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Volume 53(4); July 2020
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Commentarys
Safety and Competency are the Main Priorities in Pediatric Endoscopy
Byung-Ho Choe
Clin Endosc 2020;53(4):379-380.   Published online July 15, 2020
DOI: https://doi.org/10.5946/ce.2020.124
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Safeness of Endoscopic Resection in Patients with End-Stage Renal Disease on Dialysis
Sun-Jin Boo
Clin Endosc 2020;53(4):381-382.   Published online July 30, 2020
DOI: https://doi.org/10.5946/ce.2020.179
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Endoscopic Treatment for Gastrointestinal Stromal Tumors in the Upper Gastrointestinal Tract
In Kyung Yoo, Joo Young Cho
Clin Endosc 2020;53(4):383-384.   Published online July 3, 2020
DOI: https://doi.org/10.5946/ce.2020.122
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Citations

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  • Exploration of a new method for Photoshop-assisted endoscopic ultrasound to distinguish gastrointestinal stromal tumor and leiomyoma
    Ying Zhao, Zeyu Wang, Jiageng Tian, Yadi Ren, Man Li
    Scandinavian Journal of Gastroenterology.2023; 58(3): 291.     CrossRef
  • On the Track of New Endoscopic Alternatives for the Treatment of Selected Gastric GISTs—A Pilot Study
    Artur Raiter, Katarzyna M. Pawlak, Katarzyna Kozłowska-Petriczko, Jan Petriczko, Joanna Szełemej, Anna Wiechowska-Kozłowska
    Medicina.2021; 57(6): 625.     CrossRef
  • 3,546 View
  • 88 Download
  • 3 Web of Science
  • 2 Crossref
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Usefulness of Colonoscopy in Patients with Hematochezia Aged under 40 Years
Hee Chan Yang, Sang Wook Kim
Clin Endosc 2020;53(4):385-386.   Published online July 30, 2020
DOI: https://doi.org/10.5946/ce.2020.153
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Focused Review Series: Present and Future of Diagnosis and Managements of Small Bowel Diseases Exploiting Artificial Intelligence and Advanced Endoscopy
The Future of Capsule Endoscopy: The Role of Artificial Intelligence and Other Technical Advancements
Young Joo Yang
Clin Endosc 2020;53(4):387-394.   Published online July 16, 2020
DOI: https://doi.org/10.5946/ce.2020.133
AbstractAbstract PDFPubReaderePub
Capsule endoscopy has revolutionized the management of small-bowel diseases owing to its convenience and noninvasiveness. Capsule endoscopy is a common method for the evaluation of obscure gastrointestinal bleeding, Crohn’s disease, small-bowel tumors, and polyposis syndrome. However, the laborious reading process, oversight of small-bowel lesions, and lack of locomotion are major obstacles to expanding its application. Along with recent advances in artificial intelligence, several studies have reported the promising performance of convolutional neural network systems for the diagnosis of various small-bowel lesions including erosion/ulcers, angioectasias, polyps, and bleeding lesions, which have reduced the time needed for capsule endoscopy interpretation. Furthermore, colon capsule endoscopy and capsule endoscopy locomotion driven by magnetic force have been investigated for clinical application, and various capsule endoscopy prototypes for active locomotion, biopsy, or therapeutic approaches have been introduced. In this review, we will discuss the recent advancements in artificial intelligence in the field of capsule endoscopy, as well as studies on other technological improvements in capsule endoscopy.

Citations

Citations to this article as recorded by  
  • Toward Automatic Stomach Screening Using a Wireless Magnetically Actuated Capsule Endoscope
    Heng Zhang, Yehui Li, Xinfa Shi, Yichong Sun, Jixiu Li, Yisen Huang, Wing Yin Ng, Chengxiang Liu, Philip Wai Yan Chiu, Chi-Kwan Lee, Zheng Li
    IEEE Transactions on Medical Robotics and Bionics.2024; 6(2): 512.     CrossRef
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  • Artificial Intelligence in Inflammatory Bowel Disease Endoscopy: Implications for Clinical Trials
    Harris A Ahmad, James E East, Remo Panaccione, Simon Travis, James B Canavan, Keith Usiskin, Michael F Byrne
    Journal of Crohn's and Colitis.2023; 17(8): 1342.     CrossRef
  • A Wireless Power Transfer System Based on a Hybrid Transmitting Coil for Targeted Therapy Microrobots in the Intestine
    Ding Han, Guozheng Yan, Zhiwu Wang, Pingping Jiang, Lin Yan
    International Journal of Precision Engineering and Manufacturing.2023; 24(6): 977.     CrossRef
  • Self-supervised out-of-distribution detection in wireless capsule endoscopy images
    Arnau Quindós, Pablo Laiz, Jordi Vitrià, Santi Seguí
    Artificial Intelligence in Medicine.2023; 143: 102606.     CrossRef
  • Design, actuation, and functionalization of untethered soft magnetic robots with life-like motions: A review
    Jiaqi Miao, Siqi Sun
    Journal of Magnetism and Magnetic Materials.2023; 586: 171160.     CrossRef
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    Weijun Lin, Shijie Ding, Zheng Li, Ning Yang
    IEEE Transactions on Instrumentation and Measurement.2023; 72: 1.     CrossRef
  • Wireless Capsule Endoscopy Infected Images Detection and Classification Using MobileNetV2-BiLSTM Model
    P. Padmavathi, J. Harikiran
    International Journal of Image and Graphics.2023;[Epub]     CrossRef
  • Real-Time Lightweight Convolutional Neural Network for Polyp Detection in Endoscope Images
    Bingqi Si, Chenxi Pang, Zhiwu Wang, Pingping Jiang, Guozheng Yan
    Journal of Shanghai Jiaotong University (Science).2023;[Epub]     CrossRef
  • AI-Driven Colon Cleansing Evaluation in Capsule Endoscopy: A Deep Learning Approach
    Miguel José Mascarenhas Saraiva, João Afonso, Tiago Ribeiro, Pedro Cardoso, Francisco Mendes, Miguel Martins, Ana Patrícia Andrade, Hélder Cardoso, Miguel Mascarenhas Saraiva, João Ferreira, Guilherme Macedo
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  • Computer vision-based solutions to overcome the limitations of wireless capsule endoscopy
    Ana Horovistiz, Marina Oliveira, Helder Araújo
    Journal of Medical Engineering & Technology.2023; 47(4): 242.     CrossRef
  • A Hybrid RF and Vision Aware Fusion Scheme for Multi-Sensor Wireless Capsule Endoscopic Localization
    P. Narmatha, Venkatesan Thangavel, D. Sri Vidhya
    Wireless Personal Communications.2022; 123(2): 1593.     CrossRef
  • A survey of small bowel modelling and its applications for capsule endoscopy
    Yang Liu, Jiyuan Tian, Luigi Manfredi, Benjamin S. Terry, Shyam Prasad, Imdadur Rahman, Wojciech Marlicz, Anastasios Koulaouzidis
    Mechatronics.2022; 83: 102748.     CrossRef
  • Robot-Assisted Medical Imaging: A Review
    Septimiu E. Salcudean, Hamid Moradi, David G. Black, Nassir Navab
    Proceedings of the IEEE.2022; 110(7): 951.     CrossRef
  • A Three-Dimensional Orthogonal Receiving Coil for In Vivo Microrobot Wireless Power Transmission Systems
    Ding Han, Guozheng Yan, Pingping Jiang, Zhiwu Wang, Wei Wang
    Energies.2022; 15(17): 6321.     CrossRef
  • Artificial intelligence to improve polyp detection and screening time in colon capsule endoscopy
    Pere Gilabert, Jordi Vitrià, Pablo Laiz, Carolina Malagelada, Angus Watson, Hagen Wenzek, Santi Segui
    Frontiers in Medicine.2022;[Epub]     CrossRef
  • Key research questions for implementation of artificial intelligence in capsule endoscopy
    Romain Leenhardt, Anastasios Koulaouzidis, Aymeric Histace, Gunnar Baatrup, Sabina Beg, Arnaud Bourreille, Thomas de Lange, Rami Eliakim, Dimitris Iakovidis, Michael Dam Jensen, Martin Keuchel, Reuma Margalit Yehuda, Deirdre McNamara, Miguel Mascarenhas,
    Therapeutic Advances in Gastroenterology.2022; 15: 175628482211326.     CrossRef
  • The optimal use of colon capsule endoscopes in clinical practice
    Thomas Bjørsum-Meyer, Anastasios Koulaouzidis, Gunnar Baatrup
    Therapeutic Advances in Chronic Disease.2022; 13: 204062232211375.     CrossRef
  • Application of capsule endoscopy in patients with chronic and recurrent abdominal pain
    Wei Yang, Zheng Li, Rui Liu, Xudong Tong, Wei Wang, Dongqiang Xu, Shan Gao
    Medical Engineering & Physics.2022; 110: 103901.     CrossRef
  • The scientific progress and prospects of artificial intelligence in digestive endoscopy: A comprehensive bibliometric analysis
    Pei-Ling Gan, Shu Huang, Xiao Pan, Hui-Fang Xia, Mu-Han Lü, Xian Zhou, Xiao-Wei Tang
    Medicine.2022; 101(47): e31931.     CrossRef
  • Artificial intelligence for cancer detection of the upper gastrointestinal tract
    Hideo Suzuki, Tokai Yoshitaka, Toshiyuki Yoshio, Tomohiro Tada
    Digestive Endoscopy.2021; 33(2): 254.     CrossRef
  • Colon Capsule Endoscopy: An Alternative for Conventional Colonoscopy?
    Britt B.S.L. Houwen, Evelien Dekker
    Clinical Endoscopy.2021; 54(1): 4.     CrossRef
  • How should we do colon capsule endoscopy reading: a practical guide
    Anastasios Koulaouzidis, Konstantinos Dabos, Michael Philipper, Ervin Toth, Martin Keuchel
    Therapeutic Advances in Gastrointestinal Endoscopy.2021; 14: 263177452110019.     CrossRef
  • Kvasir-Capsule, a video capsule endoscopy dataset
    Pia H. Smedsrud, Vajira Thambawita, Steven A. Hicks, Henrik Gjestang, Oda Olsen Nedrejord, Espen Næss, Hanna Borgli, Debesh Jha, Tor Jan Derek Berstad, Sigrun L. Eskeland, Mathias Lux, Håvard Espeland, Andreas Petlund, Duc Tien Dang Nguyen, Enrique Garcia
    Scientific Data.2021;[Epub]     CrossRef
  • Role of Artificial Intelligence in Video Capsule Endoscopy
    Ioannis Tziortziotis, Faidon-Marios Laskaratos, Sergio Coda
    Diagnostics.2021; 11(7): 1192.     CrossRef
  • Artificial intelligence in gastrointestinal diseases
    Shihori Tanabe, Edward J Perkins, Ryuichi Ono, Hiroki Sasaki
    Artificial Intelligence in Gastroenterology.2021; 2(3): 69.     CrossRef
  • Artificial intelligence assisted assessment of endoscopic disease activity in inflammatory bowel disease
    Bobby Lo, Johan Burisch
    Artificial Intelligence in Gastrointestinal Endoscopy.2021; 2(4): 95.     CrossRef
  • Capsule Endoscopy: Pitfalls and Approaches to Overcome
    Seung Han Kim, Hoon Jai Chun
    Diagnostics.2021; 11(10): 1765.     CrossRef
  • Follow-up outcomes in patients with negative initial colon capsule endoscopy findings
    Konosuke Nakaji, Mitsutaka Kumamoto, Mikiko Yodozawa, Kazuki Okahara, Shigeo Suzumura, Yukinori Nakae
    World Journal of Gastrointestinal Endoscopy.2021; 13(10): 502.     CrossRef
  • Artificial intelligence in gastroenterology: A state-of-the-art review
    Paul T Kröner, Megan ML Engels, Benjamin S Glicksberg, Kipp W Johnson, Obaie Mzaik, Jeanin E van Hooft, Michael B Wallace, Hashem B El-Serag, Chayakrit Krittanawong
    World Journal of Gastroenterology.2021; 27(40): 6794.     CrossRef
  • WCE polyp detection with triplet based embeddings
    Pablo Laiz, Jordi Vitrià, Hagen Wenzek, Carolina Malagelada, Fernando Azpiroz, Santi Seguí
    Computerized Medical Imaging and Graphics.2020; 86: 101794.     CrossRef
  • 7,921 View
  • 354 Download
  • 29 Web of Science
  • 31 Crossref
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A New Active Locomotion Capsule Endoscopy under Magnetic Control and Automated Reading Program
Dong Jun Oh, Kwang Seop Kim, Yun Jeong Lim
Clin Endosc 2020;53(4):395-401.   Published online July 30, 2020
DOI: https://doi.org/10.5946/ce.2020.127
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Capsule endoscopy (CE) is the first-line diagnostic modality for detecting small bowel lesions. CE is non-invasive and does not require sedation, but its movements cannot be controlled, it requires a long time for interpretation, and it has lower image quality compared to wired endoscopy. With the rapid advancement of technology, several methods to solve these problems have been developed. This article describes the ongoing developments regarding external CE locomotion using magnetic force, artificial intelligence-based interpretation, and image-enhancing technologies with the CE system.

Citations

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    Komal Rane, Garima Kukreja, Siddhi Deshmukh, Urmisha Kakad, Pranali Jadhav, Vinita Patole
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    Dong Jun Oh, Youngbae Hwang, Yun Jeong Lim
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    Ioannis Tziortziotis, Faidon-Marios Laskaratos, Sergio Coda
    Diagnostics.2021; 11(7): 1192.     CrossRef
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    Jaehyo Jung, Meina Li, Youn Tae Kim
    Microwave and Optical Technology Letters.2021; 63(11): 2819.     CrossRef
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  • 129 Download
  • 11 Web of Science
  • 12 Crossref
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Roles of Capsule Endoscopy and Balloon-Assisted Enteroscopy in the Optimal Management of Small Bowel Bleeding
Hani Abutalib, Tomonori Yano, Satoshi Shinozaki, Alan Kawarai Lefor, Hironori Yamamoto
Clin Endosc 2020;53(4):402-409.   Published online July 30, 2020
DOI: https://doi.org/10.5946/ce.2020.143
AbstractAbstract PDFPubReaderePub
The small bowel had long been considered a dark unapproachable tunnel until the invention of capsule endoscopy and doubleballoon enteroscopy in the 21st century, which revolutionized the diagnosis and management of small bowel diseases, including bleeding. Various imaging modalities such as computed tomographic enterography, angiography, capsule endoscopy, and balloonassisted enteroscopy play vital roles in the diagnosis and management of small bowel bleeding. The choice of modality to use and timing of application differ according to the availability of the modalities, patient’s history, and physician’s experience. Small bowel bleeding is managed using different strategies as exemplified by medical treatment, interventional radiology, endoscopic therapy, or surgical intervention. Balloon-assisted enteroscopy enables endoscopic interventions to control small bowel bleeding, including electrocautery, argon plasma coagulation, clip application, and tattooing as a prelude to surgery. In this article, we clarify the recent approaches to the optimal diagnosis and management of patients with small bowel bleeding.

Citations

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    Diagnostics.2022; 12(9): 2224.     CrossRef
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    Wei Yang, Zheng Li, Rui Liu, Xudong Tong, Wei Wang, Dongqiang Xu, Shan Gao
    Medical Engineering & Physics.2022; 110: 103901.     CrossRef
  • 4,833 View
  • 180 Download
  • 3 Web of Science
  • 3 Crossref
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Roles of Capsule Endoscopy and Device-Assisted Enteroscopy in the Diagnosis and Treatment of Small-Bowel Tumors
Eun Ran Kim
Clin Endosc 2020;53(4):410-416.   Published online July 30, 2020
DOI: https://doi.org/10.5946/ce.2020.161
AbstractAbstract PDFPubReaderePub
With the development of capsule endoscopy (CE) and device-assisted enteroscopy (DAE), the incidence of small-bowel tumors has increased and the characteristics of these tumors have changed. In addition, the diagnostic and therapeutic approaches for small-bowel tumors have diversified. CE is a simple, noninvasive method that aid in the visualization the entire small bowel. CE is considered the initial approach for small-bowel tumors. DAE can be used to perform endoscopic procedures such as bleeding control, polypectomy, stent insertion, and tattooing, as well as for diagnosis through visualization or tissue sampling. Therapeutic intervention with DAE is particularly useful in polyposis syndromes such as familial adenomatous polyposis and Peutz-Jeghers syndrome. This review will discuss the roles of CE and DAE in the diagnosis and treatment of small-bowel tumors.

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    Su Hwan Kim, Ji Won Kim
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    Su Hwan Kim, Ji Won Kim
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Reviews
Endoscopic Ultrasound-Guided Fine Needle Aspiration and Endoscopic Retrograde Cholangiopancreatography-Based Tissue Sampling in Suspected Malignant Biliary Strictures: A Meta-Analysis of Same-Session Procedures
Diogo Turiani Hourneax de Moura, Marvin Ryou, Eduardo Guimarães Hourneaux de Moura, Igor Braga Ribeiro, Wanderlei Marques Bernardo, Christopher C. Thompson
Clin Endosc 2020;53(4):417-428.   Published online November 5, 2019
DOI: https://doi.org/10.5946/ce.2019.053
AbstractAbstract PDFPubReaderePub
Background
/Aims: The diagnosis of biliary strictures can be challenging. There are no systematic reviews studying same-session endoscopic retrograde cholangiopancreatography (ERCP)-based tissue sampling and endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) for the diagnosis of biliary strictures.
Methods
A systematic review was conducted on studies analyzing same-session EUS and ERCP for tissue diagnosis of suspected malignant biliary strictures. The primary outcome was the accuracy of each method individually compared to the two methods combined. The secondary outcome was the accuracy of each method in pancreatic and biliary etiologies. In the meta-analysis, we used Forest plots, summary receiver operating characteristic curves, and estimates of the area under the curve for intention-to-treat analysis.
Results
Of the 12,132 articles identified, six were included, resulting in a total of 497 patients analyzed. The sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, and accuracy of the association between the two methods were: 86%, 98%, 12.50, 0.17, and 96.5%, respectively. For the individual analysis, the sensitivity, specificity and accuracy of EUS-FNA were 76%, 100%, and 94.5%, respectively; for ERCP-based tissue sampling, the sensitivity, specificity, and accuracy were 58%, 98%, and 78.1%, respectively. For pancreatic lesions, EUS-FNA was superior to ERCP-based tissue sampling. However, for biliary lesions, both methods had similar sensitivities.
Conclusions
Same-session EUS-FNA and ERCP-based tissue sampling is superior to either method alone in the diagnosis of suspected malignant biliary strictures. Considering these results, combination sampling should be performed when possible.

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  • Endoscopic Ultrasound Plus Endoscopic Retrograde Cholangiopancreatography Based Tissue Sampling for Diagnosis of Proximal and Distal Biliary Stenosis Due to Cholangiocarcinoma: Results from a Retrospective Single-Center Study
    Edoardo Troncone, Fabio Gadaleta, Omero Alessandro Paoluzi, Cristina Maria Gesuale, Vincenzo Formica, Cristina Morelli, Mario Roselli, Luca Savino, Giampiero Palmieri, Giovanni Monteleone, Giovanna Del Vecchio Blanco
    Cancers.2022; 14(7): 1730.     CrossRef
  • The Role of Cholangioscopy and EUS in the Evaluation of Indeterminate Biliary Strictures
    Wilson Siu, Raymond S. Y. Tang
    Gastroenterology Insights.2022; 13(2): 192.     CrossRef
  • Current endoscopic approaches to biliary strictures
    Tatsuya Sato, Yousuke Nakai, Mitsuhiro Fujishiro
    Current Opinion in Gastroenterology.2022; 38(5): 450.     CrossRef
  • Acute cholecystitis caused by gallbladder metastasis from non-small cell lung cancer: a case report
    Kouki Imaoka, Daisuke Satoh, Ko Oshita, Takuya Yano, Tetsushi Kubota, Michihiro Ishida, Yasuhiro Choda, Masanori Yoshimitsu, Kanyu Nakano, Masao Harano, Hiroyoshi Matsukawa, Hitoshi Idani, Shigehiro Shiozaki, Masazumi Okajima
    Clinical Journal of Gastroenterology.2021; 14(1): 351.     CrossRef
  • Current Status and Research Progress of ERCP in the Diagnosis and Treatment of Biliary and Pancreatic System Diseases
    跃华 李
    Advances in Clinical Medicine.2021; 11(07): 3123.     CrossRef
  • Same day endoscopic retrograde cholangio-pancreatography immediately after endoscopic ultrasound for choledocholithiasis is feasible, safe and cost-effective
    Wisam Sbeit, Anas Kadah, Amir Shahin, Tawfik Khoury
    Scandinavian Journal of Gastroenterology.2021; 56(10): 1243.     CrossRef
  • Editors' Choice of Noteworthy Clinical Endoscopy Publications in the First Decade
    Gwang Ha Kim, Kwang An Kwon, Do Hyun Park, Jimin Han
    Clinical Endoscopy.2021; 54(5): 633.     CrossRef
  • Tips and tricks for the diagnosis and management of biliary stenosis-state of the art review
    Giovanna Del Vecchio Blanco, Michelangela Mossa, Edoardo Troncone, Renato Argirò, Andrea Anderloni, Alessandro Repici, Omero Alessandro Paoluzi, Giovanni Monteleone
    World Journal of Gastrointestinal Endoscopy.2021; 13(10): 473.     CrossRef
  • Stent versus Balloon Dilation for the Treatment of Dominant Strictures in Primary Sclerosing Cholangitis: A Systematic Review and Meta-Analysis
    Marina Tucci Gammaro Baldavira Ferreira, Igor Braga Ribeiro, Diogo Turiani Hourneaux de Moura, Thomas R. McCarty, Alberto Machado da Ponte Neto, Galileu Ferreira Ayala Farias, Antônio Afonso de Miranda Neto, Pedro Victor Aniz Gomes de Oliveira, Wanderley
    Clinical Endoscopy.2021; 54(6): 833.     CrossRef
  • Endoscopic ultrasound fine needle aspiration vs fine needle biopsy in solid lesions: A multi-center analysis
    Diogo Turiani Hourneaux Moura, Thomas R McCarty, Pichamol Jirapinyo, Igor Braga Ribeiro, Galileu Ferreira Ayala Farias, Antonio Coutinho Madruga-Neto, Marvin Ryou, Christopher C Thompson
    World Journal of Clinical Cases.2021; 9(34): 10507.     CrossRef
  • Efficacy of digital single-operator cholangioscopy in the visual interpretation of indeterminate biliary strictures: a systematic review and meta-analysis
    Pedro Victor Aniz Gomes de Oliveira, Diogo Turiani Hourneaux de Moura, Igor Braga Ribeiro, Ahmad Najdat Bazarbashi, Tomazo Antonio Prince Franzini, Marcos Eduardo Lera dos Santos, Wanderley Marques Bernardo, Eduardo Guimarães Hourneaux de Moura
    Surgical Endoscopy.2020; 34(8): 3321.     CrossRef
  • Role of pancreatography in the endoscopic management of encapsulated pancreatic collections – review and new proposed classification
    Igor Mendonça Proença, Marcos Eduardo Lera dos Santos, Diogo Turiani Hourneaux de Moura, Igor Braga Ribeiro, Sergio Eiji Matuguma, Spencer Cheng, Thomas R McCarty, Epifanio Silvino do Monte Junior, Paulo Sakai, Eduardo Guimarães Hourneaux de Moura
    World Journal of Gastroenterology.2020; 26(45): 7104.     CrossRef
  • 5,822 View
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Endoscopic Ultrasound-Guided Pancreatic Transmural Stenting and Transmural Intervention
Takeshi Ogura, Hideko Ohama, Kazuhide Higuchi
Clin Endosc 2020;53(4):429-435.   Published online November 27, 2019
DOI: https://doi.org/10.5946/ce.2019.130
AbstractAbstract PDFPubReaderePub
Endoscopic ultrasound (EUS)-guided pancreatic access is an emergent method that can be divided into the two main techniques of EUS-guided rendezvous and pancreatic transmural stenting (PTS). While many reports have described EUS-guided procedures, the indications, technical tips, clinical effects, and safety of EUS-guided pancreatic duct drainage (EUS-PD) remain controversial. This review describes the current status of and problems associated with EUS-PD, particularly PTS. We reviewed clinical data derived from a total of 334 patients. Rates of technical and clinical success ranged from 63% to 100% and 76% to 100%, respectively. In contrast, the rate of procedure-related adverse events was high at 26.7% (89/334). The most frequent adverse events comprised abdominal pain (n=38), acute pancreatitis (n=15), bleeding (n=9), and issues associated with pancreatic juice leakage such as perigastric fluid, pancreatic fluid collection, or pancreatic juice leaks (n=8). In conclusion, indications for EUS-PTS are limited, as is the evidence of its viability, due to the scarcity of expert operators. Despite improvements made to various devices, EUS-PTS remains technically challenging. Therefore, a long-term, large-scale, multicenter study is required to establish this technique as a viable alternative drainage method.

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  • Needle-free technique for guidewire manipulation during endoscopic ultrasound-guided pancreatic duct drainage
    Takeshi Ogura, Masahiro Yamamura, Mitsuki Tomita, Jun Sakamoto, Hiroki Nishikawa
    Endoscopy.2024; 56(S 01): E184.     CrossRef
  • Best Practices in Pancreatico-biliary Stenting and EUS-guided Drainage
    Renato Medas, Joel Ferreira-Silva, Mohit Girotra, Monique Barakat, James H. Tabibian, Eduardo Rodrigues-Pinto
    Journal of Clinical Gastroenterology.2023; 57(6): 553.     CrossRef
  • Endoscopic treatment of pancreatholithiasis
    Ichiro YASUDA, Toshiki ENTANI, Jun MATSUNO, Nobuhiko HAYASHI, Keisuke IWATA
    Suizo.2023; 38(4): 201.     CrossRef
  • Endoscopic pancreatic drainage
    Toshifumi KIN, Kazuki HAMA, Kenta YOSHIDA, Risa NAKAMURA, Ryo ANDO, Kosuke IWANO, Haruka TOYONAGA, Tatsuya ISHII, Masayo MOTOYA, Tsuyoshi HAYASHI, Kuniyuki TAKAHASHI, Akio KATANUMA
    Suizo.2023; 38(4): 192.     CrossRef
  • Efficacy and Safety of Peroral Pancreatoscopy Through the Fistula Created by Endoscopic Ultrasound–Guided Pancreaticogastrostomy
    Akinori Suzuki, Shigeto Ishii, Toshio Fujisawa, Hiroaki Saito, Yusuke Takasaki, Sho Takahashi, Wataru Yamagata, Kazushige Ochiai, Ko Tomishima, Hiroyuki Isayama
    Pancreas.2022; 51(3): 228.     CrossRef
  • Endoscopic ultrasound-guided pancreaticoduodenostomy with a forward-viewing echoendoscope
    Shigenobu Yoshimura, So Nakaji, Toshiyasu Shiratori, Natsuki Kawamitsu, Shin Inoue
    VideoGIE.2021; 6(12): 549.     CrossRef
  • Endoscopic Ultrasound-Guided Pancreatic Duct Drainage: Techniques and Literature Review of Transmural Stenting
    Akira Imoto, Takeshi Ogura, Kazuhide Higuchi
    Clinical Endoscopy.2020; 53(5): 525.     CrossRef
  • Technical tips for endoscopic ultrasound-guided pancreatic duct access and drainage
    Yousuke Nakai
    International Journal of Gastrointestinal Intervention.2020; 9(4): 154.     CrossRef
  • 5,603 View
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Original Articles
Endoscopic Yield, Appropriateness, and Complications of Pediatric Upper Gastrointestinal Endoscopy in an Adult Suite: A Retrospective Study of 822 Children
Manzoor Ahmad Wani, Showkat Ali Zargar, Ghulam Nabi Yatoo, Inaamul Haq, Altaf Shah, Jaswinder Singh Sodhi, Ghulam Mohammad Gulzar, Mushtaq Khan
Clin Endosc 2020;53(4):436-442.   Published online April 7, 2020
DOI: https://doi.org/10.5946/ce.2019.118
AbstractAbstract PDFPubReaderePub
Background
/Aims: This study aimed to study the endoscopic yield, appropriateness, and complications of pediatric endoscopy performed by adult gastroenterologists in an adult endoscopic suite.
Methods
This a retrospective study in which records of all the patients less than 18 years of age who underwent endoscopy in the last 5 years were studied. The indications of endoscopy in children were categorized as appropriate or inappropriate per the latest guidelines by American Society for Gastrointestinal Endoscopy and North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. Positive endoscopic yield was defined as the presence of any abnormality on endoscopy.
Results
Among the total of 822 children (age <18 years), the most common indications were variceal surveillance/eradication in 157 (19.1%), followed by dyspepsia in 143 (17.4%), upper gastrointestinal (UGI) bleeding in 136 (16.5%), recurrent abdominal pain in 94 (11.4%), unexplained anemia in 74 (9%), recurrent vomiting in 50 (6.08%), chronic refractory gastroesophageal reflux disease in 34 (4.1%) and others; 780 out of 822 endoscopic procedures (94.9%) done in children were appropriate as per the guidelines. The endoscopic yield was 45.8%, highest in patients with UGI bleeding (71.3%), followed by variceal surveillance (54.8%), recurrent vomiting (38%), dyspepsia (37.8%), and recurrent abdominal pain (36%). Minor adverse events occurred in 7.3% of children.
Conclusions
Pediatric endoscopy performed by an experienced adult gastroenterologist may be acceptable if done in cooperation with a pediatrician.

