Clinical Endoscopy

Volume 53(5); September 2020

Commentarys

Oral Sulfate Solution is as Effective as 2 L Polyethylene Glycol Plus Ascorbic Acid: Sung Hyun Shin, Kwang An Kwon; Clin Endosc 2020;53(5):503-504. Published online September 22, 2020; DOI: https://doi.org/10.5946/ce.2020.227

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Quality indicators in colonoscopy: the chasm between ideal and reality
Su Bee Park, Jae Myung Cha
Clinical Endoscopy.2022; 55(3): 332. CrossRef
Efficacy, safety and tolerability of oral sulphate tablet for bowel preparation in patients with inflammatory bowel disease: A multicentre randomized controlled study
Kyeong Ok Kim, Eun Young Kim, Yoo Jin Lee, Hyun Seok Lee, Eun Soo Kim, Yun Jin Chung, Byung Ik Jang, Sung Kook Kim, Chang Heon Yang
Journal of Crohn's and Colitis.2022; 16(11): 1706. CrossRef

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Mucosal Incision-Assisted Endoscopic Biopsy as an Alternative to Endoscopic Ultrasound-Guided Fine-Needle Aspiration/Biopsy for Gastric Subepithelial Tumor: Cheol Woong Choi, Joo Ha Hwang; Clin Endosc 2020;53(5):505-507. Published online September 29, 2020; DOI: https://doi.org/10.5946/ce.2020.187

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Random Lasing for Bimodal Imaging and Detection of Tumor
R. Gayathri, C. S. Suchand Sandeep, C. Vijayan, V. M. Murukeshan
Biosensors.2023; 13(12): 1003. CrossRef
Laparoscopic transgastric enucleation of a giant leiomyoma near the esophagogastric junction: A case report
Jin Lee, Woo Yong Lee
International Journal of Surgery Case Reports.2023; 105: 107989. CrossRef
Prediction of Gastric Gastrointestinal Stromal Tumors before Operation: A Retrospective Analysis of Gastric Subepithelial Tumors
Yu-Ning Lin, Ming-Yan Chen, Chun-Yi Tsai, Wen-Chi Chou, Jun-Te Hsu, Chun-Nan Yeh, Ta-Sen Yeh, Keng-Hao Liu
Journal of Personalized Medicine.2022; 12(2): 297. CrossRef
Natural History of Asymptomatic Esophageal Subepithelial Tumors of 30 mm or Less in Size
Seokin Kang, Do Hoon Kim, Yuri Kim, Dongsub Jeon, Hee Kyong Na, Jeong Hoon Lee, Ji Yong Ahn, Kee Wook Jung, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung
Journal of Korean Medical Science.2022;[Epub] CrossRef

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106 Download
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Endoscopic Ultrasound Fine-Needle Biopsy May Contribute to the Diagnosis of Malignant Lymph Nodes: Mamoru Takenaka, Shunsuke Omoto, Masatoshi Kudo; Clin Endosc 2020;53(5):508-509. Published online September 24, 2020; DOI: https://doi.org/10.5946/ce.2020.199

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The “echo-free space” technique: A safe and reliable method for endoscopic ultrasound scope insertion into the esophagus
Shunsuke Omoto, Mamoru Takenaka, Kota Takashima, Yoriaki Komeda, Masatoshi Kudo
Endoscopy.2024; 56(S 01): E500. CrossRef
The “echo-free space” technique: a safe and reliable method for endoscopic ultrasound scope insertion
Shunsuke Omoto, Mamoru Takenaka, Tomohiro Fukunaga, Kota Takashima, Yoriaki Komeda, Seok Jeong, Masatoshi Kudo
Endoscopy.2023; 55(S 01): E698. CrossRef

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Focused Review Series: Endoscopic Ultrasound-Guided Therapeutic Intervention: Focus on Technique and Practical Tipses

Endoscopic Ultrasonography-Guided Gastroenterostomy Techniques for Treatment of Malignant Gastric Outlet Obstruction: Ryosuke Tonozuka, Takayoshi Tsuchiya, Shuntaro Mukai, Yuichi Nagakawa, Takao Itoi; Clin Endosc 2020;53(5):510-518. Published online September 23, 2020; DOI: https://doi.org/10.5946/ce.2020.151

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Gastric outlet obstruction (GOO) can be caused by periampullary malignancies and often leads to a reduction in a patient’s quality of life. Recently, endoscopic ultrasonography-guided gastroenterostomy (EUS-GE) using a lumen-apposing self-expandable metal stent (LAMS) has been developed as a minimally invasive and durable endoscopic treatment for GOO. There are three types of EUS-GE technique: (1) the direct technique; (2) device-assisted techniques, such as a balloon catheter, nasobiliary drainage tube, and ultraslim endoscopy; and (3) EUS-guided double balloon-occluded gastrojejunostomy bypass. Previous reports of EUS-GE with LAMS have shown technical and clinical success rates (regardless of technique and etiology) of 87%–100% and 84%–100%, respectively. Studies comparing EUS-GE and surgical gastrojejunostomy have shown similar success rates, reintervention rates, and cost benefits, with a lower rate of early adverse events in EUS-GE. A comparison of EUS-GE and endoscopic enteral stent placement revealed similar technical success rates, but initial clinical success rate was higher and the rate of stent failure requiring reintervention was lower with EUS-GE.

