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All Outputs (33)

Managing constipation in adults with co-morbidities (2016)
Journal Article
Gardiner, A., & Hilton, A. (2016). Managing constipation in adults with co-morbidities. Independent nurse, 2016(10), 21-25. https://doi.org/10.12968/indn.2016.10.21

Constipation can be described in a number of ways but in general it is related to straining, reduced frequency of defecation and/or a sensation of incomplete bowel emptying. The ability of the bowel to empty is related to the effectiveness of colonic... Read More about Managing constipation in adults with co-morbidities.

Identifying patient problems and devising care pathways with the neurogenic bowel dysfunction score (2014)
Journal Article
Gardiner, A., & Wallace, E. (2014). Identifying patient problems and devising care pathways with the neurogenic bowel dysfunction score. Gastrointestinal Nursing, 12(Sup2), S17-S23. https://doi.org/10.12968/gasn.2014.12.Sup2.S17

© MA Healthcare Limited 2014. Neurogenic bowel dysfunction (NBD) is a consequence of dysfunction of the autonomic nervous system leading to impairment of sensory and/or motor control; it includes constipation, incontinence, and disordered defaecation... Read More about Identifying patient problems and devising care pathways with the neurogenic bowel dysfunction score.

Constipation: causes, assessment and management (2013)
Journal Article
Gardiner, A. (2013). Constipation: causes, assessment and management. Nursing and Residential Care, 15(6), 410-415. https://doi.org/10.12968/nrec.2013.15.6.410

Angela Gardiner provides an overview of normal physiological processes of defaecation and presents the signs and symptoms of constipation. Assessment and management options can enhance quality of life for sufferers of constipation

Artificial neural networks to predict presence of significant pathology in patients presenting to routine colorectal clinics (2010)
Journal Article
Maslekar, S., Gardiner, A. B., Monson, J. R. T., & Duthie, G. S. (2010). Artificial neural networks to predict presence of significant pathology in patients presenting to routine colorectal clinics. Colorectal Disease, 12(12), 1254-1259. https://doi.org/10.1111/j.1463-1318.2009.02005.x

Aim Artificial neural networks (ANNs) are computer programs used to identify complex relations within data. Routine predictions of presence of colorectal pathology based on population statistics have little meaning for individual patient. This result... Read More about Artificial neural networks to predict presence of significant pathology in patients presenting to routine colorectal clinics.

Randomized controlled trial of patient-controlled sedation for colonoscopy: Entonox vs modified patient-maintained target-controlled propofol (2009)
Journal Article
Maslekar, S., Balaji, P., Gardiner, A., Culbert, B., Monson, J. R., & Duthie, G. S. (2011). Randomized controlled trial of patient-controlled sedation for colonoscopy: Entonox vs modified patient-maintained target-controlled propofol. Colorectal Disease, 13(1), 48-57. https://doi.org/10.1111/j.1463-1318.2009.01988.x

Aim Propofol sedation is often associated with deep sedation and decreased manoeuvrability. Patient-maintained sedation has been used in such patients with minimal side-effects. We aimed to compare novel modified patient-maintained target-controlled... Read More about Randomized controlled trial of patient-controlled sedation for colonoscopy: Entonox vs modified patient-maintained target-controlled propofol.

Patient satisfaction with lower gastrointestinal endoscopy: doctors, nurse and nonmedical endoscopists (2009)
Journal Article
Maslekar, S., Hughes, M., Gardiner, A., Monson, J. R. T., & Duthie, G. S. (2010). Patient satisfaction with lower gastrointestinal endoscopy: doctors, nurse and nonmedical endoscopists. Colorectal disease, 12(10), 1033-1038. https://doi.org/10.1111/j.1463-1318.2009.01989.x

Aim Assessment of patient satisfaction with lower gastrointestinal endoscopy (LGE) comprising colonoscopy and flexible sigmoidoscopy is gaining increasing importance. We have now trained non healthcare professionals such as nonmedical endoscopists (N... Read More about Patient satisfaction with lower gastrointestinal endoscopy: doctors, nurse and nonmedical endoscopists.

Randomized clinical trial of Entonox versus midazolam-fentanyl sedation for colonoscopy (2009)
Journal Article
Maslekar, S., Gardiner, A., & Duthie, G. (2009). Randomized clinical trial of Entonox versus midazolam-fentanyl sedation for colonoscopy. British journal of surgery, 96(4), 361 - 368. https://doi.org/10.1002/bjs.6467

BACKGROUND Intravenous sedation for colonoscopy is associated with cardiorespiratory complications and delayed recovery. The aim of this randomized clinical trial was to compare the efficacy of Entonox (50 per cent nitrous oxide and 50 per cent oxyge... Read More about Randomized clinical trial of Entonox versus midazolam-fentanyl sedation for colonoscopy.

Randomized clinical trial of Entonox ® versus midazolam-fentanyl sedation for colonoscopy (2009)
Journal Article
Maslekar, S., Gardiner, A., Hughes, M., Culbert, B., & Duthie, G. S. (2009). Randomized clinical trial of Entonox ® versus midazolam-fentanyl sedation for colonoscopy. British journal of surgery, 96(4), 361-368. https://doi.org/10.1002/bjs.6467

Background: Intravenous sedation for colonoscopy is associated with cardiorespiratory complications and delayed recovery. The aim of this randomized clinical trial was to compare the efficacy of Entonox ® (50 per cent nitrous oxide and 50 per cent o... Read More about Randomized clinical trial of Entonox ® versus midazolam-fentanyl sedation for colonoscopy.

Results of the United Kingdoms first pilot study for nonmedical endoscopy practitioners (2008)
Journal Article
Gardiner, A. B. (2009). Results of the United Kingdoms first pilot study for nonmedical endoscopy practitioners. Colorectal Disease, 11(2), 208-214. https://doi.org/10.1111/j.1463-1318.2008.01555.x

Spencer and Ready published the first description of nonmedically qualified endoscopists in 1977 [Dis Colon Rectum 1977; 20: 94]. Since then there has been an explosion of interest in this concept. Duthie et al. [Gut 1998; 43: 711] first described Nu... Read More about Results of the United Kingdoms first pilot study for nonmedical endoscopy practitioners.

Anterior anal sphincter repair for fecal incontinence: Good longterm results are possible (2006)
Journal Article
Maslekar, S., Gardiner, A. B., & Duthie, G. S. (2007). Anterior anal sphincter repair for fecal incontinence: Good longterm results are possible. Journal of The American College of Surgeons, 204(1), 40-46. https://doi.org/10.1016/j.jamcollsurg.2006.10.008

Background: Anterior anal sphincter repair (ASR) is standard treatment for fecal incontinence resulting from an obstetrically damaged anal sphincter. Longterm results of repair have generally been shown to be poor. This review of single-unit series a... Read More about Anterior anal sphincter repair for fecal incontinence: Good longterm results are possible.

A new method of assessing anal sphincter integrity using inverted vectormanometry (2006)
Journal Article
Kaur, G., Gardiner, A., & Duthie, G. S. (2006). A new method of assessing anal sphincter integrity using inverted vectormanometry. Diseases of the colon & rectum, 49(8), 1160-1166. https://doi.org/10.1007/s10350-006-0556-8

PURPOSE: Vectorgraphy as an integrated mapping of radial pressure profiles of the anal canal has been used to attempt identification of pressure-related defects with doubtful reliability since vectorgraphs bear no resemblance to endoanal ultrasound s... Read More about A new method of assessing anal sphincter integrity using inverted vectormanometry.

Investigation and treatment of faecal incontinence (2006)
Journal Article
Maslekar, S., Gardiner, A., Maklin, C., & Duthie, G. S. (2006). Investigation and treatment of faecal incontinence. Postgraduate Medical Journal, 82(968), 363-371. https://doi.org/10.1136/pgmj.2005.044099

Faecal incontinence is a debilitating condition affecting people of all ages, and significantly impairs quality of life. Proper clinical assessment followed by conservative medical therapy leads to improvement in more than 50% of cases, including pat... Read More about Investigation and treatment of faecal incontinence.

Abstracts of the AGA Institute (2006)
Journal Article
Gardiner, A., Maslekar, S., & Duthie, G. (2006). Abstracts of the AGA Institute. Gastroenterology, 130(4), A-1-A-747. https://doi.org/10.1016/s0016-5085%2806%2960008-5

Aims: Artificial neural networks (ANN) are computer programs used to identify complexrelations within data that cannot be detected with conventional linear-statistical analysis.The routine clinical predictions of need for lower gastrointestinal endos... Read More about Abstracts of the AGA Institute.

Non-medical colonoscopy (2006)
Journal Article
Maslekar, S. K., Gardiner, A., Hughes, M., & Duthie, G. S. (2006). Non-medical colonoscopy. Gastrointestinal Endoscopy, 63(5), AB114. https://doi.org/10.1016/j.gie.2006.03.148

Aims: There is increasing demand for colonoscopy especially with introduction of screening programmes. Though colonoscopy is performed by doctors and nurses, there is an acute shortage of trained colonoscopists

Sacral nerve stimulation for faecal incontinence (2005)
Journal Article
Pillinger, S. H., Gardiner, A., & Duthie, G. S. (2005). Sacral nerve stimulation for faecal incontinence. Digestive surgery, 22(1-2), 1-5. https://doi.org/10.1159/000084344

Faecal incontinence is a common problem. Conservative measures are effective in a significant proportion of patients. Failure of conservative management has until recently meant recourse to surgical intervention. Surgical treatment is often associate... Read More about Sacral nerve stimulation for faecal incontinence.

Early results of a rotational flap to treat chronic anal fissures (2004)
Journal Article
Singh, M., Sharma, A., Gardiner, A., & Duthie, G. S. (2005). Early results of a rotational flap to treat chronic anal fissures. International Journal of Colorectal Disease, 20(4), 339-342. https://doi.org/10.1007/s00384-004-0663-8

Background: Treatment of anal fissures has changed dramatically in the past decade. Only a few fail to respond to medical therapy. Sphincterotomy and anal dilatation have fallen out of favour due to the risk of incontinence. Island flaps have been pr... Read More about Early results of a rotational flap to treat chronic anal fissures.

Rectal irrigation for relief of functional bowel disorders (2004)
Journal Article
Gardiner, A., Marshall, J., & Duthie, G. (2004). Rectal irrigation for relief of functional bowel disorders. Nursing standard : official newspaper of the Royal College of Nursing, 19(9), 39-42. https://doi.org/10.7748/ns2004.11.19.9.39.c3755

This article examines the use of rectal irrigation for the symptomatic relief of functional bowel disorders in certain groups of patients. The authors undertook a study of 80 patients and conclude that it is a valuable treatment for some patients.

Neural network analysis of anal sphincter repair (2004)
Journal Article
Gardiner, A., Kaur, G., Cundall, J., Ilstrup, D. M., Gardiner, A., & Duthie, G. (2004). Neural network analysis of anal sphincter repair. Diseases of the colon & rectum, 47(2), 192-197. https://doi.org/10.1007/s10350-003-0026-5

PURPOSE: Prediction of success after anterior sphincter repair for incontinence is difficult. Standard multivariate analysis techniques have only 75 to 80 percent accuracy. Artificial intelligence, including artificial neural networks, has been used... Read More about Neural network analysis of anal sphincter repair.

Hyperbaric oxygen in the treatment of fecal incontinence secondary to pudendal neuropathy (2003)
Journal Article
Cundall, J. D., Gardiner, A., Chin, K., Laden, G., Grout, P., & Duthie, G. S. (2003). Hyperbaric oxygen in the treatment of fecal incontinence secondary to pudendal neuropathy. Diseases of the colon & rectum, 46(11), 1549-1554. https://doi.org/10.1007/s10350-004-6812-x

PURPOSE: Hyperbaric oxygen therapy has several physiologic effects on damaged nerves in animal models, which lead to an improvement in neurologic function. Idiopathic fecal incontinence secondary to pudendal neuropathy is usually treated with biofeed... Read More about Hyperbaric oxygen in the treatment of fecal incontinence secondary to pudendal neuropathy.