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IDDF2022-ABS-0139 Endoscopic spectrum of neuroendocrine tumors from different primary origins IDDF2022-ABS-0139不同原发来源的神经内分泌肿瘤的内镜谱
Pub Date : 2022-09-01 DOI: 10.1136/gutjnl-2022-iddf.193
A. Urrehman, Syedda Ayesha, F. Ismail, O. Prakash, Zeeshan Uddin
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引用次数: 0
IDDF2022-ABS-0153 Gastrointestinal manifestations and outcomes in hospitalized COVID-19 patients: a retrospective study COVID-19住院患者胃肠道表现和结局:一项回顾性研究
Pub Date : 2022-09-01 DOI: 10.1136/gutjnl-2022-iddf.201
J. Abalos, Sophia Zamora
BackgroundVarious gastrointestinal (GI) symptoms, including diarrhea, nausea/vomiting and abdominal pain, have been reported in patients with Coronavirus disease 2019 (COVID-19). In this context, the presence of GI symptoms is variably associated with poor clinical outcomes in COVID-19. We aim to determine the outcomes of hospitalized COVID-19 patients with gastrointestinal symptoms.MethodsThis is a retrospective cohort study which used medical records of admitted COVID-19 patients from March 2020 to March 2021 in a tertiary hospital in Pangasinan. Data records were evaluated for the presence of gastrointestinal manifestations, including diarrhea, nausea, vomiting and abdominal pain at the time of admission. A comparison between cases of COVID-19 patients presenting with GI manifestations to controls or COVID-19 patients without GI manifestation was done.ResultsFour hundred three patients were included in the study. Of these, 22.3% presented with gastrointestinal symptoms, while 77.7% comprised the study controls. Diarrhea was the most common GI symptom (10.4%). No statistically significant difference was observed in comorbidities and laboratory findings. Mortality as the primary outcome of the study did not reach statistical significance between cases and controls (13.33% vs. 16.30%, p =0.621). There were also no significant differences observed in the secondary outcomes, mean length of stay, (14 [12–18 days] in cases vs 14 [12- 17.5 days] in controls, p = 0.716) and need for mechanical ventilation (12.22% vs 16.93%, p = 0.329).ConclusionsThe results of the study revealed no association of the GI symptoms to poor outcomes, including a high rate of mortality, prolonged length of stay and increased need for mechanical ventilation.
研究背景2019冠状病毒病(COVID-19)患者出现了腹泻、恶心/呕吐和腹痛等多种胃肠道症状。在这种情况下,胃肠道症状的存在与COVID-19的不良临床结果有不同的相关性。我们的目的是确定有胃肠道症状的住院COVID-19患者的预后。方法采用回顾性队列研究方法,选取巴加西南某三级医院2020年3月至2021年3月收治的新冠肺炎患者病历。评估数据记录是否存在胃肠道表现,包括入院时腹泻、恶心、呕吐和腹痛。将有胃肠道表现的COVID-19患者与对照组或无胃肠道表现的COVID-19患者进行比较。结果共纳入300例患者。其中,22.3%出现胃肠道症状,77.7%为研究对照组。腹泻是最常见的胃肠道症状(10.4%)。在合并症和实验室结果方面没有统计学上的显著差异。死亡率作为研究的主要终点,在病例和对照组之间没有达到统计学意义(13.33% vs. 16.30%, p =0.621)。在次要结局、平均住院时间(病例14天[12- 18天]vs对照组14天[12- 17.5天],p = 0.716)和机械通气需求(12.22% vs 16.93%, p = 0.329)方面也没有观察到显著差异。结论:研究结果显示胃肠道症状与不良预后(包括高死亡率、住院时间延长和机械通气需求增加)无关联。
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引用次数: 0
IDDF2022-ABS-0062 Diagnostic delay of Crohn’s disease in Saudi Arabia: predictors and association with disease complications 沙特阿拉伯克罗恩病的诊断延迟:与疾病并发症的预测因素和关联
Pub Date : 2022-09-01 DOI: 10.1136/gutjnl-2022-iddf.162
Mansour Alourfi, Mahmoud Mosli, M. Alsahafi
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引用次数: 1
IDDF2022-ABS-0048 Clinical outcome of endoscopic balloon dilatation for small bowel stricture in Crohn’s disease using double-balloon enteroscopy 双球囊肠镜内镜下球囊扩张治疗克罗恩病小肠狭窄的临床效果
Pub Date : 2022-09-01 DOI: 10.1136/gutjnl-2022-iddf.155
K. Cheng, Kin-Kong Michael Li, Man-Chung Fong
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引用次数: 0