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  • Which Alarm Symptoms Are Associated With Abnormal Gastrointestinal Endoscopy Among Thai Children?
    Anundorn Wongteerasut
    Pediatric Gastroenterology, Hepatology & Nutrition.2024; 27(2): 113.     CrossRef
  • Paediatric gastrointestinal endoscopy in the Asian-Pacific region: Recent advances in diagnostic and therapeutic techniques
    James Guoxian Huang, Pornthep Tanpowpong
    World Journal of Gastroenterology.2023; 29(18): 2717.     CrossRef
  • Gastrointestinal Bleeding in Children: The Role of Endoscopy and the Sheffield Scoring System in a Resource-Limited Setting
    Oluwafunmilayo Funke Adeniyi, Olufunmilayo Adenike Lesi, Emuobor Aghoghor Odeghe, Ganiyat Oyeleke, Nicholas Croft
    JPGN Reports.2023; 4(4): e369.     CrossRef
  • Pediatric esophagogastroduodenoscopy in china: indications, diagnostic yield, and factors associated with findings
    Shengnan Wang, Xiaoxia Qiu, Jingfang Chen, Hong Mei, Haiyan Yan, Jieyu You, Ying Huang
    BMC Pediatrics.2022;[Epub]     CrossRef
  • Safety and Competency are the Main Priorities in Pediatric Endoscopy
    Byung-Ho Choe
    Clinical Endoscopy.2020; 53(4): 379.     CrossRef
  • 4,423 View
  • 152 Download
  • 6 Web of Science
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Determining the Safety and Effectiveness of Electrocautery Enhanced Scissors for Peroral Endoscopic Myotomy (with Video)
Kelly E. Hathorn, Walter W. Chan, Hiroyuki Aihara, Christopher C. Thompson
Clin Endosc 2020;53(4):443-451.   Published online May 22, 2020
DOI: https://doi.org/10.5946/ce.2019.214
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background
/Aims: Peroral endoscopic myotomy (POEM) has recently come to the forefront in the management of achalasia. We aimed to analyze the efficacy and safety of the use of electrocautery enhanced scissors (EES) for POEM.
Methods
This retrospective cohort study prospectively collected the data of all adult patients (aged ≥18 years) with normal foregut anatomy who underwent POEM using EES. The patients’ baseline characteristics and procedure details (time, tunnel length, myotomy length, depth, and location) were recorded. The primary outcome was clinical success (3-month post-procedure Eckardt score of ≤3). The secondary outcomes were technical success and adverse events. A paired Student’s t-test was performed.
Results
Fifteen patients were included in this study. The technical success rate of myotomy using EES was 100%. Fellows participated in the myotomy in all cases. The clinical success rate was 93.3% (14/15). The mean pre-Eckardt score was 5.4±2.5, while the mean post-Eckardt score was 1.3±1.3, which indicated a significant improvement (p≤0.0001). The most common treatment-related adverse events were post-procedure pain (4, 26.7%) and symptomatic reflux disease (4, 26.7%).
Conclusions
In the largest series to date on the use of EES in POEM, we demonstrated that this technique has both technical and clinical efficacy as well as an excellent safety profile.

Citations

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  • Peroral endoscopic myotomy using an endoscopic dissector: another novel device in our toolbox
    Shruti Mony, Apurva Shrigiriwar, Andrew Canakis, Mouen A. Khashab
    VideoGIE.2023; 8(1): 5.     CrossRef
  • Peroral endoscopic myotomy (POEM) is more cost-effective than laparoscopic Heller myotomy in the short term for achalasia: economic evaluation from a randomized controlled trial
    Tatiana Morgado Conte, Luciana Bertocco de Paiva Haddad, Igor Braga Ribeiro, Eduardo Turiani Hourneaux de Moura, Luiz Augusto Carneiro DʼAlbuquerque, Eduardo Guimarães Hourneaux de Moura
    Endoscopy International Open.2020; 08(11): E1673.     CrossRef
  • 5,126 View
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Bleeding after Endoscopic Resection in Patients with End-Stage Renal Disease on Dialysis: A Multicenter Propensity Score-Matched Analysis
In Kyung Yoo, Chan Gyoo Kim, Young Ju Suh, Younkyung Oh, Gwang Ho Baik, Sun Moon Kim, Young Dae Kim, Chul-Hyun Lim, Jung Won Jeon, Su Jin Hong, Byoung Wook Bang, Joon Sung Kim, Jun-Won Chung
Clin Endosc 2020;53(4):452-457.   Published online October 25, 2019
DOI: https://doi.org/10.5946/ce.2019.107
AbstractAbstract PDFPubReaderePub
Background
/Aims: Frequent bleeding after endoscopic resection (ER) has been reported in patients with end-stage renal disease (ESRD). We aimed to evaluate the association and clinical significance of bleeding with ER in ESRD patients on dialysis.
Methods
Between February 2008 and December 2018, 7,571 patients, including 47 ESRD patients on dialysis who underwent ER for gastric neoplasia, were enrolled. A total of 47 ESRDpatients on dialysis were propensity score-matched 1:10 to 470 non-ESRD patients, to adjust for between-group differences in variables such as age, sex, comorbidities, anticoagulation use, tumor characteristics, and ER method. Matching was performed using an optimal matching algorithm. For the matched data, clustered comparisons were performed using the generalized estimating equation method. Medical records were retrospectively reviewed. Frequency and outcomes of post-ER bleeding were evaluated.
Results
Bleeding was more frequent in the ESRD with dialysis group than in the non-ESRD group. ESRD with dialysis conferred a significant risk of post-ER bleeding (odds ratio, 6.1; 95% confidence interval, 2.7–13.6; p<0.0001). All post-ER bleeding events were controlled using endoscopic hemostasis except in 1 non-ESRD case that needed surgery.
Conclusions
ESRD with dialysis confers a bleeding risk after ER. However, all bleeding events could be managed endoscopically without sequelae. Concern about bleeding should not stop endoscopists from performing ER in ESRD patients on dialysis.

