Objective:To analyze the therapeutic effect of high-frequency electrosurgical knife surgery guided by painless digestive endoscopy(PDE)in elderly patients with gastrointestinal polyps(GP).Methods:A total of 100 elderl...Objective:To analyze the therapeutic effect of high-frequency electrosurgical knife surgery guided by painless digestive endoscopy(PDE)in elderly patients with gastrointestinal polyps(GP).Methods:A total of 100 elderly GP patients admitted between June 2021 and December 2022 were selected.Patients were randomly divided into two groups:the painless group(50 cases)underwent high-frequency electrosurgical knife surgery guided by PDE,while the conventional group(50 cases)underwent the same surgery guided by traditional digestive endoscopy(DE).The total treatment efficacy,perioperative indicators,gastrointestinal hormone levels,oxidative stress(OS)markers,and complication rates were compared between the two groups.Results:The total treatment efficacy in the painless group was higher than that in the conventional group,and perioperative indicators were superior in the painless group(P<0.05).One week after treatment,the gastrointestinal hormone levels and OS-related markers in the painless group were better than those in the conventional group(P<0.05).The complication rate in the painless group was lower than in the conventional group(P<0.05).Conclusion:High-frequency electrosurgical knife surgery guided by PDE improves the effectiveness of polyp removal in elderly GP patients and accelerates postoperative recovery.It also protects gastrointestinal function,reduces postoperative OS,and ensures higher surgical safety.展开更多
Digestive endoscopy is widely performed in clinical practice,including in children,and has revolutionized the diagnosis and treatment of many gastro-intestinal(GI)disorders.Interventional procedures are increasingly u...Digestive endoscopy is widely performed in clinical practice,including in children,and has revolutionized the diagnosis and treatment of many gastro-intestinal(GI)disorders.Interventional procedures are increasingly utilized,particularly for hepatobiliary and pancreatic diseases.However,only a limited number of gastroenterologists are trained and experienced to perform endoscopic retrograde cholangiopancreatography and endoscopic ultrasound in pediatric patients.While GI endoscopic emergencies in children are uncommon,they can be serious.Effective care demands true multidisciplinary teamwork,with close and ongoing collaboration between gastroenterologists,anesthetists,and the pe-diatric team especially in centres where pediatric endoscopy specialists are not available.This mini-review outlines current practices in pediatric digestive endoscopy and explores recent advances in interventional endoscopy compared to adult patients.展开更多
BACKGROUND As lifestyles continue to change worldwide,the incidence of digestive tract carcinoma has gradually increased.Digestive endoscopy is an important tool that can assist in the diagnosis,treatment,and surgical...BACKGROUND As lifestyles continue to change worldwide,the incidence of digestive tract carcinoma has gradually increased.Digestive endoscopy is an important tool that can assist in the diagnosis,treatment,and surgical intervention for this disease.However,the examination process is affected by many factors,and patient cooperation is often poor,which can increase the risk of complications.AIM To explore the effects of integrated management and cognitive intervention on cooperation and complications in patients undergoing endoscopy for early gastrointestinal neoplasms.METHODS A total of 354 patients with early stage gastrointestinal cancer who underwent digestive endoscopy procedures between January and December 2023 at our hospital were divided into observation and control groups(177 patients in each group)in a randomized controlled blind trial.The control group received routine interventions,while the observation group received comprehensive integrated management combined with cognitive interventions.We compared the changes in adverse mood,discomfort,examination time,cooperation with the examination,and complications before and after the intervention between the two groups.RESULTS The self-rated anxiety and depression scale scores were lower in the observation group than in the control group(P<0.05).The visual analog scale scores for discomfort during intubation and examination were also lower in the observation group than in the control group(P<0.05).Furthermore,the examination time was shorter in the observation group than in the control group(P<0.05),and the degree of cooperation(94.35%)was higher in the observation group than in the control group(84.75%;P<0.05).Lastly,the incidence rates of gastrointestinal adverse reactions(10.17%vs 20.34%),choking agitation(14.69%vs 24.86%),abdominal pain(8.47%vs 18.08%),and muscle tension(5.08%vs 14.12%)were all lower in the observation group than in the control group(P<0.05).CONCLUSION Integrated management and cognitive intervention in early gastrointestinal neoplasm endoscopy alleviate mood,reduce discomfort,shorten examinations,improve cooperation,and reduce complications.展开更多
Introduction: Oesophageal mycosis (OM) is one of the most common opportunistic infections in patients infected with HIV (Human Immunodeficiency Virus). However, this condition is increasingly observed in immunocompete...Introduction: Oesophageal mycosis (OM) is one of the most common opportunistic infections in patients infected with HIV (Human Immunodeficiency Virus). However, this condition is increasingly observed in immunocompetent subjects. The aim of this study was to determine the endoscopic prevalence, clinical characteristics and risk factors for the occurrence of oesophageal mycosis in our department. Patients and Method: This was a prospective cross-sectional study of all patients who underwent oeso-gastroduodenal fibroscopy during the period from 1<sup>st </sup>January to 31<sup>st</sup> December 2022, i.e. one year, at the digestive endoscopy unit of the hepato-gastroenterology department of the Donka CHU national hospital in Conakry. All patients found to have oesophageal mycosis by FOGD were included. The endoscopy was performed using appropriate equipment: A Fujinon 4400 video endoscopy column;Three Fujinon EG 590 video gastroscopes;A hoover;Data were collected using a pre-established survey form and analysed using Epi info software version 6.0.4;Pearson’s Chi2 test as a test of independence and the exact 5% threshold ficher test. Results: Out of 1343 upper gastrointestinal endoscopies performed, 107 cases of oesophageal mycosis were found, representing a prevalence of 7.96%. The mean age was 40 years, with a male predominance of 55.42%. The sex ratio M/F was 1.24. The 45 and over age group was the most affected, with a prevalence of 40.43%, followed by the [35 - 45] age group, with a prevalence of 22.43%. Clinical symptoms were dominated by epigastralgia in 74.76% of cases, followed by odynophagia in 37.38% of cases, nausea and vomiting in 28.03% of cases, and pyrosis in 26.16% of cases. Oesophageal mycosis without oesophagitis was the most common endoscopic finding in 70% of cases. The main associated endoscopic lesions were erythemato-erosive and congestive gastropathy in 28.03% of cases, peptic oesophagitis (9.34%) and gastric ulcer (5.60%). The main risk factors found were positive HIV serology in 39.25% of cases, and diabetes in 24.30% of cases, with a statistically significant relationship of 0.02 and 0.01 respectively. Conclusion: Oesophageal mycosis is the most common opportunistic infection in patients with impaired cellular immunity. The prevalence of oesophageal mycosis in our series was 7.96%. This study enabled us to identify the main risk factors for the occurrence of oesophageal mycosis. Our country needs to step up its programme to combat and prevent immunodeficiency diseases, particularly HIV and diabetes.展开更多
AIM: To evaluate the hemostatic effect of topical hemocoagulase spray in digestive endoscopy.METHODS: Eighty-nine patients who developed oozing bleeding during endoscopic treatment from September 2014 to October 2014 ...AIM: To evaluate the hemostatic effect of topical hemocoagulase spray in digestive endoscopy.METHODS: Eighty-nine patients who developed oozing bleeding during endoscopic treatment from September 2014 to October 2014 at Center for Digestive Endoscopy, Tianjin Medical University General Hospital were randomly divided into either a study group(n = 39) or a control group(n = 50). The study group was given topical hemocoagulase spray intraoperatively, while the control group was given traditional 8% norepinephrine spray. Hemostatic efficacy was compared between the two groups. Bleeding site, wound cleanliness and perforation were recorded, and the rates of perforation and late bleeding were compared.RESULTS: Successful hemostasis was achieved in 39(100%) patients of the study group and in 47(94.0%) patients of the control group, and there was no significant difference in the rate of successful hemostasis between the two groups. Compared with the control group, after topical hemocoagulase spray in the study group, the surgical field was clearer, the bleeding site was more easily identified, and the wound was cleaner. There was no significant difference in the rate of perforation between the study and control groups(16.7% vs 35.0%, P = 0.477), but the rates oflate bleeding(0% vs 15.8%, P = 0.048) and overall complications(P = 0.032) were significantly lower in the study group.CONCLUSION: Topical hemocoagulase spray has a definite hemostatic effect for oozing bleeding in digestive endoscopy, and this method is convenient, safe, and reliable. It is expected to become a new method for endoscopic hemostasis.展开更多
AIM:To assess the adoption of Carbon dioxide(CO2)insufflation by endoscopists from various European countries,and its determinants.METHODS:A survey was distributed to 580 endoscopists attending a live course on digest...AIM:To assess the adoption of Carbon dioxide(CO2)insufflation by endoscopists from various European countries,and its determinants.METHODS:A survey was distributed to 580 endoscopists attending a live course on digestive endoscopy.RESULTS:The response rate was 24.5%.Fewer than half the respondents(66/142,46.5%)were aware of the fact that room air can be replaced by CO2 for gut distension during endoscopy,and 4.2%of respondents were actually using CO2 as the insufflation agent.Endoscopists aware of the possibility of CO2 insufflation mentioned technical difficulties in implementing the system and the absence of significant advantages of CO2 in comparison with room air as barriers to adoption in daily practice(84%and 49%of answers,respectively;two answers were permitted for this item).CONCLUSION:Based on this survey,adoption of CO2 insufflation during endoscopy seems to remain relatively exceptional.A majority of endoscopists were not aware of this possibility,while others were not aware of recent technical developments that facilitate CO2 implementation in an endoscopy suite.展开更多
The pneumonia caused by the coronavirus disease-2019(COVID-19)outbreak in Wuhan,China constitutes a public health emergency of international concern.The gastrointestinal symptoms of vomiting,diarrhea and abdominal pai...The pneumonia caused by the coronavirus disease-2019(COVID-19)outbreak in Wuhan,China constitutes a public health emergency of international concern.The gastrointestinal symptoms of vomiting,diarrhea and abdominal pain and the detection of COVID-19 nucleic acid from fecal specimens in a small number of patients suggest the possibility of transmission via the gastrointestinal tract.People of all ages are vulnerable to this virus,including children.Digestive endoscopy is an invasive procedure during which children cannot wear masks;therefore,they have higher risks of exposure to COVID-19,and the digestive endoscopy center is a relatively high-risk area for COVID-19 infection.Based on these factors and in combination with related policies and regulations,a prevention and control program for the COVID-19 pneumonia in a children's digestive endoscopy center was established to prevent the COVID-19 nosocomial infection.展开更多
<strong>Introduction:</strong> <span><span><span style="font-family:;" "="">Gastritis is a very common and widely distributed condition <span>worldwide. It ...<strong>Introduction:</strong> <span><span><span style="font-family:;" "="">Gastritis is a very common and widely distributed condition <span>worldwide. It represents one of the most common pathological entities in</span> gastroenterology and digestive endoscopy. Our objective was to determine the sociodemographic, clinical, endoscopic, and histological aspects of gastritis in the digestive endoscopy unit of the General Hospital Idrissa Pouye (GHIP).<b> Materials and Method: </b>This was a retrospective study over a period of 4 years (from 1 January 2014 to 31 December 2017) at the digestive endoscopy <span>unit of GHIP. We had collated oesogastroduodenal endoscopy (EGDE) re</span>ports with gastritis appearance with gastric biopsies and reports with normal stomach appearance with gastric biopsies and their histological reports. We collected and analyzed data on age, gender, indications for endoscopy, endoscopic findings and histological results. <b>Results: </b>The reports of 593 patients were analyzed. The mean age was 45 years </span></span></span><span><span><span style="font-family:;" "="">old </span></span></span><span><span><span style="font-family:;" "="">(range 8 - 88 years</span></span></span><span><span><span style="font-family:;" "=""> old</span></span></span><span><span><span style="font-family:;" "="">) and the sex ratio was 0.63 (230 men). The indications for endoscopy were epigastralgia in (91%) of cases, dyspepsia in (22%) of cases, pyrosis in (12%) of <span>cases. The endoscopic appearance was normal in 229 patients (39%). The</span> endoscopic location of the gastritis was antral in 76%, fundic in 22% and pangastric in 2%. The gastritis was erythematous in 327 patients (90%), erosive in 126 patients (35%), congestive in 53 patients (15%), pseudonodular in 14 patients (4%) and atrophic in 10 patients (3%). Histology was normal in 8 patients (1.3%) and showed gastritis in 585 patients (98.7%). Gastritis was chronic in 575 patients (98.2%), acute in 10 patients (1.7%). Gastritis activity was moderate in (52.7%) and mild in (42.9%). Atrophy was absent in 521 patients (88.6%) and mild in 46 patients (8.2%). Intestinal metaplasia was found in 66 patients (11%). Dysplasia was present in 1.7% of cases. This dysplasia was intermediate grade (60%) in 6 patients, low grade (20%) in 2 patients and severe grade (20%). <i>H</i>. <i>pylori</i> was present in 404 patients (68%).<b> Conclusion: </b>Gastritis is </span></span></span><span><span><span style="font-family:;" "="">usually</span></span></span><span><span><span style="font-family:;" "=""> found in the digestive endoscopy unit of the GHIP. The indications for endoscopy are dominated by epigastralgia and histology is necessary for its diagnosis.</span></span></span>展开更多
<strong>Background:</strong><span><span><span style="font-family:;" "=""> Endoscopy remains the most performant medical exam exploring the upper digestive tract;b...<strong>Background:</strong><span><span><span style="font-family:;" "=""> Endoscopy remains the most performant medical exam exploring the upper digestive tract;but depending on patients, its tolerance is variable.<b> Objective: </b>This study aimed at describing the experience and evaluating the tolerance, acceptability and injuries observed during upper gastrointestinal endoscopy. <b>Methods:</b> This is a prospective and descriptive study carried out from April to July 2017 in the digestive endoscopy unit of the Kara teaching hospital</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><span style="font-family:;" "="">(Togo). The gastroscopy was performed by the same operator (Hepatogastroenteroloogist). The premedication was done with direct intravenous injection of 10 mg of Metoclopramide hydrochloride and viscous Lidocaine oral gel. Previously, essential information about the examination course was given to patients after obtaining their verbal consent. Patients’ impressions of the experience, tolerance and acceptability were collected on a survey sheet, before and after the examination.<b> Results:</b> One hundred and eleven patients were included, 62 women and 49 men. The average age was 45.9 years (15</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><span style="font-family:;" "="">-</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><span style="font-family:;" "="">88 years), and the sex ratio</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><span style="font-family:;" "="">(F/M) was 1.2. Most of the patients (89.2%) were experiencing the gastroscopy for the first time, and the main reason was epigastralgia in 55%. The examination duration was good at 88.3% and tolerance was good at 72.1%. Tingling, irritation, pain or sore throat feelings were noted in 13.5%. Patients agreeing to make an ulterior UDE if necessary were up to 92.8%. Observed injuries were dominated by antral erythematous gastropathy (28.8%).</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><b><span style="font-family:;" "="">Conclusion:</span></b></span></span><span><span><span style="font-family:;" "=""> UDE is well tolerated among our patients and its acceptability is high. Injuries are dominated by inflammatory pathologies of the stomach in our population.</span></span></span>展开更多
