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| 1 | Role of over the scope clips in the management of iatrogenic gastrointestinal perforations显示文摘Advances in endoscopic and surgical techniques have increased the frequency and complexity of these procedures and associated complications such as gastrointestinal perforation. With the advancements in the field of gastroenterology, the promising use of an over the scope clips(OTSC) has fulfilled the unmet need for a reliable endoscopic devise in approximation of gastrointestinal perforation. This novel approach has raised the level of confidence in endoscopist in dealing with this serious complication during endoscopy. Here we have shared our experience with OTSC to evaluate its efficacy and safety in managing iatrogenic gastrointestinal perforations during endoscopy. | Kinesh Changela Muhhamad A Virk Niravkumar Patel Sushil Duddempudi Mahesh Krishnaiah Sury Anand | 2014 | World Journal of Gastroenterology2014,20,32: | 7 |
| 2 | Peroral endoscopic reduction of dilated gastrojejunal anastomosis after bariatric surgery: Techniques and efficacy显示文摘AIM: To investigate the techniques and efficacy of peroral endoscopic reduction of dilated gastrojejunal anastomosis after bariatric surgery.METHODS: An extensive English language literature search was conducted using Pub Med, MEDLINE, Medscape and Google to identify peer-reviewed original and review articles using the keywords 'bariatric endoscopic suturing', 'overstitch bariatric surgery', 'endoscopic anastomotic reduction', 'bariatric surgery', 'gastric bypass', 'obesity', 'weight loss'. We identified articles describing technical feasibility, safety, efficacy, and adverse outcomes of overstitch endoscopic suturing system for transoral outlet reduction in patients with weight regain following Roux-en-Y gastric bypass(RYGB). All studies that contained material applicable to the topic were considered. Retrieved peer-reviewed original and review articles were reviewed by the authors and the data extracted using a standardized collection tool. Data were analyzed using statistical analysis as percentages of the event. RESULTS: Four original published articles which met our search criteria were pooled. The total number cases were fifty-nine with a mean age of 46.75 years(34-63 years). Eight of the patients included in those studies were males(13.6%) and fifty-one were females(86.4%). The mean time elapsed since the primary bypass surgery was 5.75 years. The average pre-endoscopic procedure body mass index(BMI) was 38.68(27.5-48.5). Mean body weight regained post-RYGB surgery was 13.4 kg from their post-RYGB nadir. The average pouch length at the initial upper endoscopy was 5.75 cm(2-14 cm). The pre-intervention anastomotic diameter was averaged at 24.85 mm(8-40 mm). Average procedure time was 74 min(50-164 min). Mean post endoscopic intervention anastomotic diameter was 8 mm(3-15 mm). Weight reduction at 3 to 4 mo post revision noted to be anaverage of 10.1 kg. Average overall post revision BMI was recorded at 37.7. The combined technical and clinical success rate was 94.9%(56/59) among studied participants. CONCLUSION: Endoscopic suturing can be technically feasible, effective and safe for transoral outlet reduction in patients with weight regain following RYGB. | Kinesh Changela Emmanuel Ofori Sushil Duddempudi Sury Anand Shashideep Singhal | 2016 | World Journal of Gastrointestinal Endoscopy2016,8,4: | 2 |
| 3 | Over the Scope Clip: Technique and Expanding Clinical Applications显示文摘 | Shashideep Singhal Kinesh Changela Haris Papafragkakis Sury Anand Mahesh Krishnaiah Sushil Duddempudi | 2013 | Journal of Clinical Gastroenterology2013,,9: | 2 |
| 4 | Acrodermatitis en- teropathica during adequate enteral nutrition显示文摘 | Changela A Javaiya H Changela K | 2012 | Journal of Parenteral and Enteral Nutrition2012,36,2: | 1 |
| 5 | Thrombotic thrombocytopenic purpura complicating immune thrombocytopenic pur-puraa case report显示文摘 | Changela A Jagarlamudi K Villani G | 2011 | AJH2011,86,4: | 1 |
| 6 | Thrombotic thrombocy- topenie purpura complicating immune thrombocytopenic purpura-a case report显示文摘 | Changela A Jagarlamudi K Villani G | 2011 | Am J Hematol2011,86,: | 1 |
| 7 | Over the scope clip: technique and expanding clinical applications显示文摘 | Singhal S Changela K Papafragkakis H | 2013 | Journal of Clinical Gastroenterology2013,47,9: | 1 |
| 8 | Acute liver function decompensation in a patient with sickle cell disease managed with exchange transfusion and endoscopic retrograde cholangiography显示文摘 | Papafragkakis H Ona MA Changela K | 2014 | Therap Adv Gastroenterol2014,7,5: | 1 |
| 9 | Acrodermatitis enteropathica during adequate enteral nutrition显示文摘 | Changela A Javaiya H Changela K | 2012 | J Paren- ter Enteral Nutr2012,36,2: | 1 |
| 10 | Endoscopicandimagingappearanceafterinjectionofanano-rectalbulking agent显示文摘The use of hyaluronic acid and dextranomer (Solesta, Salix) injection in the anal canal is an emerging modal-ity in the treatment of fecal incontinence. However, little is known regarding the endoscopic and radiological appearance following injection of this ano-rectal bulking agent. We report computed tomography and endoscopic findings after hyaluronic acid/dextranomer injection in the ano-rectal area. | Papafragkakis H Changela K Bhatia T Ona MA Malieckal A Paleti V Fuksbrumer MS Anand S | 2014 | World Journal of Gastrointestinal Endoscopy2014,6,7: | 0 |