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Volume 50(5); September 2017
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Commentarys
Carbon Dioxide Insufflation in Endoscopic Submucosal Dissection: Is It an Urgent Need?
Chang Seok Bang, Gwang Ho Baik
Clin Endosc 2017;50(5):407-409.   Published online September 29, 2017
DOI: https://doi.org/10.5946/ce.2017.127
PDFPubReaderePub

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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
  • Ambient air pollution in gastrointestinal endoscopy unit; rationale and design of a prospective study
    Chang Seok Bang, Keunwook Lee, Jae Ho Choi, Jae Seung Soh, Ji Young Hong, Gwang Ho Baik, Dong Joon Kim
    Medicine.2018; 97(49): e13600.     CrossRef
  • 6,528 View
  • 136 Download
  • 2 Web of Science
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Identification of Ulceration in Early Gastric Cancer before Resection is Not Easy: Need for a New Guideline for Endoscopic Submucosal Dissection Indication Based on Endoscopic Image
Hang Lak Lee
Clin Endosc 2017;50(5):410-411.   Published online September 29, 2017
DOI: https://doi.org/10.5946/ce.2017.140
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Citations to this article as recorded by  
  • Identification of maximal tumor size associated with negligible lymph node metastasis for endoscopic submucosal dissection of undifferentiated-type early gastric cancer
    Sung Eun Oh, Soomin Ahn, Kyoung-Mee Kim, Min-Gew Choi, Jun Ho Lee, Tae Sung Sohn, Jae Moon Bae, Ji Yeong An
    Gastric Cancer.2024; 27(4): 850.     CrossRef
  • Predictive factors of lymphatic metastasis and evaluation of the Japanese treatment guidelines for endoscopic resection of early gastric cancer in a high-volume center in Perú
    Oscar Paredes, Carlos Baca, Renier Cruz, Kori Paredes, Carlos Luque-Vasquez, Iván Chavez, Luis Taxa, Eloy Ruiz, Francisco Berrospi, Eduardo Payet
    Heliyon.2023; 9(5): e16293.     CrossRef
  • 5,627 View
  • 88 Download
  • 3 Web of Science
  • 2 Crossref
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Can Patient Education with a Smartphone Application Improve the Quality of Bowel Preparation for Colonoscopy?
Yoo Jin Lee, Kyung Sik Park
Clin Endosc 2017;50(5):412-414.   Published online September 29, 2017
DOI: https://doi.org/10.5946/ce.2017.139
PDFPubReaderePub

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  • Comparative efficacy of low volume versus traditional standard volume PEG on bowel preparation before colonoscopy
    Li-Juan Yi, Xu Tian, Yuan-Ping Pi, Ling Feng, Hui Chen, Xiao-Ling Liu, Wei-Qing Chen
    Medicine.2018; 97(17): e0599.     CrossRef
  • 6,700 View
  • 148 Download
  • 1 Crossref
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Optimal Evaluation of Suspected Choledocholithiasis: Does This Patient Really Have Choledocholithiasis?
Tae Yoon Lee
Clin Endosc 2017;50(5):415-416.   Published online September 29, 2017
DOI: https://doi.org/10.5946/ce.2017.146
PDFPubReaderePub

Citations

Citations to this article as recorded by  
  • Comparative outcomes of laparoscopic transcystic duct vs traditional laparoscopic bile duct exploration: A multicentre randomised trial
    Ailian Liu, Ziyang Pan, Yuwen Liu, Jianhua Wang, Chengbo Wu
    Surgical Practice.2025;[Epub]     CrossRef
  • Clinical study on the necessity and feasibility of routine MRCP in patients with cholecystolithiasis before LC
    Xu Guo, Qing Fan, Yiman Guo, Xinming Li, Jili Hu, Zhuoyin Wang, Jing Wang, Kai Li, Nengwei Zhang, Buhe Amin, Bin Zhu
    BMC Gastroenterology.2024;[Epub]     CrossRef
  • Predictors of Post-ERCP Pancreatitis (P.E.P.) in Choledochal Lithiasis Extraction
    Adrian Boicean, Victoria Birlutiu, Cristian Ichim, Samuel B. Todor, Adrian Hasegan, Ciprian Bacila, Adelaida Solomon, Adrian Cristian, Horatiu Dura
    Journal of Personalized Medicine.2023; 13(9): 1356.     CrossRef
  • How to manage postcholecystectomy abdominal pain
    Noor LH Bekkali, Kofi W Oppong
    Frontline Gastroenterology.2021; 12(2): 145.     CrossRef
  • Diagnostic Accuracy of Endoscopic Ultrasonography Versus the Gold Standard Endoscopic Retrograde Cholangiopancreatography in Detecting Common Bile Duct Stones
    Mohsin Anwer, Muhammad Sohaib Asghar, Sheeraz Rahman, Shanil Kadir, Farah Yasmin, Dania Mohsin, Rumael Jawed, Gul Muhammad Memon, Uzma Rasheed, Maira Hassan
    Cureus.2020;[Epub]     CrossRef
  • 7,442 View
  • 159 Download
  • 6 Web of Science
  • 5 Crossref
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Focused Review Series: Current Statuses of Endoscopy in the Management of Inflammatory Bowel Disease
Balloon-Assisted Enteroscopy and Capsule Endoscopy in Suspected Small Bowel Crohn’s Disease
Hsu-Heng Yen, Chen-Wang Chang, Jen-Wei Chou, Shu-Chen Wei
Clin Endosc 2017;50(5):417-423.   Published online September 29, 2017
DOI: https://doi.org/10.5946/ce.2017.142
AbstractAbstract PDFPubReaderePub
Inflammatory bowel diseases are idiopathic inflammatory diseases of two main types, Crohn’s disease and ulcerative colitis. Crohn’s disease can affect the entire gastrointestinal tract, and the distal ileum is involved in up to 70% of patients. Moreover, Crohn’s disease in one-quarter to one-third of patients involves isolation of the small bowel. Due to the nonspecific symptoms and anatomical location of the disease, small bowel Crohn’s disease is a phenotype that is particularly difficult to manage. Since the introduction of capsule endoscopy in 2000 and balloon-assisted enteroscopy in the 21st century, it is now possible to directly inspect for small bowel Crohn’s disease. However, the new modalities still have limitations, such as capsule retention and invasiveness of balloon-assisted enteroscopy. The diagnostic yields of both capsule endoscopy and balloon-assisted enteroscopy are high for patients with suspected small bowel Crohn’s disease. Therefore, earlier use of capsule endoscopy or balloon-assisted enteroscopy can help with the diagnosis and earlier treatment of these patients to avert possible disastrous outcomes.

Citations

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  • From Data to Insights: How Is AI Revolutionizing Small-Bowel Endoscopy?
    Joana Mota, Maria João Almeida, Francisco Mendes, Miguel Martins, Tiago Ribeiro, João Afonso, Pedro Cardoso, Helder Cardoso, Patrícia Andrade, João Ferreira, Miguel Mascarenhas, Guilherme Macedo
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  • Management of Crohn’s disease in Taiwan: consensus guideline of the Taiwan Society of Inflammatory Bowel Disease updated in 2023
    Jia-Feng Wu, Hsu-Heng Yen, Horng-Yuan Wang, Ting-An Chang, Chung-Hsin Chang, Chen-Wang Chang, Te-Hsin Chao, Jen-Wei Chou, Yenn-Hwei Chou, Chiao-Hsiung Chuang, Wen-Hung Hsu, Tzu-Chi Hsu, Tien-Yu Huang, Tsung-I Hung, Puo-Hsien Le, Chun-Che Lin, Chun-Chi Lin
    Intestinal Research.2024; 22(3): 250.     CrossRef
  • Real‐world experience of adalimumab therapy for patients with ulcerative colitis: A single tertiary medical center experience in Central Taiwan
    Hsu‐Heng Yen, Yu‐Chun Hsu, Chu‐Hsuan Kuo, Tsui‐Chun Hsu, Yang‐Yuan Chen
    Advances in Digestive Medicine.2023; 10(1): 28.     CrossRef
  • New‐onset Crohn's disease after interleukin‐17A inhibitor therapy with secukinumab: A report of an unusual case
    Tung‐Lung Wu, Hui‐Ting Hsu, Hsu‐Heng Yen, Yang‐Yuan Chen
    Advances in Digestive Medicine.2022; 9(3): 200.     CrossRef
  • Clinicopathological Features of Small Bowel Tumors Diagnosed by Video Capsule Endoscopy and Balloon-Assisted Enteroscopy: A Single Center Experience
    Ah Young Yoo, Beom Jae Lee, Won Shik Kim, Seong Min Kim, Seung Han Kim, Moon Kyung Joo, Hyo Jung Kim, Jong-Jae Park
    Clinical Endoscopy.2021; 54(1): 85.     CrossRef
  • Diagnostic efficacy of double-balloon enteroscopy in patients with suspected isolated small bowel Crohn’s disease
    Zihan Huang, Xiang Liu, Fei Yang, Guoxin Wang, Nan Ge, Sheng Wang, Jintao Guo, Siyu Sun
    BMC Gastroenterology.2020;[Epub]     CrossRef
  • Small bowel enteroscopy � A joint clinical guideline by the Spanish and Portuguese small-bowel study groups
    Enrique Pérez-Cuadrado Robles, Rolando Pinho, Begoña González-Suárez, Susana M�o-de-Ferro, Cristina Chagas, Pilar Esteban Delgado, Cristina Carretero, Pedro Figueiredo, Bruno Rosa, Javier García-Lledó, Óscar Nogales, Ana Ponte, Patrícia Andrade, José Fran
    Revista Española de Enfermedades Digestivas.2020;[Epub]     CrossRef
  • Predictive values of stool-based tests for mucosal healing among Taiwanese patients with ulcerative colitis: a retrospective cohort analysis
    Hsu-Heng Yen, Mei-Wen Chen, Yu-Yao Chang, Hsuan-Yuan Huang, Tsui-Chun Hsu, Yang-Yuan Chen
    PeerJ.2020; 8: e9537.     CrossRef
  • Small Bowel Enteroscopy – A Joint Clinical Guideline from the Spanish and Portuguese Small Bowel Study Groups
    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
    GE - Portuguese Journal of Gastroenterology.2020; 27(5): 324.     CrossRef
  • Epidemiological trend in inflammatory bowel disease in Taiwan from 2001 to 2015: a nationwide populationbased study
    Hsu-Heng Yen, Meng-Tzu Weng, Chien-Chih Tung, Yu-Ting Wang, Yuan Ting Chang, Chin-Hao Chang, Ming-Jium Shieh, Jau-Min Wong, Shu-Chen Wei
    Intestinal Research.2019; 17(1): 54.     CrossRef
  • Meckel's Diverticulum Diagnosed in a Child with Suspected Small Bowel Crohn's Disease
    Hyun Sik Kang, Jeong Sub Lee, Chang Rim Hyun, In-Ho Jung, Ki Soo Kang
    Pediatric Gastroenterology, Hepatology & Nutrition.2019; 22(1): 98.     CrossRef
  • Small bowel strictures
    Deniz Durmush, Arthur J. Kaffes
    Current Opinion in Gastroenterology.2019; 35(3): 235.     CrossRef
  • 10,408 View
  • 236 Download
  • 12 Web of Science
  • 12 Crossref
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Role of Advanced Endoscopic Imaging Techniques in the Management of Inflammatory Bowel Disease
Eun Soo Kim
Clin Endosc 2017;50(5):424-428.   Published online September 29, 2017
DOI: https://doi.org/10.5946/ce.2017.143
AbstractAbstract PDFPubReaderePub
Endoscopy plays a crucial role in the management of inflammatory bowel disease (IBD) in terms of diagnosis, monitoring of mucosal status, and surveillance of colitis-associated neoplasia. Mucosal healing evaluated by endoscopy has been recognized as the target of treatment in the era of powerful biologics therapy. The optimal modality for identifying dysplasia in IBD has yet to be well defined. Increasing progress has recently been made in endoscopic technologies to more accurately assess mucosal inflammation and more effectively detect dysplasia. Here we review the data of advanced endoscopic imaging techniques such as chromoendoscopy, virtual chromoendoscopy, endocytoscopy, and confocal laser endomicroscopy in the management of IBD.

Citations

Citations to this article as recorded by  
  • Moxifloxacin promotes two-photon microscopic imaging for discriminating different stages of DSS-induced colitis on mice
    Yingtong Chen, Xiaoyi Xu, Min Wang, Xiang Wang, Yan Wang, Yong Zhang, Jin Huang, Yuwen Tao, Wentao Fan, Lili Zhao, Li Liu, Zhining Fan
    Photodiagnosis and Photodynamic Therapy.2024; 48: 104220.     CrossRef
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    Mohammed El-Dallal, Ye Chen, Qianyun Lin, Shana Rakowsky, Lindsey Sattler, Joshua Foromera, Laurie Grossberg, Adam S Cheifetz, Joseph D Feuerstein
    Inflammatory Bowel Diseases.2020; 26(9): 1319.     CrossRef
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    Intestinal Research.2020; 18(4): 438.     CrossRef
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    James Ansell, Fabian Grass, Amit Merchea
    Surgical Clinics of North America.2019; 99(6): 1111.     CrossRef
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  • 181 Download
  • 6 Web of Science
  • 5 Crossref
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Endoscopic Balloon Dilation for Crohn’s Disease-Associated Strictures
Thomas Klag, Jan Wehkamp, Martin Goetz
Clin Endosc 2017;50(5):429-436.   Published online September 29, 2017
DOI: https://doi.org/10.5946/ce.2017.147
AbstractAbstract PDFPubReaderePub
Management of intestinal strictures associated with Crohn’s disease (CD) is clinically challenging despite advanced medical therapy directed toward mucosal healing to positively influence the natural course of CD-associated complications. Although medical therapy is available for inflammatory strictures, therapy of fibrostenotic strictures is the domain of surgery and endoscopy. Endoscopic balloon dilation (EBD) has been recognized as a well-established first-line procedure in terms of safety and efficacy. Although surgery is a valuable treatment modality for the management of CD-related strictures, EBD can help prevent multiple surgical interventions, which might in the long-term lead to a risk of short bowel syndrome. In this review we discuss requirements, techniques, safety, short- and long-term outcomes, as well as combinations of this procedure with surgical and medical treatment in CD-associated intestinal strictures.

Citations

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    Barathi Sivasailam, Scott Manski, Alicia Wentz, Raymond K Cross
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    Deniz Durmush, Arthur J. Kaffes
    Current Opinion in Gastroenterology.2019; 35(3): 235.     CrossRef
  • Strictures in Crohn's Disease and Ulcerative Colitis
    Jason Reinglas, Talat Bessissow
    Gastrointestinal Endoscopy Clinics of North America.2019; 29(3): 549.     CrossRef
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  • Recent trends (2016‐2017) in the treatment of inflammatory bowel disease
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  • 12,532 View
  • 269 Download
  • 23 Web of Science
  • 26 Crossref
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Endoscopic Therapeutic Approach for Dysplasia in Inflammatory Bowel Disease
Sung Noh Hong
Clin Endosc 2017;50(5):437-445.   Published online September 29, 2017
DOI: https://doi.org/10.5946/ce.2017.132
AbstractAbstract PDFPubReaderePub
Long-standing intestinal inflammation in patients with inflammatory bowel disease (IBD) induces dysplastic change in the intestinal mucosa and increases the risk of subsequent colorectal cancer. The evolving endoscopic techniques and technologies, including dye spraying methods and high-definition images, have been replacing random biopsies and have been revealed as more practical and efficient for detection of dysplasia in IBD patients. In addition, they have potential usefulness in detailed characterization of lesions and in the assessment of endoscopic resectability. Most dysplastic lesions without an unclear margin, definite ulceration, non-lifting sign, and high index of malignant change with suspicion for lymph node or distant metastases can be removed endoscopically. However, endoscopic resection of dysplasia in chronic IBD patients is usually difficult because it is often complicated by submucosal fibrosis. In patients with dysplasias that demonstrate submucosa fibrosis or a large size (≥20 mm), endoscopic submucosal dissection (ESD) or ESD with snaring (simplified or hybrid ESD) is an alternative option and may avoid a colectomy. However, a standardized endoscopic therapeutic approach for dysplasia in IBD has not been established yet, and dedicated specialized endoscopists with interest in IBD are needed to fully investigate recent emerging techniques and technologies.

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  • 8,199 View
  • 197 Download
  • 5 Web of Science
  • 6 Crossref
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Reviews
Pneumothorax after Colonoscopy – A Review of Literature
Ajay Gupta, Hammad Zaidi, Khalid Habib
Clin Endosc 2017;50(5):446-450.   Published online April 10, 2017
DOI: https://doi.org/10.5946/ce.2016.118
AbstractAbstract PDFPubReaderePub
The purpose of this study was to determine the anatomical aspects, mechanisms, risk factors and appropriate management of development of pneumothorax during a routine colonoscopy. A systematic search of the literature (MEDLINE, Embase and Google Scholar) revealed 21 individually documented patients of pneumothorax following a colonoscopy, published till December 2015. One additional patient treated at our center was added. A pooled analysis of these 22 patients was performed including patient characteristics, indication of colonoscopy, any added procedure, presenting symptoms,risk factors and treatment given. The review suggested that various risk factors may be female gender, therapeutic interventions, difficult colonoscopy and underlying bowel pathology. Diagnosis of this condition requires a high index of suspicion and treatment should be tailored to individual needs.

Citations

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An Update on Endoscopic Management of Post-Liver Transplant Biliary Complications
Hyun Woo Lee, Najmul Hassan Shah, Sung Koo Lee
Clin Endosc 2017;50(5):451-463.   Published online April 17, 2017
DOI: https://doi.org/10.5946/ce.2016.139
AbstractAbstract PDFPubReaderePub
Biliary complications are the most common post-liver transplant (LT) complications with an incidence of 15%–45%. Furthermore, such complications are reported more frequently in patients who undergo a living-donor LT (LDLT) compared to a deceased-donor LT (DDLT). Most post-LT biliary complications involve biliary strictures, bile leakage, and biliary stones, although many rarer events, such as hemobilia and foreign bodies, contribute to a long list of related conditions. Endoscopic treatment of post-LT biliary complications has evolved rapidly, with new and effective tools improving both outcomes and success rates; in fact, the latter now consistently reach up to 80%. In this regard, conventional endoscopic retrograde cholangiopancreatography (ERCP) remains the preferred initial treatment. However, percutaneous transhepatic cholangioscopy (PTCS) is now central to the management of endoscopy-resistant cases involving complex hilar or multiple strictures with associated stones. Many additional endoscopic tools and techniques—such as the rendezvous method, magnetic compression anastomosis (MCA), and peroral cholangioscopy (POCS)—combined with modified biliary stents have significantly improved the success rate of endoscopic management. Here, we review the current status of endoscopic treatment of post-LT biliary complications and discuss conventional as well as the aforementioned new tools and techniques.

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Original Articles
Carbon Dioxide versus Air Insufflation in Gastric Endoscopic Submucosal Dissection: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Ramkaji Baniya, Sunil Upadhaya, Jahangir Khan, Suresh K Subedi, Tabrez S Mohammed, Balvant K Ganatra, Ghassan Bachuwa
Clin Endosc 2017;50(5):464-472.   Published online May 18, 2017
DOI: https://doi.org/10.5946/ce.2016.161
AbstractAbstract PDFPubReaderePub
Background
/Aims: Endoscopic submucosal dissection (ESD) with air insufflation is commonly used for the staging and treatment of early gastric carcinoma. However, carbon dioxide (CO2) use has been shown to cause less post-procedural pain and fewer adverse events. The objective of this study was to compare the post-procedural pain and adverse events associated with CO2 and air insufflation in ESD.
Methods
A systematic search was conducted for randomized control trials (RCTs) comparing the two approaches in ESD. The Mantel-Haenszel method was used to analyze the data. The mean difference (MD) and odds ratio (OR) were used for continuous and categorical variables, respectively.
Results
Four RCTs with a total of 391 patients who underwent ESD were included in our meta-analysis. The difference in maximal post-procedural pain between the two groups was statistically significant (MD, -7.41; 95% confidence interval [CI], -13.6 – -1.21; p=0.020). However, no significant differences were found in the length of procedure, end-tidal CO2, rate of perforation, and postprocedural hemorrhage between the two groups. The incidence of overall adverse events was significantly lower in the CO2 group (OR, 0.51; CI, 0.32–0.84; p=0.007).
Conclusions
CO2 insufflation in gastric ESD is associated with less post-operative pain and discomfort, and a lower risk of overall adverse events compared with air insufflation.

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    Best Practice & Research Clinical Gastroenterology.2024; 69: 101900.     CrossRef
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    Lotfi Triki, Andrea Tringali, Marianna Arvanitakis, Tommaso Schepis
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    Diogo Libânio, Pedro Pimentel-Nunes, Barbara Bastiaansen, Raf Bisschops, Michael J. Bourke, Pierre H. Deprez, Gianluca Esposito, Arnaud Lemmers, Philippe Leclercq, Roberta Maselli, Helmut Messmann, Oliver Pech, Mathieu Pioche, Michael Vieth, Bas L.A.M. We
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    Jen‐Hao Yeh, Jen‐Chieh Chen, Chia‐Chang Hsu, Wen‐Lun Wang, Chih‐Wen Lin
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    Young Jung Kim, Chang Hwan Park
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Can Endoscopic Ulcerations in Early Gastric Cancer Be Clearly Defined before Endoscopic Resection? A Survey among Endoscopists
Sung Min Park, Byung-Wook Kim, Joon Sung Kim, Young Wook Kim, Gi Jun Kim, Seung Ji Ryu
Clin Endosc 2017;50(5):473-478.   Published online April 24, 2017
DOI: https://doi.org/10.5946/ce.2016.143
AbstractAbstract PDFPubReaderePub
Background
/Aims: Early gastric cancer (EGC) with ulcerations can be treated via endoscopic resection (ER) when it is differentiated pathologically, limited to the mucosa, and <3 cm in diameter. The presence of ulceration is a key factor in deciding treatment strategies and is usually diagnosed during endoscopic examination. The aim of this study was to evaluate whether ulcerations in EGC can be clearly defined among endoscopists and which factors are related to the differences.
Methods
A survey questionnaire, composed of demographic features and endoscopic images of seven patients with EGC, was presented to the endoscopists via e-mail. The endoscopists were asked whether such patients have ulcerations in the lesions.
Results
The questionnaires were e-mailed to 197 endoscopists, and 103 doctors replied. The presence of an endoscopic ulceration was defined differently among the endoscopists, depending on the duration of endoscopic practice and the experience of endoscopic submucosal dissection (ESD). The differences were especially high in the lesions without mucosal breaks and converging folds, which were expected to be viewed as non-ulcerative.
Conclusions
Before ER, endoscopic ulcerations in EGC must be reviewed by experienced endoscopists to reduce overestimations, and adequate educational programs for trainees should be established.

Citations

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The Impact of Patient Education with a Smartphone Application on the Quality of Bowel Preparation for Screening Colonoscopy
JeongHyeon Cho, SeungHee Lee, Jung A Shin, Jeong Ho Kim, Hong Sub Lee
Clin Endosc 2017;50(5):479-485.   Published online July 3, 2017
DOI: https://doi.org/10.5946/ce.2017.025
AbstractAbstract PDFPubReaderePub
Background
/Aims: Few studies have evaluated the use of a smartphone application (app) for educating people undergoing colonoscopy and optimizing bowel preparation. Therefore, this study was designed to develop a smartphone app for people to use as a preparation guide and to evaluate the efficacy of this app when used prior to colonoscopy.
Methods
In total, 142 patients (male:female=84:58, mean age=43.5±9.3 years), who were scheduled to undergo a colonoscopy at Myongji Hospital, were enrolled in this study. Seventy-one patients were asked to use a smartphone app that we had recently developed to prepare for the colonoscopy, while the 71 patients of the sex and age-matched control group were educated via written and verbal instructions.
Results
The quality of bowel cleansing, evaluated using the Boston Bowel Preparation Scale (BBPS), was significantly higher in the smartphone app group than in the control group (7.70±1.1 vs. 7.24±0.8, respectively, p=0.007 by t-test). No significant differences were found between the two groups regarding work-up time and the number of patients with polyps.
Conclusions
In this study, targeting young adults (≤50 years), the bowel preparation achieved by patients using the smartphone app showed significantly better quality than that of the control group.

