Publications by authors named "Yukie Sunata"
Article Synopsis
- * A potential side effect of this treatment can be gastroparesis, a condition affecting stomach movement, but its occurrence and risks are not well understood.
- * In a unique case, a patient experienced transient gastroparesis after undergoing cryoballoon ablation, but they recovered after six months with the help of medication.
Background: Non-variceal upper gastrointestinal bleeding (NVUGIB) is still a common and life-threatening disease, thus it would have a big impact on medical care cost. However, little is known about risk factors for increased medical care cost in NVUGIB patients.
Aim: The purpose of the study was to clarify predictor of requiring high medical care cost in NVUGIB patients.
Background And Study Aims: Although cold polypectomy (CP) is widely used for colorectal polyps < 10 mm, appropriateness of indications for CP or endoscopic mucosal resection (EMR) are still unclear. The aim of this study was to validate the endoscopic treatment algorithm based on the Japan NBI Expert Team (JNET) classification.
Patients And Methods: Consecutive patients with at least one colorectal non-pedunculated polyp < 10 mm between July 2014 and October 2016 were included in this retrospective study.
Background/aims: Although colonic diverticular bleeding (CDB) often ceases spontaneously, re-bleeding occurs in about 30%. Bleeding diverticulum can be treated directly by endoscopic hemostasis; however, it is difficult to perform colonoscopy in all cases with limited medical resource and certain risks. The aim of this study was to clarify who should undergo colonoscopy as well as appropriate methods of initial management in CDB patients.
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- Some scoring systems exist to predict urgent endoscopic interventions for upper gastrointestinal bleeding (UGIB), but they may not be sufficient for immediate treatment needs.
- The study analyzed 378 UGIB patients from 2011 to 2014 to identify risk factors influencing the need for endoscopic intervention, focusing on factors like age, medical history, and lab results.
- Findings indicated that a history of gastro-duodenal ulcer (GDU), along with the BUN/Cr ratio and Glasgow-Blatchford Score (GBS), significantly increased the likelihood of requiring endoscopic intervention.
Article Synopsis
- Sedatives and analgesics are commonly used during colonoscopies, but there is a risk of complications affecting vital signs, which this study aimed to further understand.
- The research analyzed data from 755 patients and found that 17% experienced fluctuations in vital signs, with hypotension in 13% and oxygen desaturation in 5%, yet no patients required hospitalization.
- Important risk factors identified for vital sign fluctuations included older age, being female, and the use of midazolam as a sedative.