Reviews
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Current status of image-enhanced endoscopy in inflammatory bowel disease
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Young Joo Yang
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Clin Endosc 2023;56(5):563-577. Published online September 26, 2023
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DOI: https://doi.org/10.5946/ce.2023.070
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Abstract
PDFPubReaderePub
- In inflammatory bowel disease (IBD), chronic inflammation leads to unfavorable clinical outcomes and increases the risk of developing colorectal neoplasm (CRN); thereby highlighting the importance of endoscopically evaluating disease activity as well as detecting and characterizing CRN in patients with IBD. With recent advances in image-enhanced endoscopic (IEE) technologies, especially virtual chromoendoscopy (VCE) platforms, this review discusses state-of-the-art IEE techniques and their applicability in assessing disease activity and surveillance colonoscopy in patients with IBD. Among various IEE, VCE demonstrated the capacity to identify quiescent disease activity. And endoscopic remission defined by the new scoring system using VCE platform better predicted clinical outcomes, which may benefit the tailoring of therapeutic strategies in patients with IBD. High-definition dye-chromoendoscopy (HD-DCE) is numerically superior to high-definition white light endoscopy (HD-WLE) in detecting CRN in IBD; however, discrepancy is observed in the statistical significance. VCE showed comparable performance in detecting dysplasia to HD-WLE or DCE and potential for optical diagnosis to differentiate neoplastic from nonneoplastic lesions during surveillance colonoscopy. Applying these novel advanced IEE technologies would provide opportunities for personalized medicine in IBD and optimal treatment of CRN in patients with IBD.
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Management of complications related to colorectal endoscopic submucosal dissection
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Tae-Geun Gweon, Dong-Hoon Yang
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Clin Endosc 2023;56(4):423-432. Published online July 27, 2023
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DOI: https://doi.org/10.5946/ce.2023.104
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Abstract
PDFPubReaderePub
- Compared to endoscopic mucosal resection (EMR), colonoscopic endoscopic submucosal dissection (C-ESD) has the advantages of higher en bloc resection rates and lower recurrence rates of colorectal neoplasms. Therefore, C-ESD is considered an effective treatment method for laterally spread tumors and early colorectal cancer. However, C-ESD is technically more difficult and requires a longer procedure time than EMR. In addition to therapeutic efficacy and procedural difficulty, safety concerns should always be considered when performing C-ESD in clinical practice. Bleeding and perforation are the main adverse events associated with C-ESD and can occur during C-ESD or after the completion of the procedure. Most bleeding associated with C-ESD can be managed endoscopically, even if it occurs during or after the procedure. More recently, most perforations identified during C-ESD can also be managed endoscopically, unless the mural defect is too large to be sutured with endoscopic devices or the patient is hemodynamically unstable. Delayed perforations are quite rare, but they require surgical treatment more frequently than endoscopically identified intraprocedural perforations or radiologically identified immediate postprocedural perforations. Post-ESD coagulation syndrome is a relatively underestimated adverse event, which can mimic localized peritonitis from perforation. Here, we classify and characterize the complications associated with C-ESD and recommend management options for them.
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Citations
Citations to this article as recorded by
- International Digestive Endoscopy Network consensus on the management of antithrombotic agents in patients undergoing gastrointestinal endoscopy
Seung Joo Kang, Chung Hyun Tae, Chang Seok Bang, Cheol Min Shin, Young-Hoon Jeong, Miyoung Choi, Joo Ha Hwang, Yutaka Saito, Philip Wai Yan Chiu, Rungsun Rerknimitr, Christopher Khor, Vu Van Khien, Kee Don Choi, Ki-Nam Shim, Geun Am Song, Oh Young Lee
Clinical Endoscopy.2024; 57(2): 141. CrossRef - Is there a best choice of equipment for colorectal endoscopic submucosal dissection?
Francesco Cocomazzi, Sonia Carparelli, Nunzia Labarile, Antonio Capogreco, Marco Gentile, Roberta Maselli, Jahnvi Dhar, Jayanta Samanta, Alessandro Repici, Cesare Hassan, Francesco Perri, Antonio Facciorusso
Expert Review of Medical Devices.2024; : 1. CrossRef
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Original Article
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Feasibility and safety of endoscopic submucosal dissection for lesions in proximity to a colonic diverticulum
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Nobuaki Ikezawa, Takashi Toyonaga, Shinwa Tanaka, Tetsuya Yoshizaki, Toshitatsu Takao, Hirofumi Abe, Hiroya Sakaguchi, Kazunori Tsuda, Satoshi Urakami, Tatsuya Nakai, Taku Harada, Kou Miura, Takahisa Yamasaki, Stuart Kostalas, Yoshinori Morita, Yuzo Kodama
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Clin Endosc 2022;55(3):417-425. Published online May 12, 2022
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DOI: https://doi.org/10.5946/ce.2021.245
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Abstract
PDFSupplementary MaterialPubReaderePub
- Background
/Aims: Endoscopic submucosal dissection (ESD) for diverticulum-associated colorectal lesions is generally contraindicated because of the high risk of perforation. Several studies on patients with such lesions treated with ESD have been reported recently. However, the feasibility and safety of ESD for lesions in proximity to a colonic diverticulum (D-ESD) have not been fully clarified. The aim of this study was to evaluate the feasibility and safety of D-ESD.
Methods
D-ESD was defined as ESD for lesions within approximately 3 mm of a diverticulum. Twenty-six consecutive patients who underwent D-ESD were included. Two strategic approaches were used depending on whether submucosal dissection of the diverticulum-related part was required (strategy B) or not (strategy A). Treatment outcomes and adverse events associated with each strategy were analyzed.
Results
The en bloc resection rate was 96.2%. The rates of R0 and curative resection in strategies A and B were 80.8%, 73.1%, 84.6%, and 70.6%, respectively. Two cases of intraoperative perforation and one case of delayed perforation occurred. The delayed perforation case required emergency surgery, but the other cases were managed conservatively.
Conclusions
D-ESD may be a feasible treatment option. However, it should be performed in a high-volume center by expert hands because it requires highly skilled endoscopic techniques.
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Citations
Citations to this article as recorded by
- Endoscopic submucosal dissection for diverticulum using combination of countertraction and circumferential-inversion method
Hiroshi Takayama, Yoshinori Morita, Toshitatsu Takao, Douglas Motomura, Madoka Takao, Takashi Toyonaga, Yuzo Kodama
Endoscopy.2024; 56(S 01): E91. CrossRef - Traction-assisted endoscopic submucosal dissection for resection of ileocecal valve neoplasia: a French retrospective multicenter case series
Clara Yzet, Timothée Wallenhorst, Jérémie Jacques, Mariana Figueiredo Ferreira, Jérôme Rivory, Florian Rostain, Louis-Jean Masgnaux, Jean Grimaldi, Romain Legros, Pierre Lafeuille, Jérémie Albouys, Fabien Subtil, Marion Schaefer, Mathieu Pioche
Endoscopy.2024;[Epub] CrossRef - The role of cap-assisted endoscopy and its future implications
Sol Kim, Bo-In Lee
Clinical Endoscopy.2024; 57(3): 293. CrossRef - Successful planned piecemeal endoscopic resection using gel immersion and an over-the-scope clip for a lesion extensively extended into the colonic diverticulum
Tomoaki Tashima, Takahiro Muramatsu, Tomonori Kawasaki, Tsubasa Ishikawa, Shomei Ryozawa
VideoGIE.2023; 8(4): 167. CrossRef - Future therapeutic implications of new molecular mechanism of colorectal cancer
Sen Lu, Cheng-You Jia, Jian-She Yang
World Journal of Gastroenterology.2023; 29(16): 2359. CrossRef - Iatrogenic colorectal perforation caused by a clip
Hirotaka Oura, Yasuki Hatayama, Erika Nomura, Harutoshi Sugiyama, Daisuke Murakami, Makoto Arai, Takayoshi Nishino
Endoscopy.2023; 55(S 01): E1091. CrossRef
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Systematic Review and Meta-Analysis
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Does computer-aided diagnostic endoscopy improve the detection of commonly missed polyps? A meta-analysis
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Arun Sivananthan, Scarlet Nazarian, Lakshmana Ayaru, Kinesh Patel, Hutan Ashrafian, Ara Darzi, Nisha Patel
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Clin Endosc 2022;55(3):355-364. Published online May 12, 2022
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DOI: https://doi.org/10.5946/ce.2021.228
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Abstract
PDFPubReaderePub
- Background
/Aims: Colonoscopy is the gold standard diagnostic method for colorectal neoplasia, allowing detection and resection of adenomatous polyps; however, significant proportions of adenomas are missed. Computer-aided detection (CADe) systems in endoscopy are currently available to help identify lesions. Diminutive (≤5 mm) and nonpedunculated polyps are most commonly missed. This meta-analysis aimed to assess whether CADe systems can improve the real-time detection of these commonly missed lesions.
Methods
A comprehensive literature search was performed. Randomized controlled trials evaluating CADe systems categorized by morphology and lesion size were included. The mean number of polyps and adenomas per patient was derived. Independent proportions and their differences were calculated using DerSimonian and Laird random-effects modeling.
Results
Seven studies, including 2,595 CADe-assisted colonoscopies and 2,622 conventional colonoscopies, were analyzed. CADe-assisted colonoscopy demonstrated an 80% increase in the mean number of diminutive adenomas detected per patient compared with conventional colonoscopy (0.31 vs. 0.17; effect size, 0.13; 95% confidence interval [CI], 0.09–0.18); it also demonstrated a 91.7% increase in the mean number of nonpedunculated adenomas detected per patient (0.32 vs. 0.19; effect size, 0.05; 95% CI, 0.02–0.07).
Conclusions
CADe-assisted endoscopy significantly improved the detection of most commonly missed adenomas. Although this method is a potentially exciting technology, limitations still apply to current data, prompting the need for further real-time studies.
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Citations
Citations to this article as recorded by
- Use of artificial intelligence in the management of T1 colorectal cancer: a new tool in the arsenal or is deep learning out of its depth?
