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Volume 53(5); September 2020
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Commentarys
Oral Sulfate Solution is as Effective as 2 L Polyethylene Glycol Plus Ascorbic Acid
Sung Hyun Shin, Kwang An Kwon
Clin Endosc 2020;53(5):503-504.   Published online September 22, 2020
DOI: https://doi.org/10.5946/ce.2020.227
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  • Quality indicators in colonoscopy: the chasm between ideal and reality
    Su Bee Park, Jae Myung Cha
    Clinical Endoscopy.2022; 55(3): 332.     CrossRef
  • Efficacy, safety and tolerability of oral sulphate tablet for bowel preparation in patients with inflammatory bowel disease: A multicentre randomized controlled study
    Kyeong Ok Kim, Eun Young Kim, Yoo Jin Lee, Hyun Seok Lee, Eun Soo Kim, Yun Jin Chung, Byung Ik Jang, Sung Kook Kim, Chang Heon Yang
    Journal of Crohn's and Colitis.2022; 16(11): 1706.     CrossRef
  • 3,431 View
  • 96 Download
  • 2 Web of Science
  • 2 Crossref
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Mucosal Incision-Assisted Endoscopic Biopsy as an Alternative to Endoscopic Ultrasound-Guided Fine-Needle Aspiration/Biopsy for Gastric Subepithelial Tumor
Cheol Woong Choi, Joo Ha Hwang
Clin Endosc 2020;53(5):505-507.   Published online September 29, 2020
DOI: https://doi.org/10.5946/ce.2020.187
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  • Random Lasing for Bimodal Imaging and Detection of Tumor
    R. Gayathri, C. S. Suchand Sandeep, C. Vijayan, V. M. Murukeshan
    Biosensors.2023; 13(12): 1003.     CrossRef
  • Laparoscopic transgastric enucleation of a giant leiomyoma near the esophagogastric junction: A case report
    Jin Lee, Woo Yong Lee
    International Journal of Surgery Case Reports.2023; 105: 107989.     CrossRef
  • Prediction of Gastric Gastrointestinal Stromal Tumors before Operation: A Retrospective Analysis of Gastric Subepithelial Tumors
    Yu-Ning Lin, Ming-Yan Chen, Chun-Yi Tsai, Wen-Chi Chou, Jun-Te Hsu, Chun-Nan Yeh, Ta-Sen Yeh, Keng-Hao Liu
    Journal of Personalized Medicine.2022; 12(2): 297.     CrossRef
  • Natural History of Asymptomatic Esophageal Subepithelial Tumors of 30 mm or Less in Size
    Seokin Kang, Do Hoon Kim, Yuri Kim, Dongsub Jeon, Hee Kyong Na, Jeong Hoon Lee, Ji Yong Ahn, Kee Wook Jung, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung
    Journal of Korean Medical Science.2022;[Epub]     CrossRef
  • 3,616 View
  • 106 Download
  • 4 Web of Science
  • 4 Crossref
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Endoscopic Ultrasound Fine-Needle Biopsy May Contribute to the Diagnosis of Malignant Lymph Nodes
Mamoru Takenaka, Shunsuke Omoto, Masatoshi Kudo
Clin Endosc 2020;53(5):508-509.   Published online September 24, 2020
DOI: https://doi.org/10.5946/ce.2020.199
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  • The “echo-free space” technique: A safe and reliable method for endoscopic ultrasound scope insertion into the esophagus
    Shunsuke Omoto, Mamoru Takenaka, Kota Takashima, Yoriaki Komeda, Masatoshi Kudo
    Endoscopy.2024; 56(S 01): E500.     CrossRef
  • The “echo-free space” technique: a safe and reliable method for endoscopic ultrasound scope insertion
    Shunsuke Omoto, Mamoru Takenaka, Tomohiro Fukunaga, Kota Takashima, Yoriaki Komeda, Seok Jeong, Masatoshi Kudo
    Endoscopy.2023; 55(S 01): E698.     CrossRef
  • 3,069 View
  • 57 Download
  • 2 Web of Science
  • 2 Crossref
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Focused Review Series: Endoscopic Ultrasound-Guided Therapeutic Intervention: Focus on Technique and Practical Tipses
Endoscopic Ultrasonography-Guided Gastroenterostomy Techniques for Treatment of Malignant Gastric Outlet Obstruction
Ryosuke Tonozuka, Takayoshi Tsuchiya, Shuntaro Mukai, Yuichi Nagakawa, Takao Itoi
Clin Endosc 2020;53(5):510-518.   Published online September 23, 2020
DOI: https://doi.org/10.5946/ce.2020.151
AbstractAbstract PDFPubReaderePub
Gastric outlet obstruction (GOO) can be caused by periampullary malignancies and often leads to a reduction in a patient’s quality of life. Recently, endoscopic ultrasonography-guided gastroenterostomy (EUS-GE) using a lumen-apposing self-expandable metal stent (LAMS) has been developed as a minimally invasive and durable endoscopic treatment for GOO. There are three types of EUS-GE technique: (1) the direct technique; (2) device-assisted techniques, such as a balloon catheter, nasobiliary drainage tube, and ultraslim endoscopy; and (3) EUS-guided double balloon-occluded gastrojejunostomy bypass. Previous reports of EUS-GE with LAMS have shown technical and clinical success rates (regardless of technique and etiology) of 87%–100% and 84%–100%, respectively. Studies comparing EUS-GE and surgical gastrojejunostomy have shown similar success rates, reintervention rates, and cost benefits, with a lower rate of early adverse events in EUS-GE. A comparison of EUS-GE and endoscopic enteral stent placement revealed similar technical success rates, but initial clinical success rate was higher and the rate of stent failure requiring reintervention was lower with EUS-GE.