Foreign bodies ingestion is regularly observed in gastroenterology context. The evolution is favorable with early extraction. Our main objective was to evaluate foreign bodies managed in digestive endoscopic center of...Foreign bodies ingestion is regularly observed in gastroenterology context. The evolution is favorable with early extraction. Our main objective was to evaluate foreign bodies managed in digestive endoscopic center of University hospital center Gabriel Touré. The study was retrospective from January 2007 to October 2017 in the endoscopic center of the service of gastroenterology of University hospital center Gabriel Touré and concerned the patients who have been addressed at this center for foreign bodies. We collated 44 patients who ingested foreign bodies among 2750 digestive endoscopies</span><span style="font-family:Verdana;">,</span><span style="font-family:Verdana;"> that is to say</span><span style="font-family:Verdana;">,</span><span style="font-family:Verdana;"> a frequency of 0.16%. In patient’s history, we found caustic obstruction in 2.3% of patients. The foreign body ingestion was accidental in 97.7% of cases. Pieces of money were more frequent (54.4%). In 86.4%, the foreign bodies were into the esophagus. Upper digestive endoscopy performed foreign bodies extraction in 88.6 of cases. In 9.1%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">the elimination was spontaneous on 72 hours. Surgeon was indicated in 2.3% of patients. The evolution was favorable in 97.7% of patients. One patient died by digestive bleeding. Conclusion: Foreign bodies ingestion is frequent in children. The upper digestive endoscopy can do the diagnosis and the management.展开更多
<strong>Introduction:</strong> <span><span><span style="font-family:;" "="">Thanks to the opening of the digestive endoscopy unit in the Reference General Hospita...<strong>Introduction:</strong> <span><span><span style="font-family:;" "="">Thanks to the opening of the digestive endoscopy unit in the Reference General Hospital of Panzi in Bukavu in the Democratic Republic of the Congo, which inspired our work on the profile of endoscopic lesions observed in a series of 1000 patients correlated with clinical and demographic criteria with the contribution of pathology examinations of the 292 biopsies performed. The aim of our work is to evaluate the prevalence of significant endoscopic lesions as well as that of <i>H. pylori</i> infection. <b>Material and Methods:</b> This is a retrospective, descriptive and analytical study, ranging from the 16<sup>th</sup> of December 2014 to the 16<sup>th</sup> of June 2016. It covered 1000 patients who benefited from a high digestive endoscopy and 292 of them had a biopsy with pathological examination. The data obtained were recorded and analyzed using the Epi-info software and chi-square test. <b>Results:</b> fifty-five percent of these patients were women.</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><span style="font-family:;" "="">66% of the patients were under 50</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><span style="font-family:;" "="">years of age. Their major symptom was epigastric pain</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><span style="font-family:;" "="">(89.2%),</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><span style="font-family:;" "="">the most observed endoscopic lesion was erythematous gastritis</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><span style="font-family:;" "="">(82%) therefore we have noticed 21</span></span></span><span><span><span style="font-family:;" "="">.</span></span></span><span><span><span style="font-family:;" "="">5% of significant lesions. Gastric cancer was present in 3.9% of cases and gastric ulcer in 4.2% of cases. The gastric tumor was correlated with age and sex (P-value at 0.000 and 0.013). The gastroduodenal ulcer was linked to age, <i>NSAID</i> and tobacco use (P-value at 0.0007, 0.001, 0.007). Esophageal mycosis was correlated with HIV status (P-value at 0.000). <i>Helicobacter pylori</i> gastritis was the most frequent (61.30%) and</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><i><span style="font-family:;" "="">Helicobacter pylori</span></i></span></span><span><span><span style="font-family:;" "=""> were present in 63% of gastric biopsies. <b>Conclusion: </b>Upper digestive endoscopy is a major tool for the diagnosis of upper gastrointestinal disorders and should always be followed by a biopsy if there is a suspicious lesion for pathologic confirmation and adequate management.</span></span></span>展开更多
Objective: this study mainly studies the treatment of patients with intestinal polyps, and conducts the treatment process under the control of gastrointestinal endoscopy, in order to improve the treatment effect of th...Objective: this study mainly studies the treatment of patients with intestinal polyps, and conducts the treatment process under the control of gastrointestinal endoscopy, in order to improve the treatment effect of these patients, shorten the treatment time and recovery time of the patients, and improve the life of the patients. quality. Methods: This study selected 72 patients with intestinal polyps who came to our hospital from November 2020 to January 2022. All patients received intestinal polyp treatment as part of gastrointestinal endoscopy. In order to observe the research results, the selected patients were compared and examined in order to better observe the research results. During the examination of all selected patients, the nursing effect and the occurrence of adverse events should be carefully recorded and compared. At the same time, before nursing the selected patients, professional medical staff will evaluate the overall condition of the patients to ensure that the patients can cooperate in the process of this study, and then they can be included in the study. Patients should also take the initiative to inform patients of the research content and purpose, and the research results can be published only with the consent of patients. Results: two different nursing methods had different effects on selected patients, but relatively high-quality nursing methods were preferred by patients, which minimized adverse reactions during the patient's recovery. There were differences in the results across all patients, which better support the data from this study.展开更多
Objective: to explore the effect of risk management in digestive endoscopy room. Methods: 100 patients who were diagnosed and treated in digestive endoscopy room from November 2019 to November 2020 were studied. Compu...Objective: to explore the effect of risk management in digestive endoscopy room. Methods: 100 patients who were diagnosed and treated in digestive endoscopy room from November 2019 to November 2020 were studied. Computer numerical table method is divided into control group (routine basic nursing) 50 cases and management group (risk management nursing) 50 cases. Record the nursing quality and satisfaction of the control group and the management group, and the proportion of adverse events in each group. Results: the nursing satisfaction of the patients in the management group was higher than that of the control group, and the incidence of adverse events in the management group was lower than that of the control group. The difference was statistically significant (P < 0.05). Conclusion: the application of risk management in digestive endoscopy room has obvious effect, reducing the occurrence of adverse events in the process of diagnosis and treatment of patients, and improving the satisfaction and compliance of nursing care. It can be used for the treatment of diseases and is suitable for clinical application.展开更多
Objective: in the process of diagnosis and treatment of digestive endoscopy, different nursing schemes are adopted to summarize and explore the implementation effect of comfort nursing scheme and the improvement of pa...Objective: in the process of diagnosis and treatment of digestive endoscopy, different nursing schemes are adopted to summarize and explore the implementation effect of comfort nursing scheme and the improvement of patient comfort and negative reaction. Methods: from January 20 to January 21, 92 cases were included in our hospital for digestive endoscopy diagnosis and treatment. They were divided into two groups according to the nursing mode. The number of cases included was 46. According to the nursing means, it is named as routine nursing group and comfort nursing group. In the nursing process, the nursing scheme adopted by the routine nursing group for patients is traditional routine nursing, and the nursing scheme adopted by the comfort nursing group for patients is comfort nursing intervention. Summarize and explore the effect of nursing implementation. Results: (1) after comparison, the score of comfort nursing in the routine group was lower and that in the comfort nursing group was higher. There was significant difference between the two groups (P < 0.05). (2) By comparison, the incidence of adverse reactions was higher in the routine nursing group and lower in the comfortable nursing group (P < 0.05). (3) By comparison, the recovery time of gastrointestinal function was longer in the routine nursing group and shorter in the comfort nursing group (P < 0.05). Conclusion: in the process of gastrointestinal endoscopy diagnosis and treatment, combined with comfort nursing intervention can improve the quality of nursing. This scheme is worthy of clinical application and popularization.展开更多
