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Volume 51(3); May 2018
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Convex versus Radial Echoendoscopes - Comparison of Capability for Evaluating the Pancreatobiliary Junction
Sung Yong Han, Dong Uk Kim
Clin Endosc 2018;51(3):211-212.   Published online May 16, 2018
DOI: https://doi.org/10.5946/ce.2018.065
PDFPubReaderePub

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  • Evaluation of a novel radial echoendosonoscope with a piezoelectric-composite transducer: An open-label, multicenter, randomized, parallel-group, noninferiority clinical trial
    Sheng Wang, Jintao Guo, Xiang Liu, Nan Ge, Guoxin Wang, Jinlong Hu, Kai Zhang, Siyu Sun
    Endoscopic Ultrasound.2021; 10(6): 431.     CrossRef
  • 4,162 View
  • 77 Download
  • 1 Web of Science
  • 1 Crossref
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Is Percutaneous Endoscopic Necrosectomy Really Safe and Effective for Symptomatic Laterally Placed Walled-off Necrosis?
Se Woo Park
Clin Endosc 2018;51(3):213-214.   Published online May 9, 2018
DOI: https://doi.org/10.5946/ce.2018.064
PDFPubReaderePub

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  • Endoscopic transmural drainage and necrosectomy in acute necrotizing pancreatitis: A review
    Linlin Feng, Jintao Guo, Sheng Wang, Xiang Liu, Nan Ge, Guoxin Wang, Siyu Sun
    Journal of Translational Internal Medicine.2021; 9(3): 168.     CrossRef
  • 4,974 View
  • 90 Download
  • 1 Web of Science
  • 1 Crossref
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Focused Review Series: Expanding the Indication with Safety Issues of Endoscopic Ultrasound
Contrast Enhanced Harmonic Endoscopic Ultrasound: A Novel Approach for Diagnosis and Management of Gastrointestinal Stromal Tumors
Ankit Chhoda, Deepanshu Jain, Venkateswar R Surabhi, Shashideep Singhal
Clin Endosc 2018;51(3):215-221.   Published online May 31, 2018
DOI: https://doi.org/10.5946/ce.2017.170
AbstractAbstract PDFPubReaderePub
The histologic analysis of gastrointestinal stromal tumors (GISTs) is a common method to detect the mitotic activity and to subsequently determine the risk of GISTs for malignancy. The potential false negative error due to inadequate yield of specimens and actual determination of malignancy risk requires analysis of the whole tumor. We aimed to assess the role of contrast enhanced endoscopic ultrasound (CE-EUS) in the management of GISTs. Two authors individually did review of English literatures to identify nine peer-reviewed original articles using keywords- contrast endoscopic ultrasound, GIST and submucosal tumor. Studies were heterogeneous in their aims looking either at differentiating submucosal lesions from GISTs, estimating malignant potential of GISTs with histologic correlation or studying the role of angiogenesis in malignant risk stratification. CE-EUS had moderate to high efficacy in differentiating GISTs from alternative submucosal tumors. CE-EUS had a higher sensitivity than EUS-guided fine needle aspiration, contrast computed tomography and Doppler EUS for detection of neo-vascularity within the GISTs. However, the evidence of abnormal angiogenesis within GIST as a prognostic factor needs further validation. CE-EUS is a non-invasive modality, which can help differentiate GISTs and provide valuable assessment of their perfusion patterns to allow better prediction of their malignant potential but more experience is needed.

