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Original Article
- Endoscopic versus surgical management for colonic volvulus hospitalizations in the United States
- Dushyant Singh Dahiya, Abhilash Perisetti, Hemant Goyal, Sumant Inamdar, Amandeep Singh, Rajat Garg, Chin-I Cheng, Mohammad Al-Haddad, Madhusudhan R. Sanaka, Neil Sharma
- Clin Endosc 2023;56(3):340-352. Published online April 17, 2023
- DOI: https://doi.org/10.5946/ce.2022.166
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Graphical Abstract
Abstract
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ePub - Background
/Aims: Colonic volvulus (CV), a common cause of bowel obstruction, often requires intervention. We aimed to identify hospitalization trends and CV outcomes in the United States.
Methods
We used the National Inpatient Sample to identify all adult CV hospitalizations in the United States from 2007 to 2017. Patient demographics, comorbidities, and inpatient outcomes were highlighted. Outcomes of endoscopic and surgical management were compared.
Results
From 2007 to 2017, there were 220,666 CV hospitalizations. CV-related hospitalizations increased from 17,888 in 2007 to 21,715 in 2017 (p=0.001). However, inpatient mortality decreased from 7.6% in 2007 to 6.2% in 2017 (p<0.001). Of all CV-related hospitalizations, 13,745 underwent endoscopic intervention, and 77,157 underwent surgery. Although the endoscopic cohort had patients with a higher Charlson comorbidity index, we noted lower inpatient mortality (6.1% vs. 7.0%, p<0.001), mean length of stay (8.3 vs. 11.8 days, p<0.001), and mean total healthcare charge ($68,126 vs. $106,703, p<0.001) compared to the surgical cohort. Male sex, increased Charlson comorbidity index scores, acute kidney injury, and malnutrition were associated with higher odds of inpatient mortality in patients with CV who underwent endoscopic management.
Conclusions
Endoscopic intervention has lower inpatient mortality and is an excellent alternative to surgery for appropriately selected CV hospitalizations. -
Citations
Citations to this article as recorded by
- Colonic Volvulus
Samantha L. Savitch, Calista M. Harbaugh
Clinics in Colon and Rectal Surgery.2024; 37(06): 398. CrossRef - Navigating Abdominal Volvulus: A Comprehensive Review of Management Strategies
Simran Chauhan, Raju K Shinde, Yashraj Jain
Cureus.2024;[Epub] CrossRef - Clinicopathological Features of Elderly Patients with Colonic Volvulus
Mehmet Onur Gul, Selda Oğuz Aşlayan, Kadir Çorbacı, Aytaç Selman, Emre Berat Akçay, Oğuzhan Sunamak, Cebrail Akyüz
European Journal of Therapeutics.2024; 30(3): 303. CrossRef - Incidental Sigmoid Volvulus after a Ground-level Fall: An Unusual Case Report
Ziya Karimov, Elchin Shirinov, Gunay Huseynova, Mirhuseyn Mammadov, Meltem Songür Kodik
Caucasian Medical Journal.2023; 1(3): 36. CrossRef
- Colonic Volvulus
- 2,993 View
- 169 Download
- 4 Web of Science
- 4 Crossref
Letter to the Editor
- Peroral endoscopic myotomy versus Heller’s myotomy for achalasia hospitalizations in the United States: what does the future hold?
- Dushyant Singh Dahiya, Vinay Jahagirdar, Manesh Kumar Gangwani, Muhammad Aziz, Chin-I Cheng, Sumant Inamdar, Madhusudhan R. Sanaka, Mohammad Al-Haddad
- Clin Endosc 2022;55(6):826-828. Published online November 3, 2022
- DOI: https://doi.org/10.5946/ce.2022.283
- 2,358 View
- 120 Download
Commentary
- Endoscopic Ultrasound-Guided Liver Biopsies: Is the Future Here Yet?