Digestive endoscopy is a special optical instrument for medical diagnosis, which is mainly used to probe the endoscope into the digestive tract of patients to observe whether there are abnormalities or pathological ch...Digestive endoscopy is a special optical instrument for medical diagnosis, which is mainly used to probe the endoscope into the digestive tract of patients to observe whether there are abnormalities or pathological changes. Because of its own rapidity and intuition, digestive endoscopy has been unanimously approved by medical staff and patients, and has also been more widely used in clinical medicine. With the change of lifestyle, more and more people suffer from diseases in the digestive tract. In order to achieve effective treatment and provide a more scientific basis for the operation, medical personnel must have an understanding of the actual disease situation of patients and accurately grasp the pathological changes of patients. This is also the main advantage of digestive endoscopy. In order to provide more safety guarantee for patients, the personnel using the digestive endoscope must have an understanding of the use method and basic structure of the digestive endoscope, be able to accurately judge the problems occurring in the use process of the digestive endoscope, carefully maintain and reduce the occurrence of faults, enable the equipment to have a longer use time, reduce the equipment maintenance consumption and maintain the normal operation of the hospital.展开更多
Objective To explore the application of digestive endoscopy in the treatment of upper gastrointestinal bleeding. Methods Fifty patients in our hospital from July 2017 to July 2022 were randomly divided into two groups...Objective To explore the application of digestive endoscopy in the treatment of upper gastrointestinal bleeding. Methods Fifty patients in our hospital from July 2017 to July 2022 were randomly divided into two groups, 25 patients in each group. The curative effects of the two groups were compared by conventional drug therapy and digestive endoscopy therapy. Results Compared with the control group, the observation group had higher curative effect and lower other indexes (P0.05). Conclusion: the common disease in digestive department is upper gastrointestinal bleeding, the main cause of which is peptic ulcer. The main inducing factors of this disease are Hp infection and the use of non-steroidal anti-inflammatory drugs. The correct treatment depends on reliable evaluation, solid professional skills of clinicians and appropriate intervention. With the clinical application of endoscopic hemostasis, antacids and eradication of Hp, the effective rate of treatment of this disease has been greatly increased, but despite this, the morbidity and mortality of this disease have only increased. At present, clinical practice shows that endoscopic treatment has become the main treatment for gastrointestinal bleeding caused by non-varicose veins. If the volume of body fluid is normal, the hemodynamic stability is stable, and gastroscopy treatment is performed within 24 hours, and the diagnosis evidence can be made clear so that patients can be treated clearly. Before endoscopic examination, proton pump inhibitor was given to reduce the bleeding rate and the need for endoscopic therapy, but it had low influence on rebleeding rate, mortality and surgical operation, and reduced rebleeding rate. For high-risk patients, endoscopic treatment can prevent postoperative rebleeding, and can also reduce the need for later intervention, mortality and other indicators.展开更多
Objective: to explore the effect of seamless nursing quality management in the diagnosis and treatment of patients with digestive endoscopy. Methods: from February 2020 to February 2021, 114 patients with digestive en...Objective: to explore the effect of seamless nursing quality management in the diagnosis and treatment of patients with digestive endoscopy. Methods: from February 2020 to February 2021, 114 patients with digestive endoscopy received by our hospital were randomly selected for the RCT study, and randomly divided into project group and preset group (general nursing), and the nursing effects of the two groups were compared. Results: compared with the preset group, the incidence of complications in the project group was lower, and the nursing compliance and nursing satisfaction were higher, with statistical significance between the two groups (P < 0.05). Conclusion: the application of seamless nursing quality management in patients with digestive endoscopy can reduce the risk of complications, improve nursing compliance and nursing satisfaction, and is suitable for clinical promotion.展开更多
Objective: to explore the effect of psychological intervention combined with detailed nursing on stress response and examination cooperation degree of patients undergoing digestive endoscopy. Methods: 206 patients und...Objective: to explore the effect of psychological intervention combined with detailed nursing on stress response and examination cooperation degree of patients undergoing digestive endoscopy. Methods: 206 patients undergoing digestive endoscopy in our hospital from March 2021 to December 2021 were selected as the research objects, and divided into control group and observation group according to the principle of comparability of basic characteristics between groups, with 103 cases in each group. The control group received routine nursing while the observation group received psychological intervention combined with detailed nursing. The stress response, psychological state and cooperation degree of the two groups were compared. Results: after psychological intervention combined with detailed nursing intervention, the heart rate, systolic blood pressure and diastolic blood pressure of patients in the observation group were significantly lower than those in the control group 5 minutes before endoscopic examination (P < 0.05). The heart rate and systolic blood pressure of the observation group were significantly lower than those of the control group 5 minutes after the examination (P<0.05). Before psychological intervention combined with detailed nursing, there was no significant difference in SAS and SDS scores between the two groups (P > 0.05). 6 hours after the intervention, the SAS and SDS scores of the observation group were significantly lower than those of the control group (P<0.05). The overall coordination degree of the observation group was significantly higher than that of the control group (P<0.05). Conclusion psychological intervention combined with detailed nursing can significantly reduce patients' stress reaction, improve patients' cooperation degree, and relieve patients' anxiety and depression.展开更多
The aim of this study is to describe the role of endoscopy in detection and treatment of neoplastic lesions of the digestive mucosa in asymptomatic persons.Esophageal squamous cell cancer occurs in relation to nutriti...The aim of this study is to describe the role of endoscopy in detection and treatment of neoplastic lesions of the digestive mucosa in asymptomatic persons.Esophageal squamous cell cancer occurs in relation to nutritional deficiency and alcohol or tobacco consumption.Esophageal adenocarcinoma develops in Barrett's esophagus,and stomach cancer in chronic gastric atrophy with Helicobacter pylori infection.Colorectal cancer is favoured by a high intake in calories,excess weight,low physical activity.In opportunistic or individual screening endoscopy is the primary detection procedure offered to an asymptomatic individual.In organized or mass screening proposed by National Health Authorities to a population,endoscopy is performed only in persons found positive to a filter selection test.The indications of primary upper gastrointestinal endoscopy and colonoscopy in opportunistic screening are increasingly developing over the world.Organized screening trials are proposed in some regions of China at high risk for esophageal cancer;the selection test is cytology of a balloon or sponge scrapping;they are proposed in Japan for stomach cancer with photofluorography as a selection test;and in Europe,America and Japan;for colorectal cancer with the fecal occult blood test as a selection test.Organized screening trials in a country require an evaluation:the benefit of the intervention assessed by its impact on incidence and on the 5 year survival for the concerned tumor site;in addition a number of bias interfering with the evaluation have to be controlled.Drawbacks of screening are in the morbidity of the diagnostic and treatment procedures and in overdetection of none clinically relevant lesions.The strategy of endoscopic screening applies to early cancer and to benign adenomatous precursors of adenocarcinoma.Diagnostic endoscopy is conducted in 2 steps:at first detection of an abnormal area through changes in relief,in color or in the course of superficial capillaries;then characterization of the morphology of the lesion according to the Paris classification and prediction of the risk of malignancy and depth of invasion,with the help of chromoscopy,magnification and image processing with neutrophil bactericidal index or FICE.Then treatment decision offers 3 options according to histologic prediction:abstention,endoscopic resection,surgery.The rigorous quality control of endoscopy will reduce the miss rate of lesions and the occurrence of interval cancer.展开更多
