Skip Navigation
Skip to contents

Clin Endosc : Clinical Endoscopy

OPEN ACCESS

Previous issues

Page Path
HOME > Browse Articles > Previous issues
18 Previous issues
Filter
Filter
Article category
Keywords
Authors
Funded articles
Volume 56(1); January 2023
Prev issue Next issue
Reviews
Simulator-based training method in gastrointestinal endoscopy training and currently available simulators
Yuri Kim, Jeong Hoon Lee, Gin Hyug Lee, Ga Hee Kim, Gunn Huh, Seung Wook Hong, Hwoon-Yong Jung
Clin Endosc 2023;56(1):1-13.   Published online January 6, 2023
DOI: https://doi.org/10.5946/ce.2022.191
AbstractAbstract PDFPubReaderePub
The apprenticeship-based training method (ABTM) is highly effective for gastrointestinal (GI) endoscopic training. However, the conventional ABTM has significant issues. Although many supplementary training methods (TMs) have been developed and utilized, they cannot entirely replace the ABTM, which remains the major TM strategy. Currently, new TM construction is crucial and necessary due to financial constraints, difficulty of obtaining sufficient training time due to patient safety-related regulations, and catastrophic damage caused by disasters such as the coronavirus disease 2019 pandemic. The simulator-based TM (SBTM) is widely accepted as an alternative to the ABTM, owing to the SBTM’s advantages. Since the 1960s, many GI endoscopy training simulators have been developed and numerous studies have been published on their effectiveness. While previous studies have focused on the simulator’s validity, this review focused on the accessibility of simulators that were introduced by the end of 2021. Although the current SBTM is effective in GI endoscopic education, extensive improvements are needed to replace the ABTM. Incorporating simulator-incorporated TMs into an improved ABTM is an attempt to overcome the incompleteness of the current SBTM. Until a new simulator is developed to replace the ABTM, it is desirable to operate a simulator-integrated and well-coordinated TM that is suitable for each country and institution.

Citations

Citations to this article as recorded by  
  • Impact and assessment of training models in interventional endoscopic ultrasound
    Bogdan Miutescu, Vinay Dhir
    Digestive Endoscopy.2024; 36(1): 59.     CrossRef
  • A Multicenter Survey of Percutaneous Endoscopic Gastrostomy in 2019 at Korean Medical Institutions
    Jun Woo Park, Tae Gyun Kim, Kwang Bum Cho, Jeong Seok Kim, Jin Woong Cho, Jung Won Jeon, Sun Gyo Lim, Chan Gyoo Kim, Hong Jun Park, Tae Jun Kim, Eun Sun Kim, Su Jin Jeong, Yong Hwan Kwon
    Gut and Liver.2024; 18(1): 77.     CrossRef
  • Exploring Endoscopic Competence in Gastroenterology Training: A Simulation-Based Comparative Analysis of GAGES, DOPS, and ACE Assessment Tools
    Faisal Wasim Ismail, Azam Afzal, Rafia Durrani, Rayyan Qureshi, Safia Awan, Michelle R Brown
    Advances in Medical Education and Practice.2024; Volume 15: 75.     CrossRef
  • Assemblage of a functional and versatile endoscopy trainer reusing medical waste: Step‐by‐step video tutorial
    Riccardo Vasapolli, Jörg Schirra, Christian Schulz
    Digestive Endoscopy.2024; 36(5): 634.     CrossRef
  • Navigating the learning landscape: Comprehensive training in third space endoscopy - training, techniques, and practical recommendations
    D. Roser, S. Nagl, A. Ebigbo
    Best Practice & Research Clinical Gastroenterology.2024; : 101918.     CrossRef
  • EUS and ERCP training in Europe: Time for simulation, optimization, and standardization
    Selma J. Lekkerkerker, Rogier P. Voermans
    United European Gastroenterology Journal.2023; 11(5): 407.     CrossRef
  • There is no royal road: a shortcut for endoscopic submucosal dissection training
    Seong Woo Jeon
    Clinical Endoscopy.2023; 56(5): 590.     CrossRef
  • Enhancing the Quality of Upper Gastrointestinal Endoscopy: Current Indicators and Future Trends
    Caesar Ferrari, Micheal Tadros
    Gastroenterology Insights.2023; 15(1): 1.     CrossRef
  • 2,792 View
  • 215 Download
  • 7 Web of Science
  • 8 Crossref
Close layer
Role of artificial intelligence in diagnosing Barrett’s esophagus-related neoplasia
Michael Meinikheim, Helmut Messmann, Alanna Ebigbo
Clin Endosc 2023;56(1):14-22.   Published online January 17, 2023
DOI: https://doi.org/10.5946/ce.2022.247
AbstractAbstract PDFPubReaderePub
Barrett’s esophagus is associated with an increased risk of adenocarcinoma. Thorough screening during endoscopic surveillance is crucial to improve patient prognosis. Detecting and characterizing dysplastic or neoplastic Barrett’s esophagus during routine endoscopy are challenging, even for expert endoscopists. Artificial intelligence-based clinical decision support systems have been developed to provide additional assistance to physicians performing diagnostic and therapeutic gastrointestinal endoscopy. In this article, we review the current role of artificial intelligence in the management of Barrett’s esophagus and elaborate on potential artificial intelligence in the future.

Citations

Citations to this article as recorded by  
  • Endoskopische Therapie von Barrett-Neoplasien und Magenfrühkarzinomen
    Florian Berreth, Jan Peveling-Oberhag, Jörg G. Albert
    best practice onkologie.2024; 19(1-2): 28.     CrossRef
  • The Role of Screening and Early Detection in Upper Gastrointestinal Cancers
    Jin Woo Yoo, Monika Laszkowska, Robin B. Mendelsohn
    Hematology/Oncology Clinics of North America.2024; 38(3): 693.     CrossRef
  • Artificial intelligence in gastroenterology: where are we and where are we going?
    Laurence B Lovat
    Gastrointestinal Nursing.2024; 22(Sup3): S6.     CrossRef
  • As how artificial intelligence is revolutionizing endoscopy
    Jean-Francois Rey
    Clinical Endoscopy.2024; 57(3): 302.     CrossRef
  • Screening and Diagnostic Advances of Artificial Intelligence in Endoscopy
    Muhammed Yaman Swied, Mulham Alom, Obada Daaboul, Abdul Swied
    Innovations in Digital Health, Diagnostics, and Biomarkers.2024; 4(2024): 31.     CrossRef
  • Endoskopische Therapie von Barrett-Neoplasien und Magenfrühkarzinomen
    Florian Berreth, Jan Peveling-Oberhag, Jörg G. Albert
    Die Gastroenterologie.2023; 18(3): 186.     CrossRef
  • 2,436 View
  • 247 Download
  • 2 Web of Science
  • 6 Crossref
Close layer
Submucosal endoscopy: the present and future
Zaheer Nabi, Duvvur Nageshwar Reddy
Clin Endosc 2023;56(1):23-37.   Published online January 9, 2023
DOI: https://doi.org/10.5946/ce.2022.139
AbstractAbstract PDFPubReaderePub
Submucosal endoscopy or third-space endoscopy utilizes the potential space between the mucosal and muscularis layers of the gastrointestinal tract to execute therapeutic interventions for various diseases. Over the last decade, endoscopic access to the submucosal space has revolutionized the field of therapeutic endoscopy. Submucosal endoscopy was originally used to perform endoscopic myotomy in patients with achalasia cardia, and its use has grown exponentially since. Currently, submucosal endoscopy is widely used to resect subepithelial tumors and to manage refractory gastroparesis and Zenker’s diverticulum. While the utility of submucosal endoscopy has stood the test of time in esophageal motility disorders and subepithelial tumors, its durability remains to be established in conditions such as Zenker’s diverticulum and refractory gastroparesis. Other emerging indications for submucosal endoscopy include esophageal epiphrenic diverticulum, Hirschsprung’s disease, and esophageal strictures not amenable to conventional endoscopic treatment. The potential of submucosal endoscopy to provide easy and safe access to the mediastinum and peritoneal spaces may open doors to novel indications and rejuvenate the interest of endoscopists in natural orifice transluminal endoscopic surgery in the future. This review focuses on the current spectrum, recent updates, and future direction of submucosal endoscopy in the gastrointestinal tract.

Citations

Citations to this article as recorded by  
  • Emerging indications for third space endoscopy
    Rahil H. Shah, Sunil Amin
    Best Practice & Research Clinical Gastroenterology.2024; : 101911.     CrossRef
  • Therapeutic endoscopy: Recent updates and future directions
    Zaheer Nabi, D. Nageshwar Reddy
    Digestive and Liver Disease.2024;[Epub]     CrossRef
  • Endoscopic full thickness resection: techniques, applications, outcomes
    Zaheer Nabi, D. Nageshwar Reddy
    Expert Review of Gastroenterology & Hepatology.2024; : 1.     CrossRef
  • The role of cap-assisted endoscopy and its future implications
    Sol Kim, Bo-In Lee
    Clinical Endoscopy.2024; 57(3): 293.     CrossRef
  • Precision Endoscopy in Peroral Myotomies for Motility Disorders of the Upper Gastrointestinal Tract: Current Insights and Prospective Avenues—A Comprehensive Review
    Francesco Vito Mandarino, Edoardo Vespa, Alberto Barchi, Ernesto Fasulo, Emanuele Sinagra, Francesco Azzolini, Silvio Danese
    Life.2023; 13(11): 2143.     CrossRef
  • An Esophageal Leiomyoma with Cystic Degeneration Mimicking a Malignant Neoplasm
    Gwang Ha Kim, Dong Chan Joo, Moon Won Lee, Bong Eun Lee, Kyungbin Kim
    The Ewha Medical Journal.2023;[Epub]     CrossRef
  • Prevalence, natural progression, and clinical practices of upper gastrointestinal subepithelial lesions in Korea: a multicenter study
    Younghee Choe, Yu Kyung Cho, Gwang Ha Kim, Jun-Ho Choi, Eun Soo Kim, Ji Hyun Kim, Eun Kwang Choi, Tae Hyeon Kim, Seong-Hun Kim, Do Hoon Kim
    Clinical Endoscopy.2023; 56(6): 744.     CrossRef
  • 3,148 View
  • 232 Download
  • 5 Web of Science
  • 7 Crossref
Close layer
Systematic Review and Meta-Analysis
Hybrid argon plasma coagulation in Barrett’s esophagus: a systematic review and meta-analysis
Sagar N. Shah, Nabil El Hage Chehade, Amirali Tavangar, Alyssa Choi, Marc Monachese, Kenneth J. Chang, Jason B. Samarasena
Clin Endosc 2023;56(1):38-49.   Published online January 30, 2023
DOI: https://doi.org/10.5946/ce.2022.179
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background
/Aims: Patients with Barrett’s esophagus are at increased risk of developing esophageal adenocarcinoma. Endoscopic therapies aim to eradicate dysplastic and metaplastic tissues. Hybrid argon plasma coagulation (hybrid-APC) utilizes submucosal fluid injection to create a protective cushion prior to ablation that shields the submucosa from injury. We performed a pooled meta-analysis to evaluate the safety and efficacy of hybrid-APC.
Methods
We conducted a systematic search of major electronic databases in April 2022. Studies that included patients with dysplastic and non-dysplastic Barrett’s esophagus undergoing treatment with hybrid-APC were eligible for inclusion. Outcome measures included complete remission of intestinal metaplasia (CR-IM), stricture formation, serious adverse events, and number of sessions necessary to achieve CR-IM.
Results
Overall pooled CR-IM rate for patients undergoing hybrid-APC was 90.8% (95% confidence interval [CI], 0.872–0.939; I2=0%). Pooled stricture rate was 2.0% (95% CI, 0.005–0.042; I2=0%). Overall serious adverse event rate was 2.7% (95% CI, 0.007–0.055; I2=0%).
Conclusions
Results of the current meta-analysis suggest that hybrid-APC is associated with high rates of CR-IM and a favorable safety profile. Interpretation of these results is limited by the inclusion of retrospective cohort and case series data. Randomized controlled trials that standardize treatment and outcome evaluation protocols are necessary to understand how this treatment option is comparable to the current standards of care.

Citations

Citations to this article as recorded by  
  • Application of electrosurgery in gastrointestinal endoscopy

    Progress in Medical Devices.2024;[Epub]     CrossRef
  • Hybrid Argon Plasma Coagulation for Barrett’s Esophagus and for Colonic Mucosal Resection—A Systematic Review and Meta-Analysis
    Maria Manuela Estevinho, Rolando Pinho, João Carlos Silva, João Correia, Pedro Mesquita, Teresa Freitas
    Biomedicines.2023; 11(4): 1139.     CrossRef
  • Hybrid-APC treatment for gastric vascular ectasia of atypical location after failed radiofrequency ablation
    José Manuel Palma García, Raúl Honrubia López, Cristina Fernández de Castro, Carmen Comas Redondo
    Revista Española de Enfermedades Digestivas.2023;[Epub]     CrossRef
  • Thermal ablative therapies in the gastrointestinal tract
    Hendrik Manner
    Current Opinion in Gastroenterology.2023; 39(5): 370.     CrossRef
  • Endoscopic Management of Dysplastic Barrett’s Oesophagus and Early Oesophageal Adenocarcinoma
    Leonardo Henry Eusebi, Andrea Telese, Chiara Castellana, Rengin Melis Engin, Benjamin Norton, Apostolis Papaefthymiou, Rocco Maurizio Zagari, Rehan Haidry
    Cancers.2023; 15(19): 4776.     CrossRef
  • Critical Decision Making: Technical Aspects of Esophageal Ablation
    Felice Schnoll-Sussman
    Foregut: The Journal of the American Foregut Society.2023; 3(3): 314.     CrossRef
  • 2,724 View
  • 154 Download
  • 5 Web of Science
  • 6 Crossref
Close layer
Editorials
Role of endoscopic ultrasound in the secondary prevention of gastric varices
Joung-Ho Han
Clin Endosc 2023;56(1):50-52.   Published online January 16, 2023
DOI: https://doi.org/10.5946/ce.2022.301
PDFPubReaderePub
  • 1,677 View
  • 134 Download
Close layer
Application of double-balloon enteroscopy for small bowel tumors
Su Bum Park
Clin Endosc 2023;56(1):53-54.   Published online January 13, 2023
DOI: https://doi.org/10.5946/ce.2022.307
PDFPubReaderePub

Citations

Citations to this article as recorded by  
  • Transumbilical single-site laparoscopic treatment of small intestinal cavernous hemangioma in child: a case report
    Meng Kong, Weiqiang Liu, Yuexia Bai, Jinhua Jia, Chuanyang Liu, Shisong Zhang
    Frontiers in Oncology.2024;[Epub]     CrossRef
  • Detection of Neuroendocrine Tumours by Enteroscopy: A Case Report
    Adriana Ortega Larrode, Sergio Farrais Villalba, Claudia Guerrero Muñoz, Leonardo Blas Jhon, Maria Jesus Martin Relloso, Paloma Sanchez-Fayos Calabuig, Daniel Calero Baron, Andres Varela Silva, Juan Carlos Porres Cubero
    Medicina.2023; 59(8): 1469.     CrossRef
  • 1,431 View
  • 119 Download
  • 2 Web of Science
  • 2 Crossref
Close layer
Original Articles
Endoscopic submucosal dissection for superficial esophageal squamous cell carcinoma: long-term follow-up in a Western center
Andreas Probst, Alanna Ebigbo, Stefan Eser, Carola Fleischmann, Tina Schaller, Bruno Märkl, Stefan Schiele, Bernd Geissler, Gernot Müller, Helmut Messmann
Clin Endosc 2023;56(1):55-64.   Published online January 13, 2023
DOI: https://doi.org/10.5946/ce.2022.093
AbstractAbstract PDFPubReaderePub
Background
/Aims: Endoscopic submucosal dissection (ESD) has been established as a treatment modality for superficial esophageal squamous cell carcinoma (ESCC). Long-term follow-up data are lacking in Western countries. The aim of this study was to analyze long-term survival in a Western center.
Methods
Patients undergoing ESD for ESCC were included. The analysis was performed retrospectively using a prospectively collected database.
Results
R0 resection rate was 96.7% (59/61 lesions in 58 patients). Twenty-seven patients (46.6%) fulfilled the curative resection criteria (M1/M2) (group A), 11 patients (19.0%) had M3 lesions without lymphovascular invasion (LVI) (group B), and 20 patients (34.5%) had lesions with submucosal invasion or LVI (group C). Additional treatment was recommended after non-curative resection. It was not performed in 20/31 patients (64.5%), mainly because of comorbidities (75%). Twenty-nine out of 58 (50.0%) patients died during a mean follow-up of 3.7 years. Death was related to ESCC in 17.2% (5/29) of patients. The disease-specific survival rate after curative resection was 100%. Overall survival rates after 5 years were 61.5%, 63.6% and 28.1% for groups A, B, and C, respectively. The overall survival was significantly worse after non-curative resection (p=0.038).
Conclusions
Non-curative resection is frequent after ESD for ESCC in Western patients. The long-term prognosis is limited and mainly determined by comorbidity. Early diagnosis and pre-interventional assessments need to be improved.

Citations

Citations to this article as recorded by  
  • Endoscopic submucosal dissection for early esophageal squamous cell carcinoma: long-term results from a Western cohort
    Ilse N. Beaufort, Charlotte N. Frederiks, Anouk Overwater, Lodewijk A.A. Brosens, Arjun D. Koch, Roos E. Pouw, Jacques J.G.H.M. Bergman, Bas L.A.M. Weusten
    Endoscopy.2024; 56(05): 325.     CrossRef
  • Endoscopic Submucosal Dissection for Esophageal Cancer: Current and Future
    Yuki Okubo, Ryu Ishihara
    Life.2023; 13(4): 892.     CrossRef
  • 2,265 View
  • 136 Download
  • 2 Web of Science
  • 2 Crossref
Close layer
Endoscopic ultrasound-guided coiling and glue is safe and superior to endoscopic glue injection in gastric varices with severe liver disease: a retrospective case control study
Kapil D. Jamwal, Rajesh K. Padhan, Atul Sharma, Manoj K. Sharma
Clin Endosc 2023;56(1):65-74.   Published online January 3, 2023
DOI: https://doi.org/10.5946/ce.2021.119
Graphical AbstractGraphical Abstract AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background
/Aims: Gastric varices (GV) are present in 25% of cirrhotic patients with high rates of rebleeding and mortality. Data on endoscopic ultrasound (EUS)-guided treatment in severe liver disease (model for end stage liver disease sodium [MELD-Na] >18 and Child-Turcotte-Pugh [CTP] C with GV) are scarce. Thus, we performed a retrospective comparison of endoscopic glue injection with EUS-guided therapy in cirrhotic patients with large GV.
Methods
A retrospective study was performed in the tertiary hospitals of India. A total of 80 patients were recruited. The inclusion criteria were gastroesophageal varices type 2, isolated gastric varices type 1, bleeding within 6 weeks, size of GV >10 mm, and a MELD-Na >18. Treatment outcomes and complications of endoscopic glue injection and EUS-guided GV therapy were compared.
Results
In this study, the patients’ age, sex, liver disease severity (CTP, MELD-Na) and clinical parameters were comparable. The median number of procedures, injected glue volume, complications, and GV obturation were better in the EUS group, respectively. On subgroup analysis of the EUS method (e.g., direct gastric fundus vs. paragastric collateral [PGC] coil placement), PGC coil placement showed decreased coil requirement, less injected glue volume, decreased luminal coil extrusion, and increased successful GV obturation.
Conclusions
EUS-guided treatment is more efficient and safer, and requires a smaller number of treatment sessions, as compared to endoscopic treatment in severe liver disease patients with large GV. Furthermore, PGC coil placement increases the complete obliteration of GV.