Citations

Citations to this article as recorded by  
  • Revealing Insights: A Comprehensive Overview of Gastric Outlet Obstruction Management, with Special Emphasis on EUS-Guided Gastroenterostomy
    Dimitrios Ziogas, Thomas Vasilakis, Christina Kapizioni, Eleni Koukoulioti, Georgios Tziatzios, Paraskevas Gkolfakis, Antonio Facciorusso, Ioannis S. Papanikolaou
    Medical Sciences.2024; 12(1): 9.     CrossRef
  • Endoscopic ultrasound-guided gastrojejunostomy with a direct technique without previous intestinal filling using a tubular fully covered self-expandable metallic stent
    Hakan Şentürk, İbrahim Hakkı Köker, Koray Koçhan, Sercan Kiremitçi, Gülseren Seven, Ali Tüzün İnce
    Clinical Endoscopy.2024; 57(2): 209.     CrossRef
  • Complicated gastric cancer and modern treatment approaches
    S.A. Tarasov, P.A. Yartsev, M.M. Rogal, S.O. Aksenova
    Pirogov Russian Journal of Surgery.2024; (4): 125.     CrossRef
  • Endoscopic ultrasound‐guided gastrointestinal anastomosis: Are we there yet?
    Vinay Dhir, Cesar Jaurrieta‐Rico, Vivek Kumar Singh
    Digestive Endoscopy.2024;[Epub]     CrossRef
  • Outcomes of Endoscopic Ultrasound-guided Gastroenterostomy Using Lumen-apposing Metal Stent in the Treatment of Malignant and Benign Gastric Outlet Obstruction: A Case Series
    Kannikar Laohavichitra, Jerasak Wannaprasert, Thawee Ratanachu-ek
    Siriraj Medical Journal.2024; 76(4): 174.     CrossRef
  • Endoscopic ultrasound-guided gastroenterostomy for gastric outlet obstruction in Mexico
    Massiel Madelin Rosario-Morel, Rodrigo Soto-Solis, Katia Picazo-Ferrera, Miriam Idalia Torres-Ruiz, José Alberto Estradas-Trujillo, Mario Alberto Gallardo-Ramírez, Gerardo Akram Darwich-del Moral, Luis Ariel Waller-González
    World Journal of Surgical Procedures.2024; 14(3): 15.     CrossRef
  • “Through-stent enterography”: first experience with a novel technique intended to improve safety in endosonography-guided gastroenterostomy
    Markus Heilmaier, Dominik Schulz, Christoph Schlag, Rami Abbassi, Mayada Elnegouly, Marc Ringelhan, Tobias Lahmer, Ulrich Mayr, Roland M. Schmid, Matthias Treiber, Mohamed Abdelhafez
    iGIE.2024; 3(2): 247.     CrossRef
  • Long‐term outcomes of endoscopic double stenting using an anti‐reflux metal stent for combined malignant biliary and duodenal obstruction
    Takashi Sasaki, Tsuyoshi Takeda, Yuto Yamada, Takeshi Okamoto, Chinatsu Mori, Takafumi Mie, Akiyoshi Kasuga, Masato Matsuyama, Masato Ozaka, Naoki Sasahira
    Journal of Hepato-Biliary-Pancreatic Sciences.2023; 30(1): 144.     CrossRef
  • Endoscopic ultrasound‐guided gastrointestinal anastomosis: Current status and future perspectives
    Michiel Bronswijk, Enrique Pérez‐Cuadrado‐Robles, Schalk Van der Merwe
    Digestive Endoscopy.2023; 35(2): 255.     CrossRef
  • The choice of a method for the correction of pyloric tumor stenosis
    K.I. Salimzyanov, A.B. Ryabov, V.M. Khomyakov, S.S. Pirogov, D.D. Sobolev
    Onkologiya. Zhurnal imeni P.A.Gertsena.2023; 12(2): 66.     CrossRef
  • Dilation balloon-occlusion technique for EUS-guided gastrojejunostomy
    Samuel Han, J. Royce Groce, Sajid Jalil, Somashekar G. Krishna, Luis M. Lara, Peter J. Lee, Hamza Shah, Georgios I. Papachristou
    VideoGIE.2023; 8(8): 313.     CrossRef
  • EUS-guided gastroenterostomy for gastric outlet obstruction: a comprehensive meta-analysis
    Jia-Su Li, Kun Lin, Jian Tang, Feng Liu, Jun Fang
    Minimally Invasive Therapy & Allied Technologies.2023; 32(6): 285.     CrossRef
  • Endoscopic ultrasound-guided gastroenterostomy with lumen-apposing metal stents: a retrospective multicentric comparison of wireless and over-the-wire techniques
    Laurent Monino, Enrique Perez-Cuadrado-Robles, Jean-Michel Gonzalez, Christophe Snauwaert, Hadrien Alric, Mohamed Gasmi, Sohaib Ouazzani, Hedi Benosman, Pierre H. Deprez, Gabriel Rahmi, Christophe Cellier, Tom G. Moreels, Marc Barthet
    Endoscopy.2023; 55(11): 991.     CrossRef
  • Preferred techniques for endoscopic ultrasound-guided gastroenterostomy: a survey of expert endosonographers
    Patrick T. Magahis, Sanjay Salgado, Donevan Westerveld, Enad Dawod, David L. Carr-Locke, Kartik Sampath, Reem Z. Sharaiha, Srihari Mahadev
    Endoscopy International Open.2023; 11(11): E1035.     CrossRef
  • Classification, outcomes, and management of misdeployed stents during EUS-guided gastroenterostomy
    Bachir Ghandour, Michael Bejjani, Shayan S. Irani, Reem Z. Sharaiha, Thomas E. Kowalski, Douglas K. Pleskow, Khanh Do-Cong Pham, Andrea A. Anderloni, Belen Martinez-Moreno, Harshit S. Khara, Lionel S. D'Souza, Michael Lajin, Bharat Paranandi, Jose Carlos
    Gastrointestinal Endoscopy.2022; 95(1): 80.     CrossRef
  • EUS-guided gastrojejunostomy in the presence of ascites
    Mehdi Mohamadnejad
    Endoscopy.2022; 54(10): E540.     CrossRef
  • Therapeutic endoscopic ultrasound: European Society of Gastrointestinal Endoscopy (ESGE) Guideline
    Schalk W. van der Merwe, Roy L. J. van Wanrooij, Michiel Bronswijk, Simon Everett, Sundeep Lakhtakia, Mihai Rimbas, Tomas Hucl, Rastislav Kunda, Abdenor Badaoui, Ryan Law, Paolo G. Arcidiacono, Alberto Larghi, Marc Giovannini, Mouen A. Khashab, Kenneth F.
    Endoscopy.2022; 54(02): 185.     CrossRef
  • Therapeutic endoscopic ultrasound: European Society of Gastrointestinal Endoscopy (ESGE) Technical Review
    Roy L. J. van Wanrooij, Michiel Bronswijk, Rastislav Kunda, Simon M. Everett, Sundeep Lakhtakia, Mihai Rimbas, Tomas Hucl, Abdenor Badaoui, Ryan Law, Paolo Giorgio Arcidiacono, Alberto Larghi, Marc Giovannini, Mouen A. Khashab, Kenneth F. Binmoeller, Marc
    Endoscopy.2022; 54(03): 310.     CrossRef
  • EUS-directed transgastric ERCP: a step-by-step approach (with video)
    Michel Kahaleh
    Gastrointestinal Endoscopy.2022; 95(4): 787.     CrossRef
  • Optimal Management of Gastric Outlet Obstruction in Unresectable Malignancies
    Stephanie Lok Hang Cheung, Anthony Yuen Bun Teoh
    Gut and Liver.2022; 16(2): 190.     CrossRef
  • Efficacy and safety of endoscopic duodenal stent versus endoscopic or surgical gastrojejunostomy to treat malignant gastric outlet obstruction: systematic review and meta-analysis
    Rajesh Krishnamoorthi, Shivanand Bomman, Petros Benias, Richard A. Kozarek, Joyce A. Peetermans, Edmund McMullen, Ornela Gjata, Shayan S. Irani
    Endoscopy International Open.2022; 10(06): E874.     CrossRef
  • Endoscopic Ultrasonography-guided Gastrojejunostomy for Patients with Gastric Outlet Obstruction and Pyloric Metal Stent Dysfunction
    Byung Sun Kim, Sung Yeol Yang, Won Dong Lee, Jae Sun Song, Min A Yang, Gum Mo Jung, Jin Woong Cho, Ji Woong Kim
    The Korean Journal of Gastroenterology.2022; 79(6): 260.     CrossRef
  • Endoscopic ultrasound-guided gastroenterostomy (gastroenteric anastomosis)
    Joel Fernandez de Oliveira, Matheus Cavalcante Franco, Gustavo Rodela, Fauze Maluf-Filho, Bruno Costa Martins
    International Journal of Gastrointestinal Intervention.2022; 11(3): 112.     CrossRef
  • EUS-guided gastroenterostomy: closing knowledge gaps by evaluating learning curves
    Manuel Perez-Miranda
    Gastrointestinal Endoscopy.2021; 93(5): 1094.     CrossRef
  • Endoscopic ultrasound guided gastrojejunostomy for gastric outlet obstruction
    Sebastian Stefanovic, Peter V Draganov, Dennis Yang
    World Journal of Gastrointestinal Surgery.2021; 13(7): 620.     CrossRef
  • Endoscopic Ultrasound-Guided Gastroenterostomy for Afferent Loop Syndrome
    Hideyuki Shiomi, Arata Sakai, Ryota Nakano, Shogo Ota, Takashi Kobayashi, Atsuhiro Masuda, Hiroko Iijima
    Clinical Endoscopy.2021; 54(6): 810.     CrossRef
  • 8,479 View
  • 344 Download
  • 21 Web of Science
  • 26 Crossref
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Endoscopic Ultrasound-Guided Vascular Procedures: A Review
Dominic A. Staudenmann, Arthur J. Kaffes, Payal Saxena
Clin Endosc 2020;53(5):519-524.   Published online September 29, 2020
DOI: https://doi.org/10.5946/ce.2020.222
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Since the 1980s, endoscopic ultrasound has advanced from being purely diagnostic to an interventional modality. The gastrointestinal tract offers an exceptional window for assessing the vascular structures in the mediastinum and in the abdomen. This has led to a rapidly growing interest in endoscopic ultrasound-controlled vascular interventions as a minimally invasive alternative to surgical and radiological procedures.

Citations

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  • Use of TC-325 Hemostatic Powder as a Rescue Monotherapy for Management of Rectal Variceal Bleed
    Amel Tabet Aoul, Vamsee Mupparuju, Jonathan Cirillo, Sreekanth Chandrupatla, Jeffrey Jordan, Maria Castano, Olugbenga Oyesanmi
    ACG Case Reports Journal.2024; 11(6): e01391.     CrossRef
  • Endoscopic ultrasound-guided vascular interventions: An overview of current and emerging techniques
    Ahmed Youssef Altonbary
    International Journal of Gastrointestinal Intervention.2023; 12(1): 16.     CrossRef
  • 4,182 View
  • 101 Download
  • 3 Web of Science
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Endoscopic Ultrasound-Guided Pancreatic Duct Drainage: Techniques and Literature Review of Transmural Stenting
Akira Imoto, Takeshi Ogura, Kazuhide Higuchi
Clin Endosc 2020;53(5):525-534.   Published online September 24, 2020
DOI: https://doi.org/10.5946/ce.2020.173
AbstractAbstract PDFPubReaderePub
Endoscopic ultrasound-guided pancreatic duct drainage (EUS-PD) has emerged as an option in patients with failure of retrograde access to the pancreatic duct (PD) because of difficulty in cannulation or surgically altered anatomy. This article provides a comprehensive review of the techniques and outcomes of EUS-PD, especially EUS-guided pancreatic transmural stenting. The clinical data derived from a total of 401 patients were reviewed in which the overall technical and clinical success rates were 339/401 (85%, range 63%–100%) and 328/372 (88%, range 76%–100%), respectively. Short-term adverse events occurred in 25% (102/401) of the cases, which included abdominal pain (n=45), acute pancreatitis (n=17), bleeding (n=10), and issues associated with pancreatic juice leakage such as perigastric or peripancreatic fluid collection (n=9). In conclusion, although EUS-PD remains a challenging procedure with a high risk of adverse events such as pancreatic juice leakage, perforation, and severe acute pancreatitis, the procedure seems to be a promising alternative for PD drainage in patients with altered anatomy or unsuccessful endoscopic retrograde pancreatography.

Citations

Citations to this article as recorded by  
  • Technical review of endoscopic ultrasound‐guided drainage/anastomosis and trans‐endosonographically created route procedures for the treatment of pancreatic diseases
    Ko Tomishima, Hiroyuki Isayama, Akinori Suzuki, Shigeto Ishii, Sho Takahashi, Toshio Fujisawa
    DEN Open.2025;[Epub]     CrossRef
  • Endoscopic treatment of biliopancreatic pathology in patients with Whipple's pancreaticoduodenectomy surgical variants: Lessons learned from single-balloon enteroscopy-assisted ERCP
    Rodrigo Garcés-Durán, Laurent Monino, Pierre H Deprez, Hubert Piessevaux, Tom G Moreels
    Hepatobiliary & Pancreatic Diseases International.2024; 23(5): 509.     CrossRef
  • EUS-guided pancreatic duct drainage: a single-center observational study
    Elodie Romailler, Anouk Voutaz, Sarra Oumrani, Mariola Marx, Maxime Robert, Fabrice Caillol, Alain Schoepfer, Sébastien Godat
    iGIE.2024; 3(2): 237.     CrossRef
  • Best Practices in Pancreatico-biliary Stenting and EUS-guided Drainage
    Renato Medas, Joel Ferreira-Silva, Mohit Girotra, Monique Barakat, James H. Tabibian, Eduardo Rodrigues-Pinto
    Journal of Clinical Gastroenterology.2023; 57(6): 553.     CrossRef
  • Techniques and Outcomes of Endoscopic Ultrasound Guided—Pancreatic Duct Drainage (EUS- PDD)
    Jun Liang Teh, Anthony Yuen Bun Teoh
    Journal of Clinical Medicine.2023; 12(4): 1626.     CrossRef
  • EUS–guided pancreatic duct drainage using a novel plastic stent with ultratapered tip (with video)
    Takeshi Ogura, Atsushi Okuda, Saori Ueno, Nobu Nishioka, Masahiro Yamamura
    Endoscopic Ultrasound.2023; 12(3): 345.     CrossRef
  • Treatment of Difficult Pancreatic Duct Strictures Using a Cystotome: A Single-Center Experience
    Jonghyun Lee, Dong Uk Kim, Sung Yong Han
    The Korean Journal of Pancreas and Biliary Tract.2023; 28(4): 108.     CrossRef
  • Utility of a novel drill dilator for easier EUS‐guided pancreatic duct drainage
    Kazuo Hara, Nozomi Okuno, Shin Haba, Takamichi Kuwahara, Yasuhiro Kuraishi, Takafumi Yanaidani, Daiki Fumihara, Masanori Yamada, Tsukasa Yasuda, Sho Ishikawa
    Journal of Hepato-Biliary-Pancreatic Sciences.2022;[Epub]     CrossRef
  • Endoscopic Ultrasound-guided Drainage in Pancreatobiliary Diseases
    Tae Hyeon Kim, Hyung Ku Chon
    The Korean Journal of Gastroenterology.2022; 79(5): 203.     CrossRef
  • Percutaneous transluminal angioplasty balloons for endoscopic ultrasound-guided pancreatic duct interventions
    Jad P AbiMansour, Barham K Abu Dayyeh, Michael J Levy, Andrew C Storm, John A Martin, Bret T Petersen, Ryan J Law, Mark D Topazian, Vinay Chandrasekhara
    World Journal of Gastrointestinal Endoscopy.2022; 14(8): 487.     CrossRef
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    Christoph F. Dietrich, Barbara Braden, Christian Jenssen
    Current Opinion in Gastroenterology.2021; 37(5): 449.     CrossRef
  • Approach to management of pancreatic strictures: the gastroenterologist’s perspective
    Vaneet Jearth, Suprabhat Giri, Sridhar Sundaram
    Clinical Journal of Gastroenterology.2021; 14(6): 1587.     CrossRef
  • Extracorporeal shock wave lithotripsy after endoscopic ultrasonographically guided pancreatic duct drainage with pancreatic stent placement for pancreatic stone removal: A case report
    Mitsuru OKUNO, Tsuyoshi MUKAI, Shota IWATA, Ryuichi TEZUKA, Eiichi TOMITA
    Suizo.2021; 36(4): 274.     CrossRef
  • 5,858 View
  • 225 Download
  • 14 Web of Science
  • 13 Crossref
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Endoscopic Ultrasound-Guided Local Therapy for Pancreatic Neoplasms
Jun Seong Hwang, Hyun Don Joo, Tae Jun Song
Clin Endosc 2020;53(5):535-540.   Published online September 29, 2020
DOI: https://doi.org/10.5946/ce.2020.181
AbstractAbstract PDFPubReaderePub
Surgical resection is considered the only treatment option for pancreatic cancer and other pancreatic neoplasms with malignant potential, such as neuroendocrine tumors, mucinous cystic neoplasms, and intraductal papillary mucinous neoplasms. However, only 10%–20% of all patients with pancreatic cancer present with resectable forms of the disease as the symptoms are rarely manifested during the early stages, and the disease tends to progress rapidly. Furthermore, pancreatic surgery is associated with high rates of morbidity and mortality. The development of linear-array endoscopic ultrasound (EUS) techniques has increased the indications of EUS-guided local therapy for pancreatic neoplasms. We assessed the studies that investigated various treatment modalities, such as fine-needle injection, radiofrequency ablation, irreversible electroporation, and radiotherapy, under EUS guidance to better understand the usefulness of these techniques with respect to the efficacy and associated complications.

Citations

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    Jihang Yao, Keizo Takenaga, Nobuko Koshikawa, Yuki Kida, Jason Lin, Takayoshi Watanabe, Yoshiaki Maru, Yoshitaka Hippo, Seigi Yamamoto, Yuyan Zhu, Hiroki Nagase
    International Journal of Cancer.2023; 152(5): 962.     CrossRef
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    Alexander M. Prete, Tamas A. Gonda
    Journal of Clinical Medicine.2023; 12(9): 3325.     CrossRef
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    Janette Lazarovits, Ron Epelbaum, Jesse Lachter, Yaron Amikam, Jacob Ben Arie
    Cancers.2023; 15(24): 5801.     CrossRef
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    Jyotroop Kaur, Veeravich Jaruvongvanich, Vinay Chandrasekhara
    World Journal of Gastroenterology.2022; 28(21): 2383.     CrossRef
  • 4,346 View
  • 151 Download
  • 5 Web of Science
  • 5 Crossref
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Reviews
Endoscopic Full Thickness Resection for Gastrointestinal Tumors - Challenges and Solutions
Hung Leng Kaan, Khek Yu Ho
Clin Endosc 2020;53(5):541-549.   Published online February 17, 2020
DOI: https://doi.org/10.5946/ce.2019.161
AbstractAbstract PDFPubReaderePub
Standard polypectomy, endoscopic mucosal resection, and endoscopic submucosal dissection (ESD) are established techniques for the treatment of gastrointestinal tumors. However, resection of submucosal tumors via ESD often results in low rates of microscopically margin-negative (R0) resection and high rates of perforation. Endoscopic full thickness resection (EFTR) overcomes this adverse event and aids in the therapeutic management of complex tumors.
Multiple techniques for EFTR have been developed, each with its own advantages and disadvantages. Submucosal tunneling and nonexposed techniques are generally preferable, because the layer of overlying intact mucosa reduces the incidence of intraperitoneal contamination by the gastric fluid and dissemination of the tumor cells. However, adoption of EFTR by endoscopists in clinical practice remains low. The major challenge seems to be the technical difficulty in performing laparoscopic and/or endoscopic suturing using the currently available instruments.
We developed a novel robotic endoscopic platform with suturing capabilities to overcome the technical challenges of suturing. This platform allows easy maneuvering and triangulation of the instruments, thus facilitating endoscopic suturing using robotic arms. Our studies have demonstrated that this robotic endoscopic platform with suturing capabilities is an effective and safe method for performing EFTR with endoscopic suturing.

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  • New endoscopic closure technique, “internal traction–assisted suspended closure,” for GI defect closure: a pilot study (with video)
    Yaoyao Gong, Jue Wang, Tianyin Chen, Jing Cheng, Keyi Guo, Wei Su, Pinghong Zhou, Jianwei Hu
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    Clinical Endoscopy.2024; 57(3): 329.     CrossRef
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    Hung Leng Kaan, Khek Yu Ho
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    Cem Simsek, Hung Leng Kaan, Hiroyuki Aihara
    Techniques and Innovations in Gastrointestinal Endoscopy.2023; 25(1): 95.     CrossRef
  • Twin‐grasper assisted mucosal inverted closure achieves complete healing of large perforations after gastric endoscopic full‐thickness resection
    Qinbo Cai, Huafeng Fu, Lele Zhang, Minxuan Shen, Shaoxiong Yi, Rongman Xie, Wentong Lan, Wenqing Dong, Xiaolian Chen, Jie Zhang, Xun Hou, Yulong He, Dongjie Yang
    Digestive Endoscopy.2023; 35(6): 736.     CrossRef
  • Endoscopic Resection with One-Port Placement: A Newly Developed Technique for the Safe Management of Advanced Endoscopic Resection for Gastric Gastrointestinal Stromal Tumors
    Atsushi Sawada, Kingo Hirasawa, Chiko Sato, Sho Sato, Tsutomu Sato, Kazuya Sugimori, Chikara Kunisaki, Shin Maeda
    Digestion.2023; 104(6): 460.     CrossRef
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    Jinyan Wu, Boneng Mao, Tao Jin, Xinfang Xu, Xiao Xu, Shengjun Jiang, Weiguo Li
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    Li-Jun Zhou, Fei Xing, Dan Chen, Yan-Na Li, Shoaib Mohammad Rafiq
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    Partha Pal, Mohan Ramchandani, Pradev Inavolu, Duvvuru Nageshwar Reddy, Manu Tandan
    Journal of Digestive Endoscopy.2022; 13(03): 152.     CrossRef
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    Xin Li, Rongfen Wei, Jianfu Qin, Fei Qin, Peng Peng, Mengbin Qin, Shiquan Liu, Jiean Huang, Piero Chirletti
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Colon Capsule Endoscopy for Inflammatory Bowel Disease
Naoki Hosoe, Yukie Hayashi, Haruhiko Ogata
Clin Endosc 2020;53(5):550-554.   Published online January 9, 2020
DOI: https://doi.org/10.5946/ce.2019.156
AbstractAbstract PDFPubReaderePub
Colon capsule endoscopy was initially introduced in 2006. Since the results of a prospective study to evaluate first-generation colon capsule endoscopy efficacy for the detection of colonic neoplasia were unsatisfactory, second-generation colon capsule endoscopy was developed and reported in 2009. In this review article, we provide an overview of the current state of colon capsule endoscopy for evaluation of inflammatory bowel disease in a clinical setting and describe our clinical experience with this technology and its application. Among the various types of inflammatory bowel diseases, ulcerative colitis is the primary target for application of colon capsule endoscopy. Nevertheless, the initial results of studies using first-generation colon capsule endoscopy to evaluate inflammation were unclear. More recently, second-generation colon capsule endoscopy has provided higher accuracy for assessment of inflammation in patients with ulcerative colitis. Colon capsule endoscopy enables noninvasive observation (with reduced volume preparation) of mucosal inflammation severity in patients with ulcerative colitis.

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    Bruno Rosa, Patrícia Andrade, Sandra Lopes, Ana Rita Gonçalves, Juliana Serrazina, Pedro Marílio Cardoso, Andrea Silva, Vítor Macedo Silva, José Cotter, Guilherme Macedo, Pedro Narra Figueiredo, Cristina Chagas
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    Tiago Lima Capela, Cátia Arieira, Sofia Xavier, Tiago Cúrdia Gonçalves, Pedro Boal Carvalho, Bruno Rosa, José Cotter
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    Mohd Syafiq Ismail, Serhiy Semenov, Sandeep Sihag, Thilagaraj Manoharan, Atiyekeogbebe Rita Douglas, Phyllis Reill, Michael Kelly, Gerard Boran, Anthony O’Connor, Niall Breslin, Sarah O’Donnell, Barbara Ryan, Deirdre McNamara
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    Trevor Tabone, Anastasios Koulaouzidis, Pierre Ellul
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    Konosuke Nakaji, Mitsutaka Kumamoto, Mikiko Yodozawa, Kazuki Okahara, Shigeo Suzumura, Yukinori Nakae
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Original Articles
Efficacy and Safety of Etomidate in Comparison with Propofol or Midazolam as Sedative for Upper Gastrointestinal Endoscopy
Jae Hyun Kim, Sanghwan Byun, Youn Jung Choi, Hye Jung Kwon, Kyoungwon Jung, Sung Eun Kim, Moo In Park, Won Moon, Seun Ja Park
Clin Endosc 2020;53(5):555-561.   Published online March 31, 2020
DOI: https://doi.org/10.5946/ce.2019.210
AbstractAbstract PDFPubReaderePub
Background
/Aims: In this study, we compared the efficacy and safety of etomidate with those of propofol or midazolam for the maintenance of sedation during endoscopy.
Methods
The study enrolled patients who underwent sedative endoscopy in our hospital and divided them into three groups. Patients in each group were administered midazolam as induction therapy and were subsequently administered either midazolam (M + M group), propofol (M + P group), or etomidate (M + E group) as maintenance medication. The primary outcome was overall cardiovascular and respiratory adverse events.
Results
In total, 105 patients who underwent sedative endoscopic examination were enrolled. The outcomes related to the procedure and sedation were not significantly different among the groups. Overall cardiovascular and respiratory adverse events were observed in 9 patients (25.7%) in the M + M group, 8 patients (23.5%) in the M + P group, and 10 patients (27.8%) in the M + E group. The logistic regression analysis revealed that etomidate use was not an independent risk factor for overall cardiovascular and respiratory adverse events.
Conclusions
The outcomes following the use of etomidate for maintenance after induction with midazolam for sedation in upper gastrointestinal endoscopy were not inferior to those following midazolam or propofol use from the perspectives of safety and efficacy.

Citations

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  • Comparison of ciprofol–alfentanil and propofol–alfentanil sedation during bidirectional endoscopy: A prospective, double-blind, randomised, controlled trial
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    Jin-Woo Park, Sung Il Bae, Jungyul Ryu, Seung Hyun Chung, Sang-Hwan Do
    Journal of Clinical Medicine.2023; 12(3): 899.     CrossRef
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    Bo CHEN, Ke ZHANG, Mingshuai YU
    Minerva Surgery.2023;[Epub]     CrossRef
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    Jae Min Lee, Yehyun Park, Jin Myung Park, Hong Jun Park, Jun Yong Bae, Seung Young Seo, Jee Hyun Lee, Hyung Ku Chon, Jun-Won Chung, Hyun Ho Choi, Jun Kyu Lee, Byung-Wook Kim
    Clinical Endoscopy.2022; 55(5): 581.     CrossRef
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    Jun Kyu Lee
    Journal of the Korean Medical Association.2022; 65(11): 735.     CrossRef
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    Yeo-Jin Choi, Seung-Won Yang, Won-Gun Kwack, Jun-Kyu Lee, Tae-Hee Lee, Jae-Yong Jang, Eun-Kyoung Chung
    Pharmaceuticals.2021; 14(8): 783.     CrossRef
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    Chunling Wang, Shengnan Wang, Cuishuan Wu, Li Lei, Dong-Xin Wang, Qiang Zhang
    Pharmacology.2021; 106(11-12): 644.     CrossRef
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Comparison of Fentanyl versus Meperidine in Combination with Midazolam for Sedative Colonoscopy in Korea
Gwan Woo Hong, Jun Kyu Lee, Jung Hyeon Lee, Ji Hun Bong, Sung Hun Choi, Hyeki Cho, Ji Hyung Nam, Dong Kee Jang, Hyoun Woo Kang, Jae Hak Kim, Yun Jeong Lim, Moon Soo Koh, Jin Ho Lee
Clin Endosc 2020;53(5):562-567.   Published online July 3, 2020
DOI: https://doi.org/10.5946/ce.2020.022
AbstractAbstract PDFPubReaderePub
Background
/Aims: Combination of midazolam and opioids is used widely for endoscopic sedation. Compared with meperidine, fentanyl is reportedly associated with rapid recovery, turnover rate of endoscopy room, and quality of endoscopy. We compared fentanyl with meperidine when combined with midazolam for sedative colonoscopy.
Methods
A retrospective, cross-sectional, 1:2 matching study was conducted. Induction and recovery time were compared as the primary outcomes. Moreover, cecal intubation time, withdrawal time, total procedure time of colonoscopy, paradoxical reaction, adenoma detection rate, and adverse effect of midazolam or opioids were assessed as the secondary outcomes.
Results
A total of 129 subjects (43 fentanyl vs. 86 meperidine) were included in the analysis. The fentanyl group showed significantly more rapid induction time (4.5±2.7 min vs. 7.5±4.7 min, p<0.001), but longer recovery time (59.5±25.6 min vs. 50.3±10.9 min, p=0.030) than the meperidine group. In multivariate analysis, the induction time of the fentanyl group was 3.40 min faster (p<0.001), but the recovery time was 6.38 min longer (p=0.046) than that of the meperidine group. There was no difference in withdrawal time and adenoma detection rate between the two groups.
Conclusions
The fentanyl group had more rapid sedation induction time but longer recovery time than the meperidine group.

Citations

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  • Efficacy and safety of EBUS‐TBNA under conscious sedation with meperidine and midazolam
    Roberto Piro, Eleonora Casalini, Matteo Fontana, Carla Galeone, Patrizia Ruggiero, Sofia Taddei, Giulia Ghidoni, Giulia Patricelli, Nicola Facciolongo
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    Ji Hyung Nam, Dong Kee Jang, Jun Kyu Lee, Hyoun Woo Kang, Byung-Wook Kim, Byung Ik Jang
    Clinical Endoscopy.2022; 55(2): 234.     CrossRef
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    Seon-Young Park, Jun Kyu Lee, Chang-Hwan Park, Byung-Wook Kim, Chang Kyun Lee, Hong Jun Park, Byung Ik Jang, Dong Uk Kim, Jin Myung Park, Jae Min Lee, Young Sin Cho, Hyung Ku Chon, Seung Young Seo, Woo Hyun Paik
    Gut and Liver.2022; 16(6): 899.     CrossRef
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    Jun Kyu Lee
    Journal of the Korean Medical Association.2022; 65(11): 735.     CrossRef
  • Risk Factors for Prolonged Hospital Stay after Endoscopy
    Toshihiro Nishizawa, Shuntaro Yoshida, Osamu Toyoshima, Tatsuya Matsuno, Masataka Irokawa, Toru Arano, Hirotoshi Ebinuma, Hidekazu Suzuki, Takanori Kanai, Kazuhiko Koike
    Clinical Endoscopy.2021; 54(6): 851.     CrossRef
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Comparison of Oral Sulfate Solution and Polyethylene Glycol Plus Ascorbic Acid on the Efficacy of Bowel Preparation
Ji Hyung Nam, Seok Bo Hong, Yun Jeong Lim, Seongju Lee, Hyoun Woo Kang, Jae Hak Kim, Jin Ho Lee
Clin Endosc 2020;53(5):568-574.   Published online April 24, 2020
DOI: https://doi.org/10.5946/ce.2019.209
AbstractAbstract PDFPubReaderePub
Background
/Aims: The quality of bowel preparation is one of the quality indicators for colonoscopy. The aim of this study was to compare the efficacy of oral sulfate solution (OSS) and polyethylene glycol plus ascorbic acid (PEG-AA) for bowel preparation.
Methods
The study involved 167 patients who underwent diagnostic colonoscopies. Inadequate bowel preparation was defined as any score of ≤1 in each colon section based on the Boston Bowel Preparation Scale. Multivariate logistic regression was used to compare the efficacy of OSS and PEG-AA. Subgroup analyses were performed based on patient characteristics.
Results
Overall, 106 (63.5%) patients received OSS, and 61 (36.5%) patients received PEG-AA. The rate of inadequate bowel preparation was 12.3% in patients receiving OSS and 32.8% in patients receiving PEG-AA (p=0.001). OSS (odds ratio [OR] = 0.26; p=0.003) and morning examination (OR=0.11; p=0.038) were significantly associated with efficient bowel preparation. The efficacy of OSS compared with PEG-AA was only significant in patients ≥50 years of age vs. <50 years of age (OR=0.13; p=0.001 vs. OR=0.96; p=0.959) and female vs. male patients (OR=0.06; p=0.002 vs. OR=0.58; p=0.339).
Conclusions
OSS was significantly more efficient for bowel preparation than PEG-AA, especially in patients ≥50 years of age and female patients. Morning examination led to a good quality of bowel preparation, irrespective of the preparation regimen.

