Case Report
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Underwater Endoscopic Mucosal Resection without Submucosal Injection Facilitates En bloc Resection of Colon Adenomas Extending into a Diverticulum
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Yoshikazu Hayashi, Masahiro Okada, Takaaki Morikawa, Tatsuma Nomura, Hisashi Fukuda, Takahito Takezawa, Alan Kawarai Lefor, Hironori Yamamoto
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Clin Endosc 2021;54(3):436-440. Published online November 6, 2020
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DOI: https://doi.org/10.5946/ce.2020.168
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Abstract
PDFSupplementary MaterialPubReaderePub
- Superficial colonic neoplasms sometimes extend into a diverticulum. Conventional endoscopic mucosal resection of these lesions is considered challenging because colonic diverticula do not have a muscularis propria and are deeply inverted. Even if the solution is carefully injected below the mucosa at the bottom of the diverticulum, the mucosa is rarely elevated from the diverticular orifice, and it is usually just narrowed. Although endoscopic submucosal dissection or full-thickness resection with an over-the-scope clip device enables the complete resection of these lesions, it is still challenging, time consuming and expensive. Underwater endoscopic mucosal resection without submucosal injection (UEMR) is an innovative technique enabling en bloc resection of superficial colon lesions. We report three patients with colon adenomas extending into a diverticulum treated with successful UEMR. UEMR enabled rapid and safe en bloc resection of colon lesions extending into a diverticulum.
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Citations
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Yoji Takeuchi, Satoki Shichijo, Noriya Uedo, Ryu Ishihara
DEN Open.2022;[Epub] CrossRef
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4,313
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122
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1
Web of Science
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1
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Brief Report
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Linked Color Imaging Demonstrates Characteristic Findings in Semi-Pedunculated Gastric Adenocarcinoma in Helicobacter pylori-Negative Normal Mucosa
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Yuji Hiraoka, Yoshimasa Miura, Hiroyuki Osawa, Mio Sakaguchi, Masato Tsunoda, Alan Kawarai Lefor, Hironori Yamamoto
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Clin Endosc 2021;54(1):136-138. Published online August 21, 2020
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DOI: https://doi.org/10.5946/ce.2020.059
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PDFPubReaderePub
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Citations
Citations to this article as recorded by
- The Diagnostic Performance of Linked Color Imaging Compared to White Light Imaging in Endoscopic Diagnosis of Helicobacter pylori Infection: A Systematic Review and Meta-Analysis
Jae Gon Lee, In Kyung Yoo, Abdullah Ozgur Yeniova, Sang Pyo Lee
Gut and Liver.2024; 18(3): 444. CrossRef - Linked Color Imaging for Stomach
Eiji Umegaki, Hiraku Misawa, Osamu Handa, Hiroshi Matsumoto, Akiko Shiotani
Diagnostics.2023; 13(3): 467. CrossRef - Role of linked color imaging for upper gastrointestinal disease: present and future
Sang Pyo Lee
Clinical Endoscopy.2023; 56(5): 546. CrossRef - Appropriate Color Enhancement Settings for Blue Laser Imaging Facilitates the Diagnosis of Early Gastric Cancer with High Color Contrast
Yuji Hiraoka, Yoshimasa Miura, Hiroyuki Osawa, Yoshie Nomoto, Haruo Takahashi, Masato Tsunoda, Manabu Nagayama, Takashi Ueno, Alan Kawarai Lefor, Hironori Yamamoto
Journal of Gastric Cancer.2021; 21(2): 142. CrossRef
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124
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4
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4
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Focused Review Series: Present and Future of Diagnosis and Management of Small Bowel Diseases Exploiting Artificial Intelligence and Advanced Endoscopy
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Roles of Capsule Endoscopy and Balloon-Assisted Enteroscopy in the Optimal Management of Small Bowel Bleeding
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Hani Abutalib, Tomonori Yano, Satoshi Shinozaki, Alan Kawarai Lefor, Hironori Yamamoto
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Clin Endosc 2020;53(4):402-409. Published online July 30, 2020
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DOI: https://doi.org/10.5946/ce.2020.143
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Abstract
PDFPubReaderePub
- The small bowel had long been considered a dark unapproachable tunnel until the invention of capsule endoscopy and doubleballoon enteroscopy in the 21st century, which revolutionized the diagnosis and management of small bowel diseases, including bleeding. Various imaging modalities such as computed tomographic enterography, angiography, capsule endoscopy, and balloonassisted enteroscopy play vital roles in the diagnosis and management of small bowel bleeding. The choice of modality to use and timing of application differ according to the availability of the modalities, patient’s history, and physician’s experience. Small bowel bleeding is managed using different strategies as exemplified by medical treatment, interventional radiology, endoscopic therapy, or surgical intervention. Balloon-assisted enteroscopy enables endoscopic interventions to control small bowel bleeding, including electrocautery, argon plasma coagulation, clip application, and tattooing as a prelude to surgery. In this article, we clarify the recent approaches to the optimal diagnosis and management of patients with small bowel bleeding.
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- Hemangioma capilar del yeyuno como causa de sangrado agudo: reporte de caso y revisión de la literatura
Martín Alonso Gómez Zuleta, Diego Alexander Cardona Botero, Juan Antonio Trejos Naranjo, Felipe Vera Polanía
Revista colombiana de Gastroenterología.2024; 39(3): 318. CrossRef - A practical approach for small bowel bleeding
Sung Eun Kim, Hyun Jin Kim, Myeongseok Koh, Min Cheol Kim, Joon Sung Kim, Ji Hyung Nam, Young Kwan Cho, A Reum Choe
Clinical Endoscopy.2023; 56(3): 283. CrossRef - Indication, Location of the Lesion, Diagnostic Yield, and Therapeutic Yield of Double-Balloon Enteroscopy: Seventeen Years of Experience
Sang Pyo Lee, Hyun Joo Jang, Sea Hyub Kae, Jae Gon Lee, Ji Hye Kwon
Diagnostics.2022; 12(9): 2224. CrossRef - Application of capsule endoscopy in patients with chronic and recurrent abdominal pain
Wei Yang, Zheng Li, Rui Liu, Xudong Tong, Wei Wang, Dongqiang Xu, Shan Gao
Medical Engineering & Physics.2022; 110: 103901. CrossRef
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3
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4
Crossref
Brief Report
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Double-Balloon Endoscopy-Assisted Balloon Dilation of Strictures Secondary to Small-Intestinal Lymphoma
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Shogo Magome, Hirotsugu Sakamoto, Satoshi Shinozaki, Masahiro Okada, Tomonori Yano, Keijiro Sunada, Alan Kawarai Lefor, Hironori Yamamoto
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Clin Endosc 2020;53(1):101-105. Published online July 10, 2019
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DOI: https://doi.org/10.5946/ce.2019.015
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Tomonori Yano, Hironori Yamamoto
Cancers.2024; 16(9): 1704. CrossRef - Primary Gastrointestinal Follicular Lymphoma Presenting With Bowel Stenosis
Hiroto Suzuki, Yasuhiko Hamada, Kyosuke Tanaka, Noriyuki Horiki, Hayato Nakagawa
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Priya Oka, Reena Sidhu
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3
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3
Crossref
Case Report
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New Diagnostic Approach for Esophageal Squamous Cell Neoplasms Using Linked Color Imaging and Blue Laser Imaging Combined with Iodine Staining
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Masato Tsunoda, Yoshimasa Miura, Hiroyuki Osawa, Tsevelnorov Khurelbaatar, Mio Sakaguchi, Hisashi Fukuda, Alan Kawarai Lefor, Hironori Yamamoto
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Clin Endosc 2019;52(5):497-501. Published online April 16, 2019
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DOI: https://doi.org/10.5946/ce.2018.195
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Abstract
PDFPubReaderePub
- A 62-year-old man with a flat early esophageal cancer was referred for endoscopic treatment. White light imaging revealed a pale red lesion, whereas linked color imaging (LCI) and blue laser imaging (BLI) yielded purple and brown images, respectively. Iodine staining demonstrated a large unstained area with a homogenous but very weak pink-color sign. This area appeared more clearly as purple and green on LCI and BLI, respectively; however, a different colored portion was observed at the 4 o’clock position inside the iodineunstained area. Histopathology findings of the resected specimen revealed squamous intraepithelial neoplasia at the 4 o’clock position and an esophageal squamous cell carcinoma in the remaining iodine-unstained area. LCI and BLI combined with iodine staining produce characteristic images that overcomes the pink-color sign, reflecting the histological features of a flat esophageal neoplasm. This new method is useful for detailed evaluation of early flat squamous cell neoplasms.
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Citations
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Zi-Xin Wang, Long-Song Li, Song Su, Jin-Ping Li, Bo Zhang, Nan-Jun Wang, Sheng-Zhen Liu, Sha-Sha Wang, Shuai Zhang, Ya-Wei Bi, Fei Gao, Qun Shao, Ning Xu, Bo-Zong Shao, Yi Yao, Fang Liu, En-Qiang Linghu, Ning-Li Chai
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Koki Nakamura, Yuji Urabe, Shiro Oka, Naoko Nagasaki, Naoki Yorita, Kosaku Hata, Kazuhiko Masuda, Mio Kurihara, Takahiro Kotachi, Tomoyuki Boda, Shinji Tanaka, Kazuaki Chayama
Esophagus.2021; 18(1): 118. CrossRef - Inter‐observer variability of experts and trainees for the diagnosis of reflux esophagitis: Comparison of linked color imaging, blue laser imaging, and white light imaging
Sang Pyo Lee, Sea Hyub Kae, Hyun Joo Jang, Dong Hee Koh, Eun Suk Jung
Journal of Digestive Diseases.2021; 22(7): 425. CrossRef
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3
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Focused Review Series: Endoscopic Submucosal Dissection for Colorectal Tumors
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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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Digestive Endoscopy.2020; 32(6): 874. CrossRef - The Role of Cholangioscopy in the Management of Primary Sclerosing Cholangitis
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Focused Review Series: Current Status of Image-Enhanced Endoscopy (IEE)
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Linked Color Imaging and Blue Laser Imaging for Upper Gastrointestinal Screening
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Hiroyuki Osawa, Yoshimasa Miura, Takahito Takezawa, Yuji Ino, Tsevelnorov Khurelbaatar, Yuichi Sagara, Alan Kawarai Lefor, Hironori Yamamoto
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Clin Endosc 2018;51(6):513-526. Published online November 2, 2018
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DOI: https://doi.org/10.5946/ce.2018.132
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Abstract
PDFPubReaderePub
- White light imaging (WLI) may not reveal early upper gastrointestinal cancers. Linked color imaging (LCI) produces bright images in the distant view and is performed for the same screening indications as WLI. LCI and blue laser imaging (BLI) provide excellent visibility of gastric cancers in high color contrast with respect to the surrounding tissue. The characteristic purple and green color of metaplasias on LCI and BLI, respectively, serve to increase the contrast while visualizing gastric cancers regardless of a history of Helicobacter pylori eradication.
LCI facilitates color-based recognition of early gastric cancers of all morphological types, including flat lesions or those in an H. pylori-negative normal background mucosa as well as the diagnosis of inflamed mucosae including erosions. LCI reveals changes in mucosal color before the appearance of morphological changes in various gastric lesions. BLI is superior to LCI in the detection of early esophageal cancers and abnormal findings of microstructure and microvasculature in close-up views of upper gastrointestinal cancers. Excellent images can also be obtained with transnasal endoscopy. Using a combination of these modalities allows one to obtain images useful for establishing a diagnosis. It is important to observe esophageal cancers (brown) using BLI and gastric cancers (orange) surrounded by intestinal metaplasia (purple) and duodenal cancers (orange) by LCI.