Citations

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Revealing Insights: A Comprehensive Overview of Gastric Outlet Obstruction Management, with Special Emphasis on EUS-Guided Gastroenterostomy
Dimitrios Ziogas, Thomas Vasilakis, Christina Kapizioni, Eleni Koukoulioti, Georgios Tziatzios, Paraskevas Gkolfakis, Antonio Facciorusso, Ioannis S. Papanikolaou
Medical Sciences.2024; 12(1): 9. CrossRef
Endoscopic ultrasound-guided gastrojejunostomy with a direct technique without previous intestinal filling using a tubular fully covered self-expandable metallic stent
Hakan Şentürk, İbrahim Hakkı Köker, Koray Koçhan, Sercan Kiremitçi, Gülseren Seven, Ali Tüzün İnce
Clinical Endoscopy.2024; 57(2): 209. CrossRef
Complicated gastric cancer and modern treatment approaches
S.A. Tarasov, P.A. Yartsev, M.M. Rogal, S.O. Aksenova
Pirogov Russian Journal of Surgery.2024; (4): 125. CrossRef
Endoscopic ultrasound‐guided gastrointestinal anastomosis: Are we there yet?
Vinay Dhir, Cesar Jaurrieta‐Rico, Vivek Kumar Singh
Digestive Endoscopy.2024;[Epub] CrossRef
Outcomes of Endoscopic Ultrasound-guided Gastroenterostomy Using Lumen-apposing Metal Stent in the Treatment of Malignant and Benign Gastric Outlet Obstruction: A Case Series
Kannikar Laohavichitra, Jerasak Wannaprasert, Thawee Ratanachu-ek
Siriraj Medical Journal.2024; 76(4): 174. CrossRef
Endoscopic ultrasound-guided gastroenterostomy for gastric outlet obstruction in Mexico
Massiel Madelin Rosario-Morel, Rodrigo Soto-Solis, Katia Picazo-Ferrera, Miriam Idalia Torres-Ruiz, José Alberto Estradas-Trujillo, Mario Alberto Gallardo-Ramírez, Gerardo Akram Darwich-del Moral, Luis Ariel Waller-González
World Journal of Surgical Procedures.2024; 14(3): 15. CrossRef
“Through-stent enterography”: first experience with a novel technique intended to improve safety in endosonography-guided gastroenterostomy
Markus Heilmaier, Dominik Schulz, Christoph Schlag, Rami Abbassi, Mayada Elnegouly, Marc Ringelhan, Tobias Lahmer, Ulrich Mayr, Roland M. Schmid, Matthias Treiber, Mohamed Abdelhafez
iGIE.2024; 3(2): 247. CrossRef
Long‐term outcomes of endoscopic double stenting using an anti‐reflux metal stent for combined malignant biliary and duodenal obstruction
Takashi Sasaki, Tsuyoshi Takeda, Yuto Yamada, Takeshi Okamoto, Chinatsu Mori, Takafumi Mie, Akiyoshi Kasuga, Masato Matsuyama, Masato Ozaka, Naoki Sasahira
Journal of Hepato-Biliary-Pancreatic Sciences.2023; 30(1): 144. CrossRef
Endoscopic ultrasound‐guided gastrointestinal anastomosis: Current status and future perspectives
Michiel Bronswijk, Enrique Pérez‐Cuadrado‐Robles, Schalk Van der Merwe
Digestive Endoscopy.2023; 35(2): 255. CrossRef
The choice of a method for the correction of pyloric tumor stenosis
K.I. Salimzyanov, A.B. Ryabov, V.M. Khomyakov, S.S. Pirogov, D.D. Sobolev
Onkologiya. Zhurnal imeni P.A.Gertsena.2023; 12(2): 66. CrossRef
Dilation balloon-occlusion technique for EUS-guided gastrojejunostomy
Samuel Han, J. Royce Groce, Sajid Jalil, Somashekar G. Krishna, Luis M. Lara, Peter J. Lee, Hamza Shah, Georgios I. Papachristou
VideoGIE.2023; 8(8): 313. CrossRef
EUS-guided gastroenterostomy for gastric outlet obstruction: a comprehensive meta-analysis
Jia-Su Li, Kun Lin, Jian Tang, Feng Liu, Jun Fang
Minimally Invasive Therapy & Allied Technologies.2023; 32(6): 285. CrossRef
Endoscopic ultrasound-guided gastroenterostomy with lumen-apposing metal stents: a retrospective multicentric comparison of wireless and over-the-wire techniques
Laurent Monino, Enrique Perez-Cuadrado-Robles, Jean-Michel Gonzalez, Christophe Snauwaert, Hadrien Alric, Mohamed Gasmi, Sohaib Ouazzani, Hedi Benosman, Pierre H. Deprez, Gabriel Rahmi, Christophe Cellier, Tom G. Moreels, Marc Barthet
Endoscopy.2023; 55(11): 991. CrossRef
Preferred techniques for endoscopic ultrasound-guided gastroenterostomy: a survey of expert endosonographers
Patrick T. Magahis, Sanjay Salgado, Donevan Westerveld, Enad Dawod, David L. Carr-Locke, Kartik Sampath, Reem Z. Sharaiha, Srihari Mahadev
Endoscopy International Open.2023; 11(11): E1035. CrossRef
Classification, outcomes, and management of misdeployed stents during EUS-guided gastroenterostomy
Bachir Ghandour, Michael Bejjani, Shayan S. Irani, Reem Z. Sharaiha, Thomas E. Kowalski, Douglas K. Pleskow, Khanh Do-Cong Pham, Andrea A. Anderloni, Belen Martinez-Moreno, Harshit S. Khara, Lionel S. D'Souza, Michael Lajin, Bharat Paranandi, Jose Carlos
Gastrointestinal Endoscopy.2022; 95(1): 80. CrossRef
EUS-guided gastrojejunostomy in the presence of ascites
Mehdi Mohamadnejad
Endoscopy.2022; 54(10): E540. CrossRef
Therapeutic endoscopic ultrasound: European Society of Gastrointestinal Endoscopy (ESGE) Guideline
Schalk W. van der Merwe, Roy L. J. van Wanrooij, Michiel Bronswijk, Simon Everett, Sundeep Lakhtakia, Mihai Rimbas, Tomas Hucl, Rastislav Kunda, Abdenor Badaoui, Ryan Law, Paolo G. Arcidiacono, Alberto Larghi, Marc Giovannini, Mouen A. Khashab, Kenneth F.
Endoscopy.2022; 54(02): 185. CrossRef
Therapeutic endoscopic ultrasound: European Society of Gastrointestinal Endoscopy (ESGE) Technical Review
Roy L. J. van Wanrooij, Michiel Bronswijk, Rastislav Kunda, Simon M. Everett, Sundeep Lakhtakia, Mihai Rimbas, Tomas Hucl, Abdenor Badaoui, Ryan Law, Paolo Giorgio Arcidiacono, Alberto Larghi, Marc Giovannini, Mouen A. Khashab, Kenneth F. Binmoeller, Marc
Endoscopy.2022; 54(03): 310. CrossRef
EUS-directed transgastric ERCP: a step-by-step approach (with video)
Michel Kahaleh
Gastrointestinal Endoscopy.2022; 95(4): 787. CrossRef
Optimal Management of Gastric Outlet Obstruction in Unresectable Malignancies
Stephanie Lok Hang Cheung, Anthony Yuen Bun Teoh
Gut and Liver.2022; 16(2): 190. CrossRef
Efficacy and safety of endoscopic duodenal stent versus endoscopic or surgical gastrojejunostomy to treat malignant gastric outlet obstruction: systematic review and meta-analysis
Rajesh Krishnamoorthi, Shivanand Bomman, Petros Benias, Richard A. Kozarek, Joyce A. Peetermans, Edmund McMullen, Ornela Gjata, Shayan S. Irani
Endoscopy International Open.2022; 10(06): E874. CrossRef
Endoscopic Ultrasonography-guided Gastrojejunostomy for Patients with Gastric Outlet Obstruction and Pyloric Metal Stent Dysfunction
Byung Sun Kim, Sung Yeol Yang, Won Dong Lee, Jae Sun Song, Min A Yang, Gum Mo Jung, Jin Woong Cho, Ji Woong Kim
The Korean Journal of Gastroenterology.2022; 79(6): 260. CrossRef
Endoscopic ultrasound-guided gastroenterostomy (gastroenteric anastomosis)
Joel Fernandez de Oliveira, Matheus Cavalcante Franco, Gustavo Rodela, Fauze Maluf-Filho, Bruno Costa Martins
International Journal of Gastrointestinal Intervention.2022; 11(3): 112. CrossRef
EUS-guided gastroenterostomy: closing knowledge gaps by evaluating learning curves
Manuel Perez-Miranda
Gastrointestinal Endoscopy.2021; 93(5): 1094. CrossRef
Endoscopic ultrasound guided gastrojejunostomy for gastric outlet obstruction
Sebastian Stefanovic, Peter V Draganov, Dennis Yang
World Journal of Gastrointestinal Surgery.2021; 13(7): 620. 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

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352 Download
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26 Crossref

Endoscopic Ultrasound-Guided Vascular Procedures: A Review: Dominic A. Staudenmann, Arthur J. Kaffes, Payal Saxena; Clin Endosc 2020;53(5):519-524. Published online September 29, 2020; DOI: https://doi.org/10.5946/ce.2020.222

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Since the 1980s, endoscopic ultrasound has advanced from being purely diagnostic to an interventional modality. The gastrointestinal tract offers an exceptional window for assessing the vascular structures in the mediastinum and in the abdomen. This has led to a rapidly growing interest in endoscopic ultrasound-controlled vascular interventions as a minimally invasive alternative to surgical and radiological procedures.

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Use of TC-325 Hemostatic Powder as a Rescue Monotherapy for Management of Rectal Variceal Bleed
Amel Tabet Aoul, Vamsee Mupparuju, Jonathan Cirillo, Sreekanth Chandrupatla, Jeffrey Jordan, Maria Castano, Olugbenga Oyesanmi
ACG Case Reports Journal.2024; 11(6): e01391. CrossRef
Endoscopic ultrasound-guided vascular interventions: An overview of current and emerging techniques
Ahmed Youssef Altonbary
International Journal of Gastrointestinal Intervention.2023; 12(1): 16. CrossRef

4,359 View
102 Download
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Endoscopic Ultrasound-Guided Pancreatic Duct Drainage: Techniques and Literature Review of Transmural Stenting: Akira Imoto, Takeshi Ogura, Kazuhide Higuchi; Clin Endosc 2020;53(5):525-534. Published online September 24, 2020; DOI: https://doi.org/10.5946/ce.2020.173

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Endoscopic ultrasound-guided pancreatic duct drainage (EUS-PD) has emerged as an option in patients with failure of retrograde access to the pancreatic duct (PD) because of difficulty in cannulation or surgically altered anatomy. This article provides a comprehensive review of the techniques and outcomes of EUS-PD, especially EUS-guided pancreatic transmural stenting. The clinical data derived from a total of 401 patients were reviewed in which the overall technical and clinical success rates were 339/401 (85%, range 63%–100%) and 328/372 (88%, range 76%–100%), respectively. Short-term adverse events occurred in 25% (102/401) of the cases, which included abdominal pain (n=45), acute pancreatitis (n=17), bleeding (n=10), and issues associated with pancreatic juice leakage such as perigastric or peripancreatic fluid collection (n=9). In conclusion, although EUS-PD remains a challenging procedure with a high risk of adverse events such as pancreatic juice leakage, perforation, and severe acute pancreatitis, the procedure seems to be a promising alternative for PD drainage in patients with altered anatomy or unsuccessful endoscopic retrograde pancreatography.

