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Clinical Practice Guidelines for the Endoscopic Management of Peripancreatic Fluid Collections
Chi Hyuk Oh, Jun Kyu Lee, Tae Jun Song, Jin-Seok Park, Jae Min Lee, Jun Hyuk Son, Dong Kee Jang, Miyoung Choi, Jeong-Sik Byeon, In Seok Lee, Soo Teik Lee, Ho Soon Choi, Ho Gak Kim, Hoon Jai Chun, Chan Guk Park, Joo Young Cho
Clin Endosc 2021;54(4):505-521.   Published online July 27, 2021
DOI: https://doi.org/10.5946/ce.2021.185
AbstractAbstract PDFPubReaderePub
Endoscopic ultrasonography-guided intervention has gradually become a standard treatment for peripancreatic fluid collections (PFCs). However, it is difficult to popularize the procedure in Korea because of restrictions on insurance claims regarding the use of endoscopic accessories, as well as the lack of standardized Korean clinical practice guidelines. The Korean Society of Gastrointestinal Endoscopy (KSGE) appointed a Task Force to develope medical guidelines by referring to the manual for clinical practice guidelines development prepared by the National Evidence-Based Healthcare Collaborating Agency. Previous studies on PFCs were searched, and certain studies were selected with the help of experts. Then, a set of key questions was selected, and treatment guidelines were systematically reviewed. Answers to these questions and recommendations were selected via peer review. This guideline discusses endoscopic management of PFCs and makes recommendations on Indications for the procedure, pre-procedural preparations, optimal approach for drainage, procedural considerations (e.g., types of stent, advantages and disadvantages of plastic and metal stents, and accessories), adverse events of endoscopic intervention, and procedural quality issues. This guideline was reviewed by external experts and suggests best practices recommended based on the evidence available at the time of preparation. This will be revised as necessary to address advances and changes in technology and evidence obtained in clinical practice and future studies.

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Citations to this article as recorded by  
  • Pancreatic Pseudocyst after Fully Covered Self-expandable Metallic Stent Placement: A Case Report
    Mitsuhito Koizumi, Sho Ishikawa, Kaori Marui, Masahito Kokubu, Yusuke Okujima, Yuki Numata, Yoshiki Imamura, Teru Kumagi, Yoichi Hiasa
    Internal Medicine.2024;[Epub]     CrossRef
  • Neutrophil Gelatinase-Associated Lipocalin for the Differentiation of Mucinous Pancreatic Cystic Lesions
    Miruna Patricia Olar, Maria Iacobescu, Sorana D. Bolboacă, Cristina Pojoga, Ofelia Moșteanu, Radu Seicean, Ioana Rusu, Oana Banc, Cristina Adela Iuga, Andrada Seicean
    International Journal of Molecular Sciences.2024; 25(6): 3224.     CrossRef
  • Comparative outcome of single versus two double-pigtail stents for endoscopic drainage of pancreatic fluid collections with minimal necrosis: a retrospective analysis
    S Giri, S Bhrugumalla, S Gangadhar, S Angadi
    Acta Gastro Enterologica Belgica.2024; 87(1): 1.     CrossRef
  • Use of an endoscopic powered debridement device for treatment of post-surgical fatty pancreatic necrosis
    Judy Daboul, Shiab Mussad, Anna Cecilia Amaral, Waleed K. Hussain, Peter J. Lee, Samuel Han
    Clinical Endoscopy.2024; 57(3): 412.     CrossRef
  • Endoscopic ultrasound-guided drainage for local complications related to pancreatitis
    Hyung Ku Chon, Seong-Hun Kim
    International Journal of Gastrointestinal Intervention.2023; 12(1): 7.     CrossRef
  • A preferable modality for the differentiation of peripancreatic fluid collections: Endoscopic ultrasound
    Ning Xu, Longsong Li, Danqi Zhao, Zixin Wang, Xueting Wang, Runzi Wang, Yanbo Zeng, Lei Zhang, Ning Zhong, Ying Lv, Enqiang Linghu, Ningli Chai
    Endoscopic Ultrasound.2022; 11(4): 291.     CrossRef
  • Disconnected pancreatic duct syndrome in acute pancreatitis
    A.V. Fedorov, V.N. Ektov, M.A. Khodorkovsky
    Khirurgiya. Zhurnal im. N.I. Pirogova.2022; (8): 83.     CrossRef
  • Single balloon enteroscopy-guided endoscopic retrograde pancreatography for the treatment of a symptomatic pancreatic pseudocyst complicated by pancreaticojejunostomy stricture: A case report
    Eunae Cho, Chang-Hwan Park, Seo Yeon Cho
    Medicine.2022; 101(43): e31293.     CrossRef
  • 4,969 View
  • 221 Download
  • 7 Web of Science
  • 8 Crossref
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Focused Review Series: Updates on Gastrointestinal and Pancreaticobiliary Stents
Recent Advances in Gastrointestinal Stent Development
Jin-Seok Park, Seok Jeong, Don Haeng Lee
Clin Endosc 2015;48(3):209-215.   Published online May 29, 2015
DOI: https://doi.org/10.5946/ce.2015.48.3.209
AbstractAbstract PDFPubReaderePub

Endoscopic stenting is increasingly being used in the management of gastrointestinal luminal obstruction, and has become the current treatment of choice for the palliation of blockage caused by malignant or benign growths. A variety of stents have been developed to enhance the efficacy of the procedure, and improvements are ongoing. In this article, we review the history of, and recent advances in, gastrointestinal stenting. We describe the rationale behind the design as well as the resulting outcome for each stent type.

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  • Wireless Peristaltic Pump for Transporting Viscous Fluids and Solid Cargos in Confined Spaces
    Saksham Sharma, Laura Caroline Jung, Nicholas Lee, Yusheng Wang, Ane Kirk‐Jadric, Rishi Naik, Xiaoguang Dong
    Advanced Functional Materials.2024;[Epub]     CrossRef
  • An experimental investigation of the mechanical performance of PLLA wire-braided stents
    Agnese Lucchetti, Caroline Emonts, Akram Idrissi, Thomas Gries, Ted J. Vaughan
    Journal of the Mechanical Behavior of Biomedical Materials.2023; 138: 105568.     CrossRef
  • Effect of Percutaneous Endobiliary Radiofrequency Ablation in Malignant Bile Stenosis
    Hamza ÖZER, Bige SAYIN, İlkay AKMANGİT
    Düzce Tıp Fakültesi Dergisi.2023; 25(1): 78.     CrossRef
  • Technical Review on Endoscopic Treatment Devices for Management of Upper Gastrointestinal Postsurgical Leaks
    Renato Medas, Eduardo Rodrigues-Pinto, Eiji Sakai
    Gastroenterology Research and Practice.2023; 2023: 1.     CrossRef
  • Theranostic gastrointestinal residence systems
    Binbin Ying, Hao Huang, Yuyan Su, Julia G. Howarth, Zhen Gu, Kewang Nan
    Device.2023; 1(2): 100053.     CrossRef
  • A Strong Adhesive Biological Hydrogel for Colon Leakage Repair and Abdominal Adhesion Prevention
    Qijiang Mao, Zhengze Huang, Yiyin Zhang, Qi Chen, Kexin Jiang, Yi Hong, Hongwei Ouyang, Yuelong Liang
    Advanced Healthcare Materials.2023;[Epub]     CrossRef
  • Current status in endoscopic management of upper gastrointestinal perforations, leaks and fistulas
    Shannon Melissa Chan, Kitty Kit Ying Auyeung, Siu Fung Lam, Philip Wai Yan Chiu, Anthony Yuen Bun Teoh
    Digestive Endoscopy.2022; 34(1): 43.     CrossRef
  • A viewpoint on material and design considerations for oesophageal stents with extended lifetime
    Caitlin E. Jackson, Liam S. J. Johnson, Dominic A. Williams, Hans-Ulrich Laasch, Derek W. Edwards, Alison G. Harvey
    Journal of Materials Science.2022; 57(1): 3.     CrossRef
  • Futuristic Developments and Applications in Endoluminal Stenting
    Joel Ferreira-Silva, Renato Medas, Mohit Girotra, Monique Barakat, James H. Tabibian, Eduardo Rodrigues-Pinto, Jose Celso ARDENGH
    Gastroenterology Research and Practice.2022; 2022: 1.     CrossRef
  • Emerging trends in biliary stents: a materials and manufacturing perspective
    Saswat Choudhury, Sonal Asthana, Shervanthi Homer-Vanniasinkam, Kaushik Chatterjee
    Biomaterials Science.2022; 10(14): 3716.     CrossRef
  • Palliation of Malignant Dysphagia: Dilation, Stents, Cryoablation or Photodynamic Therapy—A Surgical Perspective
    Uzma Rahman, Olugbenga T. Okusanya
    Foregut: The Journal of the American Foregut Society.2022; 2(2): 180.     CrossRef
  • Magnetic Living Hydrogels for Intestinal Localization, Retention, and Diagnosis
    Xinyue Liu, Yueying Yang, Maria Eugenia Inda, Shaoting Lin, Jingjing Wu, Yoonho Kim, Xiaoyu Chen, Dacheng Ma, Timothy K. Lu, Xuanhe Zhao
    Advanced Functional Materials.2021;[Epub]     CrossRef
  • First approach for the optimization and fabrication of a customizable esophageal stent prototype by 3D printing technologies
    J Ivorra, L Quiles, L Compañy, N J Perez, T Boronat
    IOP Conference Series: Materials Science and Engineering.2021; 1193(1): 012120.     CrossRef
  • Gastrointestinal Luminal Stenting: The Early US Experience with the Duodenal HANAROSTENT
    Brian M. Fung, Brian E. Kadera, James H. Tabibian
    Gastrointestinal Tumors.2021; 8(1): 1.     CrossRef
  • Development and In Vitro Evaluation of 5-Fluorouracil-Eluting Stents for the Treatment of Colorectal Cancer and Cancer-Related Obstruction
    Mohammad Arafat, Paris Fouladian, Anthony Wignall, Yunmei Song, Ankit Parikh, Hugo Albrecht, Clive A. Prestidge, Sanjay Garg, Anton Blencowe
    Pharmaceutics.2020; 13(1): 17.     CrossRef
  • Bio-Based Covered Stents: The Potential of Biologically Derived Membranes
    Shigeo Ichihashi, Alicia Fernández-Colino, Frederic Wolf, Diana M. Rojas-González, Kimihiko Kichikawa, Stefan Jockenhoevel, Thomas Schmitz-Rode, Petra Mela
    Tissue Engineering Part B: Reviews.2019; 25(2): 135.     CrossRef
  • Recent advancements in the minimally invasive management of esophageal perforation, leaks, and fistulae
    Shirin Siddiqi, Dean P. Schraufnagel, Hafiz Umair Siddiqui, Michael J. Javorski, Adam Mace, Abdulrhman S. Elnaggar, Haytham Elgharably, Patrick R. Vargo, Robert Steffen, Saad M. Hasan, Siva Raja
    Expert Review of Medical Devices.2019; 16(3): 197.     CrossRef
  • Drug-eluting non-vascular stents for localised drug targeting in obstructive gastrointestinal cancers
    Mohammad Arafat, Paris Fouladian, Anton Blencowe, Hugo Albrecht, Yunmei Song, Sanjay Garg