Citations

Citations to this article as recorded by  
  • Efficacy of clip-assisted endoscopic cyanoacrylate injection therapy for gastric varices: A Meta-analysis
    Yong-Cai Lv, Yan-Hua Yao, Jing-Jing Lei
    World Chinese Journal of Digestology.2024; 32(2): 158.     CrossRef
  • Advances in the endoscopic management of gastric varices
    Xin‐Tong Chi, Ting‐Ting Lian, Ze‐Hao Zhuang
    Digestive Endoscopy.2024;[Epub]     CrossRef
  • Trends in endovascular treatment and prevention of portal bleeding
    S.V. Mikhin, P.V. Mozgovoy, A.V. Kitaeva, D.E. Gorbunov, I.V. Mikhin
    Khirurgiya. Zhurnal im. N.I. Pirogova.2024; (3): 38.     CrossRef
  • Role of endoscopic ultrasound in the secondary prevention of gastric varices
    Joung-Ho Han
    Clinical Endoscopy.2023; 56(1): 50.     CrossRef
  • Management of Gastric Varices: GI Perspective
    Catherine Vozzo, Vibhu Chittajallu, Brooke Glessing, Ashley Faulx, Amitabh Chak, Richard C.K. Wong
    Digestive Disease Interventions.2023; 07(04): 266.     CrossRef
  • 3,756 View
  • 203 Download
  • 2 Web of Science
  • 5 Crossref
Close layer
Non-atrophic gastric mucosa is an independently associated factor for superficial non-ampullary duodenal epithelial tumors: a multicenter, matched, case-control study
Azusa Kawasaki, Kunihiro Tsuji, Noriya Uedo, Takashi Kanesaka, Hideaki Miyamoto, Ryosuke Gushima, Yosuke Minoda, Eikichi Ihara, Ryosuke Amano, Kenshi Yao, Yoshihide Naito, Hiroyuki Aoyagi, Takehiro Iwasaki, Kunihisa Uchita, Hisatomi Arima, Hisashi Doyama
Clin Endosc 2023;56(1):75-82.   Published online January 5, 2023
DOI: https://doi.org/10.5946/ce.2022.059
AbstractAbstract PDFPubReaderePub
Background
/Aims: The etiology of superficial non-ampullary duodenal epithelial tumors (SNADETs) remains unclear. Recent studies have reported conflicting associations between duodenal tumor development and Helicobacter pylori infection or endoscopic gastric mucosal atrophy. As such, the present study aimed to clarify the relationship between SNADETs and H. pylori infection and/or endoscopic gastric mucosal atrophy.
Methods
This retrospective case-control study reviewed data from 177 consecutive patients with SNADETs who underwent endoscopic or surgical resection at seven institutions in Japan over a three-year period. The prevalence of endoscopic gastric mucosal atrophy and the status of H. pylori infection were compared in 531 sex- and age-matched controls selected from screening endoscopies at two of the seven participating institutions.
Results
For H. pylori infection, 85 of 177 (48.0%) patients exhibited SNADETs and 112 of 531 (21.1%) control patients were non-infected (p<0.001). Non-atrophic mucosa (C0 to C1) was observed in 96 of 177 (54.2%) patients with SNADETs and 112 of 531 (21.1%) control patients (p<0.001). Conditional logistic regression analysis revealed that non-atrophic gastric mucosa was an independent risk factor for SNADETs (odds ratio, 5.10; 95% confidence interval, 2.44–8.40; p<0.001).
Conclusions
Non-atrophic gastric mucosa, regardless of H. pylori infection status, was a factor independently associated with SNADETs.
  • 2,320 View
  • 137 Download
Close layer
Endoscopic and histological characteristics of small bowel tumors diagnosed by double-balloon enteroscopy
Suleyman Dolu, Soner Onem, Zarni Htway, Farid Hajıyev, Ali Bilgen, Hatice Cilem Binicier, Ecem Kalemoglu, Ozgul Sagol, Mesut Akarsu
Clin Endosc 2023;56(1):83-91.   Published online October 27, 2022
DOI: https://doi.org/10.5946/ce.2022.131
AbstractAbstract PDFPubReaderePub
Background
/Aims: Double-balloon enteroscopy (DBE) allows for the diagnoses and treatment of small bowel tumors (SBTs). This study aimed to evaluate the utility of DBE for the diagnosis and treatment of SBTs.
Methods
Patients diagnosed with SBTs who underwent DBE were included in this study. According to their endoscopic appearances, they were categorized as polyps or masses, and according to their histological characteristics, they were categorized as benign or malignant SBTs.
Results
A total of 704 patients were retrospectively analyzed, and 90 (12.8%) were diagnosed with SBTs. According to their endoscopic appearance, 48 (53.3%) had polyps and 42 (46.7%) had masses. Additionally, 53 (58.9%) and 37 (41.1%) patients had malignant and benign SBTs, respectively, depending on their histological characteristics. Patients diagnosed with polyps were younger than those diagnosed with masses (p<0.001). Patients diagnosed with benign SBTs were younger than those diagnosed with malignant SBT (p<0.001). Overall, histological diagnosis was determined using DBE in 73 (81.1%) patients.
Conclusions
DBE is a useful method for diagnosing SBTs. Additionally, the histological type of the lesion can be determined using DBE.
  • 1,823 View
  • 118 Download
  • 1 Web of Science
Close layer
Endoscopic removal of common bile duct stones in nonagenarians: a tertiary center experience
Mustafa Jalal, Amaan Khan, Sijjad Ijaz, Mohammed Gariballa, Yasser El-Sherif, Amer Al-Joudeh
Clin Endosc 2023;56(1):92-99.   Published online January 5, 2023
DOI: https://doi.org/10.5946/ce.2022.020
AbstractAbstract PDFPubReaderePub
Background
/Aims: There are few studies assessed the efficacy and mortality of endoscopic retrograde cholangiopancreatography (ERCP) for the removal of common bile duct (CBD) stones in the elderly aged ≥90 years. We aimed to assess the safety and efficacy of endoscopic removal of CBD stones in nonagenarians.
Methods
We retrospectively reviewed ERCP reports for CBD stone removal. The endoscopic and therapeutic outcomes were collected. The length of stay (LOS), the total number of adverse events, and mortality rate were compared between groups.
Results
A total of 125 nonagenarians were compared with 1,370 controls (65–89 years old individuals). The mean LOS for nonagenarians was significantly higher than in controls (13.6 days vs. 6.5 days). Completed intended treatment was similar in the nonagenarians and controls (89.8% and 89.5%, respectively). The overall complication rate did not differ between the groups. However, nonagenarians had a higher incidence of post-ERCP pneumonia (3.9%). None of the nonagenarians were readmitted to the hospital within 7 days. Four nonagenarians (3.2%) and 25 (1.8%) controls died within 30 days.
Conclusions
Advanced age alone did not affect the decision to perform the procedure. However, prompt diagnosis and treatment of post-ERCP pneumonia in nonagenarians could improve the outcomes and reduce mortality.

