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Original Article
Diode Laser—Can It Replace the Electrical Current Used in Endoscopic Submucosal Dissection?
Yunho Jung, Gwang Ho Baik, Weon Jin Ko, Bong Min Ko, Seong Hwan Kim, Jin Seok Jang, Jae-Young Jang, Wan-Sik Lee, Young Kwan Cho, Sun Gyo Lim, Hee Seok Moon, In Kyung Yoo, Joo Young Cho
Clin Endosc 2021;54(4):555-562.   Published online January 13, 2021
DOI: https://doi.org/10.5946/ce.2020.229
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background
/Aims: A new medical fiber-guided diode laser system (FDLS) is expected to offer high-precision cutting with simultaneous hemostasis. Thus, this study aimed to evaluate the feasibility of using the 1,940-nm FDLS to perform endoscopic submucosal dissection (ESD) in the gastrointestinal tract of an animal model.
Methods
In this prospective animal pilot study, gastric and colorectal ESD using the FDLS was performed in ex vivo and in vivo porcine models. The completeness of en bloc resection, the procedure time, intraprocedural bleeding, histological injuries to the muscularis propria (MP) layer, and perforation were assessed.
Results
The en bloc resection and perforation rates in the ex vivo study were 100% (10/10) and 10% (1/10), respectively; those in the in vivo study were 100% (4/4) and 0% for gastric ESD and 100% (4/4) and 25% (1/4) for rectal ESD, respectively. Deep MP layer injuries tended to occur more frequently in the rectal than in the gastric ESD cases, and no intraprocedural bleeding occurred in either group.
Conclusions
The 1,940-nm FDLS was capable of yielding high en bloc resection rates without intraprocedural bleeding during gastric and colorectal ESD in animal models.

Citations

Citations to this article as recorded by  
  • Use of Diode Laser in Hysteroscopy for the Management of Intrauterine Pathology: A Systematic Review
    Andrea Etrusco, Giovanni Buzzaccarini, Antonio Simone Laganà, Vito Chiantera, Salvatore Giovanni Vitale, Stefano Angioni, Maurizio Nicola D’Alterio, Luigi Nappi, Felice Sorrentino, Amerigo Vitagliano, Tommaso Difonzo, Gaetano Riemma, Liliana Mereu, Alessa
    Diagnostics.2024; 14(3): 327.     CrossRef
  • Recent advances in endoscopic management of gastric neoplasms
    Hira Imad Cheema, Benjamin Tharian, Sumant Inamdar, Mauricio Garcia-Saenz-de-Sicilia, Cem Cengiz
    World Journal of Gastrointestinal Endoscopy.2023; 15(5): 319.     CrossRef
  • Safety and efficacy of dual emission endoscopic laser treatment in patients with upper or lower gastrointestinal vascular lesions causing chronic anemia: results from the first multicenter cohort study
    Gian Eugenio Tontini, Lorenzo Dioscoridi, Alessandro Rimondi, Paolo Cantù, Flaminia Cavallaro, Aurora Giannetti, Luca Elli, Luca Pastorelli, Francesco Pugliese, Massimiliano Mutignani, Maurizio Vecchi
    Endoscopy International Open.2022; 10(04): E386.     CrossRef
  • 3,901 View
  • 110 Download
  • 3 Web of Science
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Case Reports
Two-Stage Peroral Endoscopic Myotomy for Sigmoid-Type Achalasia
Hak Su Kim, Hee Kyung Kim, Weon Jin Ko
Clin Endosc 2020;53(2):232-235.   Published online July 16, 2019
DOI: https://doi.org/10.5946/ce.2019.067
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Peroral endoscopic myotomy (POEM) has been recently considered as the first treatment option for achalasia. The standard POEM procedures are often successful in most patients, but sometimes technical challenges are encountered. We report a new technique that is divided between two tunneling sites in the esophagus for sigmoid-type achalasia. A 40-year-old male patient with dysphagia for 10 years was diagnosed with a sigmoid-shaped esophagus at our hospital. We devised a two-stage myotomy technique to treat sigmoidtype achalasia. The myotomy was first performed in the upper part of the greater flexion area and then in the lower part of the flexion. We termed this method “two-stage POEM”, which was successfully performed without any complications. This new POEM method can also be used to improve symptoms in patients with achalasia who have a structural deformity that may result in a high change of treatment failure.
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Endoscopic Submucosal Dissection Followed by Concurrent Chemoradiotherapy in Patients with Early Esophageal Cancer with a High Risk of Lymph Node Metastasis
Hee Kyung Kim, Weon Jin Ko, Chang-Il Kwon, Ga Won Song, In Kyun Yoo, Ji Hyun Song, Hak Su Kim, Joo Young Cho
Clin Endosc 2019;52(5):502-505.   Published online May 14, 2019
DOI: https://doi.org/10.5946/ce.2018.176
AbstractAbstract PDFPubReaderePub
Endoscopic submucosal dissection is recommended as an alternative therapy for early esophageal cancer. However, achieving curative resection in this procedure remains controversial since precise prediction of lymph node metastasis can be difficult. Here, we present the preliminary results of endoscopic submucosal dissection followed by concurrent chemoradiotherapy for early esophageal cancer with a high risk of lymph node metastasis. From May 2006 to January 2014, six patients underwent concurrent chemoradiotherapy after endoscopic submucosal dissection with a median follow-up period of 63 months. No complications were encountered during concurrent chemoradiotherapy. Although local recurrence did not occur in all patients, two patients were diagnosed with metachronous cancer. Overall, the survival rate was 100%. Thus, endoscopic submucosal dissection followed by concurrent chemoradiotherapy may be a feasible treatment for early esophageal cancer in patients with a high risk of lymph node metastasis. Future prospective large-scale studies are warranted to confirm our results.

