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Volume 54(2); March 2021
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Commentarys
Long-Term Outcomes of Endoscopic Submucosal Dissection of Undifferentiated-Type Early Gastric Cancer
Chang Seok Bang
Clin Endosc 2021;54(2):143-144.   Published online February 24, 2021
DOI: https://doi.org/10.5946/ce.2021.044
PDFPubReaderePub

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  • Update on Endoscopic Diagnosis and Treatment of Early Gastric Signet Ring Cell Carcinoma
    鹏齐 陈
    Advances in Clinical Medicine.2024; 14(03): 922.     CrossRef
  • Therapeutic approach to non-curative resection after endoscopic treatment in early gastric cancer
    Eun Jeong Gong, Chang Seok Bang
    Journal of the Korean Medical Association.2022; 65(5): 284.     CrossRef
  • Endoscopic treatment for early gastric cancer
    Ji Yong Ahn
    Journal of the Korean Medical Association.2022; 65(5): 276.     CrossRef
  • 3,885 View
  • 139 Download
  • 2 Web of Science
  • 3 Crossref
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The Value of Risk Scores to Predict Clinical Outcomes in Patients with Variceal and Non-Variceal Upper Gastrointestinal Bleeding
James Yun-wong Lau
Clin Endosc 2021;54(2):145-146.   Published online March 25, 2021
DOI: https://doi.org/10.5946/ce.2021.077
PDFPubReaderePub

Citations

Citations to this article as recorded by  
  • Strengths and limitations of risk stratification tools for patients with upper gastrointestinal bleeding: a narrative review
    Ali A. Alali, Antoine Boustany, Myriam Martel, Alan N. Barkun
    Expert Review of Gastroenterology & Hepatology.2023; 17(8): 795.     CrossRef
  • Machine Learning Approaches for Assessing Risk Factors of Adrenal Insufficiency in Patients Undergoing Immune Checkpoint Inhibitor Therapy
    Woorim Kim, Young Ah Cho, Kyung Hyun Min, Dong-Chul Kim, Kyung-Eun Lee
    Pharmaceuticals.2023; 16(8): 1097.     CrossRef
  • Evaluation of Six Preendoscopy Scoring Systems to Predict Outcomes for Older Adults with Upper Gastrointestinal Bleeding
    Yajie Li, Qin Lu, Kexuan Wu, Xilong Ou, Vikram Kate
    Gastroenterology Research and Practice.2022; 2022: 1.     CrossRef
  • An update on the management of non-variceal upper gastrointestinal bleeding
    Ali A Alali, Alan N Barkun
    Gastroenterology Report.2022;[Epub]     CrossRef
  • 3,250 View
  • 119 Download
  • 4 Web of Science
  • 4 Crossref
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Optimal Predictive Criteria for Common Bile Duct Stones: The Search Continues
Yun Nah Lee, Jong Ho Moon
Clin Endosc 2021;54(2):147-148.   Published online March 22, 2021
DOI: https://doi.org/10.5946/ce.2021.080
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  • 3,099 View
  • 110 Download
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Focused Review Series: Future Perspectiveses of Fecal Microbiota Transplatation
Fecal Microbiota Transplantation beyond Clostridioides Difficile Infection
Chang Mo Moon, Sung Noh Hong
Clin Endosc 2021;54(2):149-151.   Published online March 26, 2021
DOI: https://doi.org/10.5946/ce.2021.068
AbstractAbstract PDFPubReaderePub
With advancing analytical methods for gut microbes, many studies have been conducted, revealing that gut microbes cause various diseases, including gastrointestinal and non-gastrointestinal diseases. Accordingly, studies have been actively conducted to analyze the effects on the prevention and treatment of these diseases through changes in intestinal microbes and control of dysbiosis. Fecal microbiota transplantation (FMT) is an effort and is currently being applied to Clostridioides difficile treatment in Korea. Many studies have demonstrated the application of FMT in inflammatory bowel disease, irritable bowel syndrome, non-alcoholic fatty liver disease, metabolic syndrome, obesity, and diabetes. With further studies and accumulation of evidence, FMT could help treat presently untreatable diseases in clinical practice.
  • 3,949 View
  • 111 Download
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Next Generation Fecal Microbiota Transplantation
Tae-Geun Gweon, Soo-Young Na
Clin Endosc 2021;54(2):152-156.   Published online March 24, 2021
DOI: https://doi.org/10.5946/ce.2021.053
AbstractAbstract PDFPubReaderePub
Fecal microbiota transplantation (FMT) is considered as an effective treatment for Clostridioides difficile infection. However, the precise mechanism of FMT is yet to be determined. Human stool consists of the gut microbiota, bacterial debris, and metabolic products. Of these, the intestinal microbiota is the most important factor that exerts therapeutic efficacy in FMT. Fresh donor stool, blended with normal saline, has been employed for traditional FMT. Nevertheless, stool processing is a major impediment in FMT. Frozen stool and capsule formulations have similar efficacy to that of fresh stool. In addition, several novel stool products have been identified. A stool bank that provides stool products with pre-screened donor stool has been established to help physicians and thereby facilitate FMT. Recent next-generation sequencing techniques have been key in facilitating the detailed analysis of the microbiota and gut environment of individual donors and recipients.

