TITLE

Unsedated small-caliber upper endoscopy: an emerging diagnostic and therapeutic technology

AUTHOR(S)
Kim, Charles Y.; O'Rourke, Robert W.; Chang, Eugene Y.; Jobe, Blair A.
PUB. DATE
March 2006
SOURCE
Surgical Innovation;Mar2006, Vol. 13 Issue 1, p31
SOURCE TYPE
Academic Journal
DOC. TYPE
journal article
ABSTRACT
Although conventional esophagogastroduodenoscopy has become widespread in its applications and availability, it is constrained by the requirement for patient sedation. This requirement contributes to morbidity, time lost from work, and additional resource utilization in personnel and facilities. Small-caliber endoscopy is an emerging technology that enables transnasal evaluation of the upper gastrointestinal tract in a unsedated patient. This procedure can be performed in a wider range of settings, including the clinic setting where a dedicated conscious sedation suite is not available and can be incorporated into the office visit. The applications of small-caliber endoscopy include general diagnostic upper endoscopy, screening and surveillance of Barrett esophagus, and intraoperative diagnostics or postoperative evaluation of the upper gastrointestinal tract. Therapeutic applications include the placement of nasoduodenal feeding tubes, esophageal pH catheters, and impedance catheters. When used in the sedated patient, small-caliber endoscopy can also facilitate esophageal stricture dilation and transnasal placement of a percutaneous endoscopic gastrostomy tube. This review discusses the techniques, equipment, and applications of small-caliber endoscopy of the upper gastrointestinal tract.
ACCESSION #
20826794

 

Related Articles

  • Catheter-based dilation of the sinus ostia: Initial safety and feasibility analysis in a cadaver model. Bolger, William E.; Vaughan, Winston C. // American Journal of Rhinology;May/Jun2006, Vol. 20 Issue 3, p290 

    Background: Over the past 20 years, many patients have benefited from endoscopic sinus surgery and its ability to relieve sinus obstruction. However, problems still occur with surgery, thereby leaving room for innovation. Recently, catheter-based technology has provided new options for treating...

  • Comparison of open and laparoscopic secure placement of peritoneal dialysis catheters. Soontrapornchai, P.; Sirnapatanapong, T.; Simapatanapong, T // Surgical Endoscopy;Jan2005, Vol. 19 Issue 1, p137 

    Background: A major and frustrating complication of peritoneal dialysis catheter placement is mechanical outflow obstruction, which may be caused by catheter tip migration. Therefore, a secure and correct positioning of the catheter is important to minimize this risk. This technique...

  • A New Approach to Vascular Access for Endovascular Procedures. Sanfelippo, Peter M. // Vascular Surgery;Mar1992, Vol. 26 Issue 2, p93 

    This study examined a new approach to vascular access for endovascular procedures employing an expandable access catheter (EAC). The experience in 6 patients and 7 procedures was evaluated. There were no complications related to the EAC. The EAC permitted simultaneous introduction of diagnostic...

  • New device simplifies catheter insertion.  // Engineer (Online Edition);9/2/2013, p2 

    The article reports on the development of a semi-automatic handheld device called SAGIV by students and clinicians in Israel for the rapid and safe intravenous (IV) insertion of catheters.

  • Care of long-term catheters.  // Primary Health Care;Feb2002, Vol. 12 Issue 1, p31 

    Provides guidelines in the care of patients with long-term catheters. Need for the dressing over the cannula site to be changed twice weekly; Flushing of the catheter at regular intervals to prevent clotting; Use of heparinized saline two or three times per week.

  • Treating recurrent catheter malfunction with alteplase is not advantageous. Little, M. A.; Walshe, J. J. // Kidney;Jul/Aug2002, Vol. 11 Issue 4, p164 

    Deals with a study which evaluated the effect of unblocking thrombosed catheters using indwelling alteplase with emphasis on estimating the additional benefit of repeated alteplase instillation. Methodology used in the study; Results and conclusion.

  • The Tape And Pin Works Best As A Catheter-Securing Device. Boyd, Leslie // RN;Jul2000, Vol. 63 Issue 7, p16 

    Reports on the finding that the traditional adhesive tape and pin method of securing a urethral urinary catheter is superior to a more expensive commercial device. Easiness of application of the adhesive tape and pin.

  • "No rent is small for migration of epidural catheter into sub-arachnoid space". Jadon, Ashok // Indian Journal of Anaesthesia;Nov2015, Vol. 59 Issue 11, p764 

    A letter to the editor is presented in response to the article "No rent is small for migration of epidural catheter into sub-arachnoid space," by Manish Tandon et al., published in a previous issue of the journal.

  • In response to comments on: No rent is small for migration of epidural catheter into subarachnoid space. Tandon, Manish; Pandey, Chandra Kant // Indian Journal of Anaesthesia;Nov2015, Vol. 59 Issue 11, p765 

    A reply by Manish Tandon in response to a letter to the editor about their article "No rent is small for migration of epidural catheter into sub-arachnoid space," published in a previous issue of the journal is presented.

Share

Read the Article

Courtesy of NEW JERSEY STATE LIBRARY

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics