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Volume 46(5); September 2013
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Special Issue Articles of IDEN 2013
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Highlights of International Digestive Endoscopy Network 2013
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Kwang An Kwon, Il Ju Choi, Eun Young Kim, Seok Ho Dong, Ki Baik Hahm
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Clin Endosc 2013;46(5):425-435. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.425
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Abstract
PDFPubReaderePub
Rapid advances in the technology of gastrointestinal endoscopy as well as the evolution of science have made it necessary for us to continue update in either various endoscopic techniques or state of art lectures relevant to endoscopy. International Digestive Endoscopy Network (IDEN) 2013 was held in conjunction with Korea-Japan Joint Symposium on Gastrointestinal Endoscopy (KJSGE) during June 8 to 9, 2013 at Seoul, Korea. Two days of impressive scientific program dealt with a wide variety of basic concerns from upper gastrointestine (GI), lower GI, pancreaticobiliary endoscopy to advanced knowledge including endoscopic submucosal dissection forum. IDEN seems to be an excellent opportunity to exchange advanced information of the latest issues on endoscopy with experts from around the world. In this special issue of Clinical Endoscopy, we prepared state of art review articles from contributing authors and the current highlights will skillfully deal with very hot spots of each KJSGE, upper GI, lower GI, and pancreaticobiliary sessions by associated editors of Clinical Endoscopy.
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Tissue Acquisition in Gastric Epithelial Tumor Prior to Endoscopic Resection
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Chan Gyoo Kim
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Clin Endosc 2013;46(5):436-440. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.436
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Abstract
PDFPubReaderePub
Endoscopic forceps biopsy is essential before planning an endoscopic resection of upper gastrointestinal epithelial tumors. However, forceps biopsy is limited by its superficiality and frequency of sampling errors. Histologic discrepancies between endoscopic forceps biopsies and resected specimens are frequent. Factors associated with such histologic discrepancies are tumor size, macroscopic type, surface color, and the type of medical facility. Precise targeting of biopsies is recommended to achieve an accurate diagnosis, curative endoscopic resection, and a satisfactory oncologic outcome. Multiple deep forceps biopsies can induce mucosal ulceration in early gastric cancer. Endoscopic resection for early gastric cancer with ulcerative findings is associated with piecemeal resection, incomplete resection, and a risk for procedure-related complications such as bleeding and perforation. Such active ulcers caused by forceps biopsy and following submucosal fibrosis might also be mistaken as an indication for more aggressive procedures, such as gastrectomy with D2 lymph node dissection. Proton pump inhibitors might be prescribed to facilitate the healing of biopsy-induced ulcers if an active ulcer is predicted after deep biopsy. It is unknown which time interval from biopsy to endoscopic resection is appropriate for a safe procedure and a good oncologic outcome. Further investigations are needed to conclude the appropriate time interval.
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Citations
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Chinese Medicine.2022;[Epub] CrossRef - Clinical applicability of gastroscopy with narrow-band imaging for the diagnosis of Helicobacter pylori gastritis, precancerous gastric lesion, and neoplasia
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Journal of Digestive Diseases.2018; 19(10): 596. CrossRef - Endoscopic predictors for undifferentiated histology in differentiated gastric neoplasms prior to endoscopic resection
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Jung Ho Kim
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Endoscopic Ultrasound-Fine Needle Aspiration versus Core Biopsy for the Diagnosis of Subepithelial Tumors
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Kevin Webb, Joo Ha Hwang
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Clin Endosc 2013;46(5):441-444. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.441
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Abstract
PDFPubReaderePub
Subepithelial lesions are frequently encountered and remain a diagnostic challenge. Imaging of subepithelial lesions using endoscopic ultrasound (EUS) can be helpful in narrowing the differential diagnosis of the lesion; however, definitive diagnosis typically requires tissue. Many methods for acquiring tissue exist including EUS-guided fine needle aspiration, Trucut biopsy, and fine needle biopsy. Obtaining adequate tissue is important for cytologic and histologic exams including immunohistochemical stains, thus a great deal of effort has been made to increase tissue acquisition in order to improve diagnostic yield in subepithelial lesions.
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Woo Hyun Paik, Dong Wan Seo
Journal of Digestive Diseases.2017; 18(3): 135. CrossRef - Via mucosa incision EUS-guided sampling for the diagnosis of conventional endoscopic biopsy-negative gastric wall thickening
Hongbo Shan, Xiaoyan Gao, Guangyu Luo, Jieqing Xiang, Bilv Zhong, Xiaofang Qiu, Shiyong Lin, Shuhong Li, Yin Li, Guoliang Xu, Rong Zhang
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Eun Young Kim
Clinical Endoscopy.2015; 48(2): 91. CrossRef
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Confocal Microscopy in the Esophagus and Stomach
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Adam Templeton, Joo Ha Hwang
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Clin Endosc 2013;46(5):445-449. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.445
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Abstract
PDFPubReaderePub
Probe-based confocal microscopy (pCLE) is actively being investigated for applications in the esophagus and stomach. The use of pCLE allows real-time in vivo microscopy to evaluate the microarchitecture of the mucosal epithelium. pCLE appears to be particularly useful in identifying mucosal dysplasia and early malignancies that cannot be clearly distinguished using high-definition white light endoscopy, chromoendoscopy, or magnification endoscopy. In addition, the ability to detect dysplastic tissue in real-time may shift the current screening practice from random biopsy to targeted biopsy of esophageal and gastric cancers and their precursor lesions. We will review the use of pCLE for detection and surveillance of upper gastrointestinal early luminal malignancy.
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Endoscopic Treatment for Early Foregut Neuroendocrine Tumors
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Moo In Park
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Clin Endosc 2013;46(5):450-455. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.450
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Abstract
PDFPubReaderePub
Foregut neuroendocrine tumors (NETs) include those arising in the esophagus, stomach, pancreas, and duodenum and seem to have a broad range of clinical behavior from benign to metastatic. Several factors including the advent of screening endoscopy may be related to increased incidence of gastrointestinal NETs; thus, many foregut NETs are diagnosed at an early stage. Early foregut NETs, such as those of the stomach and duodenum, can be managed with endoscopic treatment because of a low frequency of lymph node and distant metastases. However, controversy continues concerning the optimal management of early foregut NETs due to a lack of controlled prospective studies. Several issues such as indications, technical issues, and outcomes of endoscopic treatment for early foregut NETs are reviewed based on some published studies.
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Preventing and Controlling Bleeding in Gastric Endoscopic Submucosal Dissection
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Chan Hyuk Park, Sang Kil Lee
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Clin Endosc 2013;46(5):456-462. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.456
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Abstract
PDFPubReaderePub
Although techniques and instruments for endoscopic submucosal dissection (ESD) have improved, bleeding is still the most common complication. Minimizing the occurrence of bleeding is important because blood can interfere with subsequent procedures. Generally, ESD-related bleeding can be divided into intraprocedural and postprocedural bleedings. Postprocedural bleeding can be further classified into early post-ESD bleeding which occurs within 48 hours after ESD and late post-ESD bleeding which occurs later than 48 hours after ESD. A basic principle for avoiding intraprocedural bleeding is to watch for vessels and coagulate them before cutting. Several countertraction devices have been designed to minimize intraprocedural bleeding. Methods for reducing postprocedural bleeding include administration of proton-pump inhibitors or prophylactic coagulation after ESD. Medical adhesive spray such as n-butyl-2-cyanoacrylate is also an option for preventing postprocedural bleeding. Various endoscopic treatment modalities are used for both intraprocedural and postprocedural bleeding. However, hemoclipping is infrequently used during ESD because the clips interfere with subsequent resection. Bleeding that occurs as a result of ESD can usually be managed easily. Nonetheless, more effective ways to prevent bleeding, including reliable ESD techniques, must be developed.
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Medicine.2019; 98(32): e16578. CrossRef - Endovascular hemostasis for endoscopic procedure-related gastrointestinal bleeding
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International Journal of Gastrointestinal Intervention.2019; 8(3): 134. CrossRef - Role of second‐look endoscopy and prophylactic hemostasis after gastric endoscopic submucosal dissection: A systematic review and meta‐analysis
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34
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Long-Term Outcome of Extended Endoscopic Submucosal Dissection for Early Gastric Cancer with Differentiated Histology
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Ji Yong Ahn, Hwoon-Yong Jung
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Clin Endosc 2013;46(5):463-466. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.463
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Abstract
PDFPubReaderePub
Endoscopic mucosal resection was introduced in the 1990s, and endoscopic submucosal dissection (ESD) in 2003. Currently, ESD is becoming the main procedure for the resection of early gastric cancer (EGC) and is leading to the development of extended indications for endoscopic resection. Many reports showed that the endoscopic and oncologic outcome of endoscopic treatment in the extended indication group was acceptable in terms of curability and safety. Especially, ESD showed better results to remove extended indication EGCs with relatively high resection rate and low local recurrence rate. However, more long-term follow-up data are needed for clinical application of the extended criteria of ESD due to the risk of lymph node metastasis. We should also keep in mind that accurate diagnosis, characterization of the lesion, and proper appreciation of technical aspects are most essential in therapeutic endoscopy.
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Meng Li, Xiaoliang Jin, Xinxin Zhou, Guochun Lou, Feng Ji, Liangjing Wang, Haifeng Jin, Xuan Huang, Jing Zhao, Haibiao Bao, Liang Huang, Changpei Shi, Bo Jin, Hanti Lu, Bin Lyu
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PLOS ONE.2019; 14(9): e0223284. CrossRef - Long-term outcome of endoscopic submucosal dissection is comparable to that of surgery for early gastric cancer: a propensity-matched analysis
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14
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Debates on Colorectal Endoscopic Submucosal Dissection - Traction for Effective Dissection: Gravity Is Enough
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Bo-In Lee
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Clin Endosc 2013;46(5):467-471. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.467
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Abstract
PDFPubReaderePub
Colorectal endoscopic submucosal dissection (ESD) still remains a technically difficult procedure. The maintenance of tissue tension and good submucosal exposure during dissection is one of the most important factors for an effective and safe dissection. Although various traction methods have been developed, traction by gravity is one of the most useful method for colorectal ESD. Traction using adjunctive devices can thus be reserved for extremely difficult cases or for endoscopists in their learning periods for colorectal ESD.
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22
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Endoscopic Management of Refractory Benign Colorectal Strictures
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Yong Hwan Kwon, Seong Woo Jeon, Yong Kook Lee
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Clin Endosc 2013;46(5):472-475. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.472
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Abstract
PDFPubReaderePub
In colonoscopic study, benign colorectal strictures with or without symptomatic pain are not rarely encountered. Benign colorectal stricture can be caused by a number of problems, such as anastomotic stricture after surgery, inflammatory bowel disease, postendoscopic submucosal dissection, diverticular disease, ischemic colitis, and so on. There are various modalities for the management of benign colorectal stricture. Endoscopic balloon dilatation is generally considered as the primary treatment for benign colorectal stricture. In refractory benign colorectal strictures, several treatment sessions of balloon dilatation are needed for successful dilatation. The self-expandable metal stent and many combined techniques are performed at present. However, there is no specific algorithmic modality for refractory benign colorectal strictures.
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7,164
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121
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18
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Lower Gastrointestinal Bleeding: Is Urgent Colonoscopy Necessary for All Hematochezia?
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Byung Ik Jang
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Clin Endosc 2013;46(5):476-479. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.476
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Abstract
PDFPubReaderePub
Lower gastrointestinal bleeding (LGIB) is defined as acute or chronic abnormal blood loss distal to the ligament of Treitz. The incidence of LGIB is only one fifth of that of the upper gastrointestinal tract and is estimated to be 21 to 27 cases per 100,000 adults per year. Acute bleeding is arbitrarily defined as bleeding of <3 days' duration resulting in instability of vital signs, anemia, and/or need for blood transfusion. Chronic bleeding is defined as slow blood loss over a period of several days or longer presenting with symptoms of occult fecal blood, intermittent melena, or scant hematochezia. Bleeding means that the amounts of blood in the feces are too small to be seen but detectable by chemical tests. LGIB is usually chronic and stops spontaneously. Bleeding stop (80%), but male gender and older patients suffer from more severe LGIB. The optimal timing of colonoscopic intervention for LGIB remains uncertain. Urgent colonoscopy may serve to decrease hospital stay. However, urgent colonoscopy is difficult to control, and showed no evidence of improving clinical outcomes or lowering costs as compared with routine elective colonoscopy.
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- КЛИНИКАЛЫҚ ЖАҒДАЙ: ЖІҢІШКЕ ІШЕК ТАМЫРЛАРЫНЫҢ ТАМЫРЛЫ АҚАУЫ НЕМЕСЕ АНГИОДИСПЛАЗИЯСЫ
Е.А. ДЖУСИПБЕКОВ, Д.У. СМАГУЛОВА, Г.Т. СУЛТАНКУЛОВА, Д.Ж. КУАТБЕКОВ
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Deep Enteroscopy: Which Technique Will Survive?
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Seong Ran Jeon, Jin-Oh Kim
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Clin Endosc 2013;46(5):480-485. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.480
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Abstract
PDFPubReaderePub
The advent of deep enteroscopy (DE) has dramatically changed diagnostic and therapeutic approaches to small bowel diseases. Unlike capsule endoscopy, which is unable to obtain biopsies or treat a disease, DE techniques have diagnostic and therapeutic capabilities. Double-balloon enteroscopy (DBE) was introduced in 2001, and single-balloon enteroscopy (SBE) and spiral enteroscopy (SE) were subsequently developed for small bowel investigation. In published reports comparing these different enteroscopy techniques, most comparative parameters (depth of insertion, complications, learning curve, diagnostic yield, and therapeutic yield) were comparable among DBE, SBE, and SE. However, the procedure duration appears to be shorter for SE than for DBE and SBE. The rate of complete enteroscopy is clearly superior for DBE, compared with SE and SBE. Because these results do not indicate an increase in diagnostic or therapeutic yield, the clinical impact of complete enteroscopy remains controversial. According to previous studies, the three DE methods seem to be equally effective and safe in the clinical setting. Although larger randomized controlled trials are needed to evaluate the procedural characteristics and clinical impact, the selection of an enteroscopic technique should be based on availability and the endoscopist's experience.
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Refractory Gastrointestinal Bleeding: Role of Angiographic Intervention
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Ji Hoon Shin
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Clin Endosc 2013;46(5):486-491. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.486
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Abstract
PDFPubReaderePub
Although endoscopic hemostasis remains initial treatment modality for nonvariceal gastrointestinal (GI) bleeding, severe bleeding despite endoscopic management occurs in 5% to 10% of the patients, requiring surgery or transcatheter arterial embolization (TAE). TAE is now considered the first-line therapy for massive GI bleeding refractory to endoscopic management. GI endoscopists need to be familiar with indications, principles, outcomes, and complications of TAE, as well as embolic materials available.
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Tips and Tricks for Better Endoscopic Treatment of Colorectal Tumors: Usefulness of Cap and Band in Colorectal Endoscopic Mucosal Resection
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Seun Ja Park
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Clin Endosc 2013;46(5):492-494. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.492
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Abstract
PDFPubReaderePub
Endoscopic mucosal resection (EMR) is an endoscopic alternative to surgical resection of mucosal and submucosal neoplastic lesions. Prior to the development of knives, EMR could be performed with accessories to elevate the lesion. After the development of various knives, en bloc resection was possible without other accessories. So, recently, simple snaring without suction or endoscopic submucosal dissection using knife in the epithelial lesions such as adenoma or early mucosal cancer has been performed. However, for easy and complete resection of subepithelial lesions such as carcinoid tumor, a few accessories are needed. Complete resection of rectal carcinoid tumors is difficult to achieve with conventional endoscopic resection techniques because these tumors often extend into the submucosa. The rate of positive resection margin for tumor is lower in the group of EMR using a cap (EMR-C) or EMR with a ligation device (EMR-L) than conventional EMR group. EMR-C and EMR-L (or endoscopic submucosal resection with a ligation device) may be a superior method to conventional EMR for removing small rectal carcinoid tumors.
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隆毅 潘
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Colonic Perforation: Can We Manage It Endoscopically?
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Jeong-Sik Byeon
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Clin Endosc 2013;46(5):495-499. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.495
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Abstract
PDFPubReaderePub
Colonic perforation occurs in a variety of clinical scenarios and colonoscopy-associated perforation is one of the important reasons for colonic perforation. Colonoscopy-associated perforation may be diagnosed during colonoscopy procedure by the visualization of evident colonic wall defect or, after the completion of colonoscopy, by the visualization of leaked air in the peritoneal or retroperitoneal space. Recently, the incidence of colonoscopy-associated perforation increased because of the introduction of colorectal endoscopic submucosal dissection. Traditionally, colonoscopy-associated perforation was managed surgically. However, medical management has been introduced widely and endoscopic clipping is the most important component for the medical management of colonoscopy-associated perforation. Timely administration of antibiotics is also important. Large perforations, diagnostic colonoscopy-associated perforations, large amount of pneumoperitoneum, and severe abdominal pain have been reported to be predictive of the necessity of surgery after endoscopic clipping. Surgery should be performed if patients show clinical deterioration even after the initiation of medical management.
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Citations
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Metal versus Plastic Stent for Transmural Drainage of Pancreatic Fluid Collections
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Ji Young Bang, Shyam Varadarajulu
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Clin Endosc 2013;46(5):500-502. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.500
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Abstract
PDFPubReaderePub
The conventional management of pancreatic fluid collections (PFCs) involves surgery or percutaneous drainage. While surgery is associated with significant complications and mortality, percutaneous drainage is associated with prolonged hospitalization and oftentimes the need for other adjunctive treatment measures. Therefore, the use of endoscopy to drain PFCs is becoming increasingly popular. Randomized trials have demonstrated that endoscopic ultrasound-guided drainage is superior to conventional endoscopy in terms of technical success and potentially decreases the rates of procedural complications. While transmural drainage is usually undertaken by deployment of plastic endoprosthesis, of late, fully covered self-expandable metal stents are being placed with increasing frequency. However, the benefits of this approach are unclear and require further validation in prospective trials.
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Procore and Flexible 19 Gauge Needle Can Replace Trucut Biopsy Needle?
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Ji Young Bang, Shyam Varadarajulu
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Clin Endosc 2013;46(5):503-505. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.503
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Abstract
PDFPubReaderePub
Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is routinely performed for establishing tissue diagnosis in patients with gastrointestinal tumors. The concept of delivering chemotherapy based on molecular markers and the ability to establish a reliable diagnosis in lieu of an onsite cytopathologist has fuelled the recent trend in procuring core tissue by means of EUS-guided fine needle biopsy. To overcome the technical limitations induced by the rigidity of the Trucut biopsy needle, a new ProCore needle with reverse bevel technology has been developed. Recent data suggests that the newly developed flexible 19 gauge needle can also procure core tissue and has easy maneuverability when navigating the transduodenal route. Irrespective of the needles being used, the best clinical outcomes can be attained only by practicing evidence-based techniques, procuring adequate quantity of sample for ancillary studies, and processing the specimens appropriately.
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Pancreatic Fluid Collection Drainage by Endoscopic Ultrasound: An Update
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Shashideep Singhal, Stephen R. Rotman, Monica Gaidhane, Michel Kahaleh
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Clin Endosc 2013;46(5):506-514. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.506
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Abstract
PDFPubReaderePub
Endoscopic management of symptomatic pancreatic fluid collections (PFCs) is now considered to be first line therapy. Expanded use of endoscopic ultrasound (EUS) techniques has resulted in increased applicability, safety, and efficacy of endoscopic transluminal PFC drainage. Steps include EUS-guided trangastric or transduodenal fistula creation into the PFC followed by stent placement or nasocystic drain deployment in order to decompress the collection. With the remarkable improvement in the available accessories and stents and development of exchange free access device; EUS drainage techniques have become simpler and less time consuming. The use of self-expandable metal stents with modifications to drain PFC has helped in overcoming some previously encountered challenges. PFCs considered suitable for endoscopic drainage include collection present for greater than 4 weeks, possessing a well-formed wall, position accessible endoscopically and located within 1 cm of the duodenal or gastric walls. Indications for EUS-guided drainage have been increasing which include unusual location of the collection, small window of entry, nonbulging collections, coagulopathy, intervening varices, failed conventional transmural drainage, indeterminate adherence of PFC to the luminal wall or suspicion of malignancy. In this article, we present a review of literature to date and discuss the recent developments in EUS-guided PFC drainage.
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Functional Self-Expandable Metal Stents in Biliary Obstruction
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Chang-Il Kwon, Kwang Hyun Ko, Ki Baik Hahm, Dae Hwan Kang
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Clin Endosc 2013;46(5):515-521. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.515
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Abstract
PDFPubReaderePub
Biliary stents are widely used not only for palliative treatment of malignant biliary obstruction but also for benign biliary diseases. Each plastic stent or self-expandable metal stent (SEMS) has its own advantages, and a proper stent should be selected carefully for individual condition. To compensate and overcome several drawbacks of SEMS, functional self-expandable metal stent (FSEMS) has been developed with much progress so far. This article looks into the outcomes and defects of each stent type for benign biliary stricture and describes newly introduced FSEMSs according to their functional categories.
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Endoscopic Treatments of Endoscopic Retrograde Cholangiopancreatography-Related Duodenal Perforations
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Tae Hoon Lee, Joung-Ho Han, Sang-Heum Park
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Clin Endosc 2013;46(5):522-528. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.522
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Abstract
PDFPubReaderePub
Iatrogenic duodenal perforation associated with endoscopic retrograde cholangiopancreatography (ERCP) is a very uncommon complication that is often lethal. Perforations during ERCP are caused by endoscopic sphincterotomy, placement of biliary or duodenal stents, guidewire-related causes, and endoscopy itself. In particular, perforation of the medial or lateral duodenal wall usually requires prompt diagnosis and surgical management. Perforation can follow various clinical courses, and management depends on the cause of the perforation. Cases resulting from sphincterotomy or guidewire-induced perforation can be managed by conservative treatment and biliary diversion. The current standard treatment for perforation of the duodenal free wall is early surgical repair. However, several reports of primary endoscopic closure techniques using endoclip, endoloop, or newly developed endoscopic devices have recently been described, even for use in direct perforation of the duodenal wall.
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Percutaneous Transhepatic Cholangioscopy: Does Its Role Still Exist?
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Joon Hyuk Choi, Sung Koo Lee
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Clin Endosc 2013;46(5):529-536. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.529
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Abstract
PDFPubReaderePub
Percutaneous transhepatic cholangioscopy (PTCS) is the most widely used modality for diagnosis and treatment of biliary disease. Although many other novel technologies have been developed based on recent advances in endoscopy, PTCS has its own role. In diagnostics, PTCS is used for evaluation of indeterminate biliary strictures, bile duct tumors, and postoperative biliary strictures that cannot be reached by a peroral approach. In therapeutics, the removal of bile duct stones, dilatation of bile duct strictures including postoperative anastomosis site strictures, and local tumor therapy are indications of PTCS. Especially in a therapeutic role, PTCS has the advantage of maneuverability due to a shorter endoscopic length compared to other cholangioscopic modalities. Hence, PTCS has its own indispensable diagnostic and therapeutic roles.
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The Role of Direct Peroral Cholangioscopy Using an Ultraslim Endoscope for Biliary Lesions: Indications, Limitations, and Complications
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Jong Ho Moon, Hyun Jong Choi
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Clin Endosc 2013;46(5):537-539. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.537
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Abstract
PDFPubReaderePub
Advantages of direct peroral cholangioscopy (POC) using an ultraslim endoscope include use of conventional endoscopy equipment, operation by a single endoscopist, and superior image quality of the biliary tree with easy application of enhanced endoscopy and a large working channel. The major diagnostic indications of this system are an evaluation of biliary strictures, filling defects, or unclear findings on cholangiogram or other imaging studies. Therapeutic application using a direct POC system can be broadened by a larger working channel. However, direct POC is difficult to apply in patients with a narrow diameter bile duct, far distal common bile duct lesion, or failed anchoring of the scope with accessories. An air embolism is a rare complication of direct POC but can be a fatal problem. Cholangitis can also occur during or after the procedure. Use of a CO2 system instead of room air during the POC procedure and administration of antibiotics before and after the procedure are strongly recommended. Continuous development of specialized endoscopes and accessories is expected to facilitate the diagnostic and therapeutic roles of direct POC.
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Role of Repeated Endoscopic Ultrasound-Guided Fine Needle Aspiration for Inconclusive Initial Cytology Result
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Eun Young Kim
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Clin Endosc 2013;46(5):540-542. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.540
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Abstract
PDFPubReaderePub
For tissue diagnosis of suspected pancreatic cancer, endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is the procedure of choice with high safety and accuracy profiles. However, about 10% of cytologic findings of EUS-FNA are inconclusive. In that situation, careful observation, surgical exploration, or alternative diagnostic tools such as bile duct brushing with endoscopic retrograde cholangiopancreatography or computed tomography-guided biopsy can be considered. However, some concerns and/or risks of these options render repeat EUS-FNA a reasonable choice. Repeated EUS-FNA may impose substantial clinical impact with low risk.
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Giovanna Del Vecchio Blanco, Manuela Coppola, Elena Mannisi, Gerolamo Bevivino, Vincenzo Formica, Ilaria Portarena, Samanta Romeo, Pierpaolo Sileri, Mario Roselli, Francesco Pallone, Omero Alessandro Paoluzi
European Journal of Gastroenterology & Hepatology.2015; 27(9): 1045. CrossRef - Impact of inconclusive endoscopic ultrasound‐guided fine‐needle aspiration results in the management and outcome of patients with solid pancreatic masses
Bo Sun, Xiujiang Yang, Bo Ping, Yiping He, Zhaozhen Zhang
Digestive Endoscopy.2015; 27(1): 130. CrossRef
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62
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4
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Endoscopic Guided Biliary Drainage: How Can We Achieve Efficient Biliary Drainage?
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Prashant Kedia, Monica Gaidhane, Michel Kahaleh
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Clin Endosc 2013;46(5):543-551. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.543
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Abstract
PDFPubReaderePub
Currently, endoscopic retrograde cholangiopancreatography (ERCP) is the preferred procedure for biliary drainage for various pancreatico-biliary disorders. ERCP is successful in 90% of the cases, but is unsuccessful in cases with altered anatomy or with tumors obstructing access to the duodenum. Due to the morbidity and mortality associated with surgical or percutaneous approaches in unsuccessful ERCP cases, biliary endoscopists have been using endoscopic ultrasound-guided biliary drainage (EUS-BD) more frequently within the last decade in different countries. As with any novel advanced endoscopic procedure that incorporates various approaches, advanced endoscopists all over the world have innovated and adopted diverse EUS-BD techniques. Indications for EUS-BD include failed conventional ERCP, altered anatomy, tumor preventing access into the biliary tree and contraindication to percutaneous access (i.e., ascites, etc.). EUS-BD utilizing EUS-guided rendezvous technique is conducted by creating a tract from either the stomach or the duodenum into the bile duct. Although EUS-BD has rapidly been gaining attraction and popularity in the endoscopic world, the indications and methods have yet to be standardized. There are several access routes and techniques that are employed by advanced endoscopists throughout the world for BD. This article reviews the indications and currently practiced EUS-BD techniques, including indications, technical details (intrahepatic or extrahepatic approach), equipment, patient selection, complications, and overall advantages and limitations.
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Citations
Citations to this article as recorded by
- Safety and Efficacy of Primary EUS-Guided Choledochoduodenostomy for Malignant Distal Biliary Obstruction: A Systematic Review and Meta-Analysis
Eugene Annor, Harishankar Gopakumar, Ishaan Vohra, Srinivas R. Puli
Therapeutics.2024; 1(1): 22. CrossRef - Bile as a liquid biopsy matrix: potential applications and limitations
Maria Arechederra, Maria Rullán, Daniel Oyón, Matias A. Ávila, Jesús M. Urman, Carmen Berasain
Exploration of Digestive Diseases.2024; : 5. CrossRef - Feasibility and safety of EUS-guided biliary drainage in inexperienced centers: a multicenter study in southwest Japan
Takehiko Koga, Yusuke Ishida, Shunpei Hashigo, Yuzo Shimokawa, Hirofumi Harima, Kazuhisa Okamoto, Akihisa Ohno, Tsukasa Miyagahara, Toshihiro Fujita, Satoshi Fukuchi, Kosuke Takahashi, Hiroki Taguchi, Norimasa Araki, Yuichiro Ohtsuka, Toshiyuki Uekitani,
Gastrointestinal Endoscopy.2024;[Epub] CrossRef - Application of endoscopic ultrasound-guided hepaticogastrostomy combined with antegrade stenting in patients with malignant biliary obstruction after failed ERCP
Yin Zhang, Xiaohong Wang, Kewen Sun, Jianping Chen, Yue Zhang, Longqing Shi, Zhining Fan, Li Liu, Bingfang Chen, Yanbo Ding
Surgical Endoscopy.2022; 36(8): 5930. CrossRef - Clinical value of preferred endoscopic ultrasound-guided antegrade surgery in the treatment of extrahepatic bile duct malignant obstruction
Xuan Zhao, Lihong Shi, Jinchen Wang, Siming Guo, Sumin Zhu
Clinics.2022; 77: 100017. CrossRef - What You Need to Know Before Performing Endoscopic Ultrasound-guided Hepaticogastrostomy
Tanyaporn Chantarojanasiri, Thawee Ratanachu-Ek, Nonthalee Pausawasdi
Clinical Endoscopy.2021; 54(3): 301. CrossRef - Endoscopic Ultrasound-Guided Biliary Drainage
Jeremy S. Nussbaum, Nikhil A. Kumta
Gastrointestinal Endoscopy Clinics of North America.2019; 29(2): 277. CrossRef - Endoscopic ultrasonography and small‐bowel endoscopy: Present and future
Gian Eugenio Tontini, Guido Manfredi, Stefania Orlando, Helmut Neumann, Maurizio Vecchi, Elisabetta Buscarini, Luca Elli
Digestive Endoscopy.2019; 31(6): 627. CrossRef - Malignant obstructive jaundice: approaches to minimally invasive biliary decompression
B. L. Duberman, D. V. Mizgirev, A. M. Epshtein, V. N. Pozdeev, A. V. Tarabukin
Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery.2019; 24(2): 36. CrossRef - Feasibility and Safety of Endoscopic Ultrasound-Guided Biliary Drainage (EUS-BD) for Malignant Biliary Obstruction Associated with Ascites: Results of a Pilot Study
María Victoria Alvarez-Sánchez, O.B. Luna, I. Oria, K. Marchut, F. Fumex, G. Singier, A. Salgado, B. Napoléon
Journal of Gastrointestinal Surgery.2018; 22(7): 1213. CrossRef - Percutaneous cholecystostomy for biliary decompression in patients with cholangitis and pancreatitis
Jin Myung Park, Chang Don Kang, Minjong Lee, Sung Chul Park, Sung Joon Lee, Yong Hwan Jeon, Seong Whi Cho
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Hyeong Seok Nam, Dae Hwan Kang
The Korean Journal of Gastroenterology.2017; 69(3): 164. CrossRef - Endoscopic Ultrasound-Guided Biliary Access, with Focus on Technique and Practical Tips
Woo Hyun Paik, Do Hyun Park
Clinical Endoscopy.2017; 50(2): 104. CrossRef - Endoscopic Ultrasonography-Guided Techniques for Accessing and Draining the Biliary System and the Pancreatic Duct
Mihai Rimbaş, Alberto Larghi
Gastrointestinal Endoscopy Clinics of North America.2017; 27(4): 681. CrossRef - Assessment of efficacy and safety of EUS-guided biliary drainage: a systematic review
Kaixuan Wang, Jianwei Zhu, Ling Xing, Yunfeng Wang, Zhendong Jin, Zhaoshen Li
Gastrointestinal Endoscopy.2016; 83(6): 1218. CrossRef - Endoscopic ultrasound-guided biliary drainage versus percutaneous transhepatic biliary drainage: predictors of successful outcome in patients who fail endoscopic retrograde cholangiopancreatography
Reem Z. Sharaiha, Nikhil A. Kumta, Amit P. Desai, Ersilia M. DeFilippis, Moamen Gabr, Alex M. Sarkisian, Sanjay Salgado, Jennifer Millman, Andrea Benvenuto, Michelle Cohen, Amy Tyberg, Monica Gaidhane, Michel Kahaleh
Surgical Endoscopy.2016; 30(12): 5500. CrossRef - Endoscopic Ultrasound-Guided Biliary Drainage Using a Fully Covered Metallic Stent after Failed Endoscopic Retrograde Cholangiopancreatography
Jintao Guo, Siyu Sun, Xiang Liu, Sheng Wang, Nan Ge, Guoxin Wang
Gastroenterology Research and Practice.2016; 2016: 1. CrossRef - The obstructed afferent loop: Percutaneous options
Damian Mullan, Raman Uberoi
International Journal of Gastrointestinal Intervention.2016; 5(2): 129. CrossRef - Dilation of Strictures in Patients with Inflammatory Bowel Disease
Nayantara Coelho-Prabhu, John A. Martin
Gastrointestinal Endoscopy Clinics of North America.2016; 26(4): 739. CrossRef - Comparison of percutaneous transhepatic biliary drainage and endoscopic biliary drainage in the management of malignant biliary tract obstruction: A meta‐analysis
Xiang‐qian Zhao, Jia‐hong Dong, Kai Jiang, Xiao‐qiang Huang, Wen‐zhi Zhang
Digestive Endoscopy.2015; 27(1): 137. CrossRef - Therapeutic role of endoscopic ultrasound in pancreaticobiliary disease: A comprehensive review
Fan-Sheng Meng
World Journal of Gastroenterology.2015; 21(46): 12996. CrossRef - Endoscopic ultrasonography guided drainage: Summary of consortium meeting, May 21, 2012, San Diego, California
Michel Kahaleh, Everson LA Artifon, Manuel Perez-Miranda, Monica Gaidhane, Carlos Rondon, Takao Itoi, Marc Giovannini
World Journal of Gastroenterology.2015; 21(3): 726. CrossRef - Endoscopic Ultrasound-Guided Biliary Drainage: An Update
Nikhil A. Kumta, Prashant Kedia, Michel Kahaleh
Current Treatment Options in Gastroenterology.2014; 12(2): 154. CrossRef - Endoscopic Ultrasound-Guided Treatment beyond Drainage: Hemostasis, Anastomosis, and Others
Jessica L. Widmer, Kahaleh Michel
Clinical Endoscopy.2014; 47(5): 432. CrossRef - Neue Möglichkeiten der endosonographischen Intervention am biliären System
M. Dollhopf, W. Schmitt
Der Gastroenterologe.2014; 9(5): 458. CrossRef - The role of therapeutic endoscopic ultrasound now and for the future
Vinay Dhir, Rajesh Kumar Paramasivam, Josef Carlo Lazaro, Amit Maydeo
Expert Review of Gastroenterology & Hepatology.2014; 8(7): 775. CrossRef - Postoperative biliary adverse events following orthotopic liver transplantation: Assessment with magnetic resonance cholangiography
Piero Boraschi
World Journal of Gastroenterology.2014; 20(32): 11080. CrossRef
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7,792
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85
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27
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Technical Advances in Endoscopic Ultrasound (EUS)-Guided Tissue Acquisition for Pancreatic Cancers: How Can We Get the Best Results with EUS-Guided Fine Needle Aspiration?
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Prashant Kedia, Monica Gaidhane, Michel Kahaleh
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Clin Endosc 2013;46(5):552-562. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.552
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Abstract
PDFPubReaderePub
Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is one of the least invasive and most effective modality in diagnosing pancreatic adenocarcinoma in solid pancreatic lesions, with a higher diagnostic accuracy than cystic tumors. EUS-FNA has been shown to detect tumors less than 3 mm, due to high spatial resolution allowing the detection of very small lesions and vascular invasion, particularly in the pancreatic head and neck, which may not be detected on transverse computed tomography. Furthermore, this minimally invasive procedure is often ideal in the endoscopic procurement of tissue in patients with unresectable tumors. While EUS-FNA has been increasingly used as a diagnostic tool, most studies have collectively looked at all primary pancreatic solid lesions, including lymphomas and pancreatic neuroendocrine neoplasms, whereas very few studies have examined the diagnostic utility of EUS-FNA of pancreatic ductal carcinoma only. As with any novel and advanced endoscopic procedure that may incorporate several practices and approaches, endoscopists have adopted diverse techniques to improve the tissue procurement practice and increase diagnostic accuracy. In this article, we present a review of literature to date and discuss currently practiced EUS-FNA technique, including indications, technical details, equipment, patient selection, and diagnostic accuracy.
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Citations
Citations to this article as recorded by
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Jingjing Zhou, Ting Cai, Dongwen Wu, Xiong Chen, Fen Wang
Frontiers in Surgery.2023;[Epub] CrossRef - Diagnostic Yield of Transabdominal Ultrasound-Guided Core Needle Method in Biopsies of Pancreatic Lesions
Bekir Turgut, Süleyman Bakdik, Fatih Öncü, İlknur Küçükosmanoğlu, Meryem İlkay Eren Karanis, Ramazan Saygin Kerimoğlu, Mustafa Saraçoğlu
Ultrasound Quarterly.2023; 39(2): 109. CrossRef - EUS-guided fine-needle biopsy sampling of solid pancreatic tumors with 3 versus 12 to-and-fro movements: a multicenter prospective randomized controlled study
Kosuke Takahashi, Ichiro Yasuda, Nobuhiko Hayashi, Takuji Iwashita, Mitsuru Okuno, Tsuyoshi Mukai, Masatoshi Mabuchi, Seiji Adachi, Shinpei Doi, Johji Imura, Eisuke Ozawa, Hisamitsu Miyaaki, Kazuhiko Nakao
Gastrointestinal Endoscopy.2023; 97(6): 1092. CrossRef - Scope position is a determining factor for diagnostic performance of endoscopic ultrasound-guided fine-needle aspiration for mass lesions in the pancreatic head
Nam Hee Kim, Hong Joo Kim
International Journal of Gastrointestinal Intervention.2023; 12(4): 163. CrossRef - Endoscopic ultrasound-guided tissue acquisition: Needle types, technical issues, and sample handling
Woo Hyun Paik
International Journal of Gastrointestinal Intervention.2022; 11(3): 96. CrossRef - EUS‐guided hydrogel microparticle injection in a cadaveric model
Seong‐Hun Kim, Kai Ding, Avani Rao, Jin He, Manoop S. Bhutani, Joseph M. Herman, Amol Narang, Eun Ji Shin
Journal of Applied Clinical Medical Physics.2021; 22(6): 83. CrossRef - Optimal Techniques for EUS-Guided Fine-Needle Aspiration of Pancreatic Solid Masses at Facilities without On-Site Cytopathology: Results from Two Prospective Randomised Trials
Woo Hyun Paik, Joon Hyuk Choi, Yangsoon Park, Jung Bok Lee, Do Hyun Park
Journal of Clinical Medicine.2021; 10(20): 4662. CrossRef - Factors affecting cytological results of endoscopic ultrasound guided-fine needle aspiration during learning
Jian-Han Lai, Hsiang-Hung Lin, Ching-Chung Lin
Diagnostic Pathology.2020;[Epub] CrossRef - Usefulness of 18F‐FDG‐PET/CT in the diagnosis and prediction of recurrence of pancreatic neuroendocrine neoplasms
Asahi Sato, Toshihiko Masui, Akitada Yogo, Yuichiro Uchida, Kenzo Nakano, Takayuki Anazawa, Kazuyuki Nagai, Kyoichi Takaori, Yuji Nakamoto, Shinji Uemoto
Journal of Hepato-Biliary-Pancreatic Sciences.2020; 27(7): 414. CrossRef - Needle-compatible miniaturized optoelectronic sensor for pancreatic cancer detection
Seung Yup Lee, Julia M. Pakela, Kyounghwan Na, Jiaqi Shi, Barbara J. McKenna, Diane M. Simeone, Euisik Yoon, James M. Scheiman, Mary-Ann Mycek
Science Advances.2020;[Epub] CrossRef - Outcomes of endoscopic ultrasound‐guided biliary drainage: A systematic review and meta‐analysis
A Hedjoudje, A Sportes, S Grabar, A Zhang, S Koch, L Vuitton, F Prat
United European Gastroenterology Journal.2019; 7(1): 60. CrossRef - Which Needle Needs to Be Chosen for Better Outcome of Endoscopic Ultrasound-Guided Tissue Acquisition?
Dong Wook Lee, Eun Young Kim
Gut and Liver.2019; 13(3): 223. CrossRef - Endoscopic Ultrasound-Guided Liver Biopsy Using a Core Needle for Hepatic Solid Mass
Hyung Ku Chon, Hee Chan Yang, Keum Ha Choi, Tae Hyeon Kim
Clinical Endoscopy.2019; 52(4): 340. CrossRef - A comprehensive review of endoscopic ultrasound core biopsy needles
Theodore W. James, Todd H. Baron
Expert Review of Medical Devices.2018; 15(2): 127. CrossRef - Ultrasound-Guided Percutaneous Core Needle Biopsy for the Diagnosis of Pancreatic Disease
Ying Huang, Jingwen Shi, Yun-Yun Chen, Kao Li
Ultrasound in Medicine & Biology.2018; 44(6): 1145. CrossRef - Push vs pull method for endoscopic ultrasound-guided fine needle aspiration of pancreatic head lesions: Propensity score matching analysis
Mitsuru Sugimoto, Tadayuki Takagi, Rei Suzuki, Naoki Konno, Hiroyuki Asama, Yuki Sato, Hiroki Irie, Ko Watanabe, Jun Nakamura, Hitomi Kikuchi, Yuichi Waragai, Mika Takasumi, Minami Hashimoto, Yuko Hashimoto, Takuto Hikichi, Hiromasa Ohira
World Journal of Gastroenterology.2018; 24(27): 3006. CrossRef - High-resolution endoscopic ultrasound imaging and the number of needle passages are significant factors predicting high yield of endoscopic ultrasound-guided fine needle aspiration for pancreatic solid masses without an on-site cytopathologist
Seok Hoo Jeong, Hyun Hwa Yoon, Eui Joo Kim, Yoon Jae Kim, Yeon Suk Kim, Jae Hee Cho
Medicine.2017; 96(2): e5782. CrossRef - Risk factors associated with adverse events during endoscopic ultrasound-guided tissue sampling
Kwang Hyuck Lee, Eun Young Kim, Juhee Cho, Danbee Kang, Seungmin Bang, Hyung Kil Kim, Gwang Ha Kim, Hyun Jong Choi, Joung-Ho Han, Seong Woo Jeon, Ji Kon Ryu, Jeong Seop Moon, Tae Hee Lee, Jin Woong Cho, Tae Hyeon Kim, Young Koog Cheon, Chang-Hwan Park, Jo
PLOS ONE.2017; 12(12): e0189347. CrossRef - Endoscopic ultrasound-guided fine-needle aspiration and cytology for differentiating benign from malignant lymph nodes
Hussein Okasha, Shaimaa Elkholy, Mohamed Sayed, Ahmed Salman, Yahia Elsherif, Emad El-Gemeie
Arab Journal of Gastroenterology.2017; 18(2): 74. CrossRef - Endoscopic ultrasound-guided fine needle core biopsy for the diagnosis of pancreatic malignant lesions: a systematic review and Meta-Analysis
Yongtao Yang, Lianyong Li, Changmin Qu, Shuwen Liang, Bolun Zeng, Zhiwen Luo
Scientific Reports.2016;[Epub] CrossRef - Role of endoscopic ultrasound-guided fine needle aspiration in the diagnosis of mass lesions
Chaoqun Han, Rong Lin, Qin Zhang, Jun Liu, Zhen Ding, Xiaohua Hou
Experimental and Therapeutic Medicine.2016; 12(2): 1085. CrossRef - Pancreatic cancer: diagnosis and treatments
Hong-Yu Li, Zhong-Min Cui, Jiang Chen, Xiao-Zhong Guo, Ying-Yi Li
Tumor Biology.2015; 36(3): 1375. CrossRef - Contrast-Enhanced Harmonic Endoscopic Ultrasound-Guided Fine-Needle Aspiration in the Diagnosis of Solid Pancreatic Lesions: A Retrospective Study
Xiaojia Hou, Zhendong Jin, Can Xu, Minmin Zhang, Jianwei Zhu, Fei Jiang, Zhaoshen Li, Robert Lane Schmidt
PLOS ONE.2015; 10(3): e0121236. CrossRef - Key endoscopic ultrasound features of pancreatic ductal adenocarcinoma smaller than 20 mm
Akira Aso, Eikichi Ihara, Takashi Osoegawa, Kazuhiko Nakamura, Soichi Itaba, Hisato Igarashi, Tetsuhide Ito, Shinichi Aishima, Yoshinao Oda, Masao Tanaka, Ryoichi Takayanagi
Scandinavian Journal of Gastroenterology.2014; 49(3): 332. CrossRef - Endoscopic Ultrasound-Guided Fine Needle Biopsy without Rapid On-Site Cytologic Examination: A Time to Change the Paradigm?
Yeon Suk Kim
Clinical Endoscopy.2014; 47(3): 207. CrossRef - Fine-Needle Biopsy: Should This Be the First Choice in Endoscopic Ultrasound-Guided Tissue Acquisition?
Eun Young Kim
Clinical Endoscopy.2014; 47(5): 425. CrossRef
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9,583
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26
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Case Reports
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Duodenal Mucosa-Associated Lymphoid Tissue Lymphomas: Two Cases and the Evaluation of Endoscopic Ultrasonography
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Su Jin Kim, Hyung Wook Kim, Choel Woong Choi, Jong Kun Ha, Young Mi Hong, Jin Hyun Park, Soo Bum Park, Dae Hwan Kang
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Clin Endosc 2013;46(5):563-567. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.563
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Abstract
PDFPubReaderePub
Mucosa-associated lymphoid tissue lymphoma mainly arises in the stomach, with fewer than 30% arising in the small intestine. We describe here two cases of primary duodenal mucosa-associated lymphoid tissue lymphoma which were evaluated by endoscopic ultrasonography. A 52-year-old man underwent endoscopy due to abdominal pain, which demonstrated a depressed lesion on duodenal bulb. Endoscopic ultrasonographic finding was hypoechoic lesion invading the submucosa. The other case was a previously healthy 51-year-old man. Endoscopy showed a whitish granular lesion on duodenum third portion. Endoscopic ultrasonography image was similar to the first case, whereas abdominal computed tomography revealed enlargement of multiple lymph nodes. The first case was treated with eradication of Helicobacter pylori, after which the mucosal change and endoscopic ultrasound finding were normalized in 7 months. The second case was treated with cyclophosphamide, vincristine, prednisolone, and rituximab every 3 weeks. After 6 courses of chemotherapy, the patient achieved complete remission.
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Citations
Citations to this article as recorded by
- Primary Gastric and Duodenal Mucosa-Associated Lymphoid Tissue Lymphoma With Symptomatic Anemia
Abdulla Alabed, Faisal Abubaker, Omar Sharif, Alddana Zayed, Eman Aljufairi
ACG Case Reports Journal.2024; 11(7): e01438. CrossRef - Review of lymphoma in the duodenum: An update of diagnosis and management
Masaya Iwamuro, Takehiro Tanaka, Hiroyuki Okada
World Journal of Gastroenterology.2023; 29(12): 1852. CrossRef - Synchronous duodenal mucosa-associated lymphoid tissue lymphoma and gastric cancer
Keiichiro Yokota, Tsutomu Namikawa, Masahiro Maeda, Nobuhisa Tanioka, Jun Iwabu, Sunao Uemura, Masaya Munekage, Hiromichi Maeda, Hiroyuki Kitagawa, Michiya Kobayashi, Kazuhiro Hanazaki
Clinical Journal of Gastroenterology.2021; 14(1): 109. CrossRef - Early, Isolated Duodenal Mucosa-Associated Lymphoid Tissue Lymphoma Presenting without Symptoms or Grossly Apparent Endoscopic Lesions and Diagnosed by Random Duodenal Biopsies
Mihajlo Gjeorgjievski, Issa Makki, Pradeep Khanal, Mitual B. Amin, Ann Marie Blenc, Tusar Desai, Mitchell S. Cappell
Case Reports in Gastroenterology.2016; 10(2): 323. CrossRef
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7,797
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71
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A Case of Gastric Inverted Hyperplastic Polyp Found with Gastritis Cystica Profunda and Early Gastric Cancer
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Sang Jin Lee, Jong Kyu Park, Hyun Il Seo, Koon Hee Han, Young Don Kim, Woo Jin Jeong, Gab Jin Cheon, Dae-Woon Eom
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Clin Endosc 2013;46(5):568-571. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.568
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Abstract
PDFPubReaderePub
A gastric inverted hyperplastic polyp is a rare type of gastric polyp and is characterized by downward growth of a variety of mucosal components into the submucosa. The polyp consists of columnar cells resembling foveolar epithelium and pyloric gland epithelium and can coexist with gastritis cystica profunda. Frequently, adenocarcinoma can coexist, but the relation is not clear. A 77-year-old male underwent endoscopic submucosal dissection due to early gastric cancer. A gastric inverted hyperplastic polyp was found in the removed specimen and gastric cystica profunda was also found. We report a case of gastric inverted hyperplastic polyp coexisting with gastric cystica profunda and gastric adenocarcinoma.
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Citations
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Yanyang Zou, Yusheng Tian
Asian Journal of Surgery.2024; 47(3): 1686. CrossRef - Clinicopathologic and endoscopic characteristics of ten patients with gastric hamartomatous inverted polyp: a single center case series
Ningning Dong, Fandong Meng, Bing Yue, Junzhen Hou
BMC Gastroenterology.2024;[Epub] CrossRef - Gastric hamartomatous inverted polyp: Report of three cases with a review of the endoscopic and clinicopathological features
Takuya Ohtsu, Yu Takahashi, Mitsuo Tokuhara, Tomomitsu Tahara, Mitsuaki Ishida, Chika Miyasaka, Koji Tsuta, Makoto Naganuma
DEN Open.2023;[Epub] CrossRef - Gastric Inverted Hyperplastic Polyp Removed Using Endoscopic Submucosal Dissection
Jee Won Boo, Joon Sung Kim, Byung-Wook Kim
The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2023; 23(1): 63. CrossRef - Diagnosis and treatment of gastric hamartomatous inverted polyp (GHIP) by endoscopic submucosal dissection: A case report
Yi-Ping Han, Cong-Cong Min, Yu-Bei Li, Yun-Qing Chen, Hua Liu, Zi-Bin Tian, Xiao-Yan Yin
Medicine.2023; 102(13): e33443. CrossRef - Gastritis Cystica Profunda: A Rare Disease, a Challenging Diagnosis, and an Uncertain Malignant Potential: A Case Report and Review of the Literature
Francesca De Stefano, Giorgio M. P. Graziano, Jacopo Viganò, Aurelio Mauro, Andrea Peloso, Jacopo Peverada, Raffaele Fellegara, Alessandro Vanoli, Giuseppe G. Faillace, Luca Ansaloni
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Gyerim Park, Jihye Kim, Sung Hak Lee, Younghoon Kim
World Journal of Clinical Cases.2023; 11(28): 6967. CrossRef - Coexistence of early gastric cancer and benign submucosal lesions mimic invasive cancer: a retrospective multicenter experience
Huawei Yang, Zhen Li, Zhi Wei, Guodong Li, Yi Li, Shanbin Wu, Rui Ji
BMC Gastroenterology.2023;[Epub] CrossRef - Activating KRAS and GNAS mutations in heterotopic submucosal glands of the stomach
Hourin Cho, Taiki Hashimoto, Tomoaki Naka, Yasushi Yatabe, Ichiro Oda, Yutaka Saito, Takaki Yoshikawa, Shigeki Sekine
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Ya Nan Yu, Xiao Wei Wang, Yun Qing Chen, Zheng Cui, Zi Bin Tian, Qing Xi Zhao, Tao Mao, Man Xie, Xiao Yan Yin
Journal of Digestive Diseases.2022; 23(3): 186. CrossRef - Gastric Inverted Polyps—Distinctive Subepithelial Lesions of the Stomach
Ji-Ye Kim, Soomin Ahn, Kyoung-Mee Kim, Sun Hee Chang, Han Seong Kim, Jun Haeng Lee, Jae J. Kim, Tae Sung Sohn, Hye Ju Kang, Mee Joo
American Journal of Surgical Pathology.2021; 45(5): 680. CrossRef - Bile reflux gastritis cystica profunda
Shenghe Deng, Yinghao Cao, Liming Shen, Jiliang Wang, Kaixiong Tao, Guobin Wang, Jiang Li, Kailin Cai
Medicine.2019; 98(17): e15295. CrossRef - Synchronous double superficial mixed gastrointestinal mucus phenotype gastric cancer with gastritis cystica profunda and submucosal lipoma
Dandan Huang, Qiang Zhan, Shudong Yang, Qi Sun, Zhiyi Zhou
Medicine.2018; 97(22): e10825. CrossRef - Inverted Hyperplastic Polyp in Stomach: A Case Report and Literature Review
Yeon Ho Lee, Moon Kyung Joo, Beom Jae Lee, Ji-Ae Lee, Taehyun Kim, Jin Gu Yoon, Jung Min Lee, Jong-Jae Park
The Korean Journal of Gastroenterology.2016; 67(2): 98. CrossRef - Inflammatory myofibroblastic tumor‐like stromal proliferation within gastric inverted hyperplastic polyp
Byeong‐Joo Noh, Ji Won Min, Ji‐Youn Sung, Yong‐Koo Park, Juhie Lee, Youn Wha Kim
Pathology International.2016; 66(3): 180. CrossRef - Gastric inverted hyperplastic polyp: A rare cause of iron deficiency anemia
Jin Tak Yun, Seung Woo Lee, Dong Pil Kim, Seung Hwa Choi, Seok-Hwan Kim, Jun Kyu Park, Sun Hee Jang, Yun Jung Park, Ye Gyu Sung, Hae Jung Sul
World Journal of Gastroenterology.2016; 22(15): 4066. CrossRef - Gastric Inverted Hyperplasic Polyp Composed Only of Pyloric Glands
Minsun Jung, Kyueng-Whan Min, Young-Joon Ryu
International Journal of Surgical Pathology.2015; 23(4): 313. CrossRef - Gastritis cystica profunda in a previously unoperated stomach: A case report
Xiong-Fei Yu
World Journal of Gastroenterology.2015; 21(12): 3759. CrossRef - A Gastric Hamartomatous Inverted Polyp Preoperatively Diagnosed as a Mesenchymal Tumor Treated by Laparoscopic Wedge Resection
Taro Isobe, Jun Akiba, Kousuke Hashimoto, Junya Kizaki, Satoru Matono, Tetsushi Kinugasa, Keishiro Aoyagi, Hirohisa Yano, Yoshito Akagi
The Japanese Journal of Gastroenterological Surgery.2015; 48(3): 201. CrossRef
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Gastrointestinal Cancers in a Peutz-Jeghers Syndrome Family: A Case Report
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Sang Hee Song, Kun Woo Kim, Won Hee Kim, Chang Il Kwon, Kwang Hyun Ko, Ki Baik Hahm, Pil Won Park, Sung Pyo Hong
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Clin Endosc 2013;46(5):572-575. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.572
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Abstract
PDFPubReaderePub
A 17-year-old man was diagnosed as Peutz-Jeghers syndrome (PJS) because of pigmented lip and multiple gastrointestinal polyps. He had anemia and underwent polypectomy on the duodenum and colon. His maternal family members were patients with PJS. His mother used to be screened with endoscopy to remove large polyps. One and half years later, he underwent jejunal segmental resection due to intussusceptions. He underwent endoscopic polypectomy every 2 to 3 years. When he was 23 years old, high-grade dysplasia was found in colonic polyp and his mother underwent partial pancreatectomy due to intraductal papillary mucinous carcinoma. When he was 27 years old, diffuse gastric polyps on the greater curvature of corpus expanded and grew. Therefore, wide endoscopic polypectomy was done. Histological examination revealed focal intramucosal carcinoma and low-grade dysplasia in hamartomatous polyps. We report cases of cancers occurred in first-degree relatives with PJS.
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Citations
Citations to this article as recorded by
- Familial and hereditary gastric cancer, an overview
Fátima Carneiro
Best Practice & Research Clinical Gastroenterology.2022; 58-59: 101800. CrossRef - Small bowel intussusception and concurrent sigmoid polyp with malignant transformation in Peutz–Jeghers syndrome
Maidah Algarni, Enas Raml, Nora Trabulsi, Mohammed Nassif
Journal of Surgical Case Reports.2019;[Epub] CrossRef - The first European family with gastric adenocarcinoma and proximal polyposis of the stomach: case report and review of the literature
Rudolf Repak, Darina Kohoutova, Miroslav Podhola, Stanislav Rejchrt, Marek Minarik, Lucie Benesova, Michal Lesko, Jan Bures
Gastrointestinal Endoscopy.2016; 84(4): 718. CrossRef - Gastric Hamartomatous Polyps—Review and Update
Monika Vyas, Xiu Yang, Xuchen Zhang
Clinical Medicine Insights: Gastroenterology.2016; 9: CGast.S38452. CrossRef - Giant rectal polyp prolapse in an adult patient with the Peutz-Jeghers syndrome
Ana Delfina Cano-Contreras, Arturo Meixueiro-Daza, Peter Grube-Pagola, Jose Maria Remes-Troche
BMJ Case Reports.2016; : bcr2016215629. CrossRef - Prevention Strategies for Gastric Cancer: A Global Perspective
Jin Young Park, Lawrence von Karsa, Rolando Herrero
Clinical Endoscopy.2014; 47(6): 478. CrossRef
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6,881
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69
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6
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Successful Endoscopic Mucosal Resection of a Low Esophageal Carcinoid Tumor
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Chang Sup Lim, Seun Ja Park, Moo In Park, Won Moon, Hyung Hun Kim, Jun Sik Lee, Bong Jin Kim, Dong Young Ku
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Clin Endosc 2013;46(5):576-578. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.576
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Abstract
PDFPubReaderePub
Esophageal carcinoid tumors remain some of the rarest of all carcinoid tumors, with only several cases previously reported in the literature. The endoscopic mucosal resection of selected carcinoid tumors has been shown to be a valid, safe, and effective method of treatment. Endoscopic ultrasonography is the technique of choice to select patients eligible for endoscopic resection. Here, we report successful endoscopic mucosal resection of a low esophageal carcinoid tumor and review the relevant literature. The present case is the first reported case of esophageal carcinoid tumor in Korea.
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- Role of Advanced Gastrointestinal Endoscopy in the Comprehensive Management of Neuroendocrine Neoplasms
Harishankar Gopakumar, Vinay Jahagirdar, Jagadish Koyi, Dushyant Singh Dahiya, Hemant Goyal, Neil R. Sharma, Abhilash Perisetti
Cancers.2023; 15(16): 4175. CrossRef - Contemporary outcomes of esophageal and gastroesophageal junction neuroendocrine tumors
Lauren M Poston, Shreya Gupta, Christine E Alvarado, Jillian Sinopoli, Leonidas T Vargas, Philip A Linden, Christopher W Towe
Diseases of the Esophagus.2023;[Epub] CrossRef - A rare rarity: Neuroendocrine tumor of the esophagus
Elisa Giannetta, Valentina Guarnotta, Francesca Rota, Federica de Cicco, Federica Grillo, Annamaria Colao, Antongiulio Faggiano
Critical Reviews in Oncology/Hematology.2019; 137: 92. CrossRef - Incidental neuroendocrine tumor of the esophagus: A case report and review of the literature
Sarah K. Findeis, Atin Agarwal
Human Pathology: Case Reports.2019; 16: 100294. CrossRef - A 13-year time trend analysis of 3724 small bowel video capsule endoscopies and a forecast model during the financial crisis in Greece
Konstantinos Triantafyllou, Paraskevas Gkolfakis, Nikos Viazis, Panagiotis Tsibouris, Athanasios Tsigaridas, Periklis Apostolopoulos, John Anastasiou, Eleni Hounda, Ioannis Skianis, Konstantina Katopodi, Xhoela Ndini, George Alexandrakis, Demetrios G. Kar
European Journal of Gastroenterology & Hepatology.2017; 29(2): 185. CrossRef - NASPGHAN Capsule Endoscopy Clinical Report
Joel A. Friedlander, Quin Y. Liu, Benjamin Sahn, Koorosh Kooros, Catharine M. Walsh, Robert E. Kramer, Jenifer R. Lightdale, Julie Khlevner, Mark McOmber, Jacob Kurowski, Matthew J. Giefer, Harpreet Pall, David M. Troendle, Elizabeth C. Utterson, Herbert
Journal of Pediatric Gastroenterology and Nutrition.2017; 64(3): 485. CrossRef - Quality Indicators for Small Bowel Capsule Endoscopy
Ki-Nam Shim, Seong Ran Jeon, Hyun Joo Jang, Jinsu Kim, Yun Jeong Lim, Kyeong Ok Kim, Hyun Joo Song, Hyun Seok Lee, Jae Jun Park, Ji Hyun Kim, Jaeyoung Chun, Soo Jung Park, Dong-Hoon Yang, Yang Won Min, Bora Keum, Bo-In Lee
Clinical Endoscopy.2017; 50(2): 148. CrossRef - Primary neuroendocrine neoplasm of the esophagus – Report of 14 cases from a single institute and review of the literature
Francisco TUSTUMI, Flavio Roberto TAKEDA, Rodrigo Hideki UEMA, Guilherme Luiz Stelko PEREIRA, Rubens Antonio Aissar SALLUM, Ivan CECCONELLO
Arquivos de Gastroenterologia.2017; 54(1): 4. CrossRef - A Simple Evaluation Tool (ET-CET) Indicates Increase of Diagnostic Skills From Small Bowel Capsule Endoscopy Training Courses
J.G. Albert, O. Humbla, M.E. McAlindon, C. Davison, U. Seitz, C. Fraser, F. Hagenmüller, E. Noetzel, C. Spada, M.E. Riccioni, J. Barnert, N. Filmann, M. Keuchel
Medicine.2015; 94(43): e1941. CrossRef - Training in Video Capsule Endoscopy
Cary G. Sauer, Steven H. Erdman
Journal of Pediatric Gastroenterology and Nutrition.2015; 61(4): 381. CrossRef - Endoscopic resection using band ligation for esophageal SMT in less than 10 mm
Joung Boom Hong
World Journal of Gastroenterology.2015; 21(10): 2982. CrossRef
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Systemic Amyloidosis Manifested by Gastric Outlet Obstruction
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Sung Woon Park, Hyun Woong Lee, Eun Jung Cho
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Clin Endosc 2013;46(5):579-581. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.579
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Abstract
PDFPubReaderePub
Amyloidosis is characterized by extracellular deposition of insoluble protein fibrils that stain with Congo red application and appear apple green under polarized light. The presenting symptoms result from the involvement of many affected, nonspecific and generalized organ systems. Our patient was an 80-year-old woman with no medical history. She presented with a 2-week history of nausea and vomiting. An esophagogastroduodenoscopy showed erythematous and edematous mucosa on the antrum with pyloric stenosis. Histopathologic examination of the biopsy specimen showed the deposition of amorphous, homogeneous, and acidophilic material in the gastric mucosa. Amyloidal protein was proven by positive Congo red stain. A serum and urine immunfixation electrophoresis showed lambda light chain band. She developed symptoms of repeated greenish color vomiting. A follow-up esophagogastroduodenoscopy showed progressed antral obstruction. However, she refused further evaluation and treatment and was managed conservatively. She later died of disease progression after 34 hospital days.
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Citations
Citations to this article as recorded by
- A Case of Primary Gastric Amyloidosis with Fulminant Heart Failure
Seonghun Hong, Young-Woon Chang, Jong Kyu Byun, Min Je Kim, Jung Min Chae, Sun Hee Park, Chi Hyuk Oh, Yong-Koo Park
The Korean Journal of Gastroenterology.2015; 66(4): 227. CrossRef
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6,233
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Gastric Somatostatinoma: An Extremely Rare Cause of Upper Gastrointestinal Bleeding
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Varayu Prachayakul, Pitulak Aswakul, Morakod Deesomsak, Ananya Pongpaibul
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Clin Endosc 2013;46(5):582-585. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.582
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Abstract
PDFPubReaderePub
A 49-year-old woman presented with chronic abdominal discomfort, significant weight loss, and chronic intermittent diarrhea. She suddenly developed massive upper gastrointestinal bleeding and was referred for further treatment. Endoscopy indicated a large mass in the upper gastric body with antral and duodenal bulb involvement. Endosonography showed a large well-defined isoechoic gastric subepithelial mass with multiple intra-abdominal and peripancreatic lymphadenopathy, suspected to be malignant on the basis of fine needle aspiration cytology. The tumor was surgically removed, and histopathology showed typical characteristics of a neuroendocrine tumor. On the basis of immunohistochemical staining, somatostatinoma, a rare neuroendocrine tumor, was diagnosed. Gastrointestinal bleeding is a rare presentation and the stomach is an uncommon tumor location.