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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 | The changing role of a supportability engineering:an industrial perspective显示文摘 | GRIFFIN III KINESH VERMA | 1996 | Logistics Spectrum1996，9，： | 1 |
| 5 | Factors associated with failed polyp retrieval at screening colonoscopy显示文摘 | Yoriaki Komeda Noriko Suzuki Marshall Sarah Siwan Thomas-Gibson Margaret Vance Chris Fraser Kinesh Patel Brian P. Saunders | 2012 | Gastrointestinal Endoscopy2012，，： | 1 |
| 6 | Colonoscopy in the elderly: worse preparation,better tolerability显示文摘 | Kinesh PP Jocelyn LA Kuldeep C | 2008 | Gastrointest Endosc2008，67，5： | 1 |
| 7 | Colonoscopy in the elderly:worse preparation,better tolerability显示文摘 | Kinesh PP Jocelyn LA Kuldeep C | | 0，，05： | 1 |
| 8 | The changing role of a supportability engineering:an industrial perspective 显示文摘 | RALP G KINESH VERMA | 1996 | Logistics Spectrum1996，9，： | 1 |
| 9 | Factors associated with failed polyp retrieval at screening colonoscopy显示文摘 | Yoriaki Komeda Noriko Suzuki Marshall Sarah Siwan Thomas-Gibson Margaret Vance Chris Fraser Kinesh Patel Brian P. Saunders | 2012 | Gastrointestinal Endoscopy2012，，： | 1 |
| 10 | Orientation in upper gastrointestinal endoscopy—the only way is up显示文摘BACKGROUND Oesophagogastroduodenoscopy is the gold standard investigation for the upper gastrointestinal(UGI)tract.Orientation during endoscopy is challenging and United Kingdom training focusses on technical competence and procedural safety.The reported location of UGI pathologies is crucial to post-endoscopic planning.AIM To evaluate endoscopists’ability to spatially orientate themselves within the UGI tract.METHODS A cross sectional descriptive study elicited,using an anonymised survey,the ability of endoscopists to orientate themselves within the UGI tract.The primary outcome was percentage of correct answers from all surveyed;secondary outcomes were percentage of correct answers from experienced vs novice endoscopists.Pearson’sχ2 test was applied to compare groups.RESULTS Of 188 respondents,86 were experienced endoscopists having completed over 1000 endoscopies.44.4%of respondents correctly identified the anterior stomach and 47.3%correctly identified the posterior of the second part of the duodenum(D2).Experienced endoscopists were significantly more likely than novice to identify the anterior stomach correctly[61.6%vs 31.3%,X2(1,n=188)=11.10,P=0.001].There was no significant difference between the two groups in identifying the posterior of D2.CONCLUSION The majority of endoscopists surveyed were unable to identify key landmarks within the UGI tract.Endoscopic orientation appears to improve with experience yet there are some areas still not well recognised.This has potential considerable impact on post-endoscopic management of patients with posterior duodenal ulcers being more likely to perforate and associated with a higher rebleeding risk.We suggest the development of a consensus statement on endoscopic description. | Arun Sivananthan Georgina Kerry Ara Darzi Kinesh Patel Nisha Patel | 2023 | World Journal of Gastrointestinal Endoscopy2023，15，3： | 0 |
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