    Journal of Controlled Release.2019; 308: 209.     CrossRef
  • Endoscopic Closure of Gastrointestinal Fistulae and Leaks
    Jaehoon Cho, Ara B. Sahakian
    Gastrointestinal Endoscopy Clinics of North America.2018; 28(2): 233.     CrossRef


  • Experimental and Clinical Transplantation.2018;[Epub]     CrossRef
  • Endoscopic retrograde cholangiography: Complications, emergencies, and related topics
    ThomasR Wojda, JohnD Nuschke, EllynA Smith, Ronak Modi, Samuel Schadt, David Strosberg, Berhanu Geme, SagarC Galwankar, StanislawP Stawicki
    International Journal of Academic Medicine.2018; 4(2): 124.     CrossRef
  • Adverse events of self-expandable esophageal metallic stents in patients with long-term survival from advanced malignant disease
    Vitor Sousa Medeiros, Bruno Costa Martins, Luciano Lenz, Maria Sylvia Ierardi Ribeiro, Gustavo Andrade de Paulo, Marcelo Simas Lima, Adriana Vaz Safatle-Ribeiro, Fabio Shighuehissa Kawaguti, Caterina Pennacchi, Sebastian N. Geiger, Victor R. Bastos, Ulyss
    Gastrointestinal Endoscopy.2017; 86(2): 299.     CrossRef
  • Update on Enteral Stents
    Emanuele Dabizzi, Paolo Giorgio Arcidiacono
    Current Treatment Options in Gastroenterology.2016; 14(2): 178.     CrossRef
  • Current Status of Biliary Metal Stents
    Hyeong Seok Nam, Dae Hwan Kang
    Clinical Endoscopy.2016; 49(2): 124.     CrossRef
  • The location of obstruction predicts stent occlusion in malignant gastric outlet obstruction
    Douglas Grunwald, Jonah Cohen, Anthony Bartley, Jennifer Sheridan, Ram Chuttani, Mandeep S. Sawhney, Douglas K. Pleskow, Tyler M. Berzin, Meir Mizrahi
    Therapeutic Advances in Gastroenterology.2016; 9(6): 815.     CrossRef
  • Efficacy of Self-Expandable Metallic Stent Inserted for Refractory Hemorrhage of Duodenal Cancer
    Takashi Orii, Yukihiko Karasawa, Hiroe Kitahara, Masaki Yoshimura, Motohiro Okumura
    Case Reports in Gastroenterology.2016; 10(1): 156.     CrossRef
  • 8,780 View
  • 152 Download
  • 23 Web of Science
  • 26 Crossref
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Case Report
A Case of Esophageal Fibrovascular Polyp That Induced Asphyxia during Sleep
Jin-Seok Park, Byoung Wook Bang, Junyoung Shin, Kye Sook Kwon, Hyung Gil Kim, Yong Woon Shin, Suk Jin Choi
Clin Endosc 2014;47(1):101-103.   Published online January 24, 2014
DOI: https://doi.org/10.5946/ce.2014.47.1.101
AbstractAbstract PDFPubReaderePub

Esophageal fibrovascular polyps are rare, benign, submucosal tumors of the upper digestive tract that usually have an indolent course until the lesion attains a very large size. The most frequent complaints associated with these tumors include dysphagia and foreign body sensation. However, a long pedunculated polyp can regurgitate into the pharynx or oral cavity and cause asphyxia and sudden death if the larynx is occluded. We describe the case of a 51-year-old man who experienced snoring and occasional asphyxia during sleep. Upper endoscopy was performed, which indicated the presence of a pedunculated esophageal polyp that regurgitated into the vocal cords. The polyp was removed using a polypectomy snare and was confirmed to be a fibrovascular polyp based on pathologic examination findings. Three months after the excision of the polyp, the patient was found to be doing well without any further occurrence of asphyxia or sleep disturbances.