Citations

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Technical review of endoscopic ultrasound‐guided drainage/anastomosis and trans‐endosonographically created route procedures for the treatment of pancreatic diseases
Ko Tomishima, Hiroyuki Isayama, Akinori Suzuki, Shigeto Ishii, Sho Takahashi, Toshio Fujisawa
DEN Open.2025;[Epub] CrossRef
Endoscopic treatment of biliopancreatic pathology in patients with Whipple's pancreaticoduodenectomy surgical variants: Lessons learned from single-balloon enteroscopy-assisted ERCP
Rodrigo Garcés-Durán, Laurent Monino, Pierre H Deprez, Hubert Piessevaux, Tom G Moreels
Hepatobiliary & Pancreatic Diseases International.2024; 23(5): 509. CrossRef
EUS-guided pancreatic duct drainage: a single-center observational study
Elodie Romailler, Anouk Voutaz, Sarra Oumrani, Mariola Marx, Maxime Robert, Fabrice Caillol, Alain Schoepfer, Sébastien Godat
iGIE.2024; 3(2): 237. CrossRef
Endoscopic ultrasound-guided pancreatic duct drainage: a comprehensive state of the art review
Jayanta Samanta, Abhirup Chatterjee, Jahnvi Dhar, Zaheer Nabi, Michiel Bronswijk, Manik Aggarwal, Antonio Facciorusso, Paraskevas Gkolfakis, Takeshi Ogura, Schalk Van der Merwe, Sundeep Lakhtakia
Expert Review of Gastroenterology & Hepatology.2024; 18(7): 351. CrossRef
Progress in minimally invasive treatment of biliary pancreatic duct obstruction after digestive tract reconstruction by endoscopic retrograde cholangiopancreatography
Ru-Yi Wang, Zhen Fan
World Chinese Journal of Digestology.2024; 32(7): 490. CrossRef
Best Practices in Pancreatico-biliary Stenting and EUS-guided Drainage
Renato Medas, Joel Ferreira-Silva, Mohit Girotra, Monique Barakat, James H. Tabibian, Eduardo Rodrigues-Pinto
Journal of Clinical Gastroenterology.2023; 57(6): 553. CrossRef
Techniques and Outcomes of Endoscopic Ultrasound Guided—Pancreatic Duct Drainage (EUS- PDD)
Jun Liang Teh, Anthony Yuen Bun Teoh
Journal of Clinical Medicine.2023; 12(4): 1626. CrossRef
EUS–guided pancreatic duct drainage using a novel plastic stent with ultratapered tip (with video)
Takeshi Ogura, Atsushi Okuda, Saori Ueno, Nobu Nishioka, Masahiro Yamamura
Endoscopic Ultrasound.2023; 12(3): 345. CrossRef
Treatment of Difficult Pancreatic Duct Strictures Using a Cystotome: A Single-Center Experience
Jonghyun Lee, Dong Uk Kim, Sung Yong Han
The Korean Journal of Pancreas and Biliary Tract.2023; 28(4): 108. CrossRef
Utility of a novel drill dilator for easier EUS‐guided pancreatic duct drainage
Kazuo Hara, Nozomi Okuno, Shin Haba, Takamichi Kuwahara, Yasuhiro Kuraishi, Takafumi Yanaidani, Daiki Fumihara, Masanori Yamada, Tsukasa Yasuda, Sho Ishikawa
Journal of Hepato-Biliary-Pancreatic Sciences.2022;[Epub] CrossRef
Endoscopic Ultrasound-guided Drainage in Pancreatobiliary Diseases
Tae Hyeon Kim, Hyung Ku Chon
The Korean Journal of Gastroenterology.2022; 79(5): 203. CrossRef
Percutaneous transluminal angioplasty balloons for endoscopic ultrasound-guided pancreatic duct interventions
Jad P AbiMansour, Barham K Abu Dayyeh, Michael J Levy, Andrew C Storm, John A Martin, Bret T Petersen, Ryan J Law, Mark D Topazian, Vinay Chandrasekhara
World Journal of Gastrointestinal Endoscopy.2022; 14(8): 487. CrossRef
Interventional endoscopic ultrasound
Christoph F. Dietrich, Barbara Braden, Christian Jenssen
Current Opinion in Gastroenterology.2021; 37(5): 449. CrossRef
Approach to management of pancreatic strictures: the gastroenterologist’s perspective
Vaneet Jearth, Suprabhat Giri, Sridhar Sundaram
Clinical Journal of Gastroenterology.2021; 14(6): 1587. CrossRef
Extracorporeal shock wave lithotripsy after endoscopic ultrasonographically guided pancreatic duct drainage with pancreatic stent placement for pancreatic stone removal: A case report
Mitsuru OKUNO, Tsuyoshi MUKAI, Shota IWATA, Ryuichi TEZUKA, Eiichi TOMITA
Suizo.2021; 36(4): 274. CrossRef

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Endoscopic Ultrasound-Guided Local Therapy for Pancreatic Neoplasms: Jun Seong Hwang, Hyun Don Joo, Tae Jun Song; Clin Endosc 2020;53(5):535-540. Published online September 29, 2020; DOI: https://doi.org/10.5946/ce.2020.181

Abstract PDF PubReader ePub

Surgical resection is considered the only treatment option for pancreatic cancer and other pancreatic neoplasms with malignant potential, such as neuroendocrine tumors, mucinous cystic neoplasms, and intraductal papillary mucinous neoplasms. However, only 10%–20% of all patients with pancreatic cancer present with resectable forms of the disease as the symptoms are rarely manifested during the early stages, and the disease tends to progress rapidly. Furthermore, pancreatic surgery is associated with high rates of morbidity and mortality. The development of linear-array endoscopic ultrasound (EUS) techniques has increased the indications of EUS-guided local therapy for pancreatic neoplasms. We assessed the studies that investigated various treatment modalities, such as fine-needle injection, radiofrequency ablation, irreversible electroporation, and radiotherapy, under EUS guidance to better understand the usefulness of these techniques with respect to the efficacy and associated complications.

