Techniques in Gastrointestinal EndoscopyThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

This page shows you the latest items in this publication.

CoverEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Techniques in Gastrointestinal Endoscopy - July 1, 2009 Category: Gastroenterology Source Type: journals

MastheadEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Techniques in Gastrointestinal Endoscopy - July 1, 2009 Category: Gastroenterology Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Techniques in Gastrointestinal Endoscopy - July 1, 2009 Category: Gastroenterology Source Type: journals

Table of ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Techniques in Gastrointestinal Endoscopy - July 1, 2009 Category: Gastroenterology Source Type: journals

IntroductionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Pulmonary medicine and Gastroenterology are similar disciplines which involve the study of a specific organ system which can be affected by either disorders unique to that organ system or by systemic diseases that have secondary effects upon the target organs. Both disciplines rely upon a broad knowledge of internal medicine, superb diagnostic instincts, and technical expertise in the performance of diagnostic and therapeutic endoscopic procedures. Gastrointestinal endoscopy leapfrogged ahead of pulmonary endoscopy in the 1970s, buoyed by the indications for screening sigmoidoscopy, colonoscopy and esophagoscopy, as well b...
Source: Techniques in Gastrointestinal Endoscopy - July 1, 2009 Category: Gastroenterology Authors: Daniel H. Sterman Source Type: journals

Hepatic hydrothorax: current approaches to diagnosis and therapyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Hepatic hydrothorax (HH) is a troublesome pulmonary complication that can arise in end-stage liver disease patients and can significantly impair patient quality of life and functional ability. The presence of portal hypertension, the accumulation of ascites, and subsequent fluid translocation through diaphragmatic fenestrations underlies this complication. Other pleural effusion etiologies must be excluded to ensure alternative diagnoses are not the pleural effusion source. Once attributed to HH, management and an optimal patient outcome can be difficult to achieve. This review will discuss the current understanding and va...
Source: Techniques in Gastrointestinal Endoscopy - July 1, 2009 Category: Gastroenterology Authors: Andrew R. Haas, Michael S. Machuzak Source Type: journals

Airway stenting for malignant aerodigestive fistulae: A critical review of the literature and treatment recommendationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The development of trachea- or broncho-esophageal fistulae is a devastating thoracic malignancy complication leading to increased morbidity and mortality due to pneumonia, sepsis, and malnutrition. Due to this high morbidity and mortality, attempts to close or cover the fistula are often undertaken. Multiple modalities have been evaluated and reported to treat malignant aerodigestive fistulae (MAF), although no single approach has become the standard of care. The American College of Chest Physicians recommends palliative stenting for MAF, but this approach may not be effective depending on size, configuration, and position...
Source: Techniques in Gastrointestinal Endoscopy - July 1, 2009 Category: Gastroenterology Authors: Anthony R. Lanfranco, Andrew Haas, Daniel Sterman Source Type: journals

Pulmonary complications of inflammatory bowel disease: focus on management issuesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Pulmonary complications of inflammatory bowel disease (IBD) have been increasingly recognized and reported in the literature. The complications can involve the lung parenchyma, pleural space, and small or large airways. Although the mechanism of pulmonary involvement in IBD is not clearly understood, there are pathological similarities between the disease seen in the lungs and that in the bowel. Accurate diagnosis involves a combination of patient history, symptom review, thoracic imaging modalities, and bronchoscopic evaluation. We will summarize the various IBD-associated pulmonary complications, and specifically focus o...
Source: Techniques in Gastrointestinal Endoscopy - July 1, 2009 Category: Gastroenterology Authors: Edmund Moon, Colin T. Gillespie, Anil Vachani Source Type: journals

The role of endobronchial ultrasound in the diagnosis and staging of gastrointestinal malignanciesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article aims to discuss the benefits derived from using EBUS in the diagnosis, staging, and treatment of gastrointestinal malignancies.
Source: Techniques in Gastrointestinal Endoscopy - July 1, 2009 Category: Gastroenterology Authors: Hans J. Lee, Andrew R. Haas, Ali I. Musani, Jonathan T. Puchalski Source Type: journals

Management of endobronchial metastasis of colorectal carcinomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Although the exact incidence of nonbronchogenic endobronchial metastatic (EBM) disease is unknown, it appears a rare cause of central airway obstruction. It is likely that nonpulmonary endobronchial metastases are underdiagnosed, as many patients with known or suspected lung parenchymal metastases do not undergo bronchoscopy as part of their clinical evaluation. Colorectal carcinoma, the third most common cancer, remains a predominant cause of nonlung EBM. Other gastrointestinal tumors (gastric, pancreatic, hepatocellular, ampullary, and esophageal carcinoma) are also known to metastasize to the central airways. A high ind...
Source: Techniques in Gastrointestinal Endoscopy - July 1, 2009 Category: Gastroenterology Authors: Mark E. Lund, Steven Leh, Daniel H. Sterman Source Type: journals

E(B)US-guided pulmonary interventionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Transesophageal ultrasound-guided fine needle aspiration (EUS-FNA) enables minimally invasive tissue sampling of mediastinal lymph nodes. There is convincing evidence that EUS-FNA is an accurate method for mediastinal staging of patients with non small cell lung cancer (NSCLC), and therefore EUS-FNA provides an alternative for surgical evaluation of the mediastinum. Due to the complementary reach in analyzing different mediastinal regions, additional staging by EUS-FNA to mediastinoscopy improves preoperative staging of NSCLC and therefore reduces the number of futile thoracotomies. Preliminary data suggest an important ro...
Source: Techniques in Gastrointestinal Endoscopy - July 1, 2009 Category: Gastroenterology Authors: Jouke T. Annema Source Type: journals

CoverEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Techniques in Gastrointestinal Endoscopy - April 1, 2009 Category: Gastroenterology Source Type: journals

MastheadEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Techniques in Gastrointestinal Endoscopy - April 1, 2009 Category: Gastroenterology Source Type: journals

Table of ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Techniques in Gastrointestinal Endoscopy - April 1, 2009 Category: Gastroenterology Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Techniques in Gastrointestinal Endoscopy - April 1, 2009 Category: Gastroenterology Source Type: journals

Editor's noteEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This volume of Techniques in Gastrointestinal Endoscopy is edited by Dr. Anthony Kalloo, who is well-known for his pioneering work in therapeutic endoscopy and NOTES. His vision is a perfect example of the innovation that is needed to move Gastroenterology forward. Some may clearly not be comfortable performing, or even contemplating, some of the procedures that are embodied within NOTES, but knowledge and understanding of the techniques and technologies embodied are critical. NOSCAR (formed as a collaboration of the ASGE and SAGES) has selected over 50 research projects to receive approximately $2,000,000 in funding to fu...
Source: Techniques in Gastrointestinal Endoscopy - April 1, 2009 Category: Gastroenterology Authors: Michael L. Kochman Source Type: journals

IntroductionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The best way to predict the future is to invent it.Alan Kay b. 1940 You may ask why this issue of Techniques in Gastrointestinal Endoscopy is dedicated to NOTES. The simple answer is that NOTES is the next frontier for gastrointestinal endoscopists. NOTES evolved using the principles and tools of therapeutic flexible endoscopy. Furthermore, developing the tools for NOTES will improve our standard therapeutic endoscopic procedures enabling further interventions within the gastrointestinal lumen. Although NOTES is still considered to be in the nascent stages of development, under the guidance of NOSCAR (Natural Orifice Surg...
Source: Techniques in Gastrointestinal Endoscopy - April 1, 2009 Category: Gastroenterology Authors: Anthony N. Kalloo Source Type: journals

Endoscopic transesophageal access techniquesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Interest in natural orifice translumenal endoscopic surgery (NOTES) within the thoracic cavity and the mediastinum is gaining momentum. The experience obtained from minimal invasive surgery suggests that the elimination of external incisions might potentially reduce the high morbidity of thoracic surgery associated with a thoracotomy and sternotomy by performing mediastinal and thoracic interventions through the esophagus. A variety of endoscopic transesophageal access techniques have been developed to approach mediastinal and thoracic structures such as full-thickness incision of the esophageal wall, submucosal tunneling,...
Source: Techniques in Gastrointestinal Endoscopy - April 1, 2009 Category: Gastroenterology Authors: Priscilla Magno Source Type: journals

Transgastric access techniques for NOTESEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Natural orifice translumenal endoscopic surgery (NOTES) has been the focus of extensive research since the first NOTES procedure was reported in 2004 by Kalloo and colleagues. Although a number of animal experiments and some human experiences of NOTES have been reported in the last few years, there are many issues that need to be addressed before this technique is adopted widely in clinical practice. Achieving a safe and effective access to the peritoneal cavity at an optimal location using most favorable techniques was the foremost barrier. So far, transgastric, transrectal, transvaginal, and transurethral approaches have...
Source: Techniques in Gastrointestinal Endoscopy - April 1, 2009 Category: Gastroenterology Authors: Yongsik Kim, Anthony N. Kalloo Source Type: journals

Endoscopic transcolonic techniques for NOTESEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Over the past 100 years, there has been a gradual progression in the field of surgery from the traditional invasive open laparotomy to increasingly less invasive techniques of laparoscopy. In contrast, the field of gastrointestinal endoscopy has become increasing more interventional, with therapeutic endoscopists performing procedures previously only performed by surgeons, including transgastric pseudocyst drainage and transgastric endoscopic pancreatic debridement. Natural orifice translumenal endoscopic surgery (NOTES) appears to represent a convergence of the two fields of minimally invasive surgery and interventional e...
Source: Techniques in Gastrointestinal Endoscopy - April 1, 2009 Category: Gastroenterology Authors: Eun Ji Shin, Anthony N. Kalloo Source Type: journals

