Clinical Endoscopy

Original Articles

Health-Care Utilization and Complications of Endoscopic Esophageal Dilation in a National Population: Abhinav Goyal, Kshitij Chatterjee, Sujani Yadlapati, Shailender Singh; Clin Endosc 2017;50(4):366-371. Published online March 17, 2017; DOI: https://doi.org/10.5946/ce.2016.155

Background
/Aims: Esophageal stricture is usually managed with outpatient endoscopic dilation. However, patients with food impaction or failure to thrive undergo inpatient dilation. Esophageal perforation is the most feared complication, and its risk in inpatient setting is unknown.
Methods
We used National Inpatient Sample (NIS) database for 2007–2013. International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM) codes were used to identify patients with esophageal strictures. Logistic regression was used to assess association between hospital/patient characteristics and utilization of esophageal dilation.
Results
There were 591,187 hospitalizations involving esophageal stricture; 4.2% were malignant. Endoscopic dilation was performed in 28.7% cases. Dilation was more frequently utilized (odds ratio [OR], 1.36; p<0.001), had higher in-hospital mortality (3.1% vs. 1.4%, p<0.001), and resulted in longer hospital stays (5 days vs. 4 days, p=0.01), among cases of malignant strictures. Esophageal perforation was more common in the malignant group (0.9% vs. 0.5%, p=0.007). Patients with malignant compared to benign strictures undergoing dilation were more likely to require percutaneous endoscopic gastrostomy or jejunostomy (PEG/J) tube (14.1% vs. 4.5%, p<0.001). Palliative care services were utilized more frequently in malignant stricture cases not treated with dilation compared to those that were dilated.
Conclusions
Inpatient endoscopic dilation was utilized in 29% cases of esophageal stricture. Esophageal perforation, although infrequent, is more common in malignant strictures.

Citations

Citations to this article as recorded by

Safety of a Novel Upper Esophageal Sphincter Balloon Dilator
Grace M. Wandell, Janeth Garcia Swartwood, Ashar Singh Brar, Gregory N. Postma, Peter C. Belafsky
The Laryngoscope.2025; 135(1): 66. CrossRef
Diffuse Esophageal Spasm: An Alternative Treatment Approach
McKenzie K Allen , Wayne Frei
Cureus.2024;[Epub] CrossRef
Adverse events associated with EGD and EGD-related techniques
Nayantara Coelho-Prabhu, Nauzer Forbes, Nirav C. Thosani, Andrew C. Storm, Swati Pawa, Divyanshoo R. Kohli, Larissa L. Fujii-Lau, Sherif Elhanafi, Audrey H. Calderwood, James L. Buxbaum, Richard S. Kwon, Stuart K. Amateau, Mohammad A. Al-Haddad, Bashar J.
Gastrointestinal Endoscopy.2022; 96(3): 389. CrossRef
Diagnosis and management of iatrogenic endoscopic perforations: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement – Update 2020
Gregorios A. Paspatis, Marianna Arvanitakis, Jean-Marc Dumonceau, Marc Barthet, Brian Saunders, Stine Ydegaard Turino, Angad Dhillon, Maria Fragaki, Jean-Michel Gonzalez, Alessandro Repici, Roy L.J. van Wanrooij, Jeanin E. van Hooft
Endoscopy.2020; 52(09): 792. CrossRef
Acute coronary syndromes in the peri‐operative period after kidney transplantation in United States
Abhinav Goyal, Kevin Bryan Lo, Kshitij Chatterjee, Roy O. Mathew, Peter A. McCullough, Sripal Bangalore, Janani Rangaswami
Clinical Transplantation.2020;[Epub] CrossRef
Five-year single-centre experience of carcinoma of the oesophagus from Blantyre, Malawi
John David Chetwood, Peter J Finch, Anstead Kankwatira, Jane Mallewa, Melita A Gordon, Leo Masamba
BMJ Open Gastroenterology.2018; 5(1): e000232. CrossRef
Safe and Proper Management of Esophageal Stricture Using Endoscopic Esophageal Dilation
Jae Jin Hwang
Clinical Endoscopy.2017; 50(4): 309. CrossRef

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7 Web of Science
7 Crossref

Predicting Colonoscopy Time: A Quality Improvement Initiative: Deepanshu Jain, Abhinav Goyal, Stacey Zavala; Clin Endosc 2016;49(6):555-559. Published online March 2, 2016; DOI: https://doi.org/10.5946/ce.2015.110

