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Gastrointestinal Cancers a Multidisciplinary Approach to Screening, Diagnosis, and Treatment
Second Annual Update on Gastrointestinal Cancers A Multidisciplinary Approach to Screening, Diagnosis, and Treatment Friday, September 27, 2013 7:00am – 4:10pm COURSE DIRECTORS K.S. Clifford Chao, MD Michel Kahaleh, MD, AGAF, FACG, FASGE P. Ravi Kiran, MBBS, MS, FRCS, FACS Tyvin Rich, MD, FACR LOCATION Columbia University Medical Center Bard Hall New York City Register Online www.columbiasurgerycme.org Second Annual Update on Gastrointestinal Cancers A Multidisciplinary Approach to Screening, Diagnosis, and Treatment OVERVIEW EDUCATIONAL OBJECTIVES This course consists of lectures, case It is intended that this Continuing presentations, and Q&A panels with Medical Education (CME) activity will lead expert faculty. The course is broken into to improved patient care. At the conclusion five sessions, each covering gastrointestinal of this activity, participants should be able to: cancer in a specific area of the GI tract. 1. Identify new technologies and modalities Speakers in each session will cover research in the screening, surveillance, and diagnosis and the latest standards of care including of relevant gastrointestinal cancers. new innovations for screening, diagnosis, and treatment modalities including radiation 2. Offer patients non-invasive, interventional, therapy, chemotherapy, and surgery. This medical, and surgical approaches in the course will increase participant familiariza- treatment of gastrointestinal cancers. tion with current guidelines and recommen- 3. Identify emerging new chemotherapy, dations, and focus on the multidisciplinary targeted therapy, and radiation therapy team involved in the care of patients with options and approaches in the treatment gastrointestinal cancers. of gastrointestinal cancers. IDENTIFIED PRACTICE GAP/ 4. Apply their enhanced understanding of EDUCATIONAL NEEDS the benefits of the multidisciplinary approach to the screening, diagnosis, Gastrointestinal cancers include several treatment, and palliation of patients with malignancies, including those of the gastrointestinal cancers. -
Practice Patterns and Use of Endoscopic Retrograde
Practice patterns and use of endoscopic retrograde cholangiopancreatography in the management of recurrent acute pancreatitis Qiang Cai, Emory University Field Willingham, Emory University Steven Keilin, Emory University Vaishali Patel, Emory University Parit Mekaroonkamol, Emory University JB Reichstein, Duke University S Dacha, Emory University Journal Title: Clinical Endoscopy Volume: Volume 53, Number 1 Publisher: (publisher) | 2019-01-01, Pages 73-81 Type of Work: Article Publisher DOI: 10.5946/ce.2019.052 Permanent URL: https://pid.emory.edu/ark:/25593/vhjfb Final published version: http://dx.doi.org/10.5946/ce.2019.052 Accessed September 27, 2021 7:02 AM EDT ORIGINAL ARTICLE Clin Endosc 2020;53:73-81 https://doi.org/10.5946/ce.2019.052 Print ISSN 2234-2400 • On-line ISSN 2234-2443 Open Access Practice Patterns and Use of Endoscopic Retrograde Cholangiopancreatography in the Management of Recurrent Acute Pancreatitis Jonathan B. Reichstein1, Vaishali Patel2, Parit Mekaroonkamol2, Sunil Dacha2, Steven A. Keilin2, Qiang Cai2 and Field F. Willingham2 1Department of Medicine, Duke University, Durham, NC, 2Division of Digestive Disease, Department of Medicine, Emory University, Atlanta, GA, USA Background/Aims: There are conflicting opinions regarding the management of recurrent acute pancreatitis (RAP). While some physicians recommend endoscopic retrograde cholangiopancreatography (ERCP) in this setting, others consider it to be contraindicated in patients with RAP. The aim of this study was to assess the practice patterns and clinical features influencing the management of RAP in the US. Methods: An anonymous 35-question survey instrument was developed and refined through multiple iterations, and its use was approved by our Institutional Review Board. -
Italy and Ligurian Regional HTA Network Abstract Number: 169775
Abstract Number: 169775 Mini HTA: an effective tool for clinical governance, resource allocation and conflict management at local (Regional) level. Gaddo Flego MD, Francesco Cardinale MD, ASL Nr 4 "Chiavarese", Italy and Ligurian Regional HTA Network The Italian National Health System is centrally governed by the Ministry of Health and by Local Health Authorities (ASL) at Regional level. The Region of Liguria is divided into 5 ASL. Each ASL governs hospitals in the territory of competence. Liguria, for the government of technological innovation, approved with a formal act in 2011 (DGR 295) the creation of a Regional HTA Network in order to implement the process of Health Technology Assessment and to develop the concept of Evidence Based Medicine. The main point of the resolution is the introduction of a Mini HTA grid, that must be filled by proponents before the introduction of any technological innovation. Regional HTA Workflow Since 2011 the Ligurian Network Regional HTA Network has Organisation & Role Hospitals require innovative evaluated the following technologies through Mini devices: Director HTA grid compilation 1) Virtual Colonoscopy CAD Coordination group 2) Porcine Dermal Collagen Surgery Consists of all Professionals who Grid submission to Scientific 3) Sling for urinary incontinence may be involved in the Secretariat 4) Collagen Matrix for sutures evaluation, depending on the 5) Fixation device in surgery device to be evaluated: doctors 6) Sterilization devices with different specialisations, Analysis of quality of data 7) Implantable device for Glaucoma clinical engineers, chemists, produced in the grid, 8) Intravascular Catheter context and scientific health economists and 9) Optical Coherence Tomography literature by the Scientific 10) Pneumothorax drainage system representatives of the citizens. -
Interventional Innovations in Digestive Care to Receive the Negotiated Group Rate
The First Annual Peter D. Stevens Course on Interventional Innovations in Digestive Ca re Special Sessions: Hands-on Animal Tissue Labs, Live OR & Interventional Cases April 2 6–27, 2012 New York City Program Co-Directors: Michel Kahaleh, MD, AGAF, FACG, FASGE Robbyn Sockolow, MD, AGAF Marc Bessler, MD, FACS Jeffrey Milsom, MD, FACS, FACG www.gi-innovations.org Endorsed by This course is endorsed by the American Society for Endorsed by the Gastrointestinal Endoscopy AGA Institute Interventional Innov ations in Digestive Ca re n Overall Goals This two day course will inform participants of the latest innovations for the management of gastrointestinal diseases and disorders, and will offer a unique opportunity to learn more about the current trends in interventional endoscopic and surgical procedures. Internationally recognized faculty will address issues in current clinical practice, compli - cations and pitfalls of newer technologies, and the evolution of the field. Using a systems- based approach, the format will cover all major areas of digestive care and treatment options. Attendee participation and interaction will be emphasized and facilitated through Q & A sessions, live OR and interactive case presentations, hands-on animal tissue labs and meet the professor break-out sessions. n Learning Objectives • Understand endoscopic necrosectomy • Understand the use of ablation • Increase knowledge of the latest therapy for bile duct cancer innovations in minimally invasive • Learn the latest advances in techniques in bariatrics endoscopic -
Endoscopic Ultrasound
CLINICAL GASTROENTEROLOGY Series Editor George Y. Wu University of Connecticut Health Center, Farmington, CT, USA For further volumes: http://www.springer.com/series/7672 Endoscopic Ultrasound Edited by VANESSA M. SHA M I , MD Director of Endoscopic Ultrasound University of Virginia Health System Digestive Health Center, USA and MICHEL KAHALEH , MD Director of Pancreatico-Biliary Services University of Virginia Health System Digestive Health Center, USA Editors Vanessa M. Shami, MD Michel Kahaleh, MD Associate Professor of Medicine Associate Professor of Medicine Director of Endoscopic Ultrasound Director of Pancreatico-Biliary Services Digestive Health Center Digestive Health Center University of Virginia Health System University of Virginia Health System Charlottesville, VA, USA Charlottesville, USA [email protected] [email protected] ISBN 978-1-60327-479-1 e-ISBN 978-1-60327-480-7 DOI 10.1007/978-1-60327-480-7 Springer New York Dordrecht Heidelberg London Library of Congress Control Number: 2010930043 © Springer Science+Business Media, LLC 2010 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Humana Press, c/o Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. -
