Abstract
Purpose of review: This review provides an updated summary of gastric interventional endoscopy. Relevant original articles and topic reviews are highlighted in the areas of infection control, light sedation, hemostasis, endoscopic mucosal resection, and endoscopic placement of enteric devices. Recent findings: Several key findings are worth noting: the increased use of propofol by nonanesthesiologists for deep sedation with minimal adverse side effects, the adaptation of tissue adhesive agents for the treatment of bleeding gastric varices, the successful treatment of early gastric cancer by endoscopic mucosal resection, and the development of direct percutaneous endoscopic jejunostomy tubes for patients at high risk of aspiration. Summary: These recent developments in the field of interventional endoscopy have already made a great impact on clinical care. More advanced procedures can be performed safely while the patient is under deep sedation. Yet, these developments have not slowed down the need for improvement in interventional endoscopy. Researchers continue to look for smaller instruments, better optics, and more advanced accessories. This constant state of flux marks the field of interventional endoscopy and ensures its progress.
Original language | English (US) |
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Pages (from-to) | 546-556 |
Number of pages | 11 |
Journal | Current Opinion in Gastroenterology |
Volume | 19 |
Issue number | 6 |
DOIs | |
State | Published - Nov 2003 |
Externally published | Yes |
Keywords
- Direct percutaneous endoscopic jejunostomy
- Endoscopic mucosal resection
- Endoscopic ultrasonography
- Percutaneous endoscopy gastrostomy
- Percutaneous endoscopy gastrostomy with jejunal extension
ASJC Scopus subject areas
- Gastroenterology