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Masahiro Saito, Tomoyuki Koike, Yuki Ohara, Yohei Ogata, Takeshi Kanno, Xiaoyi Jin, Waku Hatta, Kaname Uno, Naoki Asano, Akira Imatani, Atsushi Masamune
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Journal of Gastroenterology and Hepatology.2024; 39(6): 1065. CrossRef - The Diagnostic Performance of Linked Color Imaging Compared to White Light Imaging in Endoscopic Diagnosis of Helicobacter pylori Infection: A Systematic Review and Meta-Analysis
Jae Gon Lee, In Kyung Yoo, Abdullah Ozgur Yeniova, Sang Pyo Lee
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Mohammed Rifat Shaik, Andrew Canakis, Nishat Anjum Shaik, Shivanand Bomman, Dushyant Singh Dahiya, Emily Gorman, Mohammad Bilal, Saurabh Chandan
Indian Journal of Gastroenterology.2024; 43(5): 976. CrossRef - Cromoendoscopia virtual utilizando BLI en el diagnóstico endoscópico de esófago de Barrett neoplásico y no neoplásico
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Frontiers in Oncology.2024;[Epub] CrossRef - Linked color imaging and upper gastrointestinal neoplasia
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Masato Tsunoda, Yoshimasa Miura, Hiroyuki Osawa, Manabu Nagayama, Yuka Kagaya, Yohei Funayama, Takuma Kobayashi, Mami Togashi, Hiroki Hayashi, Yuji Hiraoka, Yoshie Nomoto, Chihiro Iwashita, Yuji Ino, Haruo Takahashi, Hisashi Fukuda, Alan Kawarai Lefor, Hi
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Journal of Clinical Biochemistry and Nutrition.2022; 70(3): 290. CrossRef - Linked color imaging improves identification of early gastric cancer lesions by expert and non-expert endoscopists
Kiki Fockens, Jeroen de Groof, Joost van der Putten, Tsevelnorov Khurelbaatar, Hisashi Fukuda, Takahito Takezawa, Yoshimasa Miura, Hiroyuki Osawa, Hironori Yamamoto, Jacques Bergman
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Yuji Hiraoka, Yoshimasa Miura, Hiroyuki Osawa, Mio Sakaguchi, Masato Tsunoda, Alan Kawarai Lefor, Hironori Yamamoto
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Sang Pyo Lee, Sea Hyub Kae, Hyun Joo Jang, Dong Hee Koh, Eun Suk Jung
Journal of Digestive Diseases.2021; 22(7): 425. CrossRef - Appropriate Color Enhancement Settings for Blue Laser Imaging Facilitates the Diagnosis of Early Gastric Cancer with High Color Contrast
Yuji Hiraoka, Yoshimasa Miura, Hiroyuki Osawa, Yoshie Nomoto, Haruo Takahashi, Masato Tsunoda, Manabu Nagayama, Takashi Ueno, Alan Kawarai Lefor, Hironori Yamamoto
Journal of Gastric Cancer.2021; 21(2): 142. CrossRef - Application of linked color imaging in the diagnosis of early gastrointestinal neoplasms and precancerous lesions: a review
Shanshan Wang, Lei Shen, Hesheng Luo
Therapeutic Advances in Gastroenterology.2021;[Epub] CrossRef - Association between abdominal symptoms and gastric body redness in Linked Color Imaging in patients without Helicobacter pylori infection
Tsutomu Takeda, Daisuke Asaoka, Hisanori Utsunomiya, Shotaro Oki, Nobuyuki Suzuki, Daiki Abe, Atsushi Ikeda, Noboru Yatagai, Yoichi Akazawa, Kohei Matsumoto, Kumiko Ueda, Hiroya Ueyama, Kenshi Matsumoto, Mariko Hojo, Shuko Nojiri, Akihito Nagahara
Progress of Digestive Endoscopy.2021; 98(1): 24. CrossRef - Diagnosis of Helicobacter pylori Infection and Recent Advances
Hang Yang, Bing Hu
Diagnostics.2021; 11(8): 1305. CrossRef - Clinical Applications of Linked Color Imaging and Blue Laser/Light Imaging in the Screening, Diagnosis, and Treatment of Superficial Colorectal Tumors
Taku Sakamoto, Hourin Cho, Yutaka Saito
Clinical Endoscopy.2021; 54(4): 488. CrossRef - Application of Current Image-Enhanced Endoscopy in Gastric Diseases
Wansik Lee
Clinical Endoscopy.2021; 54(4): 477. CrossRef - Linked-color Imaging May Help Improve the Visibility of Superficial Barrett's Esophageal Adenocarcinoma by Increasing the Color Difference