Enteroliths in a Kock Continent Ileostomy: Case Report and Review of the Literature
E200 Cases and Techniques Library (CTL) similar symptoms recurred 2 years later. A second ileoscopy showed a narrowed Enteroliths in a Kock continent ileostomy: efferent loop that was dilated by insertion case report and review of the literature of the colonoscope, with successful relief of her symptoms. Chemical analysis of one of the retrieved enteroliths revealed calcium oxalate crystals. Five cases have previously been noted in the literature Fig. 1 Schematic (●" Table 1). representation of a Kock continent The alkaline milieu of succus entericus in ileostomy. the ileum may induce the precipitation of a calcium oxalate concretion; in contrast, the acidic milieu found more proximally in the intestine enhances the solubility of calcium. The gradual precipitation of un- conjugated bile salts, calcium oxalate, and Valve calcium carbonate crystals around a nidus composed of fecal material or undigested Efferent loop fiber can lead to the formation of calcium oxalate calculi over time [5]. Endoscopy_UCTN_Code_CCL_1AD_2AJ Reservoir Competing interests: None Hadi Moattar1, Jakob Begun1,2, Timothy Florin1,2 1 Department of Gastroenterology, Mater Adult Hospital, South Brisbane, Australia The Kock continent ileostomy (KCI) was dure was done to treat ulcerative pan- 2 Mater Research, University of Queens- designed by Nik Kock, who used an intus- colitis complicated by colon cancer. She land, Translational Research Institute, suscepted ileostomy loop to create a nip- had a well-functioning KCI that she had Woolloongabba, Australia ple valve (●" Fig.1) that would not leak catheterized daily for 34 years before she and would allow ileal effluent to be evac- presented with intermittent abdominal uated with a catheter [1]. -
Group Supplemental Limited Benefit Insurance Plan 2
Group Supplemental Limited Benefit Insurance Plan 2 Group Medical BridgeSM* insurance can help with medical costs associated with a hospital stay that your health insurance may not cover. These benefits are available for you, your spouse and eligible dependent children. *The policy name is Group Supplemental Limited Benefit Insurance. Hospital confinement ............................................................... $_______________1,000 per day Maximum of one day per covered person per calendar year Waiver of premium Available after 30 continuous days of a covered confinement of the named insured £ Daily hospital confinement ................................................................... $100 per day Maximum of 365 days per covered person per confinement. Re-confinement for the same or related condition within 90 days of discharge is considered a continuation of a previous confinement. £ Diagnostic procedure .................................................................. $_______________not available per day Maximum of one day per covered person per calendar year £ Outpatient surgical procedure ¾ Tier 1..................................................................................... $_______________500 per day ¾ Tier 2..................................................................................... $_______________1,000 per day Maximum of $________________1,500 per covered person per calendar year for Tier 1 and 2 combined Maximum of one day per outpatient surgical procedure Diagnostic procedures The following is a list -
Stents for the Gastrointestinal Tract and Nutritional Implications
