Esophageal lichen planus References: Franziska Schauer, Carmen Monasterio, Kristin Technau-Hafsi, JohannesSteffen Kern, Adhara Lazaro, Peter Deibert, Peter Hasselblatt, Henning Schwacha, Steffen Heeg, Volker Brass, Armin Küllmer, Arthur Robert Schmidt, Annette Schmitt-Graeff & Wolfgang Kreisel. (2019) Esophageal lichen planus: towards diagnosis of an underdiagnosed disease, Scandinavian Journal of Gastroenterology, 54:10, 1189-1198, DOI: 10.1080/00365521.20..
ESGE recommended polyp resection technique https://www.esge.com/assets/downloads/pdfs/guidelines/2017_s_0043_..
Bile duct cysts: Todani classification I – Cystic (Ia)/saccular (Ib)/fusiform (Ic) dilatation of the extrahepatic bile duct (accounts for 80-90% of cases) II – Extrahepatic, supraduodenal bile duct diverticulum III – Intraduodenal diverticulum (choledochocele) IV – Intra and extrahepatic duct dilatation IVa – Multiple intra and extrahepatic cysts IVb – Multiple extrahepatic cysts only V – Multiple ..
UK guideline 2017: esophageal dilatation Tools for esophageal dilatation (ASGE 2013) References: UK guidelines on oesophageal dilatation in clinical practice 2017 Tools for endoscopic stricture dilation &#..
Endoscopische surveillance na pEMR References: Nederlandse Richtlijn Endoscopische Poliepectomie van..
Sydney classification of DMI (Deep Mural Injury) following pEMR (piecemeal endoscopic mucosal resection). Related articles:*Hiroshima classification*Haggitt level*Kikuchi*KUDO pit pattern*Paris*SANO classification*SMSA classification for prediction of complexity for endoscopic resection References: Burgess NG, Bassan MS, McLeod D, et al. Gut Published Online First: [please include Day Month Year] doi:10.1136/ gutjnl-2..
The SMSA (Size, Morphology, Site, Access) polyp grading tool is used as a predictor of the complexity of endoscopic resection. Related articles:*Hiroshima classification*Haggitt level*Kikuchi*KUDO pit pattern*Paris*SANO classification*Sydney classification for Deep Mural Injury Table 1. SMSA scoring system. Benchmarks Points Size <1 cm 1 1–1.9 cm 3 2–2.9 cm 5 3–3.9 cm 7 >4 cm 9 Morphology Pedunculated 1 Sessile 2 ..
Lynch syndrome (HNPCC) surveillance: European Society of Gastrointestinal Endoscopy (ESGE) recommendations -ESGE recommends starting colonoscopy surveillance atthe age of 25 years for MLH1 and MSH2 mutation carriersand at the age of 35 years for MSH6 and PMS2 mutationcarriers. -ESGE recommends a high quality surveillance colonoscopyevery 2 years in asymptomatic individuals with Lynchsyndrome. -ESGE does not ..
The ASGE ERCP (Endoscopic retrograde cholangiopancreatography) grading scale indicates the procedure complexity and predicts the chance of complictions. The ERCP grading scale: Grade 1-Deep cannulation of duct of interest, main papilla, sampling-Biliary stent removal/exchange Grade 2Biliary stone extraction < 10 mmTreat biliary leaksTreat extrahepatic benign and malignant strictures-Place prophylactic pancreatic stents Grade 3-Biliary stone extraction ..
Colonoscopy adverse events rates vary a greatly between studies, especially the bleeding rates Adverse events rates in all diagnostic colonoscopies:Bleeding: 1 in 100-1000 (0.1-1%)Perforation: 1 in 1000-2000 (0.05-0.1%) Adverse events rates in diagnostic colonoscopy with polypectomy:Bleeding: 1 in 15-100 (1%-6.5%)Perforation: 1 in 500 (0.2%) These statistics are based on polypectomy with a maximum polyp size ..
This arcticle is about the treatment of bleeding complications from radiation proctitis. For management of the inflammatory component see radiation proctitis: inflammatory management. ERBE advise is Pulsed, effect 2, power setting 10-30 watt References: Lee JK, Agrawal D, Thosani N, et al. ASGE guideline on the role of endoscopy for bleeding from chronic radiation proctopathy. ..
Management of radiation proctitis. This article focusses on the inflammatory component. For bleeding complications needing endoscopic treatment see radiation proctitis: endoscopic treatment of bleeding. This overview cites two articles and included their treatment algorithm. Below that is a general information section on radiation proctitis. General information Radiation proctitis can be the result of radiotherapy of ..
Simple endoscopic score for Crohn’s disease No reference yet. If known please contact me digestivedashobard..
Subdivision of i2 i2a: lesions confined to the ileocolonic anastomosis i2b: moderate lesions on the neo-term..
Medicatieschema Intraveneuze Sedatie 1.Bolus van 2,5 – 5 mg midazolam (langzaam in 30 seconden iv spuiten). Bij patiënten met een verhoogd risico ( leeftijd>65 jr., ASA klasse 3 of hoger, cardiopulmonale of hepatologische comorbiditeit, BMI>30) wordt een aangepaste startdosering van 1-2 mg midazolam iv geadviseerd. 2. Flush met NaCl 0.9% en controleer ademhaling en SaO2 ..
Leiden University Medical Center, the N..
Goddard AF, Badreldin R, Pritchard DM on behalf of the British Society of Gastroenterology, et al The management of gastric polyps Gut 2010;59:..
Dutch guideline for colon adenoma/polyp surveillanc..
Barrett esophagus Barrett’s esophagus is the change of mucosal cells in the lower portion of the esophagus from normal stratified squamous epithelium to simple columnar epithelium. Barrett is a premalignant condition associated esophageal adenocarcinoma. Prague criteria Dutch guideline Barrett 2018 ESGE Barrett guideline 2017 Statement 6 Biopsy samples should be taken from all visible mucosal ..
Blatchford score is used for risk assessment for intervention in upper GI bleeding. ESGE guideline non-variceal upper GI bleeding: https://www.esge.com/assets/downloads/pdfs/guidelines/2015_s_0034_1393172.pdf Rockall score is used for predicting mortality in upper GI bleeding New scoring system using machine learning to predict which patients can go home for outpatient clinic gastroscopy and which patients need to be admitted ..