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Volume 46(2); March 2013
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Commentarys
Endoscopically Diagnosed Gastric Cancers: Looking Alike, but Behave Differently
Won Hee Kim, Ki Baik Hahm
Clin Endosc 2013;46(2):111-112.   Published online March 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.2.111
PDFPubReaderePub
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  • 35 Download
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Clinical Usefulness of Magnifying Chromoendoscopy and Magnifying Narrow Band Imaging Endoscopy for Predicting the Submucosal Invasion of Early Colorectal Cancers
Kwang An Kwon, Yang Suh Ku
Clin Endosc 2013;46(2):113-115.   Published online March 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.2.113
PDFPubReaderePub

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  • Long‐term outcomes of endoscopic submucosal dissection and transanal endoscopic microsurgery for the treatment of rectal tumors
    Cintia Mayumi Sakurai Kimura, Fabio Shiguehissa Kawaguti, Caio Sergio Rizkallah Nahas, Carlos Frederico Sparapan Marques, Vanderlei Segatelli, Bruno Costa Martins, Gustavo Andrade de Paulo, Ivan Cecconello, Ulysses Ribeiro‐Junior, Sergio Carlos Nahas, Fau
    Journal of Gastroenterology and Hepatology.2021; 36(6): 1634.     CrossRef
  • 4,593 View
  • 61 Download
  • 1 Crossref
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Endoscopic Ultrasound Elastography for Pancreatic Cancer Diagnosis: A Step Forward?
Woo Jin Lee
Clin Endosc 2013;46(2):116-117.   Published online March 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.2.116
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Citations

Citations to this article as recorded by  
  • Differentiation of Pancreatic Masses via Endoscopic Ultrasound Strain Ratio Elastography Using Adjacent Pancreatic Tissue as the Reference
    Nadan Rustemović, Mirjana Kalauz, Katja Grubelić Ravić, Hrvoje Iveković, Branko Bilić, Zvonimir Ostojić, Dalibor Opačić, Iva Ledinsky, Matea Majerović, Ana Višnjić
    Pancreas.2017; 46(3): 347.     CrossRef
  • Diagnostic efficacy of quantitative endoscopic ultrasound elastography for differentiating pancreatic disease
    Su Young Kim, Jae Hee Cho, Yoon Jae Kim, Eui Joo Kim, Ji Young Park, Tae Joo Jeon, Yeon Suk Kim
    Journal of Gastroenterology and Hepatology.2017; 32(5): 1115.     CrossRef
  • 4,088 View
  • 30 Download
  • 2 Crossref
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Focused Review Series: Optical Diagnosis and New Management Strategys of Colorectal Polyps
Introduction: What Are New Roles of Current Colonoscopy?
Hyung Wook Kim
Clin Endosc 2013;46(2):118-119.   Published online March 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.2.118
AbstractAbstract PDFPubReaderePub

The recent advances in endoscopic imaging technologies make great changes in the management of colorectal polyps. These changes include optical histologic diagnosis with high definition colonscopy, new management strategies such as resect and discard or do not resect, and differentiation of depth of submucosal invasion. In this focused review series, these new paradigms in management of colorectal polyps are discussed by three, world famous authors. First, Amit Rastogi explained optical diagnosis of small colorectal polyp with high definition colonoscopy using narrow band imaging. Second, Cesare Hassan explained new paradigms for colonoscopic management of diminutive colorectal polyps: resect and discard or do not resect. In the last, Shinji Tanaka described, in detail, endoscopic assessment of invasive colorectal cancer: slight vs. deep submucosal invasion. These focused review series introduce the new roles of current colonoscopy to readers and will help the readers to know how to use the new imaging technologies and paradigms in clinical practices.

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  • Protein-Based Nanoplatform for Detection of Tumorigenic Polyps in the Colon Via Noninvasive Mucosal Routes
    Chun-Chieh Chen, Mo A Baikoghli, R Holland Cheng
    Pharmaceutical Patent Analyst.2021; 10(1): 13.     CrossRef
  • 4,458 View
  • 31 Download
  • 1 Crossref
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Optical Diagnosis of Small Colorectal Polyp Histology with High-Definition Colonoscopy Using Narrow Band Imaging
Amit Rastogi
Clin Endosc 2013;46(2):120-129.   Published online March 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.2.120
AbstractAbstract PDFPubReaderePub

Optical diagnosis of polyp histology can potentially result in enormous cost savings by way of the "resect and discard" strategy for diminutive polyps and the "do not resect" strategy for diminutive hyperplastic polyps in the distal colon. Narrow Band Imaging (NBI) highlights the surface mucosal and vascular pattern on polyps and has been shown to accurately characterize adenomatous and hyperplastic polyps by experts. However, the results have been a little discouraging amongst lesser experienced endoscopists. Studies have also shown that using the NBI diagnosis of diminutive polyp histology, experts can accurately define the future surveillance colonoscopy intervals. However nonexperts in academic or community setting have as yet failed to achieve the recommended thresholds. The subjectivity in assessment by endoscopists leads to the variable accuracy rates and can be circumvented by computer based automated tools. Although initial experience with a few computer based algorithms have shown accuracies comparable to experts, further refinement and validation will be required before these can be implemented in clinical practice. Incorporation of optical diagnosis of diminutive polyps into clinical practice is bound to face several hurdles. But the potential for enormous cost saving makes it an attractive strategy that can make colonoscopy more cost effective.

Citations

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  • Solutions for submucosal injection: What to choose and how to do it
    Rui Castro, Diogo Libânio, Inês Pita, Mário Dinis-Ribeiro
    World Journal of Gastroenterology.2019; 25(7): 777.     CrossRef
  • Optical Diagnosis of Colorectal Cancer
    红梅 于
    Medical Diagnosis.2019; 09(02): 52.     CrossRef
  • Randomized Controlled Trial of Self-directed Versus In-Classroom Education of Narrow Band Imaging in Diagnosing Colorectal Polyps Using the NICE Criteria
    James E. Allen, Prashanth Vennalaganti, Neil Gupta, Benjamin Hornung, Abhishek Choudhary, Mohammad Titi, Benjamin R. Alsop, Diego Lim, Prateek Sharma
    Journal of Clinical Gastroenterology.2018; 52(5): 413.     CrossRef
  • Correlation between microvascular characteristics and the expression of MVD, IGF-1 and STAT3 in the development of colonic polyps carcinogenesis
    Hong Liu, Jing Wu, Xiang-Chun Liu, Nan Wei, Kui-Liang Liu, Yan-Hui Ma, Hong Chang, Quan Zhou
    Experimental and Therapeutic Medicine.2017; 13(1): 49.     CrossRef
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    Nadim Mahmud, Jonah Cohen, Kleovoulos Tsourides, Tyler M. Berzin
    Gastroenterology Report.2015; 3(3): 179.     CrossRef
  • New Paradigms in Polypectomy
    Ana Ignjatovic Wilson, Brian P. Saunders
    Gastrointestinal Endoscopy Clinics of North America.2015; 25(2): 287.     CrossRef
  • Optical diagnosis of small colorectal polyps during colonoscopy: When to resect and discard?
    Ana Wilson
    Best Practice & Research Clinical Gastroenterology.2015; 29(4): 639.     CrossRef
  • Tools for Polyp Histology Prediction
    Shreyas Saligram, Amit Rastogi
    Gastrointestinal Endoscopy Clinics of North America.2015; 25(2): 261.     CrossRef
  • Advances in the removal of diminutive colorectal polyps
    Silvia Paggi, Franco Radaelli, Alessandro Repici, Cesare Hassan
    Expert Review of Gastroenterology & Hepatology.2015; 9(2): 237.     CrossRef
  • Comparison of Narrow Band Imaging and Fujinon Intelligent Color Enhancement in Predicting Small Colorectal Polyp Histology
    Hae Yeon Kang, Young Sun Kim, Seung Joo Kang, Goh Eun Chung, Ji Hyun Song, Sun Young Yang, Seon Hee Lim, Donghee Kim, Joo Sung Kim
    Digestive Diseases and Sciences.2015; 60(9): 2777.     CrossRef
  • Advanced colonoscopic imaging using endocytoscopy
    Helmut Neumann, Shin‐Ei Kudo, Ralf Kiesslich, Markus F. Neurath
    Digestive Endoscopy.2015; 27(2): 232.     CrossRef
  • Small Colorectal Polyps
    Rainer Schoefl, Alexander Ziachehabi, Friedrich Wewalka
    Digestive Diseases.2015; 33(1): 38.     CrossRef
  • Diminutive and Small Colorectal Polyps: The Pathologist's Perspective
    Yun Kyung Kang
    Clinical Endoscopy.2014; 47(5): 404.     CrossRef
  • Highlights of the 48th Seminar of Korean Society of Gastrointestinal Endoscopy
    Kwang An Kwon, Il Ju Choi, Eun Young Kim, Seok Ho Dong, Ki Baik Hahm
    Clinical Endoscopy.2013; 46(3): 203.     CrossRef
  • 12,084 View
  • 114 Download
  • 14 Crossref
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New Paradigms for Colonoscopic Management of Diminutive Colorectal Polyps: Predict, Resect, and Discard or Do Not Resect?
Cesare Hassan, Alessandro Repici, Angelo Zullo, Prateek Sharma
Clin Endosc 2013;46(2):130-137.   Published online March 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.2.130
AbstractAbstract PDFPubReaderePub

The possibility to predict in vivo the histology of colorectal polyps by advanced endoscopic imaging has resulted in the implementation of a more conservative management for diminutive lesions detected at colonoscopy. In detail, a predict-and-do-not-resect strategy has been proposed for diminutive lesions located in the rectosigmoid tract, whilst a predict-resect-and-discard policy has been advocated for nonrectosigmoid diminutive polyps. Recently, the American Society for Gastrointestinal Endoscopy set required thresholds to be met, before allowing the adoption of these policies in the clinical field. The ability of current endoscopic imaging in reaching these thresholds would depend on a complex interaction among the accuracy of advanced endoscopic imaging in differentiating between adenomatous and hyperplastic lesions, the prevalence of (advanced) neoplasia within diminutive lesions, and the type of surveillance intervals recommended. Aim of this review is to summarize the data supporting the application of both a predict-and-do-not-resect and a predict-resect-and-discard policies, also addressing the potential pitfalls associated with these strategies.

Citations

Citations to this article as recorded by  
  • Pit pattern analysis of colorectal polyps using Storz professional image enhancement system (SPIES) endoscopy: A pilot study
    Emeka Ray-Offor, FatimahBiade Abdulkareem, NzeJ Jebbin
    Journal of West African College of Surgeons.2022; 12(2): 17.     CrossRef
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    Nurhan DEMİR
    Artuklu International Journal of Health Sciences.2022; 2(3): 20.     CrossRef
  • POLYP AND ADENOMA DETECTION RATE AND EVALUATION OF DIFFERENT POLYP RETRIEVAL METHODS IN PATIENTS UNDERGOING COLONOSCOPY IN KURDISTAN CENTER FOR GASTROENTEROLOGY AND HEPATOLOGY/SULAIMANI CITY (KCGH)
    Sarkawt Ameen, Muhsin Mohammed, Mohammed Alshaikhani, Mohammed Mohammed, Taha Al-Karbuly, Dana Gharib, Araz Latif
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    Satoshi Shinozaki, Yasutoshi Kobayashi, Yoshikazu Hayashi, Hirotsugu Sakamoto, Alan Kawarai Lefor, Hironori Yamamoto
    Digestive Endoscopy.2018; 30(5): 592.     CrossRef
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    Lei Zhou, Heng Zhang, Shengbin Sun, Manling Huang, Jing Liu, Dan Xu, Min Song, Chenming Sun, Hui Li, Dan Zheng, Yan Fan, Yusheng Liao, Ping Wang, Jie Wu
    Molecular and Clinical Oncology.2017; 7(1): 81.     CrossRef
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    Mauricio Alberto Melo-Peñaloza
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    Diac Andreea Raluca, Brusnic Olga, Gabos Gabriella, Onisor Danusia, Drasoveanu Silvia Cosmina, Boeriu Alina, Dobru Daniela Ecaterina
    Acta Medica Marisiensis.2015; 61(3): 161.     CrossRef
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    Carlos Fernandes, Rolando Pinho, Iolanda Ribeiro, Joana Silva, Ana Ponte, João Carvalho
    United European Gastroenterology Journal.2015; 3(4): 387.     CrossRef
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    Prashant Sharma, John Frye, Frank Frizelle
    ANZ Journal of Surgery.2014; 84(5): 365.     CrossRef
  • 7,321 View
  • 67 Download
  • 10 Crossref
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Endoscopic Assessment of Colorectal Cancer with Superficial or Deep Submucosal Invasion Using Magnifying Colonoscopy
Shinji Tanaka, Nana Hayashi, Shiro Oka, Kazuaki Chayama
Clin Endosc 2013;46(2):138-146.   Published online March 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.2.138
AbstractAbstract PDFPubReaderePub

