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| 1 | Ileoscopy in patients with ileocolonic tuberculosis显示文摘AIM: To study the role of retrograde terminal ileoscopy in patients suspected to have ileocolonic tuberculosis. METHODS: A retrospective analysis was performed for patients undergoing colonoscopy for suspected ileocolonic tuberculosis between January 2000 and June 2004, in whom retrograde ileoscopy had been performed. Only patients diagnosed with tuberculosis on the basis of histological findings of either a caseating granuloma or those having non-caseating granuloma or a collection of epithelioid cells at a minimum of one endoscopic lesion (either in the colon or the terminal ileum) on histology with good responses to conventional anti-tuberculous drugs were enrolled for the study. RESULTS: Fifty-three patients were included. The terminal ileum was involved in only 11 patients. Eight of these patients had involvement of the cecum too. Two patients had ileal lesions without cecal involvement; however, lesions were noted in the ascending colon. In one patient the whole colon was normal and only the terminal ileum showed nodularity and ulceration. Histological examination of the ileal biopsies obtained from the ileal lesions showed noncaseating granulomas in five, collection of epithelioid cells in four and nonspecific histology in two patients. Mucosal biopsies obtained from the lesion in the terminal ileum, in the patient in whom mucosal abnormality was observed to be confined to the ileum, showed noncaseating granulomas. In two other patients the ileal biopsies alone showed histological evidence of tuberculosis with biopsies from the colonic lesions showing non-specific inflammatory changes only. CONCLUSION: Retrograde ileoscopy should be performed in all patients undergoing colonoscopy for suspected ileocolonic tuberculosis. In some patients only the terminal ileum may be involved and histological examination may reveal evidence of tuberculosis only from the lesions in the terminal ileum. This approach would lead to additional lesions being picked up andincreasing the chances of well-timed diagnosis of tuberculosis. | SP Misra Vatsala Misra Manisha Dwivedi | 2007 | World Journal of Gastroenterology2007，13，11： | 16 |
| 2 | Role of intravenously administered hyoscine butyl bromide in retrograde terminal ileoscopy: A randomized, double-blinded, placebo-controlled trial显示文摘AIM: To evaluate the role of hyoscine butyl bromide in facilitating retrograde ileoscopy.METHODS: Retrograde terminal ileoscopy was attempted in 200 consecutive patients undergoing colonoscopy. After intubation of the cecum and visualization of the ileocecal valve, hyoscine butyl bromide injection or normal saline was given intravenously to the patients in a double blind random fashion. The pulse rate and oxygen saturation were measured continuously. After completion of the procedure, endoscopists were then asked to score the ease of intubation and the ease of visualization of the terminal ileum on a visual scale of 1 to 10. The patients were also asked to score the pain after receiving hyoscine butyl bromide injection on a score of 1 to 10.RESULTS: Terminal ileoscopy could be performed in 188 patients. The mean (SD) visual analogue score for the ease of intubation of the cecum was 7.4 (0.65) in the injection group and 5.9 (0.8) in the placebo group (P < 0.001). The mean (SD) length of ileum visualized in the injection group was 14.4 (3.3) cm and 10.4 (2.7) cm in the placebo group (P < 0.001). The mean (SD) visual analogue score for ease of visualization of the terminal ileum was 7.5 (0.69) in the injection group and 5.9 (0.7) in the placebo group (P < 0.001). The pain score experienced by the patients was 6.5 (0.7) in the injection group and 6.7 (0.69) in the placebo group (P < 0.008). Although the pulse rate increased significantly in patients receiving the drug, no statistically significant difference was noted in the oxygen saturation between the two groups either before or after administration of the drug. No complications were observed in either of the groups.CONCLUSION: Hyoscine butyl bromide injection is a useful adjunct in helping the intubation and visualization of terminal ileum during colonoscopy. | SP Misra M Dwivedi | 2007 | World Journal of Gastroenterology2007，13，12： | 2 |
