ABSTRACT
Acute pancreatitis is associated with significant morbidity and mortality. It can develop complications such as fluid collections and necrosis. Infection of necrosis occurs in about 20-40% of patients with severe acute pancreatitis, and is associated with organ failure and worse prognosis. In the past years, the treatment of pancreatic collections has shifted from open surgery to minimally invasive techniques, such as endoscopic ultrasound guided drainage. These guidelines from a selection of experts among the Endoscopic Ultrasound Group from the Spanish Society of Gastrointestinal Endoscopy (GSEED-USE) have the purpose to provide advice on the management of pancreatic collections based on a thorough review of the available scientific evidence. It also reflects the experience and clinical practice of the authors, who are advanced endoscopists or clinical pancreatologists with extensive experience in managing patients with acute pancreatitis.
ABSTRACT
Este documento resume el contenido de la Guía de resección mucosa endoscópica elaborada por el grupo de trabajo de la Sociedad Española de Endoscopia Digestiva (GSEED de Resección Endoscópica) y expone las recomendaciones sobre el manejo endoscópico de las lesiones neoplásicas colorrectales superficiales (AU)
This document summarizes the contents of the Clinical Guidelines for the Endoscopic Mucosal Resection of Non-Pedunculated Colorectal Lesions that was developed by the working group of the Spanish Society of Digestive Endoscopy (GSEED of Endoscopic Resection). This document presents recommendations for the endoscopic management of superficial colorectal neoplastic lesions (AU)
Subject(s)
Humans , Male , Female , Endoscopic Mucosal Resection/methods , Colorectal Neoplasms/diagnostic imaging , Colorectal Neoplasms/surgery , Endoscopic Mucosal Resection/instrumentation , Endoscopic Mucosal Resection/standards , Colorectal Neoplasms/economicsABSTRACT
Este documento resume el contenido de la Guía de resección mucosa endoscópica elaborada por el grupo de trabajo de la Sociedad Española de Endoscopia Digestiva (GSEED de Resección Endoscópica) y expone las recomendaciones sobre el manejo endoscópico de las lesiones neoplásicas colorrectales superficiales (AU)
This document summarizes the contents of the Clinical Guidelines for the Endoscopic Mucosal Resection of Non-Pedunculated Colorectal Lesions that was developed by the working group of the Spanish Society of Digestive Endoscopy (GSEED of Endoscopic Resection). This document presents recommendations for the endoscopic management of superficial colorectal neoplastic lesions (AU)
Subject(s)
Humans , Colorectal Neoplasms/surgery , Endoscopy, Gastrointestinal/methods , Endoscopic Mucosal Resection/methods , Intestinal Mucosa/pathology , Peer Review , Patient Selection , Preoperative Care/methods , Colonoscopy/methodsABSTRACT
This document summarizes the contents of the Clinical Guidelines for the Endoscopic Mucosal Resection of Non-Pedunculated Colorectal Lesions that was developed by the working group of the Spanish Society of Digestive Endoscopy (GSEED of Endoscopic Resection). This document presents recommendations for the endoscopic management of superficial colorectal neoplastic lesions.
Subject(s)
Colorectal Neoplasms/surgery , Colorectal Surgery/methods , Endoscopic Mucosal Resection/methods , Endoscopy, Gastrointestinal/methods , Intestinal Mucosa/surgery , Colonic Diseases/surgery , Colorectal Surgery/standards , Endoscopic Mucosal Resection/standards , Endoscopy, Gastrointestinal/standards , Humans , Rectal Diseases/surgeryABSTRACT
This document summarizes the contents of the Clinical Guidelines for the Endoscopic Mucosal Resection of Non-Pedunculated Colorectal Lesions that was developed by the working group of the Spanish Society of Digestive Endoscopy (GSEED of Endoscopic Resection). This document presents recommendations for the endoscopic management of superficial colorectal neoplastic lesions.
