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| http://dx.doi.org/10.1016/j.vgie.2019.09.005 | DOI Listing |
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Technology transfer, intellectual property, and the fight for the soul of WHO.
PLOS Glob Public Health
December 2024
Yale Law School, Yale School of Medicine, Yale Collaboration for Regulatory Rigor, Integrity, and Transparency, New Haven, Connecticut, United States of America.
Debates over the scope, terms, and governance of technology transfer-the sharing of essential technical information, know-how, and materials needed to manufacture a health product-are prominent and controversial in international health diplomacy. These debates have become focal points in recent contentious negotiations to amend the International Health Regulations (IHR) and draft a global Pandemic Agreement. While some countries advocate for automatic or compulsory mechanisms to facilitate access to health technologies, especially in times of crisis, others oppose legal frameworks that mandate non-voluntary participation by the pharmaceutical industry.
View Article and Find Full Text PDFAdverse events of the endoscopic over-the-scope clips and cutters: a Manufacturer and User Facility Device Experience database analysis.
Gastrointest Endosc
October 2024
Department of Gastroenterology & Hepatology, University of New Mexico, Albuquerque, New Mexico, USA.
Article Synopsis
- The study examined adverse events related to OVESCO® clips and cutters, focusing on data from the FDA's MAUDE database, covering reports from 2007 to 2024.
- Out of 42 reports, the majority were about OVESCO® clips, with the most common issues being failure to deploy and gastrointestinal perforation as a significant complication.
- The findings emphasize the importance of careful patient selection and monitoring after procedures, as well as the need for ongoing surveillance to ensure device safety and improve patient outcomes.
Single-center experience with intraprocedural cleansing system to improve inadequate bowel preparation during colonoscopy.
Endosc Int Open
June 2024
Gastroenterology Section, Minneapolis VA Medical Center, Minneapolis, United States.
Inadequate bowel preparation is common despite various preprocedure interventions. There is a need for an intervention at the time of colonoscopy to combat poor preparation. In this retrospective, observational study of 46 patients, we evaluated the clinical efficacy and feasibility of implementing the third generation of the Pure-Vu EVS System, a US Food and Drug Administration-cleared over-the-scope-based intraprocedural cleansing device, into our practice at the Minneapolis VA Medical Center (Minneapolis, Minnesota, United States).
View Article and Find Full Text PDFLong-term follow-up of a cohort with post sleeve gastrectomy leaks: results of endoscopic treatment and salvage surgery.
Surg Endosc
December 2023
Hôpital du Sacré Coeur, Montreal, Canada.
Introduction: Laparoscopic sleeve gastrectomy (LSG) is the most performed bariatric procedure worldwide. The most challenging postoperative complication is gastric leak. The objectives of this study are to examine the efficacy and morbidity of different therapeutic strategies addressing leakage, and the long-term outcomes of a cohort of LSG leaks.
View Article and Find Full Text PDFEndoscopic treatment of pancreatic necrosis: Still searching for perfection!
J Gastroenterol Hepatol
August 2023
Department of Gastroenterology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Over last few years, there has been a paradigm shift in the management of infected pancreatic necrosis with endoscopic and minimally invasive "step-up" management approach replacing open surgical necrosectomy. Because of being associated with reduced occurrence of new onset multi-organ failure, external pancreatic fistulae, shorter hospital stay, lower costs, and better quality of life compared with minimally invasive surgical approach, endoscopic "step-up" management approach is the preferred intervention for endoscopically accessible pancreatic necrotic collections at expert centers with endoscopic expertise. Development of lumen apposing metal stents and improvised accessories for interventional endoscopic ultrasound has revolutionized the endoscopic management of pancreatic necrosis making it more effective and safer.
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