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Volume 49(1); January 2016
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Commentarys
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Can We Measure the Learning Curve of Colonoscopy Using Polyp Detection Rate?
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Jin Young Yoon, Jae Myung Cha
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Clin Endosc 2016;49(1):6-7. Published online January 28, 2016
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DOI: https://doi.org/10.5946/ce.2016.49.1.6
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Gabrielle E. Koh, Brittany Ng, Ronja M.B. Lagström, Fung-Joon Foo, Shuen-Ern Chin, Fang-Ting Wan, Juinn Huar Kam, Baldwin Yeung, Clarence Kwan, Cesare Hassan, Ismail Gögenur, Frederick H. Koh
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Focused Review Series: Current Issues and Future Directionses of Small Bowel Endoscopic Evaluation
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Current Status and Research into Overcoming Limitations of Capsule Endoscopy
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Won Gun Kwack, Yun Jeong Lim
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Clin Endosc 2016;49(1):8-15. Published online January 28, 2016
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DOI: https://doi.org/10.5946/ce.2016.49.1.8
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Abstract
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- Endoscopic investigation has a critical role in the diagnosis and treatment of gastrointestinal (GI) diseases. Since 2001, capsule endoscopy (CE) has been available for small-bowel exploration and is under continuous development. During the past decade, CE has achieved impressive improvements in areas such as miniaturization, resolution, and battery life. As a result, CE is currently a first-line tool for the investigation of the small bowel in obscure gastrointestinal bleeding and is a useful alternative to wired enteroscopy. Nevertheless, CE still has several limitations, such as incomplete examination and limited diagnostic and therapeutic capabilities. To resolve these problems, many groups have suggested several models (e.g., controlled CO2 insufflation system, magnetic navigation system, mobile robotic platform, tagging and biopsy equipment, and targeted drug-delivery system), which are in development. In the near future, new technological advances will improve the capabilities of CE and broaden its spectrum of applications not only for the small bowel but also for the colon, stomach, and esophagus. The purpose of this review is to introduce the current status of CE and to review the ongoing development of solutions to address its limitations.
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Uday C. Ghoshal, Akash Roy, Mahesh K. Goenka
Indian Journal of Gastroenterology.2024; 43(5): 896. CrossRef - Real‐time small bowel visualization quality assessment in wireless capsule endoscopy images using different lightweight embeddable models
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International Journal of Imaging Systems and Technology.2024;[Epub] CrossRef - A multi-label dataset and its evaluation for automated scoring system for cleanliness assessment in video capsule endoscopy
Palak Handa, Nidhi Goel, S. Indu, Deepak Gunjan
Physical and Engineering Sciences in Medicine.2024; 47(3): 1213. CrossRef - Prediction of Significant Lesions on Capsule Endoscopy in Patients with Suspected Small Bowel Bleeding: External Validation of SSB Capsule Dx Score
Tiago Lima Capela, Tiago Cúrdia Gonçalves, Bruno Rosa, José Cotter
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Pawel Turcza, Mariusz Duplaga
Circuits, Systems, and Signal Processing.2023; 42(2): 683. CrossRef - The Accuracy of Different Modalities Used for Preoperative Primary Tumour Localisation in Operated Colorectal Cancer Patients
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Həbib Həsənzadə, Amalya Həsənova Həbib Həsənzadə, Amalya Həsənova
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Dong Jun Oh, Youngbae Hwang, Yun Jeong Lim
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Dong Jun Oh, Ji Hyung Nam, Junseok Park, Youngbae Hwang, Yun Jeong Lim, Edoardo Sinibaldi
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Dong Jun Oh, Kwang Seop Kim, Yun Jeong Lim
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Seung-Joo Nam, Hyun Seok Lee, Yun Jeong Lim
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Ana Ponte, Rolando Pinho, Adélia Rodrigues, Joana Silva, Jaime Rodrigues, Mafalda Sousa, Jo�o Carvalho
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Alberto Murino, Edward J Despott
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The Role of Capsule Endoscopy in Patients with Obscure Gastrointestinal Bleeding
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Yang Won Min, Dong Kyung Chang
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Clin Endosc 2016;49(1):16-20. Published online January 28, 2016
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DOI: https://doi.org/10.5946/ce.2016.49.1.16
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Abstract
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- Obscure gastrointestinal bleeding (OGIB) accounts for 5% of all gastrointestinal (GI) bleeding cases and is often caused by small bowel lesions. Capsule endoscopy (CE), which allows non-invasive visualization of the small bowel mucosa, has revolutionized the evaluation of OGIB. CE is preferred by both patients and physicians mainly because of its non-invasiveness, and is widely used as the first-line diagnostic modality for OGIB. The diagnostic yield of CE in OGIB has been reported to be in the range of 32% to 83%. Although no direct comparison has been made, a meta-analysis showed similar diagnostic yields between CE and double-balloon enteroscopy (DBE) for OGIB. However, CE could enhance the yield of subsequent DBE and serve as a guide for optimizing the insertion route for DBE. Even after negative CE, selected patients could benefit from second-look CE for OGIB. In terms of outcomes, a favorable clinical impact after CE has been reported in several studies. However, observations indicate that CE might not influence clinical outcomes directly, but rather play a role in selecting patients with OGIB who are likely to benefit from subsequent evaluation and intervention.
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Citations
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- Inpatient Small Bowel Capsule Endoscopy: Not Associated With Bleeding Site Identification or 30-Day Readmission Prevention
Ismail Ghafary, Talal Seoud, Michael Jorgensen, Jade Marhaba, William M Briggs, Daniel S Jamorabo
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The Usefulness of Capsule Endoscopy for Small Bowel Tumors
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Dae Young Cheung, Jin Su Kim, Ki-Nam Shim, Myung-Gyu Choi, Korean Gut Image Study Group
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Clin Endosc 2016;49(1):21-25. Published online January 28, 2016
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DOI: https://doi.org/10.5946/ce.2016.49.1.21
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Abstract
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- Video capsule endoscopy (VCE) has expanded the range of endoscopic examination of the small bowel. The clinical application of VCE is mainly for obscure gastrointestinal bleeding (OGIB) and small bowel tumor is one of the clinically significant diagnoses of VCE, often requiring subsequent invasive interventions. Small bowel tumors are detected with a frequency of around 4% with VCE in indications of OGIB, iron deficiency anemia, unexplained abdominal pain, and others. Protruding mass with bleeding, mucosal disruption, irregular surface, discolored area, and white villi are suggested as the VCE findings of small bowel tumor. Device assisted enteroscopy (DAE), computed tomography enteroclysis/enterography and magnetic resonance enteroclysis/enterography also have clinical value in small bowel examination and tumor detection, and they can be used with VCE, sequentially or complementarily. Familial adenomatous polyposis, Peutz-Jeghers syndrome, melanoma, lymphoma, and neuroendocrine tumor with hepatic metastasis are the high risk groups for small bowel tumors, and surveillance programs for small bowel tumors are needed. VCE and radiological imaging have value in screening, and in selected cases, DAE can provide more accurate diagnosis and endoscopic treatment. This review describes the usefulness and clinical impact of VCE on small bowel tumors.
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- Post-Transplant Lymphoproliferative Disorder Presenting as a Gastrointestinal Fistulous Tract in a Heart Transplant Recipient: Case Report and Literature Review
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Challenges and Future of Wireless Capsule Endoscopy
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Jean-Christophe Saurin, Nicolas Beneche, Christine Chambon, Mathieu Pioche
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Clin Endosc 2016;49(1):26-29. Published online January 28, 2016
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DOI: https://doi.org/10.5946/ce.2016.49.1.26
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Abstract
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- In 2015, capsule endoscopy was introduced as the main investigation method for small bowel mucosal diseases, and its role in colonic diseases has been gradually revealed. Future challenges for capsule endoscopy, besides improvements of image quality and visualization of each part of the small bowel and colonic mucosa, include the development of gastric capsules, the capacity to perform histological examination of the mucosa, and maybe in the future, some capsule endoscopy-driven therapeutics. The aim of this review was to evaluate the clinical demands and feasibility of achieving the aforementioned objectives.
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Vahid Sadeghi, Alireza Vard, Mohsen Sharifi, Hossein Mir, Alireza Mehridehnavi
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Reviews
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Novel Endoscopic Management of Obesity
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Jerome Dargent
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Clin Endosc 2016;49(1):30-36. Published online January 28, 2016
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DOI: https://doi.org/10.5946/ce.2016.49.1.30
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Abstract
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- Endoscopic procedures have been well-documented in the obesity field, but have not yet reached a sufficient level of evidence as stand-alone methods for treating obesity. It is unclear if they should take over. Although expanding, the array of bariatric surgical techniques does not fully meet the current needs, and there are not enough resources for increasing surgery. Surgery is avoided by a majority of patients, so that less aggressive procedures are necessary. For the time being, relevant endoscopic methods include intra-gastric balloons, gastric partitioning (Endo-plication), and the metabolic field (Endo-barrier). Surgical novelties and basic research are also important contributors owing to their potential combination with endoscopy. Conditions have been listed for implementation of bariatric endoscopy, because innovation is risky, expensive, and faces ethical challenges. A scientific background is being built (e.g., hormonal studies). Some techniques require additional study, while others are not ready but should be priorities. Steps and goals include the search for conceptual similarities and the respect of an ethical frame. Minimally invasive bariatric techniques are not ready for prime time, but they are already being successful as re-do procedures. A time-frame for step-strategies can be defined, and more investments from the industry are mandatory.
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Citations
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- Nutritional Management and Role of Multidisciplinary Follow-Up after Endoscopic Bariatric Treatment for Obesity
Anuradha Negi, Ravishankar Asokkumar, Rajesh Ravi, Gontrand Lopez-Nava, Inmaculada Bautista-Castaño
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Application and Efficacy of Super-Magnifying Endoscopy for the Lower Intestinal Tract
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Naoki Hosoe, Haruhiko Ogata
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Clin Endosc 2016;49(1):37-40. Published online January 28, 2016
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DOI: https://doi.org/10.5946/ce.2016.49.1.37
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- Endoscopy plays a significant role in the diagnosis, management, and surveillance of colorectal cancer (CRC) and inflammatory bowel diseases (IBDs). Moreover, magnifying endoscopy and image-enhanced endoscopy has a crucial role in the clinical setting. Recently, a super-magnifying endoscope has been developed, and two devices, confocal laser endomicroscopy (CLE) and an endocytoscopy system (ECS), which allow in vivo microscopic inspection of the microstructural mucosal features of the gastrointestinal tract, are currently available. Studies on the use of ECS in CRC were reported by a Japanese group. Additionally, a few studies on the use of ECS in IBD have been reported. CLE has been shown to be reliable in assessing the activity of the disease in IBDs in both ulcerative colitis and Crohn’s disease. Various published studies evaluated the use of CLE during colonoscopy to distinguish colorectal polyp pathology and neoplasia. However, these studies are heterogeneous, and further evidence is necessary to confirm the efficacy of CLE.
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Citations to this article as recorded by

- From clinical uncertainties to precision medicine: the emerging role of the gut barrier and microbiome in small bowel functional diseases
Wojciech Marlicz, Diana E Yung, Karolina Skonieczna-Żydecka, Igor Loniewski, Saskia van Hemert, Beata Loniewska, Anastasios Koulaouzidis
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New Scopes, New Accessories, New Stents for Interventional Endoscopic Ultrasound
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Christopher G. Chapman, Uzma D. Siddiqui
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Clin Endosc 2016;49(1):41-46. Published online January 28, 2016
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DOI: https://doi.org/10.5946/ce.2016.49.1.41
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- Technological advances have rapidly expanded the therapeutic potential of endoscopic ultrasound (EUS). Innovations in stent technology; directed adjunctive therapy for pancreatic tumors, including radiofrequency ablation and fiducial marker placement; advanced imaging modalities, including needle-based confocal laser endomicroscopy; and new echoendoscopes, such as the forward-viewing linear echoendoscope, are emerging as safe and effective tools and devices for providing a broad range of treatments and therapies previously not thought possible. In this review, we summarize and discuss the new echoendoscopes, accessories, and stents for interventional EUS and highlight the recent literature on technical and therapeutic efficacy. The therapeutic role and indications for EUS are rapidly evolving well beyond its current limits as new EUS-specific designed tools are designed, and ultimately, should help achieve the goal of improving patient outcomes.
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Original Articles
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Considerable Variability of Procedural Sedation and Analgesia Practices for Gastrointestinal Endoscopic Procedures in Europe
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Hermanus H. B. Vaessen, Johannes T. A. Knape
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Clin Endosc 2016;49(1):47-55. Published online January 28, 2016
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DOI: https://doi.org/10.5946/ce.2016.49.1.47
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Abstract
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- Background
/Aims: The use of moderate to deep sedation for gastrointestinal endoscopic procedures has increased in Europe considerably. Because this level of sedation is a risky medical procedure, a number of international guidelines have been developed. This survey aims to review if, and if so which, quality aspects have been included in new sedation practices when compared to traditional uncontrolled sedation practices.
Methods
A questionnaire was sent to the National Associations of Nurse Anesthetists in Europe and the National Delegates of the European Section and Board of Anaesthesiology from January 2012 to August 2012.
Results
Huge variation in practices for moderate to deep sedation were identified between and within European countries in terms of safety, type of practitioners, responsibilities, monitoring, informed consent, patient satisfaction, complication registration, and training requirements. Seventy-five percent of respondents were not familiar with international sedation guidelines. Safe sedation practices (mainly propofol-based moderate to deep sedation) are rapidly gaining popularity.
Conclusions
The risky medical procedure of moderate to deep sedation has become common practice for gastrointestinal endoscopy. Safe sedation practices requiring adequate selection of patients, adequate monitoring, training of sedation practitioners, and adequate after-care, are gaining attention in a field that is in transition from uncontrolled sedation care to controlled sedation care.
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- Nurse-Administered Propofol Sedation Training Curricula and Propofol Administration in Digestive Endoscopy Procedures
Andrea Minciullo, Lucia Filomeno
Gastroenterology Nursing.2024; 47(1): 33. CrossRef - The effective dose of butorphanol tartrate in patients of different ages undergoing painless gastroscopy
Yaorui Sun, Shujiao Liu, Wenli Si, Quanyi Zhang, Fei Yu, Ming Su, Chao Sun
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Mikkel H. Pedersen, Anne Danø, Ebbe Englev, Lisbeth Kattenhøj, Emma Munk
Current Medical Research and Opinion.2023; 39(5): 691. CrossRef - Comparison of 95% effective dose of remimazolam besylate and propofol for gastroscopy sedation on older patients: A single‐centre randomized controlled trial
Enci Ye, Keyang Wu, Hui Ye, Wenyuan Zhang, Lihua Chu, Kai Zhang, Guohao Xie, Yue Jin, Xiangming Fang
British Journal of Clinical Pharmacology.2023; 89(11): 3401. CrossRef - The effectiveness of esketamine and propofol versus dezocine and propofol sedation during gastroscopy: A randomized controlled study
Yafei Xu, Yuling Zheng, Tianying Tang, Lvlv Chen, Yiwen Zhang, Zhongqi Zhang
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Xiu-Ru Qi, Jing-Yi Sun, Li-Xin An, Ke Zhang
BMC Anesthesiology.2022;[Epub] CrossRef - The median effective doses of propofol combined with two different doses of nalbuphine for adult patients during painless gastroscopy
Lili Tang, Chenxuan Ye, Nan Wang, Chen Chen, Sirui Chen, Shan Gao, Xuesheng Liu
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Fu K. Liu, Lei Wan, Liu J. Z. Shao, Yi Zou, Shao H. Liu, Fu S. Xue
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Fahima Dossa, Braeden Medeiros, Christine Keng, Sergio A. Acuna, Nancy N. Baxter
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Claudia Fernandez-Robles, Adriana D. Oprea
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Hiroto Suzuki, Masanao Nakamura, Takeshi Yamamura, Keiko Maeda, Tsunaki Sawada, Yasuyuki Mizutani, Takuya Ishikawa, Kazuhiro Furukawa, Eizaburo Ohno, Takashi Honda, Hiroki Kawashima, Masatoshi Ishigami, Mitsuhiro Fujishiro
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Jarno Jokelainen, Harri Mustonen, Leena Kylänpää, Marianne Udd, Outi Lindström, Reino Pöyhiä
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Kate Leslie, James Sgroi
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Hey-Long Ching, Federica Branchi, David S Sanders, David Turnbull, Reena Sidhu
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J.R. Sneyd
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Megan L. Allen
Current Opinion in Anaesthesiology.2017; 30(4): 501. CrossRef - Sedation-related Adverse Events Associated with a Diagnostic Upper Endoscopy: A Single Center-observational Study
Jihyun Lee, Ki-Nam Shim, Kang Hoon Lee, Ko Eun Lee, Ji Young Chang, Chung Hyun Tae, Chang Mo Moon, Seong-Eun Kim, Hye-Kyung Jung, Sung-Ae Jung
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Roles of Capsule Endoscopy and Single-Balloon Enteroscopy in Diagnosing Unexplained Gastrointestinal Bleeding
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Shohei Ooka, Kiyonori Kobayashi, Kana Kawagishi, Masaru Kodo, Kaoru Yokoyama, Miwa Sada, Satoshi Tanabe, Wasaburo Koizumi
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Clin Endosc 2016;49(1):56-60. Published online January 28, 2016
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DOI: https://doi.org/10.5946/ce.2016.49.1.56
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Abstract
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- Background
/Aims: The diagnostic algorithms used for selecting patients with obscure gastrointestinal bleeding (OGIB) for capsule endoscopy (CE) or balloon-assisted enteroscopy (BE) vary among facilities. We aimed to demonstrate the appropriate selection criteria of CE and single balloon-assisted enteroscopy (SBE) for patients with OGIB according to their conditions, by retrospectively comparing the diagnostic performances of CE and BE for detecting the source of the OGIB.
Methods
We investigated 194 patients who underwent CE and/or BE. The rate of positive findings, details of the findings, accidental symptoms, and hemostasis methods were examined and analyzed.
Results
CE and SBE were performed in 103 and 91 patients, respectively, and 26 patients underwent both examinations. The rate of positive findings was significantly higher with SBE (73.6%) than with CE (47.5%, p<0.01). The rate of positive findings was higher in overt bleeding cases than in occult bleeding cases for both BE and SBE. Among the overt bleeding cases, the rate was significantly higher in ongoing bleeding cases than in previous bleeding cases.
Conclusions
Both CE and SBE are useful to diagnose OGIB. For overt bleeding cases and ongoing bleeding cases, SBE may be more appropriate than CE because endoscopic diagnosis and treatment can be completed simultaneously.
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Citations
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Perry K. Pratt, Haleh Vaziri
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Yipin Liu, Weiwei Jiang, Guoxun Chen, Yanqing Li
Gastroenterology Research and Practice.2019; 2019: 1. CrossRef - UEG Week 2018 Poster Presentations
United European Gastroenterology Journal.2018;[Epub] CrossRef
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The Colonoscopist's Expertise Affects the Characteristics of Detected Polyps
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Da Kyoung Jung, Tae Oh Kim, Mi Seon Kang, Mo Se Kim, Min Sik Kim, Young Soo Moon
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Clin Endosc 2016;49(1):61-68. Published online January 28, 2016
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DOI: https://doi.org/10.5946/ce.2016.49.1.61
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Abstract
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- Background
/Aims: The influence of the endoscopist on the polyp detection rate (PDR) is underappreciated in clinical practice. Moreover, flat lesions or lesions of the proximal colon are more difficult to detect. Here, we evaluated the differences in the PDR and the characteristics of detected polyps according to the experience of the colonoscopist.
Methods
We collected data on 2,549 patients who underwent screening colonoscopy performed by three fellows. The PDR was calculated according to the percentage of patients who had at least one polyp (method A) and according to the percentage of detected lesions (method B). The primary outcome included the change in the PDR, and the secondary outcome included the change in the characteristics of the detected polyps with increasing experience of the colonoscopist.
Results
No proportional correlation was found between the PDR and increasing experience in colonoscopy with method A; however, with method B, the PDR increased after 400 colonoscopies (p=0.0209). With method B, the detection rates of small polyps (<5 mm) (p=0.0015) and polyps in proximal sites (p=0.0050) increased after 300 colonoscopies.
Conclusions
Our study demonstrated that the quality of a colonoscopy, measured by using the PDR, may increase when performed by experienced fellows.
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- Rethinking the Transfer Learning for FCN Based Polyp Segmentation in Colonoscopy
Yan Wen, Lei Zhang, Xiangli Meng, Xujiong Ye
IEEE Access.2023; 11: 16183. CrossRef - Anesthesia Assistance in Colonoscopy: Impact on Quality Indicators
Min Liang, Xinyan Zhang, Chunhong Xu, Junli Cao, Zongwang Zhang
Frontiers in Medicine.2022;[Epub] CrossRef - Will purposely seeking detect more colorectal polyps than routine performing during colonoscopy?
Yanliu Chu, Juan Zhang, Ping Wang, Tian Li, Shuyi Jiang, Qinfu Zhao, Feng Liu, Xiaozhong Gao, Xiuli Qiao, Xiaofeng Wang, Zhenhe Song, Heye Liang, Jing Yue, Enqiang Linghu
Medicine.2020; 99(42): e22738. CrossRef - Study on the influence of assistant experience on the quality of colonoscopy
Lixia Fu, Mugen Dai, Junwei Liu, Hua Shi, Jundi Pan, Yanmei Lan, Miaoxia Shen, Xiaoduo Shao, Bin Ye
Medicine.2019; 98(45): e17747. CrossRef - Colonoscopy procedural volume increases adenoma and polyp detection rates in gastroenterologytrainees
Emad Qayed, Ravi Vora, Sara Levy, Roberd M Bostick
World Journal of Gastrointestinal Endoscopy.2017; 9(11): 540. CrossRef
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5
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Increased Detection of Colorectal Polyps in Screening Colonoscopy Using High Definition i-SCAN Compared with Standard White Light
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Woo Jung Kim, Sang Young Park, Iksoo Park, Wook Jin Lee, Jaechan Park, Nuri Chon, Tak Geun Oh, Kwang Hyun Kim
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Clin Endosc 2016;49(1):69-75. Published online January 28, 2016
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DOI: https://doi.org/10.5946/ce.2016.49.1.69
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Abstract
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- Background
/Aims: The aim of this study was to evaluate the efficacy of high definition (HD) i-SCAN for colorectal polyp detection in screening colonoscopy.
Methods
We retrospectively analyzed the records of 501 patients who had undergone screening colonoscopy performed by three endoscopists with either HD i-SCAN (n=149) or standard white light (n=352) from January 2, 2014 through June 30, 2014. Patient information and inter-endoscopist variation as well as polyp number, endoscopic findings, and pathologic characteristics were reviewed.
Results
The detection rates of colorectal and neoplastic polyps were significantly higher using HD i-SCAN than standard white light colonoscopy (52% vs. 38.1%, p=0.004 for colorectal polyps; and 37.2% vs. 27.9%, p=0.041 for neoplastic polyps). Analysis of endoscopic findings revealed no difference in detected polyp size between HD i-SCAN and standard white light colonoscopy (4.59±2.35 mm vs. 4.82±2.81 mm, p=0.739), but non-protruding polyps were more commonly detected by i-SCAN than by standard white light colonoscopy (24.6% vs. 13.5%, p=0.007).
Conclusions
Colonoscopy using HD i-SCAN had a significantly higher detection rate of colorectal polyps, including neoplastic polyps, because of improved sensitivity for detecting non-protruding lesions.
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- Mucosal imaging in colon polyps: New advances and what the future may hold
Edward John Young, Arvinf Rajandran, Hamish Lachlan Philpott, Dharshan Sathananthan, Sophie Fenella Hoile, Rajvinder Singh
World Journal of Gastroenterology.2022; 28(47): 6632. CrossRef - Técnicas colonoscópicas para la detección de pólipos: un estudio egipcio
M. Abdelbary, S. Hamdy, H. Shehab, N. ElGarhy, M. Menesy, R. Marzaban
Revista de Gastroenterología de México.2021; 86(1): 36. CrossRef - Colonoscopic techniques in polyp detection: An Egyptian study
M. Abdelbary, S. Hamdy, H. Shehab, N. ElGarhy, M. Menesy, R. Marzaban
Revista de Gastroenterología de México (English Edition).2021; 86(1): 36. CrossRef - Effect of I-scan Electronic Chromoendoscopy on Detection of Adenomas During Colonoscopy
Trilokesh D. Kidambi, Jonathan P. Terdiman, Najwa El-Nachef, Aparajita Singh, Michael G. Kattah, Jeffrey K. Lee
Clinical Gastroenterology and Hepatology.2019; 17(4): 701. CrossRef - Can technology increase adenoma detection rate?
Wee Sing Ngu, Colin Rees
Therapeutic Advances in Gastroenterology.2018;[Epub] CrossRef - New technologies improve adenoma detection rate, adenoma miss rate, and polyp detection rate: a systematic review and meta-analysis
Daniel Castaneda, Violeta B. Popov, Elijah Verheyen, Praneet Wander, Seth A. Gross
Gastrointestinal Endoscopy.2018; 88(2): 209. CrossRef - Role of Image-Enhanced Endoscopy in Pancreatobiliary Diseases
Yun Nah Lee, Jong Ho Moon, Hyun Jong Choi
Clinical Endoscopy.2018; 51(6): 541. CrossRef - Enhanced flat adenoma detection rate with high definition colonoscopy plus i-scan for average-risk colorectal cancer screening
Antonio Rodríguez-D´Jesus, Esteban Saperas
Revista Española de Enfermedades Digestivas.2016;[Epub] CrossRef
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8,013
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8
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Case Reports
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Two Cases of Stress Cardiomyopathy during Esophagogastroduodenoscopy
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Jong Won Yu, Jongha Park, Pil Sang Song, Jae Hyun Park, Min Sung Kim, Gi Jung Jeon, Min Sik Kim, Tae Oh Kim
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Clin Endosc 2016;49(1):76-80. Published online January 28, 2016
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DOI: https://doi.org/10.5946/ce.2016.49.1.76
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Abstract
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- Esophagogastroduodenoscopy (EGD) is considered a relatively safe procedure. However, the procedure and the materials used in EGD with conscious sedation can cause stress to the patient. Adverse events during EGD have been reported, represented by cardiopulmonary complications. To date, five cases have reported worldwide to be associated with gastrointestinal endoscopy. Stress cardiomyopathy (SCMP) is a reversible cardiomyopathy that typically occurs in postmenopausal women due to stress and may resolve within a few weeks. SCMP resembles acute myocardial infarction but differs in terms of treatment and prognosis. Here, we describe two cases of SCMP with shock during EGD with conscious sedation.
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Citations
Citations to this article as recorded by

- Takotsubo cardiomyopathy: A comprehensive review
Walker Barmore, Himax Patel, Sean Harrell, Daniel Garcia, Joe B Calkins Jr
World Journal of Cardiology.2022; 14(6): 355. CrossRef - Takotsubo cardiomyopathy following acute urinary retention: a case report
Ashraf Elshehry, Mohammed Ainshoka
Saudi Journal of Emergency Medicine.2021; : 102. CrossRef - Quadruple Multiple Primary Malignancies: Early Detection of Second Primary Malignancy by Esophagogastroduodenoscopy/Colonoscopy Is Crucial for Patients with Classic Kaposi’s Sarcoma
Nobuyuki Maruyama, Yuko Okubo, Masato Umikawa, Akiko Matsuzaki, Akira Hokama, Fusahiro Hirano, Tessho Maruyama, Kazuhide Nishihara, Toshiyuki Nakasone, Shoko Makishi, Hiroyuki Nakamura, Naoki Yoshimi
Diagnostics.2020; 10(4): 218. CrossRef - Takotsubo cardiomyopathy after an upper and lower endoscopy: a case report and review of the literature
Ashruta Patel, Yunseok Namn, Shawn L. Shah, Ellen Scherl, David W. Wan
Journal of Medical Case Reports.2019;[Epub] CrossRef - A case of esophagogastroduodenoscopy induced Takotsubo cardiomyopathy with complete heart block
Allison Naiquan Zhang, Terrence Sacchi, Rebecca Altschul, Debra Guss, Smruti Ranjan Mohanty, Vincent Notar-Francesco
Clinical Journal of Gastroenterology.2019; 12(4): 296. CrossRef - Bradycardia, Hypotension, and Midventricular Takotsubo Syndrome during Esophagogastroduodenoscopy
John E. Madias
Clinical Endoscopy.2016; 49(3): 308. CrossRef
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8,709
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69
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5
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6
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Communicating Tubular Esophageal Duplication Combined with Bronchoesophageal Fistula
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Ju Hwan Kim, Chang-Il Kwon, Ji Young Rho, Sang Woo Han, Ji Su Kim, Suk Pyo Shin, Ga Won Song, Ki Baik Hahm
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Clin Endosc 2016;49(1):81-85. Published online January 28, 2016
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DOI: https://doi.org/10.5946/ce.2016.49.1.81
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Abstract
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- Esophageal duplication (ED) is rarely diagnosed in adults and is usually asymptomatic. Especially, ED that is connected to the esophagus through a tubular communication and combined with bronchoesophageal fistula (BEF) is extremely rare and has never been reported in the English literature. This condition is very difficult to diagnose. Although some combinations of several modalities, such as upper gastrointestinal endoscopy, esophagography, computed tomography, magnetic resonance imaging, and endoscopic ultrasonography, can be used for the diagnosis, the results might be inconclusive. Here, we report on a patient with communicating tubular ED that was incidentally diagnosed on the basis of endoscopy and esophagography during the postoperational evaluation of BEF.
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Citations
Citations to this article as recorded by

- Reconstruction of Adult Tubular Esophageal Duplication with Supraclavicular Artery Island Flap: A Rare Case Presentation
Xin Yang, Zheng Jiang, Jun Liu, Fei Chen
Ear, Nose & Throat Journal.2023; : 014556132311734. CrossRef - Tubular Duplication of the Esophagus in a Newborn, Treated by Thoracoscopy
Igor Khvorostov, Alexey Gusev, Abdumanap Alkhasov, Sergey Yatsyk, Elena D'yakonova
European Journal of Pediatric Surgery Reports.2022; 10(01): e49. CrossRef - Endoscopic septum division of tubular esophageal duplication in two children and systematic review
Rahşan Özcan, Ali Ekber Hakalmaz, Şenol Emre, Ayşe Karagöz, Çiğdem Tütüncü, Sebuh Kuruğoğlu, Gonca Topuzlu Tekant
Pediatric Surgery International.2022; 38(11): 1525. CrossRef - Endoscopic management of a tubular esophageal duplication in a young adult
Pietro Familiari, Rosario Landi, Francesca Mangiola, Camilla Vittoria Vita, Guido Costamagna
VideoGIE.2020; 5(10): 455. CrossRef - Esophageal duplication and congenital esophageal stenosis
A. Francois Trappey, Shinjiro Hirose
Seminars in Pediatric Surgery.2017; 26(2): 78. CrossRef
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11,062
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Endoscopic Submucosal Dissection of an Inverted Early Gastric Cancer-Forming False Gastric Diverticulum
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Yong-il Lee, Sang-kil Lee
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Clin Endosc 2016;49(1):86-90. Published online January 28, 2016
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DOI: https://doi.org/10.5946/ce.2016.49.1.86
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- Endoscopic submucosal dissection (ESD) is a standard treatment for early gastric cancer (EGC) that does not have any risk of lymph node or distant metastases. Here, we report a case of EGC resembling a diverticulum. Diverticular formation makes it difficult for endoscopists to determine the depth of invasion and to subsequently perform ESD. Because the false diverticulum does not have a muscular layer, this lesion can be treated with ESD. Our case was successfully treated with ESD. After ESD, the EGC was confined to the submucosal layer without vertical and lateral margin involvement. This is the first case in which ESD was successfully performed for a case of EGC that coexisted with a false gastric diverticulum. An additional, larger study is needed to determine the efficacy of ESD in various types of EGC, such as a false gastric diverticulum.
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Citations
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- A rare case of perforated gastric duplication cyst associated with gastric diverticulum
Joseph M Smith, Jessie A Elliott, Amy E Gillis, Paul F Ridgway
BMJ Case Reports.2021; 14(3): e239971. CrossRef - Upper Gastrointestinal Manifestation of Bezoars and the Etiological Factors: A Literature Review
Samiullah Khan, Kui Jiang, Lan-ping Zhu, Iftikhar-ahmad Khan, Kifayat Ullah, Saima Khan, Xin Chen, Bang-mao Wang
Gastroenterology Research and Practice.2019; 2019: 1. CrossRef - Gastric Diverticulum: A Comprehensive Review
Jamil Shah, Kalpesh Patel, Tagore Sunkara, Charilaos Papafragkakis, Abul Shahidullah
Inflammatory Intestinal Diseases.2018; 3(4): 161. CrossRef
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8,072
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3
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Multiple Polypoid Angiodysplasia with Obscure Overt Bleeding
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Jooyoung Lee, Sung Wook Hwang, Jihye Kim, Jinwoo Kang, Gyeong Hoon Kang, Kyu Joo Park, Jong Pil Im, Joo Sung Kim
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Clin Endosc 2016;49(1):91-96. Published online January 28, 2016
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DOI: https://doi.org/10.5946/ce.2016.49.1.91
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- Angiodysplasia (AD) is increasingly being recognized as a major cause of gastrointestinal bleeding. Morphologically flat lesions are common types of AD, whereas the polypoid types are rare. We report a case of multiple polypoid AD in the small bowel causing severe anemia and requiring surgical treatment. A 60-year-old male patient visited our hospital with dyspnea and hematochezia. He had a history of myocardial infarction and was taking both aspirin and clopidogrel. Capsule endoscopy, enteroscopy, computed tomography, and angiography revealed multifocal vascular lesions with a polypoid shape in the jejunum. Surgical resection was performed because endoscopic treatment was considered impossible with the number and the location of lesions. The risk of recurrent bleeding related to the use of antiplatelet agents also contributed to the decision to perform surgery. AD was histologically diagnosed from the surgical specimen. He resumed taking both aspirin and clopidogrel after surgery. He fully recovered and has been doing well during the several months of follow-up.
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Citations
Citations to this article as recorded by

- Intraoperative Endoscopic-Guided Bowel Resection for Persistent Gastrointestinal Bleeding Caused by Angiodysplasia: A Case Report and Literature Review
Emily Fellows, Joy Harris, Tania Kibble, Nicholas M. McDonald, Nabeel Azeem, James V. Harmon
The Surgery Journal.2023; 09(04): e112. CrossRef - Ileal angiodysplasia presentation as a bowel obstruction: A case report
Ons Ghdes, Ali Gaja, Ahlem Blel, Hichem Jarraya, Najla Mnif
International Journal of Surgery Case Reports.2017; 39: 301. CrossRef - Solitary Polypoid Angiodysplastic Lesion Mimicking a Tumor in the Jejunum
Abhishek D. Polavarapu, Mayurathan Kesavan, Vivek V. Gumaste, Monika Wrzolek, Elias Purow
ACG Case Reports Journal.2017; 4(1): e83. CrossRef
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10,575
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3
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Brief Report
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Endoscopic Double Metallic Stenting in the Afferent and Efferent Loops for Malignant Afferent Loop Obstruction with Billroth II Anatomy
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Kazunari Nakahara, Yoshinori Sato, Keigo Suetani, Ryo Morita, Yosuke Michikawa, Shinjiro Kobayashi, Fumio Itoh
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Clin Endosc 2016;49(1):97-99. Published online January 28, 2016
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DOI: https://doi.org/10.5946/ce.2016.49.1.97
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Citations to this article as recorded by

- Endoscopic Management of Efferent Loop Syndrome and Its Complications: Lessons Learnt
Vikas Pemmada, Deepak Ganga, Parvesh Kumar Jain
Foregut: The Journal of the American Foregut Society.2024;[Epub] CrossRef - Endoscopic Transluminal Stent Placement for Malignant Afferent Loop Obstruction
Chinatsu Yonekura, Takashi Sasaki, Takafumi Mie, Takeshi Okamoto, Tsuyoshi Takeda, Takaaki Furukawa, Yuto Yamada, Akiyoshi Kasuga, Masato Matsuyama, Masato Ozaka, Naoki Sasahira
Journal of Clinical Medicine.2022; 11(21): 6357. CrossRef - Clinical management for malignant afferent loop obstruction
Arata Sakai, Hideyuki Shiomi, Atsuhiro Masuda, Takashi Kobayashi, Yasutaka Yamada, Yuzo Kodama
World Journal of Gastrointestinal Oncology.2021; 13(7): 684. CrossRef - Clinical management for malignant afferent loop obstruction
Arata Sakai, Hideyuki Shiomi, Atsuhiro Masuda, Takashi Kobayashi, Yasutaka Yamada, Yuzo Kodama
World Journal of Gastrointestinal Oncology.2021; 13(7): 509. CrossRef - A “Kissing-Stents” Technique in the Management of Afferent Limb Syndrome With Concomitant Efferent Limb Obstruction in a Patient With Gastric Cancer and Billroth II Anatomy
Sami Elamin, Daniel Stein, Jonah Cohen
ACG Case Reports Journal.2020; 7(1): e00266. CrossRef
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6,900
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5
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Erratum
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An Ultrathin Endoscope with a 2.4-mm Working Channel Shortens the Esophagogastroduodenoscopy Time by Shortening the Suction Time
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Satoshi Shinozaki, Yoshimasa Miura, Yuji Ino, Kenjiro Shinozaki, Alan Kawarai Lefor, Hironori Yamamoto
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Clin Endosc 2016;49(1):100-100. Published online January 28, 2016
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DOI: https://doi.org/10.5946/ce.2016.49.1.100
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Corrects: Clin Endosc 2015;48(6):516
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- Animal experimental studies using small intestine endoscope
Jin-Hua Liu, Dan-Yang Liu, Li Wang, Li-Ping Han, Zhe-Yu Qi, Hai-Jun Ren, Yan Feng, Feng-Ming Luan, Liang-Tian Mi, Shu-Mei Shan
World Journal of Gastroenterology.2017; 23(20): 3684. CrossRef
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1
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