A thorough endoscopic visualization of the digestive mucosa is essential for reaching an accurate diagnosis and to treat the different lesions. Standard white light endoscopes permit a good mucosa examination but, now...A thorough endoscopic visualization of the digestive mucosa is essential for reaching an accurate diagnosis and to treat the different lesions. Standard white light endoscopes permit a good mucosa examination but, nowadays, the introduction of powerful endoscopic instrumentations increased ability to analyze the fi nest details. By applying dyes and zoom-magnifi cation endoscopy further architectural detail of the mucosa can be elucidated. New computed virtual chromoendoscopy have further enhanced optical capabilities for the evaluation of submucosal vascolar pattern. Recently, confocal endomicroscopy and endocytoscopy were proposed for the study of ultrastructural mucosa details. Because of the technological contents of powerful instrumentation, a good knowledge of implemented technologies is mandatory for the endoscopist, nowadays. Nevertheless, there is a big confusion about this topic. We will try to explain these technologies and to clarify this terminology.展开更多
文摘Objective:To analyze the therapeutic effect of high-frequency electrosurgical knife surgery guided by painless digestive endoscopy(PDE)in elderly patients with gastrointestinal polyps(GP).Methods:A total of 100 elderly GP patients admitted between June 2021 and December 2022 were selected.Patients were randomly divided into two groups:the painless group(50 cases)underwent high-frequency electrosurgical knife surgery guided by PDE,while the conventional group(50 cases)underwent the same surgery guided by traditional digestive endoscopy(DE).The total treatment efficacy,perioperative indicators,gastrointestinal hormone levels,oxidative stress(OS)markers,and complication rates were compared between the two groups.Results:The total treatment efficacy in the painless group was higher than that in the conventional group,and perioperative indicators were superior in the painless group(P<0.05).One week after treatment,the gastrointestinal hormone levels and OS-related markers in the painless group were better than those in the conventional group(P<0.05).The complication rate in the painless group was lower than in the conventional group(P<0.05).Conclusion:High-frequency electrosurgical knife surgery guided by PDE improves the effectiveness of polyp removal in elderly GP patients and accelerates postoperative recovery.It also protects gastrointestinal function,reduces postoperative OS,and ensures higher surgical safety.
文摘Digestive endoscopy is widely performed in clinical practice,including in children,and has revolutionized the diagnosis and treatment of many gastro-intestinal(GI)disorders.Interventional procedures are increasingly utilized,particularly for hepatobiliary and pancreatic diseases.However,only a limited number of gastroenterologists are trained and experienced to perform endoscopic retrograde cholangiopancreatography and endoscopic ultrasound in pediatric patients.While GI endoscopic emergencies in children are uncommon,they can be serious.Effective care demands true multidisciplinary teamwork,with close and ongoing collaboration between gastroenterologists,anesthetists,and the pe-diatric team especially in centres where pediatric endoscopy specialists are not available.This mini-review outlines current practices in pediatric digestive endoscopy and explores recent advances in interventional endoscopy compared to adult patients.
文摘BACKGROUND As lifestyles continue to change worldwide,the incidence of digestive tract carcinoma has gradually increased.Digestive endoscopy is an important tool that can assist in the diagnosis,treatment,and surgical intervention for this disease.However,the examination process is affected by many factors,and patient cooperation is often poor,which can increase the risk of complications.AIM To explore the effects of integrated management and cognitive intervention on cooperation and complications in patients undergoing endoscopy for early gastrointestinal neoplasms.METHODS A total of 354 patients with early stage gastrointestinal cancer who underwent digestive endoscopy procedures between January and December 2023 at our hospital were divided into observation and control groups(177 patients in each group)in a randomized controlled blind trial.The control group received routine interventions,while the observation group received comprehensive integrated management combined with cognitive interventions.We compared the changes in adverse mood,discomfort,examination time,cooperation with the examination,and complications before and after the intervention between the two groups.RESULTS The self-rated anxiety and depression scale scores were lower in the observation group than in the control group(P<0.05).The visual analog scale scores for discomfort during intubation and examination were also lower in the observation group than in the control group(P<0.05).Furthermore,the examination time was shorter in the observation group than in the control group(P<0.05),and the degree of cooperation(94.35%)was higher in the observation group than in the control group(84.75%;P<0.05).Lastly,the incidence rates of gastrointestinal adverse reactions(10.17%vs 20.34%),choking agitation(14.69%vs 24.86%),abdominal pain(8.47%vs 18.08%),and muscle tension(5.08%vs 14.12%)were all lower in the observation group than in the control group(P<0.05).CONCLUSION Integrated management and cognitive intervention in early gastrointestinal neoplasm endoscopy alleviate mood,reduce discomfort,shorten examinations,improve cooperation,and reduce complications.
文摘Introduction: Oesophageal mycosis (OM) is one of the most common opportunistic infections in patients infected with HIV (Human Immunodeficiency Virus). However, this condition is increasingly observed in immunocompetent subjects. The aim of this study was to determine the endoscopic prevalence, clinical characteristics and risk factors for the occurrence of oesophageal mycosis in our department. Patients and Method: This was a prospective cross-sectional study of all patients who underwent oeso-gastroduodenal fibroscopy during the period from 1<sup>st </sup>January to 31<sup>st</sup> December 2022, i.e. one year, at the digestive endoscopy unit of the hepato-gastroenterology department of the Donka CHU national hospital in Conakry. All patients found to have oesophageal mycosis by FOGD were included. The endoscopy was performed using appropriate equipment: A Fujinon 4400 video endoscopy column;Three Fujinon EG 590 video gastroscopes;A hoover;Data were collected using a pre-established survey form and analysed using Epi info software version 6.0.4;Pearson’s Chi2 test as a test of independence and the exact 5% threshold ficher test. Results: Out of 1343 upper gastrointestinal endoscopies performed, 107 cases of oesophageal mycosis were found, representing a prevalence of 7.96%. The mean age was 40 years, with a male predominance of 55.42%. The sex ratio M/F was 1.24. The 45 and over age group was the most affected, with a prevalence of 40.43%, followed by the [35 - 45] age group, with a prevalence of 22.43%. Clinical symptoms were dominated by epigastralgia in 74.76% of cases, followed by odynophagia in 37.38% of cases, nausea and vomiting in 28.03% of cases, and pyrosis in 26.16% of cases. Oesophageal mycosis without oesophagitis was the most common endoscopic finding in 70% of cases. The main associated endoscopic lesions were erythemato-erosive and congestive gastropathy in 28.03% of cases, peptic oesophagitis (9.34%) and gastric ulcer (5.60%). The main risk factors found were positive HIV serology in 39.25% of cases, and diabetes in 24.30% of cases, with a statistically significant relationship of 0.02 and 0.01 respectively. Conclusion: Oesophageal mycosis is the most common opportunistic infection in patients with impaired cellular immunity. The prevalence of oesophageal mycosis in our series was 7.96%. This study enabled us to identify the main risk factors for the occurrence of oesophageal mycosis. Our country needs to step up its programme to combat and prevent immunodeficiency diseases, particularly HIV and diabetes.