Techniques of transvaginal access for NOTESEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article discusses technical aspects, human casuistic, and rationale of natural orifice translumenal endoscopic surgery (NOTES) vaginal access. Vaginal access can be performed by direct vision using conventional instruments or by first introduction of an umbilical laparoscope to visualize the introduction of a transvaginal trocar. Insufflation through the endoscope’s channel should be avoided and preferentially achieved by transvaginal insufflation, Veress needle, or laparoscopic trocar. Abdominal procedures may be approached transvaginally classified as Totally NOTES, Hybrid NOTES, NOTES-assisted laparoscopy, or usi...
Source: Techniques in Gastrointestinal Endoscopy - April 1, 2009 Category: Gastroenterology Authors: Ricardo Zorron Source Type: journals

Single port laparoscopic access surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article will present and discuss the differences of the technique when compared with laparoscopy, the different models of single trocar devices and the literature available on this matter. Authors experience with single incision, multiple trocars and single trocar procedures comes from 21 consecutive single incision, multiple trocars cholecystectomies and 25 single trocar cholecystectomies from 2008 to 2009 (retrospective analysis). Single incision group had 16 female patients within 22 to 58y (M = 42 y), single port group had 19 female patients within 26 to 60 y (M = 44 y). Operative time was 32 to 100 min (M = 59 mi...
Source: Techniques in Gastrointestinal Endoscopy - April 1, 2009 Category: Gastroenterology Authors: Manoel Galvao Neto, Almino Ramos, Josemberg Campos Source Type: journals

Designing clinical trials for NOTESEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In little more than a decade, exploring the abdominal cavity through natural orifices has progressed from a fantastic idea to the first tentative applications in a human series. The next phase should be one of rigorous testing of the feasibility and value of the many proposed innovative techniques and applications. Without such careful evaluation, some procedures may well be applied inappropriately, to the detriment of the patients, and others may never reach their clinical potential. It is essential that the necessary studies should be based soundly on established scientific principles, and be designed and conducted well....
Source: Techniques in Gastrointestinal Endoscopy - April 1, 2009 Category: Gastroenterology Authors: Joseph Romagnuolo, Peter Cotton Source Type: journals

Training for NOTESEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The foundation of skills for the performance of natural orifice translumenal endoscopic surgery (NOTES) lies in the training for general surgery (especially laparoscopy) and flexible gastrointestinal endoscopy. Physicians wishing to practice NOTES need to acquire or have both skill sets, or need to partner together to blend complementary capabilities with colleagues. It is anticipated that NOTES, as currently practiced, will be performed in a team approach with surgeons and gastroenterologists participating. In the future, however, a new cadre of NOTES specialists may emerge who will have developed individual expertise in ...
Source: Techniques in Gastrointestinal Endoscopy - April 1, 2009 Category: Gastroenterology Authors: L. Campbell Levy, Gina Adrales, Richard I. Rothstein Source Type: journals

CoverEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Techniques in Gastrointestinal Endoscopy - January 1, 2009 Category: Gastroenterology Source Type: journals

MastheadEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Techniques in Gastrointestinal Endoscopy - January 1, 2009 Category: Gastroenterology Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Techniques in Gastrointestinal Endoscopy - January 1, 2009 Category: Gastroenterology Source Type: journals

Table of ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Techniques in Gastrointestinal Endoscopy - January 1, 2009 Category: Gastroenterology Source Type: journals

IntroductionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This edition of Techniques in Gastrointestinal Endoscopy focuses on the evolving interface of Endoscopic Ultrasonography (EUS) and Endoscopic Retrograde Cholangiography and Pancreatography (ERCP) in pancreatic and biliary pathology Much progress has been made in the therapy of pancreatic and biliary disorders in the past decade and most of this progress has been through flexible endoscopic and EUS techniques. We have seen increasing collaboration between physicians separately trained in ERCP and those specializing in EUS. In addition there has been recognition that specialists that practice in this arena benefit from train...
Source: Techniques in Gastrointestinal Endoscopy - January 1, 2009 Category: Gastroenterology Authors: Steven A. Edmundowicz, Sreeni Jonnalagadda, Riad Azar Source Type: journals