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  • Gastrointestinal Stromal Tumors (GISTs) in Pediatric Patients: A Case Report and Literature Review
    Tudor-Alexandru Popoiu, Cãtãlin-Alexandru Pîrvu, Cãlin-Marius Popoiu, Emil Radu Iacob, Tamas Talpai, Amalia Voinea, Rãzvan-Sorin Albu, Sorina Tãban, Larisa-Mihaela Bãlãnoiu, Stelian Pantea
    Children.2024; 11(9): 1040.     CrossRef
  • The value of contrast-enhanced harmonic endoscopic ultrasound in differential diagnosis and evaluation of malignant risk of gastrointestinal stromal tumors (<50mm)
    Jiali Wu, Mengqi Zhuang, Yubao Zhou, Xiang Zhan, Weiwei Xie
    Scandinavian Journal of Gastroenterology.2023; 58(5): 542.     CrossRef
  • Angiogenesis in gastrointestinal stromal tumors: From bench to bedside
    Stavros P Papadakos, Christos Tsagkaris, Marios Papadakis, Andreas S Papazoglou, Dimitrios V Moysidis, Constantinos G Zografos, Stamatios Theocharis
    World Journal of Gastrointestinal Oncology.2022; 14(8): 1469.     CrossRef
  • Diagnostic accuracy of endoscopic ultrasound with artificial intelligence for gastrointestinal stromal tumors: A meta‐analysis
    Xiao Hua Ye, Lin Lin Zhao, Lei Wang
    Journal of Digestive Diseases.2022; 23(5-6): 253.     CrossRef
  • Controversies in EUS: Do we need miniprobes?
    Hans Seifert, Pietro Fusaroli, PaoloGiorgio Arcidiacono, Barbara Braden, Felix Herth, Michael Hocke, Alberto Larghi, Bertrand Napoleon, Mihai Rimbas, BogdanSilvio Ungureanu, Adrian Sãftoiu, AnandV Sahai, ChristophF Dietrich
    Endoscopic Ultrasound.2021; 10(4): 246.     CrossRef
  • Convolutional neural network‐based object detection model to identify gastrointestinal stromal tumors in endoscopic ultrasound images
    Chang Kyo Oh, Taewan Kim, Yu Kyung Cho, Dae Young Cheung, Bo‐In Lee, Young‐Seok Cho, Jin Il Kim, Myung‐Gyu Choi, Han Hee Lee, Seungchul Lee
    Journal of Gastroenterology and Hepatology.2021; 36(12): 3387.     CrossRef
  • Diagnostic value of contrast-enhanced harmonic endoscopic ultrasonography in predicting the malignancy potential of submucosal tumors: a systematic review and meta-analysis
    Yong-tao Yang, Neng Shen, Fei Ao, Wei-qing Chen
    Surgical Endoscopy.2020; 34(9): 3754.     CrossRef
  • Efficacy and Safety of Endoscopic Treatment for Gastrointestinal Stromal Tumors in the Upper Gastrointestinal Tract
    Cicilia Marcella, Shakeel Sarwar, Hui Ye, Rui Hua Shi
    Clinical Endoscopy.2020; 53(4): 458.     CrossRef
  • Predicting Malignancy Risk in Gastrointestinal Subepithelial Tumors with Contrast-Enhanced Harmonic Endoscopic Ultrasonography Using Perfusion Analysis Software
    Hyun Seok Lee, Chang Min Cho, Yong Hwan Kwon, Su Youn Nam
    Gut and Liver.2019; 13(2): 161.     CrossRef
  • Contrast Enhanced Endoscopic Ultrasound Imaging for Gastrointestinal Subepithelial Tumors
    Takashi Tamura, Masayuki Kitano
    Clinical Endoscopy.2019; 52(4): 306.     CrossRef
  • 6,169 View
  • 135 Download
  • 10 Web of Science
  • 10 Crossref
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Endoscopic Ultrasound-Guided Portal Pressure Measurement and Interventions
Jason B. Samarasena, Kenneth J. Chang
Clin Endosc 2018;51(3):222-228.   Published online May 31, 2018
DOI: https://doi.org/10.5946/ce.2018.079
AbstractAbstract PDFPubReaderePub
A growing number of studies have explored endoscopic ultrasound (EUS)-guided vascular catheterization. Potential clinical applications of EUS-guided portal venous access include angiography, measurement of the portosystemic pressure gradient, EUS-guided transhepatic intrahepatic portosystemic shunt creation and portal vein sampling for the evaluation in gastrointestinal cancer. The following article reviews the different devices and techniques employed in these applications.

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  • Performance of Endoscopic Ultrasound-Guided Versus Percutaneous Liver Biopsy in Diagnosing Stage 3–4 Fibrosis
    Alyssa Y. Choi, Xiaodong Li, Wenchang Guo, Vishal S. Chandan, Jason Samarasena, John G. Lee, Kenneth J. Chang, Ke-Qin Hu
    Digestive Diseases and Sciences.2023; 68(9): 3774.     CrossRef
  • I Do It My Way: Alternative Approaches in Multidisciplinary Management of GI Diseases
    Sagarika Satyavada, Sidhartha Tavri
    Digestive Disease Interventions.2023; 07(04): 225.     CrossRef
  • Liver Biopsy and Pressure Hemodynamics: GI Perspective
    Varun Kesar, Vivek Kesar, Klaus Monkemuller, Paul Yeaton
    Digestive Disease Interventions.2023; 07(04): 280.     CrossRef
  • Methods for assessing portal hypertension
    S.M. Chooklin, S.S. Chuklin
    EMERGENCY MEDICINE.2023; 19(6): 393.     CrossRef
  • Radiology-guided percutaneous approach is superior to EUS for performing liver biopsies
    Kaveh Hajifathalian, Kenneth J Chang, Reem Z Sharaiha
    Gut.2022; 71(4): 845.     CrossRef
  • Endoscopic Ultrasound Evaluation of Portal Pressure
    Enrico O. Souto
    Clinics in Liver Disease.2022; 26(1): e1.     CrossRef
  • The role of endoscopic ultrasound for portal hypertension in liver cirrhosis
    Cosmas Rinaldi Adithya Lesmana, Maria Satya Paramitha, Rino A. Gani, Laurentius A. Lesmana
    Journal of Medical Ultrasonics.2022; 49(3): 359.     CrossRef
  • Endoscopic Ultrasound-Guided Porto-systemic Pressure Gradient Measurement Correlates with Histological Hepatic Fibrosis
    Alyssa Y. Choi, Kenneth J. Chang, Jason B. Samarasena, John G. Lee, Xiaodong Li, Wenchang Guo, Vishal S. Chandan, Ke-Qin Hu
    Digestive Diseases and Sciences.2022; 67(12): 5685.     CrossRef
  • Advances in Management of Pancreatitis Related Portal Hypertension
    Ujas Patel, Thammasak Mingbunjerdsuk, Ahmed M. Gabr, Meir Mizrahi, Fady Salama, Moamen Gabr
    Digestive Disease Interventions.2022; 06(02): 108.     CrossRef
  • Endohepatology – current status
    Jerome C. Edelson, Natalie E. Mitchell, Don C. Rockey
    Current Opinion in Gastroenterology.2022; 38(3): 216.     CrossRef
  • The use of endoscopic ultrasound in the diagnosis and management of portal hypertension
    Wim Laleman, Emma Vanderschueren, Schalk Van der Merwe, Kenneth J. Chang
    Best Practice & Research Clinical Gastroenterology.2022; 60-61: 101811.     CrossRef
  • EUS-Guided Portal Venous Sampling of Circulating Tumor Cells
    Christopher G. Chapman, Irving Waxman
    Current Gastroenterology Reports.2019;[Epub]     CrossRef
  • 8,351 View
  • 168 Download
  • 11 Web of Science
  • 12 Crossref
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Future Perspectives on Endoscopic Ultrasonography-Guided Therapy for Pancreatic Neoplasm
Woo Hyun Paik, Sang Hyub Lee, Sunguk Jang
Clin Endosc 2018;51(3):229-234.   Published online May 18, 2018
DOI: https://doi.org/10.5946/ce.2018.063
AbstractAbstract PDFPubReaderePub
Endoscopic ultrasonography (EUS)-guided therapy with ethanol injection or catheter-based radiofrequency ablation for pancreatic neoplasm has been conducted as a potential alternate treatment modality for patients who are not eligible for surgery. On the basis of the limited number of studies available, EUS-guided ablation therapy with the aforementioned methods for small pancreatic neoplasms has demonstrated promising technical feasibility and safety profiles. To be considered as a legitimate alternative option to surgery, however, EUS-guided ablation therapy must provide a long-term efficacy profile along with the consensus among experts regarding its treatment parameter. This review focuses on the clinical issues and future perspectives of EUS-guided therapy for pancreatic neoplasm.

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  • An updated review on ablative treatment of pancreatic cystic lesions
    Andrew Canakis, Ryan Law, Todd Baron
    Gastrointestinal Endoscopy.2020; 91(3): 520.     CrossRef
  • Endosonography-guided Radiofrequency Ablation in Pancreatic Diseases
    Giuseppe Vanella, Gabriele Capurso, Paolo G. Arcidiacono
    Journal of Clinical Gastroenterology.2020; 54(7): 591.     CrossRef
  • 5,751 View
  • 134 Download
  • 3 Web of Science
  • 2 Crossref
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Safety and Complications of Interventional Endoscopic Ultrasound
Monica Saumoy, Michel Kahaleh
Clin Endosc 2018;51(3):235-238.   Published online July 19, 2017
DOI: https://doi.org/10.5946/ce.2017.081
AbstractAbstract PDFPubReaderePub
Endoscopic ultrasound (EUS) has become an essential tool for the diagnostic and therapeutic intervention of gastrointestinal diseases. Beyond the drainage of fluid collections, it enables decompression of inaccessible bile and pancreatic ducts, the gallbladder, and the creation of anastomosis within the gastrointestinal tract using fully lumen-apposing stents. This review explored the safety and efficacy of these novel procedures and discussed the training pathway that is necessary to perform them efficiently and safely.

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  • Semiautomated electronic medical record based system for monitoring delayed adverse events in pediatric endoscopy and sedation
    Jonathan Wong, Tea Abazi, Rob Thielke, Diana Lerner
    Journal of Pediatric Gastroenterology and Nutrition.2024; 79(1): 154.     CrossRef
  • Role of interventional endoscopic ultrasound in a developing country
    Hasan Maulahela, Nagita Gianty Annisa, Achmad Fauzi, Kaka Renaldi, Murdani Abdullah, Marcellus Simadibrata, Dadang Makmun, Ari Fahrial Syam
    Clinical Endoscopy.2023; 56(1): 100.     CrossRef
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    V. V. Boyko, A. O. Merkulov, O. M. Shevchenko, С. V. Tkach, A. S. Moiseenko, E. O. Bilodid, I. A. Kulyk
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    Hyung Ku Chon, Keum Ha Choi, Sang Hyun Seo, Tae Hyeon Kim
    Gut and Liver.2022; 16(1): 111.     CrossRef
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    Tom K. Lin, Maisam Abu-El-Haija, Juan P. Gurria, Michelle Saad, David S. Vitale
    Seminars in Pediatric Surgery.2022; 31(3): 151190.     CrossRef
  • Endoscopic Advancements in Pediatric Pancreatitis
    Michelle Saad, David S. Vitale
    Frontiers in Pediatrics.2022;[Epub]     CrossRef
  • Three-year evaluation of a novel, nonfluoroscopic, all-artificial model for EUS-guided biliary drainage training for the impact to practice: A prospective observational study (with videos)
    Tanyaporn Chantarojanasiri, Aroon Siripun, Pradermchai Kongkam, Nonthalee Pausawasdi, Thawee Ratanachu-ek
    Endoscopic Ultrasound.2022;[Epub]     CrossRef
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    Resheed Alkhiari, Michel Kahaleh
    Saudi Journal of Gastroenterology.2021; 27(5): 259.     CrossRef
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    Reno Rudiman
    Annals of Medicine and Surgery.2021; 72: 103041.     CrossRef
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    Catherine F. Vozzo, Madhusudhan R. Sanaka
    Surgical Clinics of North America.2020; 100(6): 1151.     CrossRef
  • The Utility of Endoscopic Ultrasound in Patients with Isolated Elevations in Serum Amylase and/or Lipase
    Lalitha M. Sitaraman, Amit H. Sachdev, Tamas A. Gonda, Amrita Sethi, John M. Poneros, Frank G. Gress
    Clinical Endoscopy.2019; 52(2): 175.     CrossRef
  • Endoscopic Ultrasound-Guided Biliary Drainage for Benign Biliary Diseases
    Yousuke Nakai, Hirofumi Kogure, Hiroyuki Isayama, Kazuhiko Koike
    Clinical Endoscopy.2019; 52(3): 212.     CrossRef
  • 6,171 View
  • 246 Download
  • 11 Web of Science
  • 12 Crossref
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Reviews
Revision of Quality Indicators for the Endoscopy Quality Improvement Program of the National Cancer Screening Program in Korea
Jun Ki Min, Jae Myung Cha, Yu Kyung Cho, Jie-Hyun Kim, Soon Man Yoon, Jong Pil Im, Yunho Jung, Jeong Seop Moon, Jin-Oh Kim, Yoon Tae Jeen
Clin Endosc 2018;51(3):239-252.   Published online May 31, 2018
DOI: https://doi.org/10.5946/ce.2018.075
AbstractAbstract PDFPubReaderePub
Gastroscopy and colonoscopy are widely used for the early diagnosis of stomach and colorectal cancer. The present revision integrates recent data regarding previous quality indicators and novel indicators suggested for gastroscopy and colonoscopy procedures for the National Cancer Screening Program in Korea. The new indicators, developed by the Quality Improvement Committee of the Korean Society for Gastrointestinal Endoscopy, vary in the level of supporting evidence, and most are based solely on expert opinion. Updated indicators validated by clinical research were prioritized, but were chosen by expert consensus when such studies were absent. The resultant quality indicators were graded according to the levels of consensus and recommendations. The updated indicators will provide a relevant guideline for high-quality endoscopy. The future direction of quality indicator development should include relevant outcome measures and an evidence-based approach to support proposed performance targets.