IDDF2022-ABS-0136 Hybrid endoscopic ultrasound in the covid-19 era for the tissue diagnosis of solid lesions; an initial experience from a tertiary care centre from Pakistan IDDF2022-ABS-0136新型冠状病毒肺炎时代混合超声内镜对实体性病变的组织诊断来自巴基斯坦三级保健中心的初步经验
Pub Date : 2022-09-01 DOI: 10.1136/gutjnl-2022-iddf.190
A. Urrehman, Asma Yaseen, Noman Khan, Mahrukh Ali, Om Prakash, F. Ismail, Zeeshan Uddin, Z. Abbas
BackgroundEndoscopic Ultrasound (EUS) is a well-established mode of intervention for tissue acquisition in solid organs with rapid on-site evaluation (ROSE). In the Covid-19 era, the implementation of infection control mechanisms has led to modified hybrid techniques to get high diagnostic yield for tissue sampling. Combination of Covid-19 SOPs and tissue acquisition method outline this hybrid technique to get a high diagnostic Yield. We share our initial experience of EUS cases performed with this approach without ROSE.MethodsAll 125 cases who underwent EUS-guided biopsy from June 2020 till June 2022 were included. The Procedure was done in a negative pressure room with all SOPs as per institutional guidelines for patient and staff safety with a minimum number of persons during the procedure.ResultsAmong these cases, 85 were male, mean age of 56 years (range 22–90), Mean duration of procedure 28 minutes mean (10–90 min). 91 cases for organs targeted for malignant pathology include pancreas 53, liver 03, lymph nodes 22, subepithelial lesions 10, mediastinal lesions 15, common-bile duct/gall bladder 07, gastric and retroperitoneal 01 case, 13 cases had a multi-targeted biopsy for the additional staging of disease. The number of ‘passes’ with the needle was average 02 with single pass 20, two pass 60, three passes 20, multitarget single pass in 25. Needle size (Franseen design) used for procedures was 22G in 115 cases and 25G in 10. Common tissue diagnoses include pancreatic adenocarcinoma 38, neuroendocrine tumours 06, tuberculosis 07, gastrointestinal stromal tumours 03, leiomyoma 05, lymphoma 06, metastatic renal cell carcinoma 05, squamous cell carcinoma 05, cholangiocarcinoma/gall bladder adenocarcinoma 13, Sarcoma 03, solid pseudopapillary epithelial neoplasm of pancreas (SPEN) 03 and one case for Schwannoma, breast metastasis, accessory spleen, ectopic pancreas, sarcoidosis There were no immediate or early complications in all cases.ConclusionsHybrid EUS in Covid 19 Era has emerged as a useful/cost-effective and safe approach to get tissue yield without the need for ROSE.
内镜超声(EUS)是一种成熟的介入模式,用于实体器官组织采集和快速现场评估(ROSE)。在Covid-19时代,感染控制机制的实施导致了改进的混合技术,以获得组织采样的高诊断率。结合Covid-19标准操作程序和组织采集方法概述了这种混合技术,以获得高诊断率。我们分享我们在无ROSE情况下使用这种方法进行EUS病例的初步经验。方法选取2020年6月至2022年6月期间行eus引导活检的125例患者。手术在负压室进行,所有标准操作程序按照医院指导方针进行,以确保患者和工作人员的安全,手术过程中人数最少。结果男性85例,平均年龄56岁(22 ~ 90岁),平均手术时间28分钟(10 ~ 90分钟)。91例恶性病变器官包括胰腺53例,肝脏03例,淋巴结22例,上皮下病变10例,纵隔病变15例,胆总管/胆囊07例,胃及腹膜后病变01例,13例行多目标活检,进一步分期。针的平均“通过”次数为02次,单次通过20次,两次通过60次,三次通过20次,多目标单次通过25次。使用的针径(fransee设计)为22G 115例,25G 10例。常见的组织诊断包括胰腺腺癌38例、神经内分泌肿瘤06例、结核07例、胃肠道间质瘤03例、平滑肌瘤05例、淋巴瘤06例、转移性肾细胞癌05例、鳞状细胞癌05例、胆管癌/胆囊腺癌13例、肉瘤03例、胰腺实性假乳头状上皮瘤(SPEN) 03例及神经鞘瘤、乳腺转移、副脾、异位胰腺1例。所有病例均无立即或早期并发症。结论在2019冠状病毒病时代,混合型EUS已成为一种有效/经济且安全的方法,无需使用ROSE即可获得组织产量。
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引用次数: 0
IDDF2022-ABS-0271 Deep learning-based classification distinguishes Crohn’s disease and intestinal tuberculosis from histopathological whole slide images 基于深度学习的分类从组织病理学整张幻灯片图像中区分克罗恩病和肠结核
Pub Date : 2022-09-01 DOI: 10.1136/gutjnl-2022-iddf.250
Xinning Liu, Fei Li, Jie Xu, R. Mao, Bingsheng Huang, Z. Ye
