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Volume 47(1); January 2014
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Commentarys
Interobserver Agreement in Using Magnifying Narrow Band Imaging System
Il Ju Choi
Clin Endosc 2014;47(1):1-2.   Published online January 24, 2014
DOI: https://doi.org/10.5946/ce.2014.47.1.1
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Rectal Retroflexion during Colonoscopy: A Bridge over Troubled Water
Kwang An Kwon, Ki Baik Hahm
Clin Endosc 2014;47(1):3-4.   Published online January 24, 2014
DOI: https://doi.org/10.5946/ce.2014.47.1.3
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Citations

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    You Ie Kim, Jung Yeon Joo, Hye Ran Yang
    BMC Gastroenterology.2022;[Epub]     CrossRef
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    Luigi Manfredi
    Frontiers in Robotics and AI.2021;[Epub]     CrossRef
  • Colite kystique profonde localisée : une cause inhabituelle de formation polypoïde pectinéale
    R. Ennaifer, M. Chiekh, H. Romdhane, N. Bel Hadj, A. Lahmar, H. Ben Nejma
    Acta Endoscopica.2014; 44(6): 385.     CrossRef
  • 5,499 View
  • 84 Download
  • 3 Web of Science
  • 3 Crossref
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Metal Stenting in Benign Biliary Strictures
Ji Kon Ryu
Clin Endosc 2014;47(1):5-6.   Published online January 24, 2014
DOI: https://doi.org/10.5946/ce.2014.47.1.5
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Focused Review Series: Endoscopic and Molecular Imagings of Premalignant GI Lesions, Part II
Recent Advances in Molecular Imaging of Premalignant Gastrointestinal Lesions and Future Application for Early Detection of Barrett Esophagus
Kwang Hyun Ko, Na Young Han, Chang Il Kwon, Hoo Keun Lee, Jong Min Park, Eun Hee Kim, Ki Baik Hahm
Clin Endosc 2014;47(1):7-14.   Published online January 24, 2014
DOI: https://doi.org/10.5946/ce.2014.47.1.7
AbstractAbstract PDFPubReaderePub

Recent advances in optical molecular imaging allow identification of morphologic and biochemical changes in tissues associated with gastrointestinal (GI) premalignant lesions earlier and in real-time. This focused review series introduces high-resolution imaging modalities that are being evaluated preclinically and clinically for the detection of early GI cancers, especially Barrett esophagus and esophageal adenocarcinoma. Although narrow band imaging, autofluorescence imaging, and chromoendoscopy are currently applied for this purpose in the clinic, further adoptions of probe-based confocal laser endomicroscopy, high-resolution microendoscopy, optical coherence tomography, and metabolomic imaging, as well as imaging mass spectrometry, will lead to detection at the earliest and will guide predictions of the clinical course in the near future in a manner that is beyond current advancements in optical imaging. In this review article, the readers will be introduced to sufficient information regarding this matter with which to enjoy this new era of high technology and to confront science in the field of molecular medical imaging.

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  • Molecular Imaging for Theranostics in Gastroenterology: One Stone to Kill Two Birds
    Kwang Hyun Ko, Chang-Il Kown, Jong Min Park, Hoo Geun Lee, Na Young Han, Ki Baik Hahm
    Clinical Endoscopy.2014; 47(5): 383.     CrossRef
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Barrett Esophagus in Asia: Same Disease with Different Pattern
Hyun Seok Lee, Seong Woo Jeon
Clin Endosc 2014;47(1):15-22.   Published online January 24, 2014
DOI: https://doi.org/10.5946/ce.2014.47.1.15
AbstractAbstract PDFPubReaderePub

Barrett esophagus (BE) is considered to develop as a result of chronic gastroesophageal reflux disease (GERD) and to predispose to esophageal adenocarcinoma (EAC). However, the disease pattern of BE in Asia differs from that observed in the West. For example, in the West, the prevalence rates of BE and EAC have progressively increased, whereas although the prevalence rate of GERD is increasing in Asia, the prevalence rates of BE and EAC have remained low in most Asian countries. GERD, hiatal hernia, old age, male sex, abdominal obesity (visceral obesity), smoking, alcohol consumption, and kyphosis are known risk factors for BE in Asia, and most Asian patients have short-segment BE. Helicobacter pylori infection is more prevalent in Asia than in the West. We suggest larger studies with a prospective design be conducted to elaborate further the different patterns of BE in Asia.

Citations

Citations to this article as recorded by  
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    Bibek Saha, Kornpong Vantanasiri, Babu P. Mohan, Rohit Goyal, Nikita Garg, Danielle Gerberi, John B. Kisiel, Siddharth Singh, Prasad G. Iyer
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  • Low-grade dysplasia in Barrett's esophagus: A problematic diagnosis
    Muhannad Sarem, Francisco J. Martínez Cerezo, Maria Lujan Salvia Favieres, Rodolfo Corti
    Gastroenterología y Hepatología.2023; 46(8): 637.     CrossRef
  • Low-grade dysplasia in Barrett's esophagus: A problematic diagnosis
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  • Reply: Need for evidence on surveillance endoscopy in achalasia-related Barret esophagus and adenocarcinoma in Asian population
    Hiroki Sato, Yuto Shimamura, Shinwa Tanaka, Hironari Shiwaku, Hitomi Minami, Chiaki Sato, Ryo Ogawa, Haruhiro Inoue
    Journal of Gastroenterology.2022; 57(10): 813.     CrossRef
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    Yong Kang Lee
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2022; 22(3): 177.     CrossRef
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    Diseases of the Esophagus.2016; 29(6): 603.     CrossRef
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    British Journal of Nutrition.2016; 115(2): 342.     CrossRef
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    Hung‐Wei Wang, Chia‐Jung Kuo, Wey‐Ran Lin, Chen‐Ming Hsu, Yu‐Pin Ho, Chun‐Jung Lin, Kuang‐Hua Chen, Ming‐Yao Su, Cheng‐Tang Chiu
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  • 12,996 View
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  • 22 Web of Science
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Confocal Laser Endomicroscopy and Molecular Imaging in Barrett Esophagus and Stomach
Kwi-Sook Choi, Hwoon-Yong Jung
Clin Endosc 2014;47(1):23-30.   Published online January 24, 2014
DOI: https://doi.org/10.5946/ce.2014.47.1.23
AbstractAbstract PDFPubReaderePub

Detection of premalignant lesions in the upper gastrointestinal tract may facilitate endoscopic treatment and improve survival. Despite technological advances in white light endoscopy, its ability to detect premalignant lesions remains limited. Early detection could be improved by using advanced endoscopic imaging techniques, such as magnification endoscopy, narrow band imaging, i-scanning, flexible spectral imaging color enhancement, autofluorescence imaging, and confocal laser endomicroscopy (CLE), as these techniques may increase the rate of detection of mucosal abnormalities and allow optical diagnosis. The present review focuses on advanced endoscopic imaging techniques based on the use of CLE for diagnosing premalignant lesions in Barrett esophagus and stomach.

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  • 7,189 View
  • 59 Download
  • 5 Web of Science
  • 2 Crossref
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Histopathology in Barrett Esophagus and Barrett Esophagus-Related Dysplasia
Andrea Grin, Catherine J. Streutker
Clin Endosc 2014;47(1):31-39.   Published online January 24, 2014
DOI: https://doi.org/10.5946/ce.2014.47.1.31
AbstractAbstract PDFPubReaderePub

Pathologic specimens, both biopsies and endoscopic mucosal resections, for Barrett esophagus and Barrett-associated dysplasia and malignancy are common for pathologists in North America, and the incidence in South Asian countries seems to be increasing. Dysplasia and malignancy arising in intestinalized gastric-type mucosa raises issues in the interpretation of dysplasia and the evaluation of the depth of invasion of malignancies that are not seen in squamous dysplasia and squamous cell carcinoma. We review the North American approach to these lesions.

Citations

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  • 145 Download
  • 9 Web of Science
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Barrett Esophagus: When to Endoscope
Joshua Butt, Gabor Kandel
Clin Endosc 2014;47(1):40-46.   Published online January 24, 2014
DOI: https://doi.org/10.5946/ce.2014.47.1.40
AbstractAbstract PDFPubReaderePub

Increasing interest in identifying an effective strategy for decreasing the burden of esophageal adenocarcinoma (EAC) has been fuelled by the rising EAC rates worldwide, the morbidity associated with esophagectomy, and the development of endoscopic methods for curing early-stage EAC. In the face of this enthusiasm, however, we should be cautious about continuing our current evidence-free approach to screening and one with unclear benefits and unclear costs to the community. The literature is increasingly recognizing that the value of traditional endoscopy for screening and surveillance of Barrett esophagus may be more limited than initially believed. A better understanding of the risk factors for Barrett esophagus and progression to dysplasia and a more individualized risk calculation will be useful in defining populations to consider for Barrett screening. The development of novel, nonendoscopic screening techniques and of less expensive endoscopic techniques holds promise for a cost-effective screening and surveillance method to curtail the increasing rates of EAC.

Citations

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    Vincenzo Villanacci, Marianna Salemme, Italo Stroppa, Valerio Balassone, Gabrio Bassotti
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  • 7,603 View
  • 44 Download
  • 4 Web of Science
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Advanced Imaging Technologies for the Detection of Dysplasia and Early Cancer in Barrett Esophagus
Alberto Espino, Maria Cirocco, Ralph DaCosta, Norman Marcon
Clin Endosc 2014;47(1):47-54.   Published online January 24, 2014
DOI: https://doi.org/10.5946/ce.2014.47.1.47
AbstractAbstract PDFPubReaderePub

Advanced esophageal adenocarcinomas arising from Barrett esophagus (BE) are tumors with an increasing incidence and poor prognosis. The aim of endoscopic surveillance of BE is to detect dysplasia, particularly high-grade dysplasia and intramucosal cancers that can subsequently be treated endoscopically before progression to invasive cancer with lymph node metastases. Current surveillance practice standards require the collection of random 4-quadrant biopsy specimens over every 1 to 2 cm of BE (Seattle protocol) to detect dysplasia with the assistance of white light endoscopy, in addition to performing targeted biopsies of recognizable lesions. This approach is labor-intensive but should currently be considered state of the art. Chromoendoscopy, virtual chromoendoscopy (e.g., narrow band imaging), and confocal laser endomicroscopy, in addition to high-definition standard endoscopy, might increase the diagnostic yield for the detection of dysplastic lesions. Until these modalities have been demonstrated to enhance efficiency or cost effectiveness, the standard protocol will remain careful examination using conventional off the shelf high-resolution endoscopes, combined with as longer inspection time which is associated with increased detection of dysplasia.

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Treatment of Dysplasia in Barrett Esophagus
Javier Aranda-Hernandez, Maria Cirocco, Norman Marcon
Clin Endosc 2014;47(1):55-64.   Published online January 24, 2014
DOI: https://doi.org/10.5946/ce.2014.47.1.55
AbstractAbstract PDFPubReaderePub

Barrett esophagus is recognized as a risk factor for the development of dysplasia and adenocarcinoma of the esophagus. Cancer is usually diagnosed at an advanced stage with a 5-year survival rate of 15%. Most of these patients present de novo and are not part of a surveillance program. Endoscopic screening with improvement in recognition of early lesions may change this pattern. In the past, patients diagnosed with dysplasia and mucosal cancer were best managed by esophagectomy. Endoscopic techniques such as endoscopic mucosal resection and radiofrequency ablation have resulted in high curative rates and a shift away from esophagectomy. This pathway is supported by the literature review of esophagectomies performed for mucosal disease, as well as pathologists' interpretation of endoscopic mucosal specimens, which document the low risk of lymph node metastasis. The role of endoscopic therapy for superficial submucosal disease continues to be a challenge.