Citations

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  • Effect of renal insufficiency on the short‐ and long‐term outcomes of endoscopic submucosal dissection for early gastric cancer: Propensity score‐matched analysis
    Tae‐Se Kim, Byung‐Hoon Min, Sun‐Young Baek, Kyunga Kim, Yang Won Min, Hyuk Lee, Poong‐Lyul Rhee, Jae J. Kim, Jun Haeng Lee
    Digestive Endoscopy.2023; 35(7): 869.     CrossRef
  • Safeness of Endoscopic Resection in Patients with End-Stage Renal Disease on Dialysis
    Sun-Jin Boo
    Clinical Endoscopy.2020; 53(4): 381.     CrossRef
  • 4,596 View
  • 133 Download
  • 2 Web of Science
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Efficacy and Safety of Endoscopic Treatment for Gastrointestinal Stromal Tumors in the Upper Gastrointestinal Tract
Cicilia Marcella, Shakeel Sarwar, Hui Ye, Rui Hua Shi
Clin Endosc 2020;53(4):458-465.   Published online March 17, 2020
DOI: https://doi.org/10.5946/ce.2019.121
AbstractAbstract PDFPubReaderePub
Background
/Aims: Endoscopic treatment (ET) has been applied for decades to treat subepithelial tumors, including gastrointestinal stromal tumors (GISTs). However, the efficacy of ET remains debatable. In this study, we evaluated the efficacy and safety of ET for GISTs in the upper gastrointestinal tract.
Methods
This retrospective single-center study included 97 patients who underwent ET. All patients were enrolled from July 2014 to July 2018. Parameters such as demographics, size, resection margin, complications, pathological features, procedure time, total cost, and follow-up were investigated and analyzed.
Results
Our study achieved 100% en bloc resection and 77.4% (72/93) R0 resection. The most common location was the fundus with a mean tumor size of 2.1±1.43 cm. The mean age, procedure time, hospital stay, and cost were 59.7±11.29 years, 64.7±35.23 minutes, 6.8 days, and 5,337 dollars, respectively. According to National Institutes of Health classification, 63 (64.9%), 26 (26.8%), 5 (5.2%), and 3 (3.1%) patients belonged to the very low, low, intermediate, and high risk classification, respectively. Immunohistochemistry results showed a 100% positive rate of CD34, DOG-1, CD117, and Ki67. A mean follow-up of 21.3±13.0 months showed no recurrence or metastasis.
Conclusions
ET is effective and safe for curative removal of GISTs in the upper gastrointestinal tract, and it can be a treatment of choice for patients with no metastasis.

Citations

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  • Comparison of endoscopic full-thickness resection and cap-assisted endoscopic full-thickness resection in the treatment of small (≤1.5 cm) gastric GI stromal tumors
    Jinping Yang, Muhan Ni, Jingwei Jiang, Ximei Ren, Tingting Zhu, Shouli Cao, Shahzeb Hassan, Ying Lv, Xiaoqi Zhang, Yongyue Wei, Lei Wang, Guifang Xu
    Gastrointestinal Endoscopy.2022; 95(4): 660.     CrossRef
  • The necessarity of treatment for small gastric subepithelial tumors (1–2 cm) originating from muscularis propria: an analysis of 972 tumors
    Jinlong Hu, Xinzhu Sun, Nan Ge, Sheng Wang, Jintao Guo, Xiang Liu, Guoxin Wang, Siyu Sun
    BMC Gastroenterology.2022;[Epub]     CrossRef
  • Natural History of Asymptomatic Esophageal Subepithelial Tumors of 30 mm or Less in Size
    Seokin Kang, Do Hoon Kim, Yuri Kim, Dongsub Jeon, Hee Kyong Na, Jeong Hoon Lee, Ji Yong Ahn, Kee Wook Jung, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung
    Journal of Korean Medical Science.2022;[Epub]     CrossRef
  • Massive Digestive Hemorrhagia Revealing a Gastro-Intestinal Stromal Tumor of the Jejunum
    Yasmine Cherouaqi, Fatima zahra Belabbes, Hanane Delsa, Anass Nadi, Fedoua Rouibaa
    Cureus.2021;[Epub]     CrossRef
  • Endoscopic Treatment for Gastrointestinal Stromal Tumors in the Upper Gastrointestinal Tract
    In Kyung Yoo, Joo Young Cho
    Clinical Endoscopy.2020; 53(4): 383.     CrossRef
  • Recent advances in the management of gastrointestinal stromal tumor
    Monjur Ahmed
    World Journal of Clinical Cases.2020; 8(15): 3142.     CrossRef
  • 4,658 View
  • 150 Download
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Endoscopic Findings in Patients Under the Age of 40 Years with Hematochezia in Singapore
Man Hon Tang, Fung Joon Foo, Chee Yung Ng
Clin Endosc 2020;53(4):466-470.   Published online June 18, 2020
DOI: https://doi.org/10.5946/ce.2019.029
AbstractAbstract PDFPubReaderePub
Background
/Aims: Sigmoidoscopy is performed in most medical centers to evaluate the distal colons of young adults presenting with hematochezia who are at risk of developing proximal lesions. Colonoscopies offer more complete evaluations but are associated with a higher incidence of complications and possible low yield.
Methods
An analysis was conducted on colonoscopies performed in our center on patients 40 years of age or younger. The study population was sub-divided into 2 age groups for analysis: <30 years of age and 30–39 years of age.
Results
We recruited 453 patients for the study. Patients were 115 and 338 individuals that were <30 and 30–39 years of age, respectively. Hemorrhoids was identified as the cause of bleeding in the majority of cases. The overall incidence of polyps was 6.5%; this was significantly higher in the 30–39 age group (7.4% vs. 1.7%, p=0.026). There were two cases of advanced/malignant polyps. While the majority of the polyps were in the distal colon, 28% of the polyps in the older age group were found in the proximal colon. There was one case of colonic perforation.
Conclusions
Colonic polyps are more prevalent in patients aged 30–39. Colonoscopies should be considered for patients over the age of 30 with rectal bleeding.

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  • Comparing efficacy and factors of postoperative bleeding in endoscopic mucosal resection vs coagulation for intestinal polyps
    Zhiang Li, Fei Yu, Chaoqian Wang, Zhang Du
    Medicine.2023; 102(37): e34941.     CrossRef
  • The role of colonoscopy in young patients with rectal bleeding: a systematic review and meta-analysis
    Tuane Colles, Patrícia K. Ziegelmann, Daniel C. Damin
    International Journal of Colorectal Disease.2023;[Epub]     CrossRef
  • Usefulness of Colonoscopy in Patients with Hematochezia Aged under 40 Years
    Hee Chan Yang, Sang Wook Kim
    Clinical Endoscopy.2020; 53(4): 385.     CrossRef
  • 4,137 View
  • 82 Download
  • 2 Web of Science
  • 3 Crossref
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Modified Endoscopic Ultrasound Needle to Obtain Histological Core Tissue Samples: A Retrospective Analysis
Munish Ashat, Kaartik Soota, Jagpal S. Klair, Sarika Gupta, Chris Jensen, Arvind R. Murali, Randhir Jesudoss, Rami El-Abiad, Henning Gerke
Clin Endosc 2020;53(4):471-479.   Published online February 5, 2020
DOI: https://doi.org/10.5946/ce.2019.108
AbstractAbstract PDFPubReaderePub
Background
/Aims: Endoscopic ultrasound (EUS)-guided fine-needle aspiration is very effective for providing specimens for cytological evaluation. However, the ability to provide sufficient tissue for histological evaluation has been challenging due to the technical limitations of dedicated core biopsy needles. Recently, a modified EUS needle has been introduced to obtain tissue core samples for histological analysis. We aimed to determine (1) its ability to obtain specimens for histological assessment and (2) the diagnostic accuracy of EUS-guided fine-needle biopsy (EUS-FNB) using this needle.
Methods
We retrospectively analyzed consecutive cases of FNB using modified EUS needles for 342 lesions in 303 patients. The cytology and histological specimens were analyzed. Diagnostic accuracy was calculated.
Results
Adequate cytological and histological assessment was possible in 293/342 (86%) and 264/342 (77%) lesions, respectively. Diagnostic accuracy of the cytological specimen was 294/342 (86%) versus 254/342 (74%) for the histological specimen (p<0.01). Diagnostic accuracy of the combined cytological and histological assessment was 323/342 (94.4%), which was significantly higher than that of both histology alone (p<0.001) and cytology alone (p=0.001).
Conclusions
EUS-FNB with the modified EUS needle provided histologic tissue cores in the majority of cases and achieved excellent diagnostic accuracy with few needle passes.

