Procedures

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  • The Plastic Biliary Stent

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    Over the years, endoscopic biliary stenting (EBS) has provided a safe and effective method of achieving biliary drainage in disease states and is presently considered the treatment of choice over alternative surgical or percutaneous approaches. Endoscopic insertion of plastic stents in the bile duct was first introduced by Professor Sohendra in the mid-1970’s.1 This technique was a major development in relieving jaundice in non-operative patients with obstructive diseases of the biliary tract.More...

  • Propofol: Who or (What) Should be Allowed to Administer It?

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    Mention the word propofol before the summer of 2009 and you would have likely received blank stares unless you were speaking to a healthcare professional. That all changed June 25, 2009, when the King of Pop Michael Jackson died of what was later found to be a propofol overdose. It’s a strange way for a clinical drug like this sedative to become part of the national lexicon—who would have thought MTV would cover propofol? But indeed, since Jackson’s death (though not necessarily because of it), More...

  • Biopsy 2012: Safety Reigns Supreme

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    When patients think of endoscopy, they usually think of tubes with cameras, and most often think of the dreaded colonoscopy. However, as endoscopy professionals know, biopsy is another vital part of endoscopy. Call it the unsung hero of the specialty. If it's done properly, patients can receive life-saving diagnosis and treatment.More...

  • Transbronchial Needle Aspiration: A Bronchoscopy Procedure That Stands the Test of Time

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    Flexible bronchoscopy is a key diagnostic and therapeutic procedure performed by most pulmonologists.¹ Transbronchial needle aspiration (TBNA) is the only technique that allows the bronchoscopist to sample tissue from beyond the confines of the endobronchial tree, such as enlarged lymph nodes, extrinsic compression, peribronchial disease and certain deep submucosal lesions. More...

  • Small-Bowel Capsule Endoscopy And a Nurse’s Role: Two Case Studies

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    Introduced in 2001, capsule endoscopy (CE) is a non-invasive, wireless endoscopic imaging technique in which a patient ingests a vitamin-sized capsule containing a miniature camera and light source. The capsule transmits more than 50,000 digital images of the small bowel to a data recorder that the patient wears over the course of a typical eight-hour study. The physician can download the resulting video at his/her convenience and view the images. Physicians commonly use capsule endoscopy toMore...

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