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    Seong-Jang Kim, Kyoungjune Pak, Samuel Chang
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  • 11,051 View
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  • 6 Web of Science
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Review
Status and Literature Review of Self-Expandable Metallic Stents for Malignant Colorectal Obstruction
Dae Young Cheung, Yong Kook Lee, Chang Heon Yang
Clin Endosc 2014;47(1):65-73.   Published online January 24, 2014
DOI: https://doi.org/10.5946/ce.2014.47.1.65
AbstractAbstract PDFPubReaderePub

Use of colorectal stents has increased dramatically over the last decades. Colorectal stents offer an alternative way to relieve fatal intestinal obstruction and can take place of emergency surgery, which associated with significant morbidity and mortality and a high incidence of stoma creation, to elective resection. Although there remain a few concerns regarding the use of stents as a bridge to surgical resection, use of self-expandable metallic stents for palliation in patients with unresectable disease has come to be generally accepted. Advantages of colorectal stents include acute restoration of luminal patency and allowance of time for proper staging and surgical optimization, and the well-known disadvantages are procedure-related complications including perforation, migration, and stent failure. General indications, procedures, and clinical outcomes as well as recent evidences regarding the use of colorectal stents will be discussed in this review.

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Original Articles
Observer Variability in Gastric Neoplasm Assessment Using the Vessel Plus Surface Classification for Magnifying Endoscopy with Narrow Band Imaging
Chan Hui Yoo, Moo In Park, Seun Ja Park, Won Moon, Hyung Hun Kim, Jun Young Song, Do Hyun Kim
Clin Endosc 2014;47(1):74-78.   Published online January 24, 2014
DOI: https://doi.org/10.5946/ce.2014.47.1.74
AbstractAbstract PDFPubReaderePub
Background/Aims

Recent studies have demonstrated that magnifying endoscopy with narrow band imaging (ME-NBI) facilitates differentiation of early gastric cancer from gastric adenoma using vessel plus surface (VS) classification. This study estimated the interobserver and intraobserver agreement of endoscopists using the Yao VS classification system for the gastric mucosal surface.

Methods

We retrospectively reviewed patients who underwent endoscopic submucosal dissection or endoscopic mucosal resection, and selected cases in which preoperative ME-NBI was conducted. Before testing endoscopists, a 20-minute training module was given. Static ME-NBI images (n=47 cases) were presented to seven endoscopists (two experts and five trainees) who were asked to assess the images in 20 seconds using the Yao VS classification system. After 2 weeks, the endoscopists were asked to analyze the images again. The κ statistic was calculated for intraobserver and interobserver variability.

Results

The mean κ for intraobserver agreement was 0.69 (experts, 0.74; trainees, 0.64). The mean κ for interobserver agreement was 0.42 (experts, 0.49; trainees, 0.40).

Conclusions

We obtained reliable results as assessed by observer variability, with only brief training on VS classification. The VS classification appears to provide an objective assessment of ME-NBI for trainees who are not familiar with ME-NBI.

Citations

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  • Predicting pre‐ and post‐resectional histologic discrepancies in gastric low‐grade dysplasia: A comparison of white‐light and magnifying endoscopy
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    Ying-Ying Hu
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    Il Ju Choi
    Clinical Endoscopy.2014; 47(1): 1.     CrossRef
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    Tomoyuki Hayashi, Hisashi Doyama, Yukihiro Shirota, Hirokazu Tsuji, Youhei Marukawa, Hajime Ohta, Kazuhiro Miwa, Takaharu Masunaga, Shuichi Terasaki, Yutaka Matano, Kunihiro Tsuji, Yoshibumi Kaneko, Toshihide Okada, Hiroshi Kurumaya, Shuichi Kaneko, John
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Diagnostic Yield and Therapeutic Impact of Rectal Retroflexion: A Prospective, Single-Blind Study Conducted in Three Centers
Félix Téllez-Ávila, Josué Barahona-Garrido, Sandra García-Osogobio, Gustavo López-Arce, Jesús Camacho-Escobedo, Angela Saúl, Salvador Herrera-Gómez, Javier Elizondo-Rivera, Rafael Barreto-Zúñiga
Clin Endosc 2014;47(1):79-83.   Published online January 24, 2014
DOI: https://doi.org/10.5946/ce.2014.47.1.79
AbstractAbstract PDFPubReaderePub
Background/Aims

No clear data have been established and validated regarding whether rectal retroflexion has an important and therapeutic impact. The aim of the present study was to evaluate the diagnostic yield and therapeutic impact of rectal retroflexion compared with straight view examination.

Methods

A prospective single-blind study was conducted. Consecutive patients evaluated between October 2011 and April 2012 were included.

Results

A total of 934 patients (542 women, 58%) were included. The mean age was 57.4±14.8 years. Retroflexion was successful in 917 patients (98.2%). Distinct lesions in the anorectal area were detected in 32 patients (3.4%), of which 10 (1%) were identified only on retroflex view and 22 (2.4%) on both straight and retroflex views. Of the 32 identified lesions, 16 (50%) were polyps, nine (28.1%) were angiodysplasias, six (18.8%) were ulcers, and one (3.1%) was a flat lesion. All 10 patients (1%) in whom lesions were detected only by rectal retroflexion showed a therapeutic impact.

Conclusions

Rectal retroflexion has minimal diagnostic yield and therapeutic impact. However, its low rate of major complications and the possibility of detecting lesions undetectable by straight viewing justify its use.

Citations

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Histological Changes in the Bile Duct after Long-Term Placement of a Fully Covered Self-Expandable Metal Stent within a Common Bile Duct: A Canine Study
Sang Soo Lee, Tae Jun Song, Mee Joo, Do Hyun Park, Dong Wan Seo, Sung Koo Lee, Myung-Hwan Kim
Clin Endosc 2014;47(1):84-93.   Published online January 24, 2014
DOI: https://doi.org/10.5946/ce.2014.47.1.84
AbstractAbstract PDFPubReaderePub
Background/Aims

To date, it has been difficult to determine the optimal stenting duration of a fully covered self-expandable metal stent (FCSEMS) in a benign biliary stricture. The purpose of this study was to identify the histopathological changes in a bile duct resulting from long-term placement of a FCSEMS.

Methods

An FCSEMS was inserted into the common bile duct of 12 canines, and the animals were divided into four groups. Posteuthanasia, necropsy was performed to examine the histopathological changes in the bile ducts after 1, 3, 6, and 9 months.

Results

The results of necropsy showed that the covered membranes of the FCSEMSs were intact and easily removed from the bile ducts in 11 of the canines. Severe epithelial hyperplasia of the stented bile duct and epithelial ingrowth into the stent occurred in one animal (from the 3-month group). On histopathological examination, mild inflammatory changes were observed in the stented bile ducts, and there was no significant difference between the four groups. Among the 12 animals, five had de novo stricture.

Conclusions

An FCSEMS can be inserted into the bile duct without severe histopathological changes up until 9 months. However, a de novo stricture and severe epithelial hyperplasia relating to the stent insertion might occur.

Citations

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    Julia L. Bergen, Blake M. Travis, Fred S. Pike
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    Niccolò Napoli, Emanuele F. Kauffmann, Rosilde Caputo, Michael Ginesini, Fabio Asta, Cesare Gianfaldoni, Gabriella Amorese, Fabio Vistoli, Ugo Boggi
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    J. V. Kulezneva, O. V. Melekhina, A. B. Musatov, M. G. Efanov, V. V. Tsvirkun, I. Yu. Nedoluzhko, K. V. Shishin, K. K. Salnikov, D. F. Kantimerov
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Comparison between Midazolam Used Alone and in Combination with Propofol for Sedation during Endoscopic Retrograde Cholangiopancreatography
Yu Seok Kim, Myung-Hwan Kim, Seung Uk Jeong, Byung Uk Lee, Sang Soo Lee, Do Hyun Park, Dong-Wan Seo, Sung Koo Lee
Clin Endosc 2014;47(1):94-100.   Published online January 24, 2014
DOI: https://doi.org/10.5946/ce.2014.47.1.94
AbstractAbstract PDFPubReaderePub
Background/Aims

Endoscopic retrograde cholangiopancreatography (ERCP) is an uncomfortable procedure that requires adequate sedation for its successful conduction. We investigated the efficacy and safety of the combined use of intravenous midazolam and propofol for sedation during ERCP.

Methods

A retrospective review of patient records from a single tertiary care hospital was performed. Ninety-four patients undergoing ERCP received one of the two medication regimens, which was administered by a nurse under the supervision of a gastroenterologist. Patients in the midazolam (M) group (n=44) received only intravenous midazolam, which was titrated to achieve deep sedation. Patients in the midazolam pulse propofol (MP) group (n=50) initially received an intravenous combination of midazolam and propofol, and then propofol was titrated to achieve deep sedation.

Results

The time to the initial sedation was shorter in the MP group than in the M group (1.13 minutes vs. 1.84 minutes, respectively; p<0.001). The recovery time was faster in the MP group than in the M group (p=0.031). There were no significant differences between the two groups with respect to frequency of adverse events, pain experienced by the patient, patient discomfort, degree of amnesia, and gag reflex. Patient cooperation, rated by the endoscopist as excellent, was greater in the MP group than in the M group (p=0.046).

Conclusions

The combined use of intravenous midazolam and propofol for sedation during ERCP is more effective than midazolam alone. There is no difference in the safety of the procedure.

Citations

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Case Reports
A Case of Esophageal Fibrovascular Polyp That Induced Asphyxia during Sleep
Jin-Seok Park, Byoung Wook Bang, Junyoung Shin, Kye Sook Kwon, Hyung Gil Kim, Yong Woon Shin, Suk Jin Choi
Clin Endosc 2014;47(1):101-103.   Published online January 24, 2014
DOI: https://doi.org/10.5946/ce.2014.47.1.101
AbstractAbstract PDFPubReaderePub

Esophageal fibrovascular polyps are rare, benign, submucosal tumors of the upper digestive tract that usually have an indolent course until the lesion attains a very large size. The most frequent complaints associated with these tumors include dysphagia and foreign body sensation. However, a long pedunculated polyp can regurgitate into the pharynx or oral cavity and cause asphyxia and sudden death if the larynx is occluded. We describe the case of a 51-year-old man who experienced snoring and occasional asphyxia during sleep. Upper endoscopy was performed, which indicated the presence of a pedunculated esophageal polyp that regurgitated into the vocal cords. The polyp was removed using a polypectomy snare and was confirmed to be a fibrovascular polyp based on pathologic examination findings. Three months after the excision of the polyp, the patient was found to be doing well without any further occurrence of asphyxia or sleep disturbances.

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A Case of Postfundoplication Dysphagia without Symptomatic Improvement after Endoscopic Dilatation
Chanhee Kyung, Han Ho Jeon, Heewook Kim, Jie-Hyun Kim, Young Hoon Youn, Hyojin Park
Clin Endosc 2014;47(1):104-107.   Published online January 24, 2014
DOI: https://doi.org/10.5946/ce.2014.47.1.104
AbstractAbstract PDFPubReaderePub

Laparoscopic fundoplication is a treatment option for gastroesophageal reflux disease refractory to medical treatment. When deciding whether or not to undergo surgery, patients with refractory gastroesophageal reflux disease and esophageal motility disorder need to fully understand the operative procedure, postoperative complications, and residual symptoms such as dysphagia, globus sensation, and recurrence of reflux. Herein, we report a case of a patient diagnosed with gastroesophageal reflux disease and aperistalsis who underwent Nissen (total, 360°) fundoplication after lack of response to medical treatment and subsequently underwent pneumatic dilatation due to unrelieved postoperative dysphagia and globus sensation.

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Small Bowel Stent-in-Stent Placement for Malignant Small Bowel Obstruction Using a Balloon-Assisted Overtube Technique
Daniel Popa, Jayapal Ramesh, Shajan Peter, C. Mel Wilcox, Klaus Mönkemüller
Clin Endosc 2014;47(1):108-111.   Published online January 24, 2014
DOI: https://doi.org/10.5946/ce.2014.47.1.108
AbstractAbstract PDFPubReaderePub

Self-expanding metal stents are a useful therapy to palliate malignant and benign luminal gastrointestinal obstruction. Self-expanding metal stents has been widely reported for colonic, esophageal, and gastric obstruction. However, endoscopic delivery and placement to the small bowel is more challenging and difficult. This case illustrates the usefulness and technical advantages of the balloon-overtube and enteroscopy technique for the palliative treatment of neoplastic stenosis affecting the small intestine.

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A Case of Endoscopic Removal of a Giant Appendicolith Combined with Stump Appendicitis
Du Jin Kim, Sang Wook Park, Seung Ho Choi, Jong Hoon Lee, Kyoung Wan You, Geum Soo Lee, Hyeung Cheol Moon, Gun Young Hong
Clin Endosc 2014;47(1):112-114.   Published online January 24, 2014
DOI: https://doi.org/10.5946/ce.2014.47.1.112
AbstractAbstract PDFPubReaderePub

Stump appendicitis is an acute inflammation of the residual appendix and is a rare complication after appendectomy. The physician should be aware of the possibility of stump appendicitis in patients with right lower abdominal pain after appendectomy so that delayed diagnosis and treatment can be prevented. Stump appendicitis is usually treated by surgical resection, and endoscopic treatment has not been reported previously. A 48-year-old man who had undergone appendectomy 35 years earlier presented to the hospital because of right lower quadrant discomfort. A computed tomography scan showed a large stone in the residual appendix. Colonoscopic findings revealed a large, smooth, protruding lesion at the cecum with a stone inside the appendiceal orifice. Endoscopic removal after incision of the appendiceal orifice was performed successfully.

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    Aarushi Sudan, Dhawani Julka, Sunny A. Patel
    ACG Case Reports Journal.2024; 11(7): e01430.     CrossRef
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    Sajad Ahmad Salati
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    Robert A Pahissa, Kevin M Lin-Hurtubise
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  • Giant Appendicolith in Acute Exacerbation of Chronic Appendicitis: Case Report and Literature Review
    Alberto Manuel González Chávez, Ricardo Ray Huacuja Blanco, Mario Andrés González Chávez, Silviano Ríos Pascual, Diego Abelardo Álvarez Hernández, José de Jesús Curiel Valdés
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Extramedullary Plasmacytoma of the Pancreas Diagnosed Using Endoscopic Ultrasonography-Guided Fine Needle Aspiration
Young Hoon Roh, Sang Youn Hwang, Seon-Mi Lee, Jung Woo Im, Joon Suk Kim, Kyeong A Kwon, Joo Yeon Song, Soo Yeong Jeong
Clin Endosc 2014;47(1):115-118.   Published online January 24, 2014
DOI: https://doi.org/10.5946/ce.2014.47.1.115
AbstractAbstract PDFPubReaderePub

Extramedullary plasmacytoma involves organs outside the bone marrow; however, involvement of the pancreas is rare. We recently experienced a case of extramedullary plasmacytoma of the pancreas that was diagnosed by endoscopic ultrasonography-guided fine needle aspiration (EUS-FNA). EUS-FNA, which has a high diagnostic accuracy and an excellent safety profile, is the modality of choice for establishing tissue diagnosis. We report a case of extramedullary plasmacytoma of the pancreas diagnosed using EUS-FNA.

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    Sabah Iqbal, Shubham Agrawal, Krishna Desai, Mahati Paravathaneni, Rajesh Thirumaran
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    Shintaro KURAHASHI, Kenichi KOMAYA, Takaaki OSAWA, Norimitsu ISHII, Yuji KOBAYASHI, Tadahisa INOUE, Hideki MURAKAMI, Tsuyoshi SANO
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  • 8 Web of Science
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Brief Report
White Esophageal Mucosa and Black Gastric Mucosa: Upper Gastrointestinal Injury Due to Hydrochloric Acid Ingestion
Woong Cheul Lee, Tae Hee Lee, Jun-Hyung Cho
Clin Endosc 2014;47(1):119-120.   Published online January 24, 2014
DOI: https://doi.org/10.5946/ce.2014.47.1.119
PDFPubReaderePub

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    Alexandra Stoica, Cătălina Lionte, Mădălina Palaghia, Irina Gîrleanu, Victoriţa Şorodoc, Alexandr Ceasovschih, Oana Sîrbu, Raluca Haliga, Cristina Bologa, Ovidiu Petriş, Vlad Nuţu, Ana Trofin, Gheorghe Bălan, Andreea Catana, Adorata Coman, Mihai Constanti
    Journal of Personalized Medicine.2023; 13(6): 987.     CrossRef
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