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Volume 50(1); January 2017
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Commentarys
Endoscopic Findings of Gastric Extranodal Marginal Zone B-Cell Mucosa-Associated Lymphoid Tissue Lymphoma
Sang Kil Lee
Clin Endosc 2017;50(1):1-2.   Published online January 30, 2017
DOI: https://doi.org/10.5946/ce.2017.014
PDFPubReaderePub

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  • Uncommon presentation of gastric mucosa-associated lymphoid tissue lymphoma in a 13-year-old girl: acute vomiting of blood as the initial symptom
    Xinyu Jin, Xin Jin, Piao Guo, Linjuan Lu, Weisong Sheng, Danrong Zhu
    Annals of Medicine & Surgery.2024; 86(5): 3001.     CrossRef
  • 6,852 View
  • 177 Download
  • 1 Web of Science
  • 1 Crossref
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Over-the-Scope Clip in the Management of Gastrointestinal Defect and Intractable Non-Variceal Bleeding
Hyungkil Kim
Clin Endosc 2017;50(1):3-5.   Published online January 30, 2017
DOI: https://doi.org/10.5946/ce.2017.019
PDFPubReaderePub

Citations

Citations to this article as recorded by  
  • Bleeding malignant gastric ulcer: successful endoscopic hemostasis with an over-the-scope clip
    João Carlos Silva, Rolando Pinho, Ana Catarina Gomes, Sónia Leite, João Carvalho
    VideoGIE.2020; 5(4): 146.     CrossRef
  • Endoscopic closure devices: A review of technique and application for hemostasis
    Jennifer Wellington, Andrew Canakis, Raymond Kim
    International Journal of Gastrointestinal Intervention.2019; 8(3): 127.     CrossRef
  • 5,894 View
  • 129 Download
  • 1 Web of Science
  • 2 Crossref
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How Can We Obtain Tissue from a Subepithelial Lesion for Pathologic Diagnosis?
Eun Young Kim
Clin Endosc 2017;50(1):6-7.   Published online January 30, 2017
DOI: https://doi.org/10.5946/ce.2017.016
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  • 5,781 View
  • 137 Download
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What is the Role of Double-Balloon Endoscopy in Patients Presenting with Obscure Gastrointestinal Bleeding?
Jung Ho Kim, Kwang An Kwon
Clin Endosc 2017;50(1):8-10.   Published online January 30, 2017
DOI: https://doi.org/10.5946/ce.2017.023
PDFPubReaderePub

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  • Spontaneous peeled ileal giant lipoma caused by lower gastrointestinal bleeding
    Jung Ho Kim, Hyun Hwa Yoon, Seok Hoo Jeong, Hyun Sun Woo, Won-Suk Lee, Seung Joon Choi, Seog Gyun Kim, Seung Yeon Ha, Kwang An Kwon
    Medicine.2017; 96(51): e9253.     CrossRef
  • 6,463 View
  • 114 Download
  • 1 Web of Science
  • 1 Crossref
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Focused Review Series: Roleses of Bariatric Endoscopy in Obesity Treatment
Recent Trends in Endoscopic Bariatric Therapies
Hyuk Soon Choi, Hoon Jai Chun
Clin Endosc 2017;50(1):11-16.   Published online January 30, 2017
DOI: https://doi.org/10.5946/ce.2017.007
AbstractAbstract PDFPubReaderePub
Obesity and its associated metabolic diseases including diabetes mellitus are severe medical problems that are increasing in prevalence worldwide and result in significant healthcare expenses. While behavioral and pharmacological treatment approaches are partly effective in the short term, their effects are not long-lasting. Although previous studies have described bariatric surgery as the most effective treatment for obesity, it is associated with morbidity, mortality, and economic burden. Endoluminal interventions performed entirely using gastrointestinal flexible endoscopy offer alternative approaches to the treatment of obesity that are safer and more cost-effective than current surgical approaches. The use of endoluminal techniques in the field of metabolic obesity disease has diverse promising applications including endoscopic gastroplasty, intragastric balloon, endoluminal malabsorptive bariatric procedures, and gastric electrical stimulation (GES) for the modulation of gastric emptying. This review discusses recent trends and roles in endoscopic bariatric therapies using the currently available endoluminal and transgastric technologies.