Among early colorectal carcinoma, endoscopic treatment is generally indicative for cases with intramucosal to submucosal (SM) superficial invasion, because cases with SM deep invasion should be treated surgically due to the risk of lymph node metastasis. It is important, therefore, to distinguish between superficial and deep SM invasion in early colorectal carcinoma prior to treatment. In this review we assessed the clinical usefulness and knack of pit pattern and narrow band imaging (NBI) diagnosis using magnifying observation. VN type pit pattern, type C3 in NBI Hiroshima classification and NBI type 3 in NBI international colorectal endoscopic (NICE) classification are useful predictors of SM deep invasion. In NBI magnifying observation evaluation of both the vascular pattern and surface pattern are important. We have to use pit pattern diagnosis and NBI magnifying diagnosis as the situation demands with the knowledge of both advantage and disadvantage in each diagnostic method.

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    Nabeel Ahmed, Robert Bechara
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  • 13,714 View
  • 325 Download
  • 27 Crossref
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Review
Guidelines for Bowel Preparation before Video Capsule Endoscopy
Hyun Joo Song, Jeong Seop Moon, Jae Hyuk Do, In Hye Cha, Chang Hun Yang, Myung-Gyu Choi, Yoon Tae Jeen, Hyun Jung Kim
Clin Endosc 2013;46(2):147-154.   Published online March 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.2.147
AbstractAbstract PDFPubReaderePub

The preparation for video capsule endoscopy (VCE) of the bowel suggested by manufacturers of capsule endoscopy systems consists only of a clear liquid diet and an 8-hour fast. While there is evidence for a benefit from bowel preparation for VCE, so far there is no domestic consensus on the preparation regimen in Korea. Therefore, we performed this study to recommend guidelines for bowel preparation before VCE. The guidelines on VCE were developed by the Korean Gut Image Study Group, part of the Korean Society of Gastrointestinal Endoscopy. Four key questions were selected. According to our guidelines, bowel preparation with polyethylene glycol (PEG) solution enhances small bowel visualization quality (SBVQ) and diagnostic yield (DY), but it has no effect on cecal completion rate (CR). Bowel preparation with 2 L of PEG solution is similar to that with 4 L of PEG in terms of the SBVQ, DY, and CR of VCE. Bowel preparation with fasting or PEG solution combined with simethicone enhances the SBVQ, but it does not affect the CR of VCE. Bowel preparation with prokinetics does not enhance the SBVQ, DY, or CR of VCE.

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    Hyun Joo Song
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Original Articles
Early Gastric Cancer-Like Advanced Gastric Cancer versus Advanced Gastric Cancer-Like Early Gastric Cancer
Hyun Sik Park, Sun-Young Lee, Sung Noh Hong, Jeong Hwan Kim, In-Kyung Sung, Hyung Seok Park, Chan Sup Shim, Choon Jo Jin
Clin Endosc 2013;46(2):155-160.   Published online March 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.2.155
AbstractAbstract PDFPubReaderePub
Background/Aims

Improvements in the endoscopic evaluation and management of gastric cancer have made it possible to determine the depth of invasion during endoscopic examination. The aim of this study was to elucidate the differences between early gastric cancer (EGC) that resembles advanced gastric cancer (AGC) and AGC that resembles EGC.

Methods

We retrieved cases of EGC-like AGC and AGC-like EGC from consecutive gastric cancers that had been completely resected. The endoscopic diagnoses and clinicopathological findings were analyzed.

Results

AGC-like EGCs were located mainly in the distal part of the stomach, whereas EGC-like AGCs were located mainly in the proximal part of the stomach (p<0.001). Sixty percent of AGC-like EGCs were moderately differentiated adenocarcinomas, while 64% of EGC-like AGCs were poorly differentiated adenocarcinomas (p=0.015). According to Lauren's classification, 68% of AGC-like EGCs were intestinal type, whereas 71% of EGC-like AGCs were diffuse type (p=0.020).

Conclusions

AGC-like EGCs predominate in the distal part of the stomach, while EGC-like AGCs predominate in the proximal part. When evaluating the depth of a gastric cancer, care should be taken not to underestimate measurements in proximal gastric cancers since they tend to be poorly-differentiated adenocarcinomas, in Lauren's diffuse type, and invade deeper than their endoscopic appearance might suggest.

Citations

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Peroral Endoscopic Myotomy for Treatment of Achalasia: Initial Results of a Korean Study
Byung Hoo Lee, Kwang Yeun Shim, Su Jin Hong, Gene Hyun Bok, Jun-Hyung Cho, Tae Hee Lee, Joo Young Cho
Clin Endosc 2013;46(2):161-167.   Published online March 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.2.161
AbstractAbstract PDFPubReaderePub
Background/Aims

Achalasia is a rare esophageal motility disorder. Recently, a novel endoscopic technique, peroral endoscopic myotomy (POEM), was introduced as an alternative treatment for achalasia. We report the results and short term outcomes of POEM for patients with achalasia.

Methods

POEM was performed in 13 patients with achalasia. The procedure consisted of creating a submucosal tunnel followed by endoscopic myotomy of circular muscle bundles. The mucosal entry was closed by conventional hemostatic clips. A validated clinical symptom score (Eckardt score) and high resolution manometry were used to evaluate the outcomes.

Results

Both the clinical score of achalasia, as well as the resting lower esophageal sphincter (LES) pressure, were significantly reduced after POEM. Mean posttreatment Eckardt score was 0.4±0.7, compared to 6.4±1.9 prior to the treatment (p=0.001). The mean pretreatment and posttreatment LES pressure was 30.3 and 15.3 mm Hg, respectively (p=0.007). Following POEM, symptomatic relief from dysphagia without reflux symptoms was observed in all patients (13/13). No serious complications related to POEM were encountered.

Conclusions

Based upon our initial experience, the authors believe that POEM is a feasible, safe, and effective treatment and may possibly substitute established treatments of refractory achalasia.

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    Clinical Endoscopy.2013; 46(5): 425.     CrossRef
  • Perorale endoskopische Myotomie zur Therapie der Achalasie
    B.H.A. von Rahden, J. Filser, S. Reimer, H. Inoue, C.-T. Germer
    Der Chirurg.2013;[Epub]     CrossRef
  • 10,913 View
  • 75 Download
  • 52 Crossref
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Diagnostic Accuracy and Interobserver Agreement in Predicting the Submucosal Invasion of Colorectal Tumors Using Gross Findings, Pit Patterns, and Microvasculatures
Hye Jung Choi, Bo-In Lee, Hwang Choi, Kyu Yong Choi, Sang-Woo Kim, Joo Yong Song, Jeong Seon Ji, Byung-Wook Kim
Clin Endosc 2013;46(2):168-171.   Published online March 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.2.168
AbstractAbstract PDFPubReaderePub
Background/Aims

Depth of invasion is one of the most important factors for establishing treatment strategy for colorectal tumors.

Methods

Three blinded experts reviewed electronic photos and video clips of 33 early colorectal cancer-like lesions. They estimated the depth of invasion based on conventional white light endoscopy (CWE), magnifying chromoendoscopy (MCE), and magnifying narrow band imaging endoscopy (MNE).

Results

The lesions included nine mucosal low-grade neoplasias, 16 mucosal high grade neoplasias, and eight carcinomas with invasion to the submucosal layer or beyond. The diagnostic accuracy for submucosal invasion by CWE ranged from 67% to 82%, while those by MCE and MNE ranged from 85% to 88% and 85% to 88%, respectively. The diagnostic accuracy significantly differed between CWE and MCE (p=0.034) and between CWE and MNE (p=0.039). The kappa values for CWE, MCE, and MNE among the endoscopists were 0.564, 0.673, and 0.673, respectively.

Conclusions

The estimation of submucosal invasion for early colorectal cancer-like lesions based on MCE or MNE is more accurate than CWE. MCE and MNE were demonstrated to have substantial agreement for predicting submucosal invasion.

Citations

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  • Estimation of Invasion Depth: The First Key to Successful Colorectal ESD
    Bo-In Lee, Takahisa Matsuda
    Clinical Endoscopy.2019; 52(2): 100.     CrossRef
  • Comparison of endoscopic ultrasonography and magnifying endoscopy for assessment of the invasion depth of shallow gastrointestinal neoplasms: a systematic review and meta-analysis
    Zhang Tao, Chen Yan, He Zhao, Jiawei Tsauo, Xiaowu Zhang, Bing Qiu, Yanqing Zhao, Xiao Li
    Surgical Endoscopy.2017; 31(12): 4923.     CrossRef
  • Use of confocal laser endomicroscopy with a fluorescently labeled fatty acid to diagnose colorectal neoplasms
    Feihong Deng, Yuan Fang, Zhiyong Shen, Wei Gong, Tao Liu, Jing Wen, Wanling Zhang, Xianjun Zhu, Hui Zhong, Tong Wang, Fachao Zhi, Biao Nie
    Oncotarget.2017; 8(35): 58934.     CrossRef
  • Higher net change of index of hemoglobin values between colon polyp and nonpolyp mucosa correlates with the presence of an advanced colon adenoma
    Wei‐Chun Cheng, Hsiu‐Chi Cheng, Po‐Jun Chen, Jui‐Wen Kang, Er‐Hsiang Yang, Bor‐Shyang Sheu, Wei‐Ying Chen
    Advances in Digestive Medicine.2016; 3(4): 161.     CrossRef
  • Brief Education on Microvasculature and Pit Pattern for Trainees Significantly Improves Estimation of the Invasion Depth of Colorectal Tumors
    Joon Sung Kim, Bo-In Lee, Hwang Choi, Bong Koo Kang, Jong In Kim, Hae Mi Lee, Eun-Joo Im, Byung-Wook Kim, Sang-Woo Kim, Myung-Gyu Choi, Kyu Yong Choi
    Gastroenterology Research and Practice.2014; 2014: 1.     CrossRef
  • Clinical Usefulness of Magnifying Chromoendoscopy and Magnifying Narrow Band Imaging Endoscopy for Predicting the Submucosal Invasion of Early Colorectal Cancers
    Kwang An Kwon, Yang Suh Ku
    Clinical Endoscopy.2013; 46(2): 113.     CrossRef
  • 7,250 View
  • 44 Download
  • 6 Crossref
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Endoscopic Ultrasound Elastography for the Pancreas in Korea: A Preliminary Single Center Study
Tae Hee Lee, Young Deok Cho, Sang-Woo Cha, Joo Young Cho, Jae Young Jang, Soung Won Jeong, Hyun Jong Choi, Jong Ho Moon
Clin Endosc 2013;46(2):172-177.   Published online March 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.2.172
AbstractAbstract PDFPubReaderePub
Background/Aims

Endoscopic ultrasound elastography (EUS-EG) has been widely used for the evaluation of pancreatic cancer in the Western world. To date, there is very little experience with EUS-EG in Korea. We described the results of comparison between normal pancreas and pancreatic cancer in Korea.

Methods

The present study was performed at a tertiary hospital on 35 subjects comprising 20 with normal pancreas (control group) and 15 with pancreatic cancer (disease group). We compared the EUS-EG performance of the two groups.

Results

The pancreas in the control group showed a mean elasticity value of 0.53% (95% confidence interval [CI], 0.45 to 0.61). The elasticity value was higher than that previously reported from Western country (0.47%; 95% CI, 0.38 to 0.57). In the disease group, the mean elasticity value of pancreatic lesions was 0.02% (95% CI, 0.01 to 0.02). The mean elasticity value of the disease group was significantly lower than that of the control group (p<0.0001).

Conclusions

EUS-EG could be a highly sensitive diagnostic modality for pancreatic cancer in Korea with little EUS-EG experience. We also provided the reference range of elasticity value of normal pancreas, which might be valuable in the interpretation of pancreatic elasticity data for Korean adults.

Citations

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  • Present status of ultrasound elastography for the diagnosis of pancreatic tumors: review of the literature
    Takamichi KUWAHARA, Kazuo HARA, Nobumasa MIZUNO, Shin HABA, Nozomi OKUNO
    Choonpa Igaku.2022; 49(3): 275.     CrossRef
  • Recent Advances in Endosonography—Elastography: Literature Review
    Akira Yamamiya, Atsushi Irisawa, Koki Hoshi, Akane Yamabe, Naoya Izawa, Kazunori Nagashima, Takahito Minaguchi, Masamichi Yamaura, Yoshitsugu Yoshida, Ken Kashima, Yasuhito Kunogi, Fumi Sakuma, Keiichi Tominaga, Makoto Iijima, Kenichi Goda
    Journal of Clinical Medicine.2021; 10(16): 3739.     CrossRef
  • Pancreatic cancer in 2021: What you need to know to win
    Valeria Tonini, Manuel Zanni
    World Journal of Gastroenterology.2021; 27(35): 5851.     CrossRef
  • Endoscopic ultrasonography elastography in the diagnosis of intrapancreatic ectopic spleen: A case report
    Nan Ge, Si-Yu Sun
    World Journal of Clinical Cases.2020; 8(9): 1729.     CrossRef
  • Present status of ultrasound elastography for the diagnosis of pancreatic tumors: review of the literature
    Takamichi Kuwahara, Kazuo Hara, Nobumasa Mizuno, Shin Haba, Nozomi Okuno
    Journal of Medical Ultrasonics.2020; 47(3): 413.     CrossRef
  • Impact of endoscopic ultrasonography on diagnosis of pancreatic cancer
    Masayuki Kitano, Takeichi Yoshida, Masahiro Itonaga, Takashi Tamura, Keiichi Hatamaru, Yasunobu Yamashita
    Journal of Gastroenterology.2019; 54(1): 19.     CrossRef
  • Early Detection of Pancreatic Cancer: Opportunities and Challenges
    Aatur D. Singhi, Eugene J. Koay, Suresh T. Chari, Anirban Maitra
    Gastroenterology.2019; 156(7): 2024.     CrossRef
  • Diagnostic Efficacy of Endoscopic Ultrasound Elastography in Differentiating Solid Pancreatic Lesions: A Single-Center Experience
    Ahmed Youssef Altonbary, Hazem Hakim, Ahmed Mohamed El-Shamy
    Clinical Endoscopy.2019; 52(4): 360.     CrossRef
  • Elastography of the Pancreas, Current View
    Christoph F. Dietrich, Michael Hocke
    Clinical Endoscopy.2019; 52(6): 533.     CrossRef
  • Endoscopic ultrasound elastography in the diagnosis of pancreatic masses: A meta-analysis
    Binglan Zhang, Fuping Zhu, Pan Li, Shishi Yu, Yajing Zhao, Minmin Li
    Pancreatology.2018; 18(7): 833.     CrossRef
  • Endoscopic ultrasound (EUS) elastography and strain ratio, could it help in differentiating malignant from benign pancreatic lesions?
    Hussein Hassan Okasha, Reem Ezzat Mahdy, Shaimaa Elkholy, Mohamed Sayed Hassan, Ahmed Nabil El-Mazny, Kareem Essam Eldin Hadad, Moustafa Saeed, Mohamed El-Nady, Osama Soliman Elbalky, Asem Ashraf, Amr Abo El-Magd, Abeer Awad
    Medicine.2018; 97(36): e11689.     CrossRef
  • Differentiation of Pancreatic Masses via Endoscopic Ultrasound Strain Ratio Elastography Using Adjacent Pancreatic Tissue as the Reference
    Nadan Rustemović, Mirjana Kalauz, Katja Grubelić Ravić, Hrvoje Iveković, Branko Bilić, Zvonimir Ostojić, Dalibor Opačić, Iva Ledinsky, Matea Majerović, Ana Višnjić
    Pancreas.2017; 46(3): 347.     CrossRef
  • Endoscopic ultrasound elastography for solid pancreatic lesions
    Tanyaporn Chantarojanasiri, Pradermchai Kongkam
    World Journal of Gastrointestinal Endoscopy.2017; 9(10): 506.     CrossRef
  • New Imaging Techniques
    Julio Iglesias-García, Jose Lariño-Noia, Juan Enrique Domínguez-Muñoz
    Gastrointestinal Endoscopy Clinics of North America.2017; 27(4): 551.     CrossRef
  • Maximizing the endosonography: The role of contrast harmonics, elastography and confocal endomicroscopy
    Andrada Seicean, Ofelia Mosteanu, Radu Seicean
    World Journal of Gastroenterology.2017; 23(1): 25.     CrossRef
  • Prospective cohort study comparing transient EUS guided elastography to EUS-FNA for the diagnosis of solid pancreatic mass lesions
    J. Mayerle, G. Beyer, P. Simon, E.J. Dickson, R.C. Carter, F. Duthie, M.M. Lerch, C.J. McKay
    Pancreatology.2016; 16(1): 110.     CrossRef
  • Elasticity of the tibial nerve assessed by sonoelastography was reduced before the development of neuropathy and further deterioration associated with the severity of neuropathy in patients with type 2 diabetes
    Fukashi Ishibashi, Miki Taniguchi, Rie Kojima, Asami Kawasaki, Aiko Kosaka, Harumi Uetake
    Journal of Diabetes Investigation.2016; 7(3): 404.     CrossRef
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    Woo Jin Lee
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  • 6,356 View
  • 48 Download
  • 18 Crossref
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Case Reports
A Case of Enteritis Cystica Profunda in the Ampulla of Vater Mimicking Choledochocele
Kyoung Wan You, Sang Wook Park, Geum Soo Lee, Du Jin Kim, Hyeung Cheol Moon, Gun Young Hong
Clin Endosc 2013;46(2):178-181.   Published online March 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.2.178
AbstractAbstract PDFPubReaderePub

Enteritis cystica profunda is a very rare disease in which a mucin-filled cystic space is surrounded partially with nonneoplastic columnar epithelium in the submucosa of the small intestine. Most of the cases are accompanied by intestinal diseases, and the disease usually occurs in the jejunum and the ileum and there has been no report of a case that occurred in the ampulla of Vater. A 58-year-old healthy female patient without any particular symptom visited the hospital to get additional examination for a mass found on the ampulla of Vater by accident. In esophagogastroduodenoscopy, a cystic mass showing a positive pillow sign was found on the ampulla of Vater. Endoscopic retrogradecholangiopancreatography was conducted as choledochocele was suspected, but no abnormality was found in the biliary system. In endoscopic ultrasonography, multiseptated cystic structures were detected in the submucosal layer of the duodenum. The lesion was resected completely through endoscopic snare polypectomy and the case was histologically diagnosed as enteritis cystica profunda.

Citations

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  • Enteritis cystica profunda: Case report and literature review
    Ricardo E. Núñez-Rocha, Felipe Girón, Mario Latiff, Carlos Eduardo Rey, Lina Rodríguez, Juan David Hernández
    International Journal of Surgery Case Reports.2023; 106: 108148.     CrossRef
  • Enteritis cystica profunda with lipoma in the second portion of the duodenum: a case report
    Beom Jin Shim, Seung Keun Park, Hee Ug Park, Tae Young Park
    Journal of Yeungnam Medical Science.2022; 39(1): 72.     CrossRef
  • Ulcerated choledochocele: A case report
    E. Ray-Offor, S.N. Elenwo, P.O. Igwe, C. Ngeribara
    International Journal of Surgery Case Reports.2016; 28: 42.     CrossRef
  • A Case of Enteritis Cystica Profunda Accompanied by a Lipoma in the Duodenal Bulb
    Dae Sung Lee, Hae Ryong Jeong, Jin Ok Kim, Hye Jin Tae, Ho Soon Choi, Hye In Ahn, Seung Sam Paik
    Korean Journal of Medicine.2014; 86(3): 314.     CrossRef
  • 7,961 View
  • 74 Download
  • 4 Crossref
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A Submucosal Tumor-Like Recurrence of Early Esophageal Cancer after Endoscopic Submucosal Dissection
Jeong Cheon Choi, Gwang Ha Kim, Do Youn Park, Hyeog Gyu Seoung, Yong Jae Lee, Ji Hye Kim, Tae Kyun Kim, Hoseok I
Clin Endosc 2013;46(2):182-185.   Published online March 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.2.182
AbstractAbstract PDFPubReaderePub

Early esophageal cancer is defined as a tumor invading the mucosa with or without lymph node or distant organ metastasis. In the current guidelines for early esophageal cancer, absolute indication for endoscopic resection include lesions limited to the epithelium or lamina propria mucosa not exceeding two-thirds of the circumference, and relative indications include lesions limited to the muscularis mucosa or the upper third of the submucosal layer and not accompanied by clinical evidence of lymph node metastasis. After endoscopic submucosal dissection for early esophageal cancer, locally recurrent cancer can occur, especially in the case of incomplete resection. Here, we report a rare case of a submucosal tumor-like recurrence after endoscopic resection of early esophageal cancer.

Citations

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  • Long-Term Outcome after Endoscopic Submucosal Dissection in Patients with Superficial Esophageal Squamous Cell Carcinoma: A Single-Center Study
    Dong Chan Joo, Gwang Ha Kim, Do Youn Park, Joon Hyung Jhi, Geun Am Song
    Gut and Liver.2014; 8(6): 612.     CrossRef
  • 6,075 View
  • 47 Download
  • 1 Crossref
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A Case of Large Fibrovascular Polyp of the Stomach
Eun Ji Lee, Seung Goun Hong, Hae Ri Baek, Chan Bok Lee, Sang Myung Choi, Sung Jin Kim, Byoung Gy Chae, Cheul Young Choi
Clin Endosc 2013;46(2):186-188.   Published online March 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.2.186
AbstractAbstract PDFPubReaderePub

A fibrovascular polyp is a rare benign disease of the upper digestive tract and is usually located in the esophagus. To our knowledge, this is the first case of gastric fibrovascular polyp presenting with melena reported in the English literature. The polyp was well visualized on endoscopy and removed with laparoscopic wedge resection. Histology confirmed fibrovascular polyp of the stomach.

Citations

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  • Results of laparoscopic intragastric surgery
    S. Bonnet, V. Basso, A. De Carbonnières, J.-M. Ferraz, A. Blain, B. Gayet, D. Fuks
    Journal of Visceral Surgery.2021; 158(6): 469.     CrossRef
  • Résultats de la résection intra-gastrique laparoscopique
    S. Bonnet, V. Basso, A. de Carbonnières, J.-M. Ferraz, A. Blain, B. Gayet, D. Fuks
    Journal de Chirurgie Viscérale.2021; 158(6): 513.     CrossRef
  • Giant fibroepithelial polyp of the thigh and retroperitoneal fibromatosis in a young woman: a rare case
    Ruchi Gupta, Shuchi Smita, Ruchi Sinha, Neetu Sinha, Lakshmi Sinha
    Skeletal Radiology.2018; 47(9): 1299.     CrossRef
  • A Case of Fibrovascular Polyp of the Stomach: Sonographic and Computed Tomographic Findings
    Yun Kyung Shin, Hyun Cheol Kim, Dal Mo Yang, Sang Won Kim, Sun Jung Rhee, Jong Soo Shin, Kyu Yeoun Won
    Iranian Journal of Radiology.2016;[Epub]     CrossRef
  • Giant fibrovascular polyp in the hypopharynx: a case report and review of the literature
    Mineko Oka, Rumi Ueha, Takaharu Nito, Tatsuya Yamasoba
    SpringerPlus.2016;[Epub]     CrossRef
  • 5,842 View
  • 38 Download
  • 5 Crossref
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Endoscopic Resection of Hypopharyngeal Squamous Cell Carcinoma
Gene Hyun Bok, Won Young Cho, Joo Young Cho, So Young Jin, Ji Ho Ahn, Chang Gyun Chun, Tae Hee Lee, Hyun Gun Kim
Clin Endosc 2013;46(2):189-192.   Published online March 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.2.189
AbstractAbstract PDFPubReaderePub

Hypopharyngeal cancers are often diagnosed at an advanced stage and have a poor prognosis. Even when they are diagnosed at an operable stage, surgery often results in substantial morbidity and decreased patients' quality of life. Although the endoscopic diagnosis of early hypopharyngeal cancer is difficult, recent developments in advanced imaging endoscopy have enabled easier diagnosis of these lesions. Endoscopic resection of early hypopharyngeal cancer is a potential minimally invasive treatment that can preserve the function and quality of life of patients. Reports of this procedure are limited, however. We report a case of hypopharygeal cancer treated with endoscopic resection.

Citations

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  • Identify metabolism-related genes IDO1, ALDH2, NCOA2, SLC7A5, SLC3A2, LDHB, and HPRT1 as potential prognostic markers and correlate with immune infiltrates in head and neck squamous cell carcinoma
    Ce Li, Shuai Chen, Wenming Jia, Wenming Li, Dongmin Wei, Shengda Cao, Ye Qian, Rui Guan, Heng Liu, Dapeng Lei
    Frontiers in Immunology.2022;[Epub]     CrossRef
  • Endoscopic resection for superficial hypopharyngeal/laryngeal cancer and clinical pathway options
    Wei‐Chen Huang, Li‐Hsiang Cheng, Tien‐Yu Huang, Yu‐Lueng Shih, Wei‐Kuo Chang, Tsai‐Yuan Hsieh, Peng‐Jen Chen
    Advances in Digestive Medicine.2019; 6(3): 123.     CrossRef
  • MG132 reverse the malignant characteristics of hypopharyngeal cancer
    JUKE MA, LIANG YU, JIAJUN TIAN, YAKUI MU, ZHENGHUA LV, JIDONG ZOU, JIANFENG LI, HAIBO WANG, WEI XU
    Molecular Medicine Reports.2014; 9(6): 2587.     CrossRef
  • 5,831 View
  • 50 Download
  • 3 Crossref
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Xanthogranulomatous Inflammation in Terminal Ileum Presenting as an Appendiceal Mass: Case Report and Review of the Literature
Jun Sik Yoon, Yong Cheol Jeon, Tae Yeob Kim, Dong Soo Han, Joo Hyun Sohn, Kil Woo Nam, Young Su Nam, Ju Yeon Pyo
Clin Endosc 2013;46(2):193-196.   Published online March 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.2.193
AbstractAbstract PDFPubReaderePub

Xanthogranulomatous inflammation (XGI) is a rare benign inflammatory disease characterized by aggregation of lipid-laden foamy macrophages. This disease entity has been described in various organs but most commonly in the kidney and gallbladder. The occurrence of this disease in the lower gastrointestinal tract is extremely rare. Its clinical importance is that it can be misdiagnosed as an infiltrative cancer. In this case report, a 52-year-old male complained of right lower quadrant abdominal pain for a period of 3 months. Abdominal computed tomography revealed appendiceal mass and colonoscopy revealed multiple erythematous nodular lesions in the terminal ileum and appendiceal orifice, mimicking appendiceal cancer. Right hemicolectomy was done and the pathological specimen revealed XGI of the terminal ileum. To our knowledge, this is the first case of XGI in terminal ileum presenting as abdominal pain and the appendiceal mass on radiologic findings.