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    Gut and Liver.2022; 16(3): 404.     CrossRef
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    Sang Yoon Kim, Jae Myung Park
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    Lei Xin, Ye Gao, Zhiyuan Cheng, Tianjiao Wang, Han Lin, Yanan Pang, Chang Sun, Zengjun Fu, Zhaoshen Li, Xudong Ma, Luowei Wang
    Chinese Medical Journal.2022;[Epub]     CrossRef
  • Reduced detection rate of artificial intelligence in images obtained from untrained endoscope models and improvement using domain adaptation algorithm
    Junseok Park, Youngbae Hwang, Hyun Gun Kim, Joon Seong Lee, Jin-Oh Kim, Tae Hee Lee, Seong Ran Jeon, Su Jin Hong, Bong Min Ko, Seokmin Kim
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    Vasuki Rajaguru, Jieun Jang, Jeoung A. Kwon, Jae Hyun Kim, Jaeyong Shin, Mison Chun
    Frontiers in Public Health.2022;[Epub]     CrossRef
  • Korean Guidelines for Postpolypectomy Colonoscopic Surveillance: 2022 Revised Edition
    Su Young Kim, Min Seob Kwak, Soon Man Yoon, Yunho Jung, Jong Wook Kim, Sun-Jin Boo, Eun Hye Oh, Seong Ran Jeon, Seung-Joo Nam, Seon-Young Park, Soo-Kyung Park, Jaeyoung Chun, Dong Hoon Baek, Mi-Young Choi, Suyeon Park, Jeong-Sik Byeon, Hyung Kil Kim, Joo
    The Korean Journal of Gastroenterology.2022; 80(3): 115.     CrossRef
  • Antispasmodic Agent Administration Improves Gastric Neoplasm Detection Rates during Esophagogastroduodenoscopy
    Sang Yoon Kim, Jae Myung Park
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2022; 22(3): 246.     CrossRef
  • Korean guidelines for postpolypectomy colonoscopic surveillance: 2022 revised edition
    Su Young Kim, Min Seob Kwak, Soon Man Yoon, Yunho Jung, Jong Wook Kim, Sun-Jin Boo, Eun Hye Oh, Seong Ran Jeon, Seung-Joo Nam, Seon-Young Park, Soo-Kyung Park, Jaeyoung Chun, Dong Hoon Baek, Mi-Young Choi, Suyeon Park, Jeong-Sik Byeon, Hyung Kil Kim, Joo
    Clinical Endoscopy.2022; 55(6): 703.     CrossRef
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    Young-Eun Joo
    The Korean Journal of Gastroenterology.2022; 80(5): 207.     CrossRef
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    The Korean Journal of Internal Medicine.2021; 36(Suppl 1): S35.     CrossRef
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    Choong-Kyun Noh, Eunyoung Lee, Gil Ho Lee, Sun Gyo Lim, Bumhee Park, Sung Jae Shin, Jae Youn Cheong, Kee Myung Lee
    Journal of Clinical Medicine.2021; 11(1): 230.     CrossRef
  • Impacts of age and sedation on cardiocerebrovascular adverse events after diagnostic GI endoscopy: a nationwide population-based study
    Sang Yoon Kim, Chang Mo Moon, Min Ho Kim, Seong-Eun Kim, Hye-Kyung Jung, Ki-Nam Shim, Sung-Ae Jung
    Gastrointestinal Endoscopy.2020; 92(3): 591.     CrossRef
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    Joon Sung Kim, Byung-Wook Kim
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    Tae Hee Lee, Jin Young Yoon, Chang Nyol Paik, Hyuk Soon Choi, Jae-Young Jang
    Clinical Endoscopy.2019; 52(5): 431.     CrossRef
  • Quality Indicators and Outcome Measures of Endoscopy in the National Cancer Screening Program
    Jun Ki Min, Jae Myung Cha, Min Seob Kwak, Jin Young Yoon, Yunho Jung, Jeong Eun Shin, Hyo-Joon Yang
    Yonsei Medical Journal.2019; 60(11): 1054.     CrossRef
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  • 173 Download
  • 21 Web of Science
  • 21 Crossref
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Metachronous Gastric Cancer Following Curative Endoscopic Resection of Early Gastric Cancer
Seiichiro Abe, Ichiro Oda, Takeyoshi Minagawa, Masau Sekiguchi, Satoru Nonaka, Haruhisa Suzuki, Shigetaka Yoshinaga, Amit Bhatt, Yutaka Saito
Clin Endosc 2018;51(3):253-259.   Published online September 18, 2017
DOI: https://doi.org/10.5946/ce.2017.104
AbstractAbstract PDFPubReaderePub
This review article summarizes knowledge about metachronous gastric cancer (MGC) occurring after curative endoscopic resection (ER) of early gastric cancer (EGC), treatment outcomes of patients who developed MGC, and efficacy of Helicobacter pylori eradication to prevent MGC. The incidence of MGC following curative ER increases over time and is higher than in patients undergoing gastrectomy. Increasing age and multifocal EGC are independent risk factors for developing MGC. An MGC following curative ER is usually a small (<20 mm) and differentiated intramucosal cancer. Most MGC lesions are found at an early stage on semiannual or annual surveillance endoscopy and are successfully treated by further ER, with excellent long-term outcomes. Eradication of H. pylori may reduce the risk of MGC following ER of EGC, but further prospective studies with long-term outcomes are required. Surveillance endoscopy following gastric ER should be continued indefinitely, due to the risk of MGC even after successful H. pylori eradication. Risk stratification and tailored endoscopic surveillance schedules need to be developed.