Citations

Citations to this article as recorded by  
  • Efficacy and Safety of Electrohydraulic Lithotripsy Using Peroral Cholangioscopy under Endoscopic Retrograde Cholangiopancreatography Guidance in Older Adults: A Single-Center Retrospective Study
    Koji Takahashi, Hiroshi Ohyama, Yuichi Takiguchi, Yu Sekine, Shodai Toyama, Nana Yamada, Chihei Sugihara, Motoyasu Kan, Mayu Ouchi, Hiroki Nagashima, Yotaro Iino, Yuko Kusakabe, Kohichiroh Okitsu, Izumi Ohno, Naoya Kato
    Medicina.2023; 59(4): 795.     CrossRef
  • 2,019 View
  • 143 Download
  • 1 Web of Science
  • 1 Crossref
Close layer
Role of interventional endoscopic ultrasound in a developing country
Hasan Maulahela, Nagita Gianty Annisa, Achmad Fauzi, Kaka Renaldi, Murdani Abdullah, Marcellus Simadibrata, Dadang Makmun, Ari Fahrial Syam
Clin Endosc 2023;56(1):100-106.   Published online January 17, 2023
DOI: https://doi.org/10.5946/ce.2022.058
AbstractAbstract PDFPubReaderePub
Background
/Aims: Endoscopic ultrasound (EUS) has become an essential diagnostic and therapeutic tool. EUS was introduced in 2013 in Indonesia and is considered relatively new. This study aimed to describe the current role of interventional EUS at our hospital as a part of the Indonesian tertiary health center experience.
Methods
This retrospective study included all patients who underwent interventional EUS (n=94) at our center between January 2015 and December 2020. Patient characteristics, technical success, clinical success, and adverse events associated with each type of interventional EUS procedure were evaluated.
Results
Altogether, 94 interventional EUS procedures were performed at our center between 2015 and 2020 including 75 cases of EUS-guided biliary drainage (EUS-BD), 14 cases of EUS-guided pancreatic fluid drainage, and five cases of EUS-guided celiac plexus neurolysis. The technical and clinical success rates of EUS-BD were 98.6% and 52%, respectively. The technical success rate was 100% for both EUS-guided pancreatic fluid drainage and EUS-guided celiac plexus neurolysis. The adverse event rates were 10.6% and 7.1% for EUS-BD and EUS-guided pancreatic fluid drainage, respectively.
Conclusions
EUS is an effective and safe tool for the treatment of gastrointestinal and biliary diseases. It has a low rate of adverse events, even in developing countries.

Citations

Citations to this article as recorded by  
  • EUS-guided interventional therapies for pancreatic diseases
    Rongmin Xu, Kai Zhang, Nan Ge, Siyu Sun
    Frontiers in Medicine.2024;[Epub]     CrossRef
  • 2,055 View
  • 135 Download
  • 1 Web of Science
  • 1 Crossref
Close layer
A multicenter comparative study of endoscopic ultrasound-guided fine-needle biopsy using a Franseen needle versus conventional endoscopic ultrasound-guided fine-needle aspiration to evaluate microsatellite instability in patients with unresectable pancreatic cancer
Tadayuki Takagi, Mitsuru Sugimoto, Hidemichi Imamura, Yosuke Takahata, Yuki Nakajima, Rei Suzuki, Naoki Konno, Hiroyuki Asama, Yuki Sato, Hiroki Irie, Jun Nakamura, Mika Takasumi, Minami Hashimoto, Tsunetaka Kato, Ryoichiro Kobashi, Yuko Hashimoto, Goro Shibukawa, Shigeru Marubashi, Takuto Hikichi, Hiromasa Ohira
Clin Endosc 2023;56(1):107-113.   Published online January 16, 2023
DOI: https://doi.org/10.5946/ce.2022.019
AbstractAbstract PDFPubReaderePub
Background
/Aims: Immune checkpoint blockade has recently been reported to be effective in treating microsatellite instability (MSI)-high tumors. Therefore, sufficient sampling of histological specimens is necessary in cases of unresectable pancreatic cancer (UR-PC). This multicenter study investigated the efficacy of endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB) using a Franseen needle for MSI evaluation in patients with UR-PC.
Methods
A total of 89 patients with UR-PC who underwent endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) or EUS-FNB using 22-G needles at three hospitals in Japan (2018–2021) were enrolled. Fifty-six of these patients (FNB 23 and FNA 33) were followed up or evaluated for MSI. Patient characteristics, UR-PC data, and procedural outcomes were compared between patients who underwent EUS-FNB and those who underwent EUS-FNA.
Results
No significant difference in terms of sufficient tissue acquisition for histology was observed between patients who underwent EUS-FNB and those who underwent EUS-FNA. MSI evaluation was possible significantly more with tissue samples obtained using EUS-FNB than with tissue samples obtained using EUS-FNA (82.6% [19/23] vs. 45.5% [15/33], respectively; p<0.01). In the multivariate analysis, EUS-FNB was the only significant factor influencing the possibility of MSI evaluation.
Conclusions
EUS-FNB using a Franseen needle is desirable for ensuring sufficient tissue acquisition for MSI evaluation.