Citations

Citations to this article as recorded by  
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    Clinical and Experimental Medicine.2023; 23(6): 1981.     CrossRef
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    Yosra A. Helmy, Khaled Taha-Abdelaziz, Hanan Abd El-Halim Hawwas, Soumya Ghosh, Samar Sami AlKafaas, Mohamed M. M. Moawad, Essa M. Saied, Issmat I. Kassem, Asmaa M. M. Mawad
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  • Therapeutic Perspectives for Microbiota Transplantation in Digestive Diseases and Neoplasia—A Literature Review
    Adrian Boicean, Dan Bratu, Ciprian Bacila, Ciprian Tanasescu, Radu Sorin Fleacă, Calin Ilie Mohor, Andra Comaniciu, Teodora Băluță, Mihai Dan Roman, Radu Chicea, Adrian Nicolae Cristian, Adrian Hasegan, Sabrina Birsan, Horațiu Dura, Cosmin Ioan Mohor
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  • Ischemic colitis complicated by Clostridioides difficile infection treated with fecal microbiota transplantation
    Seok Hyung Kang, Tae-Geun Gweon, Hyunjung Hwang, Myong Ki Baeg
    Clinical Endoscopy.2023; 56(5): 666.     CrossRef
  • Development of a Protocol for Anaerobic Preparation and Banking of Fecal Microbiota Transplantation Material: Evaluation of Bacterial Richness in the Cultivated Fraction
    Berta Bosch, Anna Hartikainen, Aki Ronkainen, Filip Scheperjans, Perttu Arkkila, Reetta Satokari
    Microorganisms.2023; 11(12): 2901.     CrossRef
  • Clinical Practice Guidelines for Fecal Microbiota Transplantation in Korea
    Tae-Geun Gweon, Yoo Jin Lee, Kyeong Ok Kim, Sung Kyun Yim, Jae Seung Soh, Seung Young Kim, Jae Jun Park, Seung Yong Shin, Tae Hee Lee, Chang Hwan Choi, Young-Seok Cho, Dongeun Yong, Jin-Won Chung, Kwang Jae Lee, Oh Young Lee, Myung-Gyu Choi, Miyoung Choi
    Journal of Neurogastroenterology and Motility.2022; 28(1): 28.     CrossRef
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    Mingli Liu, Ping Zhong
    Indian Journal of Microbiology.2022; 62(4): 494.     CrossRef
  • Young fecal transplantation mitigates the toxicity of perfluorobutanesulfonate and potently refreshes the reproductive endocrine system in aged recipients
    Chenyan Hu, Mengyuan Liu, Baili Sun, Lizhu Tang, Xiangzhen Zhou, Lianguo Chen
    Environment International.2022; 167: 107418.     CrossRef
  • Design and manufacture of a lyophilised faecal microbiota capsule formulation to GMP standards
    Nur Masirah M. Zain, Daniëlle ter Linden, Andrew K. Lilley, Paul G. Royall, Sophia Tsoka, Kenneth D. Bruce, A. James Mason, Grace B. Hatton, Elizabeth Allen, Simon D. Goldenberg, Ben Forbes
    Journal of Controlled Release.2022; 350: 324.     CrossRef
  • Current Trends and Challenges of Fecal Microbiota Transplantation—An Easy Method That Works for All?
    Cátia Almeida, Rita Oliveira, Pilar Baylina, Rúben Fernandes, Fábio G. Teixeira, Pedro Barata
    Biomedicines.2022; 10(11): 2742.     CrossRef
  • 5,267 View
  • 249 Download
  • 12 Web of Science
  • 12 Crossref
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Fecal Microbiota Transplantation: Is It Safe?
Seon-Young Park, Geom Seog Seo
Clin Endosc 2021;54(2):157-160.   Published online March 30, 2021
DOI: https://doi.org/10.5946/ce.2021.072
AbstractAbstract PDFPubReaderePub
Fecal microbiota transplantation (FMT) is an accepted procedure for the management of recurrent Clostridioides difficile infections. FMT is generally considered safe and well-tolerated - even in high-risk patients. Most short-term risks are mild and known to be associated with delivery methods. Long-term side effects have not been established, and no signs of harm have been found to date. However, causality for several microbiome-associated diseases has to be established. Even though FMT is generally considered safe with strict donor screening, serious adverse events have been recently associated with the FMT product from the stool bank, where screening for multi-drug resistant organisms is not included in protocols. Here, we discuss the adverse events associated with FMT and safety issues.

Citations

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    M.Á. Ortega, C. García-Montero, O. Fraile-Martínez, J. Monserrat, M.A. Álvarez-Mon
    Medicine - Programa de Formación Médica Continuada Acreditado.2022; 13(69): 4054.     CrossRef
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  • 143 Download
  • 42 Web of Science
  • 47 Crossref
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Reviews
Clinical and Technical Guideline for Endoscopic Ultrasound (EUS)-Guided Tissue Acquisition of Pancreatic Solid Tumor: Korean Society of Gastrointestinal Endoscopy (KSGE)
Moon Jae Chung, Se Woo Park, Seong-Hun Kim, Chang Min Cho, Jun-Ho Choi, Eun Kwang Choi, Tae Hoon Lee, Eunae Cho, Jun Kyu Lee, Tae Jun Song, Jae Min Lee, Jun Hyuk Son, Jin Suk Park, Chi Hyuk Oh, Dong-Ah Park, Jeong-Sik Byeon, Soo Teik Lee, Ho Gak Kim, Hoon Jai Chun, Ho Soon Choi, Chan Guk Park, Joo Young Cho
Clin Endosc 2021;54(2):161-181.   Published online March 24, 2021
DOI: https://doi.org/10.5946/ce.2021.069
AbstractAbstract PDFPubReaderePub
Endoscopic ultrasound (EUS)-guided tissue acquisition of pancreatic solid tumor requires a strict recommendation for its proper use in clinical practice because of its technical difficulty and invasiveness. The Korean Society of Gastrointestinal Endoscopy (KSGE) appointed a Task Force to draft clinical practice guidelines for EUS-guided tissue acquisition of pancreatic solid tumor. The strength of recommendation and the level of evidence for each statement were graded according to the Minds Handbook for Clinical Practice Guideline Development 2014. The committee, comprising a development panel of 16 endosonographers and an expert on guideline development methodology, developed 12 evidence-based recommendations in 8 categories intended to help physicians make evidence-based clinical judgments with regard to the diagnosis of pancreatic solid tumor. This clinical practice guideline discusses EUS-guided sampling in pancreatic solid tumor and makes recommendations on circumstances that warrant its use, technical issues related to maximizing the diagnostic yield (e.g., needle type, needle diameter, adequate number of needle passes, sample obtaining techniques, and methods of specimen processing), adverse events of EUS-guided tissue acquisition, and learning-related issues. This guideline was reviewed by external experts and suggests best practices recommended based on the evidence available at the time of preparation. This guideline may not be applicable for all clinical situations and should be interpreted in light of specific situations and the availability of resources. It will be revised as necessary to cover progress and changes in technology and evidence from clinical practice.

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    Suizo.2022; 37(1): 8.     CrossRef
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    Irem Guvendir, Itir Ebru Zemheri, Kamil Ozdil
    BMC Gastroenterology.2022;[Epub]     CrossRef
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    Kwang Hyuck Lee
    The Korean Journal of Pancreas and Biliary Tract.2021; 26(4): 241.     CrossRef
  • 8,184 View
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  • 4 Web of Science
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Recent Developments in Devices Used for Gastrointestinal Endoscopy Sedation
Basavana Goudra, Gowri Gouda, Preet Mohinder Singh
Clin Endosc 2021;54(2):182-192.   Published online March 18, 2021
DOI: https://doi.org/10.5946/ce.2020.057
AbstractAbstract PDFPubReaderePub
Hypoxemia is a frequent and potentially fatal complication occurring in patients during gastrointestinal endoscopy. The administration of propofol sedation increases the risk of most complications, especially hypoxemia. Nevertheless, propofol has been increasingly used in the United States, and the trend is likely to increase in the years to come. Patient satisfaction and endoscopist satisfaction along with rapid turnover are some of the touted reasons for this trend. However, propofol sedation generally implies deep sedation or general anesthesia. As a result, hypopnea and apnea frequently occur. Inadequate sedation and presence of irritable airway often cause coughing and laryngospasm, both leading to hypoxemia and potential cardiac arrest. Hence, prevention of hypoxemia is of paramount importance. Traditionally, standard nasal cannula is used to administer supplement oxygen. However, it cannot sufficiently provide continuous positive airway pressure (CPAP) or positive pressure ventilation. Device manufacturers have stepped in to fill this void and created many types of cannulas that provide apneic insufflation of oxygen and CPAP and eliminate dead space. Such measures decrease the incidence of hypoxemia. This review aimed to provide essential information of some of these devices.

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    Jan Drews, Jonas Harder, Hannah Kaiser, Miriam Soenarjo, Dorothee Spahlinger, Peter Wohlmuth, Sebastian Wirtz, Ralf Eberhardt, Florian Bornitz, Torsten Bunde, Thomas von Hahn
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    Lalitha Sundararaman, Basavana Goudra
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    Chi Chan Lee, Teressa Reanne Ju, Pei Chun Lai, Hsin-Ti Lin, Yen Ta Huang
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Role of Endoscopy in Primary Sclerosing Cholangitis
Purnima Bhat, Lars Aabakken
Clin Endosc 2021;54(2):193-201.   Published online May 8, 2020
DOI: https://doi.org/10.5946/ce.2020.019-IDEN
AbstractAbstract PDFPubReaderePub
Primary sclerosing cholangitis (PSC) is a progressive disease of the bile ducts that usually results in chronic liver disease often requiring liver transplantation. Endoscopy remains crucial to the care of these patients, although magnetic resonance cholangiopancreatography has replaced endoscopic retrograde cholangiopancreatography (ERCP) as the primary imaging modality for diagnosis. For detection of dysplasia or cholangiocarcinoma, ERCP with intraductal sampling remains compulsory. Moreover, dominant strictures play an important part in the disease development, and management by balloon dilatation or stenting could contribute to long-term prognosis. In addition, endoscopy offers management for adverse events such as bile leaks and anastomotic strictures after liver transplantation. Finally, the special phenotype of inflammatory bowel disease associated with PSC as well as the frequent occurrence of portal hypertension mandates close follow-up with colonoscopy and upper endoscopy. With the emergence of novel techniques, the endoscopist remains a key member of the multidisciplinary team caring for PSC patients.

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    Eszter Bényei, Antonio Molinaro, Per Hedenström, Riadh Sadik
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Original Articles
Endoscopic Submucosal Dissection versus Surgery for Undifferentiated-Type Early Gastric Cancer: A Systematic Review and Meta-Analysis
Cheal-Wung Huh, Dae Won Ma, Byung-Wook Kim, Joon Sung Kim, Seung Jae Lee
Clin Endosc 2021;54(2):202-210.   Published online February 17, 2021
DOI: https://doi.org/10.5946/ce.2020.121
AbstractAbstract PDFPubReaderePub
Background
/Aims: The use of endoscopic submucosal dissection (ESD) for treating undifferentiated-type early gastric cancer is controversial. The objective of this study was to perform a meta-analysis to compare the long-term outcomes of ESD and surgery for undifferentiated-type early gastric cancer.
Methods
The PubMed, Cochrane Library, and EMBASE databases were used to search for relevant studies comparing ESD and surgery for undifferentiated-type early gastric cancer. The methodological quality of the included publications was evaluated using the Risk of Bias Assessment tool for Nonrandomized Studies. The rates of overall survival, recurrence, adverse event, and complete resection were determined. Odds ratios (ORs) and 95% confidence intervals (CIs) were also evaluated.
Results
This meta-analysis enrolled five studies with 429 and 1,236 participants undergoing ESD and surgery, respectively. No significant difference was found in the overall survival rate between the ESD and surgery groups (OR, 2.29; 95% CI, 0.98–5.36; p=0.06). However, ESD was associated with a higher recurrence rate and a lower complete resection rate. The adverse event rate was similar between the two groups.
Conclusions
ESD with meticulous surveillance esophagogastroduodenoscopy may be as effective and safe as surgery in patients with undifferentiated-type early gastric cancer. Further large-scale, randomized, controlled studies from additional regions are required to confirm these findings.

Citations

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    Rajesh K. Singh
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    Rajesh K. Singh
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    Harold Benites-Goñi, Fernando Palacios-Salas, Andrea Carlin-Ronquillo, Carlos Díaz-Arocutipa, Alejandro Piscoya, Adrián Hernández
    Revista Española de Enfermedades Digestivas.2022;[Epub]     CrossRef
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    Raquel Ortigão, Diogo Libânio, Mário Dinis‐Ribeiro
    Journal of Surgical Oncology.2022; 125(7): 1110.     CrossRef
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    Ji Yong Ahn
    Journal of the Korean Medical Association.2022; 65(5): 276.     CrossRef
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    Eun Jeong Gong, Chang Seok Bang
    Journal of the Korean Medical Association.2022; 65(5): 284.     CrossRef
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    Chang Seok Bang
    Clinical Endoscopy.2021; 54(2): 143.     CrossRef
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Prospective Comparison of the AIMS65 Score, Glasgow-Blatchford Score, and Rockall Score for Predicting Clinical Outcomes in Patients with Variceal and Nonvariceal Upper Gastrointestinal Bleeding
Arunchai Chang, Chokethawee Ouejiaraphant, Keerati Akarapatima, Attapon Rattanasupa, Varayu Prachayakul
Clin Endosc 2021;54(2):211-221.   Published online July 16, 2020
DOI: https://doi.org/10.5946/ce.2020.068
AbstractAbstract PDFPubReaderePub
Background
/Aims: This study aimed to determine the performance of the AIMS65 score (AIMS65), Glasgow-Blatchford score (GBS), and Rockall score (RS) in predicting outcomes in patients with upper gastrointestinal bleeding (UGIB), and to compare the results between patients with nonvariceal UGIB (NVUGIB) and those with variceal UGIB (VUGIB).
Methods
We conducted a prospective observational study between March 2016 and December 2017. Receiver operating characteristic curve analysis was performed for all outcomes for comparison. The associations of all three scores with mortality were evaluated using multivariate logistic regression analysis.
Results
Of the total of 337 patients with UGIB, 267 patients (79.2%) had NVUGIB. AIMS65 was significantly associated (odds ratio [OR], 1.735; 95% confidence interval [CI], 1.148–2.620), RS was marginally associated (OR, 1.225; 95% CI, 0.973–1.543), but GBS was not associated (OR, 1.017; 95% CI, 0.890–1.163) with mortality risk in patients with UGIB. However, all three scores accurately predicted all other outcomes (all p<0.05) except rebleeding (p>0.05). Only AIMS65 precisely predicted mortality, the need for blood transfusion and the composite endpoint (all p<0.05) in patients with VUGIB.
Conclusions
AIMS65 is superior to GBS and RS in predicting mortality in patients with UGIB, and also precisely predicts the need for blood transfusion and the composite endpoint in patients with VUGIB. No scoring system could satisfactorily predict rebleeding in all patients with UGIB.