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  • Observation of the application effect of low-volume polyethylene glycol electrolyte lavage solution (PEG-ELS) combined with ascorbic acid tablets in bowel preparation for colonoscopy in hospitalized patients
    Le-Can Wu, En-Dian Zheng, Hao-Yue Sun, Xi-Zhou Lin, Ju-Yi Pan, Xiao-Xiao Lin
    Frontiers in Oncology.2023;[Epub]     CrossRef
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    Peng Pan, Shengbing Zhao, Shuling Wang, Yihang Song, Lun Gu, Youxiang Chen, Jiangrong Zhao, Lungen Lu, Xiuling Li, Hongzhi Xu, Gaifang Liu, Yanqing Li, Le Xu, Jiangbin Wang, Zhaoshen Li, Yu Bai
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    Seung‐Joo Nam, Sung Chul Park, Sung Joon Lee, Sang Hoon Lee, Ji Hyun Kim, Chang Seok Bang, Hyun Il Seo
    Journal of Gastroenterology and Hepatology.2022; 37(2): 319.     CrossRef
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    Sung Hoon Jung, Chul-Hyun Lim, Tae-Geun Gweon, Jinsu Kim, Jung Hwan Oh, Kyu-Tae Yoon, Jee Young An, Jeong‑Seon Ji, Hwang Choi
    Digestive Diseases and Sciences.2022; 67(10): 4841.     CrossRef
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    Cheng Chen, Mengyang Shi, Zhongli Liao, Weiqing Chen, Yongzhong Wu, Xu Tian
    Digestive Endoscopy.2022; 34(6): 1121.     CrossRef
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    Kyeong Ok Kim, Eun Young Kim, Yoo Jin Lee, Hyun Seok Lee, Eun Soo Kim, Yun Jin Chung, Byung Ik Jang, Sung Kook Kim, Chang Heon Yang
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    Sung Hyun Shin, Kwang An Kwon
    Clinical Endoscopy.2020; 53(5): 503.     CrossRef
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  • 175 Download
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Reasons for Diagnostic Failure in Forty-Five Consecutive Mucosal Cutting Biopsy Examinations of Gastric Subepithelial Tumors
Yoshiko Nakano, Toshitatsu Takao, Yoshinori Morita, Shinwa Tanaka, Takashi Toyonaga, Eiji Umegaki, Yuzo Kodama
Clin Endosc 2020;53(5):575-582.   Published online February 14, 2020
DOI: https://doi.org/10.5946/ce.2019.150
AbstractAbstract PDFPubReaderePub
Background
/Aims: Mucosal cutting biopsy (MCB) is useful for the histopathological diagnosis of gastric subepithelial tumors (SETs). However, there is little information on cases in which MCB did not establish a diagnosis. In the current study, we aimed to investigate the characteristics of cases in which MCB was unsuccessful.
Methods
Cases in which MCB was used to histopathologically diagnose gastric SETs at Kobe University Hospital between August 2012 and October 2018 were retrospectively reviewed.
Results
Forty-five cases in which MCB was used to diagnose 43 gastric SETs in 43 patients were analyzed. The median tumor size was 20 mm (range, 8–50 mm). Pathological examinations resulted in definitive and suspected diagnoses and no diagnosis in 29 (gastrointestinal stromal tumor: n=17, leiomyoma: n=7, aberrant pancreas: n=3, others: n=2), 6, and 10 cases, respectively. Failure to expose the tumor according to retrospective examinations of endoscopic images was significantly associated with no diagnosis. Other possible explanations included a less elevated tumor, biopsy of the surrounding field instead of the tumor due to the mobility, and poor endoscope maneuverability due to the tumor being close to the cardia.
Conclusions
Clear exposure of gastric SETs during MCB may improve the diagnostic rate of such examinations.

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    Eriko Koizumi, Osamu Goto, Shun Nakagome, Tsugumi Habu, Yumiko Ishikawa, Kumiko Kirita, Hiroto Noda, Kazutoshi Higuchi, Takeshi Onda, Teppei Akimoto, Jun Omori, Naohiko Akimoto, Katsuhiko Iwakiri
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    Masashi Yamamoto, Tsutomu Nishida, Ryotaro Uema, Takashi Kanesaka, Hiroyuki Ogawa, Shinji Kitamura, Hideki Iijima, Kengo Nagai, Shusaku Tsutsui, Masato Komori, Katsumi Yamamoto, Yoshiki Tsujii, Yoshito Hayashi, Tetsuo Takehara
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    Gwang Ha Kim
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    Masanari Sekine, Takeharu Asano, Hirosato Mashima
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    Osamu Goto, Mitsuru Kaise, Katsuhiko Iwakiri
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Endoscopic Ultrasound-Guided, Percutaneous, and Transjugular Liver Biopsy: A Comparative Systematic Review and Meta-Analysis
Thomas R. McCarty, Ahmad Najdat Bazarbashi, Basile Njei, Marvin Ryou, Harry R. Aslanian, Thiruvengadam Muniraj
Clin Endosc 2020;53(5):583-593.   Published online September 29, 2020
DOI: https://doi.org/10.5946/ce.2019.211
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background
/Aims: Percutaneous liver biopsy (PCLB) or transjugular liver biopsy (TJLB) have traditionally been performed to obtain a sample of hepatic tissue; however, endoscopic ultrasound-guided liver biopsy (EUSLB) has become an attractive alternative. The aim of this study was to compare the efficacy and safety of EUSLB, PCLB, and TJLB.
Methods
Search strategies were developed in accordance with PRISMA and MOOSE guidelines. Major outcomes included the following: adequacy of biopsy specimens (i.e., complete portal triads [CPT], total specimen length [TSL] in mm, and length of longest piece [LLP]) in mm), and rate of adverse events. Only studies comparing all biopsy approaches (i.e., EUSLB, PCLB, and TJLB) were included.
Results
Five studies (EUSLB [n=301]; PCLB [n=176]; and TJLB [n=179]) were included. Biopsy cumulative adequacy rates for EUSLB, PCLB, and TJLB were 93.51%, 98.27%, and 97.61%, respectively. Based on the subgroup analysis limited to EUS biopsy needles in current clinical practice, there was no difference in biopsy adequacy or adverse events for EUSLB compared to PCLB and TJLB (all p>0.050). A comparison of EUSLB and PCLB revealed no difference between specimens regarding both CPT (p=0.079) and LLP (p=0.085); however, a longer TSL (p<0.001) was observed. Compared to TJLB, EUSLB showed no difference in LLP (p=0.351), fewer CPT (p=0.042), and longer TSL (p=0.005).
Conclusions
EUSLB appears to be a safe, minimally invasive procedure that is comparable to PCLB and TJLB regarding biopsy specimens obtained and rate of adverse events associated with each method.

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    Antonio Facciorusso, Stefano Francesco Crinò, Daryl Ramai, Carlo Fabbri, Benedetto Mangiavillano, Andrea Lisotti, Nicola Muscatiello, Christian Cotsoglou, Pietro Fusaroli
    Expert Review of Gastroenterology & Hepatology.2022; 16(1): 51.     CrossRef
  • Endoscopic Ultrasound-Guided Liver Biopsy Using Newer 19G FNB Needles Compared to Percutaneous and Transjugular Liver Biopsy: A Tertiary Center Experience
    Harsh K. Patel, George Therapondos, Gretchen Galliano, Ricardo. Romero, John Evans, Ari Cohen, Muhammad F. Mubarak, Janak N. Shah, Abdul Hamid El Chafic
    Techniques and Innovations in Gastrointestinal Endoscopy.2022; 24(2): 127.     CrossRef
  • Role of endoscopic ultrasound-guided liver biopsy: a meta-analysis
    Keyu Zeng, Zhenpeng Jiang, Jie Yang, Kefei Chen, Qiang Lu
    Scandinavian Journal of Gastroenterology.2022; 57(5): 545.     CrossRef
  • Endoscopic ultrasound guided interventions in the management of pancreatic cancer
    Tossapol Kerdsirichairat, Eun Ji Shin
    World Journal of Gastrointestinal Endoscopy.2022; 14(4): 191.     CrossRef
  • Endohepatology – current status
    Jerome C. Edelson, Natalie E. Mitchell, Don C. Rockey
    Current Opinion in Gastroenterology.2022; 38(3): 216.     CrossRef
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    Vaneet Jearth, Sridhar Sundaram, SurinderSingh Rana
    Endoscopic Ultrasound.2022; 11(5): 355.     CrossRef
  • A Gene Expression Signature to Select Hepatocellular Carcinoma Patients for Liver Transplantation
    Hugo Pinto-Marques, Joana Cardoso, Sílvia Silva, João L. Neto, Maria Gonçalves-Reis, Daniela Proença, Marta Mesquita, André Manso, Sara Carapeta, Mafalda Sobral, Antonio Figueiredo, Clara Rodrigues, Adelaide Milheiro, Ana Carvalho, Rui Perdigoto, Eduardo
    Annals of Surgery.2022; 276(5): 868.     CrossRef
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    Achintya Dinesh Singh, Ahmad Najdat Bazarbashi, Christina C. Lindenmeyer
    Clinical Liver Disease.2022; 20(6): 209.     CrossRef
  • Feasibility and Safety of Transjugular Liver Biopsy for Japanese Patients with Chronic Liver Diseases
    Makoto Iijima, Takahiro Arisaka, Akira Yamamiya, Keiichi Tominaga, Kazunori Nagashima, Akira Kanamori, Satoshi Masuyama, Yuichi Majima, Kenichi Goda, Kazuyuki Ishida, Atsushi Irisawa
    Diagnostics.2021; 11(1): 131.     CrossRef
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    Gwang Ha Kim, Kwang An Kwon, Do Hyun Park, Jimin Han
    Clinical Endoscopy.2021; 54(5): 633.     CrossRef
  • Role of Endoscopic Ultrasound in Liver Disease: Where Do We Stand?
    Tajana Pavic, Ivana Mikolasevic, Dominik Kralj, Nina Blazevic, Anita Skrtic, Ivan Budimir, Ivan Lerotic, Davor Hrabar
    Diagnostics.2021; 11(11): 2021.     CrossRef
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Endoscopic Ultrasound-Guided Random Omental Fine Needle Aspiration: A Novel Technique for the Diagnosis of Peritoneal Carcinomatosis
Pradeep Kumar Siddappa, Neha Jain, Naveen K. Agarwal, Monika Jain, Gurwant Singh Lamba
Clin Endosc 2020;53(5):594-599.   Published online September 29, 2020
DOI: https://doi.org/10.5946/ce.2019.175
AbstractAbstract PDFPubReaderePub
Background
/Aims: Diagnostic abdominal paracentesis has been described in literature to have variable sensitivity of 50%–75% for the detection of peritoneal carcinomatosis (PC). We believe that random needle aspirates from the omentum, even in the absence of obvious deposits by endoscopic ultrasound (EUS), could prove malignancy in patients with PC.
Methods
Consecutive patients who underwent EUS for diagnosis and staging of cancer and found to have ascites were included after obtaining informed consent. EUS-guided fine needle aspiration (EUS-FNA) from random sites in the omentum was performed through the transgastric route using a linear echoendoscope.
Results
Fifty-four patients underwent EUS during October 2015 to April 2017 for detection, staging, or FNA of a suspected malignant lesion. Ascites was seen in 17 patients and 15 patients who fulfilled the criteria were included. The procedure was successful in all patients. Cytology was suggestive of malignancy in 12 (80%) but not suggestive of malignancy in 3 (20%) patients. Three patients who tested negative had hyperbilirubinemia with biliary obstruction. Their ascitic fluid analysis result was also negative.
Conclusions
Random FNA of the omentum in patients with malignancy-related ascites is highly effective in the diagnosis of PC and could be employed during EUS evaluation of malignancies.

Citations

Citations to this article as recorded by  
  • Role of Endoscopic Ultrasound in Diagnosis of Pancreatic Ductal Adenocarcinoma
    Abhirup Chatterjee, Jimil Shah
    Diagnostics.2023; 14(1): 78.     CrossRef
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  • 73 Download
  • 1 Web of Science
  • 1 Crossref
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Endoscopic Ultrasound Fine-Needle Aspiration versus Fine-Needle Biopsy for Lymph Node Diagnosis: A Large Multicenter Comparative Analysis
Diogo Turiani Hourneaux de Moura, Thomas R. McCarty, Pichamol Jirapinyo, Igor Braga Ribeiro, Galileu Ferreira Ayala Farias, Marvin Ryou, Linda S. Lee, Christopher C. Thompson
Clin Endosc 2020;53(5):600-610.   Published online December 3, 2019
DOI: https://doi.org/10.5946/ce.2019.170
AbstractAbstract PDFPubReaderePub
Background
/Aims: Endoscopic ultrasound fine-needle aspiration (EUS-FNA) is preferred for sampling of lymph nodes (LNs) adjacent to the gastrointestinal wall; however, fine-needle biopsy (FNB) may provide improved diagnostic outcomes. This study aimed to evaluate the comparative efficacy and safety of FNA versus FNB for LN sampling.
Methods
This was a multicenter retrospective study of prospectively collected data to evaluate outcomes of EUS-FNA and EUS-FNB for LN sampling. Characteristics analyzed included sensitivity, specificity, accuracy, the number of needle passes, diagnostic adequacy of rapid on-site evaluation (ROSE), cell-block analysis, and adverse events.
Results
A total of 209 patients underwent EUS-guided LN sampling. The mean lesion size was 16.22±8.03 mm, with similar sensitivity and accuracy between FNA and FNB ([67.21% vs. 75.00%, respectively, p=0.216] and [78.80% vs. 83.17%, respectively, p=0.423]). The specificity of FNB was better than that of FNA (100.00% vs. 93.62%, p=0.01). The number of passes required for diagnosis was not different. Abdominal and peri-hepatic LN location demonstrated FNB to have a higher sensitivity (81.08% vs. 64.71%, p=0.031 and 80.95% vs. 58.33%, p=0.023) and accuracy (88.14% vs. 75.29%, p=0.053 and 88.89% vs. 70.49%, p=0.038), respectively. ROSE was a significant predictor for accuracy (odds ratio, 5.16; 95% confidence interval, 1.15–23.08; p=0.032). No adverse events were reported in either cohort.
Conclusions
Both EUS-FNA and EUS-FNB are safe for the diagnosis of LNs. EUS-FNB is preferred for abdominal LN sampling. EUSFNA+ ROSE was similar to EUS-FNB alone, showing better diagnosis for EUS-FNB than traditional FNA. While ROSE remained a significant predictor for accuracy, due to its poor availability in most centers, its use may be limited to cases with previous inconclusive diagnoses.

