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Enrique Pérez-cuadrado-martínez - One of the best experts on this subject based on the ideXlab platform.
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Evidences supporting the vascular etiology of post-double Balloon Enteroscopy pancreatitis: Study in porcine model
World Journal of Gastroenterology, 2017Co-Authors: Rafael Latorre, Octavio López-albors, Federico Soria, Esther Morcillo, P. Esteban, Enrique Pérez-cuadrado-robles, Enrique Pérez-cuadrado-martínezAbstract:Evidences supporting the vascular etiology of post-double Balloon Enteroscopy pancreatitis: Study in porcine model
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Evidences supporting the vascular etiology of post-double Balloon Enteroscopy pancreatitis: Study in porcine model
World Journal of Gastroenterology, 2017Co-Authors: Rafael Latorre, Octavio López-albors, Federico Soria, Esther Morcillo, P. Esteban, Enrique Pérez-cuadrado-robles, Enrique Pérez-cuadrado-martínezAbstract:Evidences supporting the vascular etiology of post-double Balloon Enteroscopy pancreatitis: Study in porcine model
Masanao Nakamura - One of the best experts on this subject based on the ideXlab platform.
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Dexmedetomidine provides less body motion and respiratory depression during sedation in double-Balloon Enteroscopy than midazolam.
Sage Open Medicine, 2017Co-Authors: Hiroshi Oshima, Eizaburo Ohno, Kohei Funasaka, Ryoji Miyahara, Hiroki Kawashima, Osamu Watanabe, Masanao Nakamura, Takeshi Yamamura, Hidemi Goto, Yoshiki HirookaAbstract:Objectives:Patients undergoing double-Balloon Enteroscopy require sedatives such as midazolam; however, patient’s body motion often hampers the outcome of double-Balloon Enteroscopy. Recently, dexm...
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Dexmedetomidine provides less body motion and respiratory depression during sedation in double-Balloon Enteroscopy than midazolam
SAGE Publishing, 2017Co-Authors: Hiroshi Oshima, Eizaburo Ohno, Kohei Funasaka, Ryoji Miyahara, Hiroki Kawashima, Osamu Watanabe, Masanao Nakamura, Takeshi Yamamura, Hidemi Goto, Yoshiki HirookaAbstract:Objectives: Patients undergoing double-Balloon Enteroscopy require sedatives such as midazolam; however, patient’s body motion often hampers the outcome of double-Balloon Enteroscopy. Recently, dexmedetomidine has been used for endoscopic sedation and was reported to effectively reduce body motion. This study aimed to evaluate the efficacy and safety of sedation with dexmedetomidine in double-Balloon Enteroscopy (UMIN ID000015785). Methods: A prospective, observational study was conducted in 81 patients who underwent 111 double-Balloon Enteroscopy from July to December 2015 (dexmedetomidine group). The medical records of 112 patients who underwent 166 double-Balloon Enteroscopy with midazolam and pentazocine sedation from January 1 to October 31, 2014, were used for comparison (midazolam group). After propensity score matching, 182 double-Balloon Enteroscopy (91 double-Balloon Enteroscopy for each group) were analyzed. Results: There were 13 cases (11.7%) with body movements in the dexmedetomidine group. Comparison of the two groups matched by propensity score showed that the dexmedetomidine group had less body movement (12.1% vs 34.1%, p = 0.001) and less respiratory depression (50.5% vs 68.1%, p = 0.023). Hypotension (8.8% vs 4.4%, p = 0.232) and bradycardia (2.2% vs 0%, p = 0.497) were not significantly different in the two groups. Conclusion: Using dexmedetomidine for conscious sedation can reduce body motion and respiratory depression compared to our previous records
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Effectiveness of Endoscopic Ultrasonography during Double Balloon Enteroscopy for characterization and management of small bowel submucosal tumours
