Clinical Endoscopy

Original Articles

A pilot study of a novel tapered and flared fully covered self-expandable metal stent for unresectable malignant distal biliary obstruction: a multicenter study in Japan: Toji Murabayashi, Makoto Kobayashi, Keisuke Iwata, Yuhei Iwasa, Yujiro Kawakami, Yoshiharu Masaki, Shinya Kawaguchi, Hayato Nakagawa; Clin Endosc 2026;59(3):425-432. Published online April 23, 2026; DOI: https://doi.org/10.5946/ce.2025.399

Background
/Aims: This study evaluated the feasibility and clinical outcomes of a novel tapered and flared, fully covered, self-expandable metal stent (TF-FCSEMS) for unresectable malignant distal biliary obstruction (UMDBO).
Methods
This multicenter retrospective study included 40 patients who underwent transpapillary placement of a TF-FCSEMS (10-mm cylindrical body with an 8-mm tapered distal end) for UMDBO between May 2023 and July 2024. The primary outcome was time to recurrent biliary obstruction (TRBO). Secondary outcomes included technical and clinical successes, adverse events (AEs), and overall survival.
Results
Technical and clinical success rates were 100% and 98%, respectively. During a median follow-up period of 271 days, recurrent biliary obstruction (RBO) occurred in 10 (26%) of the 39 patients who achieved clinical success. The median TRBO was 539 days (95% confidence interval, 389–not reached), and the non-RBO rates at 3, 6, and 12 months were 94%, 71%, and 61%, respectively. Symptomatic stent migration occurred in 2 patients (5.1%), while asymptomatic migration was observed in 3 (7.7%). Post-endoscopic retrograde cholangiopancreatography pancreatitis occurred in four patients (10%). Non-occlusion cholangitis developed in five (13%) patients, mostly with tumor-related duodenal stenosis. All AEs were managed conservatively or endoscopically.
Conclusions
TF-FCSEMS appears to be a feasible and acceptable treatment option for UMDBO. Further prospective studies are required to confirm these findings.

Citations

Citations to this article as recorded by

Beyond cylindrical stents: does a tapered-and-flared design improve biliary drainage?
Woo Hyun Paik
Clinical Endoscopy.2026; 59(3): 406. CrossRef

2,194 View
78 Download
1 Web of Science
1 Crossref

Feasibility of primary precut sphincterotomy in endoscopic retrograde cholangiopancreatography for patients with large oral protrusions of the duodenal papilla; prospective observation study in Japan: Masafumi Watanabe, Kosuke Okuwaki, Mitsuhiro Kida, Hiroshi Imaizumi, Kai Adachi, Akihiro Tamaki, Taro Hanaoka, Chika Kusano; Clin Endosc 2026;59(2):273-279. Published online February 13, 2026; DOI: https://doi.org/10.5946/ce.2025.271

Graphical Abstract Abstract PDF: Background
/Aims: Large oral protrusions may increase the difficulty of biliary cannulation in endoscopic retrograde cholangiopancreatography (ERCP) and often require precut sphincterotomy. Precut sphincterotomy is a risk factor for post-ERCP pancreatitis (PEP). However, this may be reduced by a primary precut sphincterotomy. This study aimed to evaluate the results of biliary cannulation after primary precut sphincterotomy in patients with large oral protrusions identified during ERCP.
Methods
In this prospective observation study, we included 38 patients with naïve papillae who underwent ERCPs between January 2021 and December 2022 that revealed large oral protrusions and who underwent primary precut sphincterotomies as the biliary cannulation method. Primary precut sphincterotomy was performed by an experienced endoscopist in all cases.
Results
The biliary cannulation success rate for primary precut sphincterotomies was 100% (38/38 patients). There were seven cases (18.4%) of ERCP-related adverse events, specifically bleeding. Of these, six (15.8%) were mild and one (2.6%) was moderate. No cases of PEP were observed.
Conclusions
Primary precut sphincterotomy for large oral protrusions performed by an experienced endoscopist had a high biliary cannulation success rate without the occurrence of PEP. This procedure can be used for biliary cannulation in patients with large oral protrusions (University Hospital Medical Information Network-Clinical Trials Registry number: UMIN000042805).

1,507 View
88 Download

Effect of double-layered suturing for mucosal defect closure after colorectal endoscopic submucosal dissection on postoperative adverse events: a propensity score-matched retrospective study in Japan: Kyohei Nishino, Hiroki Fujita, Takahiro Yuge, Masanori Hongo, Naoko Mori, Kazumi Shimamoto, Yu Kobayashi, Takashi Toyonaga, Hiromitsu Ban; Clin Endosc 2025;58(6):881-889. Published online November 6, 2025; DOI: https://doi.org/10.5946/ce.2025.053

Graphical Abstract Abstract PDF Supplementary Material

Background
/Aims: Prophylactic closure of mucosal defects after colorectal endoscopic submucosal dissection (ESD) can reduce the incidence of postoperative adverse events. However, data on this notion are limited. This study retrospectively evaluated the effect of closure using a double-layered suturing technique on postoperative adverse events.
Methods
A total of 370 lesions in 317 patients who underwent colorectal ESD were included in this analysis. Patients with 197 lesions that were completely closed were then assigned to the closure group. Patients with 173 lesions, including 55 that were partially closed and 118 that were not closed, were assigned to the non-closure group. Propensity score matching was performed, and 136 lesions were selected for each group.
Results
The closure group had a significantly lower overall incidence rate of postoperative adverse events, including delayed bleeding, delayed perforation, and post-ESD electrocoagulation syndrome, than the non-closure group (2.2% vs. 9.6%, p=0.018). The closure group had a significantly lower incidence of abdominal pain on the day after ESD than the non-closure group (2.9% vs. 11.0%, p=0.015).
Conclusions
Prophylactic closure of mucosal defects after colorectal ESD using a double-layered suturing technique could prevent postoperative adverse events and abdominal pain on the day after ESD.

Citations

Citations to this article as recorded by

Endoloop-clip closure versus hemoclips for large sigmoid colon perforations: a randomized controlled ex vivo study
Geun Hyuk Choi, Jae Kook Yang, Young Sin Cho, Il-Kwun Chung, Yunho Jung
Scandinavian Journal of Gastroenterology.2026; : 1. CrossRef
Endoscopic Closure After Colorectal ESD: A Literature Review and Meta-Analysis on Its Efficacy in Preventing Adverse Events
Naohisa Yoshida, Ken Inoue, Reo Kobayashi, Kazuya Maruo, Taku Kano, Katsuma Yamauchi, Hiroaki Kitae, Mayuko Seya, Mariko Kajiwara, Takeshi Yasuda, Naoto Iwai, Osamu Dohi, Kazuhiko Uchiyama, Yuri Tomita, Hardesh Dhillon, Rafiz Abdul Rani, Elsayed Ghoneem,
Diagnostics.2026; 16(14): 2148. CrossRef
Colorectal endoscopic submucosal dissection defect closure: promising but still evolving
Yunho Jung
Clinical Endoscopy.2025; 58(6): 856. CrossRef

3,024 View
105 Download
4 Web of Science
3 Crossref

Reviews

Drainage for fluid collections post pancreatic surgery and acute pancreatitis: similar but different?: Yousuke Nakai, Saburo Matsubara, Tsuyoshi Mukai, Tsuyoshi Hamada, Takashi Sasaki, Hirotoshi Ishiwatari, Susumu Hijioka, Hideyuki Shiomi, Mamoru Takenaka, Takuji Iwashita, Atsuhiro Masuda, Tomotaka Saito, Hiroyuki Isayama, Ichiro Yasuda, for the WONDERFUL study group in Japan; Clin Endosc 2024;57(6):735-746. Published online May 17, 2024; DOI: https://doi.org/10.5946/ce.2023.254

Abstract PDF

Postoperative pancreatic fistulas (POPFs) are common adverse events that occur after pancreatic surgery. Endoscopic ultrasonography (EUS)-guided drainage (EUS-D) is a first-line treatment, similar to that for pancreatic fluid collection (PFCs) after acute pancreatitis. However, some POPFs do not develop fluid collections depending on the presence or location of the surgical drain, whereas others develop fluid collections, such as postoperative fluid collections (POPFCs). Although POPFCs are similar to PFCs, the strategy and modality for POPF management need to be modified according to the presence of fluid collections, surgical drains, and surgical type. As discussed for PFCs, the indications, timing, and selection of interventions or stents for EUS-D have not been fully elucidated for POPFs. In this review, we discuss the management of POPFs and POPFCs in comparison with PFCs due to acute pancreatitis and summarize the topics that should be addressed in future studies.

Citations

Citations to this article as recorded by

EUS-TD With Multiple Plastic Stents for Postoperative Pancreatic Fistula
Koichiro Miyagawa, Shinji Oe, Yasuhisa Mori, Tsuyoshi Ueda, Nobuhiko Shinohara, Kosuke Hideshima, Yudai Koya, Yuichi Honma, Masaru Harada
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2026;[Epub] CrossRef
Clinical Outcomes and Risk Factors for Adverse Events Associated With Endoscopic Ultrasound‐Guided Drainage of Postoperative Pancreatic Fluid Collections Following Distal Pancreatectomy
Ho Seung Lee, Gunn Huh, Yoonchan Lee, Sung Hyun Cho, Jae Min Lee, Tae Jun Song, Dong‐Wan Seo, Dongwook Oh
Journal of Gastroenterology and Hepatology.2026; 41(3): 1021. CrossRef
Interventional radiology in the management of complications after pancreatic surgery: a single-center experience
Giuseppina Pacella, Laura Olivieri, Carlo Altomare, Caterina Marsella, Elva Vergantino, Gaetano Russo, Michele Tondo, Martina Rendina, Damiano Caputo, Vincenzo La Vaccara, Domiziana Santucci, Bruno Beomonte Zobel, Eliodoro Faiella, Martijn R. Meijerink, R
Abdominal Radiology.2026;[Epub] CrossRef
Management of Postoperative Pancreatic Fluid Collection and Role of Endoscopy: A Case Series and Review of the Literature
Chiara Coluccio, Ilaria Tarantino, Maria Chiara Petrone, Edoardo Forti, Stefano Francesco Crinò, Alessandro Fugazza, Roberto Di Mitri, Cecilia Binda, Davide Trama, Arnaldo Amato, Alessandro Redaelli, Germana De Nucci, Fabia Attili, Mario Luciano Brancacci
Diagnostics.2025; 15(10): 1258. CrossRef
Percutaneous mini–invasive interventions in the treatment of peripancreatic fluid accumulation after pancreatic resection
M. V. Kostylev, V. P. Shkarban, V. I. Trachuk, V. O. Shatalo
The Ukrainian Journal of Clinical Surgery.2025; 92(3): 20. CrossRef
Acute Necrotizing Pancreatitis—Advances and Challenges in Management for Optimal Clinical Outcomes
Ioana Dumitrascu, Narcis Octavian Zarnescu, Eugenia Claudia Zarnescu, Mihai Radu Pahomeanu, Alexandru Constantinescu, Dana Galieta Minca, Radu Virgil Costea
Medicina.2025; 61(7): 1186. CrossRef
Endoscopic ultrasound-guided drainage of a right liver fistula caused by percutaneous thermoablation
Angelica Toppeta, Jean-Philippe Ratone, Solene Hoibian, Yanis Dahel, Antoine Assaf, Marc Giovannini, Fabrice Caillol
Endoscopy.2025; 57(S 01): E788. CrossRef
Unusual subcapsular hepatic collection of pancreatic enzymes following laparoscopic cholecystectomy for biliary pancreatitis: a rare case report
Sameh Zahran, Alyaa Aldokhi, Amal Qayed
Surgery.2025;[Epub] CrossRef

18,043 View
543 Download
6 Web of Science
8 Crossref

Management of complications related to colorectal endoscopic submucosal dissection: Tae-Geun Gweon, Dong-Hoon Yang; Clin Endosc 2023;56(4):423-432. Published online July 27, 2023; DOI: https://doi.org/10.5946/ce.2023.104

Abstract PDF

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.

Citations

Citations to this article as recorded by

Iatrogenic colon perforation: endoscopic management or surgery
Seung Bum Lee
Clinical Endoscopy.2026; 59(1): 33. CrossRef
Antibacterial prevention of postcoagulation syndrome during endoscopic removal of colon neoplasms (review and meta-analysis)
Nikolay S. Pogosov, Artem A. Balkarov, Alexey A. Likutov, Ilya V. Nazarov
Koloproktologia.2026; 25(1): 149. CrossRef
Therapeutic potential of Asiaticoside in wound healing after endoscopic submucosal dissection (ESD)
Qinghua Li, Wangqi Chen, Yuxia Xie, Hong Zhu
Pharmaceutical Biology.2026; 64(1): 487. CrossRef
Elucidation of the process of delayed colonic perforation after endoscopic thermal injury in a rat model
Takahiro Sakae, Hidehito Maeda, Fumisato Sasaki, Yuko Nakamura, Naohiro Koyoshi, Shohei Uehara, Akihito Tanaka, Makoto Hinokuchi, Shiho Arima, Shinichi Hashimoto, Shuji Kanmura, Akio Ido
Scientific Reports.2026;[Epub] CrossRef
A Perioperative Hydrogel Platform for Integrated Endoscopic Submucosal Dissection Management
Zizhao Wang, Yang Yang, Hongxin Sun, Peng Fan, Xiaoqing Jia, Liang Zhang, Ting Wang, Jiulong Zhao, Qian Chen, Shige Wang
ACS Applied Materials & Interfaces.2026; 18(13): 18821. CrossRef
Analysis of Risk Factors for Postoperative Delayed Perforation Following Endoscopic Submucosal Dissection in the Treatment of Gastrointestinal Stromal Tumors
Ling Lei, Ping Wang, Bin Li, Li Zheng, Mengqi Kuang, Lihong Gan
Surgical Innovation.2026;[Epub] CrossRef
Efficacy and safety of underwater ESD
Anatolij V. Dudnikov, Natalia V. Aleshina, Natalia A. Belinskaia, Sergey I. Kim, Dmitrii B. Larin, Oksana A. Nagornaia, Anastasia A. Paratovskaia, Eldar E. Topuzov, Michael Y. Agapov
Koloproktologia.2026; 25(2): 38. CrossRef
Developing and operating a high-quality endoscopic resection unit: insights from western institutions
Samer Al-Dury, Sinan Sharba, Yahya Al Hammada, Noora Alzadjali, Noor Mohammed
Best Practice & Research Clinical Gastroenterology.2026; : 102132. CrossRef
Safety and Efficacy of Endoscopic Submucosal Dissection for Rectal Neoplasms Extending to the Dentate Line
Harishankar Gopakumar, Dushyant Singh Dahiya, Peter V. Draganov, Mohamed O. Othman, Neil R. Sharma
Journal of Clinical Gastroenterology.2025; 59(10): 954. CrossRef
Orthodontic Rubber Band Traction Improves Trainees' Learning Curve of Colorectal Endoscopic Submucosal Dissection: A Prospective Randomized Study
Linfu Zheng, Longping Chen, Binbin Xu, Baoxiang Luo, Fuqiang Wang, Zhilin Liu, Xingjie Gao, Linxin Zhou, Jiawei Chen, Longke Xie, Yaping Hou, Dazhou Li, Wen Wang
American Journal of Gastroenterology.2025; 120(7): 1521. CrossRef
Risk Factors for Perforation in Endoscopic Treatment for Early Colorectal Cancer: A Nationwide ENTER-K Study
Ik Hyun Jo, Hyun Gun Kim, Young-Seok Cho, Hyun Jung Lee, Eun Ran Kim, Yoo Jin Lee, Sung Wook Hwang, Kyeong-Ok Kim, Jun Lee, Hyuk Soon Choi, Yunho Jung, Chang Mo Moon
Gut and Liver.2025; 19(1): 95. CrossRef
Unexpected Discovery at Resection Site: Plasmablastic Lymphoma After Polypectomy
Ryan Njeim, Mohammad Abureesh, Yashna Singh, Youssef El Douaihy
ACG Case Reports Journal.2025; 12(3): e01633. CrossRef
Risk Factors, Clinical Course, and Management of Delayed Perforation After Colorectal Endoscopic Submucosal Dissection: A Large-Scale Multicenter Study
Naohisa Yoshida, Ryohei Hirose, Ken Inoue, Yoshikazu Inagaki, Yutaka Inada, Takayuki Motoyoshi, Ritsu Yasuda, Hikaru Hashimoto, Hiroyuki Yoriki, Toshifumi Tsuji, Kohei Fukumoto, Daisuke Hasegawa, Yasutaka Morimoto, Takaaki Murakami, Reo Kobayashi, Naoto I
Digestive Diseases and Sciences.2025; 70(7): 2404. CrossRef
Therapeutic and Prophylactic Closure Post-Endoscopic Submucosal Dissection (ESD): A Unicentric Descriptive Analysis
E Maderuelo Gonzalez, R Marcé Colomet, F N García, F Valentin Gomez, D de Frutos, J Santiago Garcia, A Herreros De Tejada Echanojauregui
Endoscopy.2025; 57(S 02): S365. CrossRef
Medical disputes involving lower gastrointestinal endoscopies: cases from the Korean Medical Dispute Mediation and Arbitration Agency
Eun Hye Oh, Jeong Eun Shin, Jun Yong Bae, Yoon Suk Lee, Yehyun Park, Yong Hwan Kwon, Chang Nyol Paik, Jun Kyu Lee, Tae Hee Lee
The Korean Journal of Internal Medicine.2025; 40(3): 404. CrossRef
Proper Management and Prevention of Bleeding and Perforation in Endoscopic Submucosal Dissection
Jay Bapaye, Saurabh Chandan, Sagar Pathak, Peter V. Draganov, Dennis Yang
Techniques and Innovations in Gastrointestinal Endoscopy.2025; 27(4): 250930. CrossRef
Endoscopic resection of colorectal laterally spreading tumors: Clinicopathologic characteristics and risk factors for treatment outcomes
Li-Hua Guo, Ke-Feng Hu, Min Miao, Yong Ding, Xin-Jun Zhang, Guo-Liang Ye
World Journal of Gastrointestinal Endoscopy.2025;[Epub] CrossRef
Large North American Multicenter Experience on Endoscopic Submucosal Dissection of Rectal Neoplasms Extending to the Dentate Line
Neil R. Sharma, Harishankar Gopakumar, Talia F. Malik, Aqsa Khan, Dushyant S. Dahiya, Ishaan Vohra, Christina M. Zelt, Ashley Rumple, Mindy Flanagan, Antonio Mendoza-Ladd, Abdul A. Adam, Ahmed B. Saeed, Mohamed Othman, Saowanee Ngamruengphong, Suchapa Ara
Journal of Clinical Gastroenterology.2025;[Epub] CrossRef
Endoscopic closure for mucosal defects after endoscopic resection of gastrointestinal tumors
Gwang Ha Kim
Journal of Innovative Medical Technology.2025; 3(2): 50. CrossRef
Colorectal endoscopic submucosal dissection defect closure: promising but still evolving
Yunho Jung
Clinical Endoscopy.2025; 58(6): 856. CrossRef
Effect of double-layered suturing for mucosal defect closure after colorectal endoscopic submucosal dissection on postoperative adverse events: a propensity score-matched retrospective study in Japan
Kyohei Nishino, Hiroki Fujita, Takahiro Yuge, Masanori Hongo, Naoko Mori, Kazumi Shimamoto, Yu Kobayashi, Takashi Toyonaga, Hiromitsu Ban
Clinical Endoscopy.2025; 58(6): 881. CrossRef
Salivary Gland Choristoma at the Esophagogastric Junction Associated With Chronic Gastroesophageal Reflux Disease
Eric Vargas, Archi Patel, Samuel Ramos, Jignesh Parikh, Vania Zayat
Annals of Internal Medicine: Clinical Cases.2025;[Epub] CrossRef
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; 21(7): 561. CrossRef
IDEN Consensus on 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
The Korean Journal of Gastroenterology.2024; 83(6): 217. CrossRef
Approaches and considerations in the endoscopic treatment of T1 colorectal cancer
Yunho Jung
The Korean Journal of Internal Medicine.2024; 39(4): 563. CrossRef
Clinical meaning of sarcopenia in patients undergoing endoscopic treatment
Hiroyuki Hisada, Yosuke Tsuji, Hikaru Kuribara, Ryohei Miyata, Kaori Oshio, Satoru Mizutani, Hideki Nakagawa, Rina Cho, Nobuyuki Sakuma, Yuko Miura, Hiroya Mizutani, Daisuke Ohki, Seiichi Yakabi, Yu Takahashi, Yoshiki Sakaguchi, Naomi Kakushima, Nobutake
Clinical Endoscopy.2024; 57(4): 446. CrossRef
Endoscopic approaches for the management of giant colonic polyps
Yunho Jung
Clinical Endoscopy.2024; 57(4): 468. CrossRef
Outcome and predictive factors for perforation in orthodontic rubber band-assisted endoscopic submucosal dissection of fibrotic colorectal lesions
Linfu Zheng, Binbin Xu, Fuqiang Wang, Longping Chen, Baoxiang Luo, Zhilin Liu, Xingjie Gao, Linxin Zhou, Rong Wang, Chuanshen Jiang, Dazhou Li, Wen Wang
Scientific Reports.2024;[Epub] CrossRef
Rhabdomyolysis following colorectal endoscopic submucosal dissection: A case report
Ying Chen, Wenxuan Zhang, Junqiang Cai, Min Zhong
Clinical Case Reports.2024;[Epub] CrossRef
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
Gut and Liver.2024; 18(5): 764. CrossRef
Knives Out: Does the Choice of Endoscopic Knife Influence the Outcome of Colorectal Endoscopic Submucosal Dissection?
Yunho Jung
Digestive Diseases and Sciences.2024; 69(11): 4014. CrossRef
Establishing a nomogram for predicting the risk factors for delayed bleeding after endoscopic submucosal dissection for colorectal tumors
FuCheng Bian, KunShi Li, GuangYu Bian, XiuMei Li
International Journal of Colorectal Disease.2024;[Epub] CrossRef
Endoscopic submucosal dissection for superficial ultra-low rectal tumors: outcomes and predictive factors for procedure difficulty
Yinxin Wu
American Journal of Cancer Research.2024; 14(12): 5784. CrossRef

12,684 View
320 Download
30 Web of Science
34 Crossref

Complications of endoscopic resection in the upper gastrointestinal tract: Takeshi Uozumi, Seiichiro Abe, Mai Ego Makiguchi, Satoru Nonaka, Haruhisa Suzuki, Shigetaka Yoshinaga, Yutaka Saito; Clin Endosc 2023;56(4):409-422. Published online June 21, 2023; DOI: https://doi.org/10.5946/ce.2023.024

Abstract PDF

Endoscopic resection (ER) is widely utilized as a minimally invasive treatment for upper gastrointestinal tumors; however, complications could occur during and after the procedure. Post-ER mucosal defect leads to delayed perforation and bleeding; therefore, endoscopic closure methods (endoscopic hand-suturing, the endoloop and endoclip closure method, and over-the-scope clip method) and tissue shielding methods (polyglycolic acid sheets and fibrin glue) are developed to prevent these complications. During duodenal ER, complete closure of the mucosal defect significantly reduces delayed bleeding and should be performed. An extensive mucosal defect that comprises three-quarters of the circumference in the esophagus, gastric antrum, or cardia is a significant risk factor for post-ER stricture. Steroid therapy is considered the first-line option for the prevention of esophageal stricture, but its efficacy for gastric stricture remains unclear. Methods for the prevention and management of ER-related complications in the esophagus, stomach, and duodenum differ according to the organ; therefore, endoscopists should be familiar with ways of preventing and managing organ-specific complications.

Citations

Citations to this article as recorded by

Transcutaneous Electrical Acupoint Stimulation Reduces Postoperative Abdominal Pain after Endoscopic Submucosal Dissection: A Single-Center, Prospective, and Randomized Controlled Trial
Xu-ming Liu, Yu-xuan Qi, Jian-yong Zheng, Si-qi Hao, Wen-wen Hao, Yi Du, Wen-jing Li, Li-xin An
Chinese Journal of Integrative Medicine.2026; 32(8): 720. CrossRef
Nationwide Survey on Endoscopic Submucosal Dissection for Early Gastric Cancer in Korea: Results From the Korean College of Helicobacter and Upper Gastrointestinal Research (KCHUGR) 2023 Survey
Jae Yong Park, Jeong Hoon Lee, Tae-Se Kim, Da Hyun Jung, Bong Eun Lee, Yonghoon Choi, Wan-Sik Lee, Young-Il Kim, Sun Hyung Kang, Hyunsoo Chung, Su Jin Kim, Joon Sung Kim, Donghoon Kang, Su Youn Nam, Seung Han Kim, Hyo-Joon Yang, Hyun Lim, Jin Lee, Seon-Yo
The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2026; 26(1): 50. CrossRef
Nationwide Survey on Endoscopic Submucosal Dissection for Early Gastric Cancer in Korea: Results From the Korean College of Helicobacter and Upper Gastrointestinal Research (KCHUGR) 2023 Survey
Jae Yong Park, Jeong Hoon Lee, Tae-Se Kim, Da Hyun Jung, Bong Eun Lee, Yonghoon Choi, Wan-Sik Lee, Young-Il Kim, Sun Hyung Kang, Hyunsoo Chung, Su Jin Kim, Joon Sung Kim, Donghoon Kang, Su Youn Nam, Seung Han Kim, Hyo-Joon Yang, Hyun Lim, Jin Lee, Seon-Yo
Journal of Gastric Cancer.2026; 26(2): 169. CrossRef
Metformin for preventing esophageal stricture after circumferential endoscopic submucosal dissection in a canine model
Ling Yang, Binbin Xu, Chunwei Fan, Yuju Huang, Li Yu
Gastroenterology Report.2026;[Epub] CrossRef
Feasibility of Zeosuture M for gastric endoscopic submucosal dissection defect closure during anticoagulation: a preclinical porcine study from Japan
Yohei Minato, Tadateru Maehata, Yoshinori Sato, Fumio Itoh, Ken Ohata, Keisuke Tateishi
Clinical Endoscopy.2026; 59(4): 593. CrossRef
Mitigating risk following upper gastrointestinal Endoscopic Submucosal Dissection: preventing bleeding, perforation and stricture formation
Giulio Calabrese, Rossella Maresca, Livio Bonacci, Tommaso Rozera, Giuseppe Spinosa, Federico Barbaro, Sandro Sferrazza
Best Practice & Research Clinical Gastroenterology.2026; 82: 102126. CrossRef
The Current Landscape of Endoscopic Submucosal Training in the United States
Mike T. Wei, Shai Friedland, Joo Ha Hwang
Current Gastroenterology Reports.2025;[Epub] CrossRef
Gastric polyps are not created equal: Know your enemy
Fady Daniel
World Journal of Gastroenterology.2025;[Epub] CrossRef
Endoscopic Resection for Superficial Non-Ampullary Duodenal Epithelial Tumors
Hye Kyung Jeon, Gwang Ha Kim
Gut and Liver.2025; 19(1): 19. CrossRef
Diagnosis and treatment of three synchronous early squamous cell carcinomas of the esophagus: case report
A.A. Paratovskaya, M.Yu. Agapov, N.A. Belinskaya, T.F. Savostyanov, E.E. Topuzov
Russian Journal of Evidence-Based Gastroenterology.2025; 14(1): 104. CrossRef
Primary esophageal lymphoma: An individual participant data meta-analysis
Adam Mylonakis, Maria Dimitrakoudi, Diamantina Vasilatou, Dimitrios Tsapralis, Georgios Vasiliadis, Nikolaos Koliakos, Panagiotis Sakarellos, Emmanouil I. Kapetanakis, Dimitrios Schizas
Surgery.2025; 185: 109534. CrossRef
Duodenal mucosal autotransplantation
Kambiz Kadkhodayan, Shayan Irani, Saurabh Chandan, Sagar Pathak, Maham Hayat, Abdullah Abbasi, Muhammad K. Hasan, Natalie Cosgrove, Deepanshu Jain, Dennis Yang, Charanjeet Singh
VideoGIE.2025; 10(10): 529. CrossRef
Evaluation of a modified underwater endoscopic mucosal resection technique for duodenal neoplasms: clinical implications and future directions
Ji Yong Ahn
Clinical Endoscopy.2025; 58(4): 544. CrossRef
Clinicopathologic Factors Influencing Endoscopic Versus Surgical Approaches in Patients With T1b Gastric Carcinoma With Lymphoid Stroma
Sun Mi Lee, Ji Young Kim
Journal of Surgical Oncology.2025; 132(5): 876. CrossRef
Value of endoscopic submucosal dissection in diagnosing gastric mucosa-associated lymphoid tissue lymphoma: A case report
Shuo-Hui Li, Wei-Wei Niu, Xiao-Xia Huo, Hong Zhang, Li-Min Shi, Ya-Ting Liu, Jia-Jing Xing, Zhi-Xin Feng, Na Wang
World Journal of Gastroenterology.2025;[Epub] CrossRef
Endoscopic closure for mucosal defects after endoscopic resection of gastrointestinal tumors
Gwang Ha Kim
Journal of Innovative Medical Technology.2025; 3(2): 50. CrossRef
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
Risk factors for intraoperative and delayed perforation related with gastric endoscopic submucosal dissection
Takuya Mimura, Yoshinobu Yamamoto, Haruhisa Suzuki, Kohei Takizawa, Toshiaki Hirasawa, Yoji Takeuchi, Kenji Ishido, Shu Hoteya, Tomonori Yano, Shinji Tanaka, Norihiko Kudara, Masahiro Nakagawa, Yumi Mashimo, Masahiro Ishigooka, Kazutoshi Fukase, Taichi Sh
Journal of Gastroenterology and Hepatology.2024; 39(7): 1358. CrossRef
IDEN Consensus on 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
The Korean Journal of Gastroenterology.2024; 83(6): 217. CrossRef
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
Gut and Liver.2024; 18(5): 764. CrossRef
Endoscopic submucosal dissection for early gastric cancer: It is time to consider the quality of its outcomes
Gwang Ha Kim
World Journal of Gastroenterology.2023; 29(43): 5800. CrossRef

15,314 View
316 Download
18 Web of Science
21 Crossref

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

Abstract PDF

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.

Citations

Citations to this article as recorded by

Endoscopic ultrasound-guided pancreatic pseudocyst drainage in pediatric patients
Asma Yaseen, Javeria Salman, Shanil Kadir, Muhammad Asim, Muhammad Umair Tahseen, Noval Zakaria, Abeer Altaf, Naseer Ahmed, Mehreen Siyal, Fahad Kakar, Sajida Qureshi, Saad Khalid Niaz
World Journal of Gastrointestinal Pharmacology and Therapeutics.2026;[Epub] CrossRef
Comparative Effectiveness of Endoscopic and Percutaneous Drainage of Walled-Off Pancreatic Necrosis
Mohamed Eldesouki, Khaled Elfert, Mohamed A. Aldemerdash, Mohamed Elgozair, Muhammad M. Elsharkawy, Mohamed Youssef, Muhammad Umair Khan, Shyam Thakkar, Michel Kahaleh
Journal of Clinical Gastroenterology.2026;[Epub] CrossRef
Biopsy Needle Integrated with Rotational Oblique Spectral Ultrasound (ROSUS) Imaging
Benjamin C. Kreager, Wei-Yi Chang, Jian Tian, Huaiyu Wu, Xiaoning Jiang
Sensors.2026; 26(4): 1098. CrossRef
Therapeutic Endoscopic Ultrasound in Biliopancreatic Disease
Aurelio Mauro, Carlotta Crisciotti, Giulio Massetti, Daniele Alfieri, Stefano Mazza, Davide Scalvini, Alessandro Cappellini, Guglielmo Aprile, Gianmaria La Rosa, Francesca Torello Viera, Letizia Veronese, Marco Bardone, Andrea Anderloni
Journal of Clinical Medicine.2026; 15(8): 2848. CrossRef
Experience in the Management of Peripancreatic Collections Using Endoscopic Ultrasound in a Tertiary Referral Hospital in Mexico
Diomedes de Jesús Durango Hernández, Yoeli Marisa Escandon Espinoza, Katia Daniela Lopez Garcia
Cureus.2026;[Epub] CrossRef
Benign biliary stricture caused by transduodenal lumen-apposing metal stent placement for pancreatic acute necrotic collection
Shuhei Shintani, Takuya Okamoto, Kosuke Hiroe, Hidenori Kimura, Hiroto Inoue, Atsushi Nishida, Osamu Inatomi
International Journal of Gastrointestinal Intervention.2025; 14(1): 24. CrossRef
Optimal timing for lumen-apposing metal stent removal following endoscopic ultrasound-guided drainage of pancreatic fluid collections: a systematic review and meta-analysis
Marcello Maida, Giacomo Emanuele Maria Rizzo, Mario Traina, John Gásdal Karstensen, Rogier P. Voermans, Joan B. Gornals, Nitin Jagtap, Dario Ligresti, Lucio Carrozza, Gabriele Rancatore, Marco Ventimiglia, Antonio Facciorusso, Carlo Fabbri, Andrea Anderlo
Endoscopy.2025; 57(09): 1023. CrossRef
The evolving role of endoscopic ultrasound-guided lumen-apposing metal stents in the management of peri-pancreatic fluid collections
Ashita Rukmini Vuthaluru, Varun Mehta, Omesh Goyal, Prabhav Mehta, Manjeet Kumar Goyal
Therapeutic Advances in Gastroenterology.2025;[Epub] CrossRef
Management of infected necrotizing pancreatitis with open abdomen and negative pressure therapy
Elías G. Loaeza, Sury A. L. Cancino, Roberto E. G. López, Nataly O. Hernández
International Journal of Research in Medical Sciences.2025; 13(9): 3808. CrossRef
Pancreatic Pseudocysts: Evolution of Treatment Approaches
Paulina Kluszczyk, Aleksandra Tobiasz, Adam Madej, Piotr Wosiewicz, Sławomir Mrowiec, Beata Jabłońska
Journal of Clinical Medicine.2025; 14(17): 6152. CrossRef
Pancreatic Pseudocyst after Fully Covered Self-expandable Metallic Stent Placement
Mitsuhito Koizumi, Sho Ishikawa, Kaori Marui, Masahito Kokubu, Yusuke Okujima, Yuki Numata, Yoshiki Imamura, Teru Kumagi, Yoichi Hiasa
Internal Medicine.2024; 63(21): 2943. 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
Single double pigtail plastic stent (DPT) is equally effective to two double pigtail plastic stents for endoscopic ultrasonography-guided drainage of "symptomatic peripancreatic fluid collection with 30 % or less necrotic debris"
Hemanta Kumar Nayak, Shubham Gupta, Manas Kumar Panigrahi, Abhijeet Rai, Saswati Kar, Mansi Chaudhary, Ajay Ghosh, Taraprasad Tripathy, Bramhadatta Pattnaik, Subash Chandra Samal
Pancreatology.2024; 24(7): 1211. CrossRef
Advances in self-expandable metal stents for endoscopic ultrasound-guided interventions
Dong Kee Jang, Dong Wook Lee, Seong-Hun Kim, Kwang Bum Cho, Sundeep Lakhtakia
Clinical Endoscopy.2024; 57(5): 588. CrossRef
Drainage for fluid collections post pancreatic surgery and acute pancreatitis: similar but different?
Yousuke Nakai, Saburo Matsubara, Tsuyoshi Mukai, Tsuyoshi Hamada, Takashi Sasaki, Hirotoshi Ishiwatari, Susumu Hijioka, Hideyuki Shiomi, Mamoru Takenaka, Takuji Iwashita, Atsuhiro Masuda, Tomotaka Saito, Hiroyuki Isayama, Ichiro Yasuda
Clinical Endoscopy.2024; 57(6): 735. 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
Cystic fluid biomarkers for the differential diagnosis of inflammatory and non-inflammatory cystic pancreatic lesions (Neutrophil gelatinase-associated lipocalin (NGAL); Interleukin 1 Beta(IL 1β); High-mobility group AT-hook 2(HmgA2))
M. P. Olar, R. Seicean, M. Iacobescu, C. A. Iuga, S. D. Bolboaca, I. Rusu, O. Mosteanu, Z. Sparchez, C. Pojoga, A. H. Nadim, A. Seicean
Endoscopy.2023; 55(S 02): S47. 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

14,889 View
369 Download
19 Web of Science
22 Crossref

Case Report

A Gastrobronchial Fistula Secondary to Endoscopic Internal Drainage of a Post-Sleeve Gastrectomy Fluid Collection: Paraskevas Gkolfakis, Marc-André Bureau, Marianna Arvanitakis, Jacques Devière, Daniel Blero; Clin Endosc 2022;55(1):141-145. Published online April 16, 2021; DOI: https://doi.org/10.5946/ce.2021.033

Abstract PDF

A 44-year-old woman underwent sleeve gastrectomy, which was complicated by a leak. She was treated with two sessions of endoscopic internal drainage using plastic double-pigtail stents. Her clinical evolution was favorable, but four months after the initial stent placement, she became symptomatic, and a gastrobronchial fistula with the proximal end of the stents invading the diaphragm was diagnosed. She was treated with antibiotics, plastic stents were removed, and a partially covered metallic esophageal stent was placed. Eleven weeks later, the esophageal stent was removed with no evidence of fistula. Inappropriate stent size, position, stenting duration, and persistence of low-grade inflammation could explain the patient’s symptoms and provide a mechanism for gradual muscle rupture and fistula formation. Although endoscopic internal drainage is usually safe and effective for the management of post-laparoscopic sleeve gastrectomy leaks, close clinical and radiological follow-up is mandatory.