Citations

Citations to this article as recorded by  
  • Oil blotting paper for formalin fixation increases endoscopic ultrasound‐guided tissue acquisition‐collected sample volumes on glass slides
    Takuo Yamai, Kenji Ikezawa, Yusuke Seiki, Ko Watsuji, Yasuharu Kawamoto, Takeru Hirao, Kazuma Daiku, Shingo Maeda, Makiko Urabe, Yugo Kai, Ryoji Takada, Kaori Mukai, Tasuku Nakabori, Hiroyuki Uehara, Sayoko Tsuzaki, Ayumi Ryu, Satoshi Tanada, Shigenori Na
    Cancer Medicine.2024;[Epub]     CrossRef
  • 2,159 View
  • 125 Download
  • 1 Crossref
Close layer
Case Reports
Gastric wall abscess after endoscopic submucosal dissection
Seung Jung Yu, Sang Heon Lee, Jun Sik Yoon, Hong Sub Lee, Sam Ryong Jee
Clin Endosc 2023;56(1):114-118.   Published online January 3, 2022
DOI: https://doi.org/10.5946/ce.2021.203
AbstractAbstract PDFPubReaderePub
Gastric wall abscess, a localized form of phlegmonous gastritis, is a rare complication of endoscopic resection. We report the first case of gastric wall abscess developing after endoscopic submucosal dissection in Korea. A 72-year-old woman visited our clinic to receive treatment for gastric adenoma. The patient successfully underwent endoscopic submucosal dissection with no complications. The final diagnosis was well-differentiated tubular adenocarcinoma. We performed follow-up endoscopy 10 weeks later and found a large subepithelial lesion on the posterior wall of the gastric antrum. Abdominal computed tomography revealed hypodense wall thickening and a 5 cm heterogenous multilobular mass in the submucosal layer of the gastric antrum. Submucosal invasion with mucin-producing adenocarcinomas could therefore not be excluded. The patient agreed to undergo additional gastrectomy due to the possibility of a highly malignant lesion. The final diagnosis was acute suppurative inflammation with the formation of multiple abscesses in the mural layers and omentum. The patient was discharged with no complications.

Citations

Citations to this article as recorded by  
  • Phlegmonous gastritis after biloma drainage: A case report and review of the literature
    Kai-Chun Yang, Hsin-Yu Kuo, Jui-Wen Kang
    World Journal of Clinical Cases.2022; 10(33): 12430.     CrossRef
  • 3,873 View
  • 261 Download
  • 1 Web of Science
  • 1 Crossref
Close layer
A large and pedunculated inflammatory pseudotumor with pseudosarcomatous change of the cecum mimicking a malignant polyp: a case report and literature review
Jong Suk Oh, Hyung Wook Kim, Su Bum Park, Dae Hwan Kang, Cheol Woong Choi, Su Jin Kim, Hyeong Seok Nam, Dae Gon Ryu
Clin Endosc 2023;56(1):119-124.   Published online July 19, 2021
DOI: https://doi.org/10.5946/ce.2021.081
AbstractAbstract PDFPubReaderePub
Inflammatory pseudotumor (IPT) is a rare benign tumor of unknown etiology that can occur in almost any organ system. It has neoplastic features such as local recurrence, invasive growth, and vascular invasion, leading to the possibility of malignant sarcomatous changes. The clinical presentations of colonic IPT may include abdominal pain, anemia, a palpable mass, and intestinal obstruction. A few cases of colonic IPT have been reported, but colonic IPT with pedunculated morphology is very rare. Furthermore, since it can mimic malignant polyps, understanding the endoscopic findings of colonic IPT is important for proper treatment. Herein, we present a case of colonic IPT with pseudosarcomatous changes, presenting as a large polyp, mimicking a malignant polyp in the cecum, along with a literature review.
  • 3,567 View
  • 199 Download
Close layer
Brief Reports
Chronic Ménétrier disease leading to gastric cancer in youth
Bruno Salomão Hirsch, Silvia R. Cardoso, Elisa R. Baba, Diogo T. H. de Moura, Manoel Ernesto P. Gonçalves, Rodrigo S. de P. Rocha, Eduardo G. H. de Moura
Clin Endosc 2023;56(1):125-128.   Published online January 18, 2023
DOI: https://doi.org/10.5946/ce.2022.051
PDFPubReaderePub
  • 1,714 View
  • 121 Download
Close layer
Trans-cavity lumen-apposing metal stent removal: an alternative safe modality
Giacomo Emanuele Maria Rizzo, Ilaria Tarantino
Clin Endosc 2023;56(1):129-131.   Published online January 18, 2023
DOI: https://doi.org/10.5946/ce.2022.105
PDFSupplementary MaterialPubReaderePub
  • 1,654 View
  • 95 Download
Close layer
Boost Your Learning with Quiz
A rapidly growing round mass in the gallbladder
Hong Ja Kim, Tae Hoon Lee
Clin Endosc 2023;56(1):132-134.   Published online January 16, 2023
DOI: https://doi.org/10.5946/ce.2022.298
PDFPubReaderePub
  • 1,942 View
  • 107 Download
Close layer

Clin Endosc : Clinical Endoscopy Twitter Facebook
Close layer
TOP