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A large and pedunculated inflammatory pseudotumor with pseudosarcomatous change of the cecum mimicking a malignant polyp: a case report and literature review
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Jong Suk Oh, Hyung Wook Kim, Su Bum Park, Dae Hwan Kang, Cheol Woong Choi, Su Jin Kim, Hyeong Seok Nam, Dae Gon Ryu
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Clin Endosc 2023;56(1):119-124. Published online July 19, 2021
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DOI: https://doi.org/10.5946/ce.2021.081
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Abstract
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- Inflammatory pseudotumor (IPT) is a rare benign tumor of unknown etiology that can occur in almost any organ system. It has neoplastic features such as local recurrence, invasive growth, and vascular invasion, leading to the possibility of malignant sarcomatous changes. The clinical presentations of colonic IPT may include abdominal pain, anemia, a palpable mass, and intestinal obstruction. A few cases of colonic IPT have been reported, but colonic IPT with pedunculated morphology is very rare. Furthermore, since it can mimic malignant polyps, understanding the endoscopic findings of colonic IPT is important for proper treatment. Herein, we present a case of colonic IPT with pseudosarcomatous changes, presenting as a large polyp, mimicking a malignant polyp in the cecum, along with a literature review.
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Mucosal Incision-Assisted Endoscopic Biopsy as an Alternative to Endoscopic Ultrasound-Guided Fine-Needle Aspiration/Biopsy for Gastric Subepithelial Tumor
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Cheol Woong Choi, Joo Ha Hwang
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Clin Endosc 2020;53(5):505-507. Published online September 29, 2020
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DOI: https://doi.org/10.5946/ce.2020.187
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Citations
Citations to this article as recorded by 
- Random Lasing for Bimodal Imaging and Detection of Tumor
R. Gayathri, C. S. Suchand Sandeep, C. Vijayan, V. M. Murukeshan Biosensors.2023; 13(12): 1003. CrossRef - Laparoscopic transgastric enucleation of a giant leiomyoma near the esophagogastric junction: A case report
Jin Lee, Woo Yong Lee International Journal of Surgery Case Reports.2023; 105: 107989. CrossRef - Prediction of Gastric Gastrointestinal Stromal Tumors before Operation: A Retrospective Analysis of Gastric Subepithelial Tumors
Yu-Ning Lin, Ming-Yan Chen, Chun-Yi Tsai, Wen-Chi Chou, Jun-Te Hsu, Chun-Nan Yeh, Ta-Sen Yeh, Keng-Hao Liu Journal of Personalized Medicine.2022; 12(2): 297. CrossRef - Natural History of Asymptomatic Esophageal Subepithelial Tumors of 30 mm or Less in Size
Seokin Kang, Do Hoon Kim, Yuri Kim, Dongsub Jeon, Hee Kyong Na, Jeong Hoon Lee, Ji Yong Ahn, Kee Wook Jung, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung Journal of Korean Medical Science.2022;[Epub] CrossRef
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Endoscopic Mucosal Resection with Circumferential Incision for the Treatment of Large Sessile Polyps and Laterally Spreading Tumors of the Colorectum
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Young Mi Hong, Hyung Wook Kim, Su Bum Park, Cheol Woong Choi, Dae Hwan Kang
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Clin Endosc 2015;48(1):52-58. Published online January 31, 2015
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DOI: https://doi.org/10.5946/ce.2015.48.1.52
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Abstract
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- Background/Aims
Endoscopic mucosal resection (EMR) is the standard treatment for colorectal polyps such as adenomas and early cancers with no risk of lymph node metastasis. However, endoscopic resection of large colorectal polyps (≥20 mm diameter) is difficult to perform. We evaluated the clinical outcomes of EMR with circumferential incision (EMR-CI) for the resection of large sessile polyps (Is) and laterally spreading tumors (LSTs) in the colorectum. MethodsBetween February 2009 and March 2011, we resected 80 large colorectal polyps by EMR-CI. We retrospectively investigated the en bloc resection rate, histologic complete resection rate, recurrence rate, and complications. ResultsThe median polyp size was approximately 25 mm (range, 20 to 50), and the morphologic types included Is (13 cases), LST-granular (37 cases), and LST-nongranular (30 cases). The en bloc and complete histologic resection rates were 66.3% and 45.0%, respectively. The recurrence rate was 0% (median follow-up duration, 23 months), and perforation occurred in five cases (6.3%). ConclusionsEMR-CI is an effective treatment modality for 20 to 30 mm-sized colorectal polyps, and may be considered as a second line therapeutic option if ESD is difficult.
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Citations
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- Hybrid endoscopic submucosal dissection as a salvage option for difficult colorectal conventional endoscopic submucosal dissection
Shin Morimoto, Hidenori Tanaka, Yudai Takehara, Noriko Yamamoto, Fumiaki Tanino, Yuki Kamigaichi, Ken Yamashita, Hidehiko Takigawa, Ryo Yuge, Yuji Urabe, Shiro Oka Surgical Endoscopy.2024; 38(1): 222. CrossRef - Endoscopic resection of large non-pedunculated colorectal polyps: current standards of treatment
Mahsa Taghiakbari, Dong Hyun Danny Kim, Roupen Djinbachian, Daniel von Renteln eGastroenterology.2024; 2(2): e100025. CrossRef - Hybrid Endoscopic Resection With Endo-knife and Snare for Colorectal Lesions: A Systematic Review and Meta-analysis
Shinji Yoshii, Takefumi Kikuchi, Yuki Hayashi, Masahiro Nojima, Hiro-o Yamano, Hiroshi Nakase Techniques and Innovations in Gastrointestinal Endoscopy.2023; 25(2): 135. CrossRef - Endoscopic Submucosal Dissection, Endoscopic Mucosal Resection, and Transanal Minimally Invasive Surgery for the Management of Rectal and Anorectal Lesions: A Narrative Review
Pedro Moreira, Pedro Cardoso, Guilherme Macedo, João Santos-Antunes Journal of Clinical Medicine.2023; 12(14): 4777. CrossRef - Indications and outcomes of colorectal hybrid endoscopic submucosal dissection: a large multicenter 10-year study
Yuki Okamoto, Shiro Oka, Shinji Tanaka, Shinji Nagata, Masaki Kunihiro, Toshio Kuwai, Yuko Hiraga, Seiji Onogawa, Takeshi Mizumoto, Hideharu Okanobu, Morihisa Akagi, Kazuaki Chayama Surgical Endoscopy.2022; 36(3): 1894. CrossRef - Comparison of precutting endoscopic mucosal resection and endoscopic submucosal dissection for large (20–30 mm) flat colorectal lesions
Chang Kyo Oh, Young Wook Cho, In Hyoung Choi, Han Hee Lee, Chul‐Hyun Lim, Jin Su Kim, Bo‐In Lee, Young‐Seok Cho Journal of Gastroenterology and Hepatology.2022; 37(3): 568. CrossRef - Cap-assisted EMR versus standard inject and cut EMR for treatment of large colonic laterally spreading tumors: a randomized multicenter study (with videos)
Massimo Conio, Raffaele Manta, Rosa Angela Filiberti, Todd H. Baron, Luigi Pasquale, Mario Marini, Antonella De Ceglie Gastrointestinal Endoscopy.2022; 96(5): 829. CrossRef - Endoscopic techniques to reduce recurrence rates after colorectal EMR: systematic review and meta-analysis
Gijs Kemper, Ayla S. Turan, Erik J. Schoon, Ruud W. M. Schrauwen, Ludger S. M. Epping, Christian Gerges, Torsten Beyna, Horst Neuhaus, Ufuk Gündug, Peter D. Siersema, Erwin J. M. van Geenen Surgical Endoscopy.2021; 35(10): 5422. CrossRef - Indications and outcomes of endoscopic resection for non-pedunculated colorectal lesions: A narrative review
Endrit Shahini, Diogo Libânio, Giacomo Lo Secco, Antonio Pisani, Alberto Arezzo World Journal of Gastrointestinal Endoscopy.2021; 13(8): 275. CrossRef - Endoscopic mucosal resection versus endoscopic submucosal dissection for colorectal laterally spreading tumors: a meta-analysis
Hongjing Zhao, Jie Yin, Cuiying Ji, Xin Wang, Na Wang Revista Española de Enfermedades Digestivas.2020;[Epub] CrossRef - Efficacy of hybrid endoscopic submucosal dissection (ESD) as a rescue treatment in difficult colorectal ESD cases
Koichi Okamoto, Naoki Muguruma, Kaizo Kagemoto, Yasuhiro Mitsui, Daisaku Fujimoto, Shinji Kitamura, Tetsuo Kimura, Masahiro Sogabe, Hiroshi Miyamoto, Tetsuji Takayama Digestive Endoscopy.2017; 29(S2): 45. CrossRef - Endoscopic Mucosal Resection with Circumferential Mucosal Incision for Colorectal Neoplasms: Comparison with Endoscopic Submucosal Dissection and between Two Endoscopists with Different Experiences
Dong-Hoon Yang, Min-Seob Kwak, Sang Hyoung Park, Byong Duk Ye, Jeong-Sik Byeon, Seung-Jae Myung, Suk-Kyun Yang, Hyun Gun Kim, Shai Friedland Clinical Endoscopy.2017; 50(4): 379. CrossRef - Local recurrence and subsequent endoscopic treatment after endoscopic piecemeal mucosal resection with or without precutting in the colorectum
Myeongsook Seo, Eun Mi Song, Gwang Un Kim, Sung Wook Hwang, Sang Hyoung Park, Dong-Hoon Yang, Kyung-Jo Kim, Byong Duk Ye, Seung-Jae Myung, Suk-Kyun Yang, Jeong-Sik Byeon Intestinal Research.2017; 15(4): 502. CrossRef - How to deal with large colorectal polyps
Selvi Thirumurthi, Gottumukkala S. Raju Current Opinion in Gastroenterology.2016; 32(1): 26. CrossRef - Endoscopic mucosal resection and endoscopic submucosal dissection for colorectal lesions: A systematic review
Antonella De Ceglie, Cesare Hassan, Benedetto Mangiavillano, Takahisa Matsuda, Yutaka Saito, Lorenzo Ridola, Pradeep Bhandari, Federica Boeri, Massimo Conio Critical Reviews in Oncology/Hematology.2016; 104: 138. CrossRef - Should antibiotics be administered after endoscopic mucosalresection in patients with colon polyps?
Zhimeng SHI, Hui QIU, Huangang LIU, Honggang YU TURKISH JOURNAL OF MEDICAL SCIENCES.2016; 46: 1486. CrossRef - Endoscopic Approach for Superficial Colorectal Neoplasms
Jun-feng Xu, Lang Yang, Peng Jin, Jian-qiu Sheng Gastrointestinal Tumors.2016; 3(2): 69. CrossRef - Many Options to Manage Laterally Spreading Tumors
Dong Kyung Chang Clinical Endoscopy.2015; 48(1): 4. CrossRef
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An Extremely Rare Case of Gastric Subepithelial Tumor: Gastric Endometriosis
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Jong Kun Ha, Cheol Woong Choi, Hyung Wook Kim, Dae Hwan Kang, Su Bum Park, Su Jin Kim, Jeong Beom Hong
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Clin Endosc 2015;48(1):74-77. Published online January 31, 2015
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DOI: https://doi.org/10.5946/ce.2015.48.1.74
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Abstract
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Endometriosis is a disease characterized by the presence of endometrial tissue outside of the uterine cavity. It is common in women of childbearing age, and is most frequently located in the pelvic cavity. Approximately 10% of endometriosis cases occur outside of the pelvic cavity in locations such as the intestines, genitourinary system, kidneys, lungs, and skin. However, there have been few reports of endometriosis in the stomach. Here, we report a rare case of endometriosis that presented as a subepithelial stomach tumor.
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- Gastric Endometriosis
Bendeguz Metz, Yael Tovia, Dimitrios R. Kalaitzopoulos, Nicolas Samartzis Journal of Minimally Invasive Gynecology.2024; 31(8): 633. CrossRef - Müllerian‐type carcinosarcoma arising in gastric endometriosis: Case report and review of the literature
Rayne Peerenboom, Sabrina Wang, Ryan Morgan, Seth Sankary, Lindsay Yassan, Katherine Kurnit, Mitchell C. Posner Clinical Case Reports.2024;[Epub] CrossRef - Gastric wall endometriosis: A case report
Meng Chieh Chou Tungs' Medical Journal.2024; 18(2): 121. CrossRef - Transcoelomic and Lympho-Hematogenous Dissemination of Endometrioid Heterotopias – the Mechanism of Extragenital Endometriosis Formation
R. V. Ukrainets, Yu. S. Korneva Journal of Anatomy and Histopathology.2021; 10(1): 85. CrossRef - Molecular and Cellular Changes in the Pathogenesis of Endometriosis
K. A. Toniyan, O. I. Orlov, V. V. Boyarintsev, I. V. Ogneva Human Physiology.2021; 47(6): 690. CrossRef - Imaging of gastrointestinal endometriosis: what the radiologist should know
Adrian Jaramillo-Cardoso, Anuradha S. Shenoy-Bhangle, Wendaline M. VanBuren, Giancarlo Schiappacasse, Christine O. Menias, Koenraad J. Mortele Abdominal Radiology.2020; 45(6): 1694. CrossRef
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A Gastric Composite Tumor with an Adenocarcinoma and a Neuroendocrine Carcinoma: A Case Report
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Jae Hyung Lee, Hyung Wook Kim, Dae Hwan Kang, Cheol Woong Choi, Su Bum Park, Suk Hun Kim
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Clin Endosc 2013;46(3):280-283. Published online May 31, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.3.280
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Abstract
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A 70-year-old woman was admitted to our department with epigastric discomfort and nausea over the duration of 1 month. An esophagogastroduodenoscopy showed the presence of a 1.0×1.0 cm-sized flat lesion with central ulceration at the greater curvature side of the antrum. A biopsy demonstrated the presence of an adenocarcinoma of well differentiated, intestinal type in the stomach. Endoscopic submucosal dissection was done and the diagnosis of a composite neuroendocrine carcinoma with an adenocarcinoma of the stomach was confirmed. We report a case of a gastric composite tumor with an adenocarcinoma and neuroendocrine carcinoma confirmed by endoscopic submucosal dissection with a review of the literature.
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Bo Seok Jeong, Hye Won Hwang, Jong Won Kim, In Gyu Hwang, Jae Yong Park The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2021; 21(4): 343. CrossRef - Neoadjuvant chemotherapy improves the survival of patients with neuroendocrine carcinoma and mixed adenoneuroendocrine carcinoma of the stomach
Fuhai Ma, Bingzhi Wang, Liyan Xue, Wenzhe Kang, Yang Li, Weikun Li, Hao Liu, Shuai Ma, Yantao Tian Journal of Cancer Research and Clinical Oncology.2020; 146(8): 2135. CrossRef - Endoscopic findings of gastric mixed adenoneuroendocrine carcinoma
Keitaro Takahashi, Mikihiro Fujiya, Takahiro Sasaki, Yuya Sugiyama, Yuki Murakami, Takuya Iwama, Takehito Kunogi, Katsuyoshi Ando, Nobuhiro Ueno, Shin Kashima, Kentaro Moriichi, Hiroki Tanabe, Sayaka Yuzawa, Hidehiro Takei, Toshikatsu Okumura Medicine.2020; 99(38): e22306. CrossRef - Efficacy of XELOX adjuvant chemotherapy for gastric mixed adenoneuroendocrine carcinoma
Zhixian Lin, Jiangfeng Chen, Yong Guo Medicine.2019; 98(23): e16000. CrossRef - Clinical characteristics of early neuroendocrine carcinoma in stomach
Xiaolong Zhu, Haiyan Jing, Takashi Yao Medicine.2019; 98(30): e16638. CrossRef - Mixed Neuroendocrine-non-neuroendocrine Neoplasm of the Stomach that is Distributed in Depth on the Same Tumor: Inconsistent with the Definition of Mixed Adenoneuroendocrine Carcinoma in the 2010 World Health Organization Classification of Tumors of the D
Joonnho Jeong, Kyoungwon Jung, Jae Hyun Kim, Sung Eun Kim, Won Moon, Moo In Park, Seun Ja Park The Korean Journal of Gastroenterology.2019; 74(6): 349. CrossRef - Mixed adenoneuroendocrine carcinoma of the liver: A rare case report
Jiao‑Jiao Yang, Zhi‑Ping Li, Chun‑Li Luo, Yan Du, Qiu‑Yang Lu, Na Li, He Li, Tian‑Ping Yu, Xing‑Ming Huang Molecular and Clinical Oncology.2019;[Epub] CrossRef - Mixed adenoneuroendocrine carcinoma in the stomach: a case report with a literature review
Ki Hyun Kim, Hyun Jung Lee, Si Hak Lee, Sun-Hwi Hwang Annals of Surgical Treatment and Research.2018; 94(5): 270. CrossRef - Synchronous Triple Gastric Cancer Incorporating Mixed Adenocarcinoma and Neuroendocrine Tumor Completely Resected with Endoscopic Submucosal Dissection
Kimitoshi Kubo, Noriko Kimura, Katsuhiro Mabe, Yusuke Nishimura, Mototsugu Kato Internal Medicine.2018; 57(20): 2951. CrossRef - Mast cell and plasma cell collision tumor in the spleen of a dog
Valarie A. Pallatto, Molly A. Bechtold Veterinary Clinical Pathology.2018; 47(2): 303. CrossRef - Gastric adenocarcinoma is concurrent with metastatic neuroendocrine cancer treated with nivolumab and chemotherapy: A case report
Bing Yan, Meiqi Cui, Junhao You, Fang Li, Hui Liu Molecular and Clinical Oncology.2018;[Epub] CrossRef - Gastric mixed adenoneuroendocrine carcinoma: correlation of histologic characteristics with prognosis
Ling Nie, Mingna Li, Xiaofeng He, Anning Feng, Hongyan Wu, Xiangshan Fan Annals of Diagnostic Pathology.2016; 25: 48. CrossRef - Intramucosal Gastric Mixed Adenoneuroendocrine Carcinoma Completely Resected with Endoscopic Submucosal Dissection
Yasushi Yamasaki, Junichiro Nasu, Kou Miura, Yoshiyasu Kono, Hiromitsu Kanzaki, Keisuke Hori, Takehiro Tanaka, Masahide Kita, Takao Tsuzuki, Minoru Matsubara, Seiji Kawano, Yoshiro Kawahara, Masahiro Tabata, Hiroyuki Okada, Kazuhide Yamamoto Internal Medicine.2015; 54(8): 917. CrossRef - Mixed adenoneuroendocrine carcinoma of gastrointestinal tract: Report of two cases
Simona Gurzu World Journal of Gastroenterology.2015; 21(4): 1329. CrossRef - Prognostic significance of neuroendocrine components in gastric carcinomas
Ji Y. Park, Min-Hee Ryu, Young Soo Park, Hye Jin Park, Baek-Yeol Ryoo, Min Gyu Kim, Jeong Hwan Yook, Byung Sik Kim, Yoon-Koo Kang European Journal of Cancer.2014; 50(16): 2802. CrossRef - Mixed adeno(neuro)endocrine carcinoma arising from the ectopic gastric mucosa of the upper thoracic esophagus
Toshihiro Kitajima, Sachiko Kaida, Seigi Lee, Shusuke Haruta, Hisashi Shinohara, Masaki Ueno, Koichi Suyama, Yasunori Oota, Takeshi Fujii, Harushi Udagawa World Journal of Surgical Oncology.2013; 11(1): 218. CrossRef
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Usefulness of Percutaneous Transhepatic Cholangioscopic Lithotomy for Removal of Difficult Common Bile Duct Stones
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Jae Hyung Lee, Hyung Wook Kim, Dae Hwan Kang, Cheol Woong Choi, Su Bum Park, Suk Hun Kim, Ung Bae Jeon
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Clin Endosc 2013;46(1):65-70. Published online January 31, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.1.65
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Abstract
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- Background/Aims
Approximately 5% to 10% of common bile duct (CBD) stones are difficult to remove by conventional endoscopic methods. Percutaneous transhepatic cholangioscopic lithotomy (PTCSL) can be an alternative method for this condition, but is not well established yet. The aim of this study was to evaluate the clinical efficacy and safety of PTCSL for removal of difficult CBD stones. MethodsThis study is a retrospective review of 34 consecutive patients who underwent unsuccessful removal of CBD stones using conventional endoscopic methods between December 2008 and July 2010 and were subsequently treated using PTCSL. ResultsAmong 443 patients with CBD stones, 34 patients (7.8%) failed to achieve stone removal using conventional endoscopic methods. Of these 34 patients, 33 were treated using PTCSL. In all 33 cases (100%), complete stone removal was achieved using PTCSL. Most complications (15/17, 88.2%) were mild and transient. Major complications occurred in two patients (6.1%) who experienced hemobilia, and percutaneous transhepatic biliary drainage tract disruption, respectively; which were fully recovered without mortality. ConclusionsDespite prolonged hospital stay and temporary decline of quality of life, PTCSL is an effective and safe method in the management of difficult CBD stones, especially in patients with difficulty in approaching the affected bile duct.
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Ana Belén Martín Arnau, Antonio Molera Espelt, Jordi Villaba Auñon, Santiago Sánchez-Cabús Cirugía Española (English Edition).2024; 102(11): 599. CrossRef - Revised Clinical Practice Guideline of Korean Pancreatobiliary Association for Common Bile Duct Stones: Endoscopic Management of Difficult Common Bile Duct Stones
Eunae Cho, Dong Kee Jang, Seong-Hun Kim, Dong Uk Kim The Korean Journal of Pancreas and Biliary Tract.2024; 29(4): 135. CrossRef - Evidence-based clinical practice guidelines for cholelithiasis 2021
Naotaka Fujita, Ichiro Yasuda, Itaru Endo, Hiroyuki Isayama, Takuji Iwashita, Toshiharu Ueki, Kenichiro Uemura, Akiko Umezawa, Akio Katanuma, Yu Katayose, Yutaka Suzuki, Junichi Shoda, Toshio Tsuyuguchi, Toshifumi Wakai, Kazuo Inui, Michiaki Unno, Yoshifu Journal of Gastroenterology.2023; 58(9): 801. CrossRef - Percutaneous transhepatic cholangioscopic lithotripsy: A useful technique in the management of difficult biliary stones
Thandalam K. Anand, Pandurangan Basumani, Ramakrishnan Ravi Indian Journal of Gastroenterology.2023; 42(6): 857. CrossRef - Percutaneous biliary stone clearance: is there still a need? A 10-year single-centre experience
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Hao Jin, Min Cui Langenbeck's Archives of Surgery.2022; 407(2): 675. CrossRef - Successful Removal of a Difficult Common Bile Duct Stone by Percutaneous Transcholecystic Cholangioscopy
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Ji Hong Oh, Seung Goun Hong The Korean Journal of Medicine.2022; 97(3): 191. CrossRef - Ultra-mini Percutaneous Hepatolithotomy in Patients With Large and Multiple Hepatolithiasis
Ahmet Öztürk, Mehmet Giray Sönmez, Süleyman Bakdik, Gökhan Ecer, Nurullah Altinkaya, Hüseyin Ataseven, Faruk Aksoy Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2021; 31(1): 76. CrossRef - One-step percutaneous transhepatic cholangioscopic lithotripsy in patients with choledocholithiasis
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Mehmet Odabasi World Journal of Gastrointestinal Endoscopy.2013; 5(11): 568. CrossRef
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A Case of Clonorchiasis with Focal Intrahepatic Duct Dilatation Mimicking an Intrahepatic Cholangiocarcinoma
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Bong Gap Kim, Dae Hwan Kang, Cheol Woong Choi, Hyung Wook Kim, Jae Hyung Lee, Suk Hun Kim, Hye Ju Yeo, Soo Yong Lee
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Clin Endosc 2011;44(1):55-58. Published online September 30, 2011
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DOI: https://doi.org/10.5946/ce.2011.44.1.55
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Abstract
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Biliary strictures can be caused by various diseases. Intrahepatic duct (IHD) strictures are usually related to IHD stones and cholangitis. However, focal IHD strictures without IHD stones often create diagnostic problems. Parasitic diseases such as clonorchiasis can be a rare cause of an IHD stricture. Human clonorchiasis (Clonorchis sinensis infection) is an endemic parasitic disease in Eastern Asia, including Korea, and patients acquire the infestation by eating raw fish. On radiological examinations, clonorchiasis shows typically diffuse, minimal, or mild dilatation of the small IHD, particularly in the periphery, without dilatation of the extrahepatic duct. However, diagnosis of clonorchiasis can sometimes be difficult when radiological changes are atypical. We report a case of focal left IHD dilatation caused by clonorchiasis that was confused with a malignancy.
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Citations
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Heung Up Kim The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2024; 24(2): 127. CrossRef - Flattened oval brown objects extracted from the bile duct
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