Masahiro Saito, Tomoyuki Koike, Yuki Ohara, Kenichiro Nakagawa, Takeshi Kanno, Xiaoyi Jin, Waku Hatta, Kaname Uno, Naoki Asano, Akira Imatani, Atsushi Masamune
Internal Medicine.2021; 60(21): 3351. CrossRef - Potential of automatic diagnosis system with linked color imaging for diagnosis of Helicobacter pylori infection
Takeshi Yasuda, Tomoyuki Hiroyasu, Satoru Hiwa, Yuto Okada, Sadanari Hayashi, Yuki Nakahata, Yuriko Yasuda, Tatsushi Omatsu, Akihiro Obora, Takao Kojima, Hiroshi Ichikawa, Nobuaki Yagi
Digestive Endoscopy.2020; 32(3): 373. CrossRef - Linked Color Imaging of Eosinophilic Esophagitis
Yasuhiko Abe, Yu Sasaki, Takashi Kon, Yoshiyuki Ueno
Internal Medicine.2020; 59(12): 1573. CrossRef - Optical enhancement imaging versus acetic acid for detecting gastric intestinal metaplasia: A randomized, comparative trial
Rui Ji, Jun Liu, Ming-Ming Zhang, Yue-Yue Li, Xiu-Li Zuo, Xiao Wang, Yan-Qing Li
Digestive and Liver Disease.2020; 52(6): 651. CrossRef - The Efficacy of Linked Color Imaging in the Endoscopic Diagnosis of Barrett’s Esophagus and Esophageal Adenocarcinoma
Mamoru Tokunaga, Tomoaki Matsumura, Kentaro Ishikawa, Tatsuya Kaneko, Hirotaka Oura, Tsubasa Ishikawa, Ariki Nagashima, Wataru Shiratori, Kenichiro Okimoto, Naoki Akizue, Daisuke Maruoka, Yuki Ohta, Keiko Saito, Tomoo Nakagawa, Tetsuhiro Chiba, Makoto Ara
Gastroenterology Research and Practice.2020; 2020: 1. CrossRef - Linked color imaging can improve the visibility of superficial non-ampullary duodenal epithelial tumors
Kenichiro Okimoto, Daisuke Maruoka, Tomoaki Matsumura, Mamoru Tokunaga, Tatsuya Kaneko, Hirotaka Oura, Naoki Akizue, Yuki Ohta, Keiko Saito, Makoto Arai, Jun Kato, Naoya Kato
Scientific Reports.2020;[Epub] CrossRef - Endoscopy training in Korea
Joon Sung Kim, Byung-Wook Kim
The Korean Journal of Internal Medicine.2019; 34(2): 237. CrossRef - Review: Diagnosis of Helicobacter pylori infection
Athanasios Makristathis, Alexander M. Hirschl, Francis Mégraud, Emilie Bessède
Helicobacter.2019;[Epub] CrossRef - New Diagnostic Approach for Esophageal Squamous Cell Neoplasms Using Linked Color Imaging and Blue Laser Imaging Combined with Iodine Staining
Masato Tsunoda, Yoshimasa Miura, Hiroyuki Osawa, Tsevelnorov Khurelbaatar, Mio Sakaguchi, Hisashi Fukuda, Alan Kawarai Lefor, Hironori Yamamoto
Clinical Endoscopy.2019; 52(5): 497. CrossRef - Linked color imaging for the detection of early gastrointestinal neoplasms
Satoshi Shinozaki, Hiroyuki Osawa, Yoshikazu Hayashi, Alan Kawarai Lefor, Hironori Yamamoto
Therapeutic Advances in Gastroenterology.2019;[Epub] CrossRef - Linked Color Imaging Highlights Flat Early Gastric Cancer
Kimitoshi Kubo, Noriko Kimura, Soichiro Matsuda, Momoko Tsuda, Mototsugu Kato
Case Reports in Gastroenterology.2019; 13(3): 532. CrossRef
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54
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Original Article
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Single-Stage Endoscopic Stone Extraction and Cholecystectomy
during the Same Hospitalization
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Toshiaki Terauchi, Hiroharu Shinozaki, Satoshi Shinozaki, Yuichi Sasakura, Masaru Kimata, Junji Furukawa, Alan Kawarai Lefor, Yoshiro Ogata, Kenji Kobayashi
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Clin Endosc 2019;52(1):59-64. Published online October 5, 2018
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DOI: https://doi.org/10.5946/ce.2018.107
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Abstract
PDFPubReaderePub
- Background
/Aims: The clinical impact of single-stage endoscopic stone extraction by endoscopic retrograde cholangiopancreatography (ERCP) and cholecystectomy during the same hospitalization remains elusive. This study aimed to determine the efficacy and safety of single-stage ERCP and cholecystectomy during the same hospitalization in patients with cholangitis.
