Publications by authors named "A W Jans"
Long-standing ulcerative colitis (UC) is associated with an increased risk of developing colorectal neoplasia. Both dye-based chromoendoscopy (DCE) and virtual chromoendoscopy (VCE) increase detection of neoplastic lesions. In this prospective randomized controlled trial (RCT), we compared the neoplasia detection rate between DCE and i-scan VCE in patients with long-standing UC.
View Article and Find Full Text PDFAdvanced Endoscopic Imaging for Dysplasia Characterization in Inflammatory Bowel Disease.
Gastrointest Endosc Clin N Am
January 2025
Recent therapeutic innovations in the management of inflammatory bowel disease (IBD) have significantly improved patient outcomes, leading to increased life expectancy and reducing the necessity for total colectomy. However, this prolonged disease duration increases the cumulative risk for dysplasia and eventually colorectal cancer development. Therefore, timely detection and correct characterization of emerging dysplastic lesions is of great importance in longstanding IBD.
View Article and Find Full Text PDFArticle Synopsis
- - The study examined the prevalence of dumping and post-bariatric hypoglycemia (PBH) symptoms among patients undergoing Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) at Lindesberg Hospital, Sweden, over a 5-year period.
- - Results showed a significant increase in dumping symptoms from 4.9% pre-surgery to 26.3% at 5 years post-surgery for RYGB patients, while PBH symptoms rose from 1.4% to 19.3%.
- - In contrast, SG patients did not experience a significant increase in these symptoms, and persistent type 2 diabetes was found to be a protective factor against PBH symptoms
Although colonoscopy is a routinely performed procedure, it is not devoid of challenges, such as the potential for perforation and considerable patient discomfort, leading to patients postponing the procedure with several healthcare risks. This review delves into preprocedural and procedural solutions, and emerging technologies aimed at addressing the drawbacks of colonoscopies. Insufflation and sedation techniques, together with various other methods, have been explored to increase patient satisfaction, and thereby, the quality of endoscopy.
View Article and Find Full Text PDFIntroduction: Today, primary care professionals' (PCPs) perspectives on hospital quality are unknown when evaluating hospital quality priorities. The aims of the present study were to identify key healthcare quality attributes from PCPs' perspective, to validate an instrument that measures PCPs' experiences of healthcare quality multidimensionally and to define hospital quality priorities based on PCPs' experiences.
Material And Methods: Focus groups with PCPs were conducted to identify quality attributes through a qualitative in-depth analysis.