James Weiquan Li, Lai Mun Wang, Katsuro Ichimasa, Kenneth Weicong Lin, James Chi-Yong Ngu, Tiing Leong Ang
Clinical Endoscopy.2024; 57(1): 24. CrossRef - As how artificial intelligence is revolutionizing endoscopy
Jean-Francois Rey
Clinical Endoscopy.2024; 57(3): 302. CrossRef - Eye tracking technology in endoscopy: Looking to the future
Arun Sivananthan, Jabed Ahmed, Alexandros Kogkas, George Mylonas, Ara Darzi, Nisha Patel
Digestive Endoscopy.2023; 35(3): 314. CrossRef - Artificial intelligence and the push for small adenomas: all we need?
Katharina Zimmermann-Fraedrich, Thomas Rösch
Endoscopy.2023; 55(04): 320. CrossRef - Recent advances in devices and technologies that might prove revolutionary for colonoscopy procedures
Jonathan S. Galati, Kevin Lin, Seth A. Gross
Expert Review of Medical Devices.2023; 20(12): 1087. CrossRef - Detecting colorectal lesions with image-enhanced endoscopy: an updated review from clinical trials
Mizuki Nagai, Sho Suzuki, Yohei Minato, Fumiaki Ishibashi, Kentaro Mochida, Ken Ohata, Tetsuo Morishita
Clinical Endoscopy.2023; 56(5): 553. CrossRef - KI-Werkzeuge als smarte Helfer in Klinik und Forschung
Zeitschrift für Gastroenterologie.2023; 61(11): 1544. CrossRef - AI-powered medical devices for practical clinicians including the diagnosis of colorectal polyps
Donghwan Kim, Eunsun Kim
Journal of the Korean Medical Association.2023; 66(11): 658. CrossRef - The Role of Artificial Intelligence in Colorectal Cancer Screening: Lesion Detection and Lesion Characterization
Edward Young, Louisa Edwards, Rajvinder Singh
Cancers.2023; 15(21): 5126. CrossRef - Artificial intelligence for colorectal neoplasia detection during colonoscopy: a systematic review and meta-analysis of randomized clinical trials
Shenghan Lou, Fenqi Du, Wenjie Song, Yixiu Xia, Xinyu Yue, Da Yang, Binbin Cui, Yanlong Liu, Peng Han
eClinicalMedicine.2023; 66: 102341. CrossRef - Pouring some water into the wine—Poor performance of endoscopists in artificial intelligence studies
Jochen Weigt
United European Gastroenterology Journal.2022; 10(8): 793. CrossRef
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3,031
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Review
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Radiation Proctitis and Management Strategies
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Dushyant Singh Dahiya, Asim Kichloo, Faiz Tuma, Michael Albosta, Farah Wani
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Clin Endosc 2022;55(1):22-32. Published online November 18, 2021
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DOI: https://doi.org/10.5946/ce.2020.288
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Abstract
PDFPubReaderePub
- Radiotherapy (RT) is a treatment modality that uses high-energy rays or radioactive agents to generate ionizing radiation against rapidly dividing cells. The main objective of using radiation in cancer therapy is to impair or halt the division of the tumor cells. Over the past few decades, advancements in technology, the introduction of newer methods of RT, and a better understanding of the pathophysiology of cancers have enabled physicians to deliver doses of radiation that match the exact dimensions of the tumor for greater efficacy, with minimal exposure of the surrounding tissues. However, RT has numerous complications, the most common being radiation proctitis (RP). It is characterized by damage to the rectal epithelium by secondary ionizing radiation. Based on the onset of signs and symptoms, post-radiotherapy RP can be classified as acute or chronic, each with varying levels of severity and complication rates. The treatment options available for RP are limited, with most of the data on treatment available from case reports or small studies. Here, we describe the types of RT used in modern-day medicine and radiation-mediated tissue injury. We have primarily focused on the classification, epidemiology, pathogenesis, clinical features, treatment strategies, complications, and prognosis of RP.
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Citations
Citations to this article as recorded by
- Concurrent rectal perforation and obstruction following neoadjuvant chemoradiation for locally advanced rectal cancer: A case report
Tahmineh Tahouri, Sahand Hedayati Omami, Maryam Hosseini, Ehsanollah Rahimi-Movaghar
International Journal of Surgery Case Reports.2024; 116: 109337. CrossRef - Endoscopic resection of residual rectal neoplasia after definitive chemoradiotherapy for rectal cancer
Robert Klimkowski, Jakub Krzyzkowiak, Nastazja Dagny Pilonis, Krzysztof Bujko, Michal F. Kaminski
Best Practice & Research Clinical Gastroenterology.2024; 68: 101896. CrossRef - Radiation injuries of organs and tissues: mechanisms of occurrence, methods of prevention and treatment: A review
Daiana A. Balaeva, Denis S. Romanov, Oxana P. Trofimova, Zarina Z. Gadzhibabaeva, Yury Yu. Gorchak, Garia A. Gariaev
Journal of Modern Oncology.2024; 25(4): 504. CrossRef - Interventions for Managing Late Gastrointestinal Symptoms Following Pelvic Radiotherapy: a Systematic Review and Meta-analysis
H. Berntsson, A. Thien, D. Hind, L. Stewart, M. Mahzabin, W.S. Tung, M. Bradburn, M. Kurien
Clinical Oncology.2024; 36(5): 318. CrossRef - Intestinal microecological transplantation for a patient with chronic radiation enteritis: A case report
Lin Wang, Yan Li, Yu-Jing Zhang, Li-Hua Peng
World Journal of Gastroenterology.2024; 30(19): 2603. CrossRef - Intrarectal formalin treatment for haemorrhagic radiation‐induced proctopathy: efficacy and safety
Darina Kohoutova, Ana Wilson, Caroline Gee, Ramy Elhusseiny, Linda Wanders, David Cunningham
Colorectal Disease.2024; 26(5): 932. CrossRef - Emodin ameliorates acute radiation proctitis in mice by regulating AKT/MAPK/NF-κB/VEGF pathways
Jinsheng Gao, Yousong Li, Jiaohua Chen, Wen Feng, Jianchen Bu, Zixuan Lu, Jiandong Wang
International Immunopharmacology.2024; 132: 111945. CrossRef - Protocolo diagnóstico de la rectitis (proctitis)
C. Iniesta Cavero, L. Menchén-Viso
Medicine - Programa de Formación Médica Continuada Acreditado.2024; 14(8): 468. CrossRef - Administration of modified Gegen Qinlian decoction for hemorrhagic chronic radiation proctitis: A case report and review of literature
Shao-Yong Liu, Liu-Ling Hu, Shi-Jun Wang, Zhong-Li Liao
World Journal of Clinical Cases.2023; 11(5): 1129. CrossRef - A Retrospective Single-Arm Cohort Study in a Single Center of Radiofrequency Ablation in Treatment of Chronic Radiation Proctitis
Chien-En Tang, Kung-Chuan Cheng, Kuen-Lin Wu, Hong-Hwa Chen, Ko-Chao Lee
Life.2023; 13(2): 566. CrossRef - Survivorship in Early-Stage Rectal Cancer Patients Who Have Received Combined Modality Therapy
Saboor E. Randhawa, Laura Tenner
Clinical Colorectal Cancer.2023; 22(4): 375. CrossRef - A Systematic Review of Population-Based Studies of Chronic Bowel Symptoms in Cancer Survivors following Pelvic Radiotherapy
Adam Biran, Iakov Bolnykh, Ben Rimmer, Anthony Cunliffe, Lisa Durrant, John Hancock, Helen Ludlow, Ian Pedley, Colin Rees, Linda Sharp
Cancers.2023; 15(16): 4037. CrossRef - The effectiveness of hyperbaric oxygen therapy for managing radiation-induced proctitis – results of a 10-year retrospective cohort study
António Moreira Monteiro, Diogo Alpuim Costa, Virgínia Mareco, Carla Espiney Amaro
Frontiers in Oncology.2023;[Epub] CrossRef - Chinese clinical practice guidelines for the prevention and treatment of radiation‐induced rectal injury
Hui Zhang, Zhen Zhang, Shuanghu Yuan
Precision Radiation Oncology.2023; 7(4): 237. CrossRef - Progress in multidisciplinary treatment of hemorrhagic radiation proctitis
Qiulian Li, Guangjie Liao
Annals of Oncology Research and Therapy.2022; 2(1): 10. CrossRef
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Special Article: Celebrating the 10th Anniversary of Clinical Endoscopy
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Document Network and Conceptual and Social Structures of Clinical Endoscopy from 2015 to July 2021 Based on the Web of Science Core Collection: A Bibliometric Study
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Sun Huh
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Clin Endosc 2021;54(5):641-650. Published online September 30, 2021
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DOI: https://doi.org/10.5946/ce.2021.207
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Abstract
PDFSupplementary MaterialPubReaderePub
- Background
/Aims: The present study investigated the relevance and network of institutions, keywords, and authors’ countries of the articles in Clinical Endoscopy published from 2015 to May 2021 based on the Web of Science Core Collection.
Methods
The Web of Science Core Collection was searched with the term Clinical Endoscopy as the publication title on July 12, 2021. All 776 citations published from 2015 to May 2021 and 2,964 articles citing those 776 articles were analyzed using Biblioshiny.
Results
The corresponding authors were from 73 countries. Document coupling showed that the colorectal cancer-colonoscopyrandomized controlled trial cluster had the most significant impact and highest centrality. There were 442 articles with corresponding authors from Korea (57.0%). The number of collaborative works by Korean authors with the authors of other countries was 33 (7.5%). The articles were cited 2,964 times by corresponding authors from 37 countries.
Conclusions
The above results show that Clinical Endoscopy has published several studies on gastrointestinal endoscopy. A large proportion of citations (84.7 %) were from outside Korea, indicating that the journal content is useful for global physicians. Collaborative work between authors from Korea and other countries should be encouraged to promote the journal.
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Citations
Citations to this article as recorded by
- Research Progress in Land Consolidation and Rural Revitalization: Current Status, Characteristics, Regional Differences, and Evolution Laws
Shuchang Li, Wei Song
Land.2023; 12(1): 210. CrossRef - Journal metrics, document network, and conceptual and social structures of the Korean Journal of Anesthesiology from 2017 to July 2022: a bibliometric study
Sun Huh
Korean Journal of Anesthesiology.2023; 76(1): 3. CrossRef - Promotion to Top-Tier Journal and Development Strategy of the Annals of Laboratory Medicine for Strengthening its Leadership in the Medical Laboratory Technology Category: A Bibliometric Study
Sun Huh
Annals of Laboratory Medicine.2022; 42(3): 321. CrossRef - Research trends on endoscopic mucosal resection: A bibliometric analysis from 1991 to 2021
Yihan Yang, Xuan Xu, Menghui Wang, Yang Zhang, Pinglang Zhou, Sifan Yang, Xu Shu, Chuan Xie
Frontiers in Surgery.2022;[Epub] CrossRef - Riesgo de sangrado gastrointestinal por uso de anticoagulantes directos orales: ¿cuál es más seguro?
Ivan David Lozada Martinez, Luis Carlos Solano Díaz, Marcela Barbosa Pérez, Víctor Andrés Rueda Oviedo, Brainerd Lenin Caicedo Moncada, Gustavo Andrés Diaz Cruz, Adriana cristina Ceballos Espitia, David Esteban Diaz Gómez, Daiana Andrea Rojas Ramí
Revista Cuarzo.2022; 28(2): 31. CrossRef
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Case Report
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Colorectal carcinoma and chronic inflammatory demyelinating polyneuropathy: is there a possible paraneoplastic association?
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Adnan Malik, Faisal Inayat, Muhammad Hassan Naeem Goraya, Gul Nawaz, Ahmad Mehran, Atif Aziz, Saad Saleem
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Clin Endosc 2023;56(2):245-251. Published online July 28, 2021
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DOI: https://doi.org/10.5946/ce.2021.076
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Abstract
PDFPubReaderePub
- A plethora of paraneoplastic syndromes have been reported as remote effects of colorectal carcinoma (CRC). However, there is a dearth of data pertaining to the association of this cancer with demyelinating neuropathies. Herein, we describe the case of a young woman diagnosed with chronic inflammatory demyelinating polyneuropathy (CIDP). Treatment with intravenous immunoglobulins and prednisone did not improve her condition, and her neurological symptoms worsened. Subsequently, she was readmitted with exertional dyspnea, lightheadedness, malaise, and black stools. Colonoscopy revealed a necrotic mass in the ascending colon, which directly invaded the second part of the duodenum. Pathologic results confirmed the diagnosis of locally advanced CRC. Upon surgical resection of the cancer, her CIDP showed dramatic resolution without any additional therapy. Patients with CRC may develop CIDP as a type of paraneoplastic syndrome. Clinicians should remain cognizant of this potential association, as it is of paramount importance for the necessary holistic clinical management.
Original Articles
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Colorectal Cancer Screening with Computed Tomography Colonography: Single Region Experience in Kazakhstan
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Jandos Amankulov, Dilyara Kaidarova, Zhamilya Zholdybay, Marianna Zagurovskaya, Nurlan Baltabekov, Madina Gabdullina, Akmaral Ainakulova, Dias Toleshbayev, Alexandra Panina, Elvira Satbayeva, Zhansaya Kalieva
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Clin Endosc 2022;55(1):101-112. Published online July 15, 2021
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DOI: https://doi.org/10.5946/ce.2021.066
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Abstract
PDFPubReaderePub
- Background
/Aims: The aim of our study was to determine the efficacy of computed tomography colonography (CTC) in screening for colorectal cancer (CRC).
Methods
A total of 612 females and 588 males aged 45 to 75 years were enrolled in CTC screening. CTC was performed following standard bowel preparation and colonic insufflation with carbon dioxide. The main outcomes were the detection rate of CRC and advanced adenoma (AA), prevalence of colorectal lesions in relation to socio-demographic and health factors, and overall diagnostic performance of CTC.
Results
Overall, 56.5% of the 1,200 invited subjects underwent CTC screening. The sensitivity for CRC and AA was 0.89 and 0.97, respectively, while the specificity was 0.71 and 0.99, respectively. The prevalence of CRC and AA was 3.0% (18/593) and 7.1% (42/593), respectively, with the highest CRC prevalence in the 66-75 age group (≥12 times; odds ratio [OR], 12.11; 95% confidence interval [CI], 4.45-32.92). CRC and AA prevalence were inversely correlated with Asian descent, physical activity, and negative fecal immunochemical test results (OR=0.43; 95% CI, 0.22-0.83; OR=0.16; 95% CI, 0.04-0.68; OR=0.5; 95% CI, 0.07-3.85, respectively).
Conclusions
Our study revealed high accuracy of CTC in diagnosing colonic neoplasms, good compliance with CTC screening, and high detection rate of CRC.
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White Opaque Substance, a New Optical Marker on Magnifying Endoscopy: Usefulness in Diagnosing Colorectal Epithelial Neoplasms
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Kazutomo Yamasaki, Takashi Hisabe, Kenshi Yao, Hiroshi Ishihara, Kentaro Imamura, Tatsuhisa Yasaka, Hiroshi Tanabe, Akinori Iwashita, Toshiharu Ueki
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Clin Endosc 2021;54(4):570-577. Published online January 13, 2021
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DOI: https://doi.org/10.5946/ce.2020.205
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Abstract
PDFPubReaderePub
- Background
/Aims: A white substance that is opaque to endoscopic light is sometimes observed in the epithelium during narrowband imaging with magnifying endoscopy of gastric or colorectal epithelial neoplasms. This prospective observational study aimed to determine whether the morphology of the white opaque substance (WOS) allows differential diagnosis between colorectal adenoma and carcinoma.
Methods
A consecutive series of patients with colorectal adenomas or early carcinomas who underwent endoscopic resection or surgical excision were studied. The morphology of the WOS was determined based on endoscopic images before the histopathological diagnosis was performed. The primary outcome was the diagnostic performance of an irregular WOS as a marker of colorectal carcinoma.
Results
The study analyzed 125 lesions. A total of 33 lesions showed an irregular WOS, and 92 lesions showed a regular WOS. Among the 33 lesions found to show an irregular WOS, 30 were carcinomas. Among the 92 lesions showing a regular WOS, 79 were adenomas. With irregular WOS as a marker of carcinoma, the diagnostic accuracy was 87%, sensitivity was 91%, and specificity was 86%.
Conclusions
This study demonstrated the potential usefulness of the morphology of the WOS as a marker for the differential diagnosis between adenoma and carcinoma in cases of colorectal epithelial neoplasms.
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Citations
Citations to this article as recorded by
- Emergence of a New Optical Marker for Colorectal Neoplasms: To What Extent Should We Accept It?
Han Hee Lee
Clinical Endoscopy.2022; 55(2): 315. CrossRef
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Comparative Study of Narrow-Band Imaging and i-scan for Predicting the Histology of Intermediate-to-Large Colorectal Polyps: A Prospective, Randomized Pilot Study
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Joon Seop Lee, Seong Woo Jeon, Yong Hwan Kwon
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Clin Endosc 2021;54(6):881-887. Published online January 6, 2021
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DOI: https://doi.org/10.5946/ce.2020.257
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Abstract
PDFPubReaderePub
- Background
/Aims: To date, no reports have compared the diagnostic efficacy of narrow-band imaging (NBI) and i-scan for the histologic prediction of intermediate-to-large colorectal polyps. We aimed to compare the diagnostic accuracy of NBI and i-scan in predicting histology, and their inter-/intra-observer agreement.
Methods
We performed a prospective, randomized study that included 66 patients (NBI, n=33 vs. i-scan, n=33) with colorectal polyps (size >10 mm but <50 mm) who underwent colonoscopic resection. During the procedure, three endoscopists documented their prediction using the Japan NBI Expert Team (JNET) classification. Two months after study completion, the endoscopists reviewed still images and video clips for analysis.
Results
The overall diagnostic accuracies in the NBI and i-scan groups were 73.7% (73/99) and 75.8% (75/99), respectively, and there was no statistical significance between the two groups (p=0.744). The JNET classification as applied to NBI and i-scan showed substantial inter-observer agreement (NBI κ-value 0.612, p=0.001 vs. i-scan κ-value 0.662, p=0.002). Additionally, the κ-values of intra-observer agreement were in the range of 0.385–0.660 with NBI and 0.364–0.741 with i-scan.
Conclusions
NBI and i-scan have similar diagnostic accuracies for the histologic prediction of intermediate-to-large colorectal polyps. Furthermore, the inter-/intra-observer agreement was acceptable for both modalities when the JNET classification was applied.
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Citations
Citations to this article as recorded by
- Ultra-minimally invasive endoscopic techniques and colorectal diseases: Current status and its future
Nalini Kanta Ghosh, Ashok Kumar
Artificial Intelligence in Gastrointestinal Endoscopy.2024;[Epub] CrossRef - The Utility of Narrow-Band Imaging International Colorectal Endoscopic Classification in Predicting the Histologies of Diminutive Colorectal Polyps Using I-Scan Optical Enhancement: A Prospective Study
Yeo Wool Kang, Jong Hoon Lee, Jong Yoon Lee
Diagnostics.2023; 13(16): 2720. CrossRef - Detecting colorectal lesions with image-enhanced endoscopy: an updated review from clinical trials
Mizuki Nagai, Sho Suzuki, Yohei Minato, Fumiaki Ishibashi, Kentaro Mochida, Ken Ohata, Tetsuo Morishita
Clinical Endoscopy.2023; 56(5): 553. CrossRef - Classification and endoscopic diagnosis of colorectal polyps
Ji Hyun Kim, Sung Chul Park
Journal of the Korean Medical Association.2023; 66(11): 633. CrossRef - Usefulness of optical enhancement endoscopy combined with magnification to improve detection of intestinal metaplasia in the stomach
Sergio Sobrino-Cossío, Oscar Teramoto-Matsubara, Fabian Emura, Raúl Araya, Vítor Arantes, Elymir S. Galvis-García, Marisi Meza-Caballero, Blanca Sinahi García-Aguilar, Arturo Reding-Bernal, Noriya Uedo
Endoscopy International Open.2022; 10(04): E441. CrossRef - Interventions to improve adenoma detection rates for colonoscopy
Aasma Shaukat, Anne Tuskey, Vijaya L. Rao, Jason A. Dominitz, M. Hassan Murad, Rajesh N. Keswani, Fateh Bazerbachi, Lukejohn W. Day
Gastrointestinal Endoscopy.2022; 96(2): 171. CrossRef - A modified fujinon intelligent color enhancement (FICE) in the diagnostics of superficial epithelial neoplasms of the colon
V. A. Duvanskiy, A. V. Belkov
Experimental and Clinical Gastroenterology.2022; (5): 154. CrossRef - Mucosal imaging in colon polyps: New advances and what the future may hold
Edward John Young, Arvinf Rajandran, Hamish Lachlan Philpott, Dharshan Sathananthan, Sophie Fenella Hoile, Rajvinder Singh
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Focused Review Series: Endoscopic Submucosal Dissection for Colorectal Tumorses
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Management of Complications of Colorectal Submucosal Dissection
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Eun Ran Kim, Dong Kyung Chang
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Clin Endosc 2019;52(2):114-119. Published online March 29, 2019
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DOI: https://doi.org/10.5946/ce.2019.063
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Abstract
PDFPubReaderePub
- Endoscopic submucosal dissection (ESD) is a useful procedure for the treatment of superficial gastrointestinal neoplasm. Compared with endoscopic mucosal resection (EMR), ESD has several benefits, which include resectability of various difficult lesion, accurate histologic assessment of specimen, and lower recurrence rate. However, the risk of procedure- related complications is higher with ESD than with EMR. Moreover, because the colon has a thin wall and limited endoscopic maneuverability, ESD is considered a more challenging and risky procedure when performed in the colon than in the stomach. ESD-related complications are more likely to occur. The significant complications associated with ESD are bleeding, perforation, coagulation syndrome and stenosis, most of which can be treated and prevented by endoscopic intervention and preparation. Therefore, it is important to know how to occur and manage the ESD related complication.
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Estimation of Invasion Depth: The First Key to Successful Colorectal ESD
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Bo-In Lee, Takahisa Matsuda
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Clin Endosc 2019;52(2):100-106. Published online March 27, 2019
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DOI: https://doi.org/10.5946/ce.2019.012
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Abstract
PDFPubReaderePub
- Colorectal tumors with superficial submucosal invasion, which cannot be removed by snaring, are one of the most optimal indications for colorectal endoscopic submucosal dissection (ESD). Therefore, estimation of the invasion depth is the first key to successful colorectal ESD. Although estimation of the invasion depth based on the gross morphology may be useful in selected cases, its diagnostic accuracy could not reach the clinical requirement. The Japan Narrow-band Imaging (NBI) Expert Team (JNET) classification of NBI magnifying endoscopy findings is a useful method for histologic prediction and invasion depth estimation. However, magnifying chromoendoscopy is still necessary for JNET type 2B lesions to reach a satisfactory diagnostic accuracy. Endocytoscopy with artificial intelligence is a promising technology in invasion depth estimation; however, more data are needed for its clinical application.
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Feng Liang, Shu Wang, Kai Zhang, Tong-Jun Liu, Jian-Nan Li
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Eun Hye Oh, Nayoung Kim, Sung Wook Hwang, Sang Hyoung Park, Dong-Hoon Yang, Byong Duk Ye, Seung-Jae Myung, Suk-Kyun Yang, Chang Sik Yu, Jin Cheon Kim, Jeong-Sik Byeon
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Ioannis Tziortziotis, Faidon-Marios Laskaratos, Sergio Coda
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Namjoo Kim, Jeong-An Gim, Beom Jae Lee, Byung il Choi, Seung Bin Park, Hee Sook Yoon, Sang Hee Kang, Seung Han Kim, Moon Kyung Joo, Jong-Jae Park, Chungyeul Kim, Han-Kyeom Kim
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Gwang Ha Kim, Kwang An Kwon, Do Hyun Park, Jimin Han
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Ahmad El Hajjar, Jean-François Rey
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Advanced Treatment and Imaging in Colonoscopy: The Pocket-Creation Method for Complete Resection and Linked Color Imaging for Better Detection of Early Neoplastic Lesions by Colonoscopy
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Hironori Yamamoto, Satoshi Shinozaki, Yoshikazu Hayashi, Yoshimasa Miura, Tsevelnorov Khurelbaatar, Hiroyuki Osawa, Alan Kawarai Lefor
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Clin Endosc 2019;52(2):107-113. Published online January 10, 2019
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DOI: https://doi.org/10.5946/ce.2018.189
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Abstract
PDFPubReaderePub
- Early detection and resection of neoplastic lesions are key objectives to diminish colorectal cancer mortality. Resection of superficial colorectal neoplasms, cold snare polypectomy, endoscopic mucosal resection, and endoscopic submucosal dissection have all been developed and used worldwide. The pocket-creation method facilitates the resection of tumors in difficult and routine locations. Early detection is the most important first step to maximize the benefits of recent advancements in endoscopic techniques. However, the detection of small, flat-shaped, or faded color lesions remains difficult. Linked color imaging, a novel multi-light technology, facilitates the recognition of minor differences in tissue by enhancing the color contrast between early colorectal neoplasms and surrounding normal mucosa in a bright field of view. The most striking feature of linked color imaging is its ability to display the color of early neoplastic lesions as distinct from inflammatory changes, both of which have similar “redness” when viewed using white light imaging. To increase the detection rate of neoplasms, linked color imaging should be used from the outset for endoscopic observation. Early detection of superficial colorectal tumors can result in decreased mortality from colorectal cancer and maintain a good quality of life for patients.
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Masahiro Okada, Naohisa Yoshida, Hiroshi Kashida, Yoshikazu Hayashi, Satoshi Shinozaki, Shiori Yoshimoto, Toshihiro Fujinuma, Hirotsugu Sakamoto, Keijiro Sunada, Yuri Tomita, Osamu Dohi, Ken Inoue, Ryohei Hirose, Yoshito Itoh, Yoriaki Komeda, Ikue Sekai,
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Yining Sun, Xiu-He Lv, Xian Zhang, Jin Wang, Huimin Wang, Jin-Lin Yang
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Masafumi Kitamura, Yoshimasa Miura, Satoshi Shinozaki, Alan Kawarai Lefor, Hironori Yamamoto
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Juan Francisco Ortega-Morán, Águeda Azpeitia, Luisa F. Sánchez-Peralta, Luis Bote-Curiel, Blas Pagador, Virginia Cabezón, Cristina L. Saratxaga, Francisco M. Sánchez-Margallo
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Eun Hye Oh, Nayoung Kim, Sung Wook Hwang, Sang Hyoung Park, Dong-Hoon Yang, Byong Duk Ye, Seung-Jae Myung, Suk-Kyun Yang, Chang Sik Yu, Jin Cheon Kim, Jeong-Sik Byeon
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Satoshi Shinozaki, Hiroyuki Osawa, Yoshikazu Hayashi, Alan Kawarai Lefor, Hironori Yamamoto
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Review
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Screening Relevance of Sessile Serrated Polyps
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Charles J. Kahi
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Clin Endosc 2019;52(3):235-238. Published online January 8, 2019
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DOI: https://doi.org/10.5946/ce.2018.112
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Abstract
PDFPubReaderePub
- Conventional adenomas have historically been considered to be the only screening-relevant colorectal cancer (CRC) precursor lesion. The prevailing paradigm was that most CRCs arise along the chromosomal instability pathway, where adenomas accumulate incremental genetic alterations over time, leading eventually to malignancy. However, it is now recognized that this “conventional” pathway accounts for only about two-thirds of CRCs. The serrated pathway is responsible for most of the remainder, and is a disproportionate contributor to postcolonoscopy CRC. Hallmarks of the serrated pathway are mutations in the BRAF gene, high levels of methylation of promoter CpG islands, and the sessile serrated polyp (SSP). Accumulating evidence shows that SSPs can be considered adenoma-equivalent from the standpoint of CRC screening. SSPs have a higher prevalence than previously thought, and appear to have a relatively long dwell time similar to that of conventional adenomas. In addition, SSPs, whether sporadic or as part of the serrated polyposis syndrome, are associated with increased risk of synchronous and metachronous neoplasia. These features collectively support that SSPs are highly relevant to CRC prevention.
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World Journal of Gastrointestinal Endoscopy.2022; 14(11): 694. CrossRef - Cost-Effectiveness of Colorectal Cancer Surveillance in Hodgkin Lymphoma Survivors Treated with Procarbazine and/or Infradiaphragmatic Radiotherapy
Berbel L.M. Ykema, Andrea Gini, Lisanne S. Rigter, Manon C.W. Spaander, Leon M.G. Moons, Tanya M. Bisseling, Jan Paul de Boer, Wieke H.M. Verbeek, Pieternella J. Lugtenburg, Cecile P.M. Janus, Eefke J. Petersen, Judith M. Roesink, Richard W.M. van der Maa
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European Journal of Gastroenterology & Hepatology.2021; 33(12): 1495. CrossRef - Detection of Microsatellite Instability in Colorectal Cancer Patients With a Plasma-Based Real-Time PCR Analysis
Namjoo Kim, Sung Min Kim, Beom Jae Lee, Byung il Choi, Hee Sook Yoon, Sang Hee Kang, Seung Han Kim, Moon Kyung Joo, Jong-Jae Park, Chungyeul Kim
Frontiers in Pharmacology.2021;[Epub] CrossRef - Biology and Therapeutic Targets of Colorectal Serrated Adenocarcinoma; Clues for a Histologically Based Treatment against an Aggressive Tumor
Begoña Alburquerque-González, Fernando F. López-Calderón, María Dolores López-Abellán, Ángel Esteban-Gil, José García-Solano, Pablo Conesa-Zamora
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Original Article
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Endoscopic Features of Mucous Cap Polyps: A Way to Predict Serrated Polyps
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Brian T. Moy, Faripour Forouhar, Chia-Ling Kuo, Thomas J. Devers
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Clin Endosc 2018;51(4):368-374. Published online April 27, 2018
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DOI: https://doi.org/10.5946/ce.2017.155
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Abstract
PDFPubReaderePub
- Background
/Aims: The aims of the study were to identify whether a mucous-cap predicts the presence of serrated polyps, and to determine whether additional endoscopic findings predict the presence of a sessile serrated adenomas/polyp (SSA/P).