Methods
We retrospectively reviewed the medical records of 166 patients who underwent ERCP for mild to moderate cholangitis due to choledocholithiasis secondary to cholecystolithiasis from 2012 to 2016.
Results
Complete stone extraction was accomplished in 92% of patients (152/166) at the first ERCP. Among 152 patients who underwent complete stone extraction, cholecystectomy was scheduled for 119 patients (78%). Cholecystectomy was performed during the same hospitalization in 89% of patients (106/119). We compared two groups of patients: those who underwent cholecystectomy during the same hospitalization (n=106) and those who underwent cholecystectomy during a subsequent hospitalization (n=13). In the delayed group, cholecystectomy was performed about three months after the first ERCP. There were no significant differences between the groups in terms of operative time, rate of postoperative complications, and interval from cholecystectomy to discharge.
Conclusions
Single-stage endoscopic stone extraction is recommended in patients with mild to moderate acute cholangitis due to choledocholithiasis. The combination of endoscopic stone extraction and cholecystectomy during the same hospitalization is safe and feasible.
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Citations
Citations to this article as recorded by
- RECURRENT BILIARY EVENTS IN PATIENTS, WHO UNDERWENT ENDOSCOPIC LITHOEXTRACTION DUE TO OBSTRUCTIVE JAUNDICE
S. V. Dolzhkovyi
World of Medicine and Biology.2022; 18(79): 59. CrossRef - Destiny for Rendezvous: Is Cholecysto/Choledocholithiasis Better Treated with Dual- or Single-Step Procedures?
S. Vaccari, M. Minghetti, A. Lauro, M. I. Bellini, A. Ussia, S. Khouzam, I. R. Marino, M. Cervellera, V. D’Andrea, V. Tonini
Digestive Diseases and Sciences.2022; 67(4): 1116. CrossRef - Application of ERCP Procedures in Choledocholithiasis with Duodenal Stenosis Patients
Yuyan Shi, Jinghon Zhong, Jianbo Zhou, Qifeng Song, Zhaoqi Dong
Evidence-Based Complementary and Alternative Medicine.2022; 2022: 1. CrossRef - Choledocholithiasis without cholecystolithiasis, after endoscopic retrograde cholangiopancreatography follow-up without cholecystectomy
Bahtiyar MUHAMMEDOĞLU, Eyüp PİRCANOĞLU, Serkan TORUN
Konuralp Tıp Dergisi.2021; 13(1): 68. CrossRef - Comparison of the safety and efficacy of single-stage endoscopic retrograde cholangiopancreatography plus laparoscopic cholecystectomy versus two-stage ERCP followed by laparoscopic cholecystectomy six-to-eight weeks later: A randomized controlled trial
Bahtiyar Muhammedoğlu, Ilhami Taner Kale
International Journal of Surgery.2020; 76: 37. CrossRef - Single-Stage Endoscopic Stone Extraction and Cholecystectomy during the Same Hospitalization: What is the Optimal Strategy for Patients with Choledocholithiasis and Cholelithiasis?
