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Clinical Practice Guidelines for the Endoscopic Management of Peripancreatic Fluid Collections
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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
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Clin Endosc 2021;54(4):505-521. Published online July 27, 2021
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DOI: https://doi.org/10.5946/ce.2021.185
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Abstract
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- Endoscopic ultrasonography-guided intervention has gradually become a standard treatment for peripancreatic fluid collections (PFCs). However, it is difficult to popularize the procedure in Korea because of restrictions on insurance claims regarding the use of endoscopic accessories, as well as the lack of standardized Korean clinical practice guidelines. The Korean Society of Gastrointestinal Endoscopy (KSGE) appointed a Task Force to develope medical guidelines by referring to the manual for clinical practice guidelines development prepared by the National Evidence-Based Healthcare Collaborating Agency. Previous studies on PFCs were searched, and certain studies were selected with the help of experts. Then, a set of key questions was selected, and treatment guidelines were systematically reviewed. Answers to these questions and recommendations were selected via peer review. This guideline discusses endoscopic management of PFCs and makes recommendations on Indications for the procedure, pre-procedural preparations, optimal approach for drainage, procedural considerations (e.g., types of stent, advantages and disadvantages of plastic and metal stents, and accessories), adverse events of endoscopic intervention, and procedural quality issues. This guideline was reviewed by external experts and suggests best practices recommended based on the evidence available at the time of preparation. This will be revised as necessary to address advances and changes in technology and evidence obtained in clinical practice and future studies.
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- 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 - 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 - 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
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Clinical and Technical Guideline for Endoscopic Ultrasound (EUS)-Guided Tissue Acquisition of Pancreatic Solid Tumor: Korean Society of Gastrointestinal Endoscopy (KSGE)
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Moon Jae Chung, Se Woo Park, Seong-Hun Kim, Chang Min Cho, Jun-Ho Choi, Eun Kwang Choi, Tae Hoon Lee, Eunae Cho, Jun Kyu Lee, Tae Jun Song, Jae Min Lee, Jun Hyuk Son, Jin Suk Park, Chi Hyuk Oh, Dong-Ah Park, Jeong-Sik Byeon, Soo Teik Lee, Ho Gak Kim, Hoon Jai Chun, Ho Soon Choi, Chan Guk Park, Joo Young Cho
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Clin Endosc 2021;54(2):161-181. Published online March 24, 2021
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DOI: https://doi.org/10.5946/ce.2021.069
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Abstract
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- Endoscopic ultrasound (EUS)-guided tissue acquisition of pancreatic solid tumor requires a strict recommendation for its proper use in clinical practice because of its technical difficulty and invasiveness. The Korean Society of Gastrointestinal Endoscopy (KSGE) appointed a Task Force to draft clinical practice guidelines for EUS-guided tissue acquisition of pancreatic solid tumor. The strength of recommendation and the level of evidence for each statement were graded according to the Minds Handbook for Clinical Practice Guideline Development 2014. The committee, comprising a development panel of 16 endosonographers and an expert on guideline development methodology, developed 12 evidence-based recommendations in 8 categories intended to help physicians make evidence-based clinical judgments with regard to the diagnosis of pancreatic solid tumor. This clinical practice guideline discusses EUS-guided sampling in pancreatic solid tumor and makes recommendations on circumstances that warrant its use, technical issues related to maximizing the diagnostic yield (e.g., needle type, needle diameter, adequate number of needle passes, sample obtaining techniques, and methods of specimen processing), adverse events of EUS-guided tissue acquisition, and learning-related issues. This guideline was reviewed by external experts and suggests best practices recommended based on the evidence available at the time of preparation. This guideline may not be applicable for all clinical situations and should be interpreted in light of specific situations and the availability of resources. It will be revised as necessary to cover progress and changes in technology and evidence from clinical practice.
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Citations
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- Role of Endoscopic Ultrasound in the Management of Pancreatic Cancer
Balaji Musunuri, Shiran Shetty Indian Journal of Surgical Oncology.2024; 15(S2): 269. CrossRef - Endoscopic Ultrasound (EUS) guided biopsy of healthy pig pancreas: Towards the histological diagnosis of chronic pancreatitis.
Julio Iglesias-García, Yessica Domínguez-Novoa, Héctor Lazare-Iglesias, Antonio González-Cantalapiedra, Ihab Abdulkader-Nallib, Óscar Varela-López, José Lariño-Noia, Enrique Domínguez-Muñoz Revista Española de Enfermedades Digestivas.2024;[Epub] CrossRef - Endoscopic ultrasound-guided tissue acquisition for personalized treatment in pancreatic adenocarcinoma
Sang Myung Woo Clinical Endoscopy.2023; 56(2): 183. CrossRef - Pancreatic duct lavage cytology combined with a cell-block method for patients with possible pancreatic ductal adenocarcinomas, including pancreatic carcinoma in situ
Hiroaki Kusunose, Shinsuke Koshita, Yoshihide Kanno, Takahisa Ogawa, Toshitaka Sakai, Keisuke Yonamine, Kazuaki Miyamoto, Fumisato Kozakai, Hideyuki Anan, Kazuki Endo, Haruka Okano, Masaya Oikawa, Takashi Tsuchiya, Takashi Sawai, Yutaka Noda, Kei Ito Clinical Endoscopy.2023; 56(3): 353. CrossRef - Anesthesia care provider sedation versus conscious sedation for endoscopic ultrasound–guided tissue acquisition: a retrospective cohort study
Sneha Shaha, Yinglin Gao, Jiahao Peng, Kendrick Che, John J. Kim, Wasseem Skef Clinical Endoscopy.2023; 56(5): 658. CrossRef - Endoscopic ultrasound-guided tissue acquisition and gene panel testing for pancreatic cancer
Kentaro SUDO, Emiri KITA, Akiko TSUJIMOTO, Kazuyoshi NAKAMURA, Akiko ODAKA, Makiko ITAMI, Sana YOKOI, Hiroshi ISHII Suizo.2022; 37(1): 8. CrossRef - Impact of rapid on-site evaluation on diagnostic accuracy of EUS-guided fine-needle aspiration of solid pancreatic lesions: experience from a single center
Irem Guvendir, Itir Ebru Zemheri, Kamil Ozdil BMC Gastroenterology.2022;[Epub] CrossRef - Endoscopic Ultrasound Guided Fine Needle Aspiration and Biopsy for Pancreatic Disease
Kwang Hyuck Lee The Korean Journal of Pancreas and Biliary Tract.2021; 26(4): 241. CrossRef
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Endoscopic Treatment of a Symptomatic Ileal Lipoma with Recurrent Ileocolic Intussusceptions by Using Cap-Assisted Colonoscopy
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Eun Sung Lee, Kang Nyeong Lee, Kyung Soo Choi, Hang Lak Lee, Dae Won Jun, Oh Young Lee, Byung Chul Yoon, Ho Soon Choi
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Clin Endosc 2013;46(4):414-417. Published online July 31, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.4.414
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Abstract
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A 73-year-old woman presented with intermittent abdominal pain and weight loss of 15 kg for 2 years. Colonoscopy revealed an erythematous polypoid tumor with a long and wide stalk in the cecum, but with air inflation, it abruptly went away through the ileocecal valve (ICV). An abdominal computed tomography showed a well-demarcated pedunculated subepithelial mass of 2.6×2.7 cm size with fat attenuation in the terminal ileum. It was an intussusceptum of the ileal lipoma through the ICV. This ileal lipoma was causing her symptoms because repeated ileocolic intussusceptions resulted in intermittent intestinal obstructions. In order to avoid surgical sequelae of ileal resection, snare polypectomy using cap-assisted colonoscopy technique was performed within the ileum without complications. The histopathology report confirmed it as a subepithelial lipoma. After endoscopic resection of the ileal lipoma, the patient has been free of symptoms and was restored to the original weight.
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Citations
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- Extraction of terminal ileal lipomas to cecum can facilitate endoscopic resection: A case series with video
Hiroshi Yamazaki, Yohei Minato, Deepak Madhu, Toshifumi Iida, Susumu Banjyoya, Tomoya Kimura, Koichi Furuta, Shinya Nagae, Yohei Itou, Nao Takeuchi, Shunya Takayanagi, Yoshiaki Kimoto, Yuki Kano, Takashi Sakuno, Kohei Ono, Ken Ohata DEN Open.2025;[Epub] CrossRef - A Rare Case of Multiple Ileal Lipoma in A Young Male
Ramprashanth MP Journal of Surgery Research and Practice.2024; : 1. CrossRef - Terminal Ileum Lipoma Causing Ileocolic Intussusception: A Case Report and Literature Review
Siddhant Dogra, Jason Wei, Benjamin Wadowski, Virginia Devi-Chou, Leandra Krowsoski, Rajiv R Shah Cureus.2023;[Epub] CrossRef - Successful endoscopic management of adult ileocecal intussusception secondary to a large ileal lipoma
Akira Teramoto, Seiji Hamada, Takahiro Utsumi, Daizen Hirata, Yasushi Sano VideoGIE.2021; 6(4): 187. CrossRef - Life‐threatening gastrointestinal bleeding from a giant ileal lipoma
Amy Donovan, Sandun Abeyasundara, Hajir Nabi ANZ Journal of Surgery.2020;[Epub] CrossRef - Intususcepción íleo-cólica de lipoma ileal como causa de hemorragia digestiva baja
Eduardo Valdivielso Cortázar, María López Álvarez, Alberto Guerrero Montañes, Loreto Yañez González-Dopeso, Jesus Ángel Yañez López, Pedro Antonio Alonso Aguirre Gastroenterología y Hepatología.2017; 40(7): 457. CrossRef - Ileocolic intussusception of ileal lipoma as a cause of lower gastrointestinal bleeding
Eduardo Valdivielso Cortázar, María López Álvarez, Alberto Guerrero Montañes, Loreto Yañez González-Dopeso, Jesus Ángel Yañez López, Pedro Antonio Alonso Aguirre Gastroenterología y Hepatología (English Edition).2017; 40(7): 457. CrossRef - Unroofing Technique as an Option for the Endoscopic Treatment of Giant Gastrointestinal Lipomas
Marcela Kopáčová, Stanislav Rejchrt, Jan Bureš Acta Medica (Hradec Kralove, Czech Republic).2015; 58(4): 115. CrossRef
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International Live Endoscopic Multichannel Demonstration Using Superfast Broadband Internet Connections
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Sang Pyo Lee, Hang Lak Lee, Joon Soo Hahm, Ho Soon Choi, Inwhee Joe, Shuji Shimizu
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Clin Endosc 2012;45(1):73-77. Published online March 31, 2012
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DOI: https://doi.org/10.5946/ce.2012.45.1.73
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Abstract
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- Background/Aims
Telemedicine is a convenient and efficient tool for remote education in various fields. The telemedicine system can also be used to educate doctors and medical students. The aim of our study was to establish the effectiveness of the telemedical system for use in a live endoscopic multichannel demonstration conference and to test the effectiveness and usefulness of a multicenter-based live endoscopic demonstration through live, interactive, high resolution video transmission using advanced networks and the digital video transport system (DVTS). MethodsThis study is a prospective multicenter pilot study. A live demonstration of an endoscopic submucosal dissection (ESD) and an endoscopic retrograde cholangiopancreatography (ERCP) using advanced network technology was performed. ResultsThe DVTS successfully transmitted uncompressed, high-resolution, digital lectures with endoscopy video during a multichannel endoscopic live demonstration of ESD and ERCP over multiple advanced networks. The overall satisfaction rating when the endoscopic lecture demonstration was performed by combining DVTS was generally good. ConclusionsWe believe that a multicenter-based live endoscopic demonstration is a very effective conferencing method when using advanced networks and DVTS.
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Hon Chi Yip, Noriya Uedo, Louis Ho‐Shing Lau, Daizen Hirata, Yasushi Sano, Philip Wai‐yan Chiu Digestive Endoscopy.2023; 35(1): 140. CrossRef - Current Applications of Telemedicine in Gastroenterology
Brian M. Fung, Eric Markarian, Marina Serper, James H. Tabibian American Journal of Gastroenterology.2022; 117(7): 1072. CrossRef - Telemedicine for Remote Surgical Guidance in Endoscopic Retrograde Cholangiopancreatography: Mixed Methods Study of Practitioner Attitudes
Hedvig Aminoff, Sebastiaan Meijer, Urban Arnelo, Susanne Frennert JMIR Formative Research.2021; 5(1): e20692. CrossRef - Live surgery of colorectal endometriosis broadcasted from a surgeon’s routine operating theater is not associated with higher complications rate
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Shuji Shimizu, Takao Ohtsuka, Shunichi Takahata, Eishi Nagai, Naoki Nakashima, Masao Tanaka Digestive Endoscopy.2016; 28(1): 92. CrossRef - Evaluation of Videoconferencing Systems for Remote Medical Education
Kuriko Kudo, Shuji Shimizu, Ti-Chuang Chiang, Yasuaki Antoku, Min Hu, Yoshiko Houkabe, Naoki Nakashima Creative Education.2014; 05(12): 1064. CrossRef - Image management systems
Faris M. Murad, Subhas Banerjee, Bradley A. Barth, Yasser M. Bhat, Shailendra S. Chauhan, Klaus T. Gottlieb, Vani Konda, John T. Maple, Patrick Pfau, Douglas Pleskow, Uzma D. Siddiqui, Jeffrey L. Tokar, Amy Wang, Sarah A. Rodriguez Gastrointestinal Endoscopy.2014; 79(1): 15. CrossRef - Application of International Videoconferences for Continuing Medical Education Programs Related to Laparoscopic Surgery
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Kwang An Kwon, Il Ju Choi, Eun Young Kim, Seok Ho Dong, Ki Baik Hahm Clinical Endoscopy.2013; 46(3): 203. CrossRef - International Digestive Endoscopy Network 2012: A Patchwork of Networks for the Future
Kwang An Kwon, Il Ju Choi, Eun Young Kim, Seok Ho Dong, Ki Baik Hahm Clinical Endoscopy.2012; 45(3): 209. CrossRef - Live Endoscopy Demonstration Using Superfast Broadband Internet Connections: The Future of Medical Education and Conferences
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