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A practical approach for small bowel bleeding
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Sung Eun Kim, Hyun Jin Kim, Myeongseok Koh, Min Cheol Kim, Joon Sung Kim, Ji Hyung Nam, Young Kwan Cho, A Reum Choe, The Research Group for Capsule Endoscopy and Enteroscopy of the Korean Society of Gastrointestinal Endoscopy
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Clin Endosc 2023;56(3):283-289. Published online May 11, 2023
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DOI: https://doi.org/10.5946/ce.2022.302
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Abstract
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- Gastrointestinal (GI) bleeding is one of the most common conditions among patients visiting emergency departments in Korea. GI bleeding is divided into upper and lower GI bleeding, according to the bleeding site. GI bleeding is also divided into overt and occult GI bleeding based on bleeding characteristics. In addition, obscure GI bleeding refers to recurrent or persistent GI bleeding from a source that cannot be identified after esophagogastroduodenoscopy or colonoscopy. The small intestine is the largest part of the alimentary tract. It extends from the pylorus to the cecum. The small intestine is difficult to access owing to its long length. Moreover, it is not fixed to the abdominal cavity. When hemorrhage occurs in the small intestine, the source cannot be found in many cases because of the characteristics of the small intestine. In practice, small-intestinal bleeding accounts for most of the obscure GI bleeding. Therefore, in this review, we introduce and describe systemic approaches and examination methods, including video capsule endoscopy and balloon enteroscopy, that can be performed in patients with suspected small bowel bleeding in clinical practice.
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Citations
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- Effect of Different Types of Antithrombotic Agents on Clinical Outcomes in Patients With Small Bowel Bleeding Who Underwent Balloon‐Assisted Enteroscopy: A KASID Multicenter Study
Jihye Park, Jin Su Kim, Joo Hye Song, Kwangwoo Nam, Seong‐Eun Kim, Eui Sun Jeong, Jae Hyun Kim, Seong Ran Jeon Journal of Gastroenterology and Hepatology.2025; 40(2): 456. CrossRef - Do all antithrombotic agents have a similar impact on small bowel bleeding?
Chung Hyun Tae, Ki-Nam Shim Clinical Endoscopy.2025; 58(1): 80. CrossRef - Balloon-assisted enteroscopy in the management of adult small-bowel intussusception: a comparative analysis of with and without double-balloon enteroscopy
Won Shik Kim, Beom Jae Lee, Moon Kyung Joo, Seung Han Kim, Jong-Jae Park Surgical Endoscopy.2025; 39(3): 2044. CrossRef - MultiResFF‐Net: Multilevel Residual Block‐Based Lightweight Feature Fused Network With Attention for Gastrointestinal Disease Diagnosis
Sohaib Asif, Yajun Ying, Tingting Qian, Jun Yao, Jinjie Qu, Vicky Yang Wang, Rongbiao Ying, Dong Xu, Mohamadreza (Mohammad) Khosravi International Journal of Intelligent Systems.2025;[Epub] CrossRef - Manejo da hemorragia digestiva baixa na emergência: abordagem cirúrgica
Carla Azevedo Zaibak, Sara Monteiro Barbosa, Nathalia Machado De Lima, Jordane Lula Cruz, Angela Maria Pereira Costa, Maria Eduarda da Silva Borges, Mariana Vasconcellos De Oliveira, Danyelly Rodrigues Machado Cuadernos de Educación y Desarrollo.2024;[Epub] CrossRef - Case 19: A 65-Year-Old Man With Melena and Hematochezia
Hajin Lee, Younghee Choe, Jung Heo, Gwkang Hui Park, Su Young Lee, Young Wook Cho, Hyo Suk Kim Journal of Korean Medical Science.2024;[Epub] CrossRef - Aortoduodenal fistula bleeding caused by an aortic stent graft
Seunghyun Hong, Gwang Ha Kim Clinical Endoscopy.2024; 57(3): 407. CrossRef - Diagnostic Yield and Outcomes of Small Bowel Capsule Endoscopy in Patients with Small Bowel Bleeding Receiving Antithrombotics
Nikos Viazis, Dimitris Christodoulou, Vasilis Papastergiou, Konstantinos Mousourakis, Dimitra Kozompoli, Giannis Stasinos, Konstantina Dimopoulou, Periklis Apostolopoulos, Fotios Fousekis, Christos Liatsos, Nikolaos Kyriakos, Theodoros Argyropoulos, Georg Diagnostics.2024; 14(13): 1361. CrossRef - Difficult Small Bowel Bleeding in Surgical View
Jung Min Bae Journal of Acute Care Surgery.2024; 14(2): 41. CrossRef - Jejunal Dieulafoy’s lesion resembling subepithelial mass resulting in profound gastrointestinal hemorrhage
Thanaboon Chaemsupaphan, Tanawat Geeratragool, Napat Angkathunyakul, Arissa Phothisirisakulwong, Monthira Maneerattanaporn Clinical Endoscopy.2024; 57(4): 552. CrossRef
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Diode Laser—Can It Replace the Electrical Current Used in Endoscopic Submucosal Dissection?