Citations

Citations to this article as recorded by

Successful treatment of gastrobronchial fistula following laparoscopic sleeve gastrectomy: A case report and review of literature
Kai-Ho Fang, Hao-Ming Chang, Ti-Hui Wu
World Journal of Gastrointestinal Surgery.2026;[Epub] CrossRef
An Uncommon Adverse Event of Endoscopic Vacuum Therapy and Pigtail Stent Placement for the Treatment of Bariatric Surgery Leak
Luiza Bicudo de Oliveira, Mateus Pereira Funari, Ygor Rocha Fernandes, André Orsini Ardengh, Edson Ide, Igor Mendonça Proença, Tomazo Franzini, Mateus Bond Boghossian, Fauze Maluf-Filho
ACG Case Reports Journal.2026;[Epub] CrossRef
Case Report: Gastro-bronchial fistula complicating a sleeve gastrectomy: from a glimmer of hope to a plight
Adala Mourad, Adala Ahmed, Siala Rakia, Mseddi Mohamed Ali, Yaakoubi Chaima, Ben Radhia Bechir, Amara Amal, Sallemi Karim, Guizeni Rami, Ghariani Brahim, Sassi Karim, Ben Slima Mohamed
F1000Research.2025; 14: 948. CrossRef
Case Report: Gastro-bronchial fistula complicating a sleeve gastrectomy: from a glimmer of hope to a plight
Adala Mourad, Adala Ahmed, Siala Rakia, Mseddi Mohamed Ali, Yaakoubi Chaima, Ben Radhia Bechir, Amara Amal, Sallemi Karim, Guizeni Rami, Ghariani Brahim, Sassi Karim, Ben Slima Mohamed
F1000Research.2025; 14: 948. CrossRef
Management of leakage and fistulas after bariatric surgery
Stephen A. Firkins, Roberto Simons-Linares
Best Practice & Research Clinical Gastroenterology.2024; 70: 101926. CrossRef
Role of Endoscopic Internal Drainage in Treating Gastro-Bronchial and Gastro-Colic Fistula After Sleeve Gastrectomy
Alessandra D’Alessandro, Giovanni Galasso, Francesco Paolo Zito, Cristiano Giardiello, Fabrizio Cereatti, Roberto Arienzo, Filippo Pacini, Jean-Marc Chevallier, Gianfranco Donatelli
Obesity Surgery.2022; 32(2): 342. CrossRef

7,094 View
170 Download
3 Web of Science
6 Crossref

Original Article

Endoscopic Yield, Appropriateness, and Complications of Pediatric Upper Gastrointestinal Endoscopy in an Adult Suite: A Retrospective Study of 822 Children: Manzoor Ahmad Wani, Showkat Ali Zargar, Ghulam Nabi Yatoo, Inaamul Haq, Altaf Shah, Jaswinder Singh Sodhi, Ghulam Mohammad Gulzar, Mushtaq Khan; Clin Endosc 2020;53(4):436-442. Published online April 7, 2020; DOI: https://doi.org/10.5946/ce.2019.118

Abstract PDF

Background
/Aims: This study aimed to study the endoscopic yield, appropriateness, and complications of pediatric endoscopy performed by adult gastroenterologists in an adult endoscopic suite.
Methods
This a retrospective study in which records of all the patients less than 18 years of age who underwent endoscopy in the last 5 years were studied. The indications of endoscopy in children were categorized as appropriate or inappropriate per the latest guidelines by American Society for Gastrointestinal Endoscopy and North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. Positive endoscopic yield was defined as the presence of any abnormality on endoscopy.
Results
Among the total of 822 children (age <18 years), the most common indications were variceal surveillance/eradication in 157 (19.1%), followed by dyspepsia in 143 (17.4%), upper gastrointestinal (UGI) bleeding in 136 (16.5%), recurrent abdominal pain in 94 (11.4%), unexplained anemia in 74 (9%), recurrent vomiting in 50 (6.08%), chronic refractory gastroesophageal reflux disease in 34 (4.1%) and others; 780 out of 822 endoscopic procedures (94.9%) done in children were appropriate as per the guidelines. The endoscopic yield was 45.8%, highest in patients with UGI bleeding (71.3%), followed by variceal surveillance (54.8%), recurrent vomiting (38%), dyspepsia (37.8%), and recurrent abdominal pain (36%). Minor adverse events occurred in 7.3% of children.
Conclusions
Pediatric endoscopy performed by an experienced adult gastroenterologist may be acceptable if done in cooperation with a pediatrician.

Citations

Citations to this article as recorded by

Management of pediatric inflammatory bowel diseases in limited‐resource settings: A position paper from the Paediatric IBD Porto Group of ESPGHAN
Almuthe Christine Hauer, Mutaz Sultan, Andy Darma, Eyad Altamimi, Daniela Elena Serban, Amit Assa, Claudia Patricia Sánchez Franco, Lissy de Ridder, David C. Wilson, Nadeem Ahmad Afzal, Jiri Bronsky, Miglena Georgieva, Marina Aloi, Vaidotas Urbonas, Vícto
Journal of Pediatric Gastroenterology and Nutrition.2025; 81(3): 866. CrossRef
Which Alarm Symptoms Are Associated With Abnormal Gastrointestinal Endoscopy Among Thai Children?
Anundorn Wongteerasut
Pediatric Gastroenterology, Hepatology & Nutrition.2024; 27(2): 113. CrossRef
Paediatric gastrointestinal endoscopy in the Asian-Pacific region: Recent advances in diagnostic and therapeutic techniques
James Guoxian Huang, Pornthep Tanpowpong
World Journal of Gastroenterology.2023; 29(18): 2717. CrossRef
Gastrointestinal Bleeding in Children: The Role of Endoscopy and the Sheffield Scoring System in a Resource‐Limited Setting
Oluwafunmilayo Funke Adeniyi, Olufunmilayo Adenike Lesi, Emuobor Aghoghor Odeghe, Ganiyat Oyeleke, Nicholas Croft
JPGN Reports.2023;[Epub] CrossRef
Pediatric esophagogastroduodenoscopy in china: indications, diagnostic yield, and factors associated with findings
Shengnan Wang, Xiaoxia Qiu, Jingfang Chen, Hong Mei, Haiyan Yan, Jieyu You, Ying Huang
BMC Pediatrics.2022;[Epub] CrossRef
Safety and Competency are the Main Priorities in Pediatric Endoscopy
Byung-Ho Choe
Clinical Endoscopy.2020; 53(4): 379. CrossRef

8,377 View
185 Download
7 Web of Science
6 Crossref

Case Report

Gastrocolocutaneous Fistula: An Unusual Case of Gastrostomy Tube Malfunction with Diarrhea: Junghwan Lee, Jinyoung Kim, Ha il Kim, Chung Ryul Oh, Sungim Choi, Soomin Noh, Hee Kyong Na, Hwoon-Yong Jung; Clin Endosc 2018;51(2):196-200. Published online August 31, 2017; DOI: https://doi.org/10.5946/ce.2017.062

Abstract PDF

A gastrocolocutaneous fistula is a rare complication of percutaneous endoscopic gastrostomy (PEG). We report a case of a gastrocolocutaneous fistula presenting with intractable diarrhea and gastrostomy tube malfunction. A 62-year-old woman with a history of multiple system atrophy was referred to us because of PEG tube malfunction. Twenty days prior to presentation, the patient started developing sudden diarrhea within minutes after starting PEG feeding. Fluoroscopy revealed that the balloon of the PEG tube was located in the lumen of the transverse colon with the contrast material filling the colon. Subsequently, the PEG tube was removed and the opening of the gastric site was endoscopically closed using hemoclips. Clinicians should be aware of gastrocolocutaneous fistula as one of the complications of PEG insertion. Sudden onset of diarrhea, immediately after PEG feedings, might suggest this complication, which can be effectively treated with endoscopic closure.

Citations

Citations to this article as recorded by

Percutaneous endoscopic gastrostomy tubes: A premier clinical review
Ammar Alotaibi, Resheed Alkhiari, Muhammad F. Mubarak, Mohammed Mousa, Suliman Alshankiti, Majid Almadi
Saudi Journal of Gastroenterology.2026;[Epub] CrossRef
A Rare Case of Severe Diarrhea: Gastrocolic Fistula Caused by Migration of Percutaneous Endoscopic Gastrostomy Tube
Maria Elena Pugliese, Riccardo Battaglia, Antonio Cerasa, Lucia Francesca Lucca
Healthcare.2023; 11(9): 1263. CrossRef
An unusual complication of percutaneous endoscopic gastrostomy and its endoscopic treatment
Noble Thomas, Cherukara Philip Thomas, C. Ganesh Pai
Indian Journal of Gastroenterology.2023; 42(4): 580. CrossRef
How far is the endoscopist to blame for a percutaneous endoscopic gastrostomy complication?
George Stavrou, Persefoni Gionga, George Chatziantoniou, Georgios Tzikos, Alexandra Menni, Stavros Panidis, Anne Shrewsbury, Katerina Kotzampassi
World Journal of Gastrointestinal Surgery.2023; 15(5): 940. CrossRef
Misplacement of the PEG tube through the transverse colon, an uncommon but possible complication
David Viso Vidal, Francisco Jorquera Plaza
Revista Española de Enfermedades Digestivas.2022;[Epub] CrossRef
Endoscopic management of enteral tubes in adult patients – Part 2: Peri- and post-procedural management. European Society of Gastrointestinal Endoscopy (ESGE) Guideline
Paraskevas Gkolfakis, Marianna Arvanitakis, Edward J. Despott, Asuncion Ballarin, Torsten Beyna, Kurt Boeykens, Peter Elbe, Ingrid Gisbertz, Alice Hoyois, Ofelia Mosteanu, David S. Sanders, Peter T. Schmidt, Stéphane M. Schneider, Jeanin E. van Hooft
Endoscopy.2021; 53(02): 178. CrossRef
Een laattijdige complicatie na het plaatsen van een PEG-sonde
H. DEDECKER, T. STEINHAUSER, S. BOUHADAN, O. PETERS, A. BEUNIS
Tijdschrift voor Geneeskunde.2021;[Epub] CrossRef
Complex gastro-colo-cutaneous fistula secondary to a gunshot injury, management and literature review
Maha Al Shaibi, Mohamed Al Abri, Ghaitha Al Mahruqi, Alok Mittal
Trauma Case Reports.2020; 28: 100313. CrossRef
Colocutaneous Fistula after Percutaneous Endoscopic Gastrostomy (PEG) Tube Insertion
Matthew Warner, Muhammad Durrani
Clinical Practice and Cases in Emergency Medicine.2020; 4(4): 632. CrossRef
Rectal Bleeding after Insertion of a Percutaneous Endoscopic Gastrostomy Tube
Ghadeer Alhazmi, Mroj Alsabri, Shahad Alsuwat, Adnan Al-Zangabi, Abdulaziz Al-Zahrani, Mohammed Kareemulla Shariff
Case Reports in Gastroenterology.2020; 14(3): 637. CrossRef
Long-Term Gastrocolocutaneous Fistula after Endoscopic Gastrostomy: How Concerned Should We Be?
Gonçalo Nunes, Gabriel Paiva de Oliveira, João Cruz, Carla Adriana Santos, Jorge Fonseca
GE - Portuguese Journal of Gastroenterology.2019; 26(6): 441. CrossRef
Update on endoscopic enteral access
Kamthorn Yolsuriyanwong, Bipan Chand
Techniques in Gastrointestinal Endoscopy.2018; 20(4): 172. CrossRef

13,831 View
175 Download
13 Web of Science
12 Crossref

Focused Review Series: Pancreatobiliary endoscopy in altered gastointestinal anatomy

Challenges of Endoscopic Management of Pancreaticobiliary Complications in Surgically Altered Gastrointestinal Anatomy: Tin Moe Wai, Eun Young Kim; Clin Endosc 2016;49(6):502-505. Published online November 29, 2016; DOI: https://doi.org/10.5946/ce.2016.146

Abstract PDF: Pancreaticobiliary complications following various surgical procedures, including liver transplantation, are not uncommon and are important causes of morbidity and mortality. Therapeutic endoscopy plays a substantial role in these patients and can help to avoid the need for reoperation. However, the endoscopic approach in patients with surgically altered gastrointestinal (GI) anatomy is technically challenging because of the difficulty in entering the enteral limb to reach the target orifice to manage pancreaticobiliary complications. Additional procedural complexity is due to the need of special devices and accessories to obtain successful cannulation and absence of an elevator in forward-viewing endoscopes, which is frequently used in this situation. Once bilioenteric anastomosis is reached, the technical success rates achieved in expert hands approach those of patients with intact GI anatomy. The success of endoscopic therapy in patients with surgically altered GI anatomy depends on multiple factors, including the expertise of the endoscopist, understanding of postoperative anatomic changes, and the availability of suitable scopes and accessories for endoscopic management. In this issue of Clinical Endoscopy, the focused review series deals with pancreatobiliary endoscopy in altered GI anatomy such as bilioenteric anastomosis and post-gastrectomy.

8,671 View
120 Download

Original Articles

Clinical Outcomes of Endoscopic Submucosal Dissection for Superficial Esophageal Squamous Neoplasms: Jung Soo Park, Young Hoon Youn, Jae Jun Park, Jie-Hyun Kim, Hyojin Park; Clin Endosc 2016;49(2):168-175. Published online February 12, 2016; DOI: https://doi.org/10.5946/ce.2015.080

Abstract PDF

Background
/Aims: Endoscopic treatment has been broadly applied to superficial esophageal neoplasms. Endoscopic submucosal dissection (ESD) allows for high rates of en bloc resection, precise histological assessment, and low rates of local recurrence. The aim of this study was to evaluate the outcomes of ESD for superficial esophageal neoplasms.
Methods
We retrospectively reviewed 36 esophageal ESDs for superficial squamous neoplasms in 32 patients between March 2009 and August 2014 at Gangnam Severance Hospital.
Results
The median patient age was 64 years, and 30 men were included. The indications were early squamous cell carcinoma in 26 lesions, adenoma with high-grade dysplasia in five lesions, and low-grade dysplasia in five lesions. The en bloc resection and R0 resection rates were 97.2% (35 of 36) and 91.7% (33 of 36), respectively. Microperforation and post-ESD bleeding occurred in 5.6% (2 of 36) and 5.6% (2 of 36), respectively. Post-ESD esophageal strictures developed in five patients (13.9%). Five patients (15.6%) had an additional treatment after ESD (concurrent chemoradiation therapy in three, radiation therapy in one, and surgery in one patient). There was no disease-specific mortality during the median follow-up of 31 months.
Conclusions
Favorable clinical outcomes were observed in ESD for superficial esophageal squamous neoplasms. Esophageal ESD could be a good treatment option in terms of efficacy and safety.

Citations

Citations to this article as recorded by

A Perioperative Hydrogel Platform for Integrated Endoscopic Submucosal Dissection Management
Zizhao Wang, Yang Yang, Hongxin Sun, Peng Fan, Xiaoqing Jia, Liang Zhang, Ting Wang, Jiulong Zhao, Qian Chen, Shige Wang
ACS Applied Materials & Interfaces.2026; 18(13): 18821. CrossRef
Efficacy and safety of repeat endoscopic submucosal dissection for recurrent, synchronous, and metachronous esophageal squamous cell carcinoma: a systematic review and meta-analysis
Harsimran Kalsi, Anushree Rai, Samneet Singh Arora, Sahib Singh, Tony S. Brar, Yaseen Perbtani, Babu P. Mohan
Gastrointestinal Endoscopy.2025; 102(5): 642. CrossRef
Predictors of technical difficulty for trainees in esophageal endoscopic submucosal dissection
Tomoya Ueda, Ryu Ishihara, Shunsuke Yoshii, James Weiquan Li, Yuya Asada, Daiki Kitagawa, Atsuko Kizawa, Takehiro Ninomiya, Yuki Okubo, Yushi Kawakami, Yasuhiro Tani, Satoki Shichijo, Takashi Kanesaka, Sachiko Yamamoto, Yoji Takeuchi, Koji Higashino, Nori
Esophagus.2024; 21(1): 58. CrossRef
A superficial esophageal cancer with a Rokitansky diverticulum treated by endoscopic submucosal dissection with dental floss clip traction: Letter to the editor
Xueyi Lin, Li Fan, Min Lin
Clinics and Research in Hepatology and Gastroenterology.2024; 48(6): 102368. CrossRef
Development and validation of a model to determine the risk of esophageal strictures after endoscopic submucosal dissection for esophageal neoplasms
Si-yuan Xia, Qing Lu, Zi-jing Wang, Tao Gan, Jin-lin Yang, Zhu Wang
Surgical Endoscopy.2023; 37(3): 2163. CrossRef
High-power green-light laser endoscopic submucosal dissection for non-muscle-invasive bladder cancer: A technical improvement and its initial application
Jilu Zheng, Feifan Liu, Keqin Zhang, Yuzhu Xiang, Lianjun Li, Haiyang Zhang, Yinan Zhang, Ning Suo, Zilong Wang, Chenglin Han, Xunbo Jin, Muwen Wang, Chunxiao Wei, Ji Chen
Journal of Cancer Research and Therapeutics.2023; 19(4): 945. CrossRef
Management of esophageal neoplasms by endoscopic submucosal dissection: experience over 100 consecutive procedures
Josué Aliaga Ramos, Yoshinori Morita, Takashi Toyonaga, Danilo Carvalho, Moises Salgado Pedrosa, Vitor N. Arantes
Clinical Endoscopy.2023; 56(5): 613. CrossRef
Recent approach for preventing complications in upper gastrointestinal endoscopic submucosal dissection
Waku Hatta, Tomoyuki Koike, Hiroko Abe, Yohei Ogata, Masahiro Saito, Xiaoyi Jin, Takeshi Kanno, Kaname Uno, Naoki Asano, Akira Imatani, Atsushi Masamune
DEN Open.2022;[Epub] CrossRef
Additional endoscopic treatments for patients with positive lateral margins after endoscopic resection of early esophageal squamous cell carcinoma
Yong Feng, Wei Wei, Shuo Guo, Bao-Qing Li
Oncology Letters.2022;[Epub] CrossRef
Prevention of delayed bleeding with vonoprazan in upper gastrointestinal endoscopic treatment
Hiroko Abe, Waku Hatta, Yohei Ogata, Tomoyuki Koike, Masahiro Saito, Xiaoyi Jin, Kenichiro Nakagawa, Takeshi Kanno, Kaname Uno, Naoki Asano, Akira Imatani, Tomohiro Nakamura, Naoki Nakaya, Kunio Tarasawa, Kenji Fujimori, Kiyohide Fushimi, Atsushi Masamune
Journal of Gastroenterology.2021; 56(7): 640. CrossRef
Comparison of Magnifying Endoscopy with Blue Light Imaging and Narrow Band Imaging for Determining the Invasion Depth of Superficial Esophageal Squamous Cell Carcinoma by the Japanese Esophageal Society’s Intrapapillary Capillary Loop Classification
Waku Hatta, Tomoyuki Koike, Yohei Ogata, Yutaka Kondo, Nobuyuki Ara, Kaname Uno, Naoki Asano, Akira Imatani, Atsushi Masamune
Diagnostics.2021; 11(11): 1941. CrossRef
Risk factors of postoperative stricture after endoscopic submucosal dissection for superficial esophageal neoplasms
Nan Lin, Jie Lin, Jinrong Gong
Medicine.2021; 100(51): e28396. CrossRef
Close Observation versus Additional Surgery after Noncurative Endoscopic Resection of Esophageal Squamous Cell Carcinoma
Byeong Geun Song, Ga Hee Kim, Charles J. Cho, Hyeong Ryul Kim, Yang Won Min, Hyuk Lee, Byung-Hoon Min, Ho June Song, Yong-Hee Kim, Jun Haeng Lee, Hwoon-Yong Jung, Jae Ill Zo, Young Mog Shim
Digestive Surgery.2021; 38(3): 247. CrossRef
Management following endoscopic resection in elderly patients with early‐stage upper gastrointestinal neoplasia
Waku Hatta, Takuji Gotoda, Tomoyuki Koike, Atsushi Masamune
Digestive Endoscopy.2020; 32(6): 861. CrossRef
Endoscopic resection of early squamous neoplasia of the oesophagus: long-term follow-up in a UK population from a tertiary hospital
Jen Yee Kuan, Sameul Baskind, Yeson Kim, Stephen McGrath, Ramakrishna Chaparala, Arash Assadsangabi, Neeraj Prasad, George Regi, Yeng Ang
European Journal of Gastroenterology & Hepatology.2020; 32(7): 789. CrossRef
Long-term outcomes of endoscopic submucosal dissection and comparison to surgery for superficial esophageal squamous cancer: a systematic review and meta-analysis
Jen-Hao Yeh, Ru-Yi Huang, Ching-Tai Lee, Chih-Wen Lin, Ming-Hung Hsu, Tsung-Chin Wu, Po-Jen Hsiao, Wen-Lun Wang
Therapeutic Advances in Gastroenterology.2020;[Epub] CrossRef
Prediction of Lymph Node Metastasis in Superficial Esophageal Cancer Using a Pattern Recognition Neural Network

Han Chen, Xiaoying Zhou, Xinyu Tang, Shuo Li, Guoxin Zhang
Cancer Management and Research.2020; Volume 12: 12249. CrossRef
Predictors of technical difficulty during endoscopic submucosal dissection of superficial esophageal cancer
Hiromasa Hazama, Masaki Tanaka, Naomi Kakushima, Yohei Yabuuchi, Masao Yoshida, Noboru Kawata, Kohei Takizawa, Sayo Ito, Kenichiro Imai, Kinichi Hotta, Hirotoshi Ishiwatari, Hiroyuki Matsubayashi, Keita Mori, Hiroyuki Ono
Surgical Endoscopy.2019; 33(9): 2909. CrossRef
A Case of Esophageal Squamous Cell Carcinoma in situ Arising from Esophageal Squamous Papilloma
Jae Yeong Cho, Dae Young Cheung, Tae Jung Kim, Jae Kwang Kim
Clinical Endoscopy.2019; 52(1): 72. CrossRef
Endoscopic Submucosal Single- or Multi-tunnel Dissection for Near-Circumferential and Circumferential Superficial Esophageal Neoplastic Lesions
Lin-Lin Zhu, Jun-Chao Wu, Yi-Ping Wang, Du He, Wen-Yan Zhang, Tao Gan, Jin-Lin Yang
Gastroenterology Research and Practice.2019; 2019: 1. CrossRef
Outcomes of endoscopic submucosal dissection for early oesophageal squamous cell neoplasia at a Western centre
Diane Lorenzo, Maximilien Barret, Sarah Leblanc, Benoit Terris, Frédéric Beuvon, Romain Coriat, Stanislas Chaussade, Frédéric Prat
United European Gastroenterology Journal.2019; 7(8): 1084. CrossRef
Commentary on “Efficacy of Endoscopic Submucosal Dissection of Esophageal Neoplasms under General Anesthesia”
Soo In Choi, Jun Chul Park
Clinical Endoscopy.2019; 52(3): 205. CrossRef
Endoscopic Treatment for Esophageal Cancer
Eun Jeong Gong, Do Hoon Kim
The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2019; 19(3): 156. CrossRef
UEG Week 2019 Oral Presentations

United European Gastroenterology Journal.2019; 7(S8): 10. CrossRef
Does delayed esophagectomy after endoscopic resection affect outcomes in patients with stage T1 esophageal cancer? A propensity score-based analysis
Shengfei Wang, Yangle Huang, Juntao Xie, Lingdun Zhuge, Longlong Shao, Jiaqing Xiang, Yawei Zhang, Yihua Sun, Hong Hu, Sufeng Chen, Toni Lerut, James D. Luketich, Jie Zhang, Haiquan Chen
Surgical Endoscopy.2018; 32(3): 1441. CrossRef
Risk factors of electrocoagulation syndrome after esophageal endoscopic submucosal dissection
Dae Won Ma, Young Hoon Youn, Da Hyun Jung, Jae Jun Park, Jie-Hyun Kim, Hyojin Park
World Journal of Gastroenterology.2018; 24(10): 1144. CrossRef
Endoscopic Treatment for Esophageal Cancer
Yang Won Min
The Korean Journal of Gastroenterology.2018; 71(3): 116. CrossRef
Endoscopic submucosal dissection under general anesthesia for superficial esophageal squamous cell carcinoma is associated with better clinical outcomes
Byeong Geun Song, Yang Won Min, Ra Ri Cha, Hyuk Lee, Byung-Hoon Min, Jun Haeng Lee, Poong-Lyul Rhee, Jae J. Kim
BMC Gastroenterology.2018;[Epub] CrossRef
Long-Term Survival and Tumor Recurrence in Patients with Superficial Esophageal Cancer after Complete Non-Curative Endoscopic Resection: A Single-Center Case Series
Ji Wan Lee, Charles J. Cho, Do Hoon Kim, Ji Yong Ahn, Jeong Hoon Lee, Kee Don Choi, Ho June Song, Sook Ryun Park, Hyun Joo Lee, Yong Hee Kim, Gin Hyug Lee, Hwoon-Yong Jung, Sung-Bae Kim, Jong Hoon Kim, Seung-Il Park
Clinical Endoscopy.2018; 51(5): 470. CrossRef
Endoscopic submucosal dissection followed by chemoradiotherapy for superficial esophageal cancer: choice of new approach
Gen Suzuki, Hideya Yamazaki, Norihiro Aibe, Koji Masui, Naomi Sasaki, Daisuke Shimizu, Takuya Kimoto, Atsushi Shiozaki, Osamu Dohi, Hitoshi Fujiwara, Takeshi Ishikawa, Hirotaka Konishi, Yuji Naito, Eigo Otsuji, Kei Yamada
Radiation Oncology.2018;[Epub] CrossRef
Efficacy and safety of endoscopic submucosal dissection in elderly patients with esophageal squamous cell carcinoma
Byeong Geun Song, Yang Won Min, Jun Haeng Lee, Hyuk Lee, Byung-Hoon Min, Poong-Lyul Rhee, Jae J. Kim
Surgical Endoscopy.2017; 31(10): 3905. CrossRef
Comparison of endoscopic ultrasonography and magnifying endoscopy for assessment of the invasion depth of shallow gastrointestinal neoplasms: a systematic review and meta-analysis
Zhang Tao, Chen Yan, He Zhao, Jiawei Tsauo, Xiaowu Zhang, Bing Qiu, Yanqing Zhao, Xiao Li
Surgical Endoscopy.2017; 31(12): 4923. CrossRef
Endoscopic Submucosal Dissection for Superficial Esophageal Neoplasm: A Growing Body of Evidence
Eun Jeong Gong, Hwoon-Yong Jung
Clinical Endoscopy.2016; 49(2): 101. CrossRef
Esophageal subepithelial tumor: why tunneling?
Jong-Jae Park
Gastroenterology & Hepatology: Open Access.2016;[Epub] CrossRef

13,787 View
144 Download
34 Web of Science
34 Crossref

Factors for Endoscopic Submucosal Dissection in Early Colorectal Neoplasms: A Single Center Clinical Experience in China: Yu-Qi He, Xin Wang, Ai-Qin Li, Lang Yang, Jian Zhang, Qian Kang, Shan Tang, Peng Jin, Jian-Qiu Sheng; Clin Endosc 2015;48(5):405-410. Published online September 30, 2015; DOI: https://doi.org/10.5946/ce.2015.48.5.405

Abstract PDF

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.

Methods

Seventy-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.

Results

The 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.

Conclusions

This 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.

Citations

Citations to this article as recorded by

Risk factors for unsuccessful colorectal endoscopic submucosal dissection: A systematic review and meta-analysis
Feng Gu, Wei Jiang, Jingyi Zhu, Lei Ma, Boyuan He, Huihong Zhai
Digestive and Liver Disease.2024; 56(8): 1288. 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
Surgical Endoscopy.2021; 35(3): 1296. CrossRef
Evolving management of colorectal polyps
Yervant Ichkhanian, Tobias Zuchelli, Andrew Watson, Cyrus Piraka
Therapeutic Advances in Gastrointestinal Endoscopy.2021;[Epub] CrossRef
Risk factors for adverse events of colorectal endoscopic submucosal dissection: a systematic review and meta-analysis
Juliana B. Santos, Moacyr R.C. Nobre, Cleyton Z. Oliveira, Adriana V. Safatle-Ribeiro, Fabio Kawaguti, Bruno Martins, Sergio C. Nahas, Ulysses Ribeiro, Lanjing Zhang, Fauze Maluf-Filho
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
Digestive and Liver Disease.2019; 51(3): 375. CrossRef
Comparing outcomes for endoscopic submucosal dissection between Eastern and Western countries: A systematic review and meta-analysis
Dane Christina Daoud, Nicolas Suter, Madeleine Durand, Mickael Bouin, Bernard Faulques, Daniel von Renteln
World Journal of Gastroenterology.2018; 24(23): 2518. CrossRef
Colonoscopic full-thickness resection using an over-the-scope device: a prospective multicentre study in various indications
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
Gut.2018; 67(7): 1280. CrossRef
Why attempt en bloc resection of non-pedunculated colorectal adenomas? A systematic review of the prevalence of superficial submucosal invasive cancer after endoscopic submucosal dissection
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
Gastrointestinal Endoscopy.2017; 86(1): 74. CrossRef

9,783 View
110 Download
9 Web of Science
9 Crossref

Reviews

Colonic Stent-Related Complications and Their Management: Seung-Hee Han, Jong Hoon Lee; Clin Endosc 2014;47(5):415-419. Published online September 30, 2014; DOI: https://doi.org/10.5946/ce.2014.47.5.415

Abstract PDF

Since its introduction in the early 1990s, the self-expandable metal stent (SEMS) has been increasingly used for the management of malignant colorectal obstruction, not only as a palliative method but also as a preoperative treatment in surgical candidates. However, more recently, concerns have been raised over stent complication rates. Early complications include pain, perforation, and rectal bleeding, and late complications include stent migration and stent obstruction. With the increasing use of SEMS for treatment, physicians need to be more aware of complications occurring after the placement of these stents. This review covers the technical considerations and management of complications after colonic stenting.

Citations

Citations to this article as recorded by

Development and Mechanical Evaluation of a Novel Segmental Braided–Knitted Nitinol Stent with Enhanced Migration Resistance for Malignant Large Bowel Obstruction
Degu Melaku Kumelachew, Fujun Wang, Yahui Fan, Yue Zhang, Xinyuan Ding, Abdul Khalique Jhatial, Chaojing Li, Lu Wang
Advanced Engineering Materials.2026;[Epub] CrossRef
Stent or stoma as a bridge to surgery in patients with acute malignant colorectal obstruction: a comparison of oncologic long-term results
Johannes Asplund, Gabriel Sandblom, Isalee Jallow Göransson, Martin Dahlberg, Åsa Hallqvist Everhov, Göran Heinius
Frontiers in Oncology.2026;[Epub] CrossRef
Direct visualization–assisted enteral stent placement in malignant colorectal obstruction: a case report
Tianjie Han, Junshan Li
Frontiers in Medicine.2026;[Epub] CrossRef
Palliative and End-of-Life Care
Kayla N. Roche, Pasithorn A. Suwanabol, Clare E. Jacobson
Surgical Oncology Clinics of North America.2026;[Epub] CrossRef
Impact of perforation following self-expandable metal stent as a bridge to surgery for malignant colorectal obstruction: a multicenter study of the Research Group for Stent in the Korean Society of Gastrointestinal Endoscopy
Han Hee Lee, Dong Hyun Kim, Hyun Lim, Jung-Wook Kim, Yunho Jung, Hyun-Soo Kim, Hyung-Hoon Oh, Jin Won Kim, Kwang Bum Cho, Young-Eun Joo, Bo-In Lee
Surgical Endoscopy.2025; 39(3): 1544. CrossRef
How to deal with lower gastrointestinal defects: the role of endoscopy
Maria Valeria Matteo, Giulia Santi, Vincenzo Bove, Martina De Siena, Loredana Gualtieri, Valerio Pontecorvi, Federico Barbaro, Cristiano Spada, Ivo Boškoski
Expert Review of Gastroenterology & Hepatology.2025; 19(10): 1051. CrossRef
Colon stenting as a bridge to surgery in obstructive colorectal cancer management
Dong Hyun Kim, Han Hee Lee
Clinical Endoscopy.2024; 57(4): 424. CrossRef
Challenges associated with low rectal malignant obstruction stenting: a case report
Victor Cabrera-Bou, Eddy P Lincango, Alessandra E Cabrera, Gabriel Diaz-Pagan, Nathan Kostick, Noah Sobel, Luis F Serrano, Philip Kondylis
Journal of Surgical Case Reports.2024;[Epub] CrossRef
Development of colonic stent simulator using three-dimensional printing technique: a simulator development study in Korea
Hyundam Gu, Suyoung Lee, Sol Kim, Hye-Lim Jang, Da-Woon Choi, Kyu Seok Kim, Yu Ri Shin, Dae Young Cheung, Bo-In Lee, Jin Il Kim, Han Hee Lee
Clinical Endoscopy.2024; 57(6): 790. CrossRef
Self-expandable metallic stents as a bridge to surgery in obstructive right- and left-sided colorectal cancer: a multicenter cohort study
Eui Myung Kim, Jun Ho Park, Byung Chun Kim, Il Tae Son, Jeong Yeon Kim, Jong Wan Kim
Scientific Reports.2023;[Epub] CrossRef
Arterial-colonic fistula secondary to colonic stent erosion into the left external iliac artery
Jacquelyn Dillon, Alexandra N Mills, Kate R Pawloski, Nicholas Scribetta, Alexander Greenstein
Journal of Surgical Case Reports.2023;[Epub] CrossRef
Interventional Radiology Management of Vascular Complications From Gastrointestinal Interventions
Harish A. Narayanan, Sailendra G. Naidu, Sadeer Alzubaidi, Indravadan Patel, Sasha Staack, Rahmi Oklu
Contemporary Diagnostic Radiology.2023; 46(4): 1. CrossRef
Acute malignant colorectal obstruction (K56.6; C18, C19, C20), adults
S. I. Achkasov, Z. A. Bagatelia, S. F. Bagnenko, A. M. Belyaev, Yu. A. Gevorkyan, V. L. Denisenko, I. I. Zatevakhin, A. D. Kaprin, A. M. Karachun, O. I. Kit, Z. Z. Mammedli, A. I. Moskalev, I. V. Nazarov, A. Sh. Revishvili, A. V. Sazhin, I. S. Stilidi, O.
Koloproktologia.2023; 22(2): 10. CrossRef
An Unusual Complication of Self-Expandable Metal Stent Placement in Malignant Sigmoid Obstruction
Qingjie Kang, Denghua Hu, Guangxu Wen, Zhengqiang Wei
Case Reports in Gastroenterology.2023; 17(1): 302. CrossRef
Abdominal compartment syndrome as a complication of endoscopic carbon dioxide insufflation in a patient with malignant bowel obstruction: a case report
Taro Tanabe, Genki Tsukuda, Takahiro Hobo, Noboru Yokoyama, Haruhiro Inoue
Surgical Case Reports.2023;[Epub] CrossRef
Case report: Stent-first strategy as a potential approach in the management of malignant right-sided colonic obstruction with cardiovascular risks
Tianyu Lin, Abdul Saad Bissessur, Pengfei Liao, Tunan Yu, Dingwei Chen
Frontiers in Surgery.2022;[Epub] CrossRef
Colovesical fistula with intravesical colonic stent migration
Chin Tang, Yu-Nung Chen, Yi-Wei Lee, Shu-Wei Tsai
Asian Journal of Surgery.2021; 44(12): 1581. CrossRef
A Study of 34 Cases of Palliative Colorectal Stenting for Colorectal Cancer Obstruction
Ippei YAMANA, Jun OHISHI, Kurumi SAHARA, Tatsuya HASHIMOTO, Hiroki TANI, Suguru HASEGAWA
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association).2021; 82(6): 1057. CrossRef
Colonic stenting as a bridge to surgery in malignant large bowel obstruction: oncological outcomes
N. E. Donlon, M. E. Kelly, F. Narouz, P. H. McCormick, J. O. Larkin, B. J. Mehigan
International Journal of Colorectal Disease.2019; 34(4): 613. CrossRef
Colorectal neuroendocrine carcinoma: A case report and review of the literature
Tomoaki Yoshida, Kenya Kamimura, Kazunori Hosaka, Koji Doumori, Hiromitsu Oka, Akito Sato, Yasuo Fukuhara, Shoji Watanabe, Tomomi Sato, Akira Yoshikawa, Takashi Tomidokoro, Shuji Terai
World Journal of Clinical Cases.2019; 7(14): 1865. CrossRef
Colonic stents for malignant bowel obstruction: current status and future prospects
Vittorio Maria Ormando, Rossella Palma, Alessandro Fugazza, Alessandro Repici
Expert Review of Medical Devices.2019; 16(12): 1053. CrossRef
Long-term outcomes after stenting as a bridge to surgery in patients with obstructing left-sided colorectal cancer
Jihye Park, Hyun Jung Lee, Soo Jung Park, Hyuk Hur, Byung Soh Min, Jae Hee Cheon, Tae Il Kim, Nam Kyu Kim, Won Ho Kim
International Journal of Colorectal Disease.2018; 33(6): 799. CrossRef
Three-dimensionally printed surface features to anchor endoluminal spring for distraction enterogenesis
Nhan Huynh, Genia Dubrovsky, Joshua D. Rouch, Andrew Scott, Elvin Chiang, Tommy Nguyen, Benjamin M. Wu, Shant Shekherdimian, Thomas M. Krummel, James C. Y. Dunn, Christina Chan
PLOS ONE.2018; 13(7): e0200529. CrossRef
Colorectal stenting in cancer patients
I. N. Yurichev, I. A. Karasev, V. V. Vereschak, M. S. Burdyukov, O. A. Malikhova, A. G. Malikhov
Surgery and Oncology.2018; 8(2): 55. CrossRef
A methodology for the customized design of colonic stents based on a parametric model
S. Puértolas, D. Navallas, A. Herrera, E. López, J. Millastre, E. Ibarz, S. Gabarre, J.A. Puértolas, L. Gracia
Journal of the Mechanical Behavior of Biomedical Materials.2017; 71: 250. CrossRef
Self-Expanding Metallic Stents (SEMS) in Left-Sided Colonic Cancer—a Cancer Center Experience
Kamran Muddasar Saeed, Waleed Zafar, Muhammad Adnan Masood, Shahid Khattak, Aamir Ali Syed, Muhammed Aasim Yusuf
Journal of Gastrointestinal Cancer.2016; 47(1): 69. CrossRef
Value in palliative cancer surgery: A critical assessment
Ian W. Folkert, Robert E. Roses
Journal of Surgical Oncology.2016; 114(3): 311. CrossRef
Comparison of through-the-scope stent insertion with standard stent insertion for the management of malignant colorectal obstruction: a prospective study
Y. Wan, Y.-Q. Zhu, N.-W. Chen, Z.-G. Wang, Y.-S. Cheng, J. Shi
Techniques in Coloproctology.2016; 20(10): 707. CrossRef
Obstructive Left Colon Cancer Should Be Managed by Using a Subtotal Colectomy Instead of Colonic Stenting
Chung Ki Min, Hyung Ook Kim, Donghyoun Lee, Kyung Uk Jung, Sung Ryol Lee, Hungdai Kim, Ho-Kyung Chun
Annals of Coloproctology.2016; 32(6): 215. CrossRef
Innate Immunity and Biomaterials at the Nexus: Friends or Foes
Susan N. Christo, Kerrilyn R. Diener, Akash Bachhuka, Krasimir Vasilev, John D. Hayball
BioMed Research International.2015; 2015: 1. CrossRef
Endoprótesis colónica para el manejo paliativo de la obstrucción intestinal por cáncer. Reporte de caso
Víctor Manuel Noriega Usi, Leopoldo Gutiérrez Rodríguez, Carlos González de Cosío Corredor
Endoscopia.2015; 27(3): 129. CrossRef

14,203 View
137 Download
29 Web of Science
31 Crossref

Preparation of High-Risk Patients and the Choice of Guidewire for a Successful Endoscopic Retrograde Cholangiopancreatography Procedure: Tae Hoon Lee, Young Kyu Jung, Sang-Heum Park; Clin Endosc 2014;47(4):334-340. Published online July 28, 2014; DOI: https://doi.org/10.5946/ce.2014.47.4.334

Abstract PDF

Endoscopic retrograde cholangiopancreatography (ERCP) is an essential technique for the diagnosis and treatment of pancreatobiliary diseases. However, ERCP-related complications such as pancreatitis, cholangitis, hemorrhage, and perforation may be problematic. For a successful and safe ERCP, preprocedural evaluations of the patients and intervention-related risk factors are needed. Furthermore, in light of the recent population aging and increase in chronic cardiopulmonary diseases in Korea, precautions including endoscopic sedation and prevention of cardiopulmonary complications should be considered. In this literature review, we describe these risk factors and the use of endoscopic sedation. In addition, we reviewed the commonly available guidewires, including their materials and options, used as a basic accessory for ERCP procedures.

Citations

Citations to this article as recorded by

Fármacos antitrombóticos en la endoscopia digestiva. Documento de posicionamiento de la Societat Catalana de Digestologia
Faust Riu Pons, Noèlia Vilalta, Gemma Ibáñez-Sanz, Sergi Quintana-Carbó, Andrea Calvo, Hugo Uchima, Pilar García-Iglesias, Cristina Romero-Mascarell, Ermengol Vallès, Marco Antonio Álvarez
Gastroenterología y Hepatología.2026; 49(2): 502536. CrossRef
Antithrombotics drugs in Gastrointestinal Endoscopy. Position Statment of the Catalan Society of Gastroenterology
Faust Riu Pons, Noèlia Vilalta, Gemma Ibáñez-Sanz, Sergi Quintana-Carbó, Andrea Calvo, Hugo Uchima, Pilar García-Iglesias, Cristina Romero-Mascarell, Ermengol Vallès, Marco Antonio Álvarez
Gastroenterología y Hepatología (English Edition).2026; 49(2): 502536. CrossRef
The Role and Appropriate Selection of Guidewires in Biliopancreatic Endoscopy
Daniele Alfieri, Claudia Delogu, Stefano Mazza, Aurelio Mauro, Erica Bartolotta, Alessandro Cappellini, Davide Scalvini, Francesca Torello Viera, Marco Bardone, Andrea Anderloni
Medicina.2025; 61(5): 913. CrossRef
Structural factors influencing the clinical performance of 0.025-inch guidewires for pancreatobiliary endoscopy: An experimental study
Takehiko Koga, Naoaki Tsuchiya, Yusuke Ishida, Takanori Kitaguchi, Keisuke Matsumoto, Makoto Fukuyama, Satoki Kojima, Norihiro Kojima, Fumihito Hirai
Endoscopy International Open.2024; 12(05): E666. CrossRef
Racial disparities in endoscopic retrograde cholangiopancreatography (ERCP) utilization in the United States: are we getting better?
Dushyant Singh Dahiya, Abhilash Perisetti, Neil Sharma, Sumant Inamdar, Hemant Goyal, Amandeep Singh, Laura Rotundo, Rajat Garg, Chin-I Cheng, Sailaja Pisipati, Mohammad Al-Haddad, Madhusudhan Sanaka
Surgical Endoscopy.2023; 37(1): 421. CrossRef
Comparison of guidewires for successful cannulation of biliary stenosis and targeting of biliary branches in ERCP
Masanori Kobayashi, Hiromune Katsuda, Kazuo Ohtsuka, Ryuichi Okamoto
Endoscopy International Open.2023; 11(09): E805. CrossRef
Prevention of Post-ERCP Pancreatitis: Pro-gress in Different Procedural Techniques
永烜张
Advances in Clinical Medicine.2022; 12(11): 10124. CrossRef
Bedside Percutaneous Approach in a Critically Ill ICU Patient with Complex Pancreatobiliary Disorder Followed by Endoscopic Approach: Lessons Learnt from a Tertiary Referral Center
Cosmas Rinaldi Adithya Lesmana, Caecilia Herjuningtyas, Sri Inggriani, Yulia Estu Pratiwi, Laurentius A. Lesmana
Case Reports in Gastroenterology.2021; 15(1): 210. CrossRef
Technical Reports of Endoscopic Retrograde Cholangiopancreatography Guidewires on the Basis of Physical Properties
Chang-Il Kwon, Dong Hee Koh, Tae Jun Song, Won Suk Park, Dong Hang Lee, Seok Jeong
Clinical Endoscopy.2020; 53(1): 65. CrossRef
PREDICTIVE FACTORS FOR POST-ERCP BLEEDING. INFLUENCE OF DIRECT ORAL ANTICOAGULANTS
Ernesto Parras Castañera, Pelayo Rodríguez López, Alberto Álvarez Delgado, Fernando Muñoz Núñez, Fernando Geijo Martínez, Antonio Velasco Guardado
Revista Española de Enfermedades Digestivas.2020;[Epub] CrossRef
Current approaches to the treatment of complications of endoscopic transpapillary interventions
S. G. Shapovaliyants, S. A. Budzinskiy, E. D. Fedorov, M. V. Bordikov, M. A. Zakharova
Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery.2019; 24(2): 74. CrossRef
Efficacy of midazolam‐ versus propofol‐based sedations by non‐anesthesiologists during therapeutic endoscopic retrograde cholangiopancreatography in patients aged over 80 years
Su Jung Han, Tae Hoon Lee, Sang‐Heum Park, Young Sin Cho, Yun Nah Lee, Yunho Jung, Hyun Jong Choi, Il‐Kwun Chung, Sang‐Woo Cha, Jong Ho Moon, Young Deok Cho, Sun‐Joo Kim
Digestive Endoscopy.2017; 29(3): 369. CrossRef
Pancreatic Stenting Reduces Post-ERCP Pancreatitis and Biliary Sepsis in High-Risk Patients: A Randomized, Controlled Study
He-Kun Yin, Hai-En Wu, Qi-Xiang Li, Wei Wang, Wei-Lin Ou, Harry Hua-Xiang Xia
Gastroenterology Research and Practice.2016; 2016: 1. CrossRef
Optimal Use of Wire-Assisted Techniques and Precut Sphincterotomy
Tae Hoon Lee, Sang-Heum Park
Clinical Endoscopy.2016; 49(5): 467. 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

11,315 View
94 Download
13 Web of Science
15 Crossref

Original Article

Predictors of Esophageal Stricture Formation Post Endoscopic Mucosal Resection: Bashar Qumseya, Abraham M. Panossian, Cynthia Rizk, David Cangemi, Christianne Wolfsen, Massimo Raimondo, Timothy Woodward, Michael B. Wallace, Herbert Wolfsen; Clin Endosc 2014;47(2):155-161. Published online March 31, 2014; DOI: https://doi.org/10.5946/ce.2014.47.2.155

Abstract PDF

Background/Aims

Stricture formation is a common complication after endoscopic mucosal resection. Predictors of stricture formation have not been well studied.

Methods

We conducted a retrospective, observational, descriptive study by using a prospective endoscopic mucosal resection database in a tertiary referral center. For each patient, we extracted the age, sex, lesion size, use of ablative therapy, and detection of esophageal strictures. The primary outcome was the presence of esophageal stricture at follow-up. Multivariate logistic regression was used to analyze the association between the primary outcome and predictors.

Results

Of 136 patients, 27% (n=37) had esophageal strictures. Thirty-two percent (n=44) needed endoscopic dilation to relieve dysphagia (median, 2; range, 1 to 8). Multivariate logistic regression analysis showed that the size of the lesion excised is associated with increased odds of having a stricture (odds ratio, 1.6; 95% confidence interval, 1.1 to 2.3; p=0.01), when controlling for age, sex, and ablative modalities. Similarly, the number of lesions removed in the index procedure was associated with increased odds of developing a stricture (odds ratio, 2.3; 95% confidence interval, 1.3 to 4.2; p=0.007).

Conclusions

Stricture formation after esophageal endoscopic mucosal resection is common. Risk factors for stricture formation include large mucosal resections and the resection of multiple lesions on the initial procedure.

Citations

Citations to this article as recorded by

Predicting the magnitude of risk for non-curative endoscopic submucosal dissection in superficial esophageal cancer using explainable artificial intelligence
Zi-Chen Luo, Hai-Yang Guo, Xiao Tang, Xin-Rui Chen, Cheng-Yu Zhang, Yu-Tong Cui, Ji Zuo, Hao-Rui Li, Xue-Mei Hou, Hao Chen, Shao-Bi Song, Xian-Fei Wang
World Journal of Gastrointestinal Oncology.2026;[Epub] CrossRef
The Impact of Endoscopic Dilatation in Post-Esophagectomy Anastomotic Stricture: Risk Factors and Treatment Outcomes
Murad Jamal, Muhammad Mudasir, Shehzad Khan, Hala Mansoor, Kiran Jalil, Muhammad Nauman Shahid, Sabeen Farhan
Cureus.2026;[Epub] CrossRef
CLINICAL EFFECTIVENESS OF ENDOSCOPIC SUBMUCOSAL DISSECTION IN THE MANAGEMENT OF SUPERFICIAL ESOPHAGEAL NEOPLASMS ASSOCIATED WITH BARRETT’S ESOPHAGUS
Rúbia Moresi VIANNA DE OLIVEIRA, Josué ALIAGA RAMOS, Jonathan Richard WHITE, Vitor Nunes ARANTES
Arquivos de Gastroenterologia.2026;[Epub] CrossRef
Endoscopic Image-Based Prediction of Esophageal Stenosis after ESD Using Mucosal Defect Metrics
Wei Lin, Yi-zhi Liang, Dun-huang Peng, Jun-xi Wang, Si-fu Huang, Jing-jing Wei, Jiang-mu Chen, Wen-ming Liu, Tai-yong Fang, Ze-hao Zhuang
Annals of Surgical Oncology.2025; 32(12): 9262. CrossRef
Simplified Versus Standard Radiofrequency Ablation Protocols for Barrett's Esophagus: A Systematic Review and Meta-Analysis
Sagar Shah, Mary Kathryn Roccato, Samuel Ji, Neil Jariwalla, Spencer Kozik, Ronald Dungca Ortizo, Anastasia Chahine, Jennifer M. Kolb, Jason B. Samarasena
Techniques and Innovations in Gastrointestinal Endoscopy.2022; 24(1): 45. CrossRef
A reliable nomogram model for predicting esophageal stricture after endoscopic submucosal dissection
Guodong Yang, Zhao Mu, Ke Pu, Yulin Chen, Luoyao Zhang, Haiyue Zhou, Peng Luo, Xiaoying Zhang
Medicine.2022; 101(5): e28741. CrossRef
Management of esophageal strictures after endoscopic resection for early neoplasia
Einas Abou Ali, Arthur Belle, Rachel Hallit, Benoit Terris, Frédéric Beuvon, Mahaut Leconte, Anthony Dohan, Sarah Leblanc, Solène Dermine, Lola-Jade Palmieri, Romain Coriat, Stanislas Chaussade, Maximilien Barret
Therapeutic Advances in Gastroenterology.2021;[Epub] CrossRef
Lesion size and circumferential range identified as independent risk factors for esophageal stricture after endoscopic submucosal dissection
Meihong Chen, Yini Dang, Chao Ding, Jiajia Yang, Xinmin Si, Guoxin Zhang
Surgical Endoscopy.2020; 34(9): 4065. CrossRef
Risk factors for serious adverse events associated with multiband mucosectomy in Barrett’s esophagus: an international multicenter analysis of 3827 endoscopic resection procedures
Kamar Belghazi, Norman Marcon, Christopher Teshima, Kenneth K. Wang, Reza V. Milano, Nahid Mostafavi, Michael B. Wallace, Pujan Kandel, Lady Katherine Mejía Pérez, Michael J. Bourke, Farzan Bahin, Martin A. Everson, Rehan Haidry, Gregory G. Ginsberg, Gene
Gastrointestinal Endoscopy.2020; 92(2): 259. CrossRef
Advances in Endoscopic Resection in the Management of Esophageal Neoplasia
Don C. Codipilly, Prasad G. Iyer
Current Treatment Options in Gastroenterology.2020; 18(2): 308. CrossRef
Issues and controversies in esophageal inlet patch
Adriana Ciocalteu, Petrica Popa, Mircea Ionescu, Dan Ionut Gheonea
World Journal of Gastroenterology.2019; 25(30): 4061. CrossRef
Radiofrequency ablation in patients with large cervical heterotopic gastric mucosa and globus sensation: Closing the treatment gap
Ivan Kristo, Erwin Rieder, Matthias Paireder, Katrin Schwameis, Gerd Jomrich, Werner Dolak, Thomas Parzefall, Martin Riegler, Reza Asari, Sebastian F. Schoppmann
Digestive Endoscopy.2018; 30(2): 212. CrossRef
Endoscopic submucosal dissection for early Barrett’s neoplasia: a meta-analysis
Dennis Yang, Fei Zou, Sican Xiong, Justin J. Forde, Yu Wang, Peter V. Draganov
Gastrointestinal Endoscopy.2018; 87(6): 1383. CrossRef
Endoscopic eradication therapy for Barrett’s esophagus: Adverse outcomes, patient values, and cost-effectiveness
Swarup Kumar, Prasad G. Iyer
Techniques in Gastrointestinal Endoscopy.2018; 20(2): 75. CrossRef
Recent advances in Barrett's esophagus
John Inadomi, Hani Alastal, Luigi Bonavina, Seth Gross, Richard H. Hunt, Hiroshi Mashimo, Massimiliano di Pietro, Horace Rhee, Marmy Shah, Salvatore Tolone, David H. Wang, Shao‐Hua Xie
Annals of the New York Academy of Sciences.2018; 1434(1): 227. CrossRef
Endoscopic therapy for Barrett’s esophagus and early esophageal cancer: Where do we go from here?
Tavankit Singh, Madhusudhan R Sanaka, Prashanthi N Thota
World Journal of Gastrointestinal Endoscopy.2018; 10(9): 165. CrossRef
Ablation Therapy for Barrett’s Esophagus: New Rules for Changing Times
Nour Hamade, Prateek Sharma
Current Gastroenterology Reports.2017;[Epub] CrossRef
Endoscopic Resection and Ablation for Early-Stage Esophageal Cancer
Stephanie Worrell, Steven R. DeMeester
Thoracic Surgery Clinics.2016; 26(2): 173. CrossRef
Advances in the Endoscopic Diagnosis of Barrett Esophagus
Ashley H. Davis-Yadley, Kevin G. Neill, Mokenge P. Malafa, Luis R. Peña
Cancer Control.2016; 23(1): 67. CrossRef
Endoscopic mucosal resection
Joo Ha Hwang, Vani Konda, Barham K. Abu Dayyeh, Shailendra S. Chauhan, Brintha K. Enestvedt, Larissa L. Fujii-Lau, Sri Komanduri, John T. Maple, Faris M. Murad, Rahul Pannala, Nirav C. Thosani, Subhas Banerjee
Gastrointestinal Endoscopy.2015; 82(2): 215. CrossRef
When Is Pre-Emptive Treatment Necessary after Endoscopic Mucosal Resection of Early Esophageal Neoplasm?
Hyung Gil Kim
Clinical Endoscopy.2014; 47(2): 124. CrossRef

12,994 View
72 Download
25 Web of Science
21 Crossref

Case Report

Pancreatic Pseudocyst after Endoscopic Ultrasound-Guided Fine Needle Aspiration of Pancreatic Mass: Kwang Hyun Chung, Ji Kon Ryu, Hong Sang Oh, Ji Yeon Seo, Eunhyo Jin, Dong Hyeon Lee, Yong-Tae Kim, Yong Bum Yoon; Clin Endosc 2012;45(4):431-434. Published online November 30, 2012; DOI: https://doi.org/10.5946/ce.2012.45.4.431

Abstract PDF

Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is well known as a safe diagnostic procedure. We report the first case of pancreatic pseudocyst after EUS-FNA of the pancreatic body mass. A 60-year-old male underwent EUS-FNA for incidentally detected pancreatic solid mass which was suspected as neuroendocrine tumor. Two weeks later, the patient visited emergency room with acute abdominal pain and right upper quadrant tenderness; leukocytosis and elevated C-reactive protein, amylase, and lipase levels were noted. Computed tomography discovered newly developed 11.5×9.5 cm sized cystic mass communicating with the main pancreatic duct. Cyst fluid analysis revealed amylase level of 3,423 U/L and fluid culture isolated Streptococcus parasanguinis. The cystic mass corresponds with pancreatic pseudocyst. FNA induced main pancreatic duct injury and fluid leakage may cause it. Endoscopists who perform EUS-FNA must remember that pancreatic main duct injury can occur as one of severe complications and that it could be treated successfully with endoscopic internal drainage.

Citations

Citations to this article as recorded by

Pancreatic Pseudocyst after Fully Covered Self-expandable Metallic Stent Placement
Mitsuhito Koizumi, Sho Ishikawa, Kaori Marui, Masahito Kokubu, Yusuke Okujima, Yuki Numata, Yoshiki Imamura, Teru Kumagi, Yoichi Hiasa
Internal Medicine.2024; 63(21): 2943. CrossRef
Needle tract seeding and abscess associated with pancreatic fistula after endoscopic ultrasound-guided fine-needle aspiration
Takeshi Okamoto, Kenji Nakamura, Ayaka Takasu, Toshimi Kaido, Katsuyuki Fukuda
Clinical Journal of Gastroenterology.2020; 13(6): 1322. CrossRef
Peripancreatic Fluid Collection Complicated by Endoscopic Ultrasound-Guided Fine-Needle Aspiration
Tsuyoshi Suda, Kazuya Kitamura, Shuichi Kaneko
ACG Case Reports Journal.2020; 7(7): e00432. CrossRef
Early pancreatic cancer — The role of endoscopic ultrasound with or without tissue acquisition in diagnosis and staging
Pedro Moutinho-Ribeiro, Julio Iglesias-Garcia, Rui Gaspar, Guilherme Macedo
Digestive and Liver Disease.2019; 51(1): 4. CrossRef
Endoscopic ultrasonography guided-fine needle aspiration for the diagnosis of solid pancreaticobiliary lesions: Clinical aspects to improve the diagnosis
Hiroyuki Matsubayashi
World Journal of Gastroenterology.2016; 22(2): 628. CrossRef
A Patient with a Wedge-shaped Pulmonary Lesion Associated with Streptococcus parasanguinis
Hiroya MIYAMOTO, Harumi GOMI, Haruhiko ISHIOKA, taijiro SHIROKAWA
Kansenshogaku Zasshi.2016; 90(3): 316. CrossRef
Immunodepletion Plasma Proteomics by TripleTOF 5600 and Orbitrap Elite/LTQ-Orbitrap Velos/Q Exactive Mass Spectrometers
Kelly A. Jones, Phillip D. Kim, Bhavinkumar B. Patel, Steven G. Kelsen, Alan Braverman, Derrick J. Swinton, Philip R. Gafken, Lisa A. Jones, William S. Lane, John M. Neveu, Hon-Chiu E. Leung, Scott A. Shaffer, John D. Leszyk, Bruce A. Stanley, Todd E. Fox
Journal of Proteome Research.2013; 12(10): 4351. CrossRef

10,880 View
64 Download
7 Crossref

Esophageal Perforation after Change of a Percutaneous Endoscopic Gastrostomy Tube: Seong Wook Heo, M.D., Joong Goo Kwon, M.D., Kyoung Chan Park, M.D., Jung Il Ryu, M.D., Dong Uk Ju, M.D., Kyung Ho Ha, M.D., Jin Tae Jung, M.D. and Ho Gak Kim, M.D.; Korean J Gastrointest Endosc 2011;43(1):1-4. Published online July 28, 2011

Abstract PDF: Percutaneous endoscopic gastrostomy (PEG) has become a widely used and safe method for long-term enteral feeding in patients who are unable to tolerate oral feeding. Although a number of complications can occur following PEG placement, most of these complications are not life threatening. Serious complications occur rarely after this procedure and they include peritonitis, visceral perforation, major gastrointestinal bleeding, and necrotizing fasciitis. An esophageal perforation following PEG placement is very rare and predisposing factors include Zenker's or epiphrenic esophageal diverticuli, esophageal strictures, and mass lesions. We recently experienced a case of distal esophageal perforation following a PEG tube change. The predisposing esophageal perforation factor in this case was uncertain, and we successfully treated the patient with surgical intervention. (Korean J Gastrointest Endosc 2011;43:1-4)

3,831 View
53 Download

A Case of Gastric Huge Intramucosal Hematoma after Snare Polypectomy: Chang Kyun Lee, M.D., Jae Young Jang, M.D., Young Hwangbo, M.D., Jaejun Shim, M.D., Sung Hoon Jung, M.D., Seok Ho Dong, M.D., Hyo Jong Kim, M.D., Byung-Ho Kim, M.D.,Young Woon Chang, M.D. and Rin Chang, M.D.; Korean J Gastrointest Endosc 2008;36(4):219-223. Published online April 30, 2008

Abstract PDF: Endoscopic polypectomy is a widely used therapeutic modality for the treatment of polypoid lesions in the gastrointestinal tract. Postpolypectomy bleeding is the most common procedure-related complication. Bleeding can occur immediately after the polypectomy or be delayed from hours to up to days. The severity of bleeding ranges from slight oozing to spurting arterial bleeding that requires immediate endoscopic hemostasis. Because severe hemorrhage can be a cause of repeat endoscopy, blood transfusion, hospitalization or surgery, endoscopists must carefully observe the patient's symptoms and hemodynamic status after an endoscopic polypectomy. Here, we report a large intramucosal hematoma and subsequent huge ulcer in the stomach as a rare complication of endoscopic snare polypectomy. (Korean J Gastrointest Endosc 2008;36: 219-223)

3,042 View
23 Download

Submucosal Saline-Epinephrine Injection in Colonoscopic Polypectomy: What is the Proper Application?: Sang Huyb Lee, M.D., Kyoung Soo Lee, M.D., Yeol Keun Woo, M.D., Byong Duk Ye, M.D., Jong Yeul Lee, M.D., Su Cheol Park, M.D., Kwang Hyuck Lee, M.D.*, Young Soo Park, M.D.*, Jin-Hyeok Hwang, M.D.*, Sook Hyang Jung, M.D.*, Nayoung Kim, M.D.*, Dong Ho Lee, M; Korean J Gastrointest Endosc 2006;33(2):77-84. Published online August 30, 2006

Abstract PDF: Background
/Aims: Indications for submucosal saline- epinephrine injection (SSEI) for prevention of postpolypectomy bleeding, in the colon, is variable among endoscopists. The aim of this study was to determine the proper indication for SSEI. Methods: Clinical data of 1,745 polypectomies was evaluated. Postpolypectomy bleeding after snare polypectomy were evaluated in 1,039 polypectomies. Subgroup analysis was performed in 4 subgroups by size (≤8 mm or ＞8 mm) and gross morphology (pedunculated or sessile), also. Results: Submucosal saline-epinephrine injection was used in 679 snare polypectomies. The size of polyps was 9.5⁑4.3 mm. Distribution of polyps showed left side shift in the colon. Sessile polyps (79.4%) and benign adenoma (75.3%) were predominant. Twenty seven episodes (2.6%) of bleeding occurred after snare polypectomy. Rectal polyp, malignant polyp and procedure without SSEI increased bleeding after snare polypectomy with odds ratio 4.71, 10.48 and 3.44, respectively. However, SSEI significantly reduced the bleeding only in patients who had ＞8 mm sized sessile polyps with odds ratio 16.41 regardless of location and histopathology. Conclusions: SSEI should be performed in colonoscopic snare polypectomy for ＞8 mm sized sessile polyps, and might be performed in others for prevention of bleeding at the discretion of the clinician. (Korean J Gastrointest Endosc 2006;33:77⁣84)

3,119 View
25 Download

Two Cases of Intussusception Occurring through the Stoma after Gastric Surgery: Sung-Jo Bang, M.D., Do Ha Kim, M.D., Gin Hyug Lee, M.D.*, Jeong-Sik Byeon, M.D.*,; Korean J Gastrointest Endosc 2004;28(4):183-187. Published online April 30, 2004

Abstract PDF: Intussusception is a rare but potentially serious complication of gastric surgery, and 6
case
s have been reported in Korea. Diagnosis can be made by endoscopy, upper gastrointestinal series or computed tomography, but it needs a high index of suspicion for diagnosis. Early diagnosis and prompt surgical intervention is mandatory to avoid mortality. We report two cases of intussusception occurring through the stoma after gastric surgery. A 58-year-old woman presented with epigastric pain and vomiting followed by hematemesis, 30 years after gastrojejunostomy for pyloric obstruction caused by duodenal ulcer. Endoscopy showed jejunogastric intussusception and CT scan was compatible with the diagnosis. She was managed by segmental resection and anastomosis of the jejunum. Another 60-year-old man presented with epigastric pain and hematemesis, 7 years after total gastrectomy with a Roux-en-Y anastomosis for advanced gastric cancer. He was diagnosed as having chronic type jejunal intussusception by endoscopy and CT scan, and intussusception was resolved spontaneously. (Korean J Gastrointest Endosc 2004;28: 183 ⁣187)

2,442 View
6 Download

위수술 후 수술 문합부에 발생한 장중첩증 2예: Korean J Gastrointest Endosc 2003;27(5):459-459. Published online November 20, 2003

PDF

2,134 View
6 Download

악성 담도폐쇄 환자에서 내시경적 배액관 삽입 후 단기합병증 발생에 대한 연구: Korean J Gastrointest Endosc 2003;27(5):417-417. Published online November 20, 2003

PDF

1,995 View
10 Download

간경변증 환자의 총담관 결석 제거에 있어서 EST와 EPBD의 합병증 비교: Korean J Gastrointest Endosc 2003;27(5):416-416. Published online November 20, 2003

PDF

1,989 View
5 Download

First
Prev
Page of 1
Next
Last

Search