- Ihab I. El Hajj, Mohammad Al-Haddad
- Clin Endosc 2019;52(4):297-298. Published online July 23, 2019
- DOI: https://doi.org/10.5946/ce.2019.126
- 4,431 View
- 82 Download
Original Article
- Prospective Assessment of the Performance of a New Fine Needle Biopsy Device for EUS-Guided Sampling of Solid Lesions
- Ihab I. El Hajj, Howard Wu, Sarah Reuss, Melissa Randolph, Akeem Harris, Mark A. Gromski, Mohammad Al-Haddad
- Clin Endosc 2018;51(6):576-583. Published online July 13, 2018
- DOI: https://doi.org/10.5946/ce.2018.053
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Abstract
PDFPubReaderePub
- Background
/Aims: Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) remains the most common EUS-guided tissue acquisition technique. This study aimed to evaluate the performance of a new Franseen tip fine needle biopsy (FNB) device for EUSguided sampling of solid lesions and compare it with the historical FNA technique.
Methods
Acquire® 22 G FNB needle (Boston Scientific Co., Natick, MA, USA) was used for solid tumor sampling (Study group). Tissue was collected for rapid on-site evaluation, and touch and crush preparations were made. Historical EUS-FNA samples obtained using Expect® 22 G FNA needle (Boston Scientific Co.) were used as controls (Control group). All specimens were independently evaluated by two cytopathologists blinded to the formal cytopathological diagnosis.
Results
Mean cell block histology scores were significantly higher (p=0.046) in the FNB group (51 samples) despite a significantly lower (p<0.001) mean number of passes compared to the FNA group (50 specimens). The overall diagnostic yields for the FNB vs. FNA groups were 96% vs. 88%. The degree of tumor differentiation was adequately assessed in all cell block qualifying lesions in the FNB group. Two patients developed post-FNB abdominal pain.
Conclusions
The new Franseen tip FNB device provides histologically superior and cytologically comparable specimens to those obtained by FNA, but with fewer passes. -
Citations
Citations to this article as recorded by- Adverse events of 20–22G second‐generation endoscopic ultrasound‐guided fine‐needle biopsy needles for solid lesions in the upper gastrointestinal tract and adjacent organs: Systematic review and meta‐analysis
Cheng‐ye Pan, Shi‐min Wang, Dong‐hao Cai, Jia‐yi Ma, Shi‐yu Li, Yibin Guo, Sun Jing, Jin Zhendong, Kaixuan Wang
Digestive Endoscopy.2025;[Epub] CrossRef - Real-Life Comparison of Diagnostic Yield and Sample Adequacy of 22 G and 25 G EBUS-TBNB Needles: A Retrospective Study
Filippo Lanfranchi, George Kalak, Gioele Castelli, Laura Mancino, Gabriele Foltran, Alberto Pavan, Lorenzo Ciarrocchi, Licia Laurino, Lucio Michieletto
Journal of Clinical Medicine.2025; 14(5): 1637. CrossRef - Consensus statements on endoscopic ultrasound‐guided tissue acquisition. Guidelines from the Asian Endoscopic Ultrasound Group
Charing Ching‐Ning Chong, Rapat Pittayanon, Nonthalee Pausawasdi, Vikram Bhatia, Nozomi Okuno, Raymond Shing‐Yan Tang, Tsu‐Yao Cheng, Yu‐Ting Kuo, Dongwook Oh, Tae Jun Song, Tae Hyeon Kim, Kazuo Hara, Anthony Wing‐Hung Chan, Howard Ho Wai Leung, Aiming Ya
Digestive Endoscopy.2024; 36(8): 871. CrossRef - The World Health Organization Reporting System for Pancreaticobiliary Cytopathology: Overview and Summary
Barbara A. Centeno, Mauro Saieg, Momin T. Siddiqui, Miguel Perez‐Machado, Lester J. Layfield, Birgit Weynand, Michelle D. Reid, Edward B. Stelow, Maria D. Lozano, Noriyoshi Fukushima, Ian A. Cree, Ravi Mehrotra, Fernando C. Schmitt, Andrew S. Field, Marth