Methods
We analyzed 147 mucous-capped polyps with corresponding histology, during 2011–2014. Eight endoscopic features (presence of borders, elevation, rim of debris, location in the colon, size ≥10 mm, varicose vessels, nodularity, and alteration in mucosal folds) of mucous-capped polyps were examined to see if they can predict SSA/Ps.
Results
A total of 86% (n=126) of mucous-capped polyps were from the right sided serrated pathway (right-sided hyperplastic [n=83], SSA/Ps [n=43], traditional serrated adenoma [n=1]), 10% (n=15) were left-sided hyperplastic polyps, and 3% (n=5) were from the adenoma-carcinoma sequence. The presence of a mucous cap combined with varicose vessels was the only significant predictor for SSA/Ps. The other seven characteristics were not found to be statistically significant for SSA/Ps, although location in the colon and the presence of nodularity trended towards significance.
Conclusions
Our study suggests that mucous-capped polyps have high predictability for being a part of the serrated pathway. Gastroenterologists should be alert for a mucous-capped polyp with varicose veins, as these lesions have a higher risk of SSA/P.
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Colorectal Cancer Screening—Who, How, and When?
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Roisin Bevan, Matthew D Rutter
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Clin Endosc 2018;51(1):37-49. Published online January 31, 2018
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DOI: https://doi.org/10.5946/ce.2017.141
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Abstract
PDFPubReaderePub
- Colorectal cancer (CRC) is the third most common cancer worldwide. It is amenable to screening as it occurs in premalignant, latent, early, and curable stages. PubMed, Cochrane Database of Systematic Reviews, and national and international CRC screening guidelines were searched for CRC screening methods, populations, and timing. CRC screening can use direct or indirect tests, delivered opportunistically or via organized programs. Most CRCs are diagnosed after 60 years of age; most screening programs apply to individuals 50–75 years of age. Screening may reduce disease-specific mortality by detecting CRC in earlier stages, and CRC incidence by detecting premalignant polyps, which can subsequently be removed. In randomized controlled trials (RCTs) guaiac fecal occult blood testing (gFOBt) was found to reduce CRC mortality by 13%–33%. Fecal immunochemical testing (FIT) has no RCT data comparing it to no screening, but is superior to gFOBt. Flexible sigmoidoscopy (FS) trials demonstrated an 18% reduction in CRC incidence and a 28% reduction in CRC mortality. Currently, RCT evidence for colonoscopy screening is scarce. Although not yet corroborated by RCTs, it is likely that colonoscopy is the best screening modality for an individual. From a population perspective, organized programs are superior to opportunistic screening. However, no nation can offer organized population-wide colonoscopy screening. Thus, organized programs using cheaper modalities, such as FS/FIT, can be tailored to budget and capacity.
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Case Report
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Full-Thickness Resection Device for Complex Colorectal Lesions in High-Risk Patients as a Last-Resort Endoscopic Treatment: Initial Clinical Experience and Review of the Current Literature
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Edris Wedi, Beatrice Orlandini, Mark Gromski, Carlo Felix Maria Jung, Irina Tchoumak, Stephanie Boucher, Volker Ellenrieder, Jürgen Hochberger
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Clin Endosc 2018;51(1):103-108. Published online January 31, 2018
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DOI: https://doi.org/10.5946/ce.2017.093
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Abstract
PDFPubReaderePub
- The full-thickness resection device (FTRD) is a novel endoscopic device approved for the resection of colorectal lesions. This case-series describes the device and its use in high-risk patients with colorectal lesions and provides an overview of the potential indications in recently published data.
Between December 2014 and September 2015, 3 patients underwent endoscopic full thickness resection using the FTRD for colorectal lesions: 1 case for a T1 adenocarcinoma in the region of a surgical anastomosis after recto-sigmoidectomy, 1 case for a non-lifting colonic adenoma with low-grade dysplasia in an 89-year old patient and 1 for a recurrent adenoma with high-grade dysplasia in a young patient with ulcerative rectocolitis who was under immunosuppression after renal transplantation. Both technical and clinical success rates were achieved in all cases. The size of removed lesions ranged from 9 to 30 mm.
Overall, the most frequent indication in the literature has been for lifting or non-lifting adenoma, submucosal tumors, neuroendocrin tumors, incomplete endoscopic resection (R1) or T1 carcinoma.
Colorectal FTRD is a feasible technique for the treatment of colorectal lesions and represents a minimally invasive alternative for either surgical or conventional endoscopic resection strategies.
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Expert Review of Medical Devices.2019; 16(6): 493. CrossRef - Technical Feasibility of a Guidetube for Various Endoscopic Procedures in Human Gastrointestinal Simulators
Dong Seok Lee, Byeong Gwan Kim, Kook Lae Lee, Yong Jin Jung, Ji Won Kim
Clinical Endoscopy.2019; 52(3): 247. CrossRef - Now, More than Ever Before, Colonoscopy Is a Therapeutic Procedure
Ana Catarina Ribeiro Gomes, Rolando Pinho
GE - Portuguese Journal of Gastroenterology.2019; 26(4): 229. CrossRef
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25
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20
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Original Article
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External Validation of the Endoscopic Features of Sessile Serrated Adenomas in Expert and Trainee Colonoscopists
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Hyo-Joon Yang, Jeong In Lee, Soo-Kyung Park, Yoon Suk Jung, Jin Hee Sohn, Kyu Yong Choi, Dong Il Park
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Clin Endosc 2017;50(3):279-286. Published online September 13, 2016
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DOI: https://doi.org/10.5946/ce.2016.107
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Abstract
PDFSupplementary MaterialPubReaderePub
- Background
/Aims: It is unclear whether the endoscopic features of sessile serrated adenomas (SSAs) would be useful to trainee colonoscopists to predict SSA. Therefore, the present study aimed to identify features that expert and trainee colonoscopists can use to independently and reliably predict SSA by using high-resolution white-light endoscopy.
Methods
Endoscopic images of 81 polyps (39 SSAs, 22 hyperplastic polyps, and 20 tubular adenomas) from 43 patients were retrospectively evaluated by 10 colonoscopists (four experts and six trainees). Eight endoscopic features of SSAs were assessed for each polyp.
Results
According to multivariable analysis, a mucous cap (odds ratio [OR], 10.44; 95% confidence interval [CI], 5.72 to 19.07), indistinctive borders (OR, 4.21; 95% CI, 2.74 to 7.16), dark spots (OR, 3.64; 95% CI, 1.89 to 7.00), and cloud-like surface (OR, 2.43; 95% CI, 1.27 to 4.668) were independent predictors of SSAs. Among these, a mucous cap, indistinctive borders, and cloud-like surface showed moderate interobserver agreement (mean κ >0.40) among experts and trainees. When ≥1 of the three predictors was observed, the sensitivity and specificity for diagnosing SSAs were 79.0% and 81.4%, respectively.
Conclusions
Colonoscopy trainees and experts can use several specific endoscopic features to independently and reliably predict SSAs.
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Citations
Citations to this article as recorded by
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Thi Khuc, Amol Agarwal, Feng Li, Sergey Kantsevoy, Bryan Curtin, Matilda Hagan, Mary Harris, Anurag Maheshwari, Amit Raina, Elinor Zhou, Paul Thuluvath
Digestive Diseases and Sciences.2023; 68(2): 616. CrossRef - Polyp Fact or Polyp Fiction: Endoscopic Identification of Polyps Using Established Criteria to Improve the Quality of Endoscopic Evaluation and Cost Effectiveness
Ihsan Al Bayati, Sarah Al Obaidi, Mohammed Bashashati
Digestive Diseases and Sciences.2023; 68(2): 344. CrossRef - Risk factors for sessile serrated lesions among Chinese patients undergoing colonoscopy
Ru Zhang, Yunbi Ni, Cosmos LT Guo, Rashid NS Lui, William KK Wu, Joseph JY Sung, Vincent WS Wong, Sunny H Wong
Journal of Gastroenterology and Hepatology.2023; 38(9): 1468. CrossRef - Risk factors of traditional serrated adenoma and clinicopathologic characteristics of synchronous conventional adenoma
Jeongseok Kim, Ji Young Lee, Sung Wook Hwang, Sang Hyoung Park, Dong-Hoon Yang, Byong Duk Ye, Seung-Jae Myung, Suk-Kyun Yang, Ja Eun Koo, Hyo Jeong Lee, Jaewon Choe, Jeong-Sik Byeon
Gastrointestinal Endoscopy.2019; 90(4): 636. CrossRef - Identification of risk factors for sessile and traditional serrated adenomas of the colon by using big data analysis
Jeung Hui Pyo, Sang Yun Ha, Sung Noh Hong, Dong Kyung Chang, Hee Jung Son, Kyoung‐Mee Kim, Hyeseung Kim, Kyunga Kim, Jee Eun Kim, Yoon‐Ho Choi, Young‐Ho Kim
Journal of Gastroenterology and Hepatology.2018; 33(5): 1039. CrossRef - Sessile Serrated Adenoma; the Hard-to-Catch Culprit of Interval Cancer
Suk Pyo Shin
Clinical Endoscopy.2017; 50(3): 215. CrossRef - Proximal Sessile Serrated Adenomas Are More Prevalent in Caucasians, and Gastroenterologists Are Better Than Nongastroenterologists at Their Detection
Malav P. Parikh, Sujit Muthukuru, Yash Jobanputra, Kushal Naha, Niyati M. Gupta, Vaibhav Wadhwa, Rocio Lopez, Prashanthi N. Thota, Madhusudhan R. Sanaka
Gastroenterology Research and Practice.2017; 2017: 1. CrossRef
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7,470
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7
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7
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Review
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Endoscopic Mucosal Resection versus Endoscopic Submucosal Dissection for Large Polyps: A Western Colonoscopist’s View
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Ian Holmes, Shai Friedland
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Clin Endosc 2016;49(5):454-456. Published online August 26, 2016
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DOI: https://doi.org/10.5946/ce.2016.077
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Abstract
PDFPubReaderePub
- To discuss the rationale for the widespread application of endoscopic mucosal resection (EMR) rather than endoscopic submucosal dissection (ESD) in Western centers. In Western centers, EMR is the treatment of choice for most non-pedunculated colorectal adenomas >2 cm in size. EMR is sufficiently effective and safe to be performed without post-procedure hospitalization. Advances in EMR have led to reduced recurrence rates, and recent studies have demonstrated excellent outcomes with endoscopic treatment of recurrent adenomas. While studies from Asia have demonstrated lower recurrence rates with ESD, concern about the higher perforation risk and lengthy procedure time of ESD are two of the barriers preventing widespread adoption of ESD in the West. EMR is likely to continue as the dominant method for the treatment of large colorectal adenomas in Western centers until the limitations of ESD are overcome.