Digestive and Liver Disease, 2016Co-Authors: Alberto Murino, Osamu Watanabe, Masanao Nakamura, Takeshi Yamamura, Hidemi Goto, Asuka Nagura, Toru Yoshimura, Arihiro Nakano, Yoshiki HirookaAbstract:Abstract Background Characterization of small bowel submucosal tumours is challenging, requiring additional investigations. Endoscopic Ultrasonography performed during Double Balloon Enteroscopy, appeared a promising technique although it has not been fully evaluated. The aim was to determine the effectiveness of this technique for characterization and management of sub mucosal tumours in a large cohort of patients. Methods Patients with suspected small bowel tumours, who underwent Endoscopic Ultrasonography performed during Double Balloon Enteroscopy in our Institution between 2005 and 2013, were reviewed. Demographic data, clinical, endoscopic and radiological findings, therapeutic management, final diagnosis and follow-up were analyzed. Results 30 patients (19 male; median age 61.5) affected by submucosal tumours were included in the study. Endoscopic Ultrasonography performed during Double Balloon Enteroscopy was successfully performed in all cases providing a correct characterization of 19 submucosal tumours (63%). Based on the ultrasonographic characteristics 8 patients were treated endoscopically, 16 were referred to surgery, and 6 were managed conservatively. Conclusion Our results suggest that Endoscopic Ultrasonography performed during Double Balloon Enteroscopy is a safe and useful technique for submucosal tumours characterization. This procedure may be applied in clinical practice when small bowel tumours are encountered, to confirm the diagnosis and provide the most appropriate management.
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A prospective comparison of performance during back-to-back, anterograde manual spiral Enteroscopy and double-Balloon Enteroscopy
Digestive and Liver Disease, 2015Co-Authors: Edward J. Despott, Leonidas A. Bourikas, Vino Ramachandra, Masanao Nakamura, Alberto Murino, Chris H. FraserAbstract:Abstract Background Spiral Enteroscopy is a recently introduced technology alternative to Balloon-assisted Enteroscopy for examination of the small bowel. Aim To compare small bowel insertion depths and procedure duration by spiral Enteroscopy and double-Balloon Enteroscopy performed in the same cohort of patients, in immediate succession, using the same method of insertion depth estimation. Methods A prospective, back-to-back comparative study was performed in 15 patients. Spiral Enteroscopy procedures were performed first and a tattoo was placed to mark the most distal point. Results Double-Balloon Enteroscopy passed the tattoo placed at spiral Enteroscopy in 14/15 cases (93%). Median insertion depths for double-Balloon Enteroscopy and spiral Enteroscopy were 265 cm and 175 cm, respectively (P = 0.004). Median time to achieve maximal depth of insertion was significantly shorter for spiral Enteroscopy compared with double-Balloon Enteroscopy (24 min vs. 45 min, respectively; P = 0.0005). However, in 14 patients no differences were found in median time to reach the same insertion depth (P = 0.28). Conclusion Double-Balloon Enteroscopy achieved significantly greater small bowel insertion depth than spiral Enteroscopy. Although overall double-Balloon Enteroscopy procedure duration was longer, the time taken to reach the same small bowel insertion depth by both spiral Enteroscopy and double-Balloon Enteroscopy was similar.
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Small bowel tuberculosis diagnosed by the combination of video capsule endoscopy and double Balloon Enteroscopy
European journal of gastroenterology & hepatology, 2007Co-Authors: Masanao Nakamura, Osamu Maeda, Ryoji Miyahara, Takafumi Ando, Naoki Ohmiya, Yasumasa Niwa, Daigo Arakawa, Wataru Honda, Tetsuo Matsuura, Akihiro ItohAbstract:Small bowel tuberculosis is sometimes encountered in oriental countries, and because its symptoms are vague and present a nonspecific pattern, confirmative diagnosis is difficult to achieve. In 2001, two new innovative endoscopic techniques for the small bowel, video capsule endoscopy and double Balloon Enteroscopy, were introduced, thus advancing the diagnostic technology for small bowel disorders. Our asymptomatic patient with small bowel tuberculosis was diagnosed definitively using the combination of video capsule endoscopy and double Balloon Enteroscopy. The number of such cases will increase when those procedures become more widely used. At present, the endoscopic view of small bowel tuberculosis is difficult to differentiate from Crohn's disease and drug-induced enteropathy, but from now on it will be possible to distinguish them utilizing endoscopic and fluoroscopic images. On the basis of the characteristics of small bowel tuberculosis with its endoscopic images, referring to our case report and previous literature, we report a topical diagnostic procedure, the combination of video capsule endoscopy and double Balloon Enteroscopy.