| 3 | Ileoscopy in 39 hematochezia patients with normal colonoscopy显示文摘瞄准:估计角色后退在有正常结肠镜检查的便血病人的终端 ileoscopy。方法:在 1997 年 1 月和 2005 年 3 月之间, 39 个便血病人(男性 36,女性 3,意味着年龄 44.7 年) 与报导正常,结肠镜检查经历了重复结肠镜检查。在到达盲肠以后,被尝试本地化回盲肠阀门和 intubate 终端回肠。在终端回肠的粘膜的任何反常小心地被记录,活体检视从看似可疑的损害被获得。结果:在学习时期期间,有 39 个病人,为结肠镜检查没在揭示任何反常到盲肠为止的便血招收。全身的结肠镜检查能在所有病人被执行到盲肠为止。终端回肠能在 36 个病人被把管子插进。没有反常在 31 个病人被注意。回肠溃疡在二个病人被注意。与 i 的溃疡一起的 Nodularity 忠实粘膜, Dieulafoy 的损害,和血管瘤的畸形性各在一个病人被注意。从溃疡获得的活体检视的组织学的检查与 nodularity 和溃疡在病人揭示了典型有结节的损害。病人之一有伤寒的溃疡,另外一个有非特定的溃疡。结论:后退终端 ileoscopy 给有限却珍贵的信息,在有便血的病人并且应该在所有被尝试如此的病人。 | SP Misra M Dwivedi V Misra | 2006 | World Journal of Gastroenterology2006，12，19： | 2 |
| 4 | Endoscopic management of persisitent biliary leakage resulting from complete transaction of the bile duct at cholecystectomy 显示文摘 | Misra SP Dwivedi M | 2006 | Endoscopy2006，38，6： | 1 |
| 5 | Reflux of duodenal contents and cholangitis in patients undergoing self-expanding metal stent placement 显示文摘 | Misra SP Dwivedi M | 2009 | Gas- trointest Endosc2009，70，： | 1 |
| 6 | Nodular gastritis in adults: Clinicalfeatures, endoscopic appearance, histopathological features, andresponse to therapy显示文摘 | Dwivedi M Misra SP Misra V | 2008 | J Gastroenterol Hepatol2008，23，6： | 1 |
| 7 | Is conventional sphincterotomy possible in patients with common bile duct stones impacted at the ampulla of Vater显示文摘 | Misra SP Dwivedi M | 2007 | Trop Gastroenterol2007，28，4： | 1 |
| 8 | Colonic tuberculosis : clini-cal features, endoscopic appearance and management显示文摘 | Mi&ra SP Misra V Dwivedi M | 1999 | J Gas-troenterol Hepatol1999，14，7： | 1 |
| 9 | Colon tumors and colonoscopy 显示文摘 | Misra SP Dwivedi M | 2009 | Endos- copy2009，41，10： | 1 |
| 10 | Complications of endoscopic retrograde cholangiopancreatography and endoscopic sphincterotomy:diagno-sis,management and prevention显示文摘 | Misra SP Dwivedi M | 2002 | Natl Med J India2002，15，1： | 1 |
| 11 | Colonic tuberculosis : clini-cal features,endoscopic appearance and management显示文摘 | Misra SP Misra V Dwivedi M | 1999 | J Gas-troenterol Hepatol1999，14，7： | 1 |
| 12 | Blue rubber bleb nevus syndrome causing upper GI hemorrhage: a novel management approach and review显示文摘 | Dwivedi M Misra SP | 2002 | Gastrointest Endosc2002，55，7： | 1 |
| 13 | Value of adenosine deaminase determination in the diagnosis of tuberculous asci tes显示文摘 | Dwivedi M Misra SP Misra V | 1990 | Am J Gastroenterol1990，85，9： | 1 |
| 14 | Diagnosing ascites:value of ascitic fluid total protein,albumin,cholesterol,their ratios,serum ascites albumin and cholesterol gradient显示文摘 | Gupta R Mishra SP Dwivedi M | 1995 | J Gastroenterol and Hepatol1995，10，4： | 1 |
| 15 | Is conventional sphincterotomy possible in patients with common bile duet stones impacted at the ampulla of Vater 显示文摘 | Misra SP Dwivedi M | 2007 | Trop Gastroenterol2007，28，4： | 1 |
| 16 | Large-diameter balloon dilation afer endoscopic for removal of difficult bile duct stones显示文摘 | Misra SP Dwivedi M | 2008 | Endos copy2008，40，20： | 1 |
| 17 | Large-diameter balloon dilation after endo- scopic sphincterotomy for removal of difficult bile duct stones 显示文摘 | Misra SP Dwivedi M | 2008 | Endoscopy2008，40，3： | 1 |
| 18 | Pancreaticobiliary ductal union 显示文摘 | Misra SP Dwivedi M | 1990 | Gut1990，31，10： | 1 |
| 19 | Clinical features and management of biliary ascariasis in a non-endemic area显示文摘 | Misra SP Dwivedi M | 2000 | Postgrad Med J2000，76，891： | 1 |
| 20 | Reflux of duodenal contents and eholangitis in patients undergoing self- expanding metal stent placement显示文摘 | Misra SP Dwivedi M | 2009 | Gastrointest Endose2009，70，： | 1 |
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