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Original Articles
Infant Percutaneous Endoscopic Gastrostomy: Risks or Benefits?
Francesco Macchini, Andrea Zanini, Giorgio Farris, Anna Morandi, Giulia Brisighelli, Valerio Gentilino, Giorgio Fava, Ernesto Leva
Clin Endosc 2018;51(3):260-265.   Published online January 9, 2018
DOI: https://doi.org/10.5946/ce.2017.137
AbstractAbstract PDFPubReaderePub
Background
/Aims: To present a single center’s experience with percutaneous endoscopic gastrostomy (PEG) tube placement in infants.
Methods
Clinical records of infants who underwent PEG tube placement between January 2010 and December 2015 were reviewed. All patients underwent an upper gastrointestinal contrast study and an abdominal ultrasonography before the procedure. PEGs were performed with a 6-mm endoscope using the standard pull-through technique. Data regarding gestational age, birth weight, age and weight, days to feeding start, days to full diet, and complications were reviewed.
Results
Twenty-three patients were included. The most common indication was dysphagia related to hypoxic-ischemic encephalopathy. Median gestational age was 37 weeks (range, 24–41) and median birth weight was 2,605 grams (560–4,460). Patients underwent PEG procedures at a median age of 114 days (48–350); mean weight was 5.1 kg (3.2–8.8). In all patients but one, a 12-Fr tube was positioned. Median feeding start was 3 days (1–5) and on average full diet was achieved 5 days after the procedure (2–11). Six minor complications were recorded and effectively treated in the outpatient clinic; no major complications were recorded.
Conclusions
PEG is safe and feasible in infants when performed by highly experienced physicians.

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Characteristics of Synchronous and Metachronous Multiple Gastric Tumors after Endoscopic Submucosal Dissection of Early Gastric Neoplasm
Hyun Jik Lee, Yoo Jin Lee, Ju Yup Lee, Eun Soo Kim, Woo Jin Chung, Byoung Kuk Jang, Kyung Sik Park, Jae Seok Hwang, Kwang Bum Cho
Clin Endosc 2018;51(3):266-273.   Published online April 6, 2018
DOI: https://doi.org/10.5946/ce.2017.109
AbstractAbstract PDFPubReaderePub
Background
/Aims: Endoscopic submucosal dissection (ESD) has been widely accepted as a method of treatment of early gastric tumor. This study aimed to identify the incidence and characteristics of multiple gastric tumors after ESD.
Methods
Patients with early gastric tumors who were treated by ESD from January 2004 to June 2012 and followed up with endoscopic examination periodically for at least 1 year were enrolled. All multiple gastric lesions were subsequently treated with ESD and the medical records of the patients were retrospectively reviewed.
Results
In total, 643 patients were included. The mean duration of endoscopic follow-up was 45.27±27.59 (range, 12–148) months. Overall, 144 patients (22.4%) showed multiple gastric tumors during the follow-up period (44 synchronous [6.8%] and 100 metachronous [15.5%]). The cumulative incidence rate steadily increased during the follow-up period. More than 50% of the tumors that developed at the same longitudinal location of the stomach were of the same macroscopic and histological type as the primary lesions.
Conclusions
Because synchronous and/or metachronous gastric tumors are common, considerable attention should be paid to detect multiple gastric lesions after ESD of early gastric neoplasm.

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    Du Hyun Song, Nayoung Kim, Hyeong Ho Jo, Sangbin Kim, Yonghoon Choi, Hyeon Jeong Oh, Hye Seung Lee, Hyuk Yoon, Cheol Min Shin, Young Soo Park, Dong Ho Lee, So Hyun Kang, Young Suk Park, Sang-Hoon Ahn, Yun-Suhk Suh, Do Joong Park, Hyung Ho Kim, Ji-Won Kim,
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Capability of Radial- and Convex-Arrayed Echoendoscopes for Visualization of the Pancreatobiliary Junction
Yoshihide Kanno, Kei Ito, Shinsuke Koshita, Takahisa Ogawa, Hiroaki Kusunose, Kaori Masu, Toshitaka Sakai, Toji Murabayashi, Sho Hasegawa, Fumisato Kozakai, Yujiro Kawakami, Yuki Fujii, Yutaka Noda
Clin Endosc 2018;51(3):274-278.   Published online September 25, 2017
DOI: https://doi.org/10.5946/ce.2017.098
AbstractAbstract PDFPubReaderePub
Background
/Aims: Although both radial- and convex-arrayed endoscopic ultrasonography (EUS) scopes are widely used for observational EUS examinations, there have been few comparative studies on their power of visualization. The aim of this study was to evaluate the capability of these EUS scopes for observation of the pancreatobiliary junction.
Methods
The rate of successful visualization of the pancreatobiliary junction was retrospectively compared between a radial-arrayed and a convex-arrayed echoendoscope, from a prospectively maintained database. Study periods were defined as January 2010 to December 2012 for the radial group, and February 2015 to October 2016 for the convex group because the respective scope was mainly used during those periods.
Results
During the study period, 1,660 cases with radial EUS and 1,984 cases with convex EUS were recruited. The success rates of observation of the pancreatobiliary junction were 80.0% and 89.5%, respectively (p<0.0001).
Conclusions
The capability of visualization of the pancreatobiliary junction in observational EUS was found to be better with a convex-arrayed than with a radial-arrayed echoendoscope.