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  • Effect of wet-heparinized suction on the quality of mediastinal solid tumor specimens obtained by endoscopic ultrasound-guided fine-needle aspiration: a retrospective study from a single center
    Bo Xu, Qian Lu, Rong Fang, Xiaojuan Dai, Haiyan Xu, Xiangwu Ding, Huawei Gui
    BMC Gastroenterology.2023;[Epub]     CrossRef
  • Randomized controlled trial comparing the Franseen needle with the Fork-tip needle for EUS-guided fine-needle biopsy
    Munish Ashat, Jagpal S. Klair, Sydney L. Rooney, Sagar J. Vishal, Chris Jensen, Nadav Sahar, Arvind R. Murali, Rami El-Abiad, Henning Gerke
    Gastrointestinal Endoscopy.2021; 93(1): 140.     CrossRef
  • 4,587 View
  • 112 Download
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Efficacy and Safety of Lumen-Apposing Stents for Management of Pancreatic Fluid Collections in a Community Hospital Setting
Rajat Garg, Abdelkader Chaar, Susan Szpunar, Babu P. Mohan, Mohammed Barawi
Clin Endosc 2020;53(4):480-486.   Published online October 16, 2019
DOI: https://doi.org/10.5946/ce.2019.116
AbstractAbstract PDFPubReaderePub
Background
/Aims: Endoscopic ultrasound-guided transmural drainage and necrosectomy employing lumen-apposing metal stent (LAMS) are used for treating pancreatic fluid collections (PFCs) with excellent results from academic centers. Herein, we report the efficacy and safety of LAMS in the treatment of PFCs at a community hospital.
Methods
We retrospectively reviewed the etiology of pancreatitis, type and size of PFCs, length of procedure, technical success, clinical success, adverse events, and stent removal. The primary outcome was the rate of clinical success, and secondary outcomes were technical success and adverse events.
Results
Twenty-seven patients with a mean age of 54.1±6.5 years were included, 44% of which were men. The mean size of the PFCs was 9.7±5.0 cm (range, 3–21). The most common etiology of pancreatitis was alcohol (44%) followed by idiopathic causes (30%) and presence of gallstones (22%). The diagnosis was pseudocyst in 44.4% (12/27) and walled off necrosis in 55.6% (15/27) of patients. There was 100% technical success without any complications. Clinical success was achieved in 22 of 27 patients (81.5%) who underwent stent removal.
Conclusions
Our study is the first to report that endoscopic therapy of PFCs using LAMS is safe and effective even in a community hospital setting with limited resources and support compared to large academic centers.

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    Rongmin Xu, Kai Zhang, Nan Ge, Siyu Sun
    Frontiers in Medicine.2024;[Epub]     CrossRef
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    Giacomo Emanuele Maria Rizzo, Ilaria Tarantino
    Clinical Endoscopy.2023; 56(1): 129.     CrossRef
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    Elia Armellini, Flavio Metelli, Andrea Anderloni, Anna Cominardi, Giovanni Aragona, Michele Marini, Fabio Pace
    World Journal of Gastroenterology.2023; 29(21): 3341.     CrossRef
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    Carlo Fabbri, Chiara Coluccio, Cecilia Binda, Alessandro Fugazza, Andrea Anderloni, Ilaria Tarantino, NA i-EUS Group
    Endoscopic Ultrasound.2022; 11(1): 59.     CrossRef
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    Hussam I. A. Alzeerelhouseini, Muawiyah Elqadi, Mohammad N. Elqadi, Sadi A. Abukhalaf, Hazem A. Ashhab, Yoshifumi Nakayama
    Case Reports in Gastrointestinal Medicine.2021; 2021: 1.     CrossRef
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    Gwang Ha Kim, Kwang An Kwon, Do Hyun Park, Jimin Han
    Clinical Endoscopy.2021; 54(5): 633.     CrossRef
  • Comparative outcomes of endoscopic ultrasound‐guided lumen‐apposing mental stents drainage for pancreatic pseudocysts and walled‐off necrosis: Case series and meta‐analysis
    Jing Li, Qian Zhang, Anni Zhou, Guiping Zhao, Peng Li
    Chronic Diseases and Translational Medicine.2021; 7(3): 157.     CrossRef
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    Kazuki Takeishi, Toru Ikegami, Tomoharu Yoshizumi, Nao Fujimori, Masaki Mori
    Liver Transplantation.2020; 26(5): 727.     CrossRef
  • Safety and efficacy of lumen-apposing metal stents versus plastic stents to treat walled-off pancreatic necrosis: systematic review and meta-analysis
    Vinay Chandrasekhara, Marc Barthet, Jacques Devière, Fateh Bazerbachi, Sundeep Lakhtakia, Jeffrey J. Easler, Joyce A. Peetermans, Edmund McMullen, Ornela Gjata, Margaret L. Gourlay, Barham K. Abu Dayyeh
    Endoscopy International Open.2020; 08(11): E1639.     CrossRef
  • 10,158 View
  • 198 Download
  • 8 Web of Science
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Case Reports
Endoscopic Submucosal Dissection of a Colonic Calcifying Fibrous Tumor
Jaeyoung Kim, Seongyul Ryu, Yeon-Ji Kim
Clin Endosc 2020;53(4):487-490.   Published online January 21, 2020
DOI: https://doi.org/10.5946/ce.2019.138
AbstractAbstract PDFPubReaderePub
A 49-year-old woman was referred to our hospital for further treatment due to the suspicion of a submucosal tumor in a routine screening colonoscopy. On colonoscopy, a 1-cm sized subepithelial mass with normal overlying mucosa in the hepatic flexure was found. Endoscopic ultrasonography (EUS) showed a homogenous hypoechoic lesion arising from the second and third layer. We were unable to make a final diagnosis because the lesion showed a small tumor with atypical macroscopic morphology including EUS findings. Therefore, endoscopic submucosal dissection was performed for the diagnostic treatment of the tumor. Submucosal dissection was performed just above the muscle layer, and the tumor was removed completely and reliably without any acute complications such as perforation. Based on histopathological findings, we diagnosed a benign, calcifying fibrous tumor (CFT). The present case is the first report of successful endoscopic diagnosis and treatment of colonic CFT mimicking a submucosal tumor.