NUTRITION ISSUES IN GASTROENTEROLOGY, SERIES #46 Carol Rees Parrish, R.D., M.S., Series Editor Stents for the Gastrointestinal Tract and Nutritional Implications Michelle Loch Michel Kahaleh Endoscopic stenting of many sites along the gastrointestinal tract is used successfully for palliation of malignant or benign obstructions. These obstructions may be the result of primary gastrointestinal tumors invading the lumen, tumors of another primary site causing external compression or in some instance benign diseases secondary to various inflammatory processes. Stenting of the gastrointestinal tract has been commonly per- formed either by interventional radiologists with the use of fluoroscopy, or by gas- troenterologists endoscopically, with or without fluoroscopic guidance. Their efficacy can be measured by resolution of obstruction or symptom improvement. The current literature shows that endoscopic stenting have acceptable success and complication rates and might be considered as first-line therapy in centers offering expertise in inter- ventional endoscopy. The techniques, efficacy and complication of stenting will be dis- cussed. Nutritional guidelines will also be provided based on our institutions practice. INTRODUCTION most current literature (Table 1) (4–9). Common causes ndoscopy within the last two decades has encom- of stent requirement to preserve nutritional status passed many interventional procedures allowing include esophageal, duodenal, biliary and colonic Ethe treatment of multiple conditions of the upper obstruction; -
Review on Lithotripsy and Cavitation in Urinary Stone Therapy Morteza Ghorbani, Ozlem Oral, Sinan Ekici, Devrim Gozuacik, and Ali Kos¸Ar
264 IEEE REVIEWS IN BIOMEDICAL ENGINEERING, VOL. 9, 2016 Review on Lithotripsy and Cavitation in Urinary Stone Therapy Morteza Ghorbani, Ozlem Oral, Sinan Ekici, Devrim Gozuacik, and Ali Kos¸ar (Clinical Application Review) Abstract—Cavitation is the sudden formation of vapor particles around their initial positions, resulting in local changes bubbles or voids in liquid media and occurs after rapid in liquid pressure. Depending on the frequency, the level of changes in pressure as a consequence of mechanical acoustical energy and/or pressure can be targeted to the desired forces. It is mostly an undesirable phenomenon. Although the elimination of cavitation is a major topic in the study area, thereby enabling the use of ultrasound in therapeutic appli- of fluid dynamics, its destructive nature could be exploited cations. Because of its ability to exert localized energy from sur- for therapeutic applications. Ultrasonic and hydrodynamic face of the skin into soft tissues, ultrasound has attracted much sources are two main origins for generating cavitation. The interest as a noninvasive and targeted therapeutic treatment [1]. purpose of this review is to give the reader a general idea According to the exposure conditions such as frequency, pres- about the formation of cavitation phenomenon and exist- ing biomedical applications of ultrasonic and hydrodynamic sure, or duration, ultrasound can prompt thermal, acoustic radia- cavitation. Because of the high number of the studies on ul- tion force, and cavitational effects, which are important parame- trasound cavitation in the literature, the main focus of this ters to improve therapeutic effectiveness of ultrasonic cavitation review is placed on the lithotripsy techniques, which have in various biomedical applications [2]–[5]. -
Icd-9-Cm (2010)