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Citations
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Oren Ledder, Marek Woynarowski, Diana Kamińska, Izabella Łazowska-Przeorek, Stanislaw Pieczarkowski, Claudio Romano, Raffi Lev-Tzion, Magdalena Holon, Andreia Nita, Anna Rybak, Elżbieta Jarocka-Cyrta, Bartosz Korczowski, Elzbieta Czkwianianc, Iva Hojsak,
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Julius Mueller, Armin Kuellmer, Moritz Schiemer, Robert Thimme, Arthur Schmidt
Digestive Endoscopy.2023; 35(2): 232. CrossRef - Endoscopic mucosal resection and endoscopic submucosal dissection with an external additional working channel (EMR+ and ESD+) are equivalent to using a double-channel endoscope: a systematic evaluation in a porcine ex vivo model
Richard F. Knoop, Ahmad Amanzada, Golo Petzold, Volker Ellenrieder, Michael Engelhardt, Albrecht Neesse, Sebastian C. B. Bremer, Steffen Kunsch
Surgical Endoscopy.2023; 37(10): 7749. CrossRef - High-Quality Colonoscopy: A Review of Quality Indicators and Best Practices
Mason Soeder, Alla Turshudzhyan, Lisa Rosenberg, Micheal Tadros
Gastroenterology Insights.2022; 13(2): 162. CrossRef - Risk factors for local recurrence of large gastrointestinal lesions after endoscopic mucosal resection
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Francesco Auriemma, Sandro Sferrazza, Mario Bianchetti, Maria Flavia Savarese, Laura Lamonaca, Danilo Paduano, Nicole Piazza, Enrica Giuffrida, Lupe Sanchez Mete, Alessandra Tucci, Sebastian Manuel Milluzzo, Chiara Iannelli, Alessandro Repici, Benedetto M
World Journal of Gastrointestinal Surgery.2022; 14(7): 632. CrossRef - Endoscopic submucosal dissection with an additional working channel (ESD+): a novel technique to improve procedure time and safety of ESD
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Mike T. Wei, George Triadafilopoulos, Shai Friedland
Digestive Diseases and Sciences.2021; 66(4): 989. CrossRef - Current Endoscopic Resection Techniques for Gastrointestinal Lesions: Endoscopic Mucosal Resection, Submucosal Dissection, and Full-Thickness Resection
Arthur Hoffman, Raja Atreya, Timo Rath, Markus Ferdinand Neurath
Visceral Medicine.2021; 37(5): 358. CrossRef - Japan Gastroenterological Endoscopy Society guidelines for colorectal endoscopic submucosal dissection/endoscopic mucosal resection
Shinji Tanaka, Hiroshi Kashida, Yutaka Saito, Naohisa Yahagi, Hiroo Yamano, Shoichi Saito, Takashi Hisabe, Takashi Yao, Masahiko Watanabe, Masahiro Yoshida, Yusuke Saitoh, Osamu Tsuruta, Ken‐ichi Sugihara, Masahiro Igarashi, Takashi Toyonaga, Yoichi Ajiok
Digestive Endoscopy.2020; 32(2): 219. CrossRef - Features of endoscopic procedure site reaction associated with a recently approved submucosal lifting agent
Carlos A. Castrodad-Rodríguez, Nicole C. Panarelli, Adam J. Gersten, Qiang Liu, Michael Feely, Tony El Jabbour
Modern Pathology.2020; 33(8): 1581. CrossRef - Efficacy and safety of three different endoscopic methods in treatment of 6–20 mm colorectal polyps
Dazhou Li, Wen Wang, Jiao Xie, Gang Liu, Rong Wang, Chuanshen Jiang, Zhou Ye, Binbin Xu, Xiaojian He, Donggui Hong
Scandinavian Journal of Gastroenterology.2020; 55(3): 362. CrossRef - ESD and Pit Pattern Diagnosis: Lessons from a Japanese Endoscopist Working in the United States
Makoto Nishimura
Clinics in Colon and Rectal Surgery.2020; 33(06): 329. CrossRef - Long‐term clinical outcomes of endoscopic submucosal dissection for colorectal neoplasia with or without the hybrid technique
DU Kang, JC Park, SW Hwang, SH Park, DH Yang, KJ Kim, BD Ye, SJ Myung, SK Yang, JS Byeon
Colorectal Disease.2020; 22(12): 2008. CrossRef - Evaluation of recurrence and surgical complementation rates after endoscopic resection of large colorectal non-pedunculated lesions
Alanna Alexandre Silva de Azevedo, Maria Cecilia del Picchia Novaes Ribeiro, Fernando Lander Mota, Paulo Alberto Falco Pires Correa, Jarbas Faraco Maldonado Loureiro
Revista Española de Enfermedades Digestivas.2020;[Epub] CrossRef - How Is Endoscopic Submucosal Dissection for Gastrointestinal Lesions Being Implemented? Results from an International Survey
Miguel Araújo-Martins, Pedro Pimentel-Nunes, Diogo Libânio, Marta Borges-Canha, Mário Dinis-Ribeiro
GE - Portuguese Journal of Gastroenterology.2020; 27(1): 1. CrossRef - Comparison of Endoscopic Submucosal Dissection for Primary and Recurrent Colorectal Lesions: A Single-Center European Study
Michał Spychalski, Aleksander Skulimowski, Makoto Nishimura, Adam Dziki
Journal of Laparoendoscopic & Advanced Surgical Techniques.2019; 29(3): 366. CrossRef - Modular laser-based endoluminal ablation of the gastrointestinal tract: in vivo dose–effect evaluation and predictive numerical model
Giuseppe Quero, Paola Saccomandi, Jung-Myun Kwak, Bernard Dallemagne, Guido Costamagna, Jacques Marescaux, Didier Mutter, Michele Diana
Surgical Endoscopy.2019; 33(10): 3200. CrossRef - Endoscopic resection techniques for colorectal neoplasia: Current developments
Franz Ludwig Dumoulin, Ralf Hildenbrand
World Journal of Gastroenterology.2019; 25(3): 300. CrossRef - Cost Analysis of Endoscopic Submucosal Dissection for the Treatment of Colorectal Lesions in China
Ning Cui, Yu Zhao, Honggang Yu
BioMed Research International.2019; 2019: 1. CrossRef - Endoscopic management of iatrogenic gastrointestinal perforations
Kan Wang, Jihao Shi, Linna Ye
Laparoscopic, Endoscopic and Robotic Surgery.2019; 2(2): 41. CrossRef - Using Endoscopic Submucosal Dissection as a Routine Component of the Standard Treatment Strategy for Large and Complex Colorectal Lesions in a Western Tertiary Referral Unit
Andrew Emmanuel, Shraddha Gulati, Margaret Burt, Bu’Hussain Hayee, Amyn Haji
Diseases of the Colon & Rectum.2018; 61(6): 743. CrossRef - Endoscopic resection of large colorectal adenomas – clinical experience of a tertiary referral centre
L. Mlynarsky, S. Zelber‐Sagi, E. Miller, R. Kariv
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Shunsuke Yamamoto, Tomasz Radomski, Morteza Shafazand
Scandinavian Journal of Gastroenterology.2018; 53(9): 1146. CrossRef
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8,770
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Case Report
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Unusual Local Recurrence with Distant Metastasis after Successful Endoscopic Submucosal Dissection for Colorectal Mucosal Cancer
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Hyo Jeong Lee, Byong Duk Ye, Jeong-Sik Byeon, Jihun Kim, Young Soo Park, Yong Sang Hong, Yong Sik Yoon, Dong-Hoon Yang
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Clin Endosc 2017;50(1):91-95. Published online August 22, 2016
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DOI: https://doi.org/10.5946/ce.2016.054
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Abstract
PDFPubReaderePub
- Intramucosal colorectal cancer (CRC) is thought not to metastasize because the colonic lamina propria lacks lymphatics. Only a few recent case reports have suggested lymph node metastasis from intramucosal CRC, but there is no clear evidence supporting the metastatic potential of intramucosal CRC. Hence, endoscopic resection is regarded as curative treatment for intramucosal CRC. This report describes two cases of unusual local recurrence with distant metastasis in patients who had previously undergone successful endoscopic submucosal dissection for intramucosal CRC. The recurrent colorectal lesions developed at the site of the previous endoscopic submucosal dissection scars in a relatively short-term period, and the pathologic findings showed an “undermining” invasion pattern without surrounding mucosal change. Based on the clinical course and pathological findings, we concluded that the second colorectal lesions were recurrences rather than de novo cancers.
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- Local excision after polypectomy for rectal polyp cancer: when is it worthwhile?
Helen J. S. Jones, Issam al‐Najami, Gunnar Baatrup, Chris Cunningham
Colorectal Disease.2021; 23(4): 868. CrossRef - Presacral lymph node recurrence of rectal intramucosal adenocarcinoma after endoscopic mucosal resection: a case report
Taichi Horino, Yukiharu Hiyoshi, Yuji Miyamoto, Naoya Yoshida, Hideo Baba
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Ming-Hao Hsieh, Pei-Tseng Kung, Wen-Yin Kuo, Tao-Wei Ke, Wen-Chen Tsai
Medicine.2020; 99(36): e21688. CrossRef - Recurrence rate of lateral margin-positive cases after en bloc endoscopic submucosal dissection of colorectal neoplasia
Seohyun Lee, Jihun Kim, Jae Seung Soh, Jungho Bae, Sung Wook Hwang, Sang Hyoung Park, Byong Duk Ye, Jeong-Sik Byeon, Seung-Jae Myung, Suk-Kyun Yang, Dong-Hoon Yang
International Journal of Colorectal Disease.2018; 33(6): 735. CrossRef
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7,211
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199
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7
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4
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Reviews
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Optimal Colonoscopy Surveillance Interval after Polypectomy
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Tae Oh Kim
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Clin Endosc 2016;49(4):359-363. Published online July 29, 2016
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DOI: https://doi.org/10.5946/ce.2016.080
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Abstract
PDFPubReaderePub
- The detection and removal of adenomatous polyps and postpolypectomy surveillance are considered important for the control of colorectal cancer (CRC). Surveillance using colonoscopy is an effective tool for preventing CRC after colorectal polypectomy, especially if compliance is good. In current practice, the intervals between colonoscopies after polypectomy are variable. Different recommendations for recognizing at risk groups and defining surveillance intervals after an initial finding of colorectal adenomas have been published. However, high-grade dysplasia and the number and size of adenomas are known major cancer predictors. Based on this, a subgroup of patients that may benefit from intensive surveillance colonoscopy can be identified.