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  • Imaging and Clinical Findings of Xanthogranulomatous Inflammatory Disease of Various Abdominal and Pelvic Organs: A Pictorial Essay
    Se Jin Lee, Dal Mo Yang, Hyun Cheol Kim, Sang Won Kim, Kyu Yeoun Won, So Hyun Park, Woo Kyoung Jeong
    Journal of the Korean Society of Radiology.2024; 85(1): 109.     CrossRef
  • Xanthogranulomatous inflammation and spindle cell proliferation in response to silicone breast implant leakage
    Kyra Ji-Young Lee, Jue Li Seah, Sandra O’Toole, Sanjay Warrier
    BMJ Case Reports.2023; 16(1): e252091.     CrossRef
  • Xanthogranulomatous inflammation requiring small bowel anastomosis revision: A case report
    William Wang, Maria Korah, Kovi E Bessoff, Jeanne Shen, Joseph D Forrester
    World Journal of Gastrointestinal Surgery.2023; 15(3): 488.     CrossRef
  • Xanthogranulomatous Oophoritis in the Setting of Post-IVF Twin Pregnancy with History of Endometriosis: A Rare Case Report with Review of Literature
    Chinmay Shrikrishna Pendharkar, Sunita B.S, Ganesh Pendkur, Dheeraj J. Nandagawe
    Indian Journal of Medical and Paediatric Oncology.2022; 43(03): 314.     CrossRef
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    Alexandra C Skoczek, Dennis L Fernandez
    Journal of Surgical Case Reports.2022;[Epub]     CrossRef
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    Hyung Ku Chon, Sang Wook Kim
    The Korean Journal of Gastroenterology.2016; 67(5): 277.     CrossRef
  • Abdominal manifestations of histiocytic disorders in adults: imaging perspective
    Abhijit Sunnapwar, Christine O Menias, Vijaynadh Ojili, Maria Policarpio Nicolas, Rashmi Katre, Kiran Gangadhar, Arpit Nagar
    The British Journal of Radiology.2016; 89(1065): 20160221.     CrossRef
  • Small Bowel Obstruction due to Intestinal Xanthomatosis
    L. E. Barrera-Herrera, F. Arias, P. A. Rodríguez-Urrego, M. A. Palau-Lázaro
    Case Reports in Pathology.2015; 2015: 1.     CrossRef
  • Positron Emission Tomography/Computed Tomography False Positivity for Xanthogranulomatous Inflammation in an Adolescent with Hodgkin's Lymphoma
    Jui-Ting Yu, Chieh-Lin Jerry Teng, Ying-Chu Lin, Ren-Ching Wang, Wen-Li Hwang
    Journal of Cancer Research and Practice.2014; 1(1): 50.     CrossRef
  • Xanthogranulomatous capsulitis mimicking a polypoid neoplasm disease: an unusual presentation of ruptured Poly Implant Prothèse (PIP) breast implant
    Fernando Hernanz, Sara Baeza, Eduardo Serna, Manuel Gómez-Fleitas
    European Journal of Plastic Surgery.2013; 36(12): 797.     CrossRef
  • 6,876 View
  • 71 Download
  • 10 Crossref
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A Case of Esophageal Squamous Cell Carcinoma with Pancreatic Metastasis
Choulki Park, Jae Young Jang, Youn Hwa Kim, Eun Jung Hwang, Ki Yong Na, Kyung-Yup Kim, Jae Hyun Park, Young Woon Chang
Clin Endosc 2013;46(2):197-200.   Published online March 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.2.197
AbstractAbstract PDFPubReaderePub

Solitary pancreatic metastasis of esophageal cancer is extremely rare. We report the case of a 58-year-old male admitted with esophageal cancer. Additional asymptomatic solitary hepatic and pancreatic masses were observed in the staging work-up for esophageal cancer. The hepatic mass was confirmed as a primary hepatocellular carcinoma with an ultrasound-guided needle biopsy. An esophagectomy with a distal pancreatectomy and radiofrequency ablation for hepatocellular carcinoma were performed. Histologically, the pancreatic mass was confirmed to be a metastasis from the esophageal cancer. The patient has been followed up with chemotherapy.

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  • A case of esophageal squamous cell carcinoma accompanied by pancreatic and bile duct metastases: Successful treatment starts with an accurate diagnosis
    Yuki Ito, Yoshihiro Ikura, Hiroaki Sawai, Tatsuya Osuga
    Journal of Cancer Research and Therapeutics.2023; 19(7): 2060.     CrossRef
  • Simultaneous presentation and resection of esophageal cancer and metastasis to the pancreas: Α case report and literature review
    Yuki Denda, Yoichi Matsuo, Keisuke Nonoyama, Hiromichi Murase, Tomokatsu Kato, Yuichi Hayashi, Hiroyuki Imafuji, Kenta Saito, Mamoru Morimoto, Hiroyuki Kato, Michihiro Yoshida, Itaru Naitoh, Kazuki Hayashi, Ryo Ogawa, Hiroki Takahashi, Shuji Takiguchi
    Molecular and Clinical Oncology.2023;[Epub]     CrossRef
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    Takeshi Okamoto
    World Journal of Gastroenterology.2022; 28(10): 985.     CrossRef
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    Lei Zhang, Xin Long, Zheng-Nan Hu, Yu Wu, Jia Song, Bi-Xiang Zhang, Wei-Xun Chen
    Medicine.2021; 100(20): e25785.     CrossRef
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    Supratim Bhattacharyya, Padmalaya Devi, Subrat Samantara, KP Kunhi Mohammed
    Oncology Journal of India.2020; 4(3): 145.     CrossRef
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    Wataru Koizumi, Minoru Kitago, Masahiro Shinoda, Hiroshi Yagi, Yuta Abe, Go Oshima, Shutaro Hori, Kenta Inomata, Hirofumi Kawakubo, Miho Kawaida, Yuko Kitagawa
    BMC Cancer.2019;[Epub]     CrossRef
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    Valeria De Matteis, Mariafrancesca Cascione, Chiara C. Toma, Rosaria Rinaldi
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    Eric Yoon, Yousef Nassar, Juan Tejada-Almonte, Muhammad Sohail Mansoor, Kavita Umrau, Sven Hida
    Case Reports in Gastroenterology.2019; 13(3): 423.     CrossRef
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    Seyed Hassan Abedi, Alireza Ahmadzadeh, Amir Houshang Mohammad Alizadeh
    Case Reports in Gastroenterology.2017; 11(1): 219.     CrossRef
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    Osama Shaheen, Abdulaziz Ghibour, Bayan Alsaid
    Gastroenterology Research and Practice.2017; 2017: 1.     CrossRef
  • 6,477 View
  • 44 Download
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Brief Report
Balloon Catheter Assisted Biliary Stent Insertion
Chang-Il Kwon, Kwang Hyun Ko
Clin Endosc 2013;46(2):201-202.   Published online March 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.2.201
PDFPubReaderePub

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    A. E. Kotovskiy, B. M. Magomedova, K. G. Glebov, A. A. Martyntsov, A. K. Mahmudova, A. S. Prividentseva
    Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery.2021; 26(3): 123.     CrossRef
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