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Anticancer effect of a pyrrole‐imidazole polyamide‐triphenylphosphonium conjugate selectively targeting a common mitochondrial DNA cancer risk variant in cervical cancer cells
Jihang Yao, Keizo Takenaga, Nobuko Koshikawa, Yuki Kida, Jason Lin, Takayoshi Watanabe, Yoshiaki Maru, Yoshitaka Hippo, Seigi Yamamoto, Yuyan Zhu, Hiroki Nagase
International Journal of Cancer.2023; 152(5): 962. CrossRef
Endoscopic Ultrasound-Guided Local Ablative Therapies for the Treatment of Pancreatic Neuroendocrine Tumors and Cystic Lesions: A Review of the Current Literature
Alexander M. Prete, Tamas A. Gonda
Journal of Clinical Medicine.2023; 12(9): 3325. CrossRef
Response of Locally Advanced Pancreatic Cancer to Intratumoral Injection of Large Surface Area Microparticle Paclitaxel
Neil R. Sharma, Simon K. Lo, Andrew Hendifar, Mohamed O. Othman, Kalpesh Patel, Antonio Mendoza-Ladd, Shelagh Verco, Holly A. Maulhardt, James Verco, Alison Wendt, Alyson Marin, Christian Max Schmidt, Gere diZerega
Pancreas.2023;[Epub] CrossRef
Multisite Is Superior to Single-Site Intratumoral Chemotherapy to Retard the Outcomes of Pancreatic Ductal Adenocarcinoma in a Murine Model
Janette Lazarovits, Ron Epelbaum, Jesse Lachter, Yaron Amikam, Jacob Ben Arie
Cancers.2023; 15(24): 5801. CrossRef
Endoscopic ultrasound-guided injectable therapy for pancreatic cancer: A systematic review
Jyotroop Kaur, Veeravich Jaruvongvanich, Vinay Chandrasekhara
World Journal of Gastroenterology.2022; 28(21): 2383. CrossRef

4,559 View
152 Download
5 Web of Science
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Reviews

Endoscopic Full Thickness Resection for Gastrointestinal Tumors - Challenges and Solutions: Hung Leng Kaan, Khek Yu Ho; Clin Endosc 2020;53(5):541-549. Published online February 17, 2020; DOI: https://doi.org/10.5946/ce.2019.161

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Standard polypectomy, endoscopic mucosal resection, and endoscopic submucosal dissection (ESD) are established techniques for the treatment of gastrointestinal tumors. However, resection of submucosal tumors via ESD often results in low rates of microscopically margin-negative (R0) resection and high rates of perforation. Endoscopic full thickness resection (EFTR) overcomes this adverse event and aids in the therapeutic management of complex tumors.
Multiple techniques for EFTR have been developed, each with its own advantages and disadvantages. Submucosal tunneling and nonexposed techniques are generally preferable, because the layer of overlying intact mucosa reduces the incidence of intraperitoneal contamination by the gastric fluid and dissemination of the tumor cells. However, adoption of EFTR by endoscopists in clinical practice remains low. The major challenge seems to be the technical difficulty in performing laparoscopic and/or endoscopic suturing using the currently available instruments.
We developed a novel robotic endoscopic platform with suturing capabilities to overcome the technical challenges of suturing. This platform allows easy maneuvering and triangulation of the instruments, thus facilitating endoscopic suturing using robotic arms. Our studies have demonstrated that this robotic endoscopic platform with suturing capabilities is an effective and safe method for performing EFTR with endoscopic suturing.

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New endoscopic closure technique, “internal traction–assisted suspended closure,” for GI defect closure: a pilot study (with video)
Yaoyao Gong, Jue Wang, Tianyin Chen, Jing Cheng, Keyi Guo, Wei Su, Pinghong Zhou, Jianwei Hu
Gastrointestinal Endoscopy.2024; 99(2): 186. CrossRef
Effect of endoscopic full-thickness resection assisted by distal serosal turnover with floss traction for gastric submucosal masses
Tian-Wen Liu, Xiao-Feng Lin, Shu-Ting Wen, Jing-Yi Xu, Zhao-Li Fu, Shu-Min Qin
World Journal of Clinical Cases.2024; 12(16): 2738. CrossRef
Laparoscopy-assisted nonexposed endoscopic full-thickness resection for local resection after endoscopic submucosal dissection
Deepak Madhu, Yohei Minato, Susumu Banjoya, Nao Takeuchi, Shunya Takayanagi, Kohei Ono, Motomu Tanaka, Ken Ohata
VideoGIE.2024; 9(4): 188. CrossRef
Endoscopic resection penetrating the muscularis propria for gastric gastrointestinal stromal tumors: advances and challenges
Jin Woong Cho
Clinical Endoscopy.2024; 57(3): 329. CrossRef
Serosal overturning assisted endoscopic full‐thickness mucosal resection of extraneous giant mass at the esophagogastric junction
Shumin Qin, Xiaofeng Lin, Shuting Wen, Tianwen Liu
Clinical Case Reports.2024;[Epub] CrossRef
Using Robotic Endoscopic Platforms to Perform Gastric Endoscopic Submucosal Dissection – Benefits and Future Development
Hung Leng Kaan, Khek Yu Ho
Techniques and Innovations in Gastrointestinal Endoscopy.2023; 25(1): 82. CrossRef
Future Directions for Robotic Endoscopy–Artificial Intelligence (AI), Three-Dimensional (3D) Imaging, and Natural Orifice Transluminal Endoscopic Surgery (NOTES)
Cem Simsek, Hung Leng Kaan, Hiroyuki Aihara
Techniques and Innovations in Gastrointestinal Endoscopy.2023; 25(1): 95. CrossRef
Twin‐grasper assisted mucosal inverted closure achieves complete healing of large perforations after gastric endoscopic full‐thickness resection
Qinbo Cai, Huafeng Fu, Lele Zhang, Minxuan Shen, Shaoxiong Yi, Rongman Xie, Wentong Lan, Wenqing Dong, Xiaolian Chen, Jie Zhang, Xun Hou, Yulong He, Dongjie Yang
Digestive Endoscopy.2023; 35(6): 736. CrossRef
Endoscopic Resection with One-Port Placement: A Newly Developed Technique for the Safe Management of Advanced Endoscopic Resection for Gastric Gastrointestinal Stromal Tumors
Atsushi Sawada, Kingo Hirasawa, Chiko Sato, Sho Sato, Tsutomu Sato, Kazuya Sugimori, Chikara Kunisaki, Shin Maeda
Digestion.2023; 104(6): 460. CrossRef
Comparative Study on the Clinical Effects of Different Surgical Methods in the Treatment of Gastrointestinal Stromal Tumors
Jinyan Wu, Boneng Mao, Tao Jin, Xinfang Xu, Xiao Xu, Shengjun Jiang, Weiguo Li
Evidence-Based Complementary and Alternative Medicine.2022; 2022: 1. CrossRef
Role of intraoperative patients positioning in endoscopic full-thickness resection of large gastric tumors under general anesthesia
Li-Jun Zhou, Fei Xing, Dan Chen, Yan-Na Li, Shoaib Mohammad Rafiq
Frontiers in Oncology.2022;[Epub] CrossRef
Endoscopic Full Thickness Resection: A Systematic Review
Partha Pal, Mohan Ramchandani, Pradev Inavolu, Duvvuru Nageshwar Reddy, Manu Tandan
Journal of Digestive Endoscopy.2022; 13(03): 152. CrossRef
Over-the-Scope Clip-Associated Endoscopic Muscular Dissection for Seven Cases of Small Gastric Submucosal Tumor: A Video-Based Case Series
Xin Li, Rongfen Wei, Jianfu Qin, Fei Qin, Peng Peng, Mengbin Qin, Shiquan Liu, Jiean Huang, Piero Chirletti
Gastroenterology Research and Practice.2021; 2021: 1. CrossRef
Editors' Choice of Noteworthy Clinical Endoscopy Publications in the First Decade
Gwang Ha Kim, Kwang An Kwon, Do Hyun Park, Jimin Han
Clinical Endoscopy.2021; 54(5): 633. CrossRef
Clinical adoption of robotics in endoscopy: Challenges and solutions
Hung Leng Kaan, Khek Yu Ho
JGH Open.2020; 4(5): 790. CrossRef