Yoshiki Hirooka - One of the best experts on this subject based on the ideXlab platform.
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Dexmedetomidine provides less body motion and respiratory depression during sedation in double-Balloon Enteroscopy than midazolam.
Sage Open Medicine, 2017Co-Authors: Hiroshi Oshima, Eizaburo Ohno, Kohei Funasaka, Ryoji Miyahara, Hiroki Kawashima, Osamu Watanabe, Masanao Nakamura, Takeshi Yamamura, Hidemi Goto, Yoshiki HirookaAbstract:Objectives:Patients undergoing double-Balloon Enteroscopy require sedatives such as midazolam; however, patient’s body motion often hampers the outcome of double-Balloon Enteroscopy. Recently, dexm...
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Dexmedetomidine provides less body motion and respiratory depression during sedation in double-Balloon Enteroscopy than midazolam
SAGE Publishing, 2017Co-Authors: Hiroshi Oshima, Eizaburo Ohno, Kohei Funasaka, Ryoji Miyahara, Hiroki Kawashima, Osamu Watanabe, Masanao Nakamura, Takeshi Yamamura, Hidemi Goto, Yoshiki HirookaAbstract:Objectives: Patients undergoing double-Balloon Enteroscopy require sedatives such as midazolam; however, patient’s body motion often hampers the outcome of double-Balloon Enteroscopy. Recently, dexmedetomidine has been used for endoscopic sedation and was reported to effectively reduce body motion. This study aimed to evaluate the efficacy and safety of sedation with dexmedetomidine in double-Balloon Enteroscopy (UMIN ID000015785). Methods: A prospective, observational study was conducted in 81 patients who underwent 111 double-Balloon Enteroscopy from July to December 2015 (dexmedetomidine group). The medical records of 112 patients who underwent 166 double-Balloon Enteroscopy with midazolam and pentazocine sedation from January 1 to October 31, 2014, were used for comparison (midazolam group). After propensity score matching, 182 double-Balloon Enteroscopy (91 double-Balloon Enteroscopy for each group) were analyzed. Results: There were 13 cases (11.7%) with body movements in the dexmedetomidine group. Comparison of the two groups matched by propensity score showed that the dexmedetomidine group had less body movement (12.1% vs 34.1%, p = 0.001) and less respiratory depression (50.5% vs 68.1%, p = 0.023). Hypotension (8.8% vs 4.4%, p = 0.232) and bradycardia (2.2% vs 0%, p = 0.497) were not significantly different in the two groups. Conclusion: Using dexmedetomidine for conscious sedation can reduce body motion and respiratory depression compared to our previous records
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Effectiveness of Endoscopic Ultrasonography during Double Balloon Enteroscopy for characterization and management of small bowel submucosal tumours
Digestive and Liver Disease, 2016Co-Authors: Alberto Murino, Osamu Watanabe, Masanao Nakamura, Takeshi Yamamura, Hidemi Goto, Asuka Nagura, Toru Yoshimura, Arihiro Nakano, Yoshiki HirookaAbstract:Abstract Background Characterization of small bowel submucosal tumours is challenging, requiring additional investigations. Endoscopic Ultrasonography performed during Double Balloon Enteroscopy, appeared a promising technique although it has not been fully evaluated. The aim was to determine the effectiveness of this technique for characterization and management of sub mucosal tumours in a large cohort of patients. Methods Patients with suspected small bowel tumours, who underwent Endoscopic Ultrasonography performed during Double Balloon Enteroscopy in our Institution between 2005 and 2013, were reviewed. Demographic data, clinical, endoscopic and radiological findings, therapeutic management, final diagnosis and follow-up were analyzed. Results 30 patients (19 male; median age 61.5) affected by submucosal tumours were included in the study. Endoscopic Ultrasonography performed during Double Balloon Enteroscopy was successfully performed in all cases providing a correct characterization of 19 submucosal tumours (63%). Based on the ultrasonographic characteristics 8 patients were treated endoscopically, 16 were referred to surgery, and 6 were managed conservatively. Conclusion Our results suggest that Endoscopic Ultrasonography performed during Double Balloon Enteroscopy is a safe and useful technique for submucosal tumours characterization. This procedure may be applied in clinical practice when small bowel tumours are encountered, to confirm the diagnosis and provide the most appropriate management.
