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Articles Published Processes
3/6/2020 10:54:23 AM | Browse: 822 | Download: 1200
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Received |
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2019-10-16 23:35 |
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Peer-Review Started |
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2019-10-16 23:36 |
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To Make the First Decision |
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Return for Revision |
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2019-11-22 03:47 |
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Revised |
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2019-12-04 19:39 |
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Second Decision |
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2020-02-20 13:10 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Executive Editor-in-Chief |
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2020-02-21 06:06 |
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Articles in Press |
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2020-02-21 06:06 |
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Publication Fee Transferred |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2020-03-04 12:05 |
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Publish the Manuscript Online |
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2020-03-06 10:54 |
| ISSN |
1007-9327 (print) and 2219-2840 (online) |
| Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
| Copyright |
© The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Gastroenterology & Hepatology |
| Manuscript Type |
Case Report |
| Article Title |
Two case reports of novel syndrome of bizarre performance of gastrointestinal endoscopy due to toxic encephalopathy of endoscopists among 181767 endoscopies in a 13-year-university hospital review: Endoscopists, first do no harm!
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| Manuscript Source |
Invited Manuscript |
| All Author List |
Mitchell S Cappell |
| ORCID |
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| Funding Agency and Grant Number |
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| Corresponding Author |
Mitchell S Cappell, MD, PhD, Chief Doctor, Professor, Division of Gastroenterology and Hepatology, William Beaumont Hospital, Thirteen Mile Rd, Royal Oak, MI 48073, United States. mitchell.cappell@beaumont.edu |
| Key Words |
Endoscopy; Iatrogenic injury; Medical ethics; Hippocratic Oath; Quality improvement; Medical malpractice |
| Core Tip |
Two novel cases are reported of impaired endoscopists manifesting bizarre-endoscopic-interpretation-and-technique due to toxic encephalopathy among 181767 endoscopies performed at William-Beaumont-Hospital-Royal-Oak. Case-1-endoscopist repeatedly insisted that gastric polyps were colonic polyps, and absurdly “pressed” endoscopic steering dials to photograph gastric lesions. Case-2-endoscopist repeatedly insisted that had intubated duodenum when intubating antrum, and erratically turned steering dials and bumped endoscopic tip against antral wall. Endoscopists were advised to terminate their esophagogastroduodenoscopies, fulfilling ethical imperative: “physician-first-do-no-harm”. In-hospital-work-up revealed toxic encephalopathies from urosepsis, or inadvertently ingesting “illicit drug”. Both endoscopists rapidly recovered with medical therapy. These potential-medical-emergencies require aborting endoscopy to prevent iatrogenic patient injury. |
| Publish Date |
2020-03-06 10:54 |
| Citation |
Cappell MS. Two case reports of novel syndrome of bizarre performance of gastrointestinal endoscopy due to toxic encephalopathy of endoscopists among 181767 endoscopies in a 13-year-university hospital review: Endoscopists, first do no harm! World J Gastroenterol 2020;26(9): 984-991 |
| URL |
https://www.wjgnet.com/1007-9327/full/v26/i9/984.htm |
| DOI |
https://dx.doi.org/10.3748/wjg.v26.i9.984 |
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