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    Hiroko Abe, Kunio Tarasawa, Waku Hatta, Tomoyuki Koike, Isao Sato, Yoshitaka Ono, Yohei Ogata, Masahiro Saito, Xiaoyi Jin, Takeshi Kanno, Kaname Uno, Naoki Asano, Akira Imatani, Kenji Fujimori, Kiyohide Fushimi, Atsushi Masamune
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    María Isabel Murillo Pineda, Tania Siu Xiao, Edgar J Sanabria Herrera, Alberto Ayala Aguilar, David Arriaga Escamilla, Alejandra M Aleman Reyes, Andreina D Rojas Marron, Roberto R Fabila Lievano, Jessica J de Jesús Correa Gomez, Marily Martinez Ramirez
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    Bahadır TAŞLIDERE, Elmas BİBERCİ KESKİN, Serdar ÖZDEMİR, Ahmet ATSIZ, Ertan SÖNMEZ
    Bezmialem Science.2023; 11(1): 100.     CrossRef
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    Omar Kherad, Sophie Restellini, Majid Almadi, Myriam Martel, Alan N. Barkun
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    莉 王
    Advances in Clinical Medicine.2023; 13(05): 8163.     CrossRef
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    Xu Wang, Meiling Yang, Jianhua Xu, Yaxian Kuai, Bin Sun
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Histological Architecture of Gastric Epithelial Neoplasias That Showed Absent Microsurface Patterns, Visualized by Magnifying Endoscopy with Narrow-Band Imaging
Kenta Chuman, Kenshi Yao, Takao Kanemitsu, Takashi Nagahama, Masaki Miyaoka, Haruhiko Takahashi, Kentaro Imamura, Rino Hasegawa, Toshiharu Ueki, Hiroshi Tanabe, Seiji Haraoka, Akinori Iwashita
Clin Endosc 2021;54(2):222-228.   Published online November 24, 2020
DOI: https://doi.org/10.5946/ce.2020.090
AbstractAbstract PDFPubReaderePub
Background
/Aims: The objective of this study was to elucidate the histological structure of the absent microsurface patterns (MSPs) that were visualized by magnifying endoscopy with narrow-band imaging (M-NBI).
Methods
The study included consecutive gastric epithelial neoplasias for which M-NBI findings and histological findings could be compared on a one-to-one basis. The lesions were classified as absent MSPs and present MSPs based on the findings obtained using M-NBI. Of the histopathological findings for each lesion that corresponded to M-NBI findings, crypt opening densities, crypt lengths, crypt opening diameters, intercrypt distances, and crypt angles were measured and compared.
Results
Thirty-six lesions were included in the analysis; of these, 17 lesions exhibited absent MSP and 19 lesions exhibited present MSP. Comparing the histological measurements for absent MSPs vs. present MSPs, median crypt opening density was 0.9 crypt openings/mm vs. 4.8 crypt openings/mm (p<0.001), respectively. The median crypt length, median crypt opening diameter, median intercrypt distance, and median crypt angle were 80.0 μm vs. 160 μm (p<0.001), 40.0 μm vs. 44.2 μm (p=0.09), 572.5 μm vs. 166.7 μm (p<0.001), and 21.6 degrees vs. 15.5 degrees (p<0.001), respectively.
Conclusions
Histological findings showed that lesions exhibiting absent MSPs had lower crypt opening density, shorter crypt length, greater intercrypt distance, and larger crypt angle.

Citations

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  • The staining results of early gastric cancer by indigo carmine chromoendoscopy associated with histological structure: a retrospective study
    Xiaosa Jiang, Lingzhi Qin, Yujie Hao, Qian Yang, Yueqin Zheng, Baicang Zou, Lei Dong, Na Liu, Jinhai Wang, Bin Qin
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Feasibility and Accuracy of Transduodenal Endoscopic Ultrasound-Guided Fine-Needle Aspiration of Solid Lesions Using a 19-Gauge Flexible Needle: A Multicenter Study
Germana de Nucci, Maria Chiara Petrone, Nicola Imperatore, Edoardo Forti, Roberto Grassia, Silvia Giovanelli, Laura Ottaviani, Vincenzo Mirante, Giuseppe Sabatino, Carlo Fabbri, Mauro Manno, Paolo Giorgio Arcidiacono, Gianpiero Manes
Clin Endosc 2021;54(2):229-235.   Published online May 25, 2020
DOI: https://doi.org/10.5946/ce.2020.056
AbstractAbstract PDFPubReaderePub
Background
/Aims: Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is the go-to method for obtaining samples from gastrointestinal tract and pancreatic lesions. When the transduodenal approach is utilized, the use of a more flexible needle, such as a nitinol 19-gauge (G) needle, has been recommended. The aim of this study was to evaluate the feasibility and accuracy of 19-G flexible aspiration needles in obtaining samples from solid lesions through a transduodenal approach.
Methods
This was a retrospective analysis of prospectively collected data from eight Italian endoscopy centers. Consecutive patients with solid lesions who underwent transduodenal EUS-FNA with a 19-G flexible needle were included.
Results
A total of 201 patients were enrolled. According to histology, EUS, radiology and 12 months of follow-up, 151 patients had malignant lesions and 50 patients had benign lesions. EUS-FNA was feasible in all cases. An adequate histologic sample was obtained in all except eight cases (96.1%). The sensitivity of EUS-FNA was 92.1% (95% confidence interval [CI], 86.8%–95.7%), and the specificity was 100% (95% CI, 90.5%–100%). The positive predictive value was 100% (95% CI, 93.4%–100%), and the negative predictive value was 74% (95% CI, 62.8%–82.7%). The diagnostic accuracy was 93.5% (95% CI, 89.2%–96.5%).
Conclusions
The transduodenal approach for obtaining samples from solid lesions using a 19-G flexible needle seems feasible and accurate.