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Yunho Jung, Gwang Ho Baik, Weon Jin Ko, Bong Min Ko, Seong Hwan Kim, Jin Seok Jang, Jae-Young Jang, Wan-Sik Lee, Young Kwan Cho, Sun Gyo Lim, Hee Seok Moon, In Kyung Yoo, Joo Young Cho
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Clin Endosc 2021;54(4):555-562. Published online January 13, 2021
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DOI: https://doi.org/10.5946/ce.2020.229
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Abstract
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- Background
/Aims: A new medical fiber-guided diode laser system (FDLS) is expected to offer high-precision cutting with simultaneous hemostasis. Thus, this study aimed to evaluate the feasibility of using the 1,940-nm FDLS to perform endoscopic submucosal dissection (ESD) in the gastrointestinal tract of an animal model.
Methods In this prospective animal pilot study, gastric and colorectal ESD using the FDLS was performed in ex vivo and in vivo porcine models. The completeness of en bloc resection, the procedure time, intraprocedural bleeding, histological injuries to the muscularis propria (MP) layer, and perforation were assessed.
Results The en bloc resection and perforation rates in the ex vivo study were 100% (10/10) and 10% (1/10), respectively; those in the in vivo study were 100% (4/4) and 0% for gastric ESD and 100% (4/4) and 25% (1/4) for rectal ESD, respectively. Deep MP layer injuries tended to occur more frequently in the rectal than in the gastric ESD cases, and no intraprocedural bleeding occurred in either group.
Conclusions The 1,940-nm FDLS was capable of yielding high en bloc resection rates without intraprocedural bleeding during gastric and colorectal ESD in animal models.
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Andrea Etrusco, Giovanni Buzzaccarini, Antonio Simone Laganà, Vito Chiantera, Salvatore Giovanni Vitale, Stefano Angioni, Maurizio Nicola D’Alterio, Luigi Nappi, Felice Sorrentino, Amerigo Vitagliano, Tommaso Difonzo, Gaetano Riemma, Liliana Mereu, Alessa Diagnostics.2024; 14(3): 327. CrossRef - Recent advances in endoscopic management of gastric neoplasms
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Gian Eugenio Tontini, Lorenzo Dioscoridi, Alessandro Rimondi, Paolo Cantù, Flaminia Cavallaro, Aurora Giannetti, Luca Elli, Luca Pastorelli, Francesco Pugliese, Massimiliano Mutignani, Maurizio Vecchi Endoscopy International Open.2022; 10(04): E386. CrossRef
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Current and Future Use of Esophageal Capsule Endoscopy
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Junseok Park, Young Kwan Cho, Ji Hyun Kim
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Clin Endosc 2018;51(4):317-322. Published online July 31, 2018
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DOI: https://doi.org/10.5946/ce.2018.101
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Abstract
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- Capsule endoscopy can be a diagnostic option for patients with esophageal diseases who cannot tolerate esophagogastroduodenoscopy.Functional modifications of the capsule allow for thorough examination of the esophagus. Esophageal capsule endoscopy has so farfailed to show sufficient performance to justify the replacement of traditional endoscopy for the diagnosis of esophageal diseasesbecause the esophagus has a short transit time and common pathologies appear near the esophagogastric junction. However,technological improvements are being introduced to overcome the limitations of capsule endoscopy, which is expected to become agood alternative to conventional endoscopy.
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Bibek Saha, Anjul Verma, Prasad G. Iyer Current Treatment Options in Gastroenterology.2024; 22(2): 23. CrossRef - Detachable string magnetically controlled capsule endoscopy for the noninvasive diagnosis of esophageal diseases: A prospective, blind clinical study
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Akiyoshi Tsuboi, Shiro Oka, Shinji Tanaka Mini-invasive Surgery.2024;[Epub] CrossRef - The evolving role of small-bowel capsule endoscopy
Silvia Pecere, Michele Francesco Chiappetta, Livio Enrico Del Vecchio, Edward Despott, Xavier Dray, Anastasios Koulaouzidis, Lorenzo Fuccio, Alberto Murino, Emanuele Rondonotti, Manon Spaander, Cristiano Spada Best Practice & Research Clinical Gastroenterology.2023; 64-65: 101857. CrossRef - The Future of Minimally Invasive Capsule Panendoscopy: Robotic Precision, Wireless Imaging and AI-Driven Insights
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Fahad N Alsunaydih, Mehmet R Yuce Physiological Measurement.2021; 42(4): 04TR01. CrossRef - An intelligent compression system for wireless capsule endoscopy images
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Martin Keuchel, Niehls Kurniawan, Marc Bota, Peter Baltes Diagnostics.2021; 11(9): 1711. CrossRef - Innovations in Screening Tools for Barrett’s Esophagus and Esophageal Adenocarcinoma
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Current Status of Peroral Endoscopic Myotomy
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Young Kwan Cho, Seong Hwan Kim
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Clin Endosc 2018;51(1):13-18. Published online January 31, 2018
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DOI: https://doi.org/10.5946/ce.2017.165
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Abstract
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- Peroral endoscopic myotomy (POEM) has been established as an optional treatment for achalasia. POEM is an endoluminal procedure that involves dissection of esophageal muscle fibers followed by submucosal tunneling. Inoue first attempted to use POEM for the treatment of achalasia in humans. Expanded indications of POEM include classic indications such as type I, type II, type III achalasia, failed prior treatments, including Botulinum toxin injection, endoscopic balloon dilation, laparoscopic Heller myotomy, and hypertensive motor disorders such as diffuse esophageal spasm, jackhammer esophagus. Contraindications include prior radiation therapy to the esophagus and prior extensive esophageal mucosal resection/ablation involving the POEM field. Most of the complications are minor and self-limited and can be managed conservatively. As POEM emerged as the main treatment for achalasia, various adaptations to tunnel endoscopic surgery have been attempted. Tunnel endoscopic surgery includes POEM, peroral endoscopic tumor resection, gastric peroral endoscopic pyloromyotomy. POEM has been widely accepted as a treatment for all types of achalasia, even for specific cases such as achalasia with failed prior treatments, and hypertensive motor disorders.
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Citations
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- Sequential injection-electrocoagulation vs. traditional electrocoagulation haemostasis during endoscopic submucosal dissection: a randomized controlled trial
Zi-yi Ma, Zhen Yang, Jia Liu, Xue Peng, Xu-biao Nie, Pai-pai Qi, Quan-bing Jiang, Wei-Hao Kok, En Liu, Chao-qiang Fan Surgical Endoscopy.2025;[Epub] CrossRef - Comparative Effectiveness of Peroral Endoscopic Myotomy (POEM) Versus Traditional Treatment Modalities for Achalasia: A Systematic Review
Malik Kasapoglu, Syeda Noor Us Saba, Ava Hashemi, Malaika Panchal, Safeera Khan Cureus.2024;[Epub] CrossRef - Surgical management of achalasia
Margaux Mustian, Kristen Wong Abdominal Radiology.2024; 50(6): 2351. CrossRef - Quality of Life of Patients with Achalasia After Minimally Invasive Interventions
E.A. Drobyazgin, Yu.V. Chikinev, N.I. Mitko Russian Journal of Evidence-Based Gastroenterology.2023; 12(3): 43. CrossRef - Colorectal Endoscopic Submucosal Dissection: Performance of a Novel Hybrid-Technology Knife in an Animal Trial
Jérémie Jacques, Horst Neuhaus, Markus D. Enderle, Ulrich Biber, Walter Linzenbold, Martin Schenk, Kareem Khalaf, Alessandro Repici Diagnostics.2023; 13(21): 3347. CrossRef - Outcomes of Per-Oral Endoscopic Myotomy in the Treatment of Esophageal Achalasia: Over One Hundred Cases in a Single Tertiary Center
Kannikar Laohavichitra, Jerasak Wannaprasert, Thawee Raranachu-ek Siriraj Medical Journal.2023; 75(9): 629. CrossRef - Geriatric patients with esophageal motility disorders benefit more from minimally invasive peroral endoscopic myotomy: a multicenter study in Japan
Naoto Ujiie, Hiroki Sato, Mary Raina Angeli Fujiyoshi, Shinwa Tanaka, Hironari Shiwaku, Junya Shiota, Ryo Ogawa, Hiroshi Yokomichi, Takashi Kamei, Haruhiro Inoue Diseases of the Esophagus.2022;[Epub] CrossRef - Nonachalasic esophageal motor disorders, from diagnosis to therapy
Mentore Ribolsi, Matteo Ghisa, Edoardo Savarino Expert Review of Gastroenterology & Hepatology.2022; 16(3): 205. CrossRef - Peroral endoscopic longer vs shorter esophageal myotomy for achalasia treatment: A systematic review and meta-analysis
Chun-Yan Weng, Cheng-Hai He, Ming-Yang Zhuang, Jing-Li Xu, Bin Lyu World Journal of Gastrointestinal Surgery.2022; 14(3): 247. CrossRef - Features and results of minimally invasive treatment of recurrent achalasia
E.A. Gallyamov, S.A. Erin, G.Yu. Gololobov, A.I. Burmistrov, M.A. Chicherina, A.A. Rikunova Khirurgiya. Zhurnal im. N.I. Pirogova.2022; (3): 16. CrossRef - Anesthesia for Per-oral endoscopic myotomy (POEM) – not so poetic!
Soumya Sarkar, Puneet Khanna, Deepak Gunjan Journal of Anaesthesiology Clinical Pharmacology.2022; 38(1): 28. CrossRef - A rare complication: Tension pneumothorax after peroral endoscopic myotomy
Seokin Kang, Yuri Kim, Do Hoon Kim International Journal of Gastrointestinal Intervention.2022; 11(3): 139. CrossRef - Endoscopic management of mucosal incision site dehiscence following peroral endoscopic myotomy
Suryaprakash Bhandari, Darshan Parekh, Smita Bhandari Endoscopy International Open.2022; 10(09): E1307. CrossRef - The POEM bottom-up technique for achalasia
Gad Marom, Harold Jacob, Ariel Benson, Tiberiu Hershcovici, Rachel Gefen, Jonathan B. Yuval, Ronit Brodie, Avraham I Rivkind, Yoav Mintz Surgical Endoscopy.2021; 35(11): 6117. CrossRef - Per-oral endoscopic myotomy for esophageal diverticula with or without esophageal motility disorders
Beatrice Orlandini, Maximilien Barret, Marie-Anne Guillaumot, Chloé Léandri, Sarah Leblanc, Frédéric Prat, Stanislas Chaussade Clinics and Research in Hepatology and Gastroenterology.2020; 44(1): 82. CrossRef - Experience with Peroral Endoscopic Myotomy for Achalasia and Spastic Esophageal Motility Disorders at a Tertiary U.S. Center
Maen Masadeh, Peter Nau, Subhash Chandra, Jagpal Klair, John Keech, Kalpaj Parekh, Rami El Abiad, Henning Gerke Clinical Endoscopy.2020; 53(3): 321. CrossRef - Intraoperative use of a functional lumen imaging probe during peroral endoscopic myotomy in patients with achalasia: A single-institute experience and systematic review
Hyeon Jeong Goong, Su Jin Hong, Shin Hee Kim, Shawn Groth PLOS ONE.2020; 15(6): e0234295. CrossRef - How does per-oral endoscopic myotomy compare to Heller myotomy? The Latin American perspective
Michel Kahaleh, Amy Tyberg, Supriya Suresh, Arnon Lambroza, Monica Gaidhane, Felipe Zamarripa, Guadalupe Ma Martínez, Juan C. Carames, Eduardo T. Moura, Galileu F. Farias, Maria G. Porfilio, Jose Nieto, Mario Rey, Fernando Rodriguez Casas, Oscar V. Mondra Endoscopy International Open.2020; 08(10): E1392. CrossRef - Endoscopic Equipment—From Simple to Advanced
Sarah Choi, Kevin El-Hayek Surgical Clinics of North America.2020; 100(6): 993. CrossRef - Peroral Endoscopic Myotomy for Esophageal Motility Disorders
Jun Young Kim, Yang Won Min Clinical Endoscopy.2020; 53(6): 638. CrossRef - Anesthesia for peroral endoscopic myotomy in Japan
Hiroaki Murata, Taiga Ichinomiya, Tetsuya Hara Current Opinion in Anaesthesiology.2019; 32(4): 511. CrossRef - Anesthetic Consideration for Peroral Endoscopic Myotomy
Yun-Sic Bang, Chunghyun Park Clinical Endoscopy.2019; 52(6): 549. CrossRef
