Techniques in Gastrointestinal Endoscopy RSS feed: Current Issue. The purpose of each issue of Techniques in Gastrointestinal Endoscopy is to provide a comprehensive, current overview of a clinical condition or surgical procedure in gastrointestinal endoscopy, combining the effectiveness of an atlas with the timeliness of a journal. Each issue places a vigorous emphasis on diagnosis, rationale for and against a procedure, actual technique, management, and prevention of complications. The journal features abundant illustrations, line drawings and color artwork to guide readers through even the most complicated procedure. 2011 Topics Vol. 13, Issues 1-4 January EMR and ESD Roy Soetikno and Co Guest-Editor Tonya Kaltenbach April Training and Simulation in Endoscopy Kai Matthes July Ambulatory Endoscopy (Centers) Colleen Schmitt October Quality in Endoscopy Douglas O. Faigel 2012 Topics , Vol. 14, Issues 1-4 January Quality in Endoscopy Douglas O. Faigel MD, FACG, FASGE, AGAF April Endoscopic Management of Small Bowel Bleeding and Tumors Dr Jeffrey Tokar July ERCP: Cannulation and Sphincterotomy (Stone Extraction and Stent Placement) Dr. Adam Slivka October Endoscopic Management of Pancreatic Fluid Collections Janak Shah, M.D. and Yasser Bhat 2013 Topics , Vol. 15, Issues 1-4 January Pediatric Endoscopy Petar Mamula April Colonic Polyps: Endoscopic Diagnosis and Therapy Dr. Markowitz July POEMS: Indications and Technique Stavros Stavropoulos October Surgical Endoscopy Brian J., M.D. Dunkin http://www.techgiendoscopy.com/?rss=yesElsevier Inc.en © 2012 Published by Elsevier Inc. All rights reserved. Techniques in Gastrointestinal Endoscopy1096-2883142April 2012 © 2012 Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.techgiendoscopy.com/article/PIIS1096288312000319/abstract?rss=yesCover10.1016/S1096-2883(12)00031-9Techniques in Gastrointestinal Endoscopy 14, 2 (2012)2012-04-01Techniques in Gastrointestinal Endoscopy2012-04-01142S1096-2883(11)X0008-6OFCOFChttp://www.techgiendoscopy.com/article/PIIS1096288312000320/abstract?rss=yesMasthead10.1016/S1096-2883(12)00032-0Techniques in Gastrointestinal Endoscopy 14, 2 (2012)2012-04-01Techniques in Gastrointestinal Endoscopy2012-04-01142S1096-2883(11)X0008-6IFCIFChttp://www.techgiendoscopy.com/article/PIIS1096288312000332/abstract?rss=yesEditorial Board10.1016/S1096-2883(12)00033-2Techniques in Gastrointestinal Endoscopy 14, 2 (2012)2012-04-01Techniques in Gastrointestinal Endoscopy2012-04-01142S1096-2883(11)X0008-6iihttp://www.techgiendoscopy.com/article/PIIS1096288312000344/abstract?rss=yesTable of Contents10.1016/S1096-2883(12)00034-4Techniques in Gastrointestinal Endoscopy 14, 2 (2012)2012-04-01Techniques in Gastrointestinal Endoscopy2012-04-01142S1096-2883(11)X0008-6iiiihttp://www.techgiendoscopy.com/article/PIIS1096288312000253/abstract?rss=yesThe field of gastrointestinal endoscopy has made great strides over the past several decades, and endoscopists have gained mastery over the art of advancing flexible video endoscopes from the anus to the terminal ileum and from the mouth to the duodenum. Endoscopic evaluation of the entire length of the small intestine, on the other hand, poses unique challenges which have plagued endoscopists for decades. The reasons for this are myriad, including technological (eg, scope flexibility) and anatomic factors. Anatomic features that make total small bowel enteroscopy difficult include its average length of 400 to 600 cm (even longer in some postmortem studies, which report average lengths of 6-7 meters), smaller lumen, and the mobility of the jejunum and ileum, which are attached to the body by only the fan-shaped mesentery.IntroductionJeffrey L. Tokar10.1016/j.tgie.2012.02.002Techniques in Gastrointestinal Endoscopy 14, 2 (2012)2012-04-01Techniques in Gastrointestinal Endoscopy2012-04-01142S1096-2883(11)X0008-68182http://www.techgiendoscopy.com/article/PIIS1096288312000071/abstract?rss=yesAbstract: Over the past decade, endoscopic technology has changed our approach to small bowel disorders. This chapter reviews newer endoscopic modalities, including indications, techniques, and limitations pertaining to their use. Concluding thoughts center on concepts and equipment for small bowel endoscopy that remain investigational. Introduction to small bowel endoscopy methodsCharles Dye, Matthew Moyer10.1016/j.tgie.2012.01.006Techniques in Gastrointestinal Endoscopy 14, 2 (2012)2012-04-01Techniques in Gastrointestinal