文摘AIM: To evaluate the hemostatic effect of topical hemocoagulase spray in digestive endoscopy.METHODS: Eighty-nine patients who developed oozing bleeding during endoscopic treatment from September 2014 to October 2014 at Center for Digestive Endoscopy, Tianjin Medical University General Hospital were randomly divided into either a study group(n = 39) or a control group(n = 50). The study group was given topical hemocoagulase spray intraoperatively, while the control group was given traditional 8% norepinephrine spray. Hemostatic efficacy was compared between the two groups. Bleeding site, wound cleanliness and perforation were recorded, and the rates of perforation and late bleeding were compared.RESULTS: Successful hemostasis was achieved in 39(100%) patients of the study group and in 47(94.0%) patients of the control group, and there was no significant difference in the rate of successful hemostasis between the two groups. Compared with the control group, after topical hemocoagulase spray in the study group, the surgical field was clearer, the bleeding site was more easily identified, and the wound was cleaner. There was no significant difference in the rate of perforation between the study and control groups(16.7% vs 35.0%, P = 0.477), but the rates oflate bleeding(0% vs 15.8%, P = 0.048) and overall complications(P = 0.032) were significantly lower in the study group.CONCLUSION: Topical hemocoagulase spray has a definite hemostatic effect for oozing bleeding in digestive endoscopy, and this method is convenient, safe, and reliable. It is expected to become a new method for endoscopic hemostasis.
文摘AIM:To assess the adoption of Carbon dioxide(CO2)insufflation by endoscopists from various European countries,and its determinants.METHODS:A survey was distributed to 580 endoscopists attending a live course on digestive endoscopy.RESULTS:The response rate was 24.5%.Fewer than half the respondents(66/142,46.5%)were aware of the fact that room air can be replaced by CO2 for gut distension during endoscopy,and 4.2%of respondents were actually using CO2 as the insufflation agent.Endoscopists aware of the possibility of CO2 insufflation mentioned technical difficulties in implementing the system and the absence of significant advantages of CO2 in comparison with room air as barriers to adoption in daily practice(84%and 49%of answers,respectively;two answers were permitted for this item).CONCLUSION:Based on this survey,adoption of CO2 insufflation during endoscopy seems to remain relatively exceptional.A majority of endoscopists were not aware of this possibility,while others were not aware of recent technical developments that facilitate CO2 implementation in an endoscopy suite.
文摘The pneumonia caused by the coronavirus disease-2019(COVID-19)outbreak in Wuhan,China constitutes a public health emergency of international concern.The gastrointestinal symptoms of vomiting,diarrhea and abdominal pain and the detection of COVID-19 nucleic acid from fecal specimens in a small number of patients suggest the possibility of transmission via the gastrointestinal tract.People of all ages are vulnerable to this virus,including children.Digestive endoscopy is an invasive procedure during which children cannot wear masks;therefore,they have higher risks of exposure to COVID-19,and the digestive endoscopy center is a relatively high-risk area for COVID-19 infection.Based on these factors and in combination with related policies and regulations,a prevention and control program for the COVID-19 pneumonia in a children's digestive endoscopy center was established to prevent the COVID-19 nosocomial infection.
文摘<strong>Introduction:</strong> <span><span><span style="font-family:;" "="">Gastritis is a very common and widely distributed condition <span>worldwide. It represents one of the most common pathological entities in</span> gastroenterology and digestive endoscopy. Our objective was to determine the sociodemographic, clinical, endoscopic, and histological aspects of gastritis in the digestive endoscopy unit of the General Hospital Idrissa Pouye (GHIP).<b> Materials and Method: </b>This was a retrospective study over a period of 4 years (from 1 January 2014 to 31 December 2017) at the digestive endoscopy <span>unit of GHIP. We had collated oesogastroduodenal endoscopy (EGDE) re</span>ports with gastritis appearance with gastric biopsies and reports with normal stomach appearance with gastric biopsies and their histological reports. We collected and analyzed data on age, gender, indications for endoscopy, endoscopic findings and histological results. <b>Results: </b>The reports of 593 patients were analyzed. The mean age was 45 years </span></span></span><span><span><span style="font-family:;" "="">old </span></span></span><span><span><span style="font-family:;" "="">(range 8 - 88 years</span></span></span><span><span><span style="font-family:;" "=""> old</span></span></span><span><span><span style="font-family:;" "="">) and the sex ratio was 0.63 (230 men). The indications for endoscopy were epigastralgia in (91%) of cases, dyspepsia in (22%) of cases, pyrosis in (12%) of <span>cases. The endoscopic appearance was normal in 229 patients (39%). The</span> endoscopic location of the gastritis was antral in 76%, fundic in 22% and pangastric in 2%. The gastritis was erythematous in 327 patients (90%), erosive in 126 patients (35%), congestive in 53 patients (15%), pseudonodular in 14 patients (4%) and atrophic in 10 patients (3%). Histology was normal in 8 patients (1.3%) and showed gastritis in 585 patients (98.7%). Gastritis was chronic in 575 patients (98.2%), acute in 10 patients (1.7%). Gastritis activity was moderate in (52.7%) and mild in (42.9%). Atrophy was absent in 521 patients (88.6%) and mild in 46 patients (8.2%). Intestinal metaplasia was found in 66 patients (11%). Dysplasia was present in 1.7% of cases. This dysplasia was intermediate grade (60%) in 6 patients, low grade (20%) in 2 patients and severe grade (20%). <i>H</i>. <i>pylori</i> was present in 404 patients (68%).<b> Conclusion: </b>Gastritis is </span></span></span><span><span><span style="font-family:;" "="">usually</span></span></span><span><span><span style="font-family:;" "=""> found in the digestive endoscopy unit of the GHIP. The indications for endoscopy are dominated by epigastralgia and histology is necessary for its diagnosis.</span></span></span>
文摘<strong>Background:</strong><span><span><span style="font-family:;" "=""> Endoscopy remains the most performant medical exam exploring the upper digestive tract;but depending on patients, its tolerance is variable.<b> Objective: </b>This study aimed at describing the experience and evaluating the tolerance, acceptability and injuries observed during upper gastrointestinal endoscopy. <b>Methods:</b> This is a prospective and descriptive study carried out from April to July 2017 in the digestive endoscopy unit of the Kara teaching hospital</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><span style="font-family:;" "="">(Togo). The gastroscopy was performed by the same operator (Hepatogastroenteroloogist). The premedication was done with direct intravenous injection of 10 mg of Metoclopramide hydrochloride and viscous Lidocaine oral gel. Previously, essential information about the examination course was given to patients after obtaining their verbal consent. Patients’ impressions of the experience, tolerance and acceptability were collected on a survey sheet, before and after the examination.<b> Results:</b> One hundred and eleven patients were included, 62 women and 49 men. The average age was 45.9 years (15</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><span style="font-family:;" "="">-</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><span style="font-family:;" "="">88 years), and the sex ratio</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><span style="font-family:;" "="">(F/M) was 1.2. Most of the patients (89.2%) were experiencing the gastroscopy for the first time, and the main reason was epigastralgia in 55%. The examination duration was good at 88.3% and tolerance was good at 72.1%. Tingling, irritation, pain or sore throat feelings were noted in 13.5%. Patients agreeing to make an ulterior UDE if necessary were up to 92.8%. Observed injuries were dominated by antral erythematous gastropathy (28.8%).</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><b><span style="font-family:;" "="">Conclusion:</span></b></span></span><span><span><span style="font-family:;" "=""> UDE is well tolerated among our patients and its acceptability is high. Injuries are dominated by inflammatory pathologies of the stomach in our population.</span></span></span>
文摘Foreign bodies ingestion is regularly observed in gastroenterology context. The evolution is favorable with early extraction. Our main objective was to evaluate foreign bodies managed in digestive endoscopic center of University hospital center Gabriel Touré. The study was retrospective from January 2007 to October 2017 in the endoscopic center of the service of gastroenterology of University hospital center Gabriel Touré and concerned the patients who have been addressed at this center for foreign bodies. We collated 44 patients who ingested foreign bodies among 2750 digestive endoscopies</span><span style="font-family:Verdana;">,</span><span style="font-family:Verdana;"> that is to say</span><span style="font-family:Verdana;">,</span><span style="font-family:Verdana;"> a frequency of 0.16%. In patient’s history, we found caustic obstruction in 2.3% of patients. The foreign body ingestion was accidental in 97.7% of cases. Pieces of money were more frequent (54.4%). In 86.4%, the foreign bodies were into the esophagus. Upper digestive endoscopy performed foreign bodies extraction in 88.6 of cases. In 9.1%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">the elimination was spontaneous on 72 hours. Surgeon was indicated in 2.3% of patients. The evolution was favorable in 97.7% of patients. One patient died by digestive bleeding. Conclusion: Foreign bodies ingestion is frequent in children. The upper digestive endoscopy can do the diagnosis and the management.
