Management dell’EUS interventistica
- Dettagli
- Categoria: Linee guida
Consensus guidelines on the optimal management in interventional EUS procedures: results from the Asian EUS group RAND/UCLA expert panel. Anthony Y B Teoh, Vinay Dhir, Mitsuhiro Kida, Ichiro Yasuda, Zhen Dong Jin, Dong Wan Seo, Majid Almadi, Tiing Leong Ang, Kazuo Hara, Ida Hilmi, Takao Itoi, Sundeep Lakhtakia, Koji Matsuda, Nonthalee Pausawasdi, Rajesh Puri, Raymond S Tang, Hsiu-Po Wang, Ai Ming Yang, Robert Hawes, Shyam Varadarajulu, Kenjiro Yasuda, Lawrence Khek Yu Ho. Gut 2018;67:1209-1228.
Objectives Interventional endoscopic ultrasonography (EUS) procedures are gaining popularity and the most commonly performed procedures include EUS-guided drainage of pancreatic pseudocyst, EUS-guided biliary drainage, EUS-guided pancreatic duct drainage and EUS-guided celiac plexus ablation. The aim of this paper is to formulate a set of practice guidelines addressing various aspects of the above procedures.Methods Formulation of the guidelines was based on the best scientific evidence available.
La polvere emostatica si può usare anche nel sanguinamento da varici
- Dettagli
- Categoria: Endoscopia
Early application of haemostatic powder added to standard management for oesophagogastric variceal bleeding: a randomised trial.Ibrahim M, El-Mikkawy A, Abdel Hamid M, Abdalla H, Lemmers A, Mostafa I, Devière J. Gut. 2018 May 5. [Epub ahead of print]
BACKGROUND:Acute variceal bleeding (AVB) requires early therapeutic management by experienced endoscopists that often poses logistical challenges for hospitals. We assessed a different management concept with early application of haemostatic powder-which does not require high endoscopic expertise-added to conventional management in a randomised trial.
Review su tecniche endoscopiche per la diagnosi di displasia nelle IBD
- Dettagli
- Categoria: Endoscopia
Comparison of Endoscopic Dysplasia Detection Techniques in Patients With Ulcerative Colitis: A Systematic Review and Network Meta-analysis.Bessissow T, Dulai PS, Restellini S, Landry T, Bisschops R, Murad MH, Singh S. Inflamm Bowel Dis. 2018 May 25 [Epub ahead of print]
Background:We assessed the comparative efficacy of different dysplasia detection techniques in patients with ulcerative colitis (UC) through a network meta-analysis and rated the quality of evidence using GRADE approach.
Review su microbiota e antibiotici non assorbibili
- Dettagli
- Categoria: Gastroenterologia
New concepts on intestinal microbiota and the role of the non-absorbable antibiotics with special reference to rifaximin in digestive diseases.Bajaj JS, Barbara G, DuPont HL, Mearin F, Gasbarrini A, Tack J. Dig Liver Dis. 2018 Apr 27. [Epub ahead of print]
Digestive diseases are a broad range of chronic disorders that substantially and negatively impact the patients' quality of life. Here, we review our current understanding on the pathophysiology of hepatic encephalopathy, irritable bowel syndrome, and diverticular disease, with a special focus on the gut microbiota composition associated with these disorders. Furthermore, we review the current clinical practice for their therapeutic treatments, including probiotics, diet change, non-adsorbable disaccharides, and antibiotics. We highlight that broad-spectrum non-adsorbable antibiotics, such as rifaximin, are quite effective and safe for the treatment of all essayed digestive diseases.
PPI possono causare neoplasie gastriche….
- Dettagli
- Categoria: Gastroenterologia
Proton pump inhibitors (PPIs) may cause gastric cancer - clinical consequences.Waldum HL, Sørdal Ø, Fossmark R. Scand J Gastroenterol. 2018 May 31:1-4.
Recently, two epidemiological studies showed that long-term treatment with proton pump inhibitors (PPIs) increased the risk of gastric cancer. It is well known that hypergastrinemia predisposes to gastric neoplasia in animals as well as man.