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    Christian Jenssen, Christian P. Nolsøe, Torben Lorentzen, Jae Young Lee, Nitin Chaubal, Kathleen Möller, Caroline Ewertsen, Xin Wu Cui, Edda Leonor Chaves, Alina Popescu, Yi Dong, Christoph F. Dietrich
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Pancreatic Necrosectomy through Sinus Tract Endoscopy
Mahesh Kumar Goenka, Usha Goenka, Md.Yasin Mujoo, Indrajit Kumar Tiwary, Sanjay Mahawar, Vijay Kumar Rai
Clin Endosc 2018;51(3):279-284.   Published online January 4, 2018
DOI: https://doi.org/10.5946/ce.2017.066
AbstractAbstract PDFPubReaderePub
Background
/Aims: Direct endoscopic pancreatic necrosectomy is increasingly being utilized to treat infected or symptomatic walled-off necrosis (WON) located close to the stomach or duodenum. Laterally-placed WON has traditionally been treated surgically. We evaluated a less utilized technique of sinus tract endoscopy (STE) for symptomatic laterally-placed WON.
Methods
Two hundred seventy-six patients with acute pancreatitis admitted in our hospital, 32 had symptomatic or infected WON requiring intervention. Of the 12 patients with laterally placed WON, 10 were treated by STE. STE was performed with a standard adult gastroscope passed through a percutaneous tract created by the placement of a 32-Fr drain.
Results
Ten patients (7 males; mean age, 43.8 years) underwent STE. Mean number of sessions was 2.3 (range, 1–4), with mean time of 70 minutes for each session (range, 15–70 minutes). While 9 patients had complete success, 1 patient had fever and chose to undergo surgery. Two patients developed pneumoperitoneum, which was treated conservatively. There was no mortality, cutaneous fistula, or recurrence during follow-up.
Conclusions
Laterally placed WON can be successfully managed by STE performed through a percutaneously placed drain. Details of the technique and end-points of STE require further evaluation.

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  • Metal stent and percutaneous endoscopic necrosectomy as dual approach for the management of complex walled-off pancreatic necrosis
    Cecilia BINDA, Barbara PERINI, Chiara COLUCCIO, Paolo GIUFFRIDA, Stefano FABBRI, Giulia GIBIINO, Antonio VIZZUSO, Emanuela GIAMPALMA, Carlo FABBRI
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    Journal of Clinical Medicine.2023; 12(3): 1125.     CrossRef
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    Mihajlo Gjeorgjievski, Abishek Bhurwal, Abhishek A. Chouthai, Abdelhai Abdelqader, Monica Gaidhane, Haroon Shahid, Amy Tyberg, Avik Sarkar, Michel Kahaleh
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    Soumya Jagannath Mahapatra, Pramod Kumar Garg
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    Michael Hocke, Sean Burmeister, Barbara Braden, Christian Jenssen, PaoloGiorgio Arcidiacono, Julio Iglesias-Garcia, André Ignee, Alberto Larghi, Kathleen Möller, Mihai Rimbas, Sun Siyu, Giuseppe Vanella, ChristophF Dietrich
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    Birte Purschke, Louisa Bolm, Max Nikolaus Meyer, Hiroki Sato
    World Journal of Gastroenterology.2022; 28(27): 3383.     CrossRef
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    Manoj A Vyawahare, Sushant Gulghane, Rajkumar Titarmare, Tushar Bawankar, Prashant Mudaliar, Rahul Naikwade, Jayesh M Timane
    World Journal of Gastrointestinal Surgery.2022; 14(8): 731.     CrossRef
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    Cecilia Binda, Monica Sbrancia, Marina La Marca, Dora Colussi, Antonio Vizzuso, Matteo Tomasoni, Vanni Agnoletti, Emanuela Giampalma, Luca Ansaloni, Carlo Fabbri
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Case Reports
Localized Gastric Amyloidosis with Kappa and Lambda Light Chain Co-Expression
Yong Hwan Ahn, Ye Young Rhee, Suck Chei Choi, Geom Seog Seo
Clin Endosc 2018;51(3):285-288.   Published online October 26, 2017
DOI: https://doi.org/10.5946/ce.2017.118
AbstractAbstract PDFPubReaderePub
Esophagogastroduodenoscopy for cancer screening was performed in a 55-year-old woman as part of a health screening program, and revealed a depressed lesion approximately 20 mm in diameter in the lesser curvature of the mid-gastric body. Several biopsy specimens were collected as the lesion resembled early gastric cancer; however, histopathologic evaluation revealed chronic active gastritis with an ulcer and amorphous eosinophilic material deposition. Congo red staining identified amyloid proteins, and apple-green birefringence was shown using polarized light microscopy. Immunohistochemical staining revealed the presence of kappa and lambda chain-positive plasma cells. There was no evidence of underlying plasma cell dyscrasia or amyloid deposition in other segments of the gastrointestinal tract. Echocardiography and computed tomography of the chest, abdomen, and pelvis did not show any significant findings. Thus, the patient was diagnosed with localized gastric amyloidosis with kappa and lambda light chain coexpression.