Citations

Citations to this article as recorded by  
  • Hybrid laparo-endoscopic access: New approach to surgical treatment for giant fibrovascular polyp of esophagus: A case report and review of literature
    Seda Dzhantukhanova, Lyudmila Grigori Avetisyan, Amina Badakhova, Yury Starkov, Andrey Glotov
    World Journal of Gastrointestinal Endoscopy.2023; 15(11): 666.     CrossRef
  • Esophageal Lipoma and Liposarcoma: A Systematic Review
    Davide Ferrari, Daniele Bernardi, Stefano Siboni, Veronica Lazzari, Emanuele Asti, Luigi Bonavina
    World Journal of Surgery.2021; 45(1): 225.     CrossRef
  • Recent developments in gastroesophageal mesenchymal tumours
    David J. Papke, Jason L. Hornick
    Histopathology.2021; 78(1): 171.     CrossRef
  • Deep Learning-Based Automatic Detection of Rectal Polyps Using Abdominal CT Images Guided by Cold Snare Polypectomy
    Haijun Lin, Qi Chen, Caijuan Li, Aifen Zheng, Lei Yang, Jiemin Hong, Hanqing Chen, Xuni He, Wuna Feng, Gustavo Ramirez
    Scientific Programming.2021; 2021: 1.     CrossRef
  • Difficult endoscopic resection of a giant esophageal fibrovascular polyp: case report and literature review
    Dan Nie, Ye Zong, Jielin Li
    Journal of International Medical Research.2021; 49(8): 030006052110398.     CrossRef
  • Endoscopic resection for giant oesophageal fibrovascular polyp
    N Acar, T Acar, F Cengiz, B Şuataman, C Tavusbay, M Haciyanli
    The Annals of The Royal College of Surgeons of England.2020; 102(4): e89.     CrossRef
  • Well-Differentiated Liposarcoma (Atypical Lipomatous Tumor) Presenting as an Esophageal Polyp
    Aoife J. McCarthy, Paul Carroll, Rajkumar Vajpeyi, Gail Darling, Runjan Chetty
    Journal of Gastrointestinal Cancer.2019; 50(3): 589.     CrossRef
  • First Characterization with Ultrasound Contrast Agent of a Fibrovascular Polyp Before Its Endoscopic Resection: A Case Report (with Videos)
    Nicolas Williet, Radwan Kassir, Francois Casteillo, Violaine Yvorel, Cyril Habougit, Xavier Roblin, Jean-Marc Phelip
    Clinical Endoscopy.2019; 52(2): 186.     CrossRef
  • Asphyxia Caused by a Giant Fibrovascular Polyp of the Esophagus
    Santiago A. Endara, Gerardo A. Dávalos, Ramiro J. Yepez, Diego F. Luna, Fabián B. Corral, Gabriel A. Molina, W. Javier Cisneros
    ACG Case Reports Journal.2019; 6(7): e00126.     CrossRef
  • Polypoid fibroadipose tumors of the esophagus: ‘giant fibrovascular polyp’ or liposarcoma? A clinicopathological and molecular cytogenetic study of 13 cases
    Rondell P Graham, Saba Yasir, Karen J Fritchie, Michelle D Reid, Patricia T Greipp, Andrew L Folpe
    Modern Pathology.2018; 31(2): 337.     CrossRef
  • Presentation and Management of Giant Fibrovascular Polyps of the Hypopharynx and Esophagus
    Julina Ongkasuwan, C. Lane Anzalone, Esperanza Salazar, Donald T. Donovan
    Annals of Otology, Rhinology & Laryngology.2017; 126(1): 29.     CrossRef
  • Giant Esophageal Fibrovascular Polyp: A Rare Cause of Dysphagia
    Joseph Cano, Clark Hair, Robert Jay Sealock
    Clinical Gastroenterology and Hepatology.2017; 15(5): e93.     CrossRef
  • Gastroscopic removal of a giant fibrovascular polyp from the esophagus
    Jie Li, Hua Yu, Renfu Pu, Zhongsheng Lu
    Thoracic Cancer.2016; 7(3): 363.     CrossRef
  • A Case of Giant Fibrovascular Polyp of the Esophagus, Treated Successfully by Endoscopic Resection
    Jong Wook Lee, Gwang Ha Kim, Joong Keun Kim, Chul Hong Park, Byeong Gu Song, Dong Hun Shin, Dong Woo Ha, Geun Am Song
    The Korean Journal of Gastroenterology.2016; 67(5): 253.     CrossRef
  • Highlights from the 50th Seminar of the Korean Society of Gastrointestinal Endoscopy
    Eun Young Kim, Il Ju Choi, Kwang An Kwon, Ji Kon Ryu, Seok Ho Dong, Ki Baik Hahm
    Clinical Endoscopy.2014; 47(4): 285.     CrossRef
  • 7,205 View
  • 78 Download
  • 18 Web of Science
  • 15 Crossref
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