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Hussein Hassan Okasha, Mohammed Yousri Ahmed, Marwa A. Ahmed, Sameh Abou Elenin, Abeer Abdel-latif, Mahmoud Farouk, Mahmoud Gamal Ameen, Ahmed Hussein El-Habashi, Mahasen Akram Elshaer, Ahmed Elsayed Alzamzamy
The Egyptian Journal of Internal Medicine.2024;[Epub] CrossRef - Franseen needle in endobronchial ultrasound-guided transbronchial needle aspiration: a phase II prospective study
Kohei Shikano, Jun Ikari, Takahiro Nakajima, Masayuki Ota, Yuki Shiko, Akira Naito, Mitsuhiro Abe, Takeshi Kawasaki, Jun-Ichiro Ikeda, Yoshihito Ozawa, Takuji Suzuki
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Cureus.2024;[Epub] CrossRef - Pulmonary endoscopy – central to an interventional pulmonology program
Sally Griffiths, Lucy Power, David Breen
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Matthew C. Aboudara, Timothy Saettele, Ossama Tawfik
Respiratory Medicine.2023; 208: 107131. CrossRef - Clinical Applications of Endobronchial Ultrasound (EBUS) Scope: Challenges and Opportunities
Davide Biondini, Mariaenrica Tinè, Umberto Semenzato, Matteo Daverio, Francesca Scalvenzi, Erica Bazzan, Graziella Turato, Marco Damin, Paolo Spagnolo
Diagnostics.2023; 13(15): 2565. CrossRef - Endoscopic Ultrasound-Guided Fine Needle Biopsy in the Diagnostic Work-Up of Deep-Seated Lymphadenopathies and Spleen Lesions: A Monocentric Experience
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Endoscopic Ultrasound.2023; 12(6): 456. CrossRef - A Systematic Review of Real-time Fine-needle Aspiration Biopsy Methods for Soft Tissues
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Endoscopy.2021; 53(04): 411. CrossRef - A Pilot Randomized Crossover Trial of Wet Suction and Conventional Techniques of Endoscopic Ultrasound-Guided Fine-Needle Aspiration for Upper Gastrointestinal Subepithelial Lesions
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Journal of Medical Ultrasonics.2021; 48(4): 623. CrossRef - Comparison of Endoscopic Ultrasound-Guided Tissue Acquisition Using a 20-Gauge Menghini Needle with a Lateral Forward Bevel and a 22-Gauge Franseen Needle: A Single-Center Large Cohort Study
Takafumi Mie, Takashi Sasaki, Ryo Kanata, Takaaki Furukawa, Tsuyoshi Takeda, Akiyoshi Kasuga, Masato Matsuyama, Masato Ozaka, Naoki Sasahira
Clinical Endoscopy.2021; 54(5): 730. CrossRef - Usefulness of a Fork-Tip Needle in Endoscopic Ultrasound-Guided Fine-Needle Biopsy for Gastric Subepithelial Lesions
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Journal of Gastroenterology.2019; 54(5): 377. CrossRef - Endoscopic Ultrasound-Guided Liver Biopsies: Is the Future Here Yet?
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Clinical Endoscopy.2019; 52(4): 297. CrossRef - Present and Future of Endoscopic Ultrasound-Guided Tissue Acquisition in Solid Pancreatic Tumors
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Clinical Endoscopy.2019; 52(6): 541. CrossRef - Will New Instruments for Endoscopic Ultrasound-Guided Tissue Acquisition Make Us Happy?
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Clinical Endoscopy.2018; 51(6): 510. CrossRef
- Adverse events of 20–22G second‐generation endoscopic ultrasound‐guided fine‐needle biopsy needles for solid lesions in the upper gastrointestinal tract and adjacent organs: Systematic review and meta‐analysis
- 7,354 View
- 200 Download
- 52 Web of Science
- 42 Crossref
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