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Endoscopic hemostasis using an over-the-scope clip for massive bleeding after percutaneous endoscopic gastrostomy removal: a case report
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Sun Young Moon, Min Kyu Jung, Jun Heo
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Clin Endosc 2022;55(3):443-446. Published online May 25, 2021
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DOI: https://doi.org/10.5946/ce.2020.294
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 Abstract
 PDF PubReader ePub
- Percutaneous endoscopic gastrostomy (PEG) is a common method for providing long-term enteral nutrition to patients. PEG tube placement and removal are relatively safe; generally, a PEG tube can be removed using gentle traction, and excessive bleeding is rare. The over-the-scope clip system is a new device that can be used for gastrointestinal hemostasis and for closing gastrointestinal fistulae. In the present case, a 68-year-old male patient had to remove the PEG tube because of persistent leakage around the PEG tube. Although it was gently removed using traction, incessant bleeding continued, with a Rockall score of 5 points, even after hemocoagulation was attempted. An over-the-scope clip device was used to achieve hemostasis and fistula closure.
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Citations
Citations to this article as recorded by  - Clinical Practice Guideline for Percutaneous Endoscopic Gastrostomy
Chung Hyun Tae, Ju Yup Lee, Moon Kyung Joo, Chan Hyuk Park, Eun Jeong Gong, Cheol Min Shin, Hyun Lim, Hyuk Soon Choi, Miyoung Choi, Sang Hoon Kim, Chul-Hyun Lim, Jeong-Sik Byeon, Ki-Nam Shim, Geun Am Song, Moon Sung Lee, Jong-Jae Park, Oh Young Lee
Gut and Liver.2024; 18(1): 10. CrossRef - Clinical practice guidelines for percutaneous endoscopic gastrostomy
Chung Hyun Tae, Ju Yup Lee, Moon Kyung Joo, Chan Hyuk Park, Eun Jeong Gong, Cheol Min Shin, Hyun Lim, Hyuk Soon Choi, Miyoung Choi, Sang Hoon Kim, Chul-Hyun Lim, Jeong-Sik Byeon, Ki-Nam Shim, Geun Am Song, Moon Sung Lee, Jong-Jae Park, Oh Young Lee
Clinical Endoscopy.2023; 56(4): 391. CrossRef - Clinical Practice Guideline for Percutaneous Endoscopic Gastrostomy
Chung Hyun Tae, Ju Yup Lee, Moon Kyung Joo, Chan Hyuk Park, Eun Jeong Gong, Cheol Min Shin, Hyun Lim, Hyuk Soon Choi, Miyoung Choi, Sang Hoon Kim, Chul-Hyun Lim, Jeong-Sik Byeon, Ki-Nam Shim, Geun Am Song, Moon Sung Lee, Jong-Jae Park, Oh Young Lee
The Korean Journal of Gastroenterology.2023; 82(3): 107. CrossRef
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Biliary Self-Expandable Metal Stent Could Be Recommended as a First Treatment Modality for Immediate Refractory Post-Endoscopic Retrograde Cholangiopancreatography Bleeding
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Sun Young Moon, Jun Heo, Min Kyu Jung, Chang Min Cho
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Clin Endosc 2022;55(1):128-135. Published online May 25, 2021
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DOI: https://doi.org/10.5946/ce.2021.057
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Abstract
PDFPubReaderePub
- Background
/Aims: Recent reports suggest that the biliary self-expandable metallic stent (SEMS) is highly effective for maintaining hemostasis when endoscopic hemostasis fails in endoscopic retrograde cholangiopancreatography (ERCP)-related bleeding. We compared whether temporary SEMS offers better efficacy than angioembolization for refractory immediate ERCP-related bleeding.
Methods
Patients who underwent SEMS placement or underwent angioembolization for bleeding control in refractory immediate ERCP-related bleeding were included in the retrospective analysis. We evaluated the hemostasis success rate, severity of bleeding, change in hemoglobin levels, amount of transfusion, and delay to the start of hemostasis.
Results
A total of 27 patients with SEMS and 13 patients who underwent angioembolization were enrolled. More transfusions were needed in the angioembolization group (1.0±1.4 units vs. 2.5±2.0 units; p=0.034). SEMS failure was successfully rescued by angioembolization. The partially covered SEMS (n=23, 85.1%) was generally used, and the median stent-indwelling time was 4 days. The mean delay to the start of angioembolization was 95.2±142.9 (range, 9–491) min.
Conclusions
Temporary SEMS had similar results to those of angioembolization (96.3% vs. 92.3%; p=0.588). Immediate SEMS insertion is considered a bridge treatment modality for immediate refractory ERCP-related bleeding. Angioembolization still has a role as rescue therapy when SEMS does not work effectively.
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Comparison of Clinical Outcomes between Plastic Stent and Novel Lumen-apposing Metal Stent for Endoscopic Ultrasound-Guided Drainage of Peripancreatic Fluid Collections
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Ho Cheol Shin, Chang Min Cho, Min Kyu Jung, Seong Jae Yeo
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Clin Endosc 2019;52(4):353-359. Published online March 13, 2019
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DOI: https://doi.org/10.5946/ce.2018.154
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Abstract
PDFPubReaderePub
- Background
/Aims: Endoscopic ultrasound (EUS)-guided transmural drainage for peripancreatic fluid collections (PFCs) has gained wide acceptance as a nonsurgical intervention. Although a lumen-apposing metal stent (LAMS) was recently introduced, there are few data comparing the clinical outcomes between LAMS and plastic stent (PS) drainage.
Methods
Endoscopy databases of all patients who had undergone EUS-guided drainage for PFCs were searched and the clinical outcomes of EUS-guided drainage according to stent-type used were compared.
Results
A total of 27 patients (median age, 56 years) with PFCs underwent EUS-guided transmural drainage between January 2011 and December 2017. Of these, 17 underwent PS placement and 10 underwent LAMS placement. There was no significant difference in the technical success rate between the 2 groups (94.1% vs. 100%, p=1.0). Procedure time was shorter in the LAMS group compared to that in the PS group (10.6±2.5 min vs. 21.4±9.5 min, p=0.002). Among subjects with clinical success, recurrence of PFC after stent removal occurred in 5 of 12 patients with PS and 4 of 10 with LAMS, without statistical difference (41.7% vs. 40.0%, p=1.0).
Conclusions
Although our study showed similar clinical outcomes for LAMS and PS, further prospective trials are required to validate the superiority of LAMS.
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Citations
Citations to this article as recorded by - Efficacy and safety of long-term indwelling plastic stents after resolution of pancreatic fluid collections with endoscopic transmural drainage: a systematic review and meta-analysis
Fadi Hawa, Jean M. Chalhoub, Ana Vilela, Elit Quingalahua, Carol Shannon, George M. Philips, Richard S. Kwon, Erik-Jan Wamsteker, Allison R. Schulman, Matthew J. DiMagno, Jorge D. Machicado
Surgical Endoscopy.2024; 38(5): 2350. CrossRef - Multicenter study of the efficacy and safety of electrocautery-enhanced lumen-apposing metal stents for the internal drainage of pancreatic fluid collections
Chen-Shuan Chung, Yu-Ting Kuo, Yi-Chun Chiu, Yang-Chao Lin, Chi-Ying Yang, Kuan-Chih Chen, Szu-Chia Liao, Cheuk-Kay Sun, Yen-Chih Lin, Hsiu-Po Wang
Scientific Reports.2024;[Epub] CrossRef - Endoscopic management of pancreatic collections. Endoscopic Ultrasound Group from the Spanish Society of Digestive Endoscopy (GSEED-USE) Clinical Guidelines
Mariano González-Haba Ruiz, María Teresa Betés Ibáñez, Belén Martínez Moreno , Alejandro Repiso Ortega, Carlos de la Serna Higuera, Julio Iglesias García, Oriol Sendino García, María Moris Felgueroso, Belén Agudo Castillo, José Miguel Esteban Lóp
Revista Española de Enfermedades Digestivas.2024;[Epub] CrossRef - Endoscopic ultrasound-guided pancreatic fluid collection drainage: Where are we?
Anupam Kumar Singh, Manish Manrai, Rakesh Kochhar
World Journal of Gastrointestinal Endoscopy.2024; 16(6): 273. CrossRef - Comparative Efficacy and Safety of Different Stent Types for Pancreatic Fluid Collections: A Systematic Review and Network Meta-Analysis
Faisal Kamal, Muhammad Aziz, Wade Lee-Smith, Sachit Sharma, Ashu Acharya, Muhammad Ali Khan, Umer Farooq, Zahid Ijaz Tarar, Manesh Kumar Gangwani, Umar Hayat, Anand Kumar, Alexander Schlacterman, Thomas Kowalski, Douglas G. Adler
Digestive Diseases and Sciences.2024; 69(9): 3466. CrossRef - Safety and efficacy of lumen-apposing metal stents for endoscopic ultrasound-guided drainage of pancreatic fluid collections: a systematic review and meta-analysis
Vishnu Charan Suresh Kumar, Sahib Singh, Vishali Moond, Babu P. Mohan, Ganesh Aswath, Hafiz M. A. Khan, Bishnu Sapkota, Douglas G. Adler
Endoscopy.2024;[Epub] CrossRef - Head‐to‐head comparison between endoscopic ultrasound guided lumen apposing metal stent and plastic stents for the treatment of pancreatic fluid collections: A systematic review and meta‐analysis
Edson Guzmán‐Calderón, Alfonso Chacaltana, Ramiro Díaz, Bruno Li, Belen Martinez‐Moreno, José Ramón Aparicio
Journal of Hepato-Biliary-Pancreatic Sciences.2022; 29(2): 198. CrossRef - JPNclinical practice guidelines 2021 with easy‐to‐understand explanations for the management of acute pancreatitis
Tadahiro Takada, Shuji Isaji, Toshihiko Mayumi, Masahiro Yoshida, Yoshifumi Takeyama, Takao Itoi, Keiji Sano, Yusuke Iizawa, Atsushi Masamune, Morihisa Hirota, Kohji Okamoto, Dai Inoue, Nobuya Kitamura, Yasuhisa Mori, Shuntaro Mukai, Seiki Kiriyama, Kunih
Journal of Hepato-Biliary-Pancreatic Sciences.2022; 29(10): 1057. CrossRef - Comparison Between Lumen-Apposing Metal Stents and Plastic Stents in Endoscopic Ultrasound–Guided Drainage of Pancreatic Fluid Collection
Yunxiao Lyu, Ting Li, Bin Wang, Yunxiao Cheng, Liang Chen, Sicong Zhao
Pancreas.2021; 50(4): 571. CrossRef - Current status of treatments of pancreatic and peripancreatic collections of acute pancreatitis
Nian-Jun Xiao, Ting-Ting Cui, Fang Liu, Wen Li
World Journal of Gastrointestinal Surgery.2021; 13(7): 633. CrossRef - Current treatment of pancreatic pseudocysts: a systematic review
V. M. Durleshter, S. R. Genrikh, A. V. Makarenko, D. S. Kirakosyan
Kuban Scientific Medical Bulletin.2021; 28(4): 85. CrossRef - Metal Versus Plastic Stents for Pancreatic Fluid Collection Drainage
Xianzhu Zhou, Han Lin, Xiaoju Su, Pingping Zhang, Chunting Fu, Xiangyu Kong, Zhendong Jin, Zhaoshen Li, Yiqi Du, Huiyun Zhu
Journal of Clinical Gastroenterology.2021; 55(8): 652. CrossRef - Editors' Choice of Noteworthy Clinical Endoscopy Publications in the First Decade
Gwang Ha Kim, Kwang An Kwon, Do Hyun Park, Jimin Han
Clinical Endoscopy.2021; 54(5): 633. CrossRef - Are Lumen-Apposing Metal Stents More Effective Than Plastic Stents for the Management of Pancreatic Fluid Collections: An Updated Systematic Review and Meta-analysis
Shali Tan, Chunyu Zhong, Yutang Ren, Xujuan Luo, Jin Xu, Yan Peng, Xiangsheng Fu, Xiaowei Tang
Gastroenterology Research and Practice.2020; 2020: 1. CrossRef - A Comparison of Endoscopic Versus Surgical Creation of a Cystogastrostomy to Drain Pancreatic Pseudocysts and Walled-Off Pancreatic Necrosis in 5500 Patients
Patrick Suggs, Timothy NeCamp, John Alfred Carr
Annals of Surgery Open.2020; 1(2): e024. CrossRef - Endoscopic Ultrasound-Guided Drainage of Peripancreatic Fluid Collections
Eun Young Kim, Robert H. Hawes
Clinical Endoscopy.2019; 52(4): 299. CrossRef
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