Citations

Citations to this article as recorded by  
  • Repeated photodynamic therapy using a chlorin e6‐embedded device to prolong the therapeutic effects on obesity
    Jung‐Hoon Park, Ji Won Kim, Dae Sung Ryu, Hyeonseung Lee, Hee Kyong Na, Jin Hee Noh, Do Hoon Kim, Sanghee Lee, Kun Na, Hwoon‐Yong Jung
    Obesity.2024; 32(5): 911.     CrossRef
  • Comprehensive visualization of bariatric surgery and gut microbiota research: a global analysis
    Sa’ed H. Zyoud, Muna Shakhshir, Abdelkarim Barqawi, Amani S. Abushanab, Amer Koni, Shadi Khilfeh, Moyad Shahwan, Ammar A. Jairoun, Adham Abu Taha, Faris Abushamma, Samah W. Al-Jabi
    Translational Medicine Communications.2024;[Epub]     CrossRef
  • A Survey of Transoral Robotic Mechanisms: Distal Dexterity, Variable Stiffness, and Triangulation
    Xiaoyi Gu, Hongliang Ren
    Cyborg and Bionic Systems.2023;[Epub]     CrossRef
  • Brazilian guide to nutrition in bariatric and metabolic surgery
    Silvia Elaine Pereira, Carina Rossoni, Maria Paula Carlin Cambi, Silvia Leite Faria, Fernanda Cristina Carvalho Mattos, Tarcila Beatriz Ferraz De Campos, Tarissa Beatrice Zanata Petry, Silvia Alves Da Silva, Andrea Z. Pereira, Luciana Mela Umeda, Carla No
    Langenbeck's Archives of Surgery.2023;[Epub]     CrossRef
  • Overview on the endoscopic treatment for obesity: A review
    Maheeba Abdulla, Nafeesa Mohammed, Jehad AlQamish
    World Journal of Gastroenterology.2023; 29(40): 5526.     CrossRef
  • Weight Loss Effect of GLP-1 RAs With Endoscopic Bariatric Therapy and Bariatric Surgeries
    Ahmad Imam, Hussam Alim, Mohammad Binhussein, Abdulrahman Kabli, Husam Alhasnani, Abdullah Allehyani, Ammar Aljohani, Ahmad Mohorjy, Abdullah Tawakul, Mohammed Samannodi, Wael Taha
    Journal of the Endocrine Society.2023;[Epub]     CrossRef
  • Endoscopic Bariatric Therapy for Obesity and Metabolic Syndrome
    Sang Pyo Lee
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2023; 23(4): 247.     CrossRef
  • Fluid-filled intragastric balloons are an effective and safe weight loss option across BMI and age ranges
    Ricardo J. Marrero Torres, Federico Gregory, Carlos G. Micames
    Surgical Endoscopy.2022; 36(7): 5160.     CrossRef
  • Extrapancreatic Advanced Endoscopic Interventions
    Haresh Vijay Naringrekar, Haroon Shahid, Cyril Varghese, Alex Schlachterman, Sandeep P. Deshmukh, Christopher G. Roth
    RadioGraphics.2022; 42(2): 379.     CrossRef
  • Global research trends on the links between insulin resistance and obesity: a visualization analysis
    Sa’ed H. Zyoud, Muna Shakhshir, Amani S. Abushanab, Amer Koni, Moyad Shahwan, Ammar A. Jairoun, Samah W. Al-Jabi
    Translational Medicine Communications.2022;[Epub]     CrossRef
  • Endoscopic intragastric injection of botulinum toxin A in obese patients on bariatric surgery waiting lists: A randomised double-blind study (IntraTox study)
    Francisco José Sánchez Torralvo, Luis Vázquez Pedreño, Montserrat Gonzalo Marín, María José Tapia, Fuensanta Lima, Eduardo García Fuentes, Pilar García, Javier Moreno Ruiz, Alberto Rodríguez Cañete, Sergio Valdés, Gabriel Olveira
    Clinical Nutrition.2021; 40(4): 1834.     CrossRef
  • Endobariatric procedures for obesity: clinical indications and available options
    Hemant Goyal, Jonathan Kopel, Abhilash Perisetti, Rupinder Mann, Aman Ali, Benjamin Tharian, Shreyas Saligram, Sumant Inamdar
    Therapeutic Advances in Gastrointestinal Endoscopy.2021; 14: 263177452098462.     CrossRef
  • Impact of intragastric balloon on blood pressure reduction: A retrospective study in Eastern North Carolina
    Gbeminiyi Olanrewaju Samuel, Karissa Lambert, Elijah Asagbra, Glenn Harvin, Eric Ibegbu
    World Journal of Gastrointestinal Endoscopy.2021; 13(5): 115.     CrossRef
  • The Effect of Endoscopic Bariatric and Metabolic Therapies on Gastroesophageal Reflux Disease
    Su-Young Kim
    Medicina.2021; 57(8): 737.     CrossRef
  • Global trends in research related to sleeve gastrectomy: A bibliometric and visualized study
    Abdulkarim Barqawi, Faris AK Abushamma, Maha Akkawi, Samah W Al-Jabi, Moyad Jamal Shahwan, Ammar Abdulrahman Jairoun, Sa'ed H Zyoud
    World Journal of Gastrointestinal Surgery.2021; 13(11): 1509.     CrossRef
  • Stomach Volume Assessment Using Three-dimensional Computed Tomography Gastrography for Bariatric Treatment
    Seung Han Kim, Bora Keum, Hyuk Soon Choi, Eun Sun Kim, Yeon Seok Seo, Yoon Tae Jeen, Hong Sik Lee, Hoon Jai Chun, Soon Ho Um, Chang Duck Kim
    Obesity Surgery.2020; 30(2): 401.     CrossRef
  • Psychological outcomes following surgical and endoscopic bariatric procedures: A systematic review
    Dean Spirou, Jayanthi Raman, Evelyn Smith
    Obesity Reviews.2020;[Epub]     CrossRef
  • Treatment of Obesity in Mitigating Metabolic Risk
    Sean P. Heffron, Johnathon S. Parham, Jay Pendse, José O. Alemán
    Circulation Research.2020; 126(11): 1646.     CrossRef
  • A Novel Full Sense Device to Treat Obesity in a Porcine Model: Preliminary Results
    Jung-Hoon Park, Nader Bakheet, Hee Kyong Na, Jae Yong Jeon, Sung Hwan Yoon, Kun Yung Kim, Wang Zhe, Do Hoon Kim, Hwoon-Yong Jung, Ho-Young Song
    Obesity Surgery.2019; 29(5): 1521.     CrossRef
  • Patients undergoing intragastric balloon achieve approximately 50% of their target weight loss in the first month postoperatively: an MBSAQIP analysis
    Priscila R. Armijo, Bhavani Pokala, Laura Flores, Melissa A. Leon, Dmitry Oleynikov, Vishal Kothari
    Surgery for Obesity and Related Diseases.2019; 15(12): 2060.     CrossRef
  • A Pilot Study of Endoscopic Submucosal Dissection Using an Endoscopic Assistive Robot in a Porcine Stomach Model
    Byung Gon Kim, Hyuk Soon Choi, Sei Hoon Park, Jun Ho Hong, Jung Min Lee, Seung Han Kim, Hoon Jai Chun, Daehie Hong, Bora Keum
    Gut and Liver.2019; 13(4): 402.     CrossRef
  • Endoscopic Submucosal Dissection Using Endoscopic Robot: Endoscopist’s Future Destination
    Hang Lak Lee
    Gut and Liver.2019; 13(4): 381.     CrossRef
  • Current Treatment of Nonalcoholic Fatty Liver Disease/Nonalcoholic Steatohepatitis
    Chun Kit Hung, Henry C. Bodenheimer
    Clinics in Liver Disease.2018; 22(1): 175.     CrossRef
  • Laparoscopic Greater Curvature Plication and Laparoscopic Sleeve Gastrectomy Treatments for Obesity: Systematic Review and Meta-Analysis of Short- and Mid-Term Results
    Sergio Barrichello, Mauricio Kazuyoshi Minata, Amador García Ruiz de Gordejuela, Wanderley Marques Bernardo, Thiago Ferreira de Souza, Manoel Galvão Neto, Diogo Turiani Hourneaux de Moura, Marco Aurélio Santo, Eduardo Guimarães Hourneaux de Moura
    Obesity Surgery.2018; 28(10): 3199.     CrossRef
  • New Aspects of Lipotoxicity in Nonalcoholic Steatohepatitis
    Nahum Mendez-Sanchez, Vania Cesar Cruz-Ramon, Oscar Lenin Ramirez-Perez, Jessica P. Hwang, Beatriz Barranco-Fragoso, Jaqueline Cordova-Gallardo
    International Journal of Molecular Sciences.2018; 19(7): 2034.     CrossRef
  • Various Intragastric Balloons Under Clinical Investigation
    Seong Ji Choi, Hyuk Soon Choi
    Clinical Endoscopy.2018; 51(5): 407.     CrossRef
  • Endoluminal Gastroplasty for Obesity Treatment: Emerging Technology and Obstacles
    Seung Han Kim, Hyuk Soon Choi, Hoon Jai Chun
    Journal of Metabolic and Bariatric Surgery.2017; 6(1): 12.     CrossRef
  • 10,781 View
  • 377 Download
  • 25 Web of Science
  • 27 Crossref
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Role of Restrictive Endoscopic Procedures in Obesity Treatment
Hang Lak Lee
Clin Endosc 2017;50(1):17-20.   Published online January 30, 2017
DOI: https://doi.org/10.5946/ce.2017.022
AbstractAbstract PDFPubReaderePub
It is well recognized that obesity is a big problem and it can induce large economic burden. Obesity affects about 40% people in the America alone and obesity also is the worldwide problem, with about 400 million obese adults. Moreover, another problem of obesity is the increasing prevalence of overweight children. Though bariatric surgery remains the gold treatment modality in the obesity treatment, endoluminal approaches may have the meaningful role for weight control. Endoscopists should have a role in the management of obesity because endoluminal therapies demonstrate their safety and efficacy over the coming years. Endoluminal therapies can be summarized by above methods: space occupying, malabsorption method, and reduction of gastric volume. In this review, we will introduce various restrictive endoscopic procedures in obesity treatment.

Citations

Citations to this article as recorded by  
  • Endoscopic Bariatric Therapy for Obesity and Metabolic Syndrome
    Sang Pyo Lee
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2023; 23(4): 247.     CrossRef
  • Endobariatric procedures for obesity: clinical indications and available options
    Hemant Goyal, Jonathan Kopel, Abhilash Perisetti, Rupinder Mann, Aman Ali, Benjamin Tharian, Shreyas Saligram, Sumant Inamdar
    Therapeutic Advances in Gastrointestinal Endoscopy.2021; 14: 263177452098462.     CrossRef
  • Novelties in the treatment of obesity
    Pavol Holéczy
    Medicína pro praxi.2019; 16(4): 259.     CrossRef
  • Currently Available Non-Balloon Devices
    Hang Lak Lee
    Clinical Endoscopy.2018; 51(5): 416.     CrossRef
  • 7,781 View
  • 198 Download
  • 2 Web of Science
  • 4 Crossref
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Role of Endoscopic Gastroplasty Techniques in the Management of Obesity
Yunho Jung
Clin Endosc 2017;50(1):21-25.   Published online January 30, 2017
DOI: https://doi.org/10.5946/ce.2016.147
AbstractAbstract PDFPubReaderePub
Health and wellness represent a major global concern. Trends such as a lack of exercise and excessive consumption of calories are major causes of the rapid increase in obesity worldwide. Obesity should be controlled because it can result in other illnesses, such as diabetes, high blood pressure, high cholesterol, coronary artery disease, stroke, breathing disorders, or cancer. However, many people have difficulty in managing obesity through exercise, dietary control, behavioral modifications, and drug therapy. Bariatric surgery is not commonly used due to a variety of complications, even though it has been demonstrated to produce reliable results with respect to adequate weight loss when performed using an open or a laparoscopic approach. Endoscopic bariatric procedures are emerging techniques that are less invasive and safer compared with current surgical approaches. However, the evaluation of endoluminal procedures is limited by the small number of studies and their short-term follow-up.

Citations

Citations to this article as recorded by  
  • Left gastric artery embolization for obesity treatment: a systematic review and meta-analysis of human and animal studies
    Malkhaz Mizandari, Pedram Keshavarz, Tamta Azrumelashvili, Fereshteh Yazdanpanah, Elnaz Lorzadeh, Hamidreza Hosseinpour, Amir Bazyar, Seyed Faraz Nejati, Faranak Ebrahimian Sadabad
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    Zhi-Bin Bai, Yong-Lin Qin, Gang Deng, Guo-Feng Zhao, Bin-Yan Zhong, Gao-Jun Teng
    Obesity Surgery.2018; 28(4): 907.     CrossRef
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    Bin-Yan Zhong, Godwin Abiola, Clifford R. Weiss
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    International Journal of Surgery.2018; 57: 22.     CrossRef
  • 10,209 View
  • 217 Download
  • 3 Web of Science
  • 4 Crossref
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Role of Malabsorptive Endoscopic Procedures in Obesity Treatment
Jae Myung Park
Clin Endosc 2017;50(1):26-30.   Published online January 30, 2017
DOI: https://doi.org/10.5946/ce.2017.004
AbstractAbstract PDFPubReaderePub
The incidence of obesity is increasing, and more definitive treatment modalities are needed. Endoluminal procedures, including restrictive endoscopic procedures, endoscopic gastroplasty, and malabsorptive endoscopic procedures, can reduce weight in obese patients and control obesity-related comorbidities. Malabsorptive endoscopic interventions also offer the potential for an ambulatory procedure that may be safer and more cost-effective compared with laparoscopic surgery. Malabsorptive endoscopic intervention can induce weight reduction and improve obesity-related metabolic parameters, despite complications such as device migration, obstruction, and abdominal pain. Improvement in technique will follow the development of new devices.

Citations

Citations to this article as recorded by  
  • Overview on the endoscopic treatment for obesity: A review
    Maheeba Abdulla, Nafeesa Mohammed, Jehad AlQamish
    World Journal of Gastroenterology.2023; 29(40): 5526.     CrossRef
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    Mladen Veletić, Ehsanul Hoque Apu, Mitar Simić, Jacob Bergsland, Ilangko Balasingham, Christopher H. Contag, Nureddin Ashammakhi
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    Pavol Holéczy
    Medicína pro praxi.2019; 16(4): 259.     CrossRef
  • 7,662 View
  • 132 Download
  • 3 Web of Science
  • 4 Crossref
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Endoscopic Approach for Major Complications of Bariatric Surgery
Moon Kyung Joo
Clin Endosc 2017;50(1):31-41.   Published online December 23, 2016
DOI: https://doi.org/10.5946/ce.2016.140
AbstractAbstract PDFPubReaderePub
As lifestyle and diet patterns have become westernized in East Asia, the prevalence of obesity has rapidly increased. Bariatric surgeries, such as Roux-en-Y gastric bypass (RYGB), sleeve gastrectomy (SG), and laparoscopic adjustable gastric banding (LAGB), are considered the first-line treatment option in patients with severe obesity. However, postoperative complications have increased and the proper management of these complications, including the use of endoscopic procedures, has become important. The most serious complications, such as leaks and fistulas, can be treated with endoscopic stent placement and injection of fibrin glue, and a novel full-thickness closure over-the-scope clip (OTSC) has been used for treatment of postoperative leaks. Stricture at the gastrojejunal (GJ) anastomosis site after RYGB or incisura angularis in SG can be managed using stents or endoscopic balloon dilation. Dilation of the GJ anastomosis or gastric pouch may lead to failure of weight loss, and the use of endoscopic sclerotherapy, novel endoscopic suturing devices, and OTSCs have been attempted. Intragastric migration of the gastric band can be successfully treated using various endoscopic tools. Endoscopy plays a pivotal role in the management of post-bariatric complications, and close cooperation between endoscopists and bariatric surgeons may further increase the success rate of endoscopic procedures.

Citations

Citations to this article as recorded by  
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    Steven H. Chang, Violeta B. Popov, Christopher C. Thompson
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    Varun Krishnan, Kevin Hutchings, Andrew Godwin, Jonathan T. Wong, Julio Teixeira
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    R Vilallonga, JL Pereira-Cunill, S Morales-Conde, I Alarcón, I Breton, E Domínguez-Adame, JV Ferrer, A Garcia Ruiz-de-Gordejuela, A Goday, A Lecube, E Martín García-Almenta, MÁ Rubio, FJ Tinahones, PP García-Luna
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Recent Clinical Results of Endoscopic Bariatric Therapies as an Obesity Intervention
Fateh Bazerbachi, Eric J. Vargas Valls, Barham K. Abu Dayyeh
Clin Endosc 2017;50(1):42-50.   Published online January 30, 2017
DOI: https://doi.org/10.5946/ce.2017.013
AbstractAbstract PDFPubReaderePub
Despite advances in lifestyle interventions, anti-obesity medications, and metabolic surgery, the issue of health burden due to obesity continues to evolve. Interest in endoscopic bariatric techniques has increased over the years, as they have been shown to be efficacious, reversible, relatively safe, and cost effective. Further, these techniques offer a therapeutic window for some patients who may otherwise be unable to undergo bariatric surgery. This article aims to review the literature on the safety and efficacy of currently offered endoscopic bariatric techniques, as well as those that are in the pipeline of end-development and regulatory approval.

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Original Articles
Correlation of Endoscopic Findings of Gastric Mucosa-Associated Lymphoid Tissue Lymphoma with Recurrence after Complete Remission
Chang Min Lee, Dong Ho Lee, Byung Kyu Ahn, Jae Jin Hwang, Hyuk Yoon, Young Soo Park, Cheol Min Shin, Nayoung Kim
Clin Endosc 2017;50(1):51-57.   Published online March 24, 2016
DOI: https://doi.org/10.5946/ce.2016.015
AbstractAbstract PDFPubReaderePub
Background
/Aims: In gastric mucosa-associated lymphoid tissue (MALT) lymphoma, the clinical significance of various endoscopic findings has not yet been determined. This study aimed to compare the time to complete remission (CR) and relapse-free survival (RFS) in gastric MALT lymphoma based on endoscopic findings.
Methods
In this single-center retrospective cohort study, the medical records of 122 consecutive adult patients with gastric MALT lymphoma were collected over a period of 12 years. CR was defined by the absence of macroscopic or microscopic features of lymphoma on two subsequent follow-ups. Relapse was clinically defined by a positive endoscopic biopsy after CR.
Results
The median time to CR did not differ significantly between treatment methods. However, it was significantly longer in the group with polypoid endoscopic appearance than in the groups with diffuse infiltration or ulceration (7.83, 3.43, and 3.10 months, respectively; p=0.003). Six patients relapsed after CR. Kaplan-Meier analysis showed that RFS differed significantly between groups based on Ann Arbor staging, treatment methods, and initial endoscopic findings.
Conclusions
In gastric MALT lymphoma, the endoscopically defined polypoid type was characterized by a longer duration to CR, with a higher likelihood of recurrence, compared to the endoscopically defined diffuse infiltration or ulceration types.

Citations

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Endoscopic Management of Gastrointestinal Leaks and Bleeding with the Over-the-Scope Clip: A Prospective Study
Mahesh Kumar Goenka, Vijay Kumar Rai, Usha Goenka, Indrajit Kumar Tiwary
Clin Endosc 2017;50(1):58-63.   Published online October 31, 2016
DOI: https://doi.org/10.5946/ce.2016.028
AbstractAbstract PDFPubReaderePub
Background
/Aims: The over-the-scope clip (OTSC) is a device used for endoscopic closure of perforations, leaks and fistulas, and for endoscopic hemostasis. To evaluate the clinical effectiveness and safety of OTSC.
Methods
Between October 2013 and November 2015, 12 patients underwent OTSC placement by an experienced endoscopist. OTSC was used for the closure of gastrointestinal (GI) leaks and fistula in six patients, three of which were iatrogenic (esophageal, gastric, and duodenal) and three of which were inflammatory. In six patients, OTSC was used for hemostasis of non-variceal upper GI bleeding. Endoscopic tattooing using India ink was used to assist the accurate placement of the clip.
Results
All subjects except one with a colonic defect experienced immediate technical success as well as long-term clinical success, during a mean follow-up of 6 weeks. Only one clip was required to close each of the GI defects and to achieve hemostasis in all patients. There were no misfirings or complications of clips. The procedure was well tolerated, and patients were hospitalized for an average of 8 days (range, 3 to 10). Antiplatelet therapy was continued in patients with GI bleeding.
Conclusions
In our experience, OTSC was safe and effective for the closure of GI defect and to achieve hemostasis of non-variceal GI bleeding.

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Close layer
Mucosal Incision and Forceps Biopsy for Reliable Tissue Sampling of Gastric Subepithelial Tumors
Sa Young Shin, Sang Jin Lee, Jae Hyuck Jun, Jong Kyu Park, Hyun Il Seo, Koon Hee Han, Young Don Kim, Woo Jin Jeong, Gab Jin Cheon
Clin Endosc 2017;50(1):64-68.   Published online March 4, 2016
DOI: https://doi.org/10.5946/ce.2015.094
AbstractAbstract PDFPubReaderePub
Background
/Aims: The diagnostic efficacy of current tissue sampling techniques for gastric subepithelial tumors (SETs) is limited. Better tissue sampling techniques are needed to improve pathological diagnosis. The aim of this study was to evaluate the safety and efficacy of a new technique, mucosal incision and forceps biopsy, for reliable tissue sampling of gastric SETs.
Methods
This study enrolled 12 consecutive patients who underwent mucosal incision and forceps biopsy of gastric SETs between November 2011 and September 2014 at Gangneung Asan Hospital. The medical records of patients were reviewed retrospectively. The safety and diagnostic yield of this method were evaluated.
Results
By performing mucosal incision and forceps biopsy, we were able to provide a definitive histological diagnosis for 11 out of 12 cases. The pathological diagnoses were leiomyoma (3/11), gastrointestinal stromal tumor (GIST; 2/11), lipoma (2/11), schwannoma (1/11), and ectopic pancreas (3/11). In cases of leiomyoma (n=3) and GIST (n=2), tissue samples were of sufficient size to allow immunohistochemical staining. In addition, the mitotic index was evaluated in two cases of GIST. There were no procedure-related complications.
Conclusions
Mucosal incision and forceps biopsy can be used as one of several methods to obtain adequate tissue samples from gastric SETs.

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Double-Balloon Endoscopy in Overt and Occult Small Bowel Bleeding: Results, Complications, and Correlation with Prior Videocapsule Endoscopy in a Tertiary Referral Center
Carlijn Hermans, Arnold Stronkhorst, Annemarie Tjhie-Wensing, Jan Kamphuis, Bas van Balkom, Rob Dahlmans, Lennard Gilissen
Clin Endosc 2017;50(1):69-75.   Published online January 12, 2017
DOI: https://doi.org/10.5946/ce.2016.079
AbstractAbstract PDFPubReaderePub
Background
/Aims: Videocapsule endoscopy (VCE) and double-balloon endoscopy (DBE) allow deep exploration in patients with suspected small bowel pathology. VCE is often performed as an initial small bowel examination to explore whether an intervention by DBE is indicated and to determine insertion route. The study aim was to evaluate the correlation between DBE and VCE in patients with obscure or overt bleeding or anemia, as well as intervention frequency, and complications.
Methods
Retrospective observational study.
Results
DBE procedures (n=205) showed small bowel lesions in 64% cases. Antegrade DBE showed positive results in 79% cases, mostly angiodysplasias (63%). Retrograde DBE showed positive results in 22% cases. An intervention was performed in 64% of DBE procedures. The major complication rate was 0.5%, which was one case of perforation. Pancreatitis did not occur. The overall diagnostic agreement was 66% among the 134 DBEs with preceded VCE.
Conclusions
In cases of overt or occult bleeding or anemia, DBE was positive in 64%, with only a few complications. Positive correlation was 66% among initially performed VCEs and DBEs. Owing to the time-consuming and invasive character of DBE, performing VCE before DBE might still be clinically relevant.

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    Yong-Cheng Ye, Kuan-Yi Sung, Tien-En Chang, Pei-Shan Wu, Yen-Po Wang, Jiing-Chyuan Luo, Ming-Chih Hou, Ching-Liang Lu
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    Mohammad Yaghoobi, Julie Tan, Yousef Th. A. Th. A. Alshammari, Katie Scandrett, Khashayar Mofrad, Yemisi Takwoingi
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    Ah Young Yoo, Beom Jae Lee, Won Shik Kim, Seong Min Kim, Seung Han Kim, Moon Kyung Joo, Hyo Jung Kim, Jong-Jae Park
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  • Revising the European Society of Gastrointestinal Endoscopy (ESGE) research priorities: a research progress update
    Pradeep Bhandari, Gaius Longcroft-Wheaton, Diogo Libanio, Pedro Pimentel-Nunes, Eduardo Albeniz, Mathieu Pioche, Reena Sidhu, Cristiano Spada, Andrea Anderloni, Alessandro Repici, Rehan Haidry, Marc Barthet, Helmut Neumann, Giulio Antonelli, Alberto Testo
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    Enrique Pérez-Cuadrado-Robles, Rolando Pinho, Begoña Gonzalez, Susana Mão de Ferro, Cristina Chagas, Pilar Esteban Delgado, Cristina Carretero, Pedro Figueiredo, Bruno Rosa, Javier García Lledó, Óscar Nogales, Ana Ponte, Patrícia Andrade, Jose Francisco J
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    Hélcio Pedrosa Brito, Igor Braga Ribeiro, Diogo Turiani Hourneaux de Moura, Wanderley Marques Bernardo, Dalton Marques Chaves, Rogério Kuga, Ethan Dwane Maahs, Robson Kiyoshi Ishida, Eduardo Turiani Hourneaux de Moura, Eduardo Guimarães Hourneaux de Moura
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Case Reports
Mediastinal Pancreatic Pseudocysts
Krzysztof Dąbkowski, Andrzej Białek, Maciej Kukla, Janusz Wójcik, Andrzej Smereczyński, Katarzyna Kołaczyk, Tomasz Grodzki, Teresa Starzyńska
Clin Endosc 2017;50(1):76-80.   Published online September 13, 2016
DOI: https://doi.org/10.5946/ce.2016.089
AbstractAbstract PDFPubReaderePub
Mediastinal pseudocysts are a rare complication of acute pancreatitis. Lack of uniform treatment standards makes the management of this condition a clinical challenge. We report the case of a 43-year-old patient who presented with a left pleural effusion. Pleural fluid revealed a high amylase concentration consistent with a pancreaticopleural fistula. Endoscopic retrograde cholangiopancreatography (ERCP) revealed a disruption of the pancreatic duct with free outflow of contrast medium into the thoracic cavity. A pancreatic stent was placed. The second day after the ERCP, the patient developed septic shock and was admitted to the intensive care unit. Computed tomography (CT) revealed mediastinal pseudocysts and bilateral pleural effusions. After bilateral drainage of the pleural cavities, the patient improved clinically, and a follow-up CT scan showed that the fluid collection and pseudocysts had resolved. We discuss the optimal strategies for diagnosing and treating patients with pancreatic thoracic pseudocysts and fistulas, as well as review the management of these conditions.

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Laser Imaging Facilitates Early Detection of Synchronous Adenocarcinomas in Patients with Barrett’s Esophagus
Chihiro Iwashita, Yoshimasa Miura, Hiroyuki Osawa, Takahito Takezawa, Yuji Ino, Masahiro Okada, Alan K. Lefor, Hironori Yamamoto
Clin Endosc 2017;50(1):81-86.   Published online May 9, 2016
DOI: https://doi.org/10.5946/ce.2016.027
AbstractAbstract PDFPubReaderePub
Barrett’s adenocarcinoma may occur in multiple sites, and recurrence and metachronous lesions are the major problems with endoscopic resection. Therefore, early detection of such lesions is ideal to achieve complete resection and obtain improved survival rates with minimally invasive treatment. Laser imaging systems allow multiple modalities of endoscopic imaging by using white light laser, flexible spectral imaging color enhancement (FICE), blue laser imaging (BLI), and linked color imaging even at a distant view. However, the usefulness of these modalities has not been sufficiently reported regarding Barrett’s adenocarcinoma. Here, we report on a patient with three synchronous lesions followed by one metachronous lesion in a long segment with changes of Barrett’s esophagus, all diagnosed with this new laser endoscopic imaging system and enhanced by using FICE and/or BLI with high contrast compared with the surrounding mucosa. Laser endoscopic imaging may facilitate the detection of malignancies in patients with early Barrett’s adenocarcinoma.

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  • Validation of simplified classification of magnifying endoscopy for diagnosis of Barrett's dysplasia with blue laser imaging
    Tzu‐Haw Chen, Ro‐Ting Lin, Wen‐Lun Wang, Ching‐Tai Lee, Cheng‐Hao Tseng, Wen‐Hung Hsu, Wei‐Chen Tai, Hsiu‐Po Wang, Chi‐Yang Chang
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    Félix Junquera, Sonia Fernández-Ananín, Carmen Balagué
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    Haruo Takahashi, Yoshimasa Miura, Hiroyuki Osawa, Takahito Takezawa, Yuji Ino, Masahiro Okada, Alan Kawarai Lefor, Hironori Yamamoto
    Clinical Endoscopy.2019; 52(3): 273.     CrossRef
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    Félix Junquera, Sonia Fernández-Ananín, Carmen Balagué
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    Barbara Braden, Evonne Jones-Morris
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    Hiroyuki Osawa, Yoshimasa Miura, Takahito Takezawa, Yuji Ino, Tsevelnorov Khurelbaatar, Yuichi Sagara, Alan Kawarai Lefor, Hironori Yamamoto
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    Masayuki Kato, Kenichi Goda, Yuichi Shimizu, Akira Dobashi, Masakazu Takahashi, Masahiro Ikegami, Tadakazu Shimoda, Mototsugu Kato, Prateek Sharma
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    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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Acute Gastric Injury Caused by Undissolved Sodium Picosulfate/Magnesium Citrate Powder
Eun Young Ze, Chang Hwan Choi, Jeong Wook Kim
Clin Endosc 2017;50(1):87-90.   Published online October 12, 2016
DOI: https://doi.org/10.5946/ce.2016.081
AbstractAbstract PDFPubReaderePub
Sodium picosulfate/magnesium citrate (SPMC) is a widely used oral bowel cleansing agent considered to be relatively safe. However, partially dissolved or undissolved SPMC powder may cause severe injuries of the esophagus and stomach. We report a very rare case of acute gastric injury without esophageal damage caused by the ingestion of undissolved SPMC powder. A 69-year-old man experienced epigastric pain after swallowing SPMC powder without dissolving it in water in preparation for a screening colonoscopy. He realized his mistake immediately and subsequently drank 2 L of water. The esophagogastroduodenoscopy conducted after 12 hours indicated an acute gastric ulceration without injury of the esophagus or duodenum. The endoscopy conducted after 6 weeks of oral proton pump inhibitor treatment showed healing of the gastric injury. This suggested that drinking large amounts of water after ingesting partially dissolved or undissolved SPMC powder can prevent serious esophageal injury, but offers no preventive benefit for acute gastric injury.

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  • Riesgos, indicaciones y aspectos técnicos de la colonoscopia en pacientes de edad avanzada o con fragilidad. Documento de posicionamiento de la Societat Catalana de Digestologia, la Societat Catalana de Geriatria i Gerontologia i la Societat Catalana de M
    Salvador Machlab, Esther Francia, Juanjo Mascort, Pilar García-Iglesias, Juan Manuel Mendive, Francesc Riba, Carles Guarner-Argente, Mònica Solanes, Jordi Ortiz, Xavier Calvet
    Gastroenterología y Hepatología.2024; 47(1): 107.     CrossRef
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    Salvador Machlab, Esther Francia, Juanjo Mascort, Pilar García-Iglesias, Juan Manuel Mendive, Francesc Riba, Carles Guarner-Argente, Mònica Solanes, Jordi Ortiz, Xavier Calvet
    Gastroenterología y Hepatología (English Edition).2024; 47(1): 107.     CrossRef
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    Antonietta Gerarda Gravina, Raffaele Pellegrino, Mario Romeo, Giovanna Palladino, Marina Cipullo, Giorgia Iadanza, Simone Olivieri, Giuseppe Zagaria, Nicola De Gennaro, Antonio Santonastaso, Marco Romano, Alessandro Federico
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    V. V. Skvortsov, A. A. Eremenko, N. V. Eremenko
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  • Esophageal Stricture Caused by the Ingestion of Undissolved Picosulfate Powder
    Daehyun Kim, Byungha Cho, Jong Wook Choi, Ki Bae Kim, Seon Mee Park
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    Soo-Young Na, Won Moon
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    Yi-Ting Chou, Tien-Yu Huang, Chao-Feng Chang
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    Hwon Kim, Jong Seol Park, Yong Sung Kim
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2018; 18(4): 275.     CrossRef
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Unusual Local Recurrence with Distant Metastasis after Successful Endoscopic Submucosal Dissection for Colorectal Mucosal Cancer
Hyo Jeong Lee, Byong Duk Ye, Jeong-Sik Byeon, Jihun Kim, Young Soo Park, Yong Sang Hong, Yong Sik Yoon, Dong-Hoon Yang
Clin Endosc 2017;50(1):91-95.   Published online August 22, 2016
DOI: https://doi.org/10.5946/ce.2016.054
AbstractAbstract PDFPubReaderePub
Intramucosal colorectal cancer (CRC) is thought not to metastasize because the colonic lamina propria lacks lymphatics. Only a few recent case reports have suggested lymph node metastasis from intramucosal CRC, but there is no clear evidence supporting the metastatic potential of intramucosal CRC. Hence, endoscopic resection is regarded as curative treatment for intramucosal CRC. This report describes two cases of unusual local recurrence with distant metastasis in patients who had previously undergone successful endoscopic submucosal dissection for intramucosal CRC. The recurrent colorectal lesions developed at the site of the previous endoscopic submucosal dissection scars in a relatively short-term period, and the pathologic findings showed an “undermining” invasion pattern without surrounding mucosal change. Based on the clinical course and pathological findings, we concluded that the second colorectal lesions were recurrences rather than de novo cancers.

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  • 199 Download
  • 7 Web of Science
  • 4 Crossref
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