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    Jennifer Nayor, Aiden Feng, Taha Qazi, Shelley Hurwitz, John R. Saltzman
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    Yi Zhao, Feng Xie, Xiaoyin Bai, Aiming Yang, Dong Wu
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    Halim Bou Daher, Ala I Sharara
    Annals of Colorectal Research.2018;[Epub]     CrossRef
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Sensitivity and Specificity of Magnetic Resonance Cholangiopancreatography versus Endoscopic Ultrasonography against Endoscopic Retrograde Cholangiopancreatography in Diagnosing Choledocholithiasis: The Indonesian Experience
Dadang Makmun, Achmad Fauzi, Hamzah Shatri
Clin Endosc 2017;50(5):486-490.   Published online February 28, 2017
DOI: https://doi.org/10.5946/ce.2016.159
AbstractAbstract PDFPubReaderePub
Background
/Aims: Biliary stone disease is one of the most common conditions leading to hospitalization. In addition to endoscopic retrograde cholangiopancreatography (ERCP), endoscopic ultrasonography (EUS) and magnetic resonance cholangiopancreatography (MRCP) are required in diagnosing choledocholithiasis. This study aimed to compare the sensitivity and specificity of EUS and MRCP against ERCP in diagnosing choledocholithiasis.
Methods
This retrospective study was conducted after prospective collection of data involving 62 suspected choledocholithiasis patients who underwent ERCP from June 2013 to August 2014. Patients were divided into two groups. The first group (31 patients) underwent EUS and the second group (31 patients) underwent MRCP. Then, ERCP was performed in both groups. Sensitivity, specificity, and diagnostic accuracy of EUS and MRCP were determined by comparing them to ERCP, which is the gold standard.
Results
The male to female ratio was 3:2. The mean ages were 47.25 years in the first group and 52.9 years in the second group. Sensitivity, specificity, accuracy, positive predictive value (PPV), and negative predictive value (NPV) for EUS were 96%, 57%, 87%, 88%, and 80% respectively, and for MRCP were 81%, 40%, 68%, 74%, and 50%, respectively.
Conclusions
EUS is a better diagnostic tool than MRCP for diagnosing choledocholithiasis.

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Case Reports
Long -Term Survival in Stage IV Esophageal Adenocarcinoma with Chemoradiation and Serial Endoscopic Cryoablation
Zachary Spiritos, Parit Mekaroonkamol, Bassel F. El- Rayes, Seth D. Force, Steven A. Keilin, Qiang Cai, Field F. Willingham
Clin Endosc 2017;50(5):491-494.   Published online April 24, 2017
DOI: https://doi.org/10.5946/ce.2017.006
AbstractAbstract PDFPubReaderePub
Esophageal cancer has a poor overall prognosis and is frequently diagnosed at a late stage. Conventional treatment for metastatic esophageal cancer involves chemotherapy and radiation. Local disease control plays a significant role in improving survival. Endoscopic spray cryotherapy is a novel modality that involves freezing and thawing to produce local ablation of malignant tissue via ischemic mechanisms. Spray cryotherapy has been shown to be effective, particularly for early T-stage, superficial esophageal adenocarcinomas. We present the case of a 72-year-old-male with locally recurrent stage IV esophageal adenocarcinoma and long-term survival of 7 years to date, with concurrent chemoradiation and serial cryoablation. He remains asymptomatic and continues to undergo chemotherapy and sequential cryoablation. The findings highlight the long-term safety and efficacy of cryotherapy in combination with chemoradiation, and suggest that cryoablation may have an additive role in the treatment of advanced stage esophageal adenocarcinoma.

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Congenital Jejunal Diverticular Bleeding in a Young Adult
Ji-Yung Lee, Jae-Young Jang, Min-Je Kim, Tae-In Lee, Jung-Wook Kim, Young-Woon Chang
Clin Endosc 2017;50(5):495-499.   Published online June 14, 2017
DOI: https://doi.org/10.5946/ce.2016.154
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Diverticular bleeding of the small bowel is rare and occurs primarily in adults aged more than 60 years. In younger adults, Meckel’s diverticulum, a true diverticulum that congenitally occurs in the distal ileum, is the most common cause of diverticular bleeding of the small bowel. Unlike Meckel’s diverticula, other kinds of small bowel diverticula are not congenital and their incidence is related to age. Furthermore, congenital true diverticular bleeding of the jejunum in adults is very rare. We report the case of a 24-year-old man with subepithelial tumor-like lesion accompanied with obscure overt gastrointestinal bleeding (OOGIB). This lesion was initially suspected to be a subepithelial tumor based on radiologic tests and capsule endoscopy. He was finally diagnosed with a congenital true diverticulum in the jejunum with the appearance of a Meckel’s diverticulum after surgical resection.