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  • Systemic Light Chain (Kappa Type) Amyloidosis Involving Liver and Bone Marrow, Heart, Lung
    Seul Ki Han, Jihwan Moon, Se eun Kim, Mee-Yon Cho, Moon Young Kim
    Clinical Ultrasound.2024; 9(1): 42.     CrossRef
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    Mariuxi Alexandra Viteri Malone, David Alfonso Alejos Castillo, Heitor Tavares Santos, Anahat Kaur, Tarek Elrafei, Lewis Steinberg, Abhishek Kumar
    European Journal of Haematology.2024; 113(4): 400.     CrossRef
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    Georges Khalil, Dimitri Fiani, Fares Antaki, Ernest Diab
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    Xin-Yu Lin, Dan Pan, Li-Xuan Sang, Bing Chang
    World Journal of Gastroenterology.2021; 27(12): 1132.     CrossRef
  • Endoscopic Submucosal Dissection of Localized Gastric Amyloidosis
    Ha Eun Lee, Moon Won Lee, Gwang Ha Kim
    ACG Case Reports Journal.2021; 8(7): e00627.     CrossRef
  • Morphological and Immunohistochemical Characteristics of Experimental Mandibular Fractures Healing Process
    A. A. Matchin, A. A. Stadnikov, E. V. Nosov, S. Kh. Kiriakidi
    Journal of Anatomy and Histopathology.2019; 8(1): 44.     CrossRef
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    Z. V. Gioeva, L. M. Mikhaleva
    Journal of Anatomy and Histopathology.2019; 8(1): 39.     CrossRef
  • Lower respiratory tract amyloidosis: Presentation, survival and prognostic factors. A multicenter consecutive case series
    Jean‐Simon Rech, Bertrand Arnulf, Constance de Margerie‐Mellon, Alexis Talbot, Marion Malphettes, Marguerite Vignon, Bruno Royer, David Lavergne, Marianne Kambouchner, Véronique Meignin, Anne Bergeron, Grégoire Prevot, Pierre‐Yves Brillet, Emmanuel Martin
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Ischemic Necrosis of the Gastric Remnant without Splenic Infarction Following Subtotal Gastrectomy
Hwan Hee Park, Hee Sung Lee, Ju Seok Kim, Sun Hyung Kang, Hee Seok Moon, Jae Kyu Sung, Hyun Yong Jeong, Ji Young Sul
Clin Endosc 2018;51(3):289-293.   Published online August 24, 2017
DOI: https://doi.org/10.5946/ce.2017.099
AbstractAbstract PDFPubReaderePub
Gastric remnant necrosis after a subtotal gastrectomy is an extremely uncommon complication due to the rich vascular supply of the stomach. Despite its rareness, it must be carefully addressed considering the significant mortality rate associated with this condition. Patients vulnerable to ischemic vascular disease in particular need closer attention and should be treated more cautiously. When gastric remnant necrosis is suspected, an urgent endoscopic examination must be performed. We report a case of gastric remnant necrosis following a subtotal gastrectomy and discuss possible risk factors associated with this complication.

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  • Gastric remnant necrosis secondary to cholesterol crystal embolization after distal gastrectomy in a gastric cancer patient: a case report
    Jumpei Shibata, Motoi Yoshihara, Takehito Kato
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    Cheong-Il Shin, Se Hyung Kim
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  • Successful management of gastric remnant necrosis after proximal gastrectomy using a double elementary diet tube: a case report
    Atsushi Gakuhara, Shuichi Fukuda, Tomoyuki Tsujimoto, Hideo Tomihara, Katsuya Ohta, Kotaro Kitani, Kazuhiko Hashimoto, Hajime Ishikawa, Jin-ichi Hida, Masao Yukawa
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    Daisuke SHIRAI, Naoshi KUBO, Katsunobu SAKURAI, Yutaka TAMAMORI, Kiyoshi MAEDA
    Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association).2019; 80(8): 1487.     CrossRef
  • 6,441 View
  • 147 Download
  • 4 Web of Science
  • 4 Crossref
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An Unusual Case of Ovarian Carcinomatosis with Microscopic Tumor Embolism Leading to Rectal Ischemia and Perforation
Man Hon Tang, Jason Lim, Inny Bushmani, Chee Yung Ng
Clin Endosc 2018;51(3):294-298.   Published online February 22, 2018
DOI: https://doi.org/10.5946/ce.2017.152
AbstractAbstract PDFPubReaderePub
We present an unusual case of advanced ovarian carcinoma with postoperative complications of ischemia and perforation of the rectum as a result of tumor embolism. The interval progression from ischemia to infarction of the rectum was captured in repeated sigmoidoscopies. A brief discussion on tumor embolism and management of this case is also included.

Citations

Citations to this article as recorded by  
  • Arterial Embolism in Malignancy: The Role of Surgery
    Patrick Harnarayan, Shariful Islam, Vijay Naraynsingh
    Therapeutics and Clinical Risk Management.2021; Volume 17: 635.     CrossRef
  • 5,701 View
  • 87 Download
  • 1 Web of Science
  • 1 Crossref
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Metal Stent Placement in the Afferent Loop Obstructed by Peritoneal Metastases—Experience of Five Cases
Yoshihide Kanno, Tetsuya Ohira, Yoshihiro Harada, Yoshiki Koike, Taku Yamagata, Megumi Tanaka, Tomohiro Shimada, Kei Ito
Clin Endosc 2018;51(3):299-303.   Published online April 18, 2018
DOI: https://doi.org/10.5946/ce.2018.005
AbstractAbstract PDFPubReaderePub
Afferent loop syndrome is often difficult to resolve. Among patients with afferent loop syndrome whose data were extracted from databases, 5 patients in whom metal stent placement was attempted were included and evaluated in this study. The procedure was technically successful without any adverse events in all patients. Metal stent(s) was placed with an endoscope in the through-the-scope manner in 4 patients and via a percutaneous route in 1 patient. Obvious clinical efficacy was observed in all patients. Adverse events related to the procedure and stent occlusion during the follow-up period were not observed. Metal stent placement for malignant obstruction of the afferent loop was found to be safe and feasible.