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Citations
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- Gender disparities in colorectal polyps
A. K. Safiyeva
Klinicheskaia khirurgiia.2021; 88(1-2): 57. CrossRef - Three-year colonoscopy surveillance after polypectomy in Korea: a Korean Association for the Study of Intestinal Diseases (KASID) multicenter prospective study
Won Seok Choi, Dong Soo Han, Chang Soo Eun, Dong Il Park, Jeong-Sik Byeon, Dong-Hoon Yang, Sung-Ae Jung, Sang Kil Lee, Sung Pil Hong, Cheol Hee Park, Suck-Ho Lee, Jeong-Seon Ji, Sung Jae Shin, Bora Keum, Hyun Soo Kim, Jung Hye Choi, Sin-Ho Jung
Intestinal Research.2018; 16(1): 126. CrossRef
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9,614
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2
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2
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Endocuff-Assisted Colonoscopy—A Novel Accessory in Improving Adenoma Detection Rate: A Review of the Literature
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Rashmee Patil, Mel A. Ona, Emmanuel Ofori, Madhavi Reddy
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Clin Endosc 2016;49(6):533-538. Published online May 2, 2016
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DOI: https://doi.org/10.5946/ce.2016.032
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Abstract
PDFPubReaderePub
- Endocuff (Arc Medical Design) is a U.S. Food and Drug Administration-approved device that is attached like a cap to the distal tip of the colonoscope; it is used to improve adenoma detection rates during colonoscopy. The aim of this review was to summarize and evaluate the clinical and technical efficacy of Endocuff in improving adenoma detection rate. A comprehensive literature review was performed to identify studies describing this technique. In this review article, we have summarized case series and reports describing Endocuff use and results. The reported indications, results, limitations, and complications are discussed.
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- Endocuff Vision-Assisted Resection for Difficult Colonic Lesions—Preliminary Results of a Multicenter, Prospective Randomized Pilot Study
Rossella Palma, Gianluca Andrisani, Gianfranco Fanello, Augusto Lauro, Cristina Panetta, Chiara Eberspacher, Francesco Di Matteo, Samuele Vaccari, Noemi Zorzetti, Vito D’Andrea, Stefano Pontone
Journal of Clinical Medicine.2023; 12(15): 4980. CrossRef - Endocuff-assisted push enteroscopy increases the detection of proximal small-bowel gastrointestinal angiodysplasias
Christian S. Jackson, Chandrasekhar Kesavan, Anjali Das, Erick Imbertson, Richard M. Strong
Indian Journal of Gastroenterology.2022; 41(3): 300. CrossRef - Técnicas colonoscópicas para la detección de pólipos: un estudio egipcio
M. Abdelbary, S. Hamdy, H. Shehab, N. ElGarhy, M. Menesy, R. Marzaban
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M. Abdelbary, S. Hamdy, H. Shehab, N. ElGarhy, M. Menesy, R. Marzaban
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Zoe Lawrence, Seth A. Gross
Current Treatment Options in Gastroenterology.2020; 18(1): 137. CrossRef - Number of significant polyps detected per six-minute withdrawal time at colonoscopy (SP6): a new measure of colonoscopy efficiency and quality
Rajaratnam Rameshshanker, Brian P Saunders
Frontline Gastroenterology.2020; 11(6): 491. CrossRef - EndoCuff‐assisted colonoscopy could improve adenoma detection rate: A meta‐analysis of randomized controlled trials
Hai Xu Jian, Bing Cheng Feng, Yan Zhang, Jun Yan Qu, Yue Yue Li, Xiu Li Zuo
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Michael X. Ma, Michael J. Bourke
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Enrique Murcio Pérez
Endoscopia.2016; 28(4): 135. CrossRef
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Original Article
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Factors for Endoscopic Submucosal Dissection in Early Colorectal Neoplasms: A Single Center Clinical Experience in China
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Yu-Qi He, Xin Wang, Ai-Qin Li, Lang Yang, Jian Zhang, Qian Kang, Shan Tang, Peng Jin, Jian-Qiu Sheng
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Clin Endosc 2015;48(5):405-410. Published online September 30, 2015
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DOI: https://doi.org/10.5946/ce.2015.48.5.405
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Abstract
PDFPubReaderePub
- Background/Aims
Early colorectal (CR) neoplasm can be cured by endoscopic submucosal dissection (ESD), but clinical experience and factors associated with complications from ESD for CR neoplasms in China have not been reported.
MethodsSeventy-eight cases of early CR neoplasm treated with endoscopic resection performed between December 2012 and December 2013 at Beijing Military General Hospital were included. Factors associated with ESD complications and procedure times were evaluated.
ResultsThe en bloc resection rate was 88.5% (69/78), tumor size was 32.1±10.7 mm, and procedure time was 71.8±49.5 minutes. The major complication was perforation, which occurred in 8.97% of the ESD procedures. Multivariate logistic regression analysis indicated that only tumor size (p=0.022) was associated with ESD perforation. Tumor size (p<0.001) and the non-lifting sign (p=0.017) were independent factors for procedure time, and procedure time (p=0.016) was a key factor for en bloc resection. After a median 10 months (range, 4 to 16) of follow-up, no patients had local recurrence.
ConclusionsThis study indicated that ESD is an applicable method for large early CR neoplasm in the colon and rectum. Tumor size and the non-lifting sign might be considerable factors for increased complication rate and procedural time of ESD.
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Feng Gu, Wei Jiang, Jingyi Zhu, Lei Ma, Boyuan He, Huihong Zhai
Digestive and Liver Disease.2023;[Epub] CrossRef - A large multicenter cohort on the use of full-thickness resection device for difficult colonic lesions
Y. Ichkhanian, K. Vosoughi, D. L. Diehl, I. S. Grimm, T. W. James, A. W. Templeton, K. Hajifathalian, J. L. Tokar, J. B. Samarasena, N. El Hage Chehade, J. Lee, K. Chang, M. Mizrahi, M. Barawi, S. Irani, S. Friedland, P. Korc, A. A. Aadam, M. A. Al-Haddad
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European Journal of Gastroenterology & Hepatology.2021; 33(1S): e33. CrossRef - Colo-rectal endoscopic full-thickness resection (EFTR) with the over-the-scope device (FTRD®): A multicenter Italian experience
G. Andrisani, P. Soriani, M. Manno, M. Pizzicannella, F. Pugliese, M. Mutignani, R. Naspetti, L. Petruzziello, F. Iacopini, C. Grossi, P. Lagoussis, S. Vavassori, F. Coppola, A. La Terra, S. Ghersi, P. Cecinato, G. De Nucci, R. Salerno, M. Pandolfi, G. Co
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Dane Christina Daoud, Nicolas Suter, Madeleine Durand, Mickael Bouin, Bernard Faulques, Daniel von Renteln
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Arthur Schmidt, Torsten Beyna, Brigitte Schumacher, Alexander Meining, Hans-Juergen Richter-Schrag, Helmut Messmann, Horst Neuhaus, David Albers, Michael Birk, Robert Thimme, Andreas Probst, Martin Faehndrich, Thomas Frieling, Martin Goetz, Bettina Riecke
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Lorenzo Fuccio, Alessandro Repici, Cesare Hassan, Thierry Ponchon, Pradeep Bhandari, Rodrigo Jover, Konstantinos Triantafyllou, Daniele Mandolesi, Leonardo Frazzoni, Cristina Bellisario, Franco Bazzoli, Prateek Sharma, Thomas Rösch, Douglas K Rex
Gut.2018; 67(8): 1464. CrossRef - Clinical outcomes after endoscopic submucosal dissection for colorectal neoplasia: a systematic review and meta-analysis
Lorenzo Fuccio, Cesare Hassan, Thierry Ponchon, Daniele Mandolesi, Andrea Farioli, Alessandro Cucchetti, Leonardo Frazzoni, Pradeep Bhandari, Cristina Bellisario, Franco Bazzoli, Alessandro Repici
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Focused Review Series: Updates on Gastrointestinal and Pancreaticobiliary Stents
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Colorectal Stents: Current Status
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Jeong-Mi Lee, Jeong-Sik Byeon
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Clin Endosc 2015;48(3):194-200. Published online May 29, 2015
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DOI: https://doi.org/10.5946/ce.2015.48.3.194
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Abstract
PDFPubReaderePub
A self-expandable metal stent (SEMS) is an effective and safe method for the decompression of colon obstruction. Based on recent evidence, colorectal SEMS is now recommended for the palliation of patients with colonic obstruction from incurable colorectal cancer or extracolonic malignancy and also as a bridge to surgery in those who are a high surgical risk. Prophylactic SEMS insertion in patients with no obstruction symptoms is not recommended. Most colorectal SEMS are inserted endoscopically under fluoroscopic guidance. The technical and clinical success rates of colorectal SEMS are high, and the complication rate is acceptable. Advances in this technology will make the insertion of colorectal SEMS better and may expand the indications of colorectal SEMS in the future.
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- Oncologic impact of colonic stents for obstructive left-sided colon cancer
Hideyuki Suzuki, Shingo Tsujinaka, Yoshihiro Sato, Tomoya Miura, Chikashi Shibata
World Journal of Clinical Oncology.2023; 14(1): 1. CrossRef - Acute left-sided malignant colonic obstruction: Is there a role for endoscopic stenting?