Endoscopy2012-04-01142S1096-2883(11)X0008-68387http://www.techgiendoscopy.com/article/PIIS1096288312000290/abstract?rss=yesAbstract: The small bowel is a relatively infrequent site of malignancy in the gastrointestinal tract. The most common primary tumors of the small bowel are adenocarcinoma, lymphoma, neuroendocrine tumors, and gastrointestinal stromal tumors. However, as many as half of all small bowel tumors are metastatic. In general, the best chance for cure in patients with localized primary small bowel malignancy is surgical resection. The incidence of primary small bowel cancer is strikingly elevated in the genetic syndromes of familial adenomatous polyposis, hereditary nonpolyposis colorectal cancer, and Peutz–Jeghers syndrome. In the hope of prevention or early detection of cancer in patients with these disorders, experts have recommended surveillance of the small bowel in affected individuals. Historically, surveillance has been performed with small bowel radiography. However, in the past decade, video capsule endoscopy has largely replaced x-ray studies. Device-assisted enteroscopy, most notably double-balloon enteroscopy, has assumed an expanding role in the surveillance of these patients and in the endoscopic removal of premalignant lesions of the small bowel, such as adenomas and hamartomas. Introduction to small bowel tumorsAdib Chaaya, Stephen J. Heller10.1016/j.tgie.2012.02.003Techniques in Gastrointestinal Endoscopy 14, 2 (2012)2012-04-01Techniques in Gastrointestinal Endoscopy2012-04-01142S1096-2883(11)X0008-68893http://www.techgiendoscopy.com/article/PIIS1096288312000058/abstract?rss=yesAbstract: Small-bowel bleeding is a clinical entity regularly observed in the practice of gastroenterology that can pose difficult diagnostic and management problems. This form of bleeding accounts for approximately 5% of all cases of clinically evident gastrointestinal bleeding. The types of lesions that cause bleeding in the small bowel are similar to those found in other areas of the digestive tract, angioectasia being the commonest cause. Routine endoscopy of the upper and lower gastrointestinal tract is important in these patients, particularly to search for rare lesions or more common lesions with an unusual or atypical appearance. Diagnosing small-bowel bleeding has always been challenging, but the development of capsule endoscopy, computed tomography enterography, and device-assisted enteroscopy have significantly improved our ability to diagnose and treat patients suffering from this disorder. Clinical decision making about the use of these new technologies is complex and evolving; further research is expected to shed light on their role, in particular to investigate whether these modalities improve patients' clinical outcomes. Introduction to small-bowel bleedingMarco Pennazio10.1016/j.tgie.2012.01.004Techniques in Gastrointestinal Endoscopy 14, 2 (2012)2012-04-01Techniques in Gastrointestinal Endoscopy2012-04-01142S1096-2883(11)X0008-69499http://www.techgiendoscopy.com/article/PIIS1096288312000241/abstract?rss=yesAbstract: Endoscopic evaluation and management with deep enteroscopy techniques have largely replaced the role of intraoperative enteroscopy in the management of small-bowel (SB) disorders. While capsule endoscopy (CE) enables visualization of the entire SB, therapeutic deep enteroscopy techniques (balloon-assisted enteroscopy and spiral enteroscopy) facilitate diagnostic and therapeutic management deep within the SB. CE is currently recommended as the third test of choice in the evaluation of obscure gastrointestinal bleeding after a negative bidirectional endoscopy. The test also has a role in the diagnosis of SB tumors and surveillance of familial polyposis syndromes. Therapeutic deep enteroscopy techniques are mainly used for evaluation and management of CE findings, but they may also have a role in patients with a negative CE but high clinical suspicion for an SB disorder. Because preliminary data suggest a comparable diagnostic and therapeutic yield with double-balloon, single-balloon, and spiral enteroscopy, selection of the enteroscope should be based on availability and the endoscopist's experience with the technique. Diagnostic yield of deep enteroscopy techniques for small-bowel bleeding and tumorsShabana F. Pasha10.1016/j.tgie.2012.02.001Techniques in Gastrointestinal Endoscopy 14, 2 (2012)2012-04-01Techniques in Gastrointestinal Endoscopy2012-04-01142S1096-2883(11)X0008-6100105http://www.techgiendoscopy.com/article/PIIS109628831200006X/abstract?rss=yesAbstract: Video capsule endoscopy and device-assisted enteroscopy have revolutionized the way bleeding lesions of the small bowel are diagnosed, localized, and treated. Many of the standard techniques for treating upper or lower gastrointestinal tract bleeding, including bipolar electrocoagulation, argon plasma coagulation, injection therapy, and polypectomy, may be applied to bleeding in the small bowel. Rarer conditions, such as small-bowel varices and blue rubber band nevus syndrome, also have the potential to be managed endoscopically. The diagnostic yield of device-assisted enteroscopy for obscure gastrointestinal bleeding ranges from 50% to 90%, and both technical and clinical success in achieving hemostasis have been demonstrated in several large studies. Endoscopic therapies for small-bowel bleedingJennifer L. Maranki, Oleh Haluszka10.1016/j.tgie.2012.01.005Techniques in Gastrointestinal Endoscopy 14, 2 (2012)2012-04-01Techniques in Gastrointestinal Endoscopy2012-04-01142S1096-2883(11)X0008-6106111http://www.techgiendoscopy.com/article/PIIS1096288312000307/abstract?rss=yesAbstract: Although many patients with small-bowel tumors require surgical resection, the incorporation of device-assisted enteroscopy into clinical practice has changed the management of smaller tumors and polyps, particularly in those with Peutz–Jeghers syndrome and familial adenomatous polyposis. The endoscopic management of select patients with small-bowel tumors can reduce the incidence of polyp-related complications (intussusception, obstruction, bleeding, and malignant transformation) and may reduce the need for surgical intervention. Endoscopic therapy of small-bowel neoplasmsJennifer L. Maranki, Oleh Haluszka10.1016/j.tgie.2012.02.004Techniques in Gastrointestinal Endoscopy 14, 2 (2012)2012-04-01Techniques in Gastrointestinal Endoscopy2012-04-01142S1096-2883(11)X0008-6112116http://www.techgiendoscopy.com/article/PIIS1096288312000034/abstract?rss=yesAbstract: With the advent of techniques to fully image and intervene on the small intestine, including capsule endoscopy, single- and double-balloon enteroscopy, and spiral enteroscopy, our diagnostic and therapeutic capabilities have increased significantly. These new technologies are not without risk, and these techniques have led to a large body of literature addressing the complications that can arise from these procedures. This chapter will review the complications associated with capsule endoscopy, single- and double-balloon enteroscopy, and spiral enteroscopy. Complications of small bowel endoscopyDiana Rolniak, Douglas G. Adler10.1016/j.tgie.2012.01.002Techniques in Gastrointestinal Endoscopy 14, 2 (2012)2012-04-01Techniques in Gastrointestinal Endoscopy2012-04-01142S1096-2883(11)X0008-6117122http://www.techgiendoscopy.com/article/PIIS1096288312000046/abstract?rss=yesAbstract: Obscure gastrointestinal hemorrhage is defined as overt or occult bleeding present after normal endoscopic examination of the upper and lower gastrointestinal tracts. Approximately 5% of patients with gastrointestinal hemorrhage can be classified as having obscure bleeding, with most patients found to have responsible lesions in the small intestine. The advent of video capsule endoscopy and deep enteroscopy allows for endoscopic access and therapeutic options in the small intestine. In our current era of cost minimization, reductions in capital equipment expenditures, and a high rate of malpractice claims against clinicians, the decision regarding whether a clinical enterprise should offer small bowel endoscopy using any of the more recent technologies requires an understanding of several factors. This article highlights some of the economic and medicolegal aspects of deep small bowel endoscopy. The following topics will be discussed: costs involved to perform endoscopic imaging of the small bowel; downstream revenue effect resulting from deep enteroscopy; coding, billing, and reimbursement issues; cost-effectiveness studies for diagnostic testing; algorithms for diagnostic evaluation of patients with suspected small bowel pathology; and medicolegal ramifications associated with endoscopic procedures of the small bowel. Economic aspects and evidence-based decision making in evaluating patients with suspected small bowel disordersLauren B. Gerson10.1016/j.tgie.2012.01.003Techniques in Gastrointestinal Endoscopy 14, 2 (2012)2012-04-01Techniques in Gastrointestinal Endoscopy2012-04-01142S1096-2883(11)X0008-6123128