Abstract PDF PubReader ePub

Background
/Aims: There is lack of consensus on the optimal time allotted for colonoscopy, which increases patient wait times. Our aim was to identify and quantify the individual pre-procedural factors that determine the total procedure time (TPT) of colonoscopy.
Methods
This retrospective study involved 4,494 subjects, undergoing outpatient colonoscopy. Effects of age, sex, body mass index, abdominal surgery history, procedure indication (screening, surveillance, or diagnostic), procedure session (morning or afternoon), and endoscopist’s experience (fellow or attending) on TPT were evaluated using multiple regression analysis. A p<0.05 was considered significant.
Results
A total of 1,239 subjects satisfied the inclusion/exclusion criteria. Women, older individuals, and those with a history of abdominal surgery were found to have a shorter TPT (p>0.05) as did afternoon session colonoscopies (p=0.004). Less experienced endoscopists had longer TPTs (p>0.05). Screening (p=0.01) and surveillance (p=0.008) colonoscopies had a longer TPT than diagnostic procedures. Overall, the F-value of the regression model was 0.0009.
Conclusions
The indication for colonoscopy and the time of day have statistically significant associations with TPT. These results will help in streamlining workflow, reduce wait time, and improve patient satisfaction.

Citations

Citations to this article as recorded by

Reducing endoscopic procedure backlog by improving efficiency: a predictive model and machine learning-based scheduling approach
Tu-San Pham, Héloïse Gachet, Waleed Aljohani, Jeanne Archambault, Myriam Martel, Alan Barkun, Louis-Martin Rousseau
Journal of the Canadian Association of Gastroenterology.2026; 9(2): 110. CrossRef
Assessment of carbon emissions from colorectal cancer diagnostic imaging and endoscopic procedures: evidence from Türkiye
Gokhan Agac, Dilruba Izguden, Havva Ceylan, Kader Gerceker, Mehtap Cakmak Barsbay, Dolunay Özlem Zeybek, Arzu Aydin, Erdogan Tascioglu
Air Quality, Atmosphere & Health.2026;[Epub] CrossRef
Multicenter evaluation of the impact of COVID-19 on the uptake of endoscopic skills by gastroenterology trainees
Abraham Z. Cheloff, Briton Lee, Leah Kim, Nihaal Karnik, Elissa Lin, Michelle Lee, Andrew Dikman, Michael Poles, Renee Williams, Shivakumar Vignesh, Violeta Popov
Surgical Endoscopy.2025; 39(4): 2551. CrossRef
Intravenous lidocaine with propofol‐based sedation for colonoscopy: a systematic review and meta‐analysis with trial sequential analysis
Eduardo C. Barbosa, Júlia M. Aguirre, Paulo F. E. Bertoldi, Paula Santo, Stefano Baraldo, Angélica L. Nau, Gilmara C. Meine
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MorphGI: A Self-Propelling Soft Robotic Endoscope Through Morphing Shape
Julius E. Bernth, Guokai Zhang, Dionysios Malas, George Abrahams, Bu Hayee, Hongbin Liu
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A Chemical Reaction-Driven Untethered Volume Changing Robotic Capsule for Tissue Dilation
Kaan Esendag, Mark E. McAlindon, Daniela Rus, Shuhei Miyashita, Dana D. Damian
IEEE Transactions on Medical Robotics and Bionics.2024; 6(4): 1300. CrossRef
A review on model-based and model-free approaches to control soft actuators and their potentials in colonoscopy
Motahareh Asgari, Ludovic Magerand, Luigi Manfredi
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Disparities in colonoscopy utilization for lower gastrointestinal bleeding in rural vs urban settings in the United States
Nagapratap Ganta, Mina Aknouk, Dina Alnabwani, Ivan Nikiforov, Veera Jayasree Latha Bommu, Vraj Patel, Pramil Cheriyath, Christopher S Hollenbeak, Alan Hamza
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Use of rapid reading software to reduce capsule endoscopy reading times while maintaining accuracy
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Performance measures for lower gastrointestinal endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) quality improvement initiative
Michal F Kaminski, Siwan Thomas‐Gibson, Marek Bugajski, Michael Bretthauer, Colin J Rees, Evelien Dekker, Geir Hoff, Rodrigo Jover, Stepan Suchanek, Monika Ferlitsch, John Anderson, Thomas Roesch, Rolf Hultcranz, Istvan Racz, Ernst J Kuipers, Kjetil Garbo
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Colonoscopy Procedure Time: Does the Learning Environment Matter?
Neel Sharma
Clinical Endoscopy.2017; 50(3): 308. CrossRef
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Clinical Endoscopy.2016; 49(6): 500. CrossRef