Salvatore Russo, Rita Conigliaro, Francesca Coppini, Emanuela Dell'Aquila, Giuseppe Grande, Flavia Pigò, Santi Mangiafico, Marinella Lupo, Margherita Marocchi, Helga Bertani, Silvia Cocca
World Journal of Clinical Oncology.2023; 14(5): 190. CrossRef - Endometriosis as an Uncommon Cause of Intestinal Obstruction—A Comprehensive Literature Review
Florentina Mușat, Dan Nicolae Păduraru, Alexandra Bolocan, Alexandru Constantinescu, Daniel Ion, Octavian Andronic
Journal of Clinical Medicine.2023; 12(19): 6376. CrossRef - Are Thyroid Functions Affected in Multisystem Inflammatory Syndrome in Children?
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Cirugía Española (English Edition).2018; 96(7): 419. CrossRef - Use of covered self-expandable stents for benign colorectal disorders in children
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Review
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Status and Literature Review of Self-Expandable Metallic Stents for Malignant Colorectal Obstruction
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Dae Young Cheung, Yong Kook Lee, Chang Heon Yang
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Clin Endosc 2014;47(1):65-73. Published online January 24, 2014
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DOI: https://doi.org/10.5946/ce.2014.47.1.65
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Abstract
PDFPubReaderePub
Use of colorectal stents has increased dramatically over the last decades. Colorectal stents offer an alternative way to relieve fatal intestinal obstruction and can take place of emergency surgery, which associated with significant morbidity and mortality and a high incidence of stoma creation, to elective resection. Although there remain a few concerns regarding the use of stents as a bridge to surgical resection, use of self-expandable metallic stents for palliation in patients with unresectable disease has come to be generally accepted. Advantages of colorectal stents include acute restoration of luminal patency and allowance of time for proper staging and surgical optimization, and the well-known disadvantages are procedure-related complications including perforation, migration, and stent failure. General indications, procedures, and clinical outcomes as well as recent evidences regarding the use of colorectal stents will be discussed in this review.
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Malene Broholm, Thea Helene Degett, Sara Furbo, Anne-Marie Kanstrup Fiehn, Mustafa Bulut, Thomas Litman, Jens Ole Eriksen, Jesper T. Troelsen, Lise Mette Rahbek Gjerdrum, Ismail Gögenur
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8
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Special Issue Article of IDEN 2013
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Debates on Colorectal Endoscopic Submucosal Dissection - Traction for Effective Dissection: Gravity Is Enough
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Bo-In Lee
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Clin Endosc 2013;46(5):467-471. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.467
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Abstract
PDFPubReaderePub
Colorectal endoscopic submucosal dissection (ESD) still remains a technically difficult procedure. The maintenance of tissue tension and good submucosal exposure during dissection is one of the most important factors for an effective and safe dissection. Although various traction methods have been developed, traction by gravity is one of the most useful method for colorectal ESD. Traction using adjunctive devices can thus be reserved for extremely difficult cases or for endoscopists in their learning periods for colorectal ESD.
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World Journal of Gastrointestinal Endoscopy.2023; 15(10): 584. CrossRef - ESD with elastic ring traction is more effective and safer than conventional ESD in large proximal colon neoplastic lesions: a retrospective cohort study (with video)
Sikong Yinhe, Jiao Yang, Zhang Aijun, Li Ruyuan
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Original Article
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Diagnostic Accuracy and Interobserver Agreement in Predicting the Submucosal Invasion of Colorectal Tumors Using Gross Findings, Pit Patterns, and Microvasculatures
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Hye Jung Choi, Bo-In Lee, Hwang Choi, Kyu Yong Choi, Sang-Woo Kim, Joo Yong Song, Jeong Seon Ji, Byung-Wook Kim
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Clin Endosc 2013;46(2):168-171. Published online March 31, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.2.168
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Abstract
PDFPubReaderePub
- Background/Aims
Depth of invasion is one of the most important factors for establishing treatment strategy for colorectal tumors.
MethodsThree blinded experts reviewed electronic photos and video clips of 33 early colorectal cancer-like lesions. They estimated the depth of invasion based on conventional white light endoscopy (CWE), magnifying chromoendoscopy (MCE), and magnifying narrow band imaging endoscopy (MNE).
ResultsThe lesions included nine mucosal low-grade neoplasias, 16 mucosal high grade neoplasias, and eight carcinomas with invasion to the submucosal layer or beyond. The diagnostic accuracy for submucosal invasion by CWE ranged from 67% to 82%, while those by MCE and MNE ranged from 85% to 88% and 85% to 88%, respectively. The diagnostic accuracy significantly differed between CWE and MCE (p=0.034) and between CWE and MNE (p=0.039). The kappa values for CWE, MCE, and MNE among the endoscopists were 0.564, 0.673, and 0.673, respectively.
ConclusionsThe estimation of submucosal invasion for early colorectal cancer-like lesions based on MCE or MNE is more accurate than CWE. MCE and MNE were demonstrated to have substantial agreement for predicting submucosal invasion.
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Bo-In Lee, Takahisa Matsuda
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Zhang Tao, Chen Yan, He Zhao, Jiawei Tsauo, Xiaowu Zhang, Bing Qiu, Yanqing Zhao, Xiao Li
Surgical Endoscopy.2017; 31(12): 4923. CrossRef - Use of confocal laser endomicroscopy with a fluorescently labeled fatty acid to diagnose colorectal neoplasms
Feihong Deng, Yuan Fang, Zhiyong Shen, Wei Gong, Tao Liu, Jing Wen, Wanling Zhang, Xianjun Zhu, Hui Zhong, Tong Wang, Fachao Zhi, Biao Nie
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Kwang An Kwon, Yang Suh Ku
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Special Issue Articles of IDEN 2012
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Indications, Knives, and Electric Current: What's the Best?
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Bo-In Lee
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Clin Endosc 2012;45(3):285-287. Published online August 22, 2012
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DOI: https://doi.org/10.5946/ce.2012.45.3.285
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Abstract
PDFPubReaderePub
Endoscopic submucosal dissection (ESD) was developed to overcome the limitations of conventional endoscopic mucosal resection (EMR), and ESD has been also applied for large colorectal neoplasms. Since colorectal ESD is still associated with higher perforation rate, a longer procedure time, and increased technical difficulty, the indications should be strictly considered. Generally, colorectal tumors without deep submucosal invasion or minimal possibility of lymph node metastasis, for which en bloc resection using conventional EMR is difficult, are good candidates for colorectal ESD. The ideal knife for colorectal ESD should avoid making perforations but can make a clean cut of optimal depth at one time. The ideal current for ESD differs depending on the procedure used, the surgical devices used, the tissue to be dissected, and the operator's preference. Application of the optimal indications and improvements in the technical skill and surgical devices are required for easier and safer colorectal ESD.
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Tak Lit Derek Fung, Chi Woo Samuel Chow, Pak Tat Chan, Kam Hung Kwok
Surgical Endoscopy.2020; 34(9): 3766. CrossRef - International Digestive Endoscopy Network to Strengthen Network for Lower Gastrointestinal Diseases Including Inflammatory Bowel Disease and Colorectal Cancer
Kwang An Kwon
Clinical Endoscopy.2012; 45(3): 251. CrossRef
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4,945
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62
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2
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Reviews
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Korean Guidelines for Postpolypectomy Colonoscopy Surveillance
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Dong-Hoon Yang, Sung Noh Hong, Young-Ho Kim, Sung Pil Hong, Sung Jae Shin, Seong-Eun Kim, Bo In Lee, Suck-Ho Lee, Dong Il Park, Hyun-Soo Kim, Suk-Kyun Yang, Hyo Jong Kim, Se Hyung Kim, Hyun Jung Kim, Multi-Society Task Force for Development of Guidelines for Colorectal Polyp Screening, Surveillance and Management
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Clin Endosc 2012;45(1):44-61. Published online March 31, 2012
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DOI: https://doi.org/10.5946/ce.2012.45.1.44
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Abstract
PDFSupplementary MaterialPubReaderePub
Postpolypectomy surveillance has become a major indication for colonoscopy as a result of increased use of screening colonoscopy in Korea. In this report, a careful analytic approach was used to address all available evidences to delineate the predictors for advanced neoplasia at surveillance colonoscopy and we elucidated the high risk findings of the index colonoscopy as follows: 3 or more adenomas, any adenoma larger than 10 mm, any tubulovillous or villous adenoma, any adenoma with high-grade dysplasia, and any serrated polyps larger than 10 mm. Surveillance colonoscopy should be performed five years after the index colonoscopy for those without any high-risk findings and three years after the index colonoscopy for those with one or more high risk findings. However, the surveillance interval can be shortened considering the quality of the index colonoscopy, the completeness of polypectomy, the patient's general condition, and family and medical history.
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Korean Guidelines for Colorectal Cancer Screening and Polyp Detection
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Bo-In Lee, Sung Pil Hong, Seong-Eun Kim, Se Hyung Kim, Hyun-Soo Kim, Sung Noh Hong, Dong-Hoon Yang, Sung Jae Shin, Suck-Ho Lee, Dong Il Park, Young-Ho Kim, Hyun Jung Kim, Suk-Kyun Yang, Hyo Jong Kim, Hae Jeong Jeon, Multi-Society Task Force for Development of Guidelines for Colorectal Polyp Screening, Surveillance and Management
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Clin Endosc 2012;45(1):25-43. Published online March 31, 2012
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DOI: https://doi.org/10.5946/ce.2012.45.1.25
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Abstract
PDFSupplementary MaterialPubReaderePub
Now colorectal cancer is the second most common cancer in males and the fourth most common cancer in females in Korea. Since most of colorectal cancers occur after the prolonged transformation of adenomas into carcinomas, early detection and removal of colorectal adenomas are one of the most effective methods to prevent colorectal cancer. Considering the increasing incidence of colorectal cancer and polyps in Korea, it is very important to establish Korean guideline for colorectal cancer screening and polyp detection. The guideline was developed by the Korean Multi-Society Take Force and we tried to establish the guideline by evidence-based methods. Parts of the statements were draw by systematic reviews and meta-analyses. Herein we discussed epidemiology of colorectal cancers and adenomas in Korea and optimal methods for screening of colorectal cancer and detection of adenomas including fecal occult blood tests, radiologic tests, and endoscopic examinations.
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