By Joseph Leung MD, Simon Lo MD
Dr. Joseph Leung and Dr. Simon Lo have designed this particular reference, which bargains professional recommendation, personal tastes, and critiques on tricky scientific questions and events often encountered in endoscopy. the original Q&A structure presents easy access to present details with regards to healing endoscopy with the simplicity of a talk among colleagues. Illustrative pictures, diagrams, and references are incorporated to augment the certainty of endoscopy.
Curbside session in Endoscopy: forty nine medical Questions provides details simple adequate for citizens whereas additionally incorporating specialist recommendation that even high-volume clinicians will delight in. Gastroenterologists, fellows and citizens in education, surgical attendings, and surgical citizens will all enjoy the common and informal layout and the professional suggestion contained within.
Some of the questions which are answered:
• You have been known as by way of the ER health professional concerning a girl who tried to dedicate suicide via consuming a few "toilet cleansing solution". there have been visible burns round the mouth and tongue. What might you do next?
• Is there a task for steel stents in benign bile duct strictures? whilst may still i exploit plastic stents during this setting?
• while Is EUS worthwhile for a Newly clinically determined melanoma of the Esophagus,Stomach, Colon, or Pancreas?
• i've got hassle controlling the course of a biliary papillotomy. Any tips to enhance the implications ?
• What Are the good points that Differentiate a Submucosal Bulge from a real Mass on pill Endoscopy? What am i able to Do to verify a Submucosal Mass?
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Additional info for Curbside Consultation in Endoscopy: 49 Clinical Questions
4. Marmo R, Rotondano G, Piscopo R, Bianco MA, D’Angella R, Cipolletta L. Dual therapy versus monotherapy in the endoscopic treatment of high-risk bleeding ulcers: a meta-analysis of controlled trials. Am J Gastroenterol. 2007;102(2):279-289; quiz 469. 5. Lara LF, Sreenarasimhaiah J, Tang SJ, Afonso BB, Rockey DC. Dieulafoy lesions of the GI tract: localization and therapeutic outcomes. Dig Dis Sci. 2010;55(12):3436-3441. 8 QUESTION WHAT DO PEOPLE DO FOR THE TREATMENT OF ACHALASIA THESE DAYS? DOES IT MATTER IF THE SYMPTOMS ARE SEVERE OR IF THE PATIENT IS ELDERLY?
2007;102:2086-2102. 9. Ninoi T, Nakamura K, Kaminou T, et al. TIPS versus transcatheter sclerotherapy for gastric varices. Am J Roentgenol. 2004;183(2):369-376. 3 QUESTION WHAT ARE THE ESSENTIAL TOOLS FOR REMOVING ESOPHAGOGASTRIC FOREIGN BODIES, AND WHEN SHOULD I APPLY THESE DEVICES? Luo-wei Wang, MD, PhD and Zhao-shen Li, MD Foreign-object ingestion and food-bolus impaction occur commonly. The majority of foreign bodies (ie, foreign objects and food bolus) that reach the stomach will pass spontaneously.
Reprinted from Poley JW, Steyerberg EW, Kuipers EJ, et al. Ingestion of acid and alkaline agents: outcome and prognostic value of early upper endoscopy. Gastrointest Endosc. ) emetics is not recommended. There is no evidence to suggest that glucocorticoids prevent stricture formation. In fact, the administration of glucocorticoids may mask the signs of peritonitis or mediastinitis and increase the risk of infection. There are no studies to suggest a beneficial effect of the prophylactic use of antibiotics.