Tae Yoon Lee
Clinical Endoscopy.2019; 52(1): 5. CrossRef
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6
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Case Report
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Blue Laser Imaging with a Small-Caliber Endoscope Facilitates Detection of Early Gastric Cancer
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Haruo Takahashi, Yoshimasa Miura, Hiroyuki Osawa, Takahito Takezawa, Yuji Ino, Masahiro Okada, Alan Kawarai Lefor, Hironori Yamamoto
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Clin Endosc 2019;52(3):273-277. Published online August 14, 2018
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DOI: https://doi.org/10.5946/ce.2018.100
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Abstract
PDFPubReaderePub
- Conventional endoscopy often misses early gastric cancers with minimal red discoloration because they cannot be distinguished from inflamed mucosa. We treated a patient with a small early gastric cancer that was difficult to diagnose using conventional endoscopy. Conventional endoscopy using a small-caliber endoscope showed only subtle red discoloration of the gastric mucosa. However, blue laser imaging showed a clearly discolored area measuring 10 mm in diameter around the red lesion, which was distinct from the surrounding inflamed mucosa. Irregular vessels on the tumor surface (suspicious for early gastric cancer) were observed even with small-caliber endoscopy. Biopsy revealed a well-moderately differentiated tubular adenocarcinoma, and endoscopic submucosal dissection was performed. Histopathological examination of the specimen confirmed well-moderately differentiated adenocarcinoma localized to the mucosa with slight depression compared to the surrounding mucosa, consistent with the endoscopic findings. This small early gastric cancer became clearly visible with blue laser imaging using small-caliber endoscopy.
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Citations
Citations to this article as recorded by
- Diagnostic performance of blue laser imaging for early detection of gastric cancer: A systematic review and meta-analysis
Mohammed Rifat Shaik, Andrew Canakis, Nishat Anjum Shaik, Shivanand Bomman, Dushyant Singh Dahiya, Emily Gorman, Mohammad Bilal, Saurabh Chandan
Indian Journal of Gastroenterology.2024; 43(5): 976. CrossRef - Improved detection of early gastric cancer with linked color imaging using an ultrathin endoscope: a video-based analysis
Tsevelnorov Khurelbaatar, Yoshimasa Miura, Hiroyuki Osawa, Yuji Ino, Takahito Takezawa, Chihiro Iwashita, Yoshie Nomoto, Masato Tsunoda, Takashi Ueno, Haruo Takahashi, Manabu Nagayama, Hisashi Fukuda, Alan Kawarai Lefor, Hironori Yamamoto
Endoscopy International Open.2022; 10(05): E644. CrossRef - Current status of the gastric cancer screening program in Korea
Young-Il Kim, Il Ju Choi
Journal of the Korean Medical Association.2022; 65(5): 250. CrossRef - Current Evidence for a Paradigm Shift in Gastric Cancer Prevention From Endoscopic Screening toHelicobacter pyloriEradication in Korea
Young-Il Kim, Il Ju Choi
Journal of Gastric Cancer.2022; 22(3): 169. CrossRef - Clinical Features of False-Negative Early Gastric Cancers: A Retrospective Study of Endoscopic Submucosal Dissection Cases
Kohei Oka, Naoto Iwai, Takashi Okuda, Tasuku Hara, Yutaka Inada, Toshifumi Tsuji, Toshiyuki Komaki, Junichi Sakagami, Yuji Naito, Keizo Kagawa, Yoshito Itoh, Fabiana Zingone
Gastroenterology Research and Practice.2021; 2021: 1. CrossRef - Appropriate Color Enhancement Settings for Blue Laser Imaging Facilitates the Diagnosis of Early Gastric Cancer with High Color Contrast
Yuji Hiraoka, Yoshimasa Miura, Hiroyuki Osawa, Yoshie Nomoto, Haruo Takahashi, Masato Tsunoda, Manabu Nagayama, Takashi Ueno, Alan Kawarai Lefor, Hironori Yamamoto
Journal of Gastric Cancer.2021; 21(2): 142. CrossRef - Linked Color Imaging and Blue Laser Imaging for Upper Gastrointestinal Screening
Hiroyuki Osawa, Yoshimasa Miura, Takahito Takezawa, Yuji Ino, Tsevelnorov Khurelbaatar, Yuichi Sagara, Alan Kawarai Lefor, Hironori Yamamoto
Clinical Endoscopy.2018; 51(6): 513. CrossRef
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6,026
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Erratum