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  • Feasibility of endoscopic resection and impact of endoscopic ultrasound-based surveillance on colorectal subepithelial tumors
    Eun Young Park, Dong Hoon Baek, Seung Min Hong, Bong Eun Lee, Moon Won Lee, Gwang Ha Kim, Geun Am Song
    Surgical Endoscopy.2023; 37(9): 6867.     CrossRef
  • Submucosal Necrotic Nodule of the Colon: An Enigmatic Entity Potentially Related to Anisakis Infection
    Raul S. Gonzalez, Laura G. Pastrián, Sergey Pyatibrat, Hernan Dario Quiceno Arias, Yolanda Rodriguez Gil, Adam L. Booth, Itziar de la Peña Navarro, Maddi Garmendia-Irizar, Jennifer R. Lapointe, Mousa Mobarki, Luiz Miguel Nova-Camacho, Gina Parini, Estefan
    Archives of Pathology & Laboratory Medicine.2023; 147(11): 1315.     CrossRef
  • 4,126 View
  • 95 Download
  • 2 Web of Science
  • 2 Crossref
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Endoscopic Self-Expandable Metal Stent Placement for Malignant Afferent Loop Obstruction After Pancreaticoduodenectomy: A Case Series and Review
Arata Sakai, Hideyuki Shiomi, Takao Iemoto, Ryota Nakano, Takuya Ikegawa, Takashi Kobayashi, Atsuhiro Masuda, Yuzo Kodama
Clin Endosc 2020;53(4):491-496.   Published online March 3, 2020
DOI: https://doi.org/10.5946/ce.2019.145
AbstractAbstract PDFPubReaderePub
In this study, we assessed a series of our cases in which endoscopic self-expandable metal stents (SEMSs) were used to treat malignant afferent loop obstruction (ALO) that arose after pancreaticoduodenectomy (PD). We retrospectively examined the records of 7 patients who underwent endoscopic SEMS placement for malignant ALO following PD. Clinical success was achieved in all cases. The median procedure time was 30 min (range, 15–50 min). There were no cases of stent occlusion, and no procedure-related adverse events were encountered. All patients died of their primary disease, and the median overall survival period was 155 days (range, 96–374 days). A re-intervention involving endoscopic ultrasound-guided hepaticogastrostomy combined with antegrade stenting was performed for obstructive jaundice and acute cholangitis in 1 case. In conclusion, endoscopic SEMS placement may be an effective and safe treatment for malignant ALO that arises after PD.

Citations

Citations to this article as recorded by  
  • Efficacy of endoscopic ultrasound‐guided gastroenterostomy using self‐expandable metallic stent for afferent loop syndrome: A single‐center retrospective study
    Yuya Hagiwara, Susumu Hijioka, Yoshikuni Nagashio, Yuta Maruki, Akihiro Ohba, Yuki Kawasaki, Kotaro Takeshita, Tetsuro Takasaki, Daiki Agarie, Hidenobu Hara, Shin Yagi, Soma Fukuda, Masaru Kuwada, Daiki Yamashige, Kohei Okamoto, Mark Chatto, Shunsuke Kond
    Journal of Gastroenterology and Hepatology.2024;[Epub]     CrossRef
  • The Role of Endoscopic Management in Afferent Loop Syndrome
    Clement Chun Ho Wu, Elizabeth Brindise, Rami El Abiad, Mouen A. Khashab
    Gut and Liver.2023; 17(3): 351.     CrossRef
  • Early and late effects of endoscopic interventions in patients with malignant afferent loop syndrome: A single‐center experience and literature review
    Kenjiro Yamamoto, Takao Itoi, Yukitoshi Matsunami, Atsushi Sofuni, Takayoshi Tsuchiya, Shuntaro Mukai, Hiroyuki Kojima, Hirohito Minami, Ryosuke Nakatsubo, Ryosuke Tonozuka
    Journal of Hepato-Biliary-Pancreatic Sciences.2023;[Epub]     CrossRef
  • Simultaneous stent placement for biliary and afferent loop obstruction due to tumor recurrence after pancreatoduodenectomy
    Tatsunori Satoh, Hirotoshi Ishiwatari, Kazuma Ishikawa, Hidenori Kimura, Hiroyuki Matsubayashi, Hiroyuki Ono
    Endoscopy.2022; 54(09): E524.     CrossRef
  • Extra-anatomic percutaneous stenting of a malignant afferent loop obstruction following pancreaticoduodenectomy
    Stefan Lam, Sarah Khan, Robert Hutchins, Tim Fotheringham
    International Journal of Gastrointestinal Intervention.2022; 11(2): 77.     CrossRef
  • Endoscopic Transluminal Stent Placement for Malignant Afferent Loop Obstruction
    Chinatsu Yonekura, Takashi Sasaki, Takafumi Mie, Takeshi Okamoto, Tsuyoshi Takeda, Takaaki Furukawa, Yuto Yamada, Akiyoshi Kasuga, Masato Matsuyama, Masato Ozaka, Naoki Sasahira
    Journal of Clinical Medicine.2022; 11(21): 6357.     CrossRef
  • Clinical management for malignant afferent loop obstruction
    Arata Sakai, Hideyuki Shiomi, Atsuhiro Masuda, Takashi Kobayashi, Yasutaka Yamada, Yuzo Kodama
    World Journal of Gastrointestinal Oncology.2021; 13(7): 684.     CrossRef
  • Clinical management for malignant afferent loop obstruction
    Arata Sakai, Hideyuki Shiomi, Atsuhiro Masuda, Takashi Kobayashi, Yasutaka Yamada, Yuzo Kodama
    World Journal of Gastrointestinal Oncology.2021; 13(7): 509.     CrossRef
  • Endoscopic Ultrasound-Guided Gastroenterostomy for Afferent Loop Syndrome
    Hideyuki Shiomi, Arata Sakai, Ryota Nakano, Shogo Ota, Takashi Kobayashi, Atsuhiro Masuda, Hiroko Iijima
    Clinical Endoscopy.2021; 54(6): 810.     CrossRef
  • Percutaneous- and EUS-guided gastroenterostomy for malignant afferent limb syndrome
    Dayyan Adoor, Zachary L. Smith
    VideoGIE.2020; 5(11): 542.     CrossRef
  • 4,513 View
  • 99 Download
  • 8 Web of Science
  • 10 Crossref
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Brief Report
Effectiveness of Underwater Endoscopic Submucosal Dissection for a Superficial Cervical Esophageal Cancer
Sho Sasaki, Jun Nishikawa, Kazuhiro Yamamoto, Isao Sakaida
Clin Endosc 2020;53(4):497-498.   Published online April 28, 2020
DOI: https://doi.org/10.5946/ce.2020.031
PDFPubReaderePub
  • 3,845 View
  • 122 Download
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Rare Cause of a Colonic Laterally Spreading Tumor
Sung Min Lee, Dong Hae Chung, Kwang An Kwon
Clin Endosc 2020;53(4):499-501.   Published online July 30, 2020
DOI: https://doi.org/10.5946/ce.2020.197
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  • 85 Download
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