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108 Download
16 Web of Science
15 Crossref

Obesity and Cecal Intubation Time: Deepanshu Jain, Abhinav Goyal, Jorge Uribe; Clin Endosc 2016;49(2):187-190. Published online February 12, 2016; DOI: https://doi.org/10.5946/ce.2015.079

Abstract PDF PubReader ePub

Background
/Aims: Obesity is a much-debated factor with conflicting evidence regarding its association with cecum intubation rates during colonoscopy. We aimed to identify the association between cecal intubation (CI) time and obesity by eliminating confounding factors.
Methods
A retrospective chart review of subjects undergoing outpatient colonoscopy was conducted. The population was categorized by sex and obesity (body mass index [BMI, kg/m² ]: I, <24.9; II, 25 to 29.9; III, ≥30). CI time was used as a marker for a difficult colonoscopy. Mean CI times (MCT) were compared for statistical significance using analysis of variance tests.
Results
A total of 926 subjects were included. Overall MCT was 15.7±7.9 minutes, and it was 15.9±7.9 and 15.5±7.9 minutes for men and women, respectively. MCT among women for BMI category I, II, and III was 14.4±6.5, 15.5±8.3, and 16.2±8.1 minutes (p=0.55), whereas for men, it was 16.3±8.9, 15.9±8.0, and 15.6±7.2 minutes (p=0.95), respectively.
Conclusions
BMI had a positive association with CI time for women, but had a negative association with CI for men.

Citations

Citations to this article as recorded by

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Tsz Fai Cheng, Ka Shing Cheng
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Ke Wang, Wen-Tao Xu, Wen-Jing Kou, Xing-Shun Qi
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Monica Passi, Farial Rahman, Christopher Koh, Sheila Kumar
Endoscopy International Open.2022; 10(04): E311. CrossRef
Impact of obesity in colorectal endoscopic submucosal dissection: single-center retrospective cohort study
Jun Tachikawa, Hideyuki Chiba, Naoya Okada, Jun Arimoto, Keiichi Ashikari, Hiroki Kuwabara, Michiko Nakaoka, Takuma Higurashi, Toru Goto, Atsushi Nakajima
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Cecal intubation time in screening colonoscopy
Hyun Young Kim
Medicine.2021; 100(19): e25927. CrossRef
Factors affecting bowel preparation adequacy and procedural time
Mohammadali Zad, Cuong N Do, Aaron Heffernan, Lucy Johnston, Mohammed Al‐Ansari
JGH Open.2020; 4(2): 206. CrossRef
Fecal immunochemical test in colorectal cancer screening: Colonoscopy findings by different cut‐off levels
Hanna Ribbing Wilén, Johannes Blom, Jonas Höijer, Rolf Hultcrantz
Journal of Gastroenterology and Hepatology.2019; 34(1): 103. CrossRef
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Hassan Tariq, Muhammad Umar Kamal, Binita Sapkota, Fady ElShikh, Usman Ali Pirzada, Nanda Pullela, Sara Azam, Aiyi Zhang, Ahmed Baiomi, Hafsa Abbas, Jasbir Makker, Bhavna Balar, Ariyo Ihimoyan, Myrta Daniel, Anil Dev
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Factors for cecal intubation time during colonoscopy in women: Impact of surgical history
JiHyung Nam, JungHyeon Lee, JaeHak Kim, HyounWoo Kang, DongKee Jang, YunJeong Lim, Moon-Soo Koh, HyunSoo Park, Eun-Cheol Park, JunKyu Lee, JinHo Lee
Saudi Journal of Gastroenterology.2019; 25(6): 377. CrossRef
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Veeravich Jaruvongvanich, Tomoki Sempokuya, Passisd Laoveeravat, Patompong Ungprasert
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Antonio López-Serrano, Inmaculada Ortiz Polo, Javier Sanz de la Vega, Eduardo Moreno-Osset
Gastroenterología y Hepatología (English Edition).2017; 40(6): 409. CrossRef
Predictors for difficult cecal insertion in colonoscopy: The impact of obesity indices
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Can Body Mass Index Predict the Difficulty of Colonoscopy?
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Predicting Colonoscopy Time: A Quality Improvement Initiative
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Clinical Endoscopy.2016; 49(6): 555. CrossRef

11,888 View
98 Download
20 Web of Science
19 Crossref

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