Subject(s)
Colorectal Neoplasms/surgery , Endoscopic Mucosal Resection/standards , HumansABSTRACT
Background: Capsule endoscopy was primarily designed for the investigation of the small bowel. However, it may also identify lesions in other segments of the gastrointestinal tract. The aim of the current study was to evaluate the incidence of gastroduodenal abnormalities during small bowel capsule endoscopy and its impact on patient diagnosis and management. Patients and methods: This study is a retrospective analysis of data from 2,217 consecutive capsule endoscopy procedures performed at a single tertiary-care center between January 2008 and February 2016. Patient baseline characteristics, gastroduodenal lesions, diagnosis and management before and after capsule endoscopy were recorded and a descriptive analysis was performed. Results: Two thousands and two hundred seventeen patients were finally included in the analysis. One thousand and seventy patients were male (48.2%) and the mean age was 56.1 ± 19.5 years (range: 12-93). Obscure gastrointestinal bleeding (52.3%) and inflammatory bowel disease (18.3%) were the main procedure indications. Gastroduodenal abnormalities were detected by capsule endoscopy in 696 (31.4%) of 2,217 patients. The most common types of missed gastric and duodenal lesions found were gastric erosions (35.4%), findings suggestive of chronic gastritis (22.9%), duodenal erosions (28.1%) and duodenal erythema (23.5%). This information had a clinical or diagnostic impact of 26.2% and a therapeutic impact of 15.5%. Conclusion: Capsule endoscopy detects not only small bowel lesions but also some gastroduodenal lesions that may be overlooked during an initial gastroscopy. Therefore, all gastroduodenal images should be read during small bowel capsule endoscopy as it may provide relevant information that result in changes in patient management (AU)
No disponible
Subject(s)
Humans , Capsule Endoscopy/methods , Peptic Ulcer/diagnosis , Capsule Endoscopes/statistics & numerical data , Gastroscopy/methods , Intestine, Small/diagnostic imaging , Retrospective StudiesABSTRACT
BACKGROUND: Capsule endoscopy was primarily designed for the investigation of the small bowel. However, it may also identify lesions in other segments of the gastrointestinal tract. The aim of the current study was to evaluate the incidence of gastroduodenal abnormalities during small bowel capsule endoscopy and its impact on patient diagnosis and management. PATIENTS AND METHODS: This study is a retrospective analysis of data from 2,217 consecutive capsule endoscopy procedures performed at a single tertiary-care center between January 2008 and February 2016. Patient baseline characteristics, gastroduodenal lesions, diagnosis and management before and after capsule endoscopy were recorded and a descriptive analysis was performed. RESULTS: Two thousands and two hundred seventeen patients were finally included in the analysis. One thousand and seventy patients were male (48.2%) and the mean age was 56.1 ± 19.5 years (range: 12-93). Obscure gastrointestinal bleeding (52.3%) and inflammatory bowel disease (18.3%) were the main procedure indications. Gastroduodenal abnormalities were detected by capsule endoscopy in 696 (31.4%) of 2,217 patients. The most common types of missed gastric and duodenal lesions found were gastric erosions (35.4%), findings suggestive of chronic gastritis (22.9%), duodenal erosions (28.1%) and duodenal erythema (23.5%). This information had a clinical or diagnostic impact of 26.2% and a therapeutic impact of 15.5%. CONCLUSION: Capsule endoscopy detects not only small bowel lesions but also some gastroduodenal lesions that may be overlooked during an initial gastroscopy. Therefore, all gastroduodenal images should be read during small bowel capsule endoscopy as it may provide relevant information that result in changes in patient management.
Subject(s)
Capsule Endoscopy/methods , Duodenal Diseases/diagnostic imaging , Stomach Diseases/diagnostic imaging , Adolescent , Adult , Aged , Aged, 80 and over , Child , Duodenal Diseases/diagnosis , Duodenal Diseases/therapy , Female , Gastroscopy , Humans , Incidence , Male , Middle Aged , Peptic Ulcer/diagnosis , Peptic Ulcer/diagnostic imaging , Peptic Ulcer/therapy , Retrospective Studies , Stomach Diseases/diagnosis , Stomach Diseases/therapy , Young AdultABSTRACT
No disponible
Subject(s)
Humans , Female , Middle Aged , Lymphoma, Follicular/diagnostic imaging , Lymphoma, Follicular/therapy , Digestive System Surgical Procedures/methods , Balloon Enteroscopy/methods , Biopsy , Gastrointestinal Neoplasms/diagnostic imaging , Gastrointestinal Neoplasms/therapyABSTRACT
No disponible
Subject(s)
Humans , Male , Adult , Hematoma/therapy , Sclerosis/therapy , Sclerosis , Gastroscopy/methods , Purpura, Thrombocytopenic, Idiopathic/therapy , Purpura, Thrombocytopenic, Idiopathic , Endoscopy , Pancreas/pathology , Pancreas , Hematoma , Pancreatic Neoplasms , Duodenum , Anticoagulants/therapeutic useABSTRACT
Endoscopic hemostatic procedures such as local injection of epinephrine are commonly used for the treatment of bleeding ulcers. Although the risks are usually considered to be minimal, there are reports describing that duodenal intramural hematomas may develop as a complication after endoscopy especially in patients susceptible to hemorrhage such as those with anticoagulants therapy or blood dyscrasia.