The Role of Endoscopic Ultrasonography (EUS) and Endoscopic Retrograde Cholangiography (ERC) in Diagnosing CholedocholithiasisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Choledocholithiasis is a common clinical condition that poses a risk for pancreatitis, jaundice, and cholangitis. The need to determine the presence or absence of bile duct stones is most often an issue in patients with symptomatic cholelithiasis and planned cholecystectomy, and in patients with biliary pancreatitis. This review highlights the role of endoscopic ultrasound (EUS) and endoscopic retrograde cholangiography (ERC) in the detection of choledocholithiasis, including a description of the recommended techniques and best practices when performing these endoscopic procedures. Patients can be categorized based upon cl...
Source: Techniques in Gastrointestinal Endoscopy - January 1, 2009 Category: Gastroenterology Authors: David N. Roberts, John T. Maple Source Type: journals

Endoscopic Therapy of Acute CholecystitisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Acute cholecystitis is typically addressed by cholecystectomy. Patients who are critically ill often undergo a percutaneous cholecystostomy as a temporizing measure and eventually undergo definitive surgery. In a small select group of patients in whom these options are undesirable, such as cirrhotics awaiting liver transplant, or those with a terminal illness in whom a percutaneous tube is unacceptable, there is a growing experience with internal drainage of the gallbladder. The gallbladder can be drained into the gut either at endoscopic cholangiography (ERCP) via the major papilla or transluminally during endoscopic ultr...
Source: Techniques in Gastrointestinal Endoscopy - January 1, 2009 Category: Gastroenterology Authors: Sreeni Jonnalagadda Source Type: journals

Endoscopic methods for the diagnosis of chronic pancreatitisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Diagnosing chronic pancreatitis (CP) is challenging, particularly in patients with chronic abdominal pain but no obvious pancreatic insufficiency or calcifications. A variety of methods are available to diagnose and stage CP, but no gold standard currently exists, and diagnostic criteria are reliable only in severe CP. This review will focus on endoscopic methods for diagnosing early CP including endoscopic retrograde pancreatography (ERP), endoscopic ultrasound (EUS), and endoscopic pancreatic function testing (ePFT). These methods are often used in combination to diagnose or exclude CP. Although there are a variety of me...
Source: Techniques in Gastrointestinal Endoscopy - January 1, 2009 Category: Gastroenterology Authors: Daniel K. Mullady, Dayna Early Source Type: journals

Endoscopic Palliation of Malignant Biliary ObstructionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Endoscopic retrograde cholangiopancreatography (ERCP) has become the treatment of choice for palliation of malignant biliary obstruction, with lower morbidity and improved quality of life over surgical bypass, and a lower complication rate than percutaneous transhepatic cholangiography (PTC). Endoscopic palliation of biliary malignancies is an evolving arena. The interventional endoscopist has a choice of polyethylene stents of various configurations and uncovered, partially covered, or fully covered metal stents. The precise applications and patient selection for each of these stents is still a matter of considerable rese...
Source: Techniques in Gastrointestinal Endoscopy - January 1, 2009 Category: Gastroenterology Authors: Brian C. Brauer Source Type: journals

Multimodal endoscopic evaluation of indeterminate biliary stricturesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Indeterminate biliary strictures, those whose etiology remains unclear after initial workup, require further endoscopic evaluation. The biliary endoscopist may utilize both endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS) in the evaluation of indeterminate strictures, maximizing the relative strengths of both procedures. Techniques to optimize ERCP yield, including brush cytology, forceps biopsies, needle aspiration and direct cholangioscopy, are described in this article. Ultrasound evaluation, intraductal as well as EUS with fine needle aspiration, may also be used in concert with ERC...
Source: Techniques in Gastrointestinal Endoscopy - January 1, 2009 Category: Gastroenterology Authors: Rajesh N. Keswani Source Type: journals

Role of Endoscopic Ultrasound in the Treatment of Pancreatic NeoplasmsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe initial experience with TNFerade™, a replication deficient adenovirus vector that contains cDNA encoding for tumor necrosis factor, for treatment of adenocarcinoma of the pancreas. Finally, we review the current status of ethanol and a combination of ethanol and paclitaxel for ablation of pancreatic cysts.
Source: Techniques in Gastrointestinal Endoscopy - January 1, 2009 Category: Gastroenterology Authors: Mandeep S. Sawhney Source Type: journals

The Role of Endoscopic Ultrasonography (EUS) and Endoscopic Retrograde Cholangiopancreatography (ERCP) in the Evaluation and Management of Ampullary AdenomasEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The endoscopic evaluation and management of ampullary adenomas is an excellent example of the complimentary use of endoscopic ultrasonography (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) in interventional endoscopy. EUS has an important role in the staging of ampullary masses and in the evaluation of underlying malignancy. Various technical approaches to EUS imaging of the ampulla have been described and each offers specific information regarding the resectability of these lesions. Short of surgical resection, EUS appears to offer the most detailed information regarding the T stage of ampullary lesions. ...
Source: Techniques in Gastrointestinal Endoscopy - January 1, 2009 Category: Gastroenterology Authors: Gregory A. Cote, Steven A. Edmundowicz Source Type: journals