Infectious Endocarditis Prophylaxis for Endoscopy

Aug 24, 2016 by in GASTROENTEROLOGY Comments Off on Infectious Endocarditis Prophylaxis for Endoscopy

Infectious Endocarditis Prophylaxis for Endoscopy (Gastrointest Endosc 2003;58:475-82) Note: Changes to these guidelines are likely forthcoming as GI societies adopt recent new recommendations, published (April 2007) in Circulation: Journal of…

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Gastrointestinal Surgeries

Aug 24, 2016 by in GASTROENTEROLOGY Comments Off on Gastrointestinal Surgeries

Gastrointestinal Surgeries BILLROTH TYPE-I PARTIAL GASTRECTOMY This operation removes part of the stomach. The top half of the stomach is reconnected with the duodenum. Reprinted with permission from CancerHelp UK…

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Foreign Bodies

Aug 24, 2016 by in GASTROENTEROLOGY Comments Off on Foreign Bodies

Foreign Bodies (Gastrointest Endosc 2002;55:802-06) DEFINITION: Ingestion of a foreign substance EPIDEMIOLOGY: Approximately 1500-3000 people die every year due to foreign body ingestion Only 10-20% of foreign bodies require removal…

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Endoscopic Ultrasound (EUS)

Aug 24, 2016 by in GASTROENTEROLOGY Comments Off on Endoscopic Ultrasound (EUS)

Endoscopic Ultrasound (EUS) (Gastrointest Endosc 2005;61:8-12) INDICATIONS: Esophagus Esophageal carcinoma T and N staging Submucosal nodules and extrinsic compression Stomach and Duodenum Gastric cancer staging Submucosal nodules and extrinsic compression…

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Endoscopic Retrograde Cholangiopancreatography (ERCP)

Aug 24, 2016 by in GASTROENTEROLOGY Comments Off on Endoscopic Retrograde Cholangiopancreatography (ERCP)

Endoscopic Retrograde Cholangiopancreatography (ERCP) (Gastrointest Endosc 2005;62:1-8 & 2003;57:633-38) INDICATIONS: Biliary Diagnosis and extraction of common bile duct stones (if high suspicion) Diagnosis of primary sclerosing cholangitis Investigation, brushing and…

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Esophagogastroduodenoscopy (EGD)

Aug 24, 2016 by in GASTROENTEROLOGY Comments Off on Esophagogastroduodenoscopy (EGD)

Esophagogastroduodenoscopy (EGD) (Gastrointest Endosc 2002;55:784-93 & 2000;52:831-837) INDICATIONS: Diagnostic: Upper GI symptoms that are persistent or worrisome: dysphagia/odynophagia; abdominal pain; gastric outlet obstruction; chest pain after cardiac evaluation, iron deficient…

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Colonoscopy

Aug 24, 2016 by in GASTROENTEROLOGY Comments Off on Colonoscopy

Colonoscopy (Gastrointest Endosc 2003;57:441-5) INDICATIONS: Diagnostic: Screening for colon polyps/cancer; including preoperative evaluation of patients with known colon cancer Symptom evaluation: bleeding (occult or gross) or Abnormal X-ray findings (i.e….

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Capsule Endoscopy

Aug 24, 2016 by in GASTROENTEROLOGY Comments Off on Capsule Endoscopy

Capsule Endoscopy INDICATIONS: Obscure GI bleeding Signs of GI bleeding: Melena, Hematochezia, Iron deficient anemia Abnormal GI X-ray Crohn’s disease Unexplained abdominal pain AdvanCE: Endoscopic device to deliver the capsule…

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Balloon Tamponade

Aug 24, 2016 by in GASTROENTEROLOGY Comments Off on Balloon Tamponade

Balloon Tamponade Minnesota Tube (4 lumen) is current standard for use; Lumens include: Gastric suction Esophageal suction Gastric balloon and pressure monitoring Esophageal balloon and pressure monitoring Sengstaken-Blakemore Tube (3…

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Anticoagulation & Antiinflammatory Management for Endoscopy

Aug 24, 2016 by in GASTROENTEROLOGY Comments Off on Anticoagulation & Antiinflammatory Management for Endoscopy

Anticoagulation & Antiinflammatory Management for Endoscopy (Gastrointest Endosc 2005;61:189-194) WARFARIN THERAPY HIGH-RISK PATIENTS:Afib associated with valvular diseaseMechanical valve in the mitral positionMechanical valve and prior thromboembolic event LOW-RISK PATIENTS:DVTUncomplicated or…

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