ICD-9-CM (2010) PROCEDURE CODE LONG DESCRIPTION SHORT DESCRIPTION 0001 Therapeutic ultrasound of vessels of head and neck Ther ult head & neck ves 0002 Therapeutic ultrasound of heart Ther ultrasound of heart 0003 Therapeutic ultrasound of peripheral vascular vessels Ther ult peripheral ves 0009 Other therapeutic ultrasound Other therapeutic ultsnd 0010 Implantation of chemotherapeutic agent Implant chemothera agent 0011 Infusion of drotrecogin alfa (activated) Infus drotrecogin alfa 0012 Administration of inhaled nitric oxide Adm inhal nitric oxide 0013 Injection or infusion of nesiritide Inject/infus nesiritide 0014 Injection or infusion of oxazolidinone class of antibiotics Injection oxazolidinone 0015 High-dose infusion interleukin-2 [IL-2] High-dose infusion IL-2 0016 Pressurized treatment of venous bypass graft [conduit] with pharmaceutical substance Pressurized treat graft 0017 Infusion of vasopressor agent Infusion of vasopressor 0018 Infusion of immunosuppressive antibody therapy Infus immunosup antibody 0019 Disruption of blood brain barrier via infusion [BBBD] BBBD via infusion 0021 Intravascular imaging of extracranial cerebral vessels IVUS extracran cereb ves 0022 Intravascular imaging of intrathoracic vessels IVUS intrathoracic ves 0023 Intravascular imaging of peripheral vessels IVUS peripheral vessels 0024 Intravascular imaging of coronary vessels IVUS coronary vessels 0025 Intravascular imaging of renal vessels IVUS renal vessels 0028 Intravascular imaging, other specified vessel(s) Intravascul imaging NEC 0029 Intravascular -
2020 GI Endoscopy Coding and Reimbursement Guide
2020 GI Endoscopy Coding and Reimbursement Guide Disclaimer: The information provided herein reflects Cook’s understanding of the procedure(s) and/or device(s) from sources that may include, but are not limited to, the CPT® coding system; Medicare payment systems; commercially available coding guides; professional societies; and research conducted by independent coding and reimbursement consultants. This information should not be construed as authoritative. The entity billing Medicare and/or third party payers is solely responsible for the accuracy of the codes assigned to the services and items in the medical record. Cook does not, and should not, have access to medical records, and therefore cannot recommend codes for specific cases. When you are making coding decisions, we encourage you to seek input from the AMA, relevant medical societies, CMS, your local Medicare Administrative Contractor and other health plans to which you submit claims. Cook does not promote the off-label use of its devices. The reimbursement rates provided are national Medicare averages published by CMS at the time this guide was created. Reimbursement rates may change due to addendum updates Medicare publishes throughout the year and may not be reflected on the guide. CPT © 2019 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. If you have any questions, please contact our reimbursement team at 800.468.1379 or by e-mail at [email protected]. 2020 GI Endoscopy Guide Medicare Reimbursement -
Medical & Surgical History
Patient Medical & Surgical History PLEASE COMPLETE IN BLACK INK What procedure(s) are you scheduled to have done? □ Lithotripsy □ Egd □ Colonoscopy □ Flexible Sigmoidoscopy Why does your physician want to perform the procedure? Name & Phone number of person taking you home: Please call immediately if you: have an artificial heart valve ; joint replacement (within the past 6 months), or are taking blood thinners (i.e. Coumadin, Plavix, etc.) List if you are Allergic to: □ Medications □ Latex □ Eggs/Soy Please answer Yes or No to the following disorders and give any explanation necessary. Disorder Yes No Disorder Yes No High Blood Pressure Back/Neck Problems Heart Attack/Angina Any Joint Replacements Congestive Heart Failure Arthritis Heart Murmur/Mitral Valve Prolapse Seizures/Epilepsy Valve Replacement/Cardiac Surgery Stroke/TIA Cardiac Stents Peripheral Vascular Disease Endocarditis Glaucoma Irregular Heartbeat/ Rapid heartbeat Thyroid Problems Internal Defibrillator /Pacemaker Cancer Sleep Apnea Cpap □Yes □ No Anemia Asthma/Emphysema/COPD Bleeding Disorders Lung Disease/Tuberculosis/Other Reflux (GERD) Diabetes Reflux Esophagitis Stomach Ulcer Esophageal Stricture Liver Disease/Hepatitis/Other Hiatal Hernia Infectious Disease/Other Colon Polyps Kidney Disease/Other Diverticulosis/Diverticulitis Bladder Problems Anxiety/Depression Ulcerative Colitis/Crohn’s Disease Irritable Bowel/Spastic Colon High Cholesterol Female only: Are you Pregnant? Family History of Colon Cancer Is English your main language? Explanation: Reviewed by MD Date/Time: