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Volume 50(2); March 2017
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Commentarys
Adverse Events by Sedation Type in Gastrointestinal Endoscopy
Joon Sung Kim, Byung-Wook Kim
Clin Endosc 2017;50(2):97-98.   Published online March 9, 2017
DOI: https://doi.org/10.5946/ce.2017.031
PDFPubReaderePub

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  • Topical pharyngeal anesthesia provides no additional benefit to propofol sedation for esophagogastroduodenoscopy: a randomized controlled double-blinded clinical trial
    Xiaotian Sun, Yang Xu, Xueting Zhang, Aitong Li, Hanqing Zhang, Teng Yang, Yan Liu
    Scientific Reports.2018;[Epub]     CrossRef
  • 6,183 View
  • 200 Download
  • 1 Web of Science
  • 1 Crossref
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Exploring the Evidence of Expanded Criteria for Endoscopic Resection of Early Gastric Cancers
Il Ju Choi
Clin Endosc 2017;50(2):99-101.   Published online March 30, 2017
DOI: https://doi.org/10.5946/ce.2017.041
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  • 5,533 View
  • 85 Download
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Commentary on “Endoscopic Ultrasound (EUS)-Directed Transgastric Endoscopic Retrograde Cholangiopancreatography or EUS”
Se Woo Park
Clin Endosc 2017;50(2):102-103.   Published online March 30, 2017
DOI: https://doi.org/10.5946/ce.2017.033
PDFPubReaderePub

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Citations to this article as recorded by  
  • Endoscopic ultrasound-directed transgastric ERCP (EDGE): a retrospective multicenter study
    Thomas M. Runge, Austin L. Chiang, Thomas E. Kowalski, Theodore W. James, Todd H. Baron, Jose Nieto, David L. Diehl, Matthew R. Krafft, John Y. Nasr, Vikas Kumar, Harshit S. Khara, Shayan Irani, Arpan Patel, Ryan J. Law, David E. Loren, Alex Schlachterman
    Endoscopy.2021; 53(06): 611.     CrossRef
  • Multicenter evaluation of the clinical utility of laparoscopy-assisted ERCP in patients with Roux-en-Y gastric bypass
    Ali M. Abbas, Andrew T. Strong, David L. Diehl, Brian C. Brauer, Iris H. Lee, Rebecca Burbridge, Jaroslav Zivny, Jennifer T. Higa, Marcelo Falcão, Ihab I. El Hajj, Paul Tarnasky, Brintha K. Enestvedt, Alexander R. Ende, Adarsh M. Thaker, Rishi Pawa, Priya
    Gastrointestinal Endoscopy.2018; 87(4): 1031.     CrossRef
  • 5,155 View
  • 89 Download
  • 3 Web of Science
  • 2 Crossref
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Focused Review Series: EUS-Guided Therapeutic Interventionses
Endoscopic Ultrasound-Guided Biliary Access, with Focus on Technique and Practical Tips
Woo Hyun Paik, Do Hyun Park
Clin Endosc 2017;50(2):104-111.   Published online March 30, 2017
DOI: https://doi.org/10.5946/ce.2017.036
AbstractAbstract PDFPubReaderePub
In 1980, endoscopic ultrasound (EUS) was introduced as a diagnostic tool for evaluation of the pancreas. Since the introduction of curvilinear-array echoendoscopy, EUS has been used for a variety of gastrointestinal interventions, including fine needle aspiration, tumor ablation, and pancreatobiliary access. One of the main therapeutic roles of EUS is biliary drainage as an alternative to endoscopic retrograde biliary drainage (ERBD) or percutaneous transhepatic biliary drainage (PTBD). This article summarizes three different methods of EUS-guided biliary access, with focus on technique and practical tips.

Citations

Citations to this article as recorded by  
  • Endoscopic Management of Malignant Biliary Obstruction
    Woo Hyun Paik, Do Hyun Park
    Gastrointestinal Endoscopy Clinics of North America.2024; 34(1): 127.     CrossRef
  • A Systematic Review of Endoscopic Treatments for Concomitant Malignant Biliary Obstruction and Malignant Gastric Outlet Obstruction and the Outstanding Role of Endoscopic Ultrasound-Guided Therapies
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    Cancers.2023; 15(9): 2585.     CrossRef
  • Endoscopic ultrasound-guided biliary drainage-current status and future perspectives
    Petko Ivanov Karagyozov, Ivan Tishkov, Irina Boeva, Kiril Draganov
    World Journal of Gastrointestinal Endoscopy.2021; 13(12): 607.     CrossRef
  • EUS-Guided Versus ERCP-Guided Biliary Drainage for Primary Treatment of Distal Malignant Biliary Obstruction
    Woo Hyun Paik, Do Hyun Park
    Current Treatment Options in Gastroenterology.2020; 18(2): 188.     CrossRef
  • Endoscopic Retrograde Cholangiopancreatography Results 3 Days After a Failed Pre-cut
    Arecio Peñaloza-Ramirez, Dumar Rodriguez-Tello, Andres Murillo-Arias, Jonathan Barreto-Perez, Pedro Aponte-Ordoñez
    Revista Española de Enfermedades Digestivas.2020;[Epub]     CrossRef
  • Endoscopic Ultrasound-Guided Biliary Drainage
    Jeremy S. Nussbaum, Nikhil A. Kumta
    Gastrointestinal Endoscopy Clinics of North America.2019; 29(2): 277.     CrossRef
  • Endoscopic Ultrasound-Guided Biliary Drainage for Benign Biliary Diseases
    Yousuke Nakai, Hirofumi Kogure, Hiroyuki Isayama, Kazuhiko Koike
    Clinical Endoscopy.2019; 52(3): 212.     CrossRef
  • Relief of Obstruction in the Management of Pancreatic Cancer
    Chang-Il Kwon
    The Korean Journal of Gastroenterology.2019; 74(2): 69.     CrossRef
  • Current Status of Endoscopic Ultrasound Techniques for Pancreatic Neoplasms
    Yousuke Nakai, Naminatsu Takahara, Suguru Mizuno, Hirofumi Kogure, Kazuhiko Koike
    Clinical Endoscopy.2019; 52(6): 527.     CrossRef
  • Endoscopic Ultrasound–Guided Biliary Drainage
    Brian R. Boulay, Simon K. Lo
    Gastrointestinal Endoscopy Clinics of North America.2018; 28(2): 171.     CrossRef
  • Endoscopic ultrasound–guided biliary and pancreatic duct access and intervention
    Patrick Pfau
    Techniques in Gastrointestinal Endoscopy.2017; 19(4): 207.     CrossRef
  • 9,807 View
  • 274 Download
  • 7 Web of Science
  • 11 Crossref
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Endoscopic Ultrasound-Guided Pancreatic Duct Intervention
Yuto Shimamura, Jeffrey Mosko, Christopher Teshima, Gary R May
Clin Endosc 2017;50(2):112-116.   Published online March 30, 2017
DOI: https://doi.org/10.5946/ce.2017.046
AbstractAbstract PDFPubReaderePub
Endoscopic ultrasound-guided pancreatic duct intervention (EUS-PDI) is an emerging endoscopic approach allowing access and intervention to the pancreatic duct (PD) for patients with failed endoscopic retrograde pancreatography (ERP) or patients with surgically altered anatomy. As opposed to biliary drainage for which percutaneous drainage is an alternative following failed endoscopic retrograde cholangiopancreatography (ERCP), the treatment options after failed ERP are very limited. Therefore, endoscopic ultrasound (EUS)-guided access to the PD and options for subsequent drainage may play an important role as an alternative to surgical intervention. However, this approach is technically demanding with a high risk of complications, and should only be performed by highly experienced endoscopists. In this review, we describe an overview of the current endoscopic approaches, basic technical tips, and outcomes using these procedures.

Citations

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  • Endoscopic Ultrasound-guided Drainage in Pancreatobiliary Diseases
    Tae Hyeon Kim, Hyung Ku Chon
    The Korean Journal of Gastroenterology.2022; 79(5): 203.     CrossRef
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    Mark J Radlinski, Daniel S Strand, Vanessa M Shami
    Gastroenterology Report.2022;[Epub]     CrossRef
  • EUS-guided pancreatic ductal intervention: A comprehensive literature review
    Zarak Khan, Umar Hayat, Sharareh Moraveji, DouglasG Adler, AliA Siddiqui
    Endoscopic Ultrasound.2021; 10(2): 98.     CrossRef
  • Current advances in the management of chronic pancreatitis
    Rupinder Mann, Umesha Boregowda, Neil Vyas, Mahesh Gajendran, Chandra Prakash Umapathy, Hari Sayana, Juan Echavarria, Sandeep Patel, Shreyas Saligram
    Disease-a-Month.2021; 67(12): 101225.     CrossRef
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    Ankit Dalal, Gaurav Patil, Amit Maydeo
    Digestive Endoscopy.2020; 32(3): 409.     CrossRef
  • Which Are the Most Suitable Stents for Interventional Endoscopic Ultrasound?
    Se Woo Park, Sang Soo Lee
    Journal of Clinical Medicine.2020; 9(11): 3595.     CrossRef
  • Anterograde Endoscopic Ultrasound-Guided Pancreatic Duct Drainage: A Technical Review
    Matthew R. Krafft, John Y. Nasr
    Digestive Diseases and Sciences.2019; 64(7): 1770.     CrossRef
  • Endoscopic ultrasound–guided biliary and pancreatic duct access and intervention
    Patrick Pfau
    Techniques in Gastrointestinal Endoscopy.2017; 19(4): 207.     CrossRef
  • Removal of Pancreatic Duct Stones by Endoscopic Ultrasonography-Guided Rendezvous ERCP
    Li-Chang Hsing, Jinyoung Kim, Ha Il Kim, Jae Cheol Park, Jisoo Han, Jae Hyuck Jun, Myung-Hwan Kim
    The Korean Journal of Medicine.2017; 92(6): 533.     CrossRef
  • 7,344 View
  • 192 Download
  • 10 Web of Science
  • 11 Crossref
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Endoscopic Ultrasound-Guided Management of Pancreatic Fluid Collections: Update and Review of the Literature
Ali Alali, Jeffrey Mosko, Gary May, Christopher Teshima
Clin Endosc 2017;50(2):117-125.   Published online March 30, 2017
DOI: https://doi.org/10.5946/ce.2017.045
AbstractAbstract PDFPubReaderePub
Severe acute pancreatitis is often complicated by the development of pancreatic fluid collections (PFCs), which may be associated with significant morbidity and mortality. It is crucial to accurately classify these collections as a pseudocyst or walled-off necrosis (WON) given significant differences in outcomes and management. Interventions for PFCs have increasingly shifted to less invasive strategies, with endoscopic ultrasound (EUS)-guided methods being shown to be safer and equally effective as more invasive surgical techniques. In recent years, many new developments have improved the safety and efficacy of EUS-guided interventions, such as the introduction of lumen-apposing metal stents (LAMS), direct endoscopic necrosectomy (DEN) and multiple other adjunctive techniques. Despite these developments, treatment of PFCs, and infected WON in particular, continues to be associated with significant morbidity and mortality. In this article, we discuss the EUS-guided management of PFCs while reviewing the latest developments and controversies in the field. We end by summarizing our own approach to managing PFCs.

Citations

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    International Journal of Surgery Case Reports.2024; 119: 109740.     CrossRef
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    Vaneet Jearth, Surinder S. Rana
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    Marcos Eduardo Lera dos Santos, Igor Mendonça Proença, João Guilherme Ribeiro Jordão Sasso, Victor Lira de Oliveira, Pedro Henrique Boraschi Vieira Ribas, Alexandre Moraes Bestetti, Igor Braga Ribeiro, Raoni Salomão Sant Anna, Guilherme Henrique Peixoto d
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    Journal of Clinical Gastroenterology.2021; 55(8): 652.     CrossRef
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    Chan Park, Tae Hyeon Kim, Hyung Ku Chon
    Clinical Endoscopy.2021; 54(5): 763.     CrossRef
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  • Imaging of Lumen-Apposing Metal Stents in Abdominopelvic Applications
    Inessa A. Goldman, Julie Yang, Meir H. Scheinfeld
    American Journal of Roentgenology.2019; 213(3): 602.     CrossRef
  • Endoscopic Ultrasound-Guided Drainage of Peripancreatic Fluid Collections
    Eun Young Kim, Robert H. Hawes
    Clinical Endoscopy.2019; 52(4): 299.     CrossRef
  • Prevalence and outcomes of cystic lesions of the transplant pancreas: The University of Wisconsin Experience
    Talal M. Al-Qaoud, Eric J. Martinez, Hans W. Sollinger, Dixon B. Kaufman, Robert R. Redfield III, Bridget Welch, Glen Leverson, Jon S. Odorico
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    Ari Garber, Catherine Frakes, Zubin Arora, Prabhleen Chahal
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  • Lumen-Apposing Metal Stents
    Matthew W. Stier, Irving Waxman
    Gastrointestinal Endoscopy Clinics of North America.2018; 28(2): 207.     CrossRef
  • Endoscopic Interventions in Acute Pancreatitis: What the Advanced Endoscopist Wants to Know
    Brendan M. Case, Kyle K. Jensen, Gene Bakis, Brintha K. Enestvedt, Akram M. Shaaban, Bryan R. Foster
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    B. Joseph Elmunzer
    Clinical Gastroenterology and Hepatology.2018; 16(12): 1851.     CrossRef
  • 9,891 View
  • 449 Download
  • 32 Web of Science
  • 30 Crossref
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Endoscopic Ultrasound-Guided Direct Intervention for Solid Pancreatic Tumors
Jimin Han, Kenneth J. Chang
Clin Endosc 2017;50(2):126-137.   Published online March 30, 2017
DOI: https://doi.org/10.5946/ce.2017.034
AbstractAbstract PDFPubReaderePub
Development and use of linear-array echoendoscope and endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) have made endoscopic ultrasound (EUS) more of an interventional procedure than a purely diagnostic procedure. This is a literature review of previously published clinical studies on EUS-guided direct intervention for solid pancreatic tumors, including EUS-guided fine needle injection (EUS-FNI) of antitumor agents, EUS-guided fiducial marker placement, EUS-guided brachytherapy and EUS-guided tumor ablation.

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    Yousuke Nakai
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    Yousuke Nakai, Kenneth J. Chang
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    Jae Min Lee, Hyuk Soon Choi, Hoon Jai Chun, Eun Sun Kim, Bora Keum, Yeon Seok Seo, Yoon Tae Jeen, Hong Sik Lee, Soon Ho Um, Chang Duck Kim, Hong Bae Kim
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    Rongzhi Wang, Rui Zheng-Pywell, H Alexander Chen, James A Bibb, Herbert Chen, J Bart Rose
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    Yousuke Nakai, Naminatsu Takahara, Suguru Mizuno, Hirofumi Kogure, Kazuhiko Koike
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    Woo Hyun Paik, Sang Hyub Lee, Sunguk Jang
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    Dong Wook Lee, Michelle Kang Kim, Ho Gak Kim
    Clinical Endoscopy.2017; 50(6): 537.     CrossRef
  • 9,216 View
  • 219 Download
  • 20 Web of Science
  • 18 Crossref
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Endoscopic Ultrasound-Guided Vascular Therapy: The Present and the Future
Philip S.J. Hall, Christopher Teshima, Gary R. May, Jeffrey D. Mosko
Clin Endosc 2017;50(2):138-142.   Published online March 30, 2017
DOI: https://doi.org/10.5946/ce.2017.048
AbstractAbstract PDFPubReaderePub
Endoscopic ultrasound (EUS) offers access to many intra-abdominal vessels that until now have only been accessible to the surgeon and interventional radiologist. In addition to assisting with diagnostics, this unique access offers the potential for therapeutic intervention for a host of indications. To date, this has had the most clinical impact in the treatment of gastroesophageal varices, with EUS-guided coil and glue application growing in use worldwide. Although randomised controlled trial data is lacking, we discuss the growing body of literature behind EUS-guided therapy in the management of varices. EUS has also been used in specialized centres to assist in non-variceal gastrointestinal bleeding. The treatment of bleeding from Dieulafoy lesions, tumours and pancreatic pseudoaneurysms has all been described. The potential applications of EUS have also extended to the placement of portal vein stents and porto-systemic shunts in animal models. As medicine continues to move to increasingly less invasive interventions, EUS-guided therapies offer substantial promise for the safe and effective delivery of targeted treatment for a widening array of vascular disorders.

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Reviews
Korean Society of Gastrointestinal Endoscopy Guidelines for Endoscope Reprocessing
Byoung Kwan Son, Byung-Wook Kim, Won Hee Kim, Dae-Sung Myung, Young-Seok Cho, Byung Ik Jang, The Disinfection Management and Conscious Sedation Committee of Korean Society of Gastrointestinal Endoscopy
Clin Endosc 2017;50(2):143-147.   Published online March 17, 2017
DOI: https://doi.org/10.5946/ce.2017.029
AbstractAbstract PDFPubReaderePub
The Korean Society of Gastrointestinal Endoscopy (KSGE) issued guidelines for endoscope reprocessing for the first time in 1995, and the version of the guidelines was updated in August 2009, August 2012, and March 2015. Guidelines for endoscope reprocessing should be revised continuously, because new disinfectants and devices are developed and introduced. The current official version of the KSGE guidelines for endoscope reprocessing is explained herein to assist the reader in understanding the KSGE requirements for cleaning and disinfecting endoscopes.

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Quality Indicators for Small Bowel Capsule Endoscopy
Ki-Nam Shim, Seong Ran Jeon, Hyun Joo Jang, Jinsu Kim, Yun Jeong Lim, Kyeong Ok Kim, Hyun Joo Song, Hyun Seok Lee, Jae Jun Park, Ji Hyun Kim, Jaeyoung Chun, Soo Jung Park, Dong-Hoon Yang, Yang Won Min, Bora Keum, Bo-In Lee, Korean Gut Image Study Group
Clin Endosc 2017;50(2):148-160.   Published online March 30, 2017
DOI: https://doi.org/10.5946/ce.2017.030
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Capsule endoscopy (CE) enables evaluation of the entire mucosal surface of the small bowel (SB), which is one of the most important steps for evaluating obscure gastrointestinal bleeding. Although the diagnostic yield of SB CE depends on many clinical factors, there are no reports on quality indicators. Thus, the Korean Gut Image Study Group (KGISG) publishes an article titled, “Quality Indicators for Small Bowel Capsule Endoscopy” under approval from the Korean Society of Gastrointestinal Endoscopy (KSGE). Herein, we initially identified process quality indicators, while the structural and outcome indicators are reserved until sufficient clinical data are accumulated. We believe that outcomes of SB CE can be improved by trying to meet our proposed quality indicators.

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    Seong Ran Jeon
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Original Articles
Association between Type of Sedation and the Adverse Events Associated with Gastrointestinal Endoscopy: An Analysis of 5 Years’ Data from a Tertiary Center in the USA
Basavana Goudra, Ahmad Nuzat, Preet Mohinder Singh, Anuradha Borle, Augustus Carlin, Gowri Gouda
Clin Endosc 2017;50(2):161-169.   Published online April 29, 2016
DOI: https://doi.org/10.5946/ce.2016.019
AbstractAbstract PDFPubReaderePub
Background
/Aims: The landscape of sedation for gastrointestinal (GI) endoscopic procedures and the nature of the procedures themselves have changed over the last decade. In this study, an attempt is made to analyze the frequency and etiology of all major adverse events associated with GI endoscopy.
Methods
All adverse events extracted from the electronic database and local registry were analyzed. Although the data analysis was retrospective, the adverse events themselves were documented prospectively. These events were evaluated after subdivision into propofol-based anesthesia and intravenous conscious sedation groups.
Results
Cardiorespiratory events, including cardiac arrest, were the most common adverse events during esophagogastroduodenoscopy, while bleeding was more frequent in patients undergoing colonoscopy. Pancreatitis was the most frequent adverse event in patients undergoing endoscopic retrograde cholangiopancreatography. The frequencies of most adverse events were significantly higher in patients anesthetized with propofol. Automatic regression modeling showed that the type of sedation, the American Society of Anesthesiologists physical status classification, and the procedure type were some of the predictors of immediate life-threatening complications.
Conclusions
Clearly, our regression modeling suggests a strong association between the type of sedation as well as various patient factors and the frequency of adverse events. The possible reasons for our results are the changing demographics, the worsening comorbidities of the patient population, and the increasing technical complexity of these procedures. Although extensive use of propofol has increased patient satisfaction and procedure acceptability, its use is also associated with more frequent adverse events.

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Comparison of Endoscopic Submucosal Dissection and Surgery for Differentiated Type Early Gastric Cancer within the Expanded Criteria
Dong Woo Shin, Hee Young Hwang, Seong Woo Jeon
Clin Endosc 2017;50(2):170-178.   Published online May 9, 2016
DOI: https://doi.org/10.5946/ce.2016.017
AbstractAbstract PDFPubReaderePub
Background
/Aims: Endoscopic submucosal dissection (ESD) is a novel alternative treatment for differentiated early gastric cancer (EGC) without lymph node metastasis. We conducted this study to verify the therapeutic usefulness of ESD for treating differentiated EGC compared to that of surgery.
Methods
This is a retrospective cohort study of 382 patients treated with differentiated EGC from March 2006 to May 2010. The propensity score yielded 275 matched patients. They were divided into an ESD group of 175 people and a gastrectomy group of 100 people. The patient demographics, pathologic characteristics, length of hospital stay, complication rate and survival rate were compared.
Results
The complication rate was higher for the gastrectomy group than for the ESD group (15.0% vs. 5.1%, p=0.007). The average length of patient hospitalization was longer after gastrectomy than after ESD (8.6 days vs. 2.4 days, p<0.001). There were two cases of mortality in the surgery group within 30 days of procedure. The 5-year survival rates of the two groups did not show a statistically significant difference (92.0% vs. 93.3%, p=0.496).
Conclusions
The long-term survival rates of ESD and gastrectomy were not significantly different. The complication rate was lower for ESD than for gastrectomy, and the length of hospital stay was shorter after ESD than after gastrectomy.

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Efficacy of Albis for the Prevention of Gastric Mucosal Injury Concomitant with the Use of Low-Dose Aspirin: A Prospective, Randomized, Placebo-Controlled Study
Sang Gyun Kim, Nayoung Kim, Sung Kwan Shin, In Kyung Sung, Su Jin Hong, Hyo-Jin Park
Clin Endosc 2017;50(2):179-184.   Published online May 19, 2016
DOI: https://doi.org/10.5946/ce.2016.031
AbstractAbstract PDFPubReaderePub
Background
/Aims: Long-term use of aspirin can be a risk factor of peptic ulcer diseases. The aim of this study was to evaluate the efficacy of Albis (Daewoong Pharmaceutical Co., Ltd.) for the prevention of gastric mucosal injury caused by aspirin.
Methods
Aspirin users were enrolled and randomized into the Albis or placebo group. Screening and follow-up endoscopy were performed for modified Lanza scores (MLSs). Primary outcome was measured by the incidence rate of peptic ulcer, and secondary outcomes were measured by the incidence rate of gastritis, improvement in MLS and subjective symptoms.
Results
In total, 81 aspirin users were randomized, 43 in the Albis group and 38 in the placebo group. There was no incidence of peptic ulcer in both groups. The incidence of gastritis was significantly higher in the placebo group (44.4% vs. 10.0%, p=0.003); however, the scores of mucosal edema, hyperemia and hemorrhage were not statistically different between the two groups (p>0.05). The frequency of subjective symptoms were more improved in the Albis group than in the placebo group (p=0.023).
Conclusions
The incidence of gastritis was lower in the group that received low-dose aspirin and Albis. The development of peptic ulcer due to long-term use of aspirin might be prevented with concomitant use of Albis.

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Endoscopic Ultrasound (EUS)-Directed Transgastric Endoscopic Retrograde Cholangiopancreatography or EUS: Mid-Term Analysis of an Emerging Procedure
Amy Tyberg, Jose Nieto, Sanjay Salgado, Kristen Weaver, Prashant Kedia, Reem Z. Sharaiha, Monica Gaidhane, Michel Kahaleh
Clin Endosc 2017;50(2):185-190.   Published online September 19, 2016
DOI: https://doi.org/10.5946/ce.2016.030
AbstractAbstract PDFPubReaderePub
Background
/Aims: Performing endoscopic retrograde cholangiopancreatography (ERCP) in patients who have undergone Rouxen-Y gastric bypass (RYGB) is challenging. Standard ERCP and enteroscopy-assisted ERCP are associated with limited success rates. Laparoscopy- or laparotomy-assisted ERCP yields improved efficacy rates, but with higher complication rates and costs. We present the first multicenter experience regarding the efficacy and safety of endoscopic ultrasound (EUS)-directed transgastric ERCP (EDGE) or EUS.
Methods
All patients who underwent EDGE at two academic centers were included. Clinical success was defined as successful ERCP and/or EUS through the use of lumen-apposing metal stents (LAMS). Adverse events related to EDGE were separated from ERCP- or EUS-related complications and were defined as bleeding, stent migration, perforation, and infection.
Results
Sixteen patients were included in the study. Technical success was 100%. Clinical success was 90% (n=10); five patients were awaiting maturation of the fistula tract prior to ERCP or EUS, and one patient had an aborted ERCP due to perforation. One perforation occurred, which was managed endoscopically. Three patients experienced stent dislodgement; all stents were successfully repositioned or bridged with a second stent. Ten patients (62.5%) had their LAMS removed. The average weight change from LAMS insertion to removal was negative 2.85 kg.
Conclusions
EDGE is an effective, minimally invasive, single-team solution to the difficulties associated with ERCP in patients with RYGB.

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    Majidah Bukhari, Mouen A Khashab
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Case Reports
Persistent Nonbilious Vomiting in a Child: Possible Duodenal Webbing
Rossella Angotti, Francesco Molinaro, Giovanni Cobellis, Carmine Noviello, Caterina Bocchi, Francesco Ferrara, Edoardo Bindi, Mario Messina
Clin Endosc 2017;50(2):191-196.   Published online October 12, 2016
DOI: https://doi.org/10.5946/ce.2016.093
AbstractAbstract PDFPubReaderePub
An association between malrotation and congenital duodenal webbing is rare. We present our experience with four patients at two centers, and a review of published reports. There are currently 94 reported cases of duodenal pathology associated with malrotation. However, only 15 of the 94 cases (15.9%) include patients with malrotation and a duodenal web. We suggest that nonbilious vomiting in a child must prompt the surgeon to consider duodenal pathology even in the presence of malrotation.

Citations

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  • Gastric duplication presenting as partial gastric outlet obstruction
    Giulia Fusi, Francesco Molinaro, Francesco Ferrara, Alessandra Taddei, Franco Roviello, Luigi Marano, Fabiola Rossi, Maurizio Costantini, Alessandro Cappelli, Mario Messina, Rossella Angotti
    Journal of Pediatric Surgery Case Reports.2021; 64: 101723.     CrossRef
  • Diagnosis and treatment of primary hypertrophic pyloric stenosis (HPS) in older children
    C. Plessi, M. Sica, F. Molinaro, G. Fusi, F. Rossi, M. Costantini, F. Roviello, L. Marano, A. D'ignazio, C. Spinelli, R. Angotti
    Journal of Pediatric Surgery Case Reports.2021; 69: 101860.     CrossRef
  • Duodenal membranes: a late diagnosis evidenced by foreign bodies
    G Maldonado, C Paredes, H Cedeño, I M Salcedo, M I Sanchez, E Fabre, M V Astudillo, J Gonzalez
    Oxford Medical Case Reports.2017;[Epub]     CrossRef
  • 8,934 View
  • 145 Download
  • 3 Web of Science
  • 3 Crossref
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Fluoroscopy-Guided Endoscopic Removal of Foreign Bodies
Junhwan Kim, Ji Yong Ahn, Seol So, Mingee Lee, Kyunghwan Oh, Hwoon-Yong Jung
Clin Endosc 2017;50(2):197-201.   Published online December 23, 2016
DOI: https://doi.org/10.5946/ce.2016.085
AbstractAbstract PDFPubReaderePub
In most cases of ingested foreign bodies, endoscopy is the first treatment of choice. Moreover, emergency endoscopic removal is required for sharp and pointed foreign bodies such as animal or fish bones, food boluses, and button batteries due to the increased risks of perforation, obstruction, and bleeding. Here, we presented two cases that needed emergency endoscopic removal of foreign bodies without sufficient fasting time. Foreign bodies could not be visualized by endoscopy due to food residue; therefore, fluoroscopic imaging was utilized for endoscopic removal of foreign bodies in both cases.

Citations

Citations to this article as recorded by  
  • A Gastric Magnetic Foreign Body Incidentally Detected Several Years after Ingestion
    Dong Chan Joo, Moon Won Lee, Seung Min Hong, Dong Hoon Baek, Bong Eun Lee, Gwang Ha Kim, Geun Am Song
    The Korean Journal of Gastroenterology.2023; 82(4): 198.     CrossRef
  • Endoscopic Removal of an Embedded Foreign Body Using Fluoroscopy
    Yujin Lee, Yong Hwan Kwon
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2022; 22(3): 231.     CrossRef
  • Gastrointestinal perforation secondary to accidental ingestion of toothpicks
    Zifeng Yang, Deqing Wu, Dailan Xiong, Yong Li
    Medicine.2017; 96(50): e9066.     CrossRef
  • 8,514 View
  • 154 Download
  • 2 Web of Science
  • 3 Crossref
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Repair of an Endoscopic Retrograde Cholangiopancreatography-Related Large Duodenal Perforation Using Double Endoscopic Band Ligation and Endoclipping
Keunmo Kim, Eun Bee Kim, Yong Hyeok Choi, Youngmin Oh, Joung-Ho Han, Seon Mee Park
Clin Endosc 2017;50(2):202-205.   Published online September 13, 2016
DOI: https://doi.org/10.5946/ce.2016.112
AbstractAbstract PDFPubReaderePub
Endoscopic closure techniques have been introduced for the repair of duodenal wall perforations that occur during endoscopic retrograde cholangiopancreatography (ERCP). We report a case of successful repair of a large duodenal wall perforation by using double endoscopic band ligation (EBL) and an endoclip. Lateral duodenal wall perforation occurred during ERCP in a 93-year-old woman with acute calculous cholangitis. We switched to a forward endoscope that had a transparent band apparatus. A 2.0-cm ovalshaped perforation was found at the lateral duodenal wall. We repaired the perforation by sequentially performing double EBL and endoclipping. The first EBL was performed at the proximal edge of the perforation orifice, and two-thirds of the perforation were repaired. The second EBL, which also included the contents covered under the first EBL, repaired the defect almost completely. Finally, to account for the possible presence of a residual perforation, an endoclip was applied at the distal end of the perforation. The detection and closure of the perforation were completed within 10 minutes. We suggest that double EBL is an effective method for closure.

Citations

Citations to this article as recorded by  
  • Endoscopic treatment of ERCP-related duodenal perforation
    Nicole Evans, James L. Buxbaum
    Techniques in Gastrointestinal Endoscopy.2019; 21(2): 83.     CrossRef
  • 8,835 View
  • 183 Download
  • 2 Web of Science
  • 1 Crossref
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Endoscopic Treatment of Intussusception due to Intestinal Tuberculosis
Dooyoup Kim, Hyundo Jung, Mindae Kim, Jaehyung Lee, Sukhun Kim, Dongku Kang, Jiha Kim, Ilseon Lee
Clin Endosc 2017;50(2):206-208.   Published online December 27, 2016
DOI: https://doi.org/10.5946/ce.2016.076
AbstractAbstract PDFPubReaderePub
Traditionally, adult intussusception has required a bowel resection because of the malignancy risk. A patient with anorexia, weight loss, and abdominal pain visited our clinic. A physical exam and imaging study revealed no acute peritoneal signs. A colonoscopy for biopsy and bowel reduction was attempted. The tissue sample was consistent with intestinal tuberculosis. We report intestinal tuberculosis complicating intussusception which was treated without surgical intervention.

Citations

Citations to this article as recorded by  
  • Adult Intussusception Secondary to COVID-19 Infection: A Case Report and Literature Review
    Marianna Almpani, Ana Maria Bensaci
    Journal of Brown Hospital Medicine.2022;[Epub]     CrossRef
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    Mohamed Tarchouli, Abdelmounaim Ait Ali
    Visceral Medicine.2021; 37(2): 120.     CrossRef
  • Intussusception in a Routine Colonoscopy
    Abdelwahab Ahmed, Jinyu Zhang, Kutait Anas
    ACG Case Reports Journal.2020; 7(7): e00422.     CrossRef
  • Intestinal tuberculosis simulating Crohn's disease: Differential diagnosis
    Natalia García-Morales, María García-Campos, Gisselle Cordón, Marisa Iborra
    Gastroenterología y Hepatología (English Edition).2019; 42(1): 29.     CrossRef
  • 9,721 View
  • 125 Download
  • 2 Web of Science
  • 4 Crossref
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Brief Report
Nodular Lymphoid Hyperplasia with Aggressive Endoscopic Appearance in the Colon of an Adult Woman
Maria Fragaki, Elpida Giannikaki, Emmanouil Vardas, Angeliki Theodoropoulou, Aikaterini Tavernaraki, Manousos Christodoulakis, Gregorios A. Paspatis
Clin Endosc 2017;50(2):209-210.   Published online May 4, 2016
DOI: https://doi.org/10.5946/ce.2016.041
PDFSupplementary MaterialPubReaderePub
  • 9,311 View
  • 130 Download
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