Citations

Citations to this article as recorded by  
  • Unveiling Therapeutic Targets for Esophageal Cancer: A Comprehensive Review
    Rakesh Acharya, Ananya Mahapatra, Henu Kumar Verma, L. V. K. S. Bhaskar
    Current Oncology.2023; 30(11): 9542.     CrossRef
  • Editorial “Discrepancy Between the Clinical and Final Pathological Findings of Lymph Node Metastasis in Superficial Esophageal Cancer”
    Rian M. Hasson, Joseph D. Phillips
    Annals of Surgical Oncology.2019; 26(9): 2662.     CrossRef
  • 4,376 View
  • 92 Download
  • 1 Web of Science
  • 2 Crossref
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Focused Review Series: The New Era of Therapeutic Endoscopy - Endoscopic Submucosal Surgery
Introduction to Endoscopic Submucosal Surgery
Weon Jin Ko, Joo Young Cho
Clin Endosc 2018;51(1):8-12.   Published online January 23, 2018
DOI: https://doi.org/10.5946/ce.2017.154
AbstractAbstract PDFPubReaderePub
The concept of using natural orifices to reduce the complications of surgery, Natural Orifices Transluminal Endoscopic Surgery, has also been applied to therapeutic endoscopy. Endoscopic submucosal surgery (ESS) provides more treatment options for various gastrointestinal diseases than traditional therapeutic endoscopy by using the submucosal layer as a working space. ESS has been performed in various fields ranging from transluminal peritoneoscopy to peroral endoscopic myotomy. With further advances in technology, ESS will be increasingly useful for diagnosis and treatment of gastrointestinal diseases.

Citations

Citations to this article as recorded by  
  • Design and validation of performance-oriented injectable chitosan thermosensitive hydrogels for endoscopic submucosal dissection
    Jia Liu, Panxianzhi Ni, Yi Wang, Zhengkui Zhou, Junlin Li, Tianxu Chen, Tun Yuan, Jie Liang, Yujiang Fan, Jing Shan, Xiaobin Sun, Xingdong Zhang
    Biomaterials Advances.2023; 146: 213286.     CrossRef
  • Comparison of peroral endoscopic myotomy between de-novo achalasia and achalasia with prior treatment
    Abdullah Ozgur Yeniova, In kyung Yoo, Eunju Jeong, Joo Young Cho
    Surgical Endoscopy.2021; 35(1): 200.     CrossRef
  • Tunnel endoscopic interventions in esophageal diseases
    E. A. Drobyazgin, Yu. V. Chikinev, D. A. Arkhipov, N. I. Mit’ko, M. N. Chekanov, E. I. Vereshchagin, I. V. Peshkova, A. S. Polyakevich
    Experimental and Clinical Gastroenterology.2021; 1(6): 75.     CrossRef
  • 5,376 View
  • 157 Download
  • 3 Web of Science
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Review
Evaluation and Endoscopic Management of Esophageal Submucosal Tumor
Weon Jin Ko, Ga Won Song, Joo Young Cho
Clin Endosc 2017;50(3):250-253.   Published online November 7, 2016
DOI: https://doi.org/10.5946/ce.2016.109
AbstractAbstract PDFPubReaderePub
Submucosal tumors (SMTs) originate from tissues that constitute the submucosal layer and muscularis propria, and are covered by normal mucosa. Esophageal SMTs are rare, accounting for <1% of all esophageal tumors. However, the recent widespread use of endoscopy has led to a rapid increase in incidental detection of SMTs in Korea. Esophageal SMTs are benign in ≥90% of cases, but the possibility of malignancies such as gastrointestinal stromal tumor and malignant leiomyosarcoma still exists. Therefore, patients undergo resection in the presence of symptoms or the possibility of a malignant tumor. For resection of esophageal SMTs, surgical resection was the only option available in case of possible malignancy, but minimally invasive surgery by endoscopic resection is becoming more preferable to surgical resection with the development of endoscopic ultrasonography, endoscopic techniques, and other devices.