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Colon Capsule Endoscopy for Inflammatory Bowel Disease: Naoki Hosoe, Yukie Hayashi, Haruhiko Ogata; Clin Endosc 2020;53(5):550-554. Published online January 9, 2020; DOI: https://doi.org/10.5946/ce.2019.156

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Colon capsule endoscopy was initially introduced in 2006. Since the results of a prospective study to evaluate first-generation colon capsule endoscopy efficacy for the detection of colonic neoplasia were unsatisfactory, second-generation colon capsule endoscopy was developed and reported in 2009. In this review article, we provide an overview of the current state of colon capsule endoscopy for evaluation of inflammatory bowel disease in a clinical setting and describe our clinical experience with this technology and its application. Among the various types of inflammatory bowel diseases, ulcerative colitis is the primary target for application of colon capsule endoscopy. Nevertheless, the initial results of studies using first-generation colon capsule endoscopy to evaluate inflammation were unclear. More recently, second-generation colon capsule endoscopy has provided higher accuracy for assessment of inflammation in patients with ulcerative colitis. Colon capsule endoscopy enables noninvasive observation (with reduced volume preparation) of mucosal inflammation severity in patients with ulcerative colitis.

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Pan-Enteric Capsule Endoscopy: Current Applications and Future Perspectives
Bruno Rosa, Patrícia Andrade, Sandra Lopes, Ana Rita Gonçalves, Juliana Serrazina, Pedro Marílio Cardoso, Andrea Silva, Vítor Macedo Silva, José Cotter, Guilherme Macedo, Pedro Narra Figueiredo, Cristina Chagas
GE - Portuguese Journal of Gastroenterology.2024; 31(2): 89. CrossRef
TOP 100 and detection of colorectal lesions in colon capsule endoscopy: more than meets the eye
Tiago Lima Capela, Cátia Arieira, Sofia Xavier, Tiago Cúrdia Gonçalves, Pedro Boal Carvalho, Bruno Rosa, José Cotter
European Journal of Gastroenterology & Hepatology.2024; 36(9): 1087. CrossRef
Classification of endoscopic image and video frames using distance metric-based learning with interpolated latent features
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Multimedia Tools and Applications.2023; 82(23): 36577. CrossRef
Review: Colon Capsule Endoscopy in Inflammatory Bowel Disease
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Colon capsule endoscopy is a viable alternative to colonoscopy for the investigation of intermediate- and low-risk patients with gastrointestinal symptoms: results of a pilot study
Mohd Syafiq Ismail, Serhiy Semenov, Sandeep Sihag, Thilagaraj Manoharan, Atiyekeogbebe Rita Douglas, Phyllis Reill, Michael Kelly, Gerard Boran, Anthony O’Connor, Niall Breslin, Sarah O’Donnell, Barbara Ryan, Deirdre McNamara
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Original Articles

Efficacy and Safety of Etomidate in Comparison with Propofol or Midazolam as Sedative for Upper Gastrointestinal Endoscopy: Jae Hyun Kim, Sanghwan Byun, Youn Jung Choi, Hye Jung Kwon, Kyoungwon Jung, Sung Eun Kim, Moo In Park, Won Moon, Seun Ja Park; Clin Endosc 2020;53(5):555-561. Published online March 31, 2020; DOI: https://doi.org/10.5946/ce.2019.210

Abstract PDF PubReader ePub

Background
/Aims: In this study, we compared the efficacy and safety of etomidate with those of propofol or midazolam for the maintenance of sedation during endoscopy.
Methods
The study enrolled patients who underwent sedative endoscopy in our hospital and divided them into three groups. Patients in each group were administered midazolam as induction therapy and were subsequently administered either midazolam (M + M group), propofol (M + P group), or etomidate (M + E group) as maintenance medication. The primary outcome was overall cardiovascular and respiratory adverse events.
Results
In total, 105 patients who underwent sedative endoscopic examination were enrolled. The outcomes related to the procedure and sedation were not significantly different among the groups. Overall cardiovascular and respiratory adverse events were observed in 9 patients (25.7%) in the M + M group, 8 patients (23.5%) in the M + P group, and 10 patients (27.8%) in the M + E group. The logistic regression analysis revealed that etomidate use was not an independent risk factor for overall cardiovascular and respiratory adverse events.
Conclusions
The outcomes following the use of etomidate for maintenance after induction with midazolam for sedation in upper gastrointestinal endoscopy were not inferior to those following midazolam or propofol use from the perspectives of safety and efficacy.

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Comparison of ciprofol–alfentanil and propofol–alfentanil sedation during bidirectional endoscopy: A prospective, double-blind, randomised, controlled trial
Jiqiang Zhang, Ruijuan Liu, Ruirui Bi, Xia Li, Mengjun Xu, Lijuan Li, Yuxi su, Wenjun Yan
Digestive and Liver Disease.2024; 56(4): 663. CrossRef
Effects of Earmuffs and Eye Masks on Propofol Sedation during Spinal Anesthesia for Orthopedic Surgery: A Randomized Controlled Trial
Jin-Woo Park, Sung Il Bae, Jungyul Ryu, Seung Hyun Chung, Sang-Hwan Do
Journal of Clinical Medicine.2023; 12(3): 899. CrossRef
Effect of intravenous anesthesia by etomidate in combination with propofol on gastrointestinal endoscopy
Bo CHEN, Ke ZHANG, Mingshuai YU
Minerva Surgery.2023;[Epub] CrossRef
New sedatives and analgesic drugs for gastrointestinal endoscopic procedures
Jae Min Lee, Yehyun Park, Jin Myung Park, Hong Jun Park, Jun Yong Bae, Seung Young Seo, Jee Hyun Lee, Hyung Ku Chon, Jun-Won Chung, Hyun Ho Choi, Jun Kyu Lee, Byung-Wook Kim
Clinical Endoscopy.2022; 55(5): 581. CrossRef
Drugs used for sedation in gastrointestinal endoscopy
Jun Kyu Lee
Journal of the Korean Medical Association.2022; 65(11): 735. CrossRef
Comparative Safety Profiles of Sedatives Commonly Used in Clinical Practice: A 10-Year Nationwide Pharmacovigilance Study in Korea
Yeo-Jin Choi, Seung-Won Yang, Won-Gun Kwack, Jun-Kyu Lee, Tae-Hee Lee, Jae-Yong Jang, Eun-Kyoung Chung
Pharmaceuticals.2021; 14(8): 783. CrossRef
Physical and Chemical Compatibility of Etomidate and Propofol Injectable Emulsions
Chunling Wang, Shengnan Wang, Cuishuan Wu, Li Lei, Dong-Xin Wang, Qiang Zhang
Pharmacology.2021; 106(11-12): 644. CrossRef

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Comparison of Fentanyl versus Meperidine in Combination with Midazolam for Sedative Colonoscopy in Korea: Gwan Woo Hong, Jun Kyu Lee, Jung Hyeon Lee, Ji Hun Bong, Sung Hun Choi, Hyeki Cho, Ji Hyung Nam, Dong Kee Jang, Hyoun Woo Kang, Jae Hak Kim, Yun Jeong Lim, Moon Soo Koh, Jin Ho Lee; Clin Endosc 2020;53(5):562-567. Published online July 3, 2020; DOI: https://doi.org/10.5946/ce.2020.022

Abstract PDF PubReader ePub

Background
/Aims: Combination of midazolam and opioids is used widely for endoscopic sedation. Compared with meperidine, fentanyl is reportedly associated with rapid recovery, turnover rate of endoscopy room, and quality of endoscopy. We compared fentanyl with meperidine when combined with midazolam for sedative colonoscopy.
Methods
A retrospective, cross-sectional, 1:2 matching study was conducted. Induction and recovery time were compared as the primary outcomes. Moreover, cecal intubation time, withdrawal time, total procedure time of colonoscopy, paradoxical reaction, adenoma detection rate, and adverse effect of midazolam or opioids were assessed as the secondary outcomes.
Results
A total of 129 subjects (43 fentanyl vs. 86 meperidine) were included in the analysis. The fentanyl group showed significantly more rapid induction time (4.5±2.7 min vs. 7.5±4.7 min, p<0.001), but longer recovery time (59.5±25.6 min vs. 50.3±10.9 min, p=0.030) than the meperidine group. In multivariate analysis, the induction time of the fentanyl group was 3.40 min faster (p<0.001), but the recovery time was 6.38 min longer (p=0.046) than that of the meperidine group. There was no difference in withdrawal time and adenoma detection rate between the two groups.
Conclusions
The fentanyl group had more rapid sedation induction time but longer recovery time than the meperidine group.

Citations

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Efficacy and safety of EBUS‐TBNA under conscious sedation with meperidine and midazolam
Roberto Piro, Eleonora Casalini, Matteo Fontana, Carla Galeone, Patrizia Ruggiero, Sofia Taddei, Giulia Ghidoni, Giulia Patricelli, Nicola Facciolongo
Thoracic Cancer.2022; 13(4): 533. CrossRef
Propofol Alone versus Propofol in Combination with Midazolam for Sedative Endoscopy in Patients with Paradoxical Reactions to Midazolam
Ji Hyung Nam, Dong Kee Jang, Jun Kyu Lee, Hyoun Woo Kang, Byung-Wook Kim, Byung Ik Jang
Clinical Endoscopy.2022; 55(2): 234. CrossRef
Efficacy of Analgesic Propofol/Esketamine and Propofol/Fentanyl for Painless Induced Abortion: A Randomized Clinical Trial
Naixing Xin, Wei Yan, Shuangfen Jin, Min Tang
BioMed Research International.2022; 2022: 1. CrossRef
Endoscopist-Driven Sedation Practices in South Korea: Re-evaluation Considering the Nationwide Survey in 2019
Seon-Young Park, Jun Kyu Lee, Chang-Hwan Park, Byung-Wook Kim, Chang Kyun Lee, Hong Jun Park, Byung Ik Jang, Dong Uk Kim, Jin Myung Park, Jae Min Lee, Young Sin Cho, Hyung Ku Chon, Seung Young Seo, Woo Hyun Paik
Gut and Liver.2022; 16(6): 899. CrossRef
Drugs used for sedation in gastrointestinal endoscopy
Jun Kyu Lee
Journal of the Korean Medical Association.2022; 65(11): 735. CrossRef
Risk Factors for Prolonged Hospital Stay after Endoscopy
Toshihiro Nishizawa, Shuntaro Yoshida, Osamu Toyoshima, Tatsuya Matsuno, Masataka Irokawa, Toru Arano, Hirotoshi Ebinuma, Hidekazu Suzuki, Takanori Kanai, Kazuhiko Koike
Clinical Endoscopy.2021; 54(6): 851. CrossRef

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Comparison of Oral Sulfate Solution and Polyethylene Glycol Plus Ascorbic Acid on the Efficacy of Bowel Preparation: Ji Hyung Nam, Seok Bo Hong, Yun Jeong Lim, Seongju Lee, Hyoun Woo Kang, Jae Hak Kim, Jin Ho Lee; Clin Endosc 2020;53(5):568-574. Published online April 24, 2020; DOI: https://doi.org/10.5946/ce.2019.209

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Background
/Aims: The quality of bowel preparation is one of the quality indicators for colonoscopy. The aim of this study was to compare the efficacy of oral sulfate solution (OSS) and polyethylene glycol plus ascorbic acid (PEG-AA) for bowel preparation.
Methods
The study involved 167 patients who underwent diagnostic colonoscopies. Inadequate bowel preparation was defined as any score of ≤1 in each colon section based on the Boston Bowel Preparation Scale. Multivariate logistic regression was used to compare the efficacy of OSS and PEG-AA. Subgroup analyses were performed based on patient characteristics.
Results
Overall, 106 (63.5%) patients received OSS, and 61 (36.5%) patients received PEG-AA. The rate of inadequate bowel preparation was 12.3% in patients receiving OSS and 32.8% in patients receiving PEG-AA (p=0.001). OSS (odds ratio [OR] = 0.26; p=0.003) and morning examination (OR=0.11; p=0.038) were significantly associated with efficient bowel preparation. The efficacy of OSS compared with PEG-AA was only significant in patients ≥50 years of age vs. <50 years of age (OR=0.13; p=0.001 vs. OR=0.96; p=0.959) and female vs. male patients (OR=0.06; p=0.002 vs. OR=0.58; p=0.339).
Conclusions
OSS was significantly more efficient for bowel preparation than PEG-AA, especially in patients ≥50 years of age and female patients. Morning examination led to a good quality of bowel preparation, irrespective of the preparation regimen.

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Observation of the application effect of low-volume polyethylene glycol electrolyte lavage solution (PEG-ELS) combined with ascorbic acid tablets in bowel preparation for colonoscopy in hospitalized patients
Le-Can Wu, En-Dian Zheng, Hao-Yue Sun, Xi-Zhou Lin, Ju-Yi Pan, Xiao-Xiao Lin
Frontiers in Oncology.2023;[Epub] CrossRef
Comparison of the efficacy and safety of an oral sulfate solution and 3-L polyethylene glycol on bowel preparation before colonoscopy: a phase III multicenter randomized controlled trial
Peng Pan, Shengbing Zhao, Shuling Wang, Yihang Song, Lun Gu, Youxiang Chen, Jiangrong Zhao, Lungen Lu, Xiuling Li, Hongzhi Xu, Gaifang Liu, Yanqing Li, Le Xu, Jiangbin Wang, Zhaoshen Li, Yu Bai
Gastrointestinal Endoscopy.2023; 98(6): 977. CrossRef
Randomized trial of oral sulfate solution versus polyethylene glycol–ascorbic acid for bowel cleansing in elderly people
Seung‐Joo Nam, Sung Chul Park, Sung Joon Lee, Sang Hoon Lee, Ji Hyun Kim, Chang Seok Bang, Hyun Il Seo
Journal of Gastroenterology and Hepatology.2022; 37(2): 319. CrossRef
Comparison of 2 L Polyethylene Glycol Plus Ascorbic Acid and 4 L Polyethylene Glycol in Elderly Patients Aged 60–79: A Prospective Randomized Study
Sung Hoon Jung, Chul-Hyun Lim, Tae-Geun Gweon, Jinsu Kim, Jung Hwan Oh, Kyu-Tae Yoon, Jee Young An, Jeong‑Seon Ji, Hwang Choi
Digestive Diseases and Sciences.2022; 67(10): 4841. CrossRef
Oral sulfate solution benefits polyp and adenoma detection during colonoscopy: Meta‐analysis of randomized controlled trials
Cheng Chen, Mengyang Shi, Zhongli Liao, Weiqing Chen, Yongzhong Wu, Xu Tian
Digestive Endoscopy.2022; 34(6): 1121. CrossRef
Efficacy, safety and tolerability of oral sulphate tablet for bowel preparation in patients with inflammatory bowel disease: A multicentre randomized controlled study
Kyeong Ok Kim, Eun Young Kim, Yoo Jin Lee, Hyun Seok Lee, Eun Soo Kim, Yun Jin Chung, Byung Ik Jang