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16 protocols using gif xp260n

1

Biliary Endoscopy with Ultrathin Scopes

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The ultra-slim upper endoscopes were the GIF-XP260N, GIF-XP260NS, and GIF-XP290N instruments (Olympus Medical Systems, Co., Ltd., Tokyo, Japan), which have distal tips 5.0 to 5.5 mm in diameter. All of these endoscopes are forward-viewing type, featuring a 2.0- to 2.2-mm-diameter working channel and four-way deflection steering of the tip. A 5-Fr balloon catheter (MTW Endoskopie, Wesel, Germany) was used to assist the cholangioscopy
2 (link)
. For biliary drainage, 5-Fr plastic stents or nasobiliary drainage catheters were used (Cook Endoscopy, Winston-Salem, North Carolina, United States).
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2

Esophageal Injury Model in Rabbits

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After a 24-h fast, the rabbits were anesthetized with pentobarbital (5 mg/kg) administered via the ear edge vein (8 (link)) and positioned in the left lateral decubitus position.
The equipment used included a laryngoscope (GIF-XP260N; Olympus Optical Co., Ltd, Tokyo, Japan), with 60 cm length, 6 mm diameter, and a 2 mm working channel; a 5-Fr balloon catheter with a 12-mm diameter balloon (MTW Endoskopie, Wesel, Germany); a 5-Fr polytetrafluoroethylene (PTFE) tube (Daikin Industries, Ltd, Osaka, Japan). The laryngoscope, equipped with the 5-Fr PTFE tube, was inserted to the mid-esophagus. The balloon catheter was advanced into the esophagus; the balloon inflated in order to prevent a distal leakage of the caustic agent. The self-made needle was introduced through the PTFE tube, and 0.25 mL of 1.5% sodium hydroxide (NaOH) was injected at the four sites around the circumference of the esophagus. The balloon was maintained in an inflated state for 30 s, and then deflated and removed. The antibiotics were not administered since severe enterocolitis could occur in rabbits receiving antibiotics (9 (link)).
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3

Endoscopic Examination Preparation and Techniques

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As preparation for endoscopy, oral dimethicone (Gascon drops; Kissei Pharmaceutical Co., Ltd, Matsumoto, Japan), 1 g of sodium bicarbonate, and 8% lidocaine pump spray (8% Xylocaine Pump Spray; AstraZeneca K.K., Osaka, Japan) were administered. In this study, the endoscopy system used was categorized as having normal, small-diameter, and magnifying endoscopes. Normal endoscopes were GIF-H290, GIF-H260, GIF-Q260, and GIF-260J (Olympus Optical, Tokyo, Japan). Small-diameter endoscopes were GIF-XP290N, GIF-XP260N (Olympus Optical), EG-L580NW7, EG-580NW2, EG-530NW, and EG-530N (Fujifilm Co, Tokyo, Japan). Magnifying endoscopes were GIF-H290Z and GIF-H260Z (Olympus Optical). Every examination of the stomach was routinely performed with white light imaging, besides, indigo carmine chromoendoscopy [18 (link)] or image-enhanced endoscopy (narrow-band imaging [19 (link)–21 (link)], flexible spectral imaging color enhancement [22 (link)], blue laser imaging [23 (link)], and linked color imaging [24 (link), 25 (link)]) was available to augment detection. Some patients underwent midazolam sedation during the procedure upon their request. In addition, topical administration of l-menthol (Minclea; Nihon Pharmaceutical Co., Ltd, Tokyo, Japan) was available for the reduction of gastric peristalsis [26 (link)].
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4

Endoscopic Stenosis Measurement and Stenting

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SEMS placement was conducted under intravenous sedation with midazolam and pethidine hydrochloride or pentazocine. Using a nasal endoscope (GIF-XP260N or GIF-XP290N; Olympus, Japan), we initially checked the oral end of the stenosis and attempted to pass the endoscope through it. If we succeeded in passing the endoscope through the stenosis, we measured the distance between the superior and inferior ends of the stenosis. If we could not pass the endoscope through the stenosis, we measured the stenosis length under fluoroscopy after injection of contrast medium through the endoscopic channel of a catheter for endoscopic retrograde cholangiopancreatography. We then inserted a guide-wire through the endoscopic channel, passed it through the stenosis, and placed its tip in the stomach or duodenum. The superior and inferior margins of the tumor under fluoroscopy were marked using short radio-opaque sticks attached to the patient’s body surface.
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5

Transnasal Endoscopic Guidewire Placement

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For local anesthesia, application of a drop of naphazolone nitrate and 4% lidocaine spray on the nostrils were performed. A thin-caliber endoscope (GIF-XP260N; Olympus, Tokyo, Japan) was transnasally inserted with the patient in the semiprone position. The scope was advanced to the duodenum. The guidewire was inserted via the working channel of the endoscope into the small bowel and beyond the duodenojejunal flexure under fluoroscopy guidance. The endoscope was then withdrawn while the guidewire was kept in place. Afterward, the tube was indwelled in a similar way as described in NEWSt.
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6

