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Volume 49(4); July 2016
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Preface
Meeting Report and Special Issue Preface: The 54th Seminar of the Korean Society of Gastrointestinal Endoscopy
Won Jae Yoon, Jong Kyun Lee
Clin Endosc 2016;49(4):311-311.   Published online July 29, 2016
DOI: https://doi.org/10.5946/ce.2016.p1
PDFPubReaderePub
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Reviews
How to Improve the Quality of Screening Endoscopy in Korea: National Endoscopy Quality Improvement Program
Yu Kyung Cho
Clin Endosc 2016;49(4):312-317.   Published online July 29, 2016
DOI: https://doi.org/10.5946/ce.2016.084
AbstractAbstract PDFPubReaderePub
In Korea, gastric cancer screening, either esophagogastroduodenoscopy or upper gastrointestinal series (UGIS), is performed biennially for adults aged 40 years or older. Screening endoscopy has been shown to be associated with localized cancer detection and better than UGIS. However, the diagnostic sensitivity of detecting cancer is not satisfactory. The National Endoscopy Quality Improvement (QI) program was initiated in 2009 to enhance the quality of medical institutions and improve the effectiveness of the National Cancer Screening Program (NCSP). The Korean Society of Gastrointestinal Endoscopy developed quality standards through a broad systematic review of other endoscopic quality guidelines and discussions with experts. The standards comprise five domains: qualifications of endoscopists, endoscopic unit facilities and equipment, endoscopic procedure, endoscopy outcomes, and endoscopic reprocessing. After 5 years of the QI program, feedback surveys showed that the perception of QI and endoscopic practice improved substantially in all domains of quality, but the quality standards need to be revised. How to avoid missing cancer in endoscopic procedures in daily practice was reviewed, which can be applied to the mass screening endoscopy. To improve the quality and effectiveness of NCSP, key performance indicators, acceptable quality standards, regular audit, and appropriate reimbursement are necessary.

Citations

Citations to this article as recorded by  
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  • An Adjusted Level of Adenoma Detection Rate is Necessary for Adults Below 50 Years Old
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    Jieun Kim, Su Mi Kim, Man Ho Ha, Jeong Eun Seo, Min-Gew Choi, Jun Ho Lee, Tae Sung Sohn, Sung Kim, Sin-Ho Jung, Jae Moon Bae
    Medicine.2016; 95(49): e5490.     CrossRef
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  • 19 Web of Science
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Oroesophageal Fish Bone Foreign Body
Heung Up Kim
Clin Endosc 2016;49(4):318-326.   Published online July 26, 2016
DOI: https://doi.org/10.5946/ce.2016.087
AbstractAbstract PDFPubReaderePub
Fish bone foreign body (FFB) is the most frequent food-associated foreign body (FB) in adults, especially in Asia, versus meat in Western countries. The esophageal sphincter is the most common lodging site. Esophageal FB disease tends to occur more frequently in men than in women. The first diagnostic method is laryngoscopic examination. Because simple radiography of the neck has low sensitivity, if perforation or severe complications requiring surgery are expected, computed tomography should be used. The risk factors associated with poor prognosis are long time lapse after FB involvement, bone type, and longer FB (>3 cm). Bleeding and perforation are more common in FFB disease than in other FB diseases. Esophageal FB disease requires urgent treatment within 24 hours. However, FFB disease needs emergent treatment, preferably within 2 hours, and definitely within 6 hours. Esophageal FFB disease usually occurs at the physiological stricture of the esophagus. The aortic arch eminence is the second physiological stricture. If the FB penetrates the esophageal wall, a life-threatening aortoesophageal fistula can develop. Therefore, it is better to consult a thoracic surgeon prior to endoscopic removal.

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  • 17,990 View
  • 315 Download
  • 45 Web of Science
  • 49 Crossref
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How to Interpret the Pathological Report before and after Endoscopic Submucosal Dissection of Early Gastric Cancer
Dae Young Cheung, Soo-Heon Park
Clin Endosc 2016;49(4):327-331.   Published online July 25, 2016
DOI: https://doi.org/10.5946/ce.2016.082
AbstractAbstract PDFPubReaderePub
Possible lymph node metastasis (LNM) and residual cancer are major concerns in endoscopic submucosal dissection (ESD) for early gastric cancer. To reduce the risk of LNM and cancer recurrence, the proper indications for ESD should be considered. Histology, size, depth of invasion, and presence of ulceration should be thoroughly evaluated before proceeding with ESD. However, with incomplete information, discrepancies often arise between the pathological diagnosis based on the forceps biopsy and that based on the totally resected specimen. In addition, the presence of lymphovascular involvement and histological homogeneity can be clarified only after ESD. If the pathological diagnosis changes after ESD, we should reevaluate the curativeness and reformulate the goal of treatment. Additional surgery is a reasonable strategy for non-curative ESD, but a patient’s other health conditions should also be considered. It is simple to read pathological reports before and after ESD, but it can be a complicated art to interpret the report and formulate an optimal approach. In this review, various considerations regarding the pathological diagnosis will be discussed.

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  • 162 Download
  • 8 Web of Science
  • 8 Crossref
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Treatment Strategy after Incomplete Endoscopic Resection of Early Gastric Cancer
Sang Gyun Kim
Clin Endosc 2016;49(4):332-335.   Published online July 20, 2016
DOI: https://doi.org/10.5946/ce.2016.069
AbstractAbstract PDFPubReaderePub
Endoscopic resection of early gastric cancer is defined as incomplete when tumor cells are found at the resection margin upon histopathological examination. However, a tumor-positive resection margin does not always indicate residual tumor; it can also be caused by tissue contraction during fixation, by the cautery effect during endoscopic resection, or by incorrect histopathological mapping. Cases of highly suspicious residual tumor require additional endoscopic or surgical resection. For inoperable patients, argon plasma coagulation can be used as an alternative endoscopic treatment. Immediately after the incomplete resection or residual tumor has been confirmed by the pathologist, clinicians should also decide upon any additional treatment to be carried out during the follow-up period.

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  • 137 Download
  • 6 Web of Science
  • 5 Crossref
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Borrmann Type 4 Advanced Gastric Cancer: Focus on the Development of Scirrhous Gastric Cancer
Kyoungwon Jung, Moo In Park, Sung Eun Kim, Seun Ja Park
Clin Endosc 2016;49(4):336-345.   Published online July 25, 2016
DOI: https://doi.org/10.5946/ce.2016.057
AbstractAbstract PDFPubReaderePub
Early diagnosis of Borrmann type 4 advanced gastric cancer (AGC) is very important for improving the prognosis of AGC patients. Because there is no definite mass in most cases of Borrmann type 4 AGC, its accurate diagnosis via endoscopy requires an understanding of its pathogenesis and developmental process. Moreover, many people confuse linitis plastica (LP) type gastric cancer (GC), scirrhous GC, and Borrmann type 4 AGC. To distinguish each of these cancers, knowledge of their endoscopic and pathological differences is necessary, especially for LP type GCs in the developmental stage. In conclusion, diagnosis of pre-stage or latent LP type GC before progression to typical LP type GC requires the detection of IIc-like lesions in the fundic gland area. It is also crucial to identify any abnormalities such as sclerosis of the gastric wall and hypertrophy of the mucosal folds during endoscopy.

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Predictors of Inadequate Bowel Preparation and Salvage Options on Colonoscopy
Ju Sung Sim, Ja Seol Koo
Clin Endosc 2016;49(4):346-349.   Published online July 29, 2016
DOI: https://doi.org/10.5946/ce.2016.094
AbstractAbstract PDFPubReaderePub
Inadequate bowel preparation is observed in more than 25% of all colonoscopies. Identification of predictive factors for inadequate colon cleaning is helpful and more detailed preparation methods should be used for patients at high risk. Age, male sex, inpatient status, and comorbidities were identified as independent risk factors in several previous studies. In patients with insufficient colon preparation, colon irrigation with endoscopic pumps or next-day colonoscopy following further bowel cleaning should be performed. In order to improve the efficacy and safety of both bowel preparation and colonoscopy, the endoscopic team should identify the patient’s medical conditions and choose the optimal bowel preparation agent and regimen.

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Endoscopic Instruments and Electrosurgical Unit for Colonoscopic Polypectomy
Hong Jun Park
Clin Endosc 2016;49(4):350-354.   Published online July 11, 2016
DOI: https://doi.org/10.5946/ce.2016.059
AbstractAbstract PDFPubReaderePub
Colorectal polypectomy is an effective method for prevention of colorectal cancer. Many endoscopic instruments have been used for colorectal polypectomy, such as snares, forceps, endoscopic clips, a Coagrasper, retrieval net, injector, and electrosurgery generator unit (ESU). Understanding the characteristics of endoscopic instruments and their proper use according to morphology and size of the colorectal polyp will enable endoscopists to perform effective polypectomy. I reviewed the characteristics of endoscopic instruments for colorectal polypectomy and their appropriate use, as well as the basic principles and settings of the ESU.

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  • 382 Download
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Resection of Diminutive and Small Colorectal Polyps: What Is the Optimal Technique?
Jun Lee
Clin Endosc 2016;49(4):355-358.   Published online July 22, 2016
DOI: https://doi.org/10.5946/ce.2016.063
AbstractAbstract PDFPubReaderePub
Colorectal polyps are classified as neoplastic or non-neoplastic on the basis of malignant potential. All neoplastic polyps should be completely removed because both the incidence of colorectal cancer and the mortality of colorectal cancer patients have been found to be strongly correlated with incomplete polypectomy. The majority of colorectal polyps discovered on diagnostic colonoscopy are diminutive and small polyps; therefore, complete resection of these polyps is very important. However, there is no consensus on a method to remove diminutive and small polyps, and various techniques have been adopted based on physician preference. The aim of this article was to review the diverse techniques used to remove diminutive and small polyps and to suggest which technique will be the most effective.

Citations

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    Debesh Jha, Sharib Ali, Nikhil Kumar Tomar, Havard D. Johansen, Dag Johansen, Jens Rittscher, Michael A. Riegler, Pal Halvorsen
    IEEE Access.2021; 9: 40496.     CrossRef
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    Tan Le Minh, Thuong Nguyen Thi Huyen, Huy Tran Van
    Journal of Medicine and Pharmacy.2018; 8(3): 54.     CrossRef
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  • 196 Download
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Optimal Colonoscopy Surveillance Interval after Polypectomy
Tae Oh Kim
Clin Endosc 2016;49(4):359-363.   Published online July 29, 2016
DOI: https://doi.org/10.5946/ce.2016.080
AbstractAbstract PDFPubReaderePub
The detection and removal of adenomatous polyps and postpolypectomy surveillance are considered important for the control of colorectal cancer (CRC). Surveillance using colonoscopy is an effective tool for preventing CRC after colorectal polypectomy, especially if compliance is good. In current practice, the intervals between colonoscopies after polypectomy are variable. Different recommendations for recognizing at risk groups and defining surveillance intervals after an initial finding of colorectal adenomas have been published. However, high-grade dysplasia and the number and size of adenomas are known major cancer predictors. Based on this, a subgroup of patients that may benefit from intensive surveillance colonoscopy can be identified.

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    A. K. Safiyeva
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  • 9,616 View
  • 209 Download
  • 2 Web of Science
  • 2 Crossref
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Optimal Diagnostic Approaches for Patients with Suspected Small Bowel Disease
Jae Hyun Kim, Won Moon
Clin Endosc 2016;49(4):364-369.   Published online June 22, 2016
DOI: https://doi.org/10.5946/ce.2016.074
AbstractAbstract PDFPubReaderePub
While the domain of gastrointestinal endoscopy has made great strides over the last several decades, endoscopic assessment of the small bowel continues to be challenging. Recently, with the development of new technology including video capsule endoscopy, device-assisted enteroscopy, and computed tomography/magnetic resonance enterography, a more thorough investigation of the small bowel is possible. In this article, we review the systematic approach for patients with suspected small bowel disease based on these advanced endoscopic and imaging systems.

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Endoscopic Diagnosis and Differentiation of Inflammatory Bowel Disease
Ji Min Lee, Kang-Moon Lee
Clin Endosc 2016;49(4):370-375.   Published online July 29, 2016
DOI: https://doi.org/10.5946/ce.2016.090
AbstractAbstract PDFPubReaderePub
Patients with inflammatory bowel disease have significantly increased in recent decades in Korea. Intestinal tuberculosis (ITB) and intestinal Behcet’s disease (BD), which should be differentiated from Crohn’s disease (CD), are more frequent in Korea than in the West. Thus, the accurate diagnosis of these inflammatory diseases is problematic in Korea and clinicians should fully understand their clinical and endoscopic characteristics. Ulcerative colitis mostly presents with rectal inflammation and continuous lesions, while CD presents with discontinuous inflammatory lesions and frequently involves the ileocecal area. Involvement of fewer than four segments, a patulous ileocecal valve, transverse ulcers, and scars or pseudopolyps are more frequently seen in ITB than in CD. A few ulcers with discrete margins are a typical endoscopic finding of intestinal BD. However, the differential diagnosis is difficult in many clinical situations because typical endoscopic findings are not always observed. Therefore, clinicians should also consider symptoms and laboratory, pathological, and radiological findings, in addition to endoscopic findings.

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  • 26,409 View
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Recent Advanced Endoscopic Management of Endoscopic Retrograde Cholangiopancreatography Related Duodenal Perforations
Seon Mee Park
Clin Endosc 2016;49(4):376-382.   Published online July 29, 2016
DOI: https://doi.org/10.5946/ce.2016.088
AbstractAbstract PDFPubReaderePub
The management strategy for endoscopic retrograde cholangiopancreatography-related duodenal perforation can be determined based on the site and extent of injury, the patient’s condition, and time to diagnosis. Most cases of perivaterian or bile duct perforation can be managed with a biliary stent or nasobiliary drainage. Duodenal wall perforations had been treated with immediate surgical repair. However, with the development of endoscopic devices and techniques, endoscopic closure has been reported to be a safe and effective treatment that uses through-the-scope clips, ligation band, fibrin glue, endoclips and endoloops, an over-the-scope clipping device, suturing devices, covering luminal stents, and open-pore film drainage. Endoscopic therapy could be instituted in selected patients in whom perforation was identified early or during the procedure. Early diagnosis, proper conservative management, and effective endoscopic closure are required for favorable outcomes of non-surgical management. If endoscopic treatment fails, or in the cases of clinical deterioration, prompt surgical management should be considered.

Citations

Citations to this article as recorded by  
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    Abdel Rahman A. A. Al Manasra, Zaid Mesmar, Tarek Manasreh, Hanan M . Hammouri, Anas Husein, Khaled Jadallah, Mohammed Bani hani, Niazy Abu Farsakh, Shatha K. Shahwan, Doaa Al-qaoud, Jehad Fataftah
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    Abdel Rahman A. A. Al Manasra, Zaid Mesmar, Tarek Manasreh, Hanan M . Hammouri, Anas Husein, Khaled Jadallah, Mohammed Bani hani, Niazy Abu Farsakh, Shatha K. Shahwan, Doaa Al-qaoud, Jehad Fataftah
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    Osman Bozbiyik, Bartu Cetin, Tufan Gumus, Fatih Tekin, Alper Uguz
    BMC Gastroenterology.2022;[Epub]     CrossRef
  • Clinical analysis of 45 cases of perforation were identified during endoscopic retrograde cholangiopancreatography procedure
    Yin-Shui Miao, Yuan-Yuan Li, Bo-Wen Cheng, Yan-Fang Zhan, Sheng Zeng, Xiao-Jiang Zhou, You-Xiang Chen, Nong-Hua Lv, Guo-Hua Li
    Frontiers in Medicine.2022;[Epub]     CrossRef
  • AGA Clinical Practice Update on Endoscopic Management of Perforations in Gastrointestinal Tract: Expert Review
    Jeffrey H. Lee, Prashant Kedia, Stavros N. Stavropoulos, David Carr-Locke
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    Mitsuo Tokuhara, Masaaki Shimatani, Toshiyuki Mitsuyama, Masataka Masuda, Takashi Ito, Sachi Miyamoto, Norimasa Fukata, Hideaki Miyoshi, Tsukasa Ikeura, Makoto Takaoka, Katsuyasu Kouda, Kazuichi Okazaki
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    Ding Shi, Jian feng Yang, Yong pan Liu
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    Akihisa OHNO, Nao FUJIMORI, Kazuhide MATSUMOTO, Katsuhito TERAMATSU, Yu TAKAMATSU, Masami MIKI, Takehiro TAKAOKA, Takamasa OONO
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    Nicole Evans, James L. Buxbaum
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    Kan Wang, Jihao Shi, Linna Ye
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Case Reports
Double-Scope Peroral Endoscopic Myotomy (POEM) for Esophageal Achalasia: The First Trial of a New Double-Scope POEM
Hee Jin Hong, Ga Won Song, Weon Jin Ko, Won Hee Kim, Ki Baik Hahm, Sung Pyo Hong, Joo Young Cho
Clin Endosc 2016;49(4):383-386.   Published online March 15, 2016
DOI: https://doi.org/10.5946/ce.2015.108
AbstractAbstract PDFPubReaderePub
With the accumulation of clinical trials demonstrating its efficacy and safety, peroral endoscopic myotomy (POEM) has emerged as a less invasive treatment option for esophageal achalasia compared with laparoscopic Heller myotomy. However, the difficulty in determining the exact extent of myotomy, a critical factor associated with the success and safety of the procedure, remains a limitation. Although the various endoscopic landmarks and ancillary techniques have been applied, none of these has been proven sufficient. As a solution for this limitation, the double-scope POEM technique with a second endoscope to assure the exact length of the submucosal tunnel has been applied since 2014. Before double-scope POEM was introduced, the second endoscope was applied only to confirm the accuracy of the procedure. In the present study, we performed double-scope POEM in the treatment of esophageal achalasia through a novel procedure of simultaneous application of the second endoscope to assist in the conventional POEM procedure.

Citations

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  • Peroral Endoscopic Myotomy (POEM) in Children: A State of the Art Review
    Ali A. Mencin, Amrita Sethi, Monique T. Barakat, Diana G. Lerner
    Journal of Pediatric Gastroenterology & Nutrition.2022; 75(3): 231.     CrossRef
  • Per-oral endoscopic myotomy (POEM) for a sigmoid type of achalasia: short-term outcomes and changes in the esophageal angle
    Shota Maruyama, Yusuke Taniyama, Tadashi Sakurai, Makoto Hikage, Chiaki Sato, Kai Takaya, Takuro Konno, Takeshi Naitoh, Michiaki Unno, Takashi Kamei
    Surgical Endoscopy.2020; 34(9): 4124.     CrossRef
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    Eunju Kim, In Kyung Yoo, Dong Keon Yon, Joo Young Cho, Sung Pyo Hong
    Journal of Neurogastroenterology and Motility.2020; 26(2): 274.     CrossRef
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    Oscar Víctor Hernández Mondragón, Raúl Zamarripa Mottú, Omar Solórzano Pineda, Raúl Alberto Gutierrez Aguilar, Luís Fernando García Contreras
    BMC Gastroenterology.2020;[Epub]     CrossRef
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    Anastassios C. Manolakis, Haruhiro Inoue, Akiko Ueno, Yuto Shimamura
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    Erica D. Kane, David J. Desilets, Donna Wilson, Marc Leduc, Vikram Budhraja, John R. Romanelli
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    Shinwa Tanaka, Fumiaki Kawara, Takashi Toyonaga, Haruhiro Inoue, Robert Bechara, Namiko Hoshi, Hirohumi Abe, Yoshiko Ohara, Tsukasa Ishida, Yoshinori Morita, Eiji Umegaki
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Chronological Endoscopic and Pathological Observations in Russell Body Duodenitis
Atsushi Goto, Takeshi Okamoto, Masaharu Matsumoto, Hiroyuki Saito, Hideo Yanai, Hiroshi Itoh, Isao sakaida
Clin Endosc 2016;49(4):387-390.   Published online March 21, 2016
DOI: https://doi.org/10.5946/ce.2015.131
AbstractAbstract PDFPubReaderePub
A 64-year-old man was found to have a nodule in his right lung. He also complained of nausea and abdominal pain during the clinical course. Esophagogastroduodenoscopy revealed a duodenal ulcer associated with severe stenosis and a suspicion of malignancy. However, three subsequent biopsies revealed no evidence of malignancy. The fourth biopsy showed scattered large eosinophilic cells with an eccentric nucleus, leading to a diagnosis of Russell body duodenitis (RBD). RBD is an extremely rare disease, and little is known about its etiology and clinical course. The pathogenesis of RBD is discussed based on our experience with this case.

Citations

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  • Russell body duodenitis: a rare condition
    Helena González Sánchez, Gloria Meijide Santos, Cristina Fuente Díaz, Olegario Castaño Fernández
    Revista Española de Enfermedades Digestivas.2024;[Epub]     CrossRef
  • Diagnosis and treatment of gastrointestinal involvement in the late post-COVID
    P. L. Shcherbakov, I. R. Valiulin, V. V. Malinovskaya, D. G. Pasechnik, N. V. Ageykina, M. Yu. Shcherbakova
    Experimental and Clinical Gastroenterology.2023; (11): 234.     CrossRef
  • Surveillance of Russell body inflammation of the digestive tract: a case report and review of literature
    Shuai Luo, Xiang Huang, Yao Li, Jinjing Wang
    Diagnostic Pathology.2022;[Epub]     CrossRef
  • Analysis of clinical and histopathological findings in Russell body gastritis and duodenitis
    Sultan Deniz Altindag, Ebru Cakir, Nese Ekinci, Arzu Avci, Fatma Husniye Dilek
    Annals of Diagnostic Pathology.2019; 40: 66.     CrossRef
  • 7,410 View
  • 74 Download
  • 2 Web of Science
  • 4 Crossref
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Melanocytic Nevus on the Rectal Mucosa Removed Using Endoscopic Submucosal Dissection
Seong Min Kim, Yoon Ji Shin, Ju Sung Sim, Beon Jae Lee, Moon Kyung Joo, Jong-Jae Park, Young-Tae Bak
Clin Endosc 2016;49(4):391-394.   Published online March 21, 2016
DOI: https://doi.org/10.5946/ce.2015.126
AbstractAbstract PDFPubReaderePub
Melanocytic nevus is the benign proliferation of melanocytes. The most common location of melanocytic nevus is the skin of the extremities; however, there are few case reports of melanocytic nevus at the rectal mucosa. No prior case of malignant melanoma from melanocytic nevus at the rectal mucosa has been reported; therefore, it is unclear whether resection should be performed or close observation is sufficient. However, the potential malignant transformation of melanocytic nevus should be considered, including melanocytic nevus on the rectum. Melanocytic nevus of the skin can be removed by surgical excision; however, due to rare incidence on the mucosa of the gastrointestinal tract, the optimal treatment for rectal melanocytic nevus remains controversial. Here, we report the first case of melanocytic nevus on the rectal mucosa that was removed by endoscopic submucosal dissection. This case report provides useful information about the optimal management of rectal melanocytic nevus.
  • 10,589 View
  • 99 Download
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Successful Removal of a Large Common Bile Duct Stone by Using Direct Peroral Cholangioscopy and Laser Lithotripsy in a Patient with Severe Kyphosis
Song I Lee, Byung Hun Lim, Won Gak Heo, Young Jun Kim, Tae Hyeon Kim
Clin Endosc 2016;49(4):395-398.   Published online March 22, 2016
DOI: https://doi.org/10.5946/ce.2015.109
AbstractAbstract PDFPubReaderePub
A 75-year-old woman with hypertension presented with acute suppurative cholangitis. Chest radiography revealed severe kyphosis. Abdominal computed tomography revealed a large stone impacted in the common bile duct (CBD). The patient underwent emergent endoscopic retrograde cholangiopancreatography, and cholangiography revealed a large stone (7×3 cm) in the CBD that could not be captured using a large basket. We could not use the percutaneous approach for stone fragmentation by using a cholangioscope because of severe degenerative kyphosis. Finally, we performed holmium laser lithotripsy under peroral cholangioscopy by using an ultraslim endoscope, and the large stone in the CBD was successfully fragmented and removed without complications.

Citations

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  • Innovation of endoscopic management in difficult common bile duct stone in the era of laparoscopic surgery
    Cosmas Rinaldi Adithya Lesmana, Maria Satya Paramitha, Laurentius Adrianto Lesmana
    World Journal of Gastrointestinal Endoscopy.2021; 13(7): 198.     CrossRef
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    Murad Aburajab, Kulwinder Dua
    Current Gastroenterology Reports.2018;[Epub]     CrossRef
  • 9,689 View
  • 107 Download
  • 2 Web of Science
  • 2 Crossref
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Successful Endoscopic Ultrasound-Guided Alcohol Ablation of Sporadic Insulinoma Using Three-Dimensional Targeting (with Video)
Guru Trikudanathan, Shawn J. Mallery, Stuart K. Amateau
Clin Endosc 2016;49(4):399-401.   Published online March 22, 2016
DOI: https://doi.org/10.5946/ce.2015.144
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Surgical resection is considered the standard of care in the management of symptomatic insulinoma. In this video, we describe the successful management of a symptomatic insulinoma by using linear array endoscopic ultrasound (EUS)-guided ethanol ablation in a poor surgical candidate. EUS-guided ethanol ablation of insulinoma offers a safer, effective, and less invasive alternative to surgery.

Citations

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  • A single-center experience on endoscopic ultrasonography-guided ethanol ablation of insulinomas
    Zhiyu Yan, Cheng Zhu, Xi Wu, Huijuan Zhu, Tao Yuan, Yaping Luo, Yunlu Feng, Qiang Wang, Shengyu Zhang, Huadan Xue, Zehui Zheng, Aiming Yang
    Pancreatology.2023; 23(1): 98.     CrossRef
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    Mihai RIMBAȘ, Gianenrico RIZZATTI, Alberto LARGHI
    Minerva Gastroenterology.2022;[Epub]     CrossRef
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    Alberto Larghi, Mihai Rimbaș, Gianenrico Rizzatti, Carmine Carbone, Antonio Gasbarrini, Guido Costamagna, Sergio Alfieri, Giampaolo Tortora
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