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Enregistrement W3138435828 · doi:10.1016/j.vgie.2021.02.011

Evolution of re-epithelialization postcircumferential esophageal endoscopic submucosal dissection

2021· article· en· W3138435828 sur OpenAlex

Pourquoi ce travail est dans la base

Une base qui oublie comment elle a trouvé un travail ne peut pas être vérifiée. Voici les voies qui ont admis celui-ci.

affAu moins un auteur déclare une institution canadienne dans l'instantané OpenAlex épinglé.

Notice bibliographique

RevueVideoGIE · 2021
Typearticle
Langueen
DomaineMedicine
ThématiqueEsophageal Cancer Research and Treatment
Établissements canadiensQueen's UniversityKingston Health Sciences Centre
Organismes subventionnairesnon disponible
Mots-clésMedicineEndoscopic mucosal resectionSurgeryRegimenEsophagusDysplasiaEndoscopic submucosal dissectionEsophageal strictureInternal medicineEndoscopy

Résumé

récupéré en direct d'OpenAlex

https://www.videogie.org/cms/asset/351c6687-280a-4c5b-97ab-c96ae280c04b/mmc1.mp4Loading ... Download .mp4 (93 MB) Help with .mp4 files Video 1This patient with Barrett’s esophagus with multifocal high-grade dysplasia underwent complete circumferential ESD. We illustrate the evolution of re-epithelialization after circumferential esophageal ESD and the regimen used to prevent stricture formation. https://www.videogie.org/cms/asset/351c6687-280a-4c5b-97ab-c96ae280c04b/mmc1.mp4Loading ... Download .mp4 (93 MB) Help with .mp4 files Video 1This patient with Barrett’s esophagus with multifocal high-grade dysplasia underwent complete circumferential ESD. We illustrate the evolution of re-epithelialization after circumferential esophageal ESD and the regimen used to prevent stricture formation. A 62-year-old woman with C1M5 Barrett's with multifocal high-grade dysplasia on biopsy was referred for management. Various treatment options were reviewed, including endoscopic mucosal resection, radiofrequency ablation, staged endoscopic submucosal dissection (ESD), and complete circumferential ESD. The decision was made to proceed with complete circumferential ESD.The complete circumferential ESD was completed in 2.5 hours without any adverse events. The distal and proximal margins were normal gastric and normal squamous mucosa, respectively.The patient was discharged 24 hours later, consuming a full fluid diet that was gradually advanced over 4 days to a normal diet. After the procedure, the patient was initiated on the following regimen:1.Prednisone 30 mg daily for 4 weeks, then tapered by 5 mg every 2 weeks2.Sucralfate suspension 1g 4 times daily3.Budesonide 1 mg 4 times daily mixed with the sucralfate4.Rabeprazole 20 mg twice dailyFigure 1 illustrates the evolution of re-epithelialization from day 0 to 32 weeks after circumferential ESD.Complete circumferential ESD achieved R0 resection of both the dysplastic Barrett's and the entire segment of Barrett’s simultaneously. This case demonstrates the evolution of re-epithelialization after circumferential ESD. Furthermore, stricture prophylaxis was achieved with the use of prednisone, topical budesonide, sucralfate suspension, proton pump inhibitors, and 2 prophylactic balloon dilations (Video 1, available online at www.VideoGIE.org).DisclosureDr Bechara is a consultant for Olympus and Medtronic. A 62-year-old woman with C1M5 Barrett's with multifocal high-grade dysplasia on biopsy was referred for management. Various treatment options were reviewed, including endoscopic mucosal resection, radiofrequency ablation, staged endoscopic submucosal dissection (ESD), and complete circumferential ESD. The decision was made to proceed with complete circumferential ESD. The complete circumferential ESD was completed in 2.5 hours without any adverse events. The distal and proximal margins were normal gastric and normal squamous mucosa, respectively. The patient was discharged 24 hours later, consuming a full fluid diet that was gradually advanced over 4 days to a normal diet. After the procedure, the patient was initiated on the following regimen:1.Prednisone 30 mg daily for 4 weeks, then tapered by 5 mg every 2 weeks2.Sucralfate suspension 1g 4 times daily3.Budesonide 1 mg 4 times daily mixed with the sucralfate4.Rabeprazole 20 mg twice daily Figure 1 illustrates the evolution of re-epithelialization from day 0 to 32 weeks after circumferential ESD. Complete circumferential ESD achieved R0 resection of both the dysplastic Barrett's and the entire segment of Barrett’s simultaneously. This case demonstrates the evolution of re-epithelialization after circumferential ESD. Furthermore, stricture prophylaxis was achieved with the use of prednisone, topical budesonide, sucralfate suspension, proton pump inhibitors, and 2 prophylactic balloon dilations (Video 1, available online at www.VideoGIE.org). DisclosureDr Bechara is a consultant for Olympus and Medtronic. Dr Bechara is a consultant for Olympus and Medtronic. Supplementary datahttps://www.videogie.org/cms/asset/351c6687-280a-4c5b-97ab-c96ae280c04b/mmc1.mp4Loading ... Download .mp4 (93 MB) Help with .mp4 files Video 1This patient with Barrett’s esophagus with multifocal high-grade dysplasia underwent complete circumferential ESD. We illustrate the evolution of re-epithelialization after circumferential esophageal ESD and the regimen used to prevent stricture formation. https://www.videogie.org/cms/asset/351c6687-280a-4c5b-97ab-c96ae280c04b/mmc1.mp4Loading ... Download .mp4 (93 MB) Help with .mp4 files Video 1This patient with Barrett’s esophagus with multifocal high-grade dysplasia underwent complete circumferential ESD. We illustrate the evolution of re-epithelialization after circumferential esophageal ESD and the regimen used to prevent stricture formation.

Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.

Prédiction distillée sur la base complète

Imitation des enseignants

Ni prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.

score de la tête « metaresearch » (Codex)0,000
score de la tête « metaresearch » (Gemma)0,000
Version: codex-gemma-dda1882f352aStatut de validation: machine_predicted_unvalidated
Catégories candidatesaucune
Catégories consensuellesaucune
DomaineSignal candidat: aucune · Signal consensuel: aucune
Devis d'étudeSignal candidat: Observationnel · Signal consensuel: Observationnel
GenreSignal candidat: Empirique · Signal consensuel: Empirique
Score de désaccord entre enseignants0,336
Score d'incertitude au seuil0,889

Scores Codex et Gemma par catégorie

CatégorieCodexGemma
Métarecherche0,0000,000
Méta-épidémiologie (sens strict)0,0000,000
Méta-épidémiologie (sens large)0,0000,000
Bibliométrie0,0000,000
Études des sciences et des technologies0,0000,000
Communication savante0,0000,000
Science ouverte0,0000,000
Intégrité de la recherche0,0000,000
Charge utile insuffisante (le modèle a refusé de juger)0,0010,000

Scores machine (provisoires)

Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.

Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.

Tête enseignante Opus0,025
Tête enseignante GPT0,324
Écart entre enseignants0,298 · la distance entre les deux têtes enseignantes sur ce seul travail
Statut de validationscore_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle