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Ultrathin Endoscope-Assisted Method for the Management of Upper Gastrointestinal Obstruction to Avoid Technical Failure
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Jong In Kim, Joon Sung Kim, Byung-Wook Kim, Joo-Yong Song, Joo Ho Ham, Bo-In Lee, Hye-Jung Choi, Jeong-Seon Ji, Hwang Choi
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Clin Endosc 2013;46(4):373-378. Published online July 31, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.4.373
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Abstract
PDFPubReaderePub
- Background/Aims
Endoscopic management of upper gastrointestinal obstruction is safe and feasible. However, its technical and clinical success rate is about 90%, which is primarily due to inability to pass a guide-wire through the stricture. The aim of this study was to evaluate the usefulness of an ultrathin endoscope for correct placement of guide wire to avoid technical failure in upper gastrointestinal obstruction. MethodsRetrospective assessment of ultrathin endoscope to traverse the stenosis of the upper gastrointestinal tract in technically difficult cases was performed. Technical and clinical success rates and immediate complications were analyzed. ResultsNine cases were included in this study (eight cases of stent insertion and one case of balloon dilatation). Technical success was achieved in all of the patients (100%) and oral feeding was feasible in all of the cases (100%). Immediate complications, such as migration, perforation, and hemorrhage, did not develop in any of the cases. ConclusionsUltrathin endoscope-assisted method for upper gastrointestinal obstruction is potentially safe and useful to avoid technical failure.
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Citations
Citations to this article as recorded by
- Rescue technique for self-expandable metallic stent placement using ultrathin endoscope after failure of the conventional method in patients with malignant colon obstruction: a multicenter retrospective study
Tae-Geun Gweon, Chul-Hyun Lim, Jinsu Kim, Dong Hoon Kang, Bo In Lee, Young-Seok Cho Surgical Endoscopy.2023; 37(10): 7600. CrossRef - Fluoroscopic Gastroduodenal Stent Placement in 55 Patients with Endoscopic Stent Placement Failure
Nader Bekheet, Min Tae Kim, Jung-Hoon Park, Kun Yung Kim, Jiaywei Tsauo, Wang Zhe, Young Je Lim, Ho-Young Song CardioVascular and Interventional Radiology.2018; 41(8): 1233. CrossRef - Fluoroscopic-guided stent placement in failed tentative endoscopic approaches to malignant gastroduodenal obstructions
Soo Hwan Kim, Ho-Young Song, Jung-Hoon Park, Wei-Zhong Zhou, Young Chul Cho, Ji Hoon Shin, Jin Hyoung Kim Acta Radiologica.2017; 58(8): 959. CrossRef
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Expression of MUC5AC and Trefoil Peptide 1 (TFF1) in the Subtypes of Intestinal Metaplasia
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Joo-Yong Song, Byung-Wook Kim, Ah-Won Lee, Kyo-Young Lee, In-Sik Chung, Bo-In Lee, Hwang Choi, Jeong-Seon Ji, Hiun-Suk Chae, Kyu-Yong Choi
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Clin Endosc 2012;45(2):151-154. Published online June 30, 2012
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DOI: https://doi.org/10.5946/ce.2012.45.2.151
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Abstract
PDFPubReaderePub
- Background/Aims
Alterations of the expression pattern of mucins and trefoil peptides have been described in gastric adenocarcinomas and in their precursor lesions. The aim of this study was to determine the progression patterns of intestinal metaplasia (IM) subtypes by analyzing the expression patterns of TFF1 and MUC5AC in different subtypes of IM of the stomach. MethodsEndoscopic gastric biopsies of the antrum and body were obtained from patients with dyspepsia and endoscopic IM. Alcian blue/periodic acid-Schiff staining and the high iron diamine technique were used to classify the subtypes of IM. Immunoreactivity for MUC5AC and TFF1 was estimated in different types of IM. ResultsIM was detected in 128 samples from 80 patients; type I was found in 48 samples, type II was found in 37 samples, and type III was found in 43 samples. There was a gradual decrease in MUC5AC and TFF1 expression during the progression of IM from type I to type III via the type II intermediate. ConclusionsThis downregulation of MUC5AC and TFF1 expression may challenge the sequential progression of IM from type I to type III via the type II intermediate, and it might be associated with gastric carcinogenesis.
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Citations
Citations to this article as recorded by
- Early Immune Remodeling Steers Clinical Response to First-Line Chemoimmunotherapy in Advanced Gastric Cancer
Minae An, Arnav Mehta, Byung Hoon Min, You Jeong Heo, Samuel J. Wright, Milan Parikh, Lynn Bi, Hyuk Lee, Tae Jun Kim, Song-Yi Lee, Jeonghyeon Moon, Ryan J. Park, Matthew R. Strickland, Woong-Yang Park, Won Ki Kang, Kyoung-Mee Kim, Seung Tae Kim, Samuel J. Cancer Discovery.2024; 14(5): 766. CrossRef - RNA Sequencing of Early-Stage Gastric Adenocarcinoma Reveals Multiple Activated Pathways and Novel Long Non-Coding RNAs in Patient Tissue Samples
Sadegh Fattahi, Novin Nikbakhsh, Hassan Taheri , Mohammad Ranaee, Haleh Akhavan-Niaki Reports of Biochemistry and Molecular Biology.2021; 9(4): 478. CrossRef - Helicobacter pylori Infection and the Patterns of Gastric Mucin Expression in Children
Ana-Maria Teodora Domșa, Raluca Lupușoru, Dan Gheban, Alexandra Buruiană-Simic, Bogdan Alexandru Gheban, Camelia Lazăr, Cristina Maria Borzan Journal of Clinical Medicine.2020; 9(12): 4030. CrossRef - Helicobacter pylori and cytokine gene variants as predictors of premalignant gastric lesions
Anca Negovan, Mihaela Iancu, Emőke Fülöp, Claudia Bănescu World Journal of Gastroenterology.2019; 25(30): 4105. CrossRef - Effect of myeloid differentiation primary response gene 88 on expression profiles of genes during the development and progression of Helicobacter-induced gastric cancer
Ivonne Lozano-Pope, Arnika Sharma, Michael Matthias, Kelly S. Doran, Marygorret Obonyo BMC Cancer.2017;[Epub] CrossRef - The changes in MUC5AC expression in gastric cancer before and after Helicobacter pylori eradication
Ding Shi, Xin-min Qiu, Xing-jun Yan Clinics and Research in Hepatology and Gastroenterology.2014; 38(2): 235. CrossRef - Pathophysiology and Epidemiology of Intestinal Metaplasia
Joon Sung Kim, Byung-Wook Kim The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2013; 13(2): 73. CrossRef
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