Ileus Tube Insertion Technique

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The ileus tube (CLINY double-balloon type; Create Medic Co., Ltd., Tokyo, Japan) was 300 cm in length with an outer diameter of 16 Fr. It had both an anterior and a posterior balloon at the tip, a guidewire channel, and an injection channel with an anti-reflux valve (Fig 1) The hydrophilic guidewire was 1.32 mm in diameter and 450 cm long. A transnasal endoscope (GIF-XP260N; Olympus, Tokyo, Japan) was used in all patients during insertion of the ileus tube.
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7

Endoscope Damage and Repair Costs Analysis

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A retrospective analysis of upper gastrointestinal endoscope damage and repair costs between April 2012 and May 2019 was performed at Toyoshima Endoscopy Clinic, an outpatient clinic specializingd in endoscopy. This study was approved by the Ethical Review Committee of the Hattori Clinic
10
. All clinical investigations were conducted according to the ethical guidelines of the Declaration of Helsinki.
At the time of analysis, the following upper gastrointestinal endoscopes were in use: Olympus GIF-H260, GIF-XP260N, GIF-HQ290, GIF-H290Z, and GIF-XP290N. Data on repair costs were obtained from the archive of the invoices of gastrointestinal endoscope repairs and were then compared to the invoice copies from the service company (Olympus, Tokyo, Japan).
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8

Evaluating Laryngopharyngeal Anatomy in Minipigs

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Anesthesia was induced with intramuscular injection of a mixture of 1 mg ketamine and Sumianxin II for each pig. Anesthesia was maintained with Phenobarbital when needed by 1 mg prn. The dose was adjusted according to the depth of anesthesia. Trachea cannula was inserted when the eyelash reflex ceased.
The minipigs were examined using endoscopy (GIF-2T200 and GIF-XP-260N; Olympus Medical Systems Corp, Tokyo, Japan) to determine the distance from esophageal orifice to the incisor tooth and the distance from the cardia dentate line to the incisor tooth. Oropharyngeal electrode was implanted in the esophageal orifice to monitor pharynx pH using the Restech Dx-pH system (Restech Company, San Diego, CA, USA). The distal esophagus electrode was implanted 5 cm above the cardia dentate line to monitor esophagus pH using the Sandhill system (Sandhill Z07-2000B-B monitor; Sandhill Scientific, Highlands Ranch, CO, USA). Endoscope was used to determine the success of implanting electrode. After baseline pH was monitored for 4 hours, the laryngohypopharynx mucosa specimens were immediately excised and fixed in 4% formaldehyde solution for electron microscope examination. All the pH monitoring data were analyzed by the manufacturer’s software.
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9

Transnasal Endoscopic Evaluation of Dysphagia

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Gastroenterologists experienced in transnasal esophagogastroduodenoscopy performed each endoscopic swallowing evaluation along with a speech therapist. The degree of dysphagia was evaluated using the Hyodo-Komagane score which ranges from 0 to 12 and was scored as mild (0 to 3), moderate (4 to 7), or severe (8 to 12) (Table 1).6 (link),7 (link) The patients underwent the endoscopic swallowing evaluation while sitting in a chair or sitting up in bed. Two minutes before the insertion of the endoscope, 0.2 to 0.5 mL of 4% lidocaine was applied to the nasal cavities of the patient as a nasal spray. An Olympus endoscope (model #GIF-XP260N) was used; this endoscope is a forward-viewing upper gastrointestinal videoscope with an ultra-miniature, resolution charged-coupled device with a 120 degrees field of view. The insertion diameter is 5.5 mm, and the videoscope has a tip deflection capability of 210 degrees/120 degrees up/down in a single plane. The lubricated endoscope was passed transnasally, typically on the floor of the nose, to obtain a superior view of the hypopharynx. The endoscope was moved between swallowing and the postswallow position to collect the data as described.7 (link),8 Images of the oropharynx and larynx were displayed on a monitor and recorded on the digital video recorder (model #HVO-3300MT: Olympus).
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10

Endoscopic Swallowing Evaluation Technique

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Participant underwent endoscopic swallowing evaluation while sitting in a chair or sitting up in bed. Two minutes prior to inserting the endoscope, 0.2 to 0.5 ml of 4% lidocaine was applied to the nasal cavities of each participant as a nasal spray. An endoscope (GIF-XP260N, Olympus, Tokyo, Japan) was used for endoscopic swallowing evaluation. This is a forward viewing upper gastrointestinal video scope with an ultra-miniature, resolution charged-coupled device with a 120-degree field of view. The insertion diameter is 5.5-mm and the video scope has a tip deflection capability of 210/120 up/down in a single plane. The lubricated endoscope was passed transnasally, typically on the floor of nose, to obtain a superior view of the hypopharynx. The endoscope was moved between swallowing and the post swallow position to collect the data as described previously.[9 (link),10 ] Images of the oropharynx and larynx were displayed on a monitor and recorded on the digital video recorder (Olympus, HVO-3300MT).
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