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An Ultrathin Endoscope with a 2.4-mm Working Channel Shortens the Esophagogastroduodenoscopy Time by Shortening the Suction Time
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Satoshi Shinozaki, Yoshimasa Miura, Yuji Ino, Kenjiro Shinozaki, Alan Kawarai Lefor, Hironori Yamamoto
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Clin Endosc 2016;49(1):100-100. Published online January 28, 2016
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DOI: https://doi.org/10.5946/ce.2016.49.1.100
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Corrects: Clin Endosc 2015;48(6):516
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PDFPubReaderePub
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Citations
Citations to this article as recorded by
- Animal experimental studies using small intestine endoscope
Jin-Hua Liu, Dan-Yang Liu, Li Wang, Li-Ping Han, Zhe-Yu Qi, Hai-Jun Ren, Yan Feng, Feng-Ming Luan, Liang-Tian Mi, Shu-Mei Shan
World Journal of Gastroenterology.2017; 23(20): 3684. CrossRef
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5,988
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52
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1
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1
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Original Article
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An Ultrathin Endoscope with a 2.4-mm Working Channel Shortens the Esophagogastroduodenoscopy Time by Shortening the Suction Time
-
Satoshi Shinozaki, Yoshimasa Miura, Yuji Ino, Kenjiro Shinozaki, Alan Kawarai Lefor, Hironori Yamamoto
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Clin Endosc 2015;48(6):516-521. Published online November 30, 2015
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DOI: https://doi.org/10.5946/ce.2015.48.6.516
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Correction in: Clin Endosc 2016;49(1):100
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Abstract
PDFPubReaderePub
- Background
/Aims: Poor suction ability through a narrow working channel prolongs esophagogastroduodenoscopy (EGD). The aim of this study was to evaluate suction with a new ultrathin endoscope (EG-580NW2; Fujifilm Corp.) having a 2.4-mm working channel in clinical practice.
Methods
To evaluate in vitro suction, 200 mL water was suctioned and the suction time was measured. The clinical data of 117 patients who underwent EGD were retrospectively reviewed on the basis of recorded video, and the suction time was measured by using a stopwatch.
Results
In vitro, the suction time with the EG-580NW2 endoscope was significantly shorter than that with the use of an ultrathin endoscope with a 2.0-mm working channel (EG-580NW; mean ± standard deviation, 22.7±1.1 seconds vs. 34.7±2.2 seconds; p<0.001). We analyzed the total time and the suction time for routine EGD in 117 patients (50 in the EG-580NW2 group and 67 in the EG-580NW group). In the EG-580NW2 group, the total time for EGD was significantly shorter than that in the EG-580NW group (275.3±42.0 seconds vs. 300.6±46.5 seconds, p=0.003). In the EG-580NW2 group, the suction time was significantly shorter than that in the EG-580NW group (19.2±7.6 seconds vs. 38.0±15.9 seconds, p<0.001).
Conclusions
An ultrathin endoscope with a 2.4-mm working channel considerably shortens the routine EGD time by shortening the suction time, in comparison with an endoscope with a 2.0-mm working channel.
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Citations
Citations to this article as recorded by
- Optical spectroscopy for in vivo medical diagnosis—a review of the state of the art and future perspectives
Jang Ah Kim, Dominic J Wales, Guang-Zhong Yang
Progress in Biomedical Engineering.2020; 2(4): 042001. CrossRef - Necessity of transnasal gastroscopy in routine diagnostics: a patient-centred requirement analysis
Anna-Livia Schuldt, Holger Kirsten, Jan Tuennemann, Mario Heindl, Florian van Bommel, Juergen Feisthammel, Marcus Hollenbach, Albrecht Hoffmeister
BMJ Open Gastroenterology.2019; 6(1): e000264. CrossRef
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7,922
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