Citations

Citations to this article as recorded by  
  • Early and late effects of endoscopic interventions in patients with malignant afferent loop syndrome: A single‐center experience and literature review
    Kenjiro Yamamoto, Takao Itoi, Yukitoshi Matsunami, Atsushi Sofuni, Takayoshi Tsuchiya, Shuntaro Mukai, Hiroyuki Kojima, Hirohito Minami, Ryosuke Nakatsubo, Ryosuke Tonozuka
    Journal of Hepato-Biliary-Pancreatic Sciences.2024; 31(2): 120.     CrossRef
  • Efficacy of endoscopic ultrasound‐guided gastroenterostomy using self‐expandable metallic stent for afferent loop syndrome: A single‐center retrospective study
    Yuya Hagiwara, Susumu Hijioka, Yoshikuni Nagashio, Yuta Maruki, Akihiro Ohba, Yuki Kawasaki, Kotaro Takeshita, Tetsuro Takasaki, Daiki Agarie, Hidenobu Hara, Shin Yagi, Soma Fukuda, Masaru Kuwada, Daiki Yamashige, Kohei Okamoto, Mark Chatto, Shunsuke Kond
    Journal of Gastroenterology and Hepatology.2024;[Epub]     CrossRef
  • Efficacy and safety of endoscopic stent placement for afferent loop obstruction using a short double‐balloon endoscopy
    Takashi Ito, Masaaki Shimatani, Masataka Masuda, Koh Nakamaru, Toshiyuki Mitsuyama, Norimasa Fukata, Tsukasa Ikeura, Makoto Takaoka, Kazuichi Okazaki, Makoto Naganuma
    DEN Open.2023;[Epub]     CrossRef
  • Endoscopic Transluminal Stent Placement for Malignant Afferent Loop Obstruction
    Chinatsu Yonekura, Takashi Sasaki, Takafumi Mie, Takeshi Okamoto, Tsuyoshi Takeda, Takaaki Furukawa, Yuto Yamada, Akiyoshi Kasuga, Masato Matsuyama, Masato Ozaka, Naoki Sasahira
    Journal of Clinical Medicine.2022; 11(21): 6357.     CrossRef
  • Clinical management for malignant afferent loop obstruction
    Arata Sakai, Hideyuki Shiomi, Atsuhiro Masuda, Takashi Kobayashi, Yasutaka Yamada, Yuzo Kodama
    World Journal of Gastrointestinal Oncology.2021; 13(7): 509.     CrossRef
  • Clinical management for malignant afferent loop obstruction
    Arata Sakai, Hideyuki Shiomi, Atsuhiro Masuda, Takashi Kobayashi, Yasutaka Yamada, Yuzo Kodama
    World Journal of Gastrointestinal Oncology.2021; 13(7): 684.     CrossRef
  • Endoscopic Ultrasound-Guided Gastroenterostomy for Afferent Loop Syndrome
    Hideyuki Shiomi, Arata Sakai, Ryota Nakano, Shogo Ota, Takashi Kobayashi, Atsuhiro Masuda, Hiroko Iijima
    Clinical Endoscopy.2021; 54(6): 810.     CrossRef
  • Usefulness of endoscopic metal stent placement for malignant afferent loop obstruction
    Akihiko Kida, Hidenori Kido, Toshiki Matsuo, Atsuyoshi Mizukami, Masaaki Yano, Fumitaka Arihara, Koichiro Matsuda, Kohei Ogawa, Mitsuru Matsuda, Akito Sakai
    Surgical Endoscopy.2020; 34(5): 2103.     CrossRef
  • Endoscopic Self-Expandable Metal Stent Placement for Malignant Afferent Loop Obstruction After Pancreaticoduodenectomy: A Case Series and Review
    Arata Sakai, Hideyuki Shiomi, Takao Iemoto, Ryota Nakano, Takuya Ikegawa, Takashi Kobayashi, Atsuhiro Masuda, Yuzo Kodama
    Clinical Endoscopy.2020; 53(4): 491.     CrossRef
  • Endoscopic nasogastric tube insertion for treatment of benign afferent loop obstruction after radical gastrectomy for gastric cancer
    Yuning Cao, Xiangheng Kong, Daogui Yang, Senlin Li
    Medicine.2019; 98(28): e16475.     CrossRef
  • Enteral self-expandable metal stent placement for malignant afferent limb syndrome using single-balloon enteroscope: report of five cases
    Kei Yane, Akio Katanuma, Tsuyoshi Hayashi, Kuniyuki Takahashi, Toshifumi Kin, Kazumasa Nagai, Kazunari Tanaka, Naohiro Komatsu, Masato Endo, Yousuke Kobayashi, Yukiko Takigawa, Ran Utsunomiya
    Endoscopy International Open.2018; 06(11): E1330.     CrossRef
  • 5,652 View
  • 93 Download
  • 10 Web of Science
  • 11 Crossref
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Brief Report
An Unusual Mimicker of a Pancreatic Pseudocyst
Sang Ah Choi, Chang-Il Kwon, Gwangil Kim, Daejung Kim, Sung Hoon Choi
Clin Endosc 2018;51(3):304-305.   Published online March 22, 2018
DOI: https://doi.org/10.5946/ce.2017.160
PDFPubReaderePub
  • 4,491 View
  • 122 Download
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