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  • Diverticular hemorrhage of terminal ileum successfully treated by ultra-selective transcatheter arterial embolization using triaxial system: a case report
    Yuki Yaginuma, Kenichi Utano, Yuka Utano, Daiki Nemoto, Masato Aizawa, Hajime Matsuida, Noriyuki Isohata, Shungo Endo, Kazutomo Togashi
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    Lidia Ciobanu, Oliviu Pascu, Marcel Tanțău
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Twin Rectal Tonsils Mimicking Carcinoid or Mucosa-Associated Lymphoid Tissue Lymphoma
Masanori Takehara, Naoki Muguruma, Shinji Kitamura, Tetsuo Kimura, Koichi Okamoto, Hiroshi Miyamoto, Yoshimi Bando, Tetsuji Takayama
Clin Endosc 2017;50(5):500-503.   Published online February 28, 2017
DOI: https://doi.org/10.5946/ce.2016.157
AbstractAbstract PDFPubReaderePub
The rectal tonsil is a rare polypoid lesion exclusively found in the rectum and is considered a reactive proliferation of the lymphoid tissue. Although this lesion is benign, we recommend that it should be differentiated from carcinoid or polypoid type of mucosaassociated lymphoid tissue (MALT) lymphomas, based on gross findings. In this case report, we describe a case of rectal lesions with a unique appearance in a 41-year-old man. Colonoscopy revealed two 5-mm-sized nodules located opposite from each other on the left and right sides of the lower rectum. Endoscopic mucosal resection was conducted. Histopathologically, both lesions were mainly located in the submucosa and consisted of prominent lymphoid follicles with germinal centers of various sizes. No immunoreactivity of Bcl-2 was seen in the germinal centers. Immunohistochemical staining for kappa and lambda light chains revealed a polyclonal pattern. Therefore, these lesions were diagnosed as rectal tonsils.

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  • Long-term Prognosis of Localized Lymphoid Hyperplasia of the Rectum
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    Jennifer Y. Ju, Edward B. Stelow, Elizabeth L. Courville
    Seminars in Diagnostic Pathology.2021; 38(4): 6.     CrossRef
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Two Cases of Plug or Stone in Remnant Intrapancreatic Choledochal Cysts Treated with Endoscopic Retrograde Cholangiopancreatography
Eunbee Kim, Min Ho Kang, Jisun Lee, Hanlim Choi, Jae-Woon Choi, Joung-Ho Han, Seon Mee Park
Clin Endosc 2017;50(5):504-507.   Published online February 16, 2017
DOI: https://doi.org/10.5946/ce.2017.012
AbstractAbstract PDFPubReaderePub
Incomplete resection of choledochal cysts (CCs) that extend deep into the pancreas can lead to protein plug or stone formation, pancreatitis, and cholangiocarcinoma. We encountered two cases of choledocholithiasis in remnant intrapancreatic CCs (IPCCs), in which the patients exhibited symptoms after 3 and 21 years of cyst excision. A 21-year-old woman who had undergone excision of a CC, as a neonate, presented with epigastric pain. Abdominal computed tomography (CT) revealed stones inside the remnant pancreatic cyst, which were removed by endoscopic retrograde cholangiopancreatography (ERCP), and her symptoms improved. A 33-year-old woman, who underwent cyst excision 3 years ago, presented with pancreatitis. Abdominal CT showed a radiolucent plug inside the remnant pancreatic cyst. The soft, whitish plug was removed by ERCP, and the pancreatitis improved. These cases indicate that plugs and stones in CCs have the same pathogenetic mechanism, and their form depends on the time since the incomplete excision surgery.

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  • Choledochal cysts – state of the art
    Thanh Liem Nguyen, V. S. Cheremnov, Yu. A. Kozlov
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Brief Report
Immediate Endoscopic Management of an Intramural Hematoma Developed during Colonoscopy
Chang-Il Kwon, Duck Hwan Kim, Sung Pyo Hong
Clin Endosc 2017;50(5):508-509.   Published online August 3, 2017
DOI: https://doi.org/10.5946/ce.2017.037
PDFPubReaderePub

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    Reham Samir, Mohamed B Hashem, Hedy A Badary, Ahmed Bahaa, Nader Bakheet
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Letter to the editor
Is There a Link between Clinical Manifestation of Gastric Anisakiasis and Helicobacter pylori Infection?
Yuto Shimamura, Hirokazu Honda, Katsuyuki Fukuda
Clin Endosc 2017;50(5):510-510.   Published online August 16, 2017
DOI: https://doi.org/10.5946/ce.2017.094
PDFPubReaderePub

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