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Publication Open Access ผลของโปรแกรมการดูแลต่อเนื่องต่อคุณภาพของการเตรียมลำไส้ และความวิตกกังวลในผู้ที่เข้ารับการส่องกล้องลำไส้ใหญ่และทวารหนักแบบผู้ป่วยนอก(2558) ภัคภร เกตุสีสังข์; Pukkaporn katseesung; อุษาวดี อัศดรวิเศษ; Usavadee Asdornwised; วันเพ็ญ ภิญโญภาสกุล; Wanpen Pinyopasakul; ธวัชชัย อัครวิพุธ; Thawatchai Akaraviputh; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะแพทยศาสตร์ศิริราชพยาบาลPurpose: To investigate effects of continuing care program on quality of bowel preparation and anxiety in patients receiving ambulatory colonoscopy. Design: Quasi-experimental research design. Methods: The study sample consisted of 83 patients... who had an appointment to undergo ambulatory colonoscopy at Siriraj Hospital. Forty-one were assigned into the control group, while 42 were assigned into the experimental group. The control group received routine care, whereas the experimental groupPublication Open Access Hydroxyurea and colonic ulcers: a case report(2014) Kochawan Boonyawat; Sansanee Wongwaisayawan; Prawat Nitiyanant; Vichai Atichartakarn; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Department of Pathologyincident. From 2008 to April 2010, episodes of hematochezia, mucous diarrhea and epigastric pain intermittently manifested. Four colonoscopies done during the period repeatedly showed ulcerative lesions from the terminal ileum to the ascending colonPublication Open Access Intestinal capillariasis in the 21st century: clinical presentations and role of endoscopy and imaging(2014) Julajak Limsrivilai; Supot Pongprasobchai; Piyaporn Apisarnthanarak; Sathaporn Manatsathit; Mahidol University. Faculty of Medicine, Siriraj Hospital. Division of Gastroenterology, parasites were discovered in tissue biopsy from endoscopy in 1 from 10 esophagogastroduodenoscopies (EGD), 0 from 7 colonoscopies, 3 from 5 push enteroscopies, and 3 from 5 balloon-assisted enteroscopies (BAE). Endoscopic findings included scallopingPublication Open Access Hybrid approach for left-sided colonic carcinoma obstruction; a case report(2011) Atthaphorn Trakarnsanga; Thawatchai Akaraviputh; Asada Methasate; Vitoon Chinswangwatanakul; Mahidol University. Faculty of Medicine Siriraj Hospital. Minimally Invasive Surgery unitobstruction. He underwent emergency colonoscopy with metallic stent placement. One week later, he was performed SILC. He recovered well after the operation without any postoperative complications. The pathological result showed adequacy of oncologicPublication Open Access The utility of single-balloon enteroscopy for the diagnosis and management of small bowel disorders according to their clinical manifestations: a retrospective review(2013) Varayu Prachayakul; Morakod Deesomsak; Pitulak Aswakul; Somchai Leelakusolvong; Mahidol University. Siriraj Hospital. Department of Internal MedicineBackground: The advent of double-balloon enteroscopy has enabled more accurate diagnosis and treatment of small bowel disorders. Single-balloon enteroscopy permits visualization of the entire small intestine less often than does double-balloon enteroscopy. However, the relative clinical advantages of the 2 methods remain controversial. This study therefore aimed to identify the indications for and therapeutic impact of performing single-balloon enteroscopy. Methods: We retrospectively reviewed prospectively collected data from adults who underwent single-balloon enteroscopy from January 2007 through November 2011 and analyzed their baseline characteristics, endoscopic findings, pathological diagnoses, and clinical outcomes. Results: A total of 145 procedures were performed in 116 patients with a mean age of 58.1 ± 17.7 years (range, 18–89 years). The most common indications for performing single-balloon enteroscopy were overt gastrointestinal (GI) bleeding, chronic diarrhea, and occult GI bleeding, accounting for 57.9%, 12.4%, and 9.7% of the patients, respectively. The area of interest was achieved in 80.7% of the cases, with a 5.5% rate of technical failure. An overall positive finding was detected in 65.5% of the cases, of which 33.8% were ulcers and erosions; 8.3%, masses; and 3.4%, angiodysplasia. The diagnostic yields were 42.9%, 52.4%, 78.6%, 50.0%, and 25.0% for patients with overt GI bleeding, occult GI bleeding, abdominal pain, chronic diarrhea, and abnormal imaging results, respectively. Therapeutic procedures were performed in 11% of patients with GI bleeding and achieved a therapeutic yield of 14.6% with a minor complication rate of 11.7%. Conclusions: Single-balloon enteroscopy was effective for the diagnosis and treatment of small bowel disorders, especially in patients who presented with abdominal pain, GI bleeding, or focal abnormalities on imaging scans.