Rafael Latorre - One of the best experts on this subject based on the ideXlab platform.
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Evidences supporting the vascular etiology of post-double Balloon Enteroscopy pancreatitis: Study in porcine model
World Journal of Gastroenterology, 2017Co-Authors: Rafael Latorre, Octavio López-albors, Federico Soria, Esther Morcillo, P. Esteban, Enrique Pérez-cuadrado-robles, Enrique Pérez-cuadrado-martínezAbstract:Evidences supporting the vascular etiology of post-double Balloon Enteroscopy pancreatitis: Study in porcine model
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Evidences supporting the vascular etiology of post-double Balloon Enteroscopy pancreatitis: Study in porcine model
World Journal of Gastroenterology, 2017Co-Authors: Rafael Latorre, Octavio López-albors, Federico Soria, Esther Morcillo, P. Esteban, Enrique Pérez-cuadrado-robles, Enrique Pérez-cuadrado-martínezAbstract:Evidences supporting the vascular etiology of post-double Balloon Enteroscopy pancreatitis: Study in porcine model
Maw-soan Soon - One of the best experts on this subject based on the ideXlab platform.
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Clinical impact of multidetector computed tomography before double-Balloon Enteroscopy for obscure gastrointestinal bleeding
World Journal of Gastroenterology, 2012Co-Authors: Yang-yuan Chen, Chia-wei Yang, Maw-soan SoonAbstract:Clinical impact of multidetector computed tomography before double-Balloon Enteroscopy for obscure gastrointestinal bleeding
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The Clinical Significance of Jejunal Diverticular Disease Diagnosed by Double-Balloon Enteroscopy for Obscure Gastrointestinal Bleeding
Digestive diseases and sciences, 2010Co-Authors: Hsu-heng Yen, Yang-yuan Chen, Chia-wei Yang, Maw-soan SoonAbstract:Jejunal diverticular disease is a rare cause of gastrointestinal bleeding. The reported incidence of this disease is low in the studies of double-Balloon Enteroscopy. The aim of this study was to evaluate the clinical features and management of jejunal diverticular disease, diagnosed by double-Balloon Enteroscopy, at our institution. This was a retrospective study of patients with jejunal diverticular disease conducted from April 2004 to September 2009 at Changhua Christian Hospital. We evaluated the clinical significance of jejunal diverticular disease and the outcome of endoscopic treatment for jejunal diverticular bleeding. From April 2004 to September 2009, a total of 55 patients underwent double-Balloon Enteroscopy due to obscure gastrointestinal bleeding. Fifteen of these patients were diagnosed with jejunal diverticular disease (8 men and 7 women, mean age 71 years). Four patients were found to have a single diverticulum. Gastrointestinal bleeding was attributed to jejunal diverticular disease in 12 patients. Six patients received endoscopic treatment in order to achieve hemostasis. One patient received emergency surgery due to uncontrolled bleeding. To our knowledge, this is the first study reporting the clinical significance of jejunal diverticular disease diagnosed by double-Balloon Enteroscopy. We found that obscure GI bleeding was attributed significantly to jejunal diverticular disease.
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Double Balloon Enteroscopy reveals the diagnosis in chronic gastrointestinal bleeding
Gut, 2007Co-Authors: Hsu-heng Yen, Yang-yuan Chen, Maw-soan SoonAbstract:A 65-year-old woman underwent double-Balloon Enteroscopy for obscure gastrointestinal bleeding. Her medical history was remarkable for three admissions to our hospital because of gastrointestinal bleeding 8 months, 10 months and 5 years ago, respectively. …