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Effectiveness of Solution with 5% Detergent for Cleaning Transnasal Esophagogastroduodenoscopy Lens
Yoshinori Komazawa, Mika Yuki, Nobuhiko Fukuba, Yoshiya Kobayashi, Hitomi Ishitobi, Sayaka Nakashima, Makoto Nagaoka, Yoshiko Takahashi, Toshihiro Shizuku
Clin Endosc 2021;54(2):236-241.   Published online January 19, 2021
DOI: https://doi.org/10.5946/ce.2020.062
AbstractAbstract PDFPubReaderePub
Background
/Aims: Unsedated transnasal esophagogastroduodenoscopy (EGD) is affected by a poor scope lens-cleaning function. We have previously reported good, albeit limited, effects of an oolong tea washing solution; here, we evaluated the effectiveness of a 5% lens cleaning solution for cleaning an EGD lens.
Methods
Five percent lens cleaning solution (C), 5% dimethicone solution (D), and distilled water (W) were prepared. Study I: Lenses were soiled with pork grease, washed with each washing solution, and their image quality was judged. Study II: Patients (n=996) scheduled for transnasal EGD were randomly assigned to the C- or W-group. Lens cleanliness level, washing solution volume used, and endoscopist stress due to lens contamination were determined.
Results
Study I: The image quality of the lenses washed with (C) was significantly superior. (D) was clinically unsuitable because of spray nozzle clogging. Study II: Lens cleaning in the C-group was significantly superior (p<0.0001) and the solution volume required was significantly reduced (p<0.0001), while endoscopist stress was also lower (p<0.0001).
Conclusions
For transnasal small-caliber EGD, the present 5% lens cleaning solution provided good visibility. It features a high detergency level and is simple to formulate for therapeutic endoscopy applications, such as endoscopic submucosal dissection.
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Insufflation of Carbon Dioxide versus Air During Colonoscopy Among Pediatric Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
John Alexander Lata Guacho, Diogo Turiani Hourneaux de Moura, Igor Braga Ribeiro, Bruna Furia Buzetti Hourneaux de Moura, Megui Marilia Mansilla Gallegos, Thomas McCarty, Ricardo Katsuya Toma, Eduardo Guimarães Hourneaux de Moura
Clin Endosc 2021;54(2):242-249.   Published online March 25, 2021
DOI: https://doi.org/10.5946/ce.2020.275
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background
/Aims: Carbon dioxide is increasingly used in insufflation during colonoscopy in adult patients; however, air insufflation remains the primary practice among pediatric gastroenterologists. This systematic review and meta-analysis aims to evaluate insufflation using CO2 versus air in colonoscopies in pediatric patients.
Methods
Individualized search strategies were performed using MEDLINE, Cochrane Library, EMBASE, and LILACS databases following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and Cochrane working methodology. Randomized control trials (RCTs) were selected for the present meta-analysis. Pooled proportions were calculated for outcomes including procedure time and abdominal pain immediately and 24 hours post-procedure.
Results
The initial search yielded 644 records, of which five RCTs with a total of 358 patients (CO2: n=178 versus air: n=180) were included in the final analysis. The procedure time was not different between the CO2 and air insufflation groups (mean difference, 10.84; 95% confidence interval [CI], -2.55 to 24.22; p=0.11). Abdominal pain immediately post-procedure was significantly lower in the CO2 group (risk difference, -0.15; 95% CI; -0.26 to -0.03; p=0.01) while abdominal pain at 24 hours post-procedure was similar (risk difference, -0.05; 95% CI; -0.11 to 0.01; p=0.11).
Conclusions
Based on this systematic review and meta-analysis of RCT data, CO2 insufflation reduced abdominal pain immediately following the procedure, while pain was similar at 24 hours post-procedure. These results suggest that CO2 is a preferred insufflation technique when performing colonoscopy in pediatric patients.

Citations

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  • Elevations in End-Tidal CO2 With CO2 Use During Pediatric Endoscopy With Airway Protection: Is This Physiologically Significant?
    Chinenye R. Dike, Andrew Huang Pacheco, Elizabeth Lyden, David Freestone, Ojasvini Choudhry, Warren P. Bishop, Mohanad Shukry
    Journal of Pediatric Gastroenterology & Nutrition.2023; 76(5): 660.     CrossRef
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  • 1 Web of Science
  • 1 Crossref
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Impact of Moderate versus Deep Sedation and Trainee Participation on Adenoma Detection Rate-Analysis of a Veteran Population
Hemnishil K. Marella, Nasir Saleem, Claudio Tombazzi
Clin Endosc 2021;54(2):250-255.   Published online December 15, 2020
DOI: https://doi.org/10.5946/ce.2020.091
AbstractAbstract PDFPubReaderePub
Background
/Aims: The adenoma detection rate (ADR) is used as a quality indicator for screening and surveillance colonoscopy. The study aimed to determine if moderate versus deep sedation affects the outcomes of the ADR and other quality metrics in the veteran population.
Methods
A retrospective review of colonoscopies performed at Memphis Veterans Affairs Medical Center over a one-year period was conducted. A total of 900 colonoscopy reports were reviewed. After exclusion criteria, a total of 229 index, average-risk screening colonoscopies were identified. Data were collected to determine the impact of moderate (benzodiazepine plus opioids) versus deep (propofol) sedation on the ADR, polyp detection rate (PDR), and withdrawal time.
Results
Among 229 screening colonoscopies, 103 (44.9%) used moderate sedation while 126 (55%) were done under deep sedation. The ADR and PDR were not significantly different between moderate versus deep sedation at 35.9% vs. 37.3% (p=0.82) and 58.2% vs. 48.4% (p=0.13), respectively. Similarly, there was no significant difference in withdrawal time between moderate and deep sedation (13.4 min vs. 14 min, p=0.56) during screening colonoscopies.
Conclusions
In veterans undergoing index, average-risk screening colonoscopies, the quality metrics of the ADR, PDR, and withdrawal time are not influenced by deep sedation compared with moderate sedation.

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    Donghwan Kim, Eunsun Kim
    Journal of the Korean Medical Association.2023; 66(11): 658.     CrossRef
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    Byron P. Vaughn
    Clinical Gastroenterology and Hepatology.2022; 20(4): e912.     CrossRef
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    Hawraa Tarhini, Ayman Alrazim, Wissam Ghusn, Mohammad Hosni, Anthony Kerbage, Assaad Soweid, Ala-I Sharara, Fadi Mourad, Fadi Francis, Yasser Shaib, Kassem Barada, Fady Daniel
    Clinics and Research in Hepatology and Gastroenterology.2022; 46(7): 101981.     CrossRef
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    Marina Rizzi, Francesco Panzera, Demetrio Panzera, Berardino D’Ascoli
    Journal of Personalized Medicine.2022; 12(7): 1171.     CrossRef
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  • 100 Download
  • 6 Web of Science
  • 4 Crossref
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Utility of the Gel Immersion Method for Treating Massive Colonic Diverticular Bleeding
Kazuki Yamamoto, Yasutoshi Shiratori, Takashi Ikeya
Clin Endosc 2021;54(2):256-260.   Published online August 11, 2020
DOI: https://doi.org/10.5946/ce.2020.081
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background
/Aims: In Asia, right-sided diverticular bleeding is more common than that of the left side. It often causes massive bleeding and difficulties in identifying the stigmata of recent hemorrhage (SRH) of colonic diverticular bleeding (CDB). This case series demonstrates the efficacy of the gel immersion method using OS-1 Jelly (Otsuka Pharmaceuticals Factory, Tokushima, Japan) in patients with CDB.
Methods
This retrospective case series analyzed data of patients with CDB who underwent the gel immersion method from April 2016 to February 2020 at St. Luke’s International Hospital, Japan. All patients diagnosed with CDB who underwent the gel immersion method were included. We collected data on the site of bleeding, identification of SRH, and efficacy of the method from the electronic medical records.
Results
A total of 9 patients (including 7 with right-sided CDB) underwent gel immersion method and were included in this study. SRH were successfully found in 66.7% (6/9) of patients. Moreover, effective hemostasis was achieved in 85.7% (6/7) of patients with right-sided CDB. There were no adverse events.
Conclusions
The gel immersion method was found to be effective, especially for massive right-sided CDB.

Citations

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  • Advances in endoscopic management of colonic diverticular bleeding
    Yasutoshi Shiratori, Syed Matthew Kodilinye, Ahmed E. Salem
    Current Opinion in Gastroenterology.2024; 40(5): 363.     CrossRef
  • Successful direct clipping of the bleeding source of a colonic diverticular hemorrhage using the “long-hood gel-filling” method
    Satoshi Abiko, Koji Hirata, Kazuharu Suzuki, Kenji Kinoshita, Kazuteru Hatanaka, Yoshiya Yamamoto, Hirohito Naruse
    Endoscopy.2023; 55(S 01): E606.     CrossRef
  • Utility of under-gel endoscopic mucosal resection with partial submucosal injection for a laterally spreading tumor
    Kazuki Yamamoto, Naoki Kanomata, Takashi Ikeya
    Endoscopy.2022; 54(03): E88.     CrossRef
  • Localizing spontaneously hemostatic colonic diverticular bleeding using VISCOCLEAR gel: A case report
    Daisuke Suto, Masashi Yoshida, Takaaki Otake, Eiichiro Ichiishi, Kiichi Sato, Yosuke Osawa, Hirotoshi Ebinuma, Hironori Odaira, Yutaka Suzuki, Yutaka Kohgo
    Annals of Medicine & Surgery.2022;[Epub]     CrossRef
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    Takeshi Yamashina, Masaaki Shimatani, Yu Takahashi, Masahiro Takeo, Natsuko Saito, Hironao Matsumoto, Takeshi Kasai, Masataka Kano, Kimi Sumimoto, Toshiyuki Mitsuyama, Hiroyuki Marusawa, Akiyoshi Nishio, Takafumi Yuba, Toshihito Seki, Makoto Naganuma, Tat
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  • Digital compression for hemostasis in acute hemorrhagic rectal ulcer: a report of 4 cases and review of the literature
    Takeshi Okamoto, Ayaka Takasu, Takaaki Yoshimoto, Kazuki Yamamoto, Yasutoshi Shiratori, Takashi Ikeya, Katsuyuki Fukuda
    Clinical Journal of Gastroenterology.2021; 14(3): 796.     CrossRef
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    Shuichi Miyamoto, Kazuharu Suzuki, Kenji Kinoshita
    Digestive Endoscopy.2021;[Epub]     CrossRef
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    Tomonori Yano, Atsushi Ohata, Yuji Hiraki, Makoto Tanaka, Satoshi Shinozaki, Alan Kawarai Lefor, Hironori Yamamoto
    Endoscopy International Open.2021; 09(06): E918.     CrossRef
  • Gel immersion endoscopy: Innovation in securing the visual field – Clinical experience with 265 consecutive procedures
    Tomonori Yano, Takahito Takezawa, Kousei Hashimoto, Ayako Ohmori, Satoshi Shinozaki, Manabu Nagayama, Hirotsugu Sakamoto, Yoshimasa Miura, Yoshikazu Hayashi, Keijiro Sunada, Alan Kawarai Lefor, Hironori Yamamoto
    Endoscopy International Open.2021; 09(07): E1123.     CrossRef
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Endoscopic Ultrasound-Guided Fine Needle Biopsy Needles Provide Higher Diagnostic Yield Compared to Endoscopic Ultrasound-Guided Fine Needle Aspiration Needles When Sampling Solid Pancreatic Lesions: A Meta-Analysis
Benjamin D. Renelus, Daniel S. Jamorabo, Iman Boston, William M. Briggs, John M. Poneros
Clin Endosc 2021;54(2):261-268.   Published online August 31, 2020
DOI: https://doi.org/10.5946/ce.2020.101
AbstractAbstract PDFPubReaderePub
Background
/Aims: Studies comparing the utility of endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) and endoscopic ultrasound-guided fine needle biopsy (EUS-FNB) for solid pancreatic lesions have been inconclusive with no clear superiority. The aim of this meta-analysis was to compare the diagnostic accuracy and safety between the two sampling techniques.
Methods
We performed a systematic search of randomized controlled trials published between 2012 and 2019. The primary outcome was overall diagnostic accuracy. Secondary outcomes included adverse event rates, cytopathologic and histopathologic accuracy, and the mean number of passes required to obtain adequate tissue between FNA and FNB needles. Fixed and random effect models with pooled estimates of target outcomes were developed.
Results
Eleven studies involving 1,365 participants were included for analysis. When compared to FNB, FNA had a significant reduction in diagnostic accuracy (81% and 87%, p=0.005). In addition, FNA provided reduced cytopathologic accuracy (82% and 89%, p=0.04) and an increased number of mean passes required compared to FNB (2.3 and 1.6, respectively, p<0.0001). There was no difference in adverse event rate between FNA and FNB needles (1.8% and 2.3% respectively, p=0.64).
Conclusions
FNB provides superior diagnostic accuracy without compromising safety when compared to FNA. FNB should be readily considered by endosonographers when evaluating solid pancreatic masses.