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Hybrid Natural Orifice Transluminal Endoscopic Surgery with Sentinel Lymph Node Navigation for Deep Early Gastric Cancer in the Fundic Region
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Yoon Suk Park, Seong Hwan Kim, Hee Yun Ryu, Young Kwan Cho, Yun Ju Jo, Tae il Son, Young Ok Hong
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Clin Endosc 2016;49(3):298-302. Published online March 29, 2016
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DOI: https://doi.org/10.5946/ce.2015.114
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Abstract
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- For patients refusing surgical treatment for deep early gastric cancer, hybrid natural orifice transluminal endoscopic surgery with sentinel lymph node navigation is a potential treatment option, particularly when the anatomic location of the cancer has low probability of lymph node metastasis. We report a case of deep early gastric cancer of the fundus beyond the endoscopic submucosal dissection indication that was treated by hybrid natural orifice transluminal endoscopic surgery with sentinel lymph node navigation. In a conventional approach, a total gastrectomy would have been needed; however, the patient refused surgical intervention. In this case, since the patient showed no positivity of the sentinel lymph node on intraoperative navigation, laparoscopic basin lymph node dissection was not performed. Hybrid natural orifice transluminal endoscopic surgery might be considered for specific regions such as the safety zone where lymph node metastases are less likely to occur.
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- Endoscopic trans-esophageal submucosal tunneling surgery: A new therapeutic approach for diseases located around the aorta ventralis
Ying Xiong, Qian-Qian Chen, Ning-Li Chai, Shun-Chang Jiao, En-Qiang Ling Hu World Journal of Gastroenterology.2019; 25(1): 85. CrossRef - Hysterectomy and salpingo-oophorectomy by transvaginal natural orifice transluminal endoscopic surgery (V-NOTES) assisted by an umbilical camera: Case report and new hybrid technique in gynecology
Hasan Terzi, Unal Turkay, Navdar Dogus Uzun, Mehmet Salıcı International Journal of Surgery Case Reports.2018; 51: 349. CrossRef - Current Status of Endoscopic Resection of Early Gastric Cancer in Korea
Hwoon-Yong Jung The Korean Journal of Gastroenterology.2017; 70(3): 121. CrossRef
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A Case Report of Primary Duodenal Tuberculosis Mimicking a Malignant Tumor
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Ji Hye Jung, Seong Hwan Kim, Min Jeong Kim, Young Kwan Cho, Sang Bong Ahn, Byoung Kwan Son, Yun Ju Jo, Young Sook Park
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Clin Endosc 2014;47(4):346-349. Published online July 28, 2014
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DOI: https://doi.org/10.5946/ce.2014.47.4.346
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Abstract
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Tuberculosis remains a serious infectious disease with primary features of pulmonary manifestation in Korea. However, duodenal tuberculosis is rare in gastrointestinal cases of extrapulmonary tuberculosis. Here, we report a case of primary duodenal tuberculosis mistaken as a malignant tumor and diagnosed with QuantiFERON-TB GOLD (Cellestis Ltd.) in an immunocompetent male patient.
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Yang Zhang, Xiao-Jun Shi, Xian-Cui Zhang, Xing-Jie Zhao, Jun-Xiang Li, Lin-Heng Wang, Chun-E Xie, Yu-Yue Liu, Yun-Liang Wang World Journal of Clinical Cases.2020; 8(24): 6537. CrossRef - The role of dual time point PET/CT for distinguishing malignant from benign focal 18F-FDG uptake duodenal lesions
Ri Sa, Hong-Guang Zhao, Yu-Yin Dai, Feng Guan Medicine.2018; 97(38): e12521. CrossRef - Lymph node tuberculosis mimicking malignancy on 18F-FDG PET/CT in two patients: A case report
Rui-Lin Ding, Hong-Ying Cao, Yue Hu, Chang-Ling Shang, Fang Xie, Zhen-Hua Zhang, Qing-Lian Wen Experimental and Therapeutic Medicine.2017; 13(6): 3369. CrossRef
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7
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