Citations

Citations to this article as recorded by  
  • Chest pain in a patient with suicidal history
    Chien-Ming Chiang, Hsueh-Chien Chiang, Jui-Wen Kang
    Frontline Gastroenterology.2024; : flgastro-2023-102617.     CrossRef
  • Cholangiocarcinoma With Rare Esophageal Metastasis
    Mana Matsuoka, Katsumasa Kobayashi, Yukito Okura, Takahito Nozaka, Ayako Sato, Masato Yauchi, Taichi Matsumoto, Yohei Furumoto, Takao Horiuchi, Toru Asano
    ACG Case Reports Journal.2022; 9(1): e00717.     CrossRef
  • Natural History of Asymptomatic Esophageal Subepithelial Tumors of 30 mm or Less in Size
    Seokin Kang, Do Hoon Kim, Yuri Kim, Dongsub Jeon, Hee Kyong Na, Jeong Hoon Lee, Ji Yong Ahn, Kee Wook Jung, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung
    Journal of Korean Medical Science.2022;[Epub]     CrossRef
  • A Submucosal Tumor-like Lesion of the Cervical Esophagus Similar to the Tonsillar Structures of Waldeyer’s Ring: A Case Report
    Shibo Song, Xiaolong Feng, Xudong Liu, Guiqi Wang, Liyan Xue
    Medicina.2022; 58(12): 1804.     CrossRef
  • Clinical study of submucosal tunneling endoscopic resection and endoscopic submucosal dissection in the treatment of submucosal tumor originating from the muscularis propria layer of the esophagus
    Yue Zhang, Jing Wen, Shuxian Zhang, Xuyang Liang, Ling Ren, Lu Wang, Yunliang Sun, Shouying Li, Kun Wang, Shengxiang Lv, Xiao Qiao
    Medicine.2022; 101(51): e32380.     CrossRef
  • Role of endoscopic ultrasound in anticancer therapy: Current evidence and future perspectives
    Andre Bratanic, Dorotea Bozic, Antonio Mestrovic, Dinko Martinovic, Marko Kumric, Tina Ticinovic Kurir, Josko Bozic
    World Journal of Gastrointestinal Oncology.2021; 13(12): 1863.     CrossRef
  • Left atrial appendage thrombus detected by transesophageal examination with linear endoscopic ultrasound
    Kenji Ikezawa, Minoru Shigekawa, Kaoruko Sengoku, Teppei Yoshioka, Ryotaro Sakamori, Yasushi Sakata, Tetsuo Takehara
    Clinical Case Reports.2019; 7(7): 1327.     CrossRef
  • A Potentially Malignant Giant Esophageal Paraganglioma
    Tammi Arbel Rubinstein, Gennady Kouniavsky, Bibi Kanengisser Pines, Efraim Idelevich, Li or Lazar, Amir Elami, Ilan Bar, Guy Pines
    The Annals of Thoracic Surgery.2019; 108(6): e349.     CrossRef
  • Strategy for esophageal non-epithelial tumors based on a retrospective analysis of a single facility
    Tomoaki Aoki, Tetsu Nakamura, Taro Oshikiri, Hiroshi Hasegawa, Masashi Yamamoto, Yoshiko Matsuda, Shingo Kanaji, Kimihiro Yamashita, Takeru Matsuda, Yasuo Sumi, Satoshi Suzuki, Yoshihiro Kakeji
    Esophagus.2018; 15(4): 286.     CrossRef
  • Esophageal Squamous Cell Carcinoma Presenting as a Subepithelial Tumor
    Soon Young Kim, Sang Kil Lee, Hyang Joo Ryu
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2017; 17(3): 144.     CrossRef
  • 7,845 View
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  • 12 Web of Science
  • 10 Crossref
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Focused Review Series: Advances in the management of upper GI SET
Current Techniques for Treating Gastrointestinal Stromal Tumors in the Upper Gastrointestinal Tract
Weon Jin Ko, Joo Young Cho
Clin Endosc 2016;49(3):226-228.   Published online May 23, 2016
DOI: https://doi.org/10.5946/ce.2016.061
AbstractAbstract PDFPubReaderePub
Most gastrointestinal stromal tumors (GISTs) arise from the proper muscle layer of the upper gastrointestinal (GI) tract and have a low malignant potential. They are sometimes accompanied by symptoms, but in most cases are detected by chance. Endoscopic surgery of subepithelial tumors in the upper GI tract has been actively performed, and its merits include the need for fewer medical devices compared with other surgical procedures and post-resection organ preservation. However, because endoscopic procedures are still limited to small or pilot studies, a multidisciplinary approach combining laparoscopy and endoscopy is needed for more effective and pathologically acceptable management of GISTs. Many new endoscopic surgeries have been developed, and this review describes the current status of and the new approaches for endoscopic surgery of GISTs in the upper GI tract.

Citations

Citations to this article as recorded by  
  • Endoscopic resection of gastric gastrointestinal stromal tumor using clip-and-cut endoscopic full-thickness resection: a single-center, retrospective cohort in Korea
    Yuri Kim, Ji Yong Ahn, Hwoon-Yong Jung, Seokin Kang, Ho June Song, Kee Don Choi, Do Hoon Kim, Jeong Hoon Lee, Hee Kyong Na, Young Soo Park
    Clinical Endoscopy.2024; 57(3): 350.     CrossRef
  • New data on the types of sulfide copper-nickel ores of the Kharaelakh trough and the main patterns of their distribution
    I. O. Krylov, I. I. Nikulin
    Moscow University Bulletin. Series 4. Geology.2023; (3): 98.     CrossRef
  • Advances in endoscopic resection techniques of small gastric tumors originating from the muscularis propria
    Suliman Khan, Xiaona Cui, Safyan Nasir, Shoaib Mohammad Rafiq, Bo Qin, Qian Bai
    Frontiers in Oncology.2022;[Epub]     CrossRef
  • New data on the composition of plagioclase on the western flank of the Oktyabrsky deposit according to infrared spectroscopy
    I. O. Krylov, I. I. Nikulin, A. A. Samsonov, D. M. Korshunov, D. I. Vildanov
    Moscow University Bulletin. Series 4. Geology.2022; (2): 27.     CrossRef
  • A modified endoscopic full thickness resection for gastric subepithelial tumors from muscularis propria layer: Novel method
    Jung Min Lee, In Kyung Yoo, Sung Pyo Hong, Joo Young Cho, Young Kwan Cho
    Journal of Gastroenterology and Hepatology.2021; 36(9): 2558.     CrossRef
  • Endoskopische Vollwandresektion im oberen Gastrointestinaltrakt – erste Erfahrungen
    T. Heuer, C. D. Gerharz, M. Banysch, G. M. Kaiser, M. Hornstein, E. Kasim
    Der Gastroenterologe.2020; 15(5): 403.     CrossRef
  • Endoscopic full‐thickness resection for gastrointestinal submucosal tumors
    Ming‐Yan Cai, Francisco Martin Carreras‐Presas, Ping‐Hong Zhou
    Digestive Endoscopy.2018; 30(S1): 17.     CrossRef
  • The fourth space surgery: endoscopic subserosal dissection for upper gastrointestinal subepithelial tumors originating from the muscularis propria layer
    Fei Liu, Song Zhang, Wei Ren, Tian Yang, Ying Lv, Tingsheng Ling, Xiaoping Zou, Lei Wang
    Surgical Endoscopy.2018; 32(5): 2575.     CrossRef
  • Tumor rupture of gastric gastrointestinal stromal tumors during endoscopic resection: a risk factor for peritoneal metastasis?
    Shiyi Song, Wei Ren, Yi Wang, Shu Zhang, Song Zhang, Fei Liu, Qiang Cai, Guifang Xu, Xiaoping Zou, Lei Wang
    Endoscopy International Open.2018; 06(08): E950.     CrossRef
  • 6,440 View
  • 108 Download
  • 10 Web of Science
  • 9 Crossref
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Case Report
Double-Scope Peroral Endoscopic Myotomy (POEM) for Esophageal Achalasia: The First Trial of a New Double-Scope POEM
Hee Jin Hong, Ga Won Song, Weon Jin Ko, Won Hee Kim, Ki Baik Hahm, Sung Pyo Hong, Joo Young Cho
Clin Endosc 2016;49(4):383-386.   Published online March 15, 2016
DOI: https://doi.org/10.5946/ce.2015.108
AbstractAbstract PDFPubReaderePub
With the accumulation of clinical trials demonstrating its efficacy and safety, peroral endoscopic myotomy (POEM) has emerged as a less invasive treatment option for esophageal achalasia compared with laparoscopic Heller myotomy. However, the difficulty in determining the exact extent of myotomy, a critical factor associated with the success and safety of the procedure, remains a limitation. Although the various endoscopic landmarks and ancillary techniques have been applied, none of these has been proven sufficient. As a solution for this limitation, the double-scope POEM technique with a second endoscope to assure the exact length of the submucosal tunnel has been applied since 2014. Before double-scope POEM was introduced, the second endoscope was applied only to confirm the accuracy of the procedure. In the present study, we performed double-scope POEM in the treatment of esophageal achalasia through a novel procedure of simultaneous application of the second endoscope to assist in the conventional POEM procedure.

Citations

Citations to this article as recorded by  
  • Peroral Endoscopic Myotomy (POEM) in Children: A State of the Art Review
    Ali A. Mencin, Amrita Sethi, Monique T. Barakat, Diana G. Lerner
    Journal of Pediatric Gastroenterology & Nutrition.2022; 75(3): 231.     CrossRef
  • Per-oral endoscopic myotomy (POEM) for a sigmoid type of achalasia: short-term outcomes and changes in the esophageal angle
    Shota Maruyama, Yusuke Taniyama, Tadashi Sakurai, Makoto Hikage, Chiaki Sato, Kai Takaya, Takuro Konno, Takeshi Naitoh, Michiaki Unno, Takashi Kamei
    Surgical Endoscopy.2020; 34(9): 4124.     CrossRef
  • Characteristics of a Subset of Achalasia With Normal Integrated Relaxation Pressure
    Eunju Kim, In Kyung Yoo, Dong Keon Yon, Joo Young Cho, Sung Pyo Hong
    Journal of Neurogastroenterology and Motility.2020; 26(2): 274.     CrossRef
  • Feasibility of using an led-probe in third-space endoscopy: a clinical study
    Oscar Víctor Hernández Mondragón, Raúl Zamarripa Mottú, Omar Solórzano Pineda, Raúl Alberto Gutierrez Aguilar, Luís Fernando García Contreras
    BMC Gastroenterology.2020;[Epub]     CrossRef
  • 2007–2019: a “Third”-Space Odyssey in the Endoscopic Management of Gastrointestinal Tract Diseases
    Anastassios C. Manolakis, Haruhiro Inoue, Akiko Ueno, Yuto Shimamura
    Current Treatment Options in Gastroenterology.2019; 17(2): 202.     CrossRef
  • Treatment of Achalasia with Per-Oral Endoscopic Myotomy: Analysis of 50 Consecutive Patients
    Erica D. Kane, David J. Desilets, Donna Wilson, Marc Leduc, Vikram Budhraja, John R. Romanelli
    Journal of Laparoendoscopic & Advanced Surgical Techniques.2018; 28(5): 514.     CrossRef
  • Two penetrating vessels as a novel indicator of the appropriate distal end of peroral endoscopic myotomy
    Shinwa Tanaka, Fumiaki Kawara, Takashi Toyonaga, Haruhiro Inoue, Robert Bechara, Namiko Hoshi, Hirohumi Abe, Yoshiko Ohara, Tsukasa Ishida, Yoshinori Morita, Eiji Umegaki
    Digestive Endoscopy.2018; 30(2): 206.     CrossRef
  • 7,747 View
  • 109 Download
  • 9 Web of Science
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Review
Image Quality Analysis of Various Gastrointestinal Endoscopes: Why Image Quality Is a Prerequisite for Proper Diagnostic and Therapeutic Endoscopy
Weon Jin Ko, Pyeong An, Kwang Hyun Ko, Ki Baik Hahm, Sung Pyo Hong, Joo Young Cho
Clin Endosc 2015;48(5):374-379.   Published online September 30, 2015
DOI: https://doi.org/10.5946/ce.2015.48.5.374
AbstractAbstract PDFPubReaderePub

Arising from human curiosity in terms of the desire to look within the human body, endoscopy has undergone significant advances in modern medicine. Direct visualization of the gastrointestinal (GI) tract by traditional endoscopy was first introduced over 50 years ago, after which fairly rapid advancement from rigid esophagogastric scopes to flexible scopes and high definition videoscopes has occurred. In an effort towards early detection of precancerous lesions in the GI tract, several high-technology imaging scopes have been developed, including narrow band imaging, autofocus imaging, magnified endoscopy, and confocal microendoscopy. However, these modern developments have resulted in fundamental imaging technology being skewed towards red-green-blue and this technology has obscured the advantages of other endoscope techniques. In this review article, we have described the importance of image quality analysis using a survey to consider the diversity of endoscope system selection in order to better achieve diagnostic and therapeutic goals. The ultimate aims can be achieved through the adoption of modern endoscopy systems that obtain high image quality.

Citations

Citations to this article as recorded by  
  • Colonoscopy Quality, Innovation, and the Assessment of New Technology
    Sanjay R.V. Gadi, Sriya S. Muralidharan, Jeremy R. Glissen Brown
    Techniques and Innovations in Gastrointestinal Endoscopy.2024; 26(2): 177.     CrossRef
  • Endoscopy image enhancement method by generalized imaging defect models based adversarial training
    Wenjie Li, Jingfan Fan, Yating Li, Pengcheng Hao, Yucong Lin, Tianyu Fu, Danni Ai, Hong Song, Jian Yang
    Physics in Medicine & Biology.2022; 67(9): 095016.     CrossRef
  • Reduced detection rate of artificial intelligence in images obtained from untrained endoscope models and improvement using domain adaptation algorithm
    Junseok Park, Youngbae Hwang, Hyun Gun Kim, Joon Seong Lee, Jin-Oh Kim, Tae Hee Lee, Seong Ran Jeon, Su Jin Hong, Bong Min Ko, Seokmin Kim
    Frontiers in Medicine.2022;[Epub]     CrossRef
  • Diagnosis of Early Gastric Cancer Using Image-enhanced Endoscopy
    Weon Jin Ko
    The Korean Journal of Medicine.2017; 92(3): 264.     CrossRef
  • 8,151 View
  • 104 Download
  • 5 Web of Science
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Case Report
Endoscopic Treatment of Various Gastrointestinal Tract Defects with an Over-the-Scope Clip: Case Series from a Tertiary Referral Hospital
Woong Cheul Lee, Weon Jin Ko, Jun-Hyung Cho, Tae Hee Lee, Seong Ran Jeon, Hyun Gun Kim, Joo Young Cho
Clin Endosc 2014;47(2):178-182.   Published online March 31, 2014
DOI: https://doi.org/10.5946/ce.2014.47.2.178
AbstractAbstract PDFPubReaderePub

Recently, increasingly invasive therapeutic endoscopic procedures and more complex gastrointestinal surgeries such as endoscopic mucosal resection, endoscopic submucosal dissection, and novel laparoscopic approaches have resulted in endoscopists being confronted more frequently with perforations, fistulas, and anastomotic leakages, for which nonsurgical closure is desired. In this article, we present our experiences with the use of over-the-scope clip (OTSC) for natural orifice transluminal endoscopic surgery (NOTES) closure, prevention of perforation, anastomotic leakages, and fistula closures. The OTSC is a valuable device for closing intestinal perforations and fistulas, for NOTES closure, and for the prevention of perforation after the excision of a tumor from the proper muscle layer. Furthermore, it seems to be quite safe to perform, even by endoscopists with little experience of the technique.

Citations

Citations to this article as recorded by  
  • Experimental Evaluation of the Optimal Suture Pattern With a Flexible Endoscopic Suturing System
    Peter Halvax, Michele Diana, Yoshihiro Nagao, Jacques Marescaux, Lee Swanström
    Surgical Innovation.2017; 24(3): 201.     CrossRef
  • Management of non-acute gastrointestinal defects using the over-the-scope clips (OTSCs): a retrospective single-institution experience
    Joshua S. Winder, Afif N. Kulaylat, Jane R. Schubart, Hassan M. Hal, Eric M. Pauli
    Surgical Endoscopy.2016; 30(6): 2251.     CrossRef
  • Early endoscopic closure of colocutaneous fistula adjacent to unmatured low colorectal anastomosis with the Over-The-Scope Clip (OTSC)
    Constantinos Avgoustou, K. Paraskeva
    Hellenic Journal of Surgery.2016; 88(3): 193.     CrossRef
  • Endoscopic Closure for Full-Thickness Gastrointestinal Defects: Available Applications and Emerging Innovations
    Nobuyoshi Takeshita, Khek Yu Ho
    Clinical Endoscopy.2016; 49(5): 438.     CrossRef
  • 6,129 View
  • 59 Download
  • 3 Web of Science
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