文摘<strong>Introduction:</strong> <span><span><span style="font-family:;" "="">Thanks to the opening of the digestive endoscopy unit in the Reference General Hospital of Panzi in Bukavu in the Democratic Republic of the Congo, which inspired our work on the profile of endoscopic lesions observed in a series of 1000 patients correlated with clinical and demographic criteria with the contribution of pathology examinations of the 292 biopsies performed. The aim of our work is to evaluate the prevalence of significant endoscopic lesions as well as that of <i>H. pylori</i> infection. <b>Material and Methods:</b> This is a retrospective, descriptive and analytical study, ranging from the 16<sup>th</sup> of December 2014 to the 16<sup>th</sup> of June 2016. It covered 1000 patients who benefited from a high digestive endoscopy and 292 of them had a biopsy with pathological examination. The data obtained were recorded and analyzed using the Epi-info software and chi-square test. <b>Results:</b> fifty-five percent of these patients were women.</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><span style="font-family:;" "="">66% of the patients were under 50</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><span style="font-family:;" "="">years of age. Their major symptom was epigastric pain</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><span style="font-family:;" "="">(89.2%),</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><span style="font-family:;" "="">the most observed endoscopic lesion was erythematous gastritis</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><span style="font-family:;" "="">(82%) therefore we have noticed 21</span></span></span><span><span><span style="font-family:;" "="">.</span></span></span><span><span><span style="font-family:;" "="">5% of significant lesions. Gastric cancer was present in 3.9% of cases and gastric ulcer in 4.2% of cases. The gastric tumor was correlated with age and sex (P-value at 0.000 and 0.013). The gastroduodenal ulcer was linked to age, <i>NSAID</i> and tobacco use (P-value at 0.0007, 0.001, 0.007). Esophageal mycosis was correlated with HIV status (P-value at 0.000). <i>Helicobacter pylori</i> gastritis was the most frequent (61.30%) and</span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><i><span style="font-family:;" "="">Helicobacter pylori</span></i></span></span><span><span><span style="font-family:;" "=""> were present in 63% of gastric biopsies. <b>Conclusion: </b>Upper digestive endoscopy is a major tool for the diagnosis of upper gastrointestinal disorders and should always be followed by a biopsy if there is a suspicious lesion for pathologic confirmation and adequate management.</span></span></span>
文摘Objective: this study mainly studies the treatment of patients with intestinal polyps, and conducts the treatment process under the control of gastrointestinal endoscopy, in order to improve the treatment effect of these patients, shorten the treatment time and recovery time of the patients, and improve the life of the patients. quality. Methods: This study selected 72 patients with intestinal polyps who came to our hospital from November 2020 to January 2022. All patients received intestinal polyp treatment as part of gastrointestinal endoscopy. In order to observe the research results, the selected patients were compared and examined in order to better observe the research results. During the examination of all selected patients, the nursing effect and the occurrence of adverse events should be carefully recorded and compared. At the same time, before nursing the selected patients, professional medical staff will evaluate the overall condition of the patients to ensure that the patients can cooperate in the process of this study, and then they can be included in the study. Patients should also take the initiative to inform patients of the research content and purpose, and the research results can be published only with the consent of patients. Results: two different nursing methods had different effects on selected patients, but relatively high-quality nursing methods were preferred by patients, which minimized adverse reactions during the patient's recovery. There were differences in the results across all patients, which better support the data from this study.
文摘Objective: to explore the effect of risk management in digestive endoscopy room. Methods: 100 patients who were diagnosed and treated in digestive endoscopy room from November 2019 to November 2020 were studied. Computer numerical table method is divided into control group (routine basic nursing) 50 cases and management group (risk management nursing) 50 cases. Record the nursing quality and satisfaction of the control group and the management group, and the proportion of adverse events in each group. Results: the nursing satisfaction of the patients in the management group was higher than that of the control group, and the incidence of adverse events in the management group was lower than that of the control group. The difference was statistically significant (P < 0.05). Conclusion: the application of risk management in digestive endoscopy room has obvious effect, reducing the occurrence of adverse events in the process of diagnosis and treatment of patients, and improving the satisfaction and compliance of nursing care. It can be used for the treatment of diseases and is suitable for clinical application.
文摘Objective: in the process of diagnosis and treatment of digestive endoscopy, different nursing schemes are adopted to summarize and explore the implementation effect of comfort nursing scheme and the improvement of patient comfort and negative reaction. Methods: from January 20 to January 21, 92 cases were included in our hospital for digestive endoscopy diagnosis and treatment. They were divided into two groups according to the nursing mode. The number of cases included was 46. According to the nursing means, it is named as routine nursing group and comfort nursing group. In the nursing process, the nursing scheme adopted by the routine nursing group for patients is traditional routine nursing, and the nursing scheme adopted by the comfort nursing group for patients is comfort nursing intervention. Summarize and explore the effect of nursing implementation. Results: (1) after comparison, the score of comfort nursing in the routine group was lower and that in the comfort nursing group was higher. There was significant difference between the two groups (P < 0.05). (2) By comparison, the incidence of adverse reactions was higher in the routine nursing group and lower in the comfortable nursing group (P < 0.05). (3) By comparison, the recovery time of gastrointestinal function was longer in the routine nursing group and shorter in the comfort nursing group (P < 0.05). Conclusion: in the process of gastrointestinal endoscopy diagnosis and treatment, combined with comfort nursing intervention can improve the quality of nursing. This scheme is worthy of clinical application and popularization.
