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Volume 49(2); March 2016
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Commentarys
Endoscopic Submucosal Dissection for Superficial Esophageal Neoplasm: A Growing Body of Evidence
Eun Jeong Gong, Hwoon-Yong Jung
Clin Endosc 2016;49(2):101-103.   Published online March 16, 2016
DOI: https://doi.org/10.5946/ce.2016.045
PDFPubReaderePub
  • 6,931 View
  • 75 Download
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Is It Safe to Perform Therapeutic Endoscopic Procedures in Patients with Implanted Electronic Cardiac Devices?
Eun Young Kim
Clin Endosc 2016;49(2):104-105.   Published online March 25, 2016
DOI: https://doi.org/10.5946/ce.2016.049
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  • 6,268 View
  • 76 Download
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Can Body Mass Index Predict the Difficulty of Colonoscopy?
Eui Joo Kim, Yoon Jae Kim
Clin Endosc 2016;49(2):106-107.   Published online March 21, 2016
DOI: https://doi.org/10.5946/ce.2016.042
PDFPubReaderePub

Citations

Citations to this article as recorded by  
  • Efficacy, safety, and tolerability of a ready-to-drink bowel preparation in overweight and obese adults: subanalysis by body mass index from a phase III, assessor-blinded study
    Lawrence Hookey, Gerald Bertiger, Kenneth Lee Johnson, Mena Boules, Masakazu Ando, David N. Dahdal
    Therapeutic Advances in Gastroenterology.2020; 13: 175628482091005.     CrossRef
  • 5,848 View
  • 65 Download
  • 4 Web of Science
  • 1 Crossref
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Focused Review Series: Past, present and futures of gastrointestinal stents
Basic Knowledge about Metal Stent Development
Seok Jeong
Clin Endosc 2016;49(2):108-112.   Published online March 22, 2016
DOI: https://doi.org/10.5946/ce.2016.029
AbstractAbstract PDFPubReaderePub
Biliary self-expandable metal stents (SEMS), a group of non-vascular stents, have been used in the palliative management of biliary obstruction around the world. However, there are still unmet needs in the clinical application of biliary SEMS. Comprehensive understanding of the SEMS is required to resolve the drawbacks and difficulties of metal stent development. The basic structure of SEMS, including the materials and knitting methods of metal wires, covering materials, and radiopaque markers, are discussed in this review. What we know about the physical and mechanical properties of the SEMS is very important. With an understanding of the basic knowledge of metal stents, hurdles such as stent occlusion, migration, and kinking can be overcome to develop more ideal SEMS.

Citations

Citations to this article as recorded by  
  • Characteristics of four commonly used self-expanding biliary stents: an in vitro study
    Jiaywei Tsauo, Yan Fu, Yue Liu, Xiaowu Zhang, He Zhao, Xiao Li
    European Radiology Experimental.2024;[Epub]     CrossRef
  • Biliary and pancreatic stents
    Samuel Han, Jorge V. Obando, Amit Bhatt, Juan Carlos Bucobo, Dennis Chen, Andrew P. Copland, Koushik K. Das, Mohit Girotra, Allon Kahn, Kumar Krishnan, Sonali S. Sakaria, Monica Saumoy, Guru Trikudanathan, Arvind J. Trindade, Julie Yang, Ryan J. Law, Davi
    iGIE.2023; 2(2): 240.     CrossRef
  • Corrosion Passivation in Simulated Body Fluid of Ti-Zr-Ta-xSn Alloys as Biomedical Materials
    El-Sayed M. Sherif, Yassir A. Bahri, Hamad F. Alharbi, Muhammad Farzik Ijaz
    Materials.2023; 16(13): 4603.     CrossRef
  • Radiofrequency ablation via an implanted self-expandable metallic stent to treat in-stent restenosis in a rat gastric outlet obstruction model
    Dong-Sung Won, Yubeen Park, Chu Hui Zeng, Dae Sung Ryu, Ji Won Kim, Jeon Min Kang, Song Hee Kim, Hyung-Sik Kim, Sang Soo Lee, Jung-Hoon Park
    Frontiers in Bioengineering and Biotechnology.2023;[Epub]     CrossRef
  • Understanding mechanical properties of biliary metal stents for wise stent selection
    Seok Jeong
    Clinical Endoscopy.2023; 56(5): 592.     CrossRef
  • Possible reasons for the regrettable results of patency of an inside stent in endoscopic transpapillary biliary stenting
    Masaki Kuwatani, Kazumichi Kawakubo, Naoya Sakamoto
    Digestive Endoscopy.2022; 34(2): 334.     CrossRef
  • Alumina as a Computed Tomography Soft Material and Tissue Fiducial Marker
    S. E. Stephens, N. B. Ingels, J. F. Wenk, M. O. Jensen
    Experimental Mechanics.2022; 62(5): 879.     CrossRef
  • Mechanical Property and Problems of the Self-expandable Metal Stent in Pancreaticobiliary Cancer
    Thanawat Luangsukrerk
    Journal of Digestive Cancer Research.2022; 10(2): 92.     CrossRef
  • Medical devices biomaterials – A review
    AJ Festas, A Ramos, JP Davim
    Proceedings of the Institution of Mechanical Engineers, Part L: Journal of Materials: Design and Applications.2020; 234(1): 218.     CrossRef
  • Utility and Safety of a Novel Fully Covered Metal Stent in Unresectable Distal Malignant Biliary Obstruction
    Kentaro Yamao, Mamoru Takenaka, Takeshi Ogura, Hiroaki Hashimoto, Hisakazu Matsumoto, Masashi Yamamoto, Tsukasa Ikeura, Akira Kurita, Zhao Liang Li, Hideyuki Shiomi, Yasutaka Chiba, Masatoshi Kudo, Tsuyoshi Sanuki
    Digestive Diseases and Sciences.2020; 65(12): 3702.     CrossRef
  • Mechanisms and prevention of biliary stent occlusion
    A.V. Shabunin, M.M. Tavobilov, S.S. Lebedev, A.A. Karpov
    Khirurgiya. Zhurnal im. N.I. Pirogova.2020; (5): 70.     CrossRef
  • Metal Biliary Stents in Benign Disease
    Abdul Haseeb, Stuart K. Amateau
    Clinical Gastroenterology and Hepatology.2019; 17(6): 1029.     CrossRef
  • Self-expandable tubular collagen implants
    Luuk R.M. Versteegden, Marja ter Meer, Roger M.L.M. Lomme, J. Adam van der Vliet, Leo J. Schultze Kool, Toin H. van Kuppevelt, Willeke F. Daamen
    Journal of Tissue Engineering and Regenerative Medicine.2018; 12(6): 1494.     CrossRef
  • Clinical Outcomes of Bilateral Stent-in-Stent Placement Using Self-Expandable Metallic Stent for High-Grade Malignant Hilar Biliary Obstruction
    Ja Yoon Heo, Hee Seung Lee, Jun Hyuk Son, Sang Hyub Lee, Seungmin Bang
    Yonsei Medical Journal.2018; 59(7): 827.     CrossRef
  • Spontaneous Common Bile Duct Perforation Treated with Placement of Metal Stent
    Dong Hoon Yang, Sang Wook Park, Hyeung Chul Moon, Kyoung Wan You, Seo Joon Eun, Seung Ki Moon, Choel Min Bak, Shin Hyoung Jo
    Korean Journal of Pancreas and Biliary Tract.2016; 21(4): 222.     CrossRef
  • 12,138 View
  • 311 Download
  • 13 Web of Science
  • 15 Crossref
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Development of Biliary and Enteral Stents by the Korean Gastrointestinal Endoscopists
Chan Sup Shim, Jin Hong Kim, Gene Hyun Bok
Clin Endosc 2016;49(2):113-123.   Published online March 9, 2016
DOI: https://doi.org/10.5946/ce.2016.039
AbstractAbstract PDFPubReaderePub
Stenting in the gastrointestinal tract is a common procedure used for palliation of obstruction in the enteral and biliary tract. Today, stenting of malignant and benign strictures is performed at almost every major tertiary hospital in Korea. Moreover, Korea has become a major global supplier of cutting edge technology in the field of self-expanding metal stents. However, the history of stenting in Korea is relatively short and was far behind that of other nations such as Japan and Germany. The authors are humbled and gratified to have been able to observe the development and application of these stents in Korea, first hand. In this article, the authors review the overall history of stenting with a specific focus on the development of stenting in Korea. The development of esophageal, gastroduodenal, biliary, and colonic stents in Korea are reviewed in this article from a chronological and historical point of view, and a personal account of some of the significant moments of stent development in Korea are described.

Citations

Citations to this article as recorded by  
  • Fracture of self-expandable metallic stent inserted for unresectable gastric cancer at the esophagogastric junction: successful retrieval of distal fragment by gastrotomy
    Masaaki Urade, Daiki Kimura, Toshifumi Shinbo, Shinichiro Hirokawa
    Clinical Journal of Gastroenterology.2022; 15(2): 351.     CrossRef
  • Early malfunction of a biliary self-expandable metal stent with an antireflux valve
    Sang Hoon Kim, Chi Hyuk Oh, Jae Min Lee, Seong Ji Choi, Hyuk Soon Choi, Eun Sun Kim, Bora Keum, Yoon Tae Jeen, Hoon Jai Chun, Hong Sik Lee, Chang Duck Kim
    Medicine.2020; 99(16): e19750.     CrossRef
  • 13,516 View
  • 150 Download
  • 2 Web of Science
  • 2 Crossref
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Current Status of Biliary Metal Stents
Hyeong Seok Nam, Dae Hwan Kang
Clin Endosc 2016;49(2):124-130.   Published online February 25, 2016
DOI: https://doi.org/10.5946/ce.2016.023
AbstractAbstract PDFPubReaderePub
Many advances have been achieved in biliary stenting over the past 30 years. Endoscopic stent placement has become the primary management therapy to relieve obstruction in patients with benign or malignant biliary tract diseases. Compared with plastic stents, a self-expandable metallic stent (SEMS) has been used for management in patients with malignant strictures because of a larger lumen and longer stent patency. Recently, SEMS has been used for various benign biliary strictures and leaks. In this article, we briefly review the characteristics of SEMS as well as complications of stent placement. We review the current guidelines for managing malignant and benign biliary obstructions. Recent developments in biliary stenting are also discussed.

Citations

Citations to this article as recorded by  
  • Surgical Palliation for Advanced Pancreas Cancer
    Caitlin S. Jacobs, Dominic J. Vitello, Akhil Chawla
    Surgical Clinics of North America.2024;[Epub]     CrossRef
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    Marcella Pimpinelli, Michael Makar, Michel Kahaleh
    Digestive Endoscopy.2023; 35(4): 443.     CrossRef
  • Interventional Radiology Management of Vascular Complications From Gastrointestinal Interventions
    Harish A. Narayanan, Sailendra G. Naidu, Sadeer Alzubaidi, Indravadan Patel, Sasha Staack, Rahmi Oklu
    Contemporary Diagnostic Radiology.2023; 46(4): 1.     CrossRef
  • Percutaneous transhepatic cholangial drainage/percutaneous transhepatic biliary stent implantation for treatment of extrahepatic cholangiocarcinoma with obstructive jaundice
    Yue Chen, Chao Zhang, Tao Luo
    World Chinese Journal of Digestology.2023; 31(5): 165.     CrossRef
  • Safety and efficacy of self-expandable metallic stent combined with 125I brachytherapy for the treatment of malignant obstructive jaundice
    Ye Sheng, Xiaobo Fu, Guobao Wang, Maoyuan Mu, Weiwei Jiang, Zixiong Chen, Han Qi, Fei Gao
    Cancer Imaging.2023;[Epub]     CrossRef
  • Effect of Percutaneous Endobiliary Radiofrequency Ablation in Malignant Bile Stenosis
    Hamza ÖZER, Bige SAYIN, İlkay AKMANGİT
    Düzce Tıp Fakültesi Dergisi.2023; 25(1): 78.     CrossRef
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    Progress in Medical Devices.2023;[Epub]     CrossRef
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    Nitin Katariya, Amit K. Mathur
    Seminars in Interventional Radiology.2021; 38(03): 273.     CrossRef
  • Biosafety of a novel covered self-expandable metal stent coated with poly(2-methoxyethyl acrylate) in vivo
    Tetsuya Ishizawa, Naohiko Makino, Yasuharu Kakizaki, Akiko Matsuda, Yoshihide Toyokawa, Shun Ooyama, Masaru Tanaka, Yoshiyuki Ueno, Wenguo Cui
    PLOS ONE.2021; 16(9): e0257828.     CrossRef
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    Robert Lam, Thiruvengadam Muniraj
    World Journal of Gastroenterology.2021; 27(38): 6357.     CrossRef
  • EUS-guided antegrade stenting using a braided metal stent with a 6-Fr novel slim delivery system for malignant biliary stricture following Roux-en-Y reconstruction (with video)
    Hirofumi Harima, Seiji Kaino, Yuko Fujimoto, Shogo Amano, Isao Sakaida
    Endoscopic Ultrasound.2020; 9(2): 141.     CrossRef
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    Chih-Yang Hsiao, Po-Chih Yang, Xiaoyong Li, Kai-Wen Huang
    Scientific Reports.2020;[Epub]     CrossRef
  • Percutaneous stent placement for malignant hilar biliary obstruction: side-by-side versus stent-in-stent technique
    Wei-Zhong Zhou, Sheng Liu, Zheng-Qiang Yang, Yu-Tao Xian, Hong-dou Xu, Jun-zheng Wu, Hai-Bin Shi
    BMC Gastroenterology.2020;[Epub]     CrossRef
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    Wisam Sbeit, Tawfik Khoury, Anas Kadah, Dan M. Livovsky, Adi Nubani, Amir Mari, Eran Goldin, Mahmud Mahamid
    Journal of Clinical Medicine.2020; 9(9): 2953.     CrossRef
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    Abdul Haseeb, Stuart K. Amateau
    Clinical Gastroenterology and Hepatology.2019; 17(6): 1029.     CrossRef
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    Dong Wook Lee, Jimin Han
    The Korean Journal of Internal Medicine.2019; 34(2): 261.     CrossRef
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    Journal of Gastrointestinal Surgery.2019; 23(4): 745.     CrossRef
  • Bio-Based Covered Stents: The Potential of Biologically Derived Membranes
    Shigeo Ichihashi, Alicia Fernández-Colino, Frederic Wolf, Diana M. Rojas-González, Kimihiko Kichikawa, Stefan Jockenhoevel, Thomas Schmitz-Rode, Petra Mela
    Tissue Engineering Part B: Reviews.2019; 25(2): 135.     CrossRef
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    Seminars in Ultrasound, CT and MRI.2019; 40(6): 509.     CrossRef
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    Aaron Yeoh, Marvin Ryou
    ACG Case Reports Journal.2019; 6(8): e00196.     CrossRef
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  • Side-by-side placement of bilateral endoscopic metal stents for the treatment of postoperative biliary stricture
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    Clinical Journal of Gastroenterology.2017; 10(1): 68.     CrossRef
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    Bing Hu, Bo Sun, Qiang Cai, James Yun Wong Lau, Shuren Ma, Takao Itoi, Jong Ho Moon, Ichiro Yasuda, Xiaofeng Zhang, Hsiu-Po Wang, Shomei Ryozawa, Rungsun Rerknimitr, Wen Li, Hiromu Kutsumi, Sundeep Lakhtakia, Hideyuki Shiomi, Ming Ji, Xun Li, Dongmei Qian
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  • Current challenges in optimizing systemic therapy for patients with pancreatic cancer: expert perspectives from the Australasian Gastrointestinal Trials Group (AGITG) with invited international faculty
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    Expert Review of Anticancer Therapy.2017; 17(10): 951.     CrossRef
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    Peter L Labib, Brian R Davidson, Ricky A Sharma, Stephen P Pereira
    Hepatic Oncology.2017; 4(4): 99.     CrossRef
  • 11,779 View
  • 283 Download
  • 28 Web of Science
  • 27 Crossref
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Past, Present, and Future of Gastrointestinal Stents: New Endoscopic Ultrasonography-Guided Metal Stents and Future Developments
Hee Seung Lee, Moon Jae Chung
Clin Endosc 2016;49(2):131-138.   Published online March 22, 2016
DOI: https://doi.org/10.5946/ce.2016.044
AbstractAbstract PDFPubReaderePub
Innovations in stent technology and technological advances in endoscopic ultrasonography have led to rapid expansion of their use in the field of gastrointestinal diseases. In particular, endoscopic ultrasonography-guided metal stent insertion has been used for the management of pancreatic fluid collection, bile duct drainage, gallbladder decompression, and gastric bypass. Endoscopic ultrasonography-guided drainage of intra-abdominal fluid collections using a plastic or metal stent is well established. Because of the various limitations—such as stent migration, injury and bleeding in the lumen—recently developed, fully covered self-expanding metal stents or lumen-apposing metal stents have been introduced for those fluids management. This article reviews the recent literature on newly developed endoscopic ultrasonography-guided metal stents and the efficacy thereof.

Citations

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    Haresh Vijay Naringrekar, Haroon Shahid, Cyril Varghese, Alex Schlachterman, Sandeep P. Deshmukh, Christopher G. Roth
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    Preethi Guniganti, Andrea S. Kierans
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    Tae Yoon Lee, Young Koog Cheon, Chan Sup Shim
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    Jeffrey S. Bank, Douglas G. Adler
    International Journal of Gastrointestinal Intervention.2017; 6(1): 9.     CrossRef
  • 11,496 View
  • 176 Download
  • 7 Web of Science
  • 10 Crossref
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Mechanisms of Biliary Plastic Stent Occlusion and Efforts at Prevention
Chang-Il Kwon, Glen A. Lehman
Clin Endosc 2016;49(2):139-146.   Published online March 22, 2016
DOI: https://doi.org/10.5946/ce.2016.024
AbstractAbstract PDFPubReaderePub
Biliary stenting via endoscopic retrograde cholangiopancreatography has greatly improved the quality of patient care over the last 30 years. Plastic stent occlusion limits the life span of such stents. Attempts to improve plastic stent patency duration have mostly failed. Metal stents (self-expandable metal stents [SEMSs]) have therefore replaced plastic stents, especially for malignant biliary strictures. SEMS are at least 10 times more expensive than plastic stents. In this focused review, we will discuss basic mechanisms of plastic stent occlusion, along with a systematic summary of previous efforts and related studies to improve stent patency and potential new techniques to overcome existing limitations.

Citations

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    Tommaso Schepis, Ivo Boškoski, Andrea Tringali, Guido Costamagna
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Reviews
Transoral Incisionless Fundoplication for Refractory Gastroesophageal Reflux Disease: Where Do We Stand?
Deepanshu Jain, Shashideep Singhal
Clin Endosc 2016;49(2):147-156.   Published online February 15, 2016
DOI: https://doi.org/10.5946/ce.2015.044
AbstractAbstract PDFPubReaderePub
Gastroesophageal reflux disease (GERD) is a chronic, progressive, and costly medical condition affecting a substantial proportion of the world population, predominantly the Western population. The available treatment options for patients with refractory GERD symptoms are limited to either laparoscopic surgery with significant sequelae or potentially lifelong, high-dose proton pump inhibitor therapy. The restoration of the antireflux competence of the gastroesophageal junction at the anatomic and physiologic levels is critical for the effective long-term treatment of GERD. Transoral incisionless fundoplication (TIF) surgery is a safe, well-tolerated, and effective treatment that has yielded significant symptomatic improvement in patients with medically refractory GERD symptoms. In this review article, we have summarized case series and reports describing the role of TIF for patients with gastroesophageal reflux symptoms. The reported indications, techniques, complications, and success rates are also discussed.

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Diagnostic and Therapeutic Capability of Double-Balloon Enteroscopy in Clinical Practice
Umit Akyuz, Filiz Akyuz
Clin Endosc 2016;49(2):157-160.   Published online March 7, 2016
DOI: https://doi.org/10.5946/ce.2015.036
AbstractAbstract PDFPubReaderePub
Advances in technology have facilitated the common use of small-bowel imaging. Intraoperative enteroscopy was the gold standard method for small-bowel imaging. However, noninvasive capsule endoscopy and invasive balloon enteroscopy are currently the main endoscopic procedures that are routinely used for small-bowel pathologies, and the indications for both techniques are similar. Although obstruction is a contraindication for capsule endoscopy, it is not considered to be problematic for double-balloon enteroscopy. The most important advantage of double-balloon enteroscopy is the applicability of therapeutic interventions during the procedure; however, double-balloon enteroscopy has certain advantages as well as disadvantages.

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Endoscopic Ultrasound (EUS)-Guided Pancreatic Duct Drainage: The Basics of When and How to Perform EUS-Guided Pancreatic Duct Interventions
Christopher G. Chapman, Irving Waxman, Uzma D. Siddiqui
Clin Endosc 2016;49(2):161-167.   Published online March 25, 2016
DOI: https://doi.org/10.5946/ce.2016.011
AbstractAbstract PDFPubReaderePub
Despite the advances in endoscopy, endoscopic ultrasound-guided pancreatic duct drainage (EUS-PDD) remains a technically challenging procedure. Technical success rates are greater than 70%; however, the average rate of adverse events is nearly 20%, which increases to 55% when stent migration is included. Until recently, a significant difficulty with this technique was the absence of dedicated devices. Proper patient selection is of utmost importance, and EUS-PDD should be reserved for patients who have failed endoscopic retrograde pancreatography. Furthermore, EUS-PDD must be performed by experienced endoscopists who are familiar with the technique. The most common indications include chronic pancreatitis induced strictures and stones, disconnected pancreatic ducts, inaccessible ampulla, and post-surgical altered anatomy. This manuscript will review the accessories used, techniques employed, and published literature reporting outcomes as well as adverse events regarding EUS-PDD.

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Original Articles
Clinical Outcomes of Endoscopic Submucosal Dissection for Superficial Esophageal Squamous Neoplasms
Jung Soo Park, Young Hoon Youn, Jae Jun Park, Jie-Hyun Kim, Hyojin Park
Clin Endosc 2016;49(2):168-175.   Published online February 12, 2016
DOI: https://doi.org/10.5946/ce.2015.080
AbstractAbstract PDFPubReaderePub
Background
/Aims: Endoscopic treatment has been broadly applied to superficial esophageal neoplasms. Endoscopic submucosal dissection (ESD) allows for high rates of en bloc resection, precise histological assessment, and low rates of local recurrence. The aim of this study was to evaluate the outcomes of ESD for superficial esophageal neoplasms.
Methods
We retrospectively reviewed 36 esophageal ESDs for superficial squamous neoplasms in 32 patients between March 2009 and August 2014 at Gangnam Severance Hospital.
Results
The median patient age was 64 years, and 30 men were included. The indications were early squamous cell carcinoma in 26 lesions, adenoma with high-grade dysplasia in five lesions, and low-grade dysplasia in five lesions. The en bloc resection and R0 resection rates were 97.2% (35 of 36) and 91.7% (33 of 36), respectively. Microperforation and post-ESD bleeding occurred in 5.6% (2 of 36) and 5.6% (2 of 36), respectively. Post-ESD esophageal strictures developed in five patients (13.9%). Five patients (15.6%) had an additional treatment after ESD (concurrent chemoradiation therapy in three, radiation therapy in one, and surgery in one patient). There was no disease-specific mortality during the median follow-up of 31 months.
Conclusions
Favorable clinical outcomes were observed in ESD for superficial esophageal squamous neoplasms. Esophageal ESD could be a good treatment option in terms of efficacy and safety.

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    Shengfei Wang, Yangle Huang, Juntao Xie, Lingdun Zhuge, Longlong Shao, Jiaqing Xiang, Yawei Zhang, Yihua Sun, Hong Hu, Sufeng Chen, Toni Lerut, James D. Luketich, Jie Zhang, Haiquan Chen
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    Dae Won Ma, Young Hoon Youn, Da Hyun Jung, Jae Jun Park, Jie-Hyun Kim, Hyojin Park
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Endoscopic Electrosurgery in Patients with Cardiac Implantable Electronic Devices
Myong Ki Baeg, Sang-Woo Kim, Sun-Hye Ko, Yoon Bum Lee, Seawon Hwang, Bong-Woo Lee, Hye Jin Choi, Jae Myung Park, In-Seok Lee, Yong-Seog Oh, Myung-Gyu Choi
Clin Endosc 2016;49(2):176-181.   Published online February 11, 2016
DOI: https://doi.org/10.5946/ce.2015.023
AbstractAbstract PDFPubReaderePub
Background
/Aims: Patients with cardiac implantable electronic devices (CIEDs) undergoing endoscopic electrosurgery (EE) are at a risk of electromagnetic interference (EMI). We aimed to analyze the effects of EE in CIED patients.
Methods
Patients with CIED who underwent EE procedures such as snare polypectomy, endoscopic submucosal dissection (ESD), and endoscopic retrograde cholangiopancreatography (ERCP) with endoscopic sphincterotomy (EST) were retrospectively analyzed. Postprocedural symptoms as well as demographic and outpatient follow-up data were reviewed through medical records. Electrical data, including preprocedural and postprocedural arrhythmia records, were reviewed through pacemaker interrogation, 24-hour Holter monitoring, or electrocardiogram.
Results
Fifty-nine procedures in 49 patients were analyzed. Fifty procedures were performed in 43 patients with a pacemaker, and nine were performed in six patients with an implantable cardioverter-defibrillator. There were one gastric and 44 colon snare polypectomies, five gastric and one colon ESDs, and eight ERCPs with EST. Fifty-five cases of electrical follow-up were noted, with two postprocedural changes not caused by EE. Thirty-one pacemaker interrogations had procedure recordings, with two cases of asymptomatic tachycardia. All patients were asymptomatic with no adverse events.
Conclusions
Our study reports no adverse events from EE in patients with CIED, suggesting that this procedure is safe. However, because of the possibility of EMI, recommendations on EE should be followed.

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Endoscopic Submucosal Dissection for Early Gastric Neoplasia Occurring in the Remnant Stomach after Distal Gastrectomy
Ji Young Lee, Byung-Hoon Min, Jung Gyu Lee, Donghyo Noh, Jun Haeng Lee, Poong-Lyul Rhee, Jae J. Kim
Clin Endosc 2016;49(2):182-186.   Published online February 11, 2016
DOI: https://doi.org/10.5946/ce.2015.049
AbstractAbstract PDFPubReaderePub
Background
/Aims: Endoscopic submucosal dissection (ESD) for tumors occurring in the remnant stomach is technically difficult to perform because of limited working space and severe fibrosis and staples present around the suture line. We aimed to elucidate the feasibility and clinical outcomes of performing ESD for tumors in the remnant stomach.
Methods
Between December 2007 and January 2013, 18 patients underwent ESD for tumors (six adenomas and 12 differentiated-type early gastric cancers [EGCs]) occurring in the remnant stomach after distal gastrectomy. Clinicopathologic features and clinical outcomes after ESD were retrospectively analyzed.
Results
Two-thirds of the lesions were located on the body, and half were located on the suture line. En bloc resection, R0 resection, and en bloc with R0 resection rates were 88.9%, 100%, and 88.9%, respectively. Curative resection rate for EGC was 91.7%. Perforation occurred in one patient (5.6%) and was successfully managed by endoscopic closure with metallic clips and conservative management. There was no significant bleeding after ESD. During a median follow-up of 47.5 months, no local, metachronous, or extragastric recurrence was seen for either EGC or adenoma lesions.
Conclusions
ESD is a feasible and effective treatment modality and can be considered a primary intervention for early gastric neoplasia occurring in the remnant stomach.

Citations

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  • Long-Term Outcomes of Endoscopic Submucosal Dissection for Early Remnant Gastric Cancer: A Retrospective Multicenter Study
    Kazunori Tsuda, Shinwa Tanaka, Tetsuya Yoshizaki, Yoshinobu Yamamoto, Takayuki Ose, Tsukasa Ishida, Yasuaki Kitamura, Daisuke Obata, Mineo Iwatate, Atsushi Ikeda, Ryusuke Ariyoshi, Fumiaki Kawara, Hiroshi Takihara, Hirofumi Abe, Toshitatsu Takao, Yoshinor
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    Yonghoon Choi, Nayoung Kim, Hyuk Yoon, Cheol Min Shin, Young Soo Park, Dong Ho Lee, Young Suk Park, Sang-Hoon Ahn, Yun-Suhk Suh, Do Joong Park, Hyung Ho Kim
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    Yi Liu, Zhihao Chen, Hong Zhou, Yingtai Chen, Lizhou Dou, Yueming Zhang, Yong Liu, Shun He, Dongbing Zhao, Guiqi Wang
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    Mai Murakami, Takuto Hikichi, Jun Nakamura, Minami Hashimoto, Tsunetaka Kato, Ryoichiro Kobashi, Takumi Yanagita, Rei Suzuki, Mitsuru Sugimoto, Yuki Sato, Hiroki Irie, Mika Takasumi, Tadayuki Takagi, Yuko Hashimoto, Masao Kobayakawa, Hiromasa Ohira
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    Byeong Gu Song, Gwang Ha Kim, Bong Eun Lee, Hye Kyung Jeon, Dong Hoon Baek, Geun Am Song
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Obesity and Cecal Intubation Time
Deepanshu Jain, Abhinav Goyal, Jorge Uribe
Clin Endosc 2016;49(2):187-190.   Published online February 12, 2016
DOI: https://doi.org/10.5946/ce.2015.079
AbstractAbstract PDFPubReaderePub
Background
/Aims: Obesity is a much-debated factor with conflicting evidence regarding its association with cecum intubation rates during colonoscopy. We aimed to identify the association between cecal intubation (CI) time and obesity by eliminating confounding factors.
Methods
A retrospective chart review of subjects undergoing outpatient colonoscopy was conducted. The population was categorized by sex and obesity (body mass index [BMI, kg/m2 ]: I, <24.9; II, 25 to 29.9; III, ≥30). CI time was used as a marker for a difficult colonoscopy. Mean CI times (MCT) were compared for statistical significance using analysis of variance tests.
Results
A total of 926 subjects were included. Overall MCT was 15.7±7.9 minutes, and it was 15.9±7.9 and 15.5±7.9 minutes for men and women, respectively. MCT among women for BMI category I, II, and III was 14.4±6.5, 15.5±8.3, and 16.2±8.1 minutes (p=0.55), whereas for men, it was 16.3±8.9, 15.9±8.0, and 15.6±7.2 minutes (p=0.95), respectively.
Conclusions
BMI had a positive association with CI time for women, but had a negative association with CI for men.

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Case Reports
Two Cases of Cerebral Air Embolism That Occurred during Esophageal Ballooning and Endoscopic Retrograde Cholangiopancreatography
Suyeon Park, Ji Yong Ahn, Young Eun Ahn, Sang-Beom Jeon, Sang Soo Lee, Hwoon-Yong Jung, Jin-Ho Kim
Clin Endosc 2016;49(2):191-196.   Published online February 22, 2016
DOI: https://doi.org/10.5946/ce.2015.071
AbstractAbstract PDFPubReaderePub
Cerebral air embolism is an extremely rare complication of endoscopic procedure and often life threatening. We present two cases of cerebral infarction due to air embolization caused by an endoscopic intervention. The first case occurred during esophageal balloon dilatation for the treatment of a stricture of an anastomosis site in a 59-year-old man and the second case occurred during endoscopic papillary balloon dilatation in a 69-year-old man who had distal common bile duct stones. After the procedure, cardiopulmonary instability and altered mental status were observed in both patients, and cerebral air embolism was diagnosed in both cases. Hyperbaric oxygen therapy was started in the first case, and high FiO2 therapy was applied in the second case. Although this complication is rare, patient outcomes can be improved if physicians are aware of this potential complication, and immediately begin proper management.

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    Kimberly Hamilton, Matthew Orde, Gordon Finlayson
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    Rahul Shah, Saumya Shah
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    Konstantinos Ekmektzoglou, Georgios Alexandrakis, Konstantinos Dimopoulos, Panagiotis Tsibouris, Chrysostomos Kalantzis, Erasmia Vlachou, Periklis Apostolopoulos
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    Jae Ho Lee, Ha Young Lee, Myung Kwan Lim, Young Hye Kang
    Medicine.2021; 100(52): e28389.     CrossRef
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    Malik Ghannam, Azizullah Beran, Dana Ghazaleh, Tanner Ferderer, Brent Berry, Mona Al Banna, Leighton Mohl, Christopher Streib, Tapan Thacker, Ivan Matos
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    Xue-song Bai, Bo Yang, Yi-jun Yu, Hong-lan Liu, Zi Yin
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    Basavana Goudra, Preet Mohinder Singh
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    Leonardo Pacheco Roquero, Sandra Camelo-Piragua, Carl Schmidt
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Immunoglobulin G4-Related Inflammatory Pseudotumor Presenting as a Solitary Mass in the Stomach
Hong Ryeol Cheong, Bong Eun Lee, Geun Am Song, Gwang Ha Kim, Sung Gyu An, Won Lim
Clin Endosc 2016;49(2):197-201.   Published online February 12, 2016
DOI: https://doi.org/10.5946/ce.2015.074
AbstractAbstract PDFPubReaderePub
Immunoglobulin G4 (IgG4)-related disease (IgG4RD) is a relatively recently recognized entity that is histopathologically characterized by an extensive infiltration of lymphocytes and IgG4-positive plasma cells with dense fibrosis. IgG4RD is now known to affect any organ system, and a few cases of gastrointestinal lesions have also been reported. However, solitary IgG4RD of the stomach is still very rare. Furthermore, as it can mimic malignant conditions, it is important to recognize this disease to avoid unnecessary surgery. Herein, we present a case of IgG4RD presenting as an isolated subepithelial mass in the stomach.

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Tracheal Involvement in Crohn Disease: the First Case in Korea
Seunghyun Park, Jongha Park, Hyun-Kuk Kim, Ji Yeon Kim, So Chong Hur, Ju Hyung Lee, Jae Won Jung, Juwon Lee
Clin Endosc 2016;49(2):202-206.   Published online February 16, 2016
DOI: https://doi.org/10.5946/ce.2015.059
Correction in: Clin Endosc 2016;49(3):310
AbstractAbstract PDFPubReaderePub
Respiratory involvement in Crohn disease (CD) is rare condition with only about a dozen reported cases. We report the first case of CD with tracheal involvement in Korea. An 18-year-old woman with CD was hospitalized because of coughing, dyspnea, and fever sustained for 3 weeks. Because she had stridor in her neck, we performed computed tomography of the neck, which showed circumferential wall thickening of the larynx and hypopharynx. Bronchoscopy revealed mucosal irregularity, ulceration, and exudates debris in the proximal trachea, and bronchial biopsy revealed chronic inflammation with granulation tissue. Based on these findings, we suspected CD with tracheal involvement and began administering intravenous methylprednisolone at 1 mg/kg per day, after which her symptoms and bronchoscopic findings improved.

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Brief Report
Laterally Spreading Tumor of the Rectum Delineated with Linked Color Imaging Technology
Masahiro Okada, Hirotsugu Sakamoto, Takahito Takezawa, Yoshikazu Hayashi, Keijiro Sunada, Alan K. Lefor, Hironori Yamamoto
Clin Endosc 2016;49(2):207-208.   Published online February 12, 2016
DOI: https://doi.org/10.5946/ce.2015.077
PDFPubReaderePub

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