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引用次数: 0
IDDF2022-ABS-0043 Risk factors for submucosal fibrosis during per-oral endoscopic myotomy: a prospective study 经口内镜下肌切开术中粘膜下纤维化的危险因素:一项前瞻性研究
Pub Date : 2022-09-01 DOI: 10.1136/gutjnl-2022-iddf.153
Z. Nabi, P. Inavolu, M. Ramchandani, Santhosh Darisetty, R. Goud, S. Priya, Nandini Cherpelli
{"title":"IDDF2022-ABS-0043 Risk factors for submucosal fibrosis during per-oral endoscopic myotomy: a prospective study","authors":"Z. Nabi, P. Inavolu, M. Ramchandani, Santhosh Darisetty, R. Goud, S. Priya, Nandini Cherpelli","doi":"10.1136/gutjnl-2022-iddf.153","DOIUrl":"https://doi.org/10.1136/gutjnl-2022-iddf.153","url":null,"abstract":"","PeriodicalId":10401,"journal":{"name":"Clinical Gastroenterology","volume":"2015 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87212172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
IDDF2022-ABS-0077 New manometric subtypes of hypercontractile esophagus as seen by hrem- going the achalasia way? 通过hrem-走贲门失弛缓症的方式观察到的食管过度收缩的新压力测量亚型?
Pub Date : 2022-09-01 DOI: 10.1136/gutjnl-2022-iddf.167
Z. Sharma, A. Garg, R. Puri, R. Sud, S. Bhagat, A. Kathuria, S. Mishra, S. Sud
{"title":"IDDF2022-ABS-0077 New manometric subtypes of hypercontractile esophagus as seen by hrem- going the achalasia way?","authors":"Z. Sharma, A. Garg, R. Puri, R. Sud, S. Bhagat, A. Kathuria, S. Mishra, S. Sud","doi":"10.1136/gutjnl-2022-iddf.167","DOIUrl":"https://doi.org/10.1136/gutjnl-2022-iddf.167","url":null,"abstract":"","PeriodicalId":10401,"journal":{"name":"Clinical Gastroenterology","volume":"125 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86042892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
IDDF2022-ABS-0009 Appropriateness of endoscopic procedures among pediatric patients in a tertiary hospital in quezon city based on north american society for pediatric gastroenterology, hepatology and nutrition (NASPGHAN) and american society for gastrointestinal endoscopy 基于北美儿科胃肠病学、肝病和营养学会(NASPGHAN)和美国胃肠内窥镜学会的奎松市某三级医院儿科患者内镜手术的适宜性
Pub Date : 2022-09-01 DOI: 10.1136/gutjnl-2022-iddf.136
Shirley Christine Margarett Velasco
{"title":"IDDF2022-ABS-0009 Appropriateness of endoscopic procedures among pediatric patients in a tertiary hospital in quezon city based on north american society for pediatric gastroenterology, hepatology and nutrition (NASPGHAN) and american society for gastrointestinal endoscopy","authors":"Shirley Christine Margarett Velasco","doi":"10.1136/gutjnl-2022-iddf.136","DOIUrl":"https://doi.org/10.1136/gutjnl-2022-iddf.136","url":null,"abstract":"","PeriodicalId":10401,"journal":{"name":"Clinical Gastroenterology","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85947663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
IDDF2022-ABS-0224 Transesophageal endoscopic ultrasound-guided tissue acquisition from lung masses 经食管内镜超声引导下肺肿块组织采集
Pub Date : 2022-09-01 DOI: 10.1136/gutjnl-2022-iddf.229
S. Giri, S. Sundaram, Sunil Kumar Nanjegowda, S. Angadi, Sukanya Bhrugumalla
{"title":"IDDF2022-ABS-0224 Transesophageal endoscopic ultrasound-guided tissue acquisition from lung masses","authors":"S. Giri, S. Sundaram, Sunil Kumar Nanjegowda, S. Angadi, Sukanya Bhrugumalla","doi":"10.1136/gutjnl-2022-iddf.229","DOIUrl":"https://doi.org/10.1136/gutjnl-2022-iddf.229","url":null,"abstract":"","PeriodicalId":10401,"journal":{"name":"Clinical Gastroenterology","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90659355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Clinical Gastroenterology
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