Subject(s)
Duodenum/injuries , Hematoma/etiology , Sclerotherapy/adverse effects , Duodenal Ulcer/complications , Duodenal Ulcer/diagnostic imaging , Duodenum/diagnostic imaging , Hematoma/diagnostic imaging , Humans , Male , Pancreas/diagnostic imaging , Pancreas/injuries , Purpura, Thrombocytopenic, Idiopathic/complications , Tomography, X-Ray Computed , Young AdultABSTRACT
Background: Nowadays, capsule endoscopy is the first-line procedure to assess the small bowel. During small bowel procedures, other segments of the gastrointestinal tract may be visualized. The aim of the current study was to evaluate the incidence of colonic abnormalities in patients undergoing small bowel capsule and its impact on patient management. Patients and methods: This study is a retrospective analysis of data from 526 consecutive capsule endoscopy procedures performed at a single tertiary-care centre between 2008 and 2011. Patients with incomplete procedures were excluded from the analysis. Patient baseline characteristics, colonic lesions, diagnosis and management before and after capsule endoscopy were recorded and a descriptive analysis was performed. Results: Four hundred and sixty four patients were finally included in the analysis. Two hundred and ninety three patients were male (57.3%) and the mean age was 61.3 ± 20.03 years (18-86). Obscure gastrointestinal bleeding (59%) and inflammatory bowel disease (19%) were the main indications for the procedure. Colonic abnormalities were detected by capsule endoscopy in 47 (9%) of 464 patients. The most common types of missed lesions were vascular lesions (34%) and colonic ulcers (32%). This information had a clinical or diagnostic impact of 7.55% and a therapeutic impact of 6.03%. Conclusion: All images of the colon should be evaluated during small bowel capsule endoscopy as they may provide relevant information that may result in changes in patient management (AU)
No disponible
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Aged, 80 and over , Intestine, Small/pathology , Intestine, Small , Colon/pathology , Colon , Capsule Endoscopy/methods , Capsule Endoscopes , Colonoscopy , Retrospective Studies , Gastrointestinal Hemorrhage/complications , Colon/abnormalities , Colon/injuries , CarcinomaABSTRACT
BACKGROUND: Nowadays, capsule endoscopy is the first-line procedure to assess the small bowel. During small bowel procedures, other segments of the gastrointestinal tract may be visualized. The aim of the current study was to evaluate the incidence of colonic abnormalities in patients undergoing small bowel capsule and its impact on patient management. PATIENTS AND METHODS: This study is a retrospective analysis of data from 526 consecutive capsule endoscopy procedures performed at a single tertiary-care centre between 2008 and 2011. Patients with incomplete procedures were excluded from the analysis. Patient baseline characteristics, colonic lesions, diagnosis and management before and after capsule endoscopy were recorded and a descriptive analysis was performed. RESULTS: Four hundred and sixty four patients were finally included in the analysis. Two hundred and ninety three patients were male (57.3%) and the mean age was 61.3 ± 20.03 years (18-86). Obscure gastrointestinal bleeding (59%) and inflammatory bowel disease (19%) were the main indications for the procedure. Colonic abnormalities were detected by capsule endoscopy in 47 (9%) of 464 patients. The most common types of missed lesions were vascular lesions (34%) and colonic ulcers (32%). This information had a clinical or diagnostic impact of 7.55% and a therapeutic impact of 6.03%. CONCLUSION: All images of the colon should be evaluated during small bowel capsule endoscopy as they may provide relevant information that may result in changes in patient management.
Subject(s)
Colonic Diseases/diagnostic imaging , Intestine, Small/diagnostic imaging , Adolescent , Adult , Aged , Aged, 80 and over , Capsule Endoscopy/methods , Colonic Diseases/epidemiology , Colonic Diseases/therapy , Female , Humans , Incidence , Male , Middle Aged , Retrospective Studies , Young AdultABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Lymphoma, B-Cell, Marginal Zone/diagnosis , Lymphoma, B-Cell, Marginal Zone/drug therapy , Lymphoma, B-Cell, Marginal Zone/pathology , Anemia, Iron-Deficiency/complications , Endoscopy/methods , Rituximab/therapeutic use , Bendamustine Hydrochloride/therapeutic use , Duodenal Diseases/complications , Duodenal Diseases/pathology , Duodenum , Duodenum/pathologyABSTRACT
No disponible
Subject(s)
Humans , Male , Adult , Nephritis, Interstitial/chemically induced , Proton Pump Inhibitors/adverse effects , Polyuria/etiology , Polydipsia/etiology , Fundoplication , Hernia, Hiatal/complicationsSubject(s)
Capsule Endoscopy/adverse effects , Respiratory Aspiration , Aged, 80 and over , Capsule Endoscopy/instrumentation , Capsule Endoscopy/methods , Female , Gastrointestinal Hemorrhage/diagnosis , Humans , Respiratory Aspiration/etiology , Respiratory Aspiration/prevention & control , Risk Adjustment/methodsSubject(s)
Duodenal Neoplasms/diagnosis , Lymphoma, B-Cell, Marginal Zone/diagnosis , Aged , Humans , MaleABSTRACT
No disponible
Subject(s)
Humans , Male , Aged, 80 and over , Respiratory Aspiration/diagnosis , Capsule Endoscopy/adverse effects , Capsule Endoscopes/adverse effects , Asymptomatic Diseases , Foreign-Body Reaction/diagnosisABSTRACT
Capsule endoscopy is a safe and well-tolerated procedure allowing the direct, non-invasive mucosal investigation of the small bowel. There are, however, few limitations.