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    Shinpei Doi, Takako Adachi, Ayako Watanabe, Nobuhiro Katsukura, Takayuki Tsujikawa
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    Adam Haig, Andrew St John, Kasturi Vaska, Xuan Banh, Alexander Huelsen
    Endoscopic Ultrasound.2024; 13(1): 22.     CrossRef
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    Mitsuru Okuno, Keisuke Iwata, Tsuyoshi Mukai, Yusuke Kito, Takuji Tanaka, Naoki Watanabe, Senji Kasahara, Yuhei Iwasa, Akihiko Sugiyama, Youichi Nishigaki, Yuhei Shibata, Junichi Kitagawa, Takuji Iwashita, Eiichi Tomita, Masahito Shimizu
    Clinical Endoscopy.2024; 57(3): 364.     CrossRef
  • Pancreatobiliary Lymphadenopathy: Etiology, Location, and Factors Predicting Good Yield of Endoscopic Ultrasound-guided Biopsy
    Taha Yaseen, Abbas Ali Tasneem, Syed Mudassir Laeeq, Zain Majid, Nasir Hassan Luck
    Euroasian journal of hepato-gastroenterology.2024; 14(1): 40.     CrossRef
  • Endoscopic Ultrasound-Guided Fine Needle Biopsy in the Diagnostic Work-Up of Deep-Seated Lymphadenopathies and Spleen Lesions: A Monocentric Experience
    Flaminia Bellisario, Fabia Attili, Fabrizia Campana, Federica Borrelli de Andreis, Silvia Bellesi, Elena Maiolo, Eleonora Alma, Rosalia Malafronte, Giuseppe Macis, Luigi Maria Larocca, Salvatore Annunziata, Francesco D’Alò, Stefan Hohaus
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    Yilei Yang, Aruna, Bin Cheng, Dingkun Xiong, Dong Kuang, Haochen Cui, Si Xiong, Xia Mao, Yunlu Feng, Yuchong Zhao
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  • Primary Pancreatic Lymphoma Evaluated by Fine-Needle Aspiration
    Qiong Gan, Nancy P Caraway, Cady Ding, John M Stewart
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  • Endoscopic ultrasound fine-needle biopsy vs fine-needle aspiration for lymph nodes tissue acquisition: a systematic review and meta-analysis
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    Linbin Chen, Yin Li, Xiaoyan Gao, Shiyong Lin, Longjun He, Guangyu Luo, Jianjun Li, Chunyu Huang, Guobao Wang, Qing Yang, Hongbo Shan
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  • 21 Web of Science
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Case Reports
Acute Pancreatitis: A Rare Post-Colonoscopy Sequela
Sujit P. Nair, Prasanta Debnath, Suhas Udgirkar, Parmeshwar Junare, Sanjay Chandnani, Shubham Jain, Vinay B. Pawar, Pravin M. Rathi
Clin Endosc 2020;53(5):611-614.   Published online February 12, 2020
DOI: https://doi.org/10.5946/ce.2019.151
AbstractAbstract PDFPubReaderePub
Abdominal pain is a common but benign symptom after colonoscopy. We report a case of acute pancreatitis that occurred just after an elective screening colonoscopy; this is a rare event with very few reported cases. A healthy, asymptomatic male underwent screening colonoscopy at our center and developed abdominal pain and emesis after the procedure. An abdominal X-ray ruled out perforation but laboratory tests revealed elevated levels of amylase and lipase. The patient had no etiological risk factors for pancreatitis. The presumed mechanism of pancreatitis in this case is mechanical and pressure trauma from excessive insufflation, external abdominal pressure, and repeated withdrawal of the colonoscope due to tight angulation of the splenic flexure, a structure that is in close proximity to the pancreatic tail. Acute pancreatitis should be considered in the differential diagnosis of patients who present with abdominal pain after colonoscopy once more common etiologies have been excluded.

Citations

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  • Aggravated pancreatitis after performing a colonoscopy
    Han‐Lin Liao, Tyng‐Yuan Jang
    Advances in Digestive Medicine.2024;[Epub]     CrossRef
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    Saima H Shawl, Usama Bilal, Chandra Essar Mal, Veera Durga Vaishnavi Kurra, Romil Singh
    Cureus.2022;[Epub]     CrossRef
  • CT imaging findings of complications of optical colonoscopy
    Abhishek Keraliya, Hei Shun Yu, Jennifer W. Uyeda
    Emergency Radiology.2022; 29(5): 915.     CrossRef
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  • 108 Download
  • 3 Web of Science
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An Unusual Presentation of a Solid Pseudopapillary Tumor of the Pancreas Mimicking Adenocarcinoma
Hyung Ku Chon, Keum Ha Choi, Tae Hyeon Kim
Clin Endosc 2020;53(5):615-619.   Published online November 22, 2019
DOI: https://doi.org/10.5946/ce.2019.158
AbstractAbstract PDFPubReaderePub
Solid pseudopapillary tumors of the pancreas are rare and typically occur in young women. Compared with pancreatic adenocarcinoma, solid pseudopapillary tumors are characterized by notable indolent biological behavior associated with a favorable prognosis. Despite their large size, these tumors rarely metastasize. Even in cases of hepatic metastasis, most lesions are usually solitary in distribution and are amenable to resection. We report a case of a 55-year-old man with a small solid pseudopapillary tumor (≤3-cm diameter) mimicking a pancreatic adenocarcinoma, with multiple hepatic metastases. The diagnosis was confirmed by endoscopic ultrasound-guided fine-needle biopsy using a 22-G core needle. Unfortunately, rapid tumor progression led to patient mortality 5 months after diagnosis. To our knowledge, this is the first case report that describes a small solid pseudopapillary tumor of the pancreas with multiple hepatic metastasis and poor prognosis in a patient who was diagnosed with this condition at the time of initial diagnosis.

Citations

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  • Rare case of solid pseudopapillary neoplasm of the pancreas with liver and splenic metastasis in a 19-year-old girl
    Chi-Chi Chen, Ting-Yuan Feng, Hsiang-Chun Jan, Shaw-Jiun Chou, Tzu-Hung Chen, Sheng-Chun Wang
    International Journal of Surgery Case Reports.2024; 120: 109867.     CrossRef
  • Large Solid Pseudopapillary Tumor Pancreas with Extensive Splenoportal Thrombosis and Malignant Transformation—A Rare Entity
    Thara Pratap, Dhanya Jacob, Abhishek Yadav, Muhammed Jasim Abdul Jalal, Iona Leekha Mathew
    Journal of Gastrointestinal and Abdominal Radiology.2022; 05(03): 196.     CrossRef
  • Aggressive solid pseudopapillary tumor of the pancreas. (Literature review and case report)
    D.V. Sidorov, N.A. Grishin, M.V. Lozhkin, N.N. Volchenko, Kh.S. Kosumova, A.A. Troitskii, I.V. Stepanyuk, S.A. Bykasov, R.I. Moshurov
    Onkologiya. Zhurnal imeni P.A.Gertsena.2022; 11(2): 52.     CrossRef
  • 4,265 View
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  • 3 Web of Science
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Brief Reports
Redesigning the Landscape for Women and Leadership: Insights Gained from the Covid-19 Pandemic. On Behalf of Women in Gastroenterology Network Asia Pacific (WIGNAP) and Women in Endoscopy (WIE)
Lubna Kamani, Nonthalee Pausawasdi, Jeanin E.Van Hooft, Amrita Sethi, Sharmila Sachithanandan
Clin Endosc 2020;53(5):620-622.   Published online September 29, 2020
DOI: https://doi.org/10.5946/ce.2020.202
PDFPubReaderePub

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  • The Emerging Leaders Committee: Turning a new page for APAGE to nurture the next generation of Asia‐Pacific leaders in digestive health
    Rashid N. Lui, Ting Ting Chan, Tanyaporn Chantarojanasiri, Mu‐Ming Chien, Viet‐Hang Dao, Jalpa Devi, Daniel Q. Huang, Eun‐Hyo Jin, Tsevelnorov Khurelbaatar, Zaheer Nabi, Koji Otani, Mara Teresa T. Panlilio, Sang Hyoung Park, Rabbinu Rangga Pribadi, Yuqi Q
    Journal of Gastroenterology and Hepatology.2024;[Epub]     CrossRef
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  • 3 Web of Science
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A Survey of Peri-Colonoscopy Management of Anti-Diabetic Medications
Byeori Lee, Deepanshu Jain, Michael Rajala
Clin Endosc 2020;53(5):623-626.   Published online April 28, 2020
DOI: https://doi.org/10.5946/ce.2020.021
PDFPubReaderePub

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    Karsten Müssig, Henning E. Adamek
    Experimental and Clinical Endocrinology & Diabetes.2022; 130(09): 627.     CrossRef
  • 4,530 View
  • 76 Download
  • 3 Web of Science
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Boost Your Learning with Quiz
Pancreatic Tail Mass: A Diagnostic Challenge
Jimin Han
Clin Endosc 2020;53(5):627-628.   Published online September 29, 2020
DOI: https://doi.org/10.5946/ce.2020.224
PDFPubReaderePub
  • 5,088 View
  • 79 Download
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