristics, in identifying invasive polys that are endoscopically unresectable (have at least 1 risk factor for metastasis to lymph node).
Impatto delle malattie gastrointestinali negli USA : update 2018
- Dettagli
- Categoria: Gastroenterologia
Burden and Cost of Gastrointestinal, Liver, and Pancreatic Diseases in the United States: Update 2018.Peery AF, Crockett SD, Murphy CC, Lund JL, Dellon ES, Williams JL, Jensen ET, Shaheen NJ, Barritt AS, Lieber SR, Kochar B, Barnes EL, Fan YC, Pate V, Galanko J, Baron TH, Sandler RS. Gastroenterology. 2018 [Epub ahead of print]
BACKGROUND & AIMS:Estimates of disease burden can inform national health priorities for research, clinical care, and policy. We aimed to estimate health care use and spending among gastrointestinal (GI) (including luminal, liver, and pancreatic) diseases in the United States.METHODS:We estimated health care use and spending based on the most currently available administrative claims from commercial and Medicare Supplemental plans, data from the GI Quality Improvement Consortium Registry, and national databases.
Decompressione della via biliare migliora la sopravvivenza del colangio-ca
- Dettagli
- Categoria: Endoscopia
Biliary Decompression in Perihilar Cholangiocarcinoma Improves Survival: A Single-Center Retrospective Analysis.Cassani LS, Chouhan J, Chan C, Lanke G, Chen HC, Wang X, Weston B, Ross WA, Raju GS, Lee JH. Dig Dis Sci. 2018 [Epub ahead of print]
BACKGROUND AND AIMS:The complex biliary strictures of perihilar cholangiocarcinoma present significant challenges for providing adequate and long-lasting biliary drainage. The best approach to relieve obstruction remains controversial. The purpose of this study was to assess stenting outcomes in perihilar cholangiocarcinoma
Grading della gastrite atrofia utile per la stratificazione del rischio di cancro
- Dettagli
- Categoria: Gastroenterologia
Grading of Atrophic Gastritis is Useful for Risk Stratification in Endoscopic Screening for Gastric Cancer.Kaji K, Hashiba A, Uotani C, Yamaguchi Y, Ueno T, Ohno K, Takabatake I, Wakabayashi T, Doyama H, Ninomiya I, Kiriyama M, Ohyama S, Yoneshima M, Koyama N, Takeda Y, Yasuda K. Am J Gastroenterol. 2018 [Epub ahead of print]
OBJECTIVES:In order to screen for gastric cancer effectively, its interval should be set according to the risk. This study aimed to determine whether risk stratification is possible using the data obtained from medical examination or endoscopic findings.
EBD+ iniezione di steroidi nelle stenosi anastomotiche
- Dettagli
- Categoria: Endoscopia
Endoscopic Balloon Dilation Followed By Intralesional Steroid Injection for Anastomotic Strictures After Esophagectomy: A Randomized Controlled Trial.Hanaoka N, Ishihara R, Motoori M, Takeuchi Y, Uedo N, Matsuura N, Hayashi Y, Yamada T, Yamashina T, Higashino K, Akasaka T, Yano M, Ito Y9 Miyata H, Sugimura K, Hamada K, Yamasaki Y, Kanesaka T, Aoi K, Ito T, Iishi H. Am J Gastroenterol. 2018 Sep 4. [Epub ahead of print]
OBJECTIVE:Endoscopic balloon dilation (EBD) is a standard treatment for anastomotic strictures after esophagectomy, and requires multiple dilations. We conducted a randomized controlled trial to assess the efficacy of adding a steroid injection to EBD to reduce restricture.METHODS:Patients were randomized to receive EBD combined with either triamcinolone or placebo injection.
