PRESS-NEWS.org - Press Release Distribution
PRESS RELEASES DISTRIBUTION

Unique gastroenterology procedure developed in adults shows promise in pediatrics

2010-09-27
(Press-News.org) The use of device-assisted enteroscopy, a technique that allows complete examination of the small bowel, may be just as successful pediatrics as it has been in adult medicine, according to a study from Nationwide Children's Hospital.

One of these techniques known as Double-Balloon Enteroscopy (DBE), a procedure readily available in adults, allows doctors to reach parts of the small intestine that cannot be reached using standard endoscopic procedures. Due to access issues and size limitations, DBE is rarely considered an option in pediatrics. As a result, little is known about this technique in children.

"Since the introduction of fiberoptic endoscopy in the 1950s, gastrointestinal endoscopy has undergone dramatic progress in how it can aid in the diagnosis and treatment of patients," said Steven H. Erdman, MD, gastroenterologist and at Nationwide Children's Hospital and one of the study authors.

Yet, even with this progress, endoscopic examination and treatment in the small intestine has remained a challenge, especially in children. "Small intestinal enteroscopy in the pediatric population remains relatively unknown and underutilized," said Dr. Erdman, also a professor of Clinical Pediatrics at The Ohio State University College of Medicine.

To shed light on the indications and possible benefits of DBE in children, physicians from Nationwide Children's reviewed the outcomes of DBE cases performed at the hospital during a two-year period. The physicians performed a total of 13 DBE procedures on 11 pediatric and adolescent patients. Prior to the DBE, all patients underwent a detailed diagnostic evaluation including laboratory testing and diagnostic radiologic imaging along with upper endoscopy, colonoscopy and capsule endoscopy (CE) tests. Abnormal small intestinal CE findings or continued small bowel disease symptoms without diagnosis by conventional methods were used as indications for DBE.

Two of the patients underwent DBE for treatment of small intestinal polyps associated with Peutz-Jeghers Syndrome which dramatically improved their symptoms of abdominal pain and bleeding. Another patient's DBE was done to remove a bleeding small intestinal vascular malformation that had caused years of symptoms resolving chronic anemia. Two other patients had histories of bloody diarrhea, anorexia and weight loss; lower DBE provided evidence leading to the diagnosis of Crohn's disease when other medical techniques had been unsuccessful.

DBE can be associated with abdominal discomfort following the procedure due to gaseous distention as was seen in five of the 13 procedures. Utilizing carbon dioxide rather than regular air to fill the intestine during this procedure has eliminated this issue.

Noting the limitations of this study on a small number of patients from a single institution, Dr. Erdman says that DBE appears to hold promise for pediatrics. "Our experience suggests that DBE shows great potential in the diagnosis and management of pediatric small intestinal disease without undue risk," he said. Since completion of the original report, eight additional DBE procedures have been completed with similar positive outcomes.

Although DBE shows great potential, Dr. Erdman warns that pediatric centers may not be able to devote the necessary resources and time needed to provide this type of service. "DBE remains a resource-intensive procedure requiring multiple staff, general anesthesia and extended procedure time in addition to cost outlays for equipment," he said. "These instruments were designed for use in adults and size is a limitation that remains to be address before DBE can become a more standardized tool in pediatric gastroenterology."

INFORMATION:

END



ELSE PRESS RELEASES FROM THIS DATE:

The Global Coalition against Domestic Violence (GCA-DV)'s plans are highly advanced for the staging of the 2010 Global Domestic Violence Conference to be held at Prince Hotel in KL, Malaysia.

2010-09-27
Western Australia's Minister for Child Protection, Community Services and Women's Interests, Hon. Robyn McSweeney is one of the featured speakers who will be speaking about WA's "Safe at Home Program" during the 2010 Global Domestic Violence Conference. Over the last decade, action to address violence against women has become a priority in many countries. However despite these advances, violence against women and girls is a global pandemic. The problem remains universal, with women and girls affected by violence in every region and every country. The year 2010 is an ...

Video Game Characters Come Alive In Downtown Fuquay-Varina- Strafe Gaming Lounge is to Blame

2010-09-27
You may be wondering what's happening in downtown Fuquay-Varina toward the end of September. Several iconic video game characters have been seen walking the streets including Mario, Link from Zelda, Lara Croft from Tomb Raider, Cloud Strife from Final Fantasy and many others. Recently the character crew was spotted at the "Taste of Fuquay-Varina" festival on Saturday the 25th as well as Fuquay's GameStop, Fuquay Gun & Gold and many other locations. The characters are in town to help promote a new business opening its door on October 16th, 2010 called Strafe Gaming Lounge. ...

Kindergarten Teacher Launches Free Site to Introduce Children to Five Different Languages

2010-09-27
A new Web site called Chillola.com is giving parents a fun, safe learning environment where their kids can explore different languages. Chillola.com employs a playful, child-oriented theme to introduce children to five languages: English, Spanish, French, German and Italian. "Chillola.com is designed to give children all over the world the opportunity to explore foreign languages, and learn about different countries, cultures and people," said Tina Jack, a California-based kindergarten teacher who owns the Web site. "Playful illustrations, real-life pictures, native ...

Dominion offers free telcom analysis

2010-09-27
Dominion strikes a blow against major telcom companies today as they introduce their new Telecommunications Analysis Service. The service allows businesses, non profits and residential customers to audit their current service provider and determine if they are getting the best service at the best price. Dominion owner Jason McKinley says "big name service providers depend on their customers not knowing about their competitors, but with this free service we are putting the power of choice back into the hands of consumers". The new service will scrutinize a company's telecommunication ...

Lawn Sprinkler Winterization: By Old Faithful Sprinklers - MI

2010-09-27
Most people think of fall as the season of falling leaves and pumpkins, but not Scott Halahan, owner of Old Faithful Sprinklers in Plymouth, MI. Fall is the season for lawn sprinkler winterization of underground or in-ground sprinkler systems. Proper maintenance avoids costly lawn sprinkler repairs, and keeps the system operating at peak efficiency. An important part of proper annual maintenance is lawn sprinkler winterization. What this means to the business or homeowner is overall lower sprinkler operation costs and less costly sprinkler system start-up next spring. This ...

Sustainable 1000's Eco Road Trip Highlights Green Economy Across America

2010-09-27
25 September 2010. What is the future of the green movement? Shane Snipes, Sustainability Expert, is traveling across 48-states and conducting 1000 interviews across the United States to find out. Shane, called "one of the most innovative and dedicated proponents of the Green Movement", hosts the Sustainable 1000 Eco Road Trip. In Just 250 days, Shane has the opportunity to interview 1000 politicians, celebrities and community leaders about the future of sustainability from April to November. Some interviews include Oscar-winning Producer of The Cove, O.A.R. bassist ...

Above All Advertising, Inc.'s Twizla Puts a New Spin on Eye-Catching Signage

2010-09-27
Above All Advertising, Inc. (http://abovealladvertising.com), an international provider of inflatables and advertising signage solutions, has just announced the unveiling of a new line of moving signage, the Twizla . The new advertising device is causing quite a stir, boasting unique spin technology to attract attention. Used both indoors and out, on concrete, carpet and grass, the Twizla provides multiple imprint surfaces in the area where ordinarily one flag would stand. Available now from Above All Advertising, Inc., the Twizla ships ready to set-up upon delivery. ...

Award Winning Sculptors and Product Designers of Weisbeck Design, Introduce Dandy Canes, Walking Sticks for the Modern Dandy, the Newest Fashion Accessory for the 21st Century.

2010-09-27
Dandy Canes have just been introduced by international award winning product designers and sculptors Mark and Diane Weisbeck, of Weisbeck Design, the only artists in the world to represent New York State in the Beijing Olympics, winning the prestigious Excellent Works Award. The Weisbecks are acclaimed luxury leather accessory designers as well as the creators of the world's only solid gold pen tray. Their desktop furnishings have been featured worldwide. The Dandy Cane is the modern, elegant, 21st century walking stick. The stylized handle is handcrafted out of solid ...

Dorje Inc. Introduces the Next Generation of Vertical Wind Turbines

2010-09-27
Taking a novel "retro" approach to vertical wind turbine design, Dorje has produced a vertical wind turbine that is easily adaptable to a wide range of energy needs and site conditions. What makes Dorje Inc's new wind turbine so unique? Their design paradigm is unlike any other turbine builder, combining proven historical methodologies with ultra-modern technological advances and materials. For example, the Dorje vertical turbine combines traditional mechanical wind-power concepts with such high-tech innovations such as rare-earth magnetic bearings and high output generators. ...

Indiana-based Joseph Decuis Enterprise Announces Tenth Anniversary in Business

2010-09-27
Joseph Decuis is celebrating its tenth anniversary this fall. The announcement is made by Alice Eshelman, proprietor of the Joseph Decuis Gourmet Restaurant, Farm, Emporium, Culinarium and Inn located in Roanoke, Indiana, just outside Fort Wayne. Along with husband Pete, the couple has built the Joseph Decuis brand and its dedication to excellence in the 'Farm to Fork" tradition into a world-class fine dining destination during the past decade. The crown jewel of achievement occurred in August, when Joseph Decuis, led by Executive Chef Aaron Butts, was honored to cook ...

LAST 30 PRESS RELEASES:

Wildlife monitoring technologies used to intimidate and spy on women, study finds

Around 450,000 children disadvantaged by lack of school support for color blindness

Reality check: making indoor smartphone-based augmented reality work

Overthinking what you said? It’s your ‘lizard brain’ talking to newer, advanced parts of your brain

Black men — including transit workers — are targets for aggression on public transportation, study shows

Troubling spike in severe pregnancy-related complications for all ages in Illinois

Alcohol use identified by UTHealth Houston researchers as most common predictor of escalated cannabis vaping among youths in Texas

Need a landing pad for helicopter parenting? Frame tasks as learning

New MUSC Hollings Cancer Center research shows how Golgi stress affects T-cells' tumor-fighting ability

#16to365: New resources for year-round activism to end gender-based violence and strengthen bodily autonomy for all

Earliest fish-trapping facility in Central America discovered in Maya lowlands

São Paulo to host School on Disordered Systems

New insights into sleep uncover key mechanisms related to cognitive function

USC announces strategic collaboration with Autobahn Labs to accelerate drug discovery

Detroit health professionals urge the community to act and address the dangers of antimicrobial resistance

3D-printing advance mitigates three defects simultaneously for failure-free metal parts 

Ancient hot water on Mars points to habitable past: Curtin study

In Patagonia, more snow could protect glaciers from melt — but only if we curb greenhouse gas emissions soon

Simplicity is key to understanding and achieving goals

Caste differentiation in ants

Nutrition that aligns with guidelines during pregnancy may be associated with better infant growth outcomes, NIH study finds

New technology points to unexpected uses for snoRNA

Racial and ethnic variation in survival in early-onset colorectal cancer

Disparities by race and urbanicity in online health care facility reviews

Exploring factors affecting workers' acquisition of exercise habits using machine learning approaches

Nano-patterned copper oxide sensor for ultra-low hydrogen detection

Maintaining bridge safer; Digital sensing-based monitoring system

A novel approach for the composition design of high-entropy fluorite oxides with low thermal conductivity

A groundbreaking new approach to treating chronic abdominal pain

ECOG-ACRIN appoints seven researchers to scientific committee leadership positions

[Press-News.org] Unique gastroenterology procedure developed in adults shows promise in pediatrics