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R Shaker - One of the best experts on this subject based on the ideXlab platform.
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Unsedated transnasal EGD: an alternative approach to conventional Esophagogastroduodenoscopy for documenting Helicobacter pylori eradication.
Gastrointestinal endoscopy, 1999Co-Authors: K Saeian, W F Townsend, F A Rochling, E Bardan, K Dua, S Phadnis, B E Dunn, K Darnell, R ShakerAbstract:The aim of this study was to assess the yield of antral biopsies performed via unsedated transnasal Esophagogastroduodenoscopy, a technique that does not require conscious sedation with its concomitant costs and complications, for documentation of Helicobacter pylori eradication. Nineteen patients who were previously CLO test positive on conventional Esophagogastroduodenoscopy and subsequently treated for H pylori infection were enrolled. The subjects had not received antibiotic therapy in the prior month and had no prior gastric surgery. By using a GIF-N30 fiberoptic endoscope and a tiny cup biopsy forceps (1.8 mm diameter), unsedated transnasal endoscopy was performed and antral biopsy specimens were taken for a CLO test, histologic analysis (Dieterle stain), and tissue culture. On the same day, the subjects underwent a carbon 13-labeled area urea breath test. All subjects completed a visual analog scale, rating the acceptability of the unsedated transnasal examination and the previous sedated conventional Esophagogastroduodenoscopy. There was no statistically significant difference between the results of the CLO tests (5/19 positive) versus the 13C-urea breath test (4/19 positive) (p = 0.96), the CLO tests versus histologic findings (5/19 positive) (p = 0.71), or the 13C-urea breath test versus histologic findings (p = 0.96). All tissue culture results were negative. The overall acceptability of unsedated transnasal Esophagogastroduodenoscopy was similar to that of sedated conventional Esophagogastroduodenoscopy. Unsedated transnasal Esophagogastroduodenoscopy, a technique that eliminates the costs and complications associated with conscious sedation, is a feasible and accurate alternative to conventional Esophagogastroduodenoscopy when documentation of H pylori eradication and confirmation of gastric ulcer healing are both indicated.
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Unsedated transnasal EGD: an alternative approach to conventional Esophagogastroduodenoscopy for documenting Helicobacter pylori eradication.
Gastrointestinal Endoscopy, 1999Co-Authors: K Saeian, F A Rochling, E Bardan, S Phadnis, B E Dunn, K Darnell, William Townsend, Kulwinder S. Dua, R ShakerAbstract:Abstract Background: The aim of this study was to assess the yield of antral biopsies performed via unsedated transnasal Esophagogastroduodenoscopy, a technique that does not require conscious sedation with its concomitant costs and complications, for documentation of Helicobacter pylori eradication. Methods: Nineteen patients who were previously CLO test positive on conventional Esophagogastroduodenoscopy and subsequently treated for H pylori infection were enrolled. The subjects had not received antibiotic therapy in the prior month and had no prior gastric surgery. By using a GIF-N30 fiberoptic endoscope and a tiny cup biopsy forceps (1.8 mm diameter), unsedated transnasal endoscopy was performed and antral biopsy specimens were taken for a CLO test, histologic analysis (Dieterle stain), and tissue culture. On the same day, the subjects underwent a carbon 13–labeled area urea breath test. All subjects completed a visual analog scale, rating the acceptability of the unsedated transnasal examination and the previous sedated conventional Esophagogastroduodenoscopy. Results: There was no statistically significant difference between the results of the CLO tests (5/19 positive) versus the 13 C-urea breath test (4/19 positive) ( p = 0.96), the CLO tests versus histologic findings (5/19 positive) ( p = 0.71), or the 13 C-urea breath test versus histologic findings ( p = 0.96). All tissue culture results were negative. The overall acceptability of unsedated transnasal Esophagogastroduodenoscopy was similar to that of sedated conventional Esophagogastroduodenoscopy. Conclusion: Unsedated transnasal Esophagogastroduodenoscopy, a technique that eliminates the costs and complications associated with conscious sedation, is a feasible and accurate alternative to conventional Esophagogastroduodenoscopy when documentation of H pylori eradication and confirmation of gastric ulcer healing are both indicated. (Gastrointest Endosc 1999;49:297-301.)
Satoshi Ono - One of the best experts on this subject based on the ideXlab platform.
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Evaluation of preferable insertion routes for Esophagogastroduodenoscopy using ultrathin endoscopes.
World journal of gastroenterology, 2014Co-Authors: Satoshi Ono, Keiko Niimi, Mitsuhiro Fujishiro, Yu Takahashi, Yoshiki Sakaguchi, Chiemi Nakayama, Chihiro Minatsuki, Rie Matsuda, Itsuko Hirayama-asada, Yosuke TsujiAbstract:Evaluation of preferable insertion routes for Esophagogastroduodenoscopy using ultrathin endoscopes
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Ultrathin endoscope flexibility can predict discomfort associated with unsedated transnasal Esophagogastroduodenoscopy.
World journal of gastrointestinal endoscopy, 2013Co-Authors: Satoshi Ono, Keiko Niimi, Mitsuhiro Fujishiro, Tomoko Nakao, Kazushi Suzuki, Yumiko Ohike, Shinya Kodashima, Nobutake Yamamichi, Tsutomu Yamazaki, Kazuhiko KoikeAbstract:Ultrathin endoscope flexibility can predict discomfort associated with unsedated transnasal Esophagogastroduodenoscopy
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Discrepancy in diagnosis of gastric submucosal tumor among Esophagogastroduodenoscopy, CT, and endoscopic ultrasonography: a retrospective analysis of 93 consecutive cases.
Abdominal imaging, 2012Co-Authors: Osamu Goto, Satoshi Ono, Keiko Niimi, Chihiro Minatsuki, Shinya Kodashima, Nobutake Yamamichi, Haruka Kambe, Satoshi Mochizuki, Itsuko Asada-hirayama, Yutaka YamajiAbstract:Purpose Evidences on diagnostic ability of Esophagogastroduodenoscopy (EGD), CT, and endoscopic ultrasonography (EUS) for gastric submucosal tumor (SMT) are insufficient. For investigating a suitable diagnostic strategy, we retrospectively investigated diagnostic accuracy of EGD and CT for SMT, in comparison to EUS findings.
Naoki Tanaka - One of the best experts on this subject based on the ideXlab platform.
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Low-dose propofol sedation for diagnostic Esophagogastroduodenoscopy: results in 10,662 adults.
The American journal of gastroenterology, 2009Co-Authors: Akira Horiuchi, Yoshiko Nakayama, Nao Hidaka, Yasuyuki Ichise, Masashi Kajiyama, Naoki TanakaAbstract:Low-Dose Propofol Sedation for Diagnostic Esophagogastroduodenoscopy: Results in 10,662 Adults
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Prospective comparison between sedated high-definition oral and unsedated ultrathin transnasal Esophagogastroduodenoscopy in the same subjects: pilot study.
Digestive Endoscopy, 2008Co-Authors: Akira Horiuchi, Yoshiko Nakayama, Nao Hidaka, Yasuyuki Ichise, Masashi Kajiyama, Naoki TanakaAbstract:Background: Recently, quality as well as acceptability has been a concern regarding endoscopy. The aim of the present study was to compare the acceptability and quality of sedated high-definition Esophagogastroduodenoscopy (sHD-EGD) using a newly developed high-definition videoscope with those of unsedated ultrathin Esophagogastroduodenoscopy (uUT-EGD) using a 5.2 mm videoscope. Methods: Twenty-two volunteers underwent both peroral sHD-EGD and transnasal uUT-EGD on the same day. Sedation consisted of 40 mg of propofol i.v. Both endoscopist and subject satisfaction levels were assessed using a 10 cm visual analogue scale. Results: All 22 subjects completed the sHD-EGD and 21 subjects completed the uUT-EGD. The endoscopist and subject satisfaction levels of sHD-EGD were significantly better than those of uUT-EGD (overall endoscopist satisfaction: 9 vs 4, P
K Saeian - One of the best experts on this subject based on the ideXlab platform.
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Unsedated transnasal EGD: an alternative approach to conventional Esophagogastroduodenoscopy for documenting Helicobacter pylori eradication.