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    José M. Jiménez-Gutiérrez, José G. de la Mora-Levy, Juan O. Alonso-Lárraga, Angélica I. Hernández-Guerrero, Betsabé A. Soriano-Herrera, Lidia F. Villegas-González, Luis F. Uscanga-Domínguez, Stephanie López-Romero, Félix I. Téllez-Ávila
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    Wael T. Mohamed, Vinay Jahagirdar, Fouad Jaber, Mohamed K. Ahmed, Ifrah Fatima, Thomas Bierman, Zhuxuan Fu, Philip G. Jones, Amira F. Hassan, Erin Faber, Wendell K. Clarkston, Hassan Ghoz, Ossama W. Tawfik, Sreeni Jonnalagadda
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    Kento Shionoya, Ryosuke Tonozuka, Shuntaro Mukai, Takayoshi Tsuchiya, Reina Tanaka, Kenjiro Yamamoto, Kazumasa Nagai, Yukitoshi Mastunami, Hiroyuki Kojima, Takao Itoi
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    Hafiz Irfan Mushtaq, Fariha Shams, Shafqat Rasool, Ghias Ul Hassan, Sadia Jabbar, Farwa Javed, Sidra Rasheed, Akif Dlishad, Ghias Un Nabi Tayyab
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    Hussein Okasha, Ahmed Ebrahim, Ihab Samih, Mohammed Sayed
    International Journal of Gastrointestinal Intervention.2024; 13(3): 98.     CrossRef
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    Eduardo P. Eyheremendy, Cristian A. Angeramo, Patricio Méndez
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    Sakue Masuda, Kazuya Koizumi, Kento Shionoya, Ryuhei Jinushi, Makomo Makazu, Takashi Nishino, Karen Kimura, Chihiro Sumida, Jun Kubota, Chikamasa Ichita, Akiko Sasaki, Masahiro Kobayashi, Makoto Kako, Uojima Haruki
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    Yoichi Tomita, Yuichi Torisu, Masafumi Chiba, Yuji Kinoshita, Takafumi Akasu, Nana Shimamoto, Takahiro Abe, Keisuke Kanazawa, Kazuki Takakura, Shintaro Tsukinaga, Masanori Nakano, Hirobumi Toyoizumi, Masayuki Kato, Masayuki Saruta
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    Takafumi Mie, Takashi Sasaki, Ryo Kanata, Takaaki Furukawa, Tsuyoshi Takeda, Akiyoshi Kasuga, Masato Matsuyama, Masato Ozaka, Naoki Sasahira
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  • 191 Download
  • 24 Web of Science
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Evaluating the Revised American Society for Gastrointestinal Endoscopy Guidelines for Common Bile Duct Stone Diagnosis
Jake S. Jacob, Michelle E. Lee, Erin Y. Chew, Aaron P. Thrift, Robert J. Sealock
Clin Endosc 2021;54(2):269-274.   Published online November 6, 2020
DOI: https://doi.org/10.5946/ce.2020.100
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background
/Aims: The American Society for Gastrointestinal Endoscopy (ASGE) revised its guidelines for risk stratification of patients with suspected choledocholithiasis. This study aimed to assess the diagnostic performance of the revision and to compare it to the previous guidelines.
Methods
We conducted a retrospective cohort study of 267 patients with suspected choledocholithiasis. We identified high-risk patients according to the original and revised guidelines and examined the diagnostic accuracy of both guidelines. We measured the association between individual criteria and choledocholithiasis.
Results
Under the original guidelines, 165 (62%) patients met the criteria for high risk, of whom 79% had confirmed choledocholithiasis. The categorization had a sensitivity and specificity of 68% and 55%, respectively, for the detection of choledocholithiasis. Under the revised guidelines, 86 (32%) patients met the criteria for high risk, of whom 83% had choledocholithiasis. The revised categorization had a lower sensitivity and higher specificity of 37% and 80%, respectively. The positive predictive value of the high-risk categorization increased with the revision, reflecting a potential decrease in diagnostic endoscopic retrograde cholangiopancreatograpies (ERCPs). Stone visualized on imaging had the greatest specificity for choledocholithiasis. Gallstone pancreatitis was not associated with the risk for choledocholithiasis.
Conclusions
The 2019 revision of the ASGE guidelines decreases the utilization of ERCP as a diagnostic modality and offers an improved risk stratification tool.