文摘Digestive endoscopy is a special optical instrument for medical diagnosis, which is mainly used to probe the endoscope into the digestive tract of patients to observe whether there are abnormalities or pathological changes. Because of its own rapidity and intuition, digestive endoscopy has been unanimously approved by medical staff and patients, and has also been more widely used in clinical medicine. With the change of lifestyle, more and more people suffer from diseases in the digestive tract. In order to achieve effective treatment and provide a more scientific basis for the operation, medical personnel must have an understanding of the actual disease situation of patients and accurately grasp the pathological changes of patients. This is also the main advantage of digestive endoscopy. In order to provide more safety guarantee for patients, the personnel using the digestive endoscope must have an understanding of the use method and basic structure of the digestive endoscope, be able to accurately judge the problems occurring in the use process of the digestive endoscope, carefully maintain and reduce the occurrence of faults, enable the equipment to have a longer use time, reduce the equipment maintenance consumption and maintain the normal operation of the hospital.
文摘Objective To explore the application of digestive endoscopy in the treatment of upper gastrointestinal bleeding. Methods Fifty patients in our hospital from July 2017 to July 2022 were randomly divided into two groups, 25 patients in each group. The curative effects of the two groups were compared by conventional drug therapy and digestive endoscopy therapy. Results Compared with the control group, the observation group had higher curative effect and lower other indexes (P0.05). Conclusion: the common disease in digestive department is upper gastrointestinal bleeding, the main cause of which is peptic ulcer. The main inducing factors of this disease are Hp infection and the use of non-steroidal anti-inflammatory drugs. The correct treatment depends on reliable evaluation, solid professional skills of clinicians and appropriate intervention. With the clinical application of endoscopic hemostasis, antacids and eradication of Hp, the effective rate of treatment of this disease has been greatly increased, but despite this, the morbidity and mortality of this disease have only increased. At present, clinical practice shows that endoscopic treatment has become the main treatment for gastrointestinal bleeding caused by non-varicose veins. If the volume of body fluid is normal, the hemodynamic stability is stable, and gastroscopy treatment is performed within 24 hours, and the diagnosis evidence can be made clear so that patients can be treated clearly. Before endoscopic examination, proton pump inhibitor was given to reduce the bleeding rate and the need for endoscopic therapy, but it had low influence on rebleeding rate, mortality and surgical operation, and reduced rebleeding rate. For high-risk patients, endoscopic treatment can prevent postoperative rebleeding, and can also reduce the need for later intervention, mortality and other indicators.
文摘Objective: to explore the effect of seamless nursing quality management in the diagnosis and treatment of patients with digestive endoscopy. Methods: from February 2020 to February 2021, 114 patients with digestive endoscopy received by our hospital were randomly selected for the RCT study, and randomly divided into project group and preset group (general nursing), and the nursing effects of the two groups were compared. Results: compared with the preset group, the incidence of complications in the project group was lower, and the nursing compliance and nursing satisfaction were higher, with statistical significance between the two groups (P < 0.05). Conclusion: the application of seamless nursing quality management in patients with digestive endoscopy can reduce the risk of complications, improve nursing compliance and nursing satisfaction, and is suitable for clinical promotion.
文摘Objective: to explore the effect of psychological intervention combined with detailed nursing on stress response and examination cooperation degree of patients undergoing digestive endoscopy. Methods: 206 patients undergoing digestive endoscopy in our hospital from March 2021 to December 2021 were selected as the research objects, and divided into control group and observation group according to the principle of comparability of basic characteristics between groups, with 103 cases in each group. The control group received routine nursing while the observation group received psychological intervention combined with detailed nursing. The stress response, psychological state and cooperation degree of the two groups were compared. Results: after psychological intervention combined with detailed nursing intervention, the heart rate, systolic blood pressure and diastolic blood pressure of patients in the observation group were significantly lower than those in the control group 5 minutes before endoscopic examination (P < 0.05). The heart rate and systolic blood pressure of the observation group were significantly lower than those of the control group 5 minutes after the examination (P<0.05). Before psychological intervention combined with detailed nursing, there was no significant difference in SAS and SDS scores between the two groups (P > 0.05). 6 hours after the intervention, the SAS and SDS scores of the observation group were significantly lower than those of the control group (P<0.05). The overall coordination degree of the observation group was significantly higher than that of the control group (P<0.05). Conclusion psychological intervention combined with detailed nursing can significantly reduce patients' stress reaction, improve patients' cooperation degree, and relieve patients' anxiety and depression.
文摘The aim of this study is to describe the role of endoscopy in detection and treatment of neoplastic lesions of the digestive mucosa in asymptomatic persons.Esophageal squamous cell cancer occurs in relation to nutritional deficiency and alcohol or tobacco consumption.Esophageal adenocarcinoma develops in Barrett's esophagus,and stomach cancer in chronic gastric atrophy with Helicobacter pylori infection.Colorectal cancer is favoured by a high intake in calories,excess weight,low physical activity.In opportunistic or individual screening endoscopy is the primary detection procedure offered to an asymptomatic individual.In organized or mass screening proposed by National Health Authorities to a population,endoscopy is performed only in persons found positive to a filter selection test.The indications of primary upper gastrointestinal endoscopy and colonoscopy in opportunistic screening are increasingly developing over the world.Organized screening trials are proposed in some regions of China at high risk for esophageal cancer;the selection test is cytology of a balloon or sponge scrapping;they are proposed in Japan for stomach cancer with photofluorography as a selection test;and in Europe,America and Japan;for colorectal cancer with the fecal occult blood test as a selection test.Organized screening trials in a country require an evaluation:the benefit of the intervention assessed by its impact on incidence and on the 5 year survival for the concerned tumor site;in addition a number of bias interfering with the evaluation have to be controlled.Drawbacks of screening are in the morbidity of the diagnostic and treatment procedures and in overdetection of none clinically relevant lesions.The strategy of endoscopic screening applies to early cancer and to benign adenomatous precursors of adenocarcinoma.Diagnostic endoscopy is conducted in 2 steps:at first detection of an abnormal area through changes in relief,in color or in the course of superficial capillaries;then characterization of the morphology of the lesion according to the Paris classification and prediction of the risk of malignancy and depth of invasion,with the help of chromoscopy,magnification and image processing with neutrophil bactericidal index or FICE.Then treatment decision offers 3 options according to histologic prediction:abstention,endoscopic resection,surgery.The rigorous quality control of endoscopy will reduce the miss rate of lesions and the occurrence of interval cancer.
文摘A thorough endoscopic visualization of the digestive mucosa is essential for reaching an accurate diagnosis and to treat the different lesions. Standard white light endoscopes permit a good mucosa examination but, nowadays, the introduction of powerful endoscopic instrumentations increased ability to analyze the fi nest details. By applying dyes and zoom-magnifi cation endoscopy further architectural detail of the mucosa can be elucidated. New computed virtual chromoendoscopy have further enhanced optical capabilities for the evaluation of submucosal vascolar pattern. Recently, confocal endomicroscopy and endocytoscopy were proposed for the study of ultrastructural mucosa details. Because of the technological contents of powerful instrumentation, a good knowledge of implemented technologies is mandatory for the endoscopist, nowadays. Nevertheless, there is a big confusion about this topic. We will try to explain these technologies and to clarify this terminology.