Gastrointestinal endoscopy, 1999Co-Authors: K Saeian, W F Townsend, F A Rochling, E Bardan, K Dua, S Phadnis, B E Dunn, K Darnell, R ShakerAbstract:The aim of this study was to assess the yield of antral biopsies performed via unsedated transnasal Esophagogastroduodenoscopy, a technique that does not require conscious sedation with its concomitant costs and complications, for documentation of Helicobacter pylori eradication. Nineteen patients who were previously CLO test positive on conventional Esophagogastroduodenoscopy and subsequently treated for H pylori infection were enrolled. The subjects had not received antibiotic therapy in the prior month and had no prior gastric surgery. By using a GIF-N30 fiberoptic endoscope and a tiny cup biopsy forceps (1.8 mm diameter), unsedated transnasal endoscopy was performed and antral biopsy specimens were taken for a CLO test, histologic analysis (Dieterle stain), and tissue culture. On the same day, the subjects underwent a carbon 13-labeled area urea breath test. All subjects completed a visual analog scale, rating the acceptability of the unsedated transnasal examination and the previous sedated conventional Esophagogastroduodenoscopy. There was no statistically significant difference between the results of the CLO tests (5/19 positive) versus the 13C-urea breath test (4/19 positive) (p = 0.96), the CLO tests versus histologic findings (5/19 positive) (p = 0.71), or the 13C-urea breath test versus histologic findings (p = 0.96). All tissue culture results were negative. The overall acceptability of unsedated transnasal Esophagogastroduodenoscopy was similar to that of sedated conventional Esophagogastroduodenoscopy. Unsedated transnasal Esophagogastroduodenoscopy, a technique that eliminates the costs and complications associated with conscious sedation, is a feasible and accurate alternative to conventional Esophagogastroduodenoscopy when documentation of H pylori eradication and confirmation of gastric ulcer healing are both indicated.
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Unsedated transnasal EGD: an alternative approach to conventional Esophagogastroduodenoscopy for documenting Helicobacter pylori eradication.
Gastrointestinal Endoscopy, 1999Co-Authors: K Saeian, F A Rochling, E Bardan, S Phadnis, B E Dunn, K Darnell, William Townsend, Kulwinder S. Dua, R ShakerAbstract:Abstract Background: The aim of this study was to assess the yield of antral biopsies performed via unsedated transnasal Esophagogastroduodenoscopy, a technique that does not require conscious sedation with its concomitant costs and complications, for documentation of Helicobacter pylori eradication. Methods: Nineteen patients who were previously CLO test positive on conventional Esophagogastroduodenoscopy and subsequently treated for H pylori infection were enrolled. The subjects had not received antibiotic therapy in the prior month and had no prior gastric surgery. By using a GIF-N30 fiberoptic endoscope and a tiny cup biopsy forceps (1.8 mm diameter), unsedated transnasal endoscopy was performed and antral biopsy specimens were taken for a CLO test, histologic analysis (Dieterle stain), and tissue culture. On the same day, the subjects underwent a carbon 13–labeled area urea breath test. All subjects completed a visual analog scale, rating the acceptability of the unsedated transnasal examination and the previous sedated conventional Esophagogastroduodenoscopy. Results: There was no statistically significant difference between the results of the CLO tests (5/19 positive) versus the 13 C-urea breath test (4/19 positive) ( p = 0.96), the CLO tests versus histologic findings (5/19 positive) ( p = 0.71), or the 13 C-urea breath test versus histologic findings ( p = 0.96). All tissue culture results were negative. The overall acceptability of unsedated transnasal Esophagogastroduodenoscopy was similar to that of sedated conventional Esophagogastroduodenoscopy. Conclusion: Unsedated transnasal Esophagogastroduodenoscopy, a technique that eliminates the costs and complications associated with conscious sedation, is a feasible and accurate alternative to conventional Esophagogastroduodenoscopy when documentation of H pylori eradication and confirmation of gastric ulcer healing are both indicated. (Gastrointest Endosc 1999;49:297-301.)
Yoshito Itoh - One of the best experts on this subject based on the ideXlab platform.
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Analysis of cardiopulmonary stress during endoscopy: is unsedated transnasal Esophagogastroduodenoscopy appropriate for elderly patients?
Canadian journal of gastroenterology & hepatology, 2013Co-Authors: Kazuhiko Uchiyama, Takeshi Ishikawa, Naoyuki Sakamoto, Hirokazu Kajikawa, Tomohisa Takagi, Osamu Handa, Yoshihide Tatsumi, Nobuaki Yagi, Yuji Naito, Yoshito ItohAbstract:BACKGROUND: Transnasal Esophagogastroduodenoscopy (EGD) without sedation has been reported to be safe and tolerable. It has recently been used widely in Japan for the detection of upper gastrointestinal disease. Alternatively, transoral examination using a thin endoscope has also been reported to be highly tolerable.