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    Tatiana Ramírez-Peña, Rómulo Darío Vargas-Rubio, Carlos Ernesto Lombo, Luis Miguel Rodríguez-Hortua, Oscar Mauricio Muñoz-Velandia
    Therapeutic Advances in Gastrointestinal Endoscopy.2023;[Epub]     CrossRef
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    Brett M. Tracy, Benjamin K. Poulose, Cameron W. Paterson, April E. Mendoza, Apostolos Gaitanidis, Jonathan M. Saxe, Andrew J. Young, Martin D. Zielinski, Carrie A. Sims, Rondi B. Gelbard
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    Suppadech Tunruttanakul, Borirak Chareonsil, Kotchakorn Verasmith, Jayanton Patumanond, Chatchai Mingmalairak
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    Yang Lei, B. Lethebe, Erin Wishart, Fateh Bazerbachi, B. Elmunzer, Nirav Thosani, James Buxbaum, Yen-I Chen, Sydney Bass, Martin Cole, Christian Turbide, Darren Brenner, Steven Heitman, Rachid Mohamed, Nauzer Forbes
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  • Criterios ASGE 2010 frente a 2019 para coledocolitiasis en pacientes llevados a colangiopancreatografía retrógrada endoscópica
    Ana María Lourido Gamboa, Guillermo Vallejo Vallecilla, Jesús Eduardo Díaz Realpe, Katheryn Daniela Lagos Castro, Juan David Guzmán Sandoval, Angela María Merchán Galvis
    Revista colombiana de Gastroenterología.2022; 37(4): 362.     CrossRef
  • Optimal Predictive Criteria for Common Bile Duct Stones: The Search Continues
    Yun Nah Lee, Jong Ho Moon
    Clinical Endoscopy.2021; 54(2): 147.     CrossRef
  • 5,819 View
  • 297 Download
  • 14 Web of Science
  • 14 Crossref
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Case Reports
Parapneumonic Effusion and Tension Pneumothorax after Diverticular Peroral Endoscopic Myotomy in a Woman with Large Epiphrenic Diverticulum: A Case Report and Literature Review
Sz-Iuan Shiu
Clin Endosc 2021;54(2):275-279.   Published online January 15, 2021
DOI: https://doi.org/10.5946/ce.2020.093
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Esophageal diverticula (ED) represents a group of rare conditions that warrant intervention when they are symptomatic or coexisting with pulmonary disorders. Few literature reviews have described this patient entity or discussed the postoperative outcome. Therefore, I present the case of a 59-year-old woman with symptoms of dysphagia who was significantly underweight, which was conducive to the diagnosis of symptomatic ED. Because she was a poor candidate for surgery, she received a diverticular peroral endoscopic myotomy. She subsequently developed parapneumonic effusion and tension pneumothorax after the procedure. She was finally discharged on postoperative day 23. I also performed the first known comprehensive literature review of 34 published cases (including my patient) from PubMed and have addressed the demography, intervention, and prognosis for symptomatic ED after the procedure. Prompt treatment as well as prognostic measurement are crucial to successful outcomes.
  • 2,978 View
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  • 1 Web of Science
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Fatal Necrotizing Fasciitis Following Uncomplicated Colonoscopic Polypectomy: A Case Report
Min Kyu Chae, Sang Youn Shin, Min Seob Kwak, Jin Young Yoon, Ha Il Kim, Jae Myung Cha
Clin Endosc 2021;54(2):280-284.   Published online December 11, 2020
DOI: https://doi.org/10.5946/ce.2020.117
AbstractAbstract PDFPubReaderePub
Necrotizing fasciitis (NF) is a life-threatening infection that can be caused by various procedures or surgery and may develop in healthy elderly patients. Here, we report a case of a 66-year-old man with diabetes mellitus who underwent colonoscopic polypectomy, without complications. However, he visited the emergency department 24 hours after the procedure complaining of abdominal pain. Abdominopelvic computed tomography revealed multiple air bubbles in the right lateral abdominal muscles. After a diagnosis of NF was made, immediate surgical debridement was performed. However, despite three sessions of extensive surgical debridement and best supportive care at the intensive care unit, the patient died because of sepsis and NF-associated multiple-organ failure. In conclusion, physicians should pay special attention to the possibility of NF if a patient with risk factors for NF develops sepsis after colonoscopic polypectomy.
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A Case of Congenital Common Bile Duct Web Treated with Balloon Dilation under Endoscopic Retrograde Cholangiopancreatography in a Young Child
Ji Sook Park, Hong Jun Kim, Ji-Hyun Seo, Hee-Shang Youn
Clin Endosc 2021;54(2):285-288.   Published online September 10, 2020
DOI: https://doi.org/10.5946/ce.2020.167
AbstractAbstract PDFPubReaderePub
Web in common bile duct (CBD web) is very rare. It is usually asymptomatic and detected incidentally during surgery for other causes in adults. It can be congenital or acquired, however congenital CBD web is extremely rare. Currently, despite its invasiveness and complications, endoscopic retrograde cholangiopancreatography (ERCP) is considered as a useful diagnostic and therapeutic modality in children with hepatobiliary pancreatic diseases as in adults. Herein we report a case of congenital CBD web presenting with acute pancreatitis and choledocholithiasis in a 4-year-old girl which was diagnosed and treated using balloon dilation under ERCP. After balloon dilation of the web, a common pancreatobiliary channel was observed. To the best of our knowledge, a case of congenital CBD web with pancreatobiliary junctional abnormality treated using ERCP in a child has not been reported to date.
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Brief Reports
Use of a Glove-Covered Mouthpiece during Upper Endoscopy to Prevent COVID-19 Transmission
Sho Sasaki, Jun Nishikawa, Isao Sakaida
Clin Endosc 2021;54(2):289-290.   Published online August 21, 2020
DOI: https://doi.org/10.5946/ce.2020.123
PDFPubReaderePub

Citations

Citations to this article as recorded by  
  • A Novel Endoscopic Mouthpiece for COVID-19 Prevention
    Takuto Hikichi, Nakamura Jun, Koichi Hamada, Daiki Nemoto
    Clinical Endoscopy.2022; 55(1): 160.     CrossRef
  • Preclinical Efficacy and Clinical Feasibility of a Novel Aerosol-Exposure Protection Mask for Esophagogastroduodenoscopy
    Mai Ego Makiguchi, Seiichiro Abe, Yutaka Okagawa, Satoru Nonaka, Haruhisa Suzuki, Shigetaka Yoshinaga, Ichiro Oda, Okamoto Ryuta, Yutaka Saito
    Clinical Endoscopy.2022; 55(2): 226.     CrossRef
  • Simple and innovative methods of minimizing risk of aerosol generation during endoscopy
    Sumitro Kosasih, Adli Metussin, Norwani Basir, Vui Heng Chong
    Clinical Endoscopy.2022; 55(3): 470.     CrossRef
  • Endoscopic Biopsy Technique using an Alcohol Swab to Prevent Transmission through the Instrument Channel in the COVID-19 Era
    Shusei Fukunaga, Taku Manabe, Mitsuhiro Kono, Tadashi Ochiai, Akira Higashimori, Masaki Ominami, Yasuaki Nagami, Yasuhiro Fujiwara
    Clinical Endoscopy.2021; 54(5): 771.     CrossRef
  • Clinical Efficacy of Novel Patient-Covering Negative-Pressure Box for Shielding Virus Transmission during Esophagogastroduodenoscopy: A Prospective Observational Study
    Shintaro Fujihara, Hideki Kobara, Noriko Nishiyama, Naoya Tada, Kazuhiro Kozuka, Takanori Matsui, Taiga Chiyo, Nobuya Kobayashi, Tingting Shi, Tatsuo Yachida, Toshio Uchida, Taichi Nagatomi, Haruo Oba, Tsutomu Masaki
    Diagnostics.2021; 11(9): 1679.     CrossRef
  • 4,026 View
  • 145 Download
  • 5 Web of Science
  • 5 Crossref
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Unusual Rectal Foreign Body: A Golf Ball
Young Joo Park, Dong Hoon Baek, Eun Young Park, Gwang Ha Kim, Geun Am Song
Clin Endosc 2021;54(2):291-292.   Published online May 25, 2020
DOI: https://doi.org/10.5946/ce.2020.097
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Citations

Citations to this article as recorded by  
  • Successful Expulsion of a Golf Ball from the Sigmoid Colon Using Volume Laxatives
    James P. Grantham, Amanda Hii, Tim Bright, David Liu, Neil Donald Merrett
    Case Reports in Surgery.2023; 2023: 1.     CrossRef
  • 9,210 View
  • 127 Download
  • 1 Web of Science
  • 1 Crossref
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Gastrointestinal Bleeding Of Unknown Origin In Patients With Splenic Aneurysm
Jaihwan Kim
Clin Endosc 2021;54(2):293-294.   Published online March 24, 2021
DOI: https://doi.org/10.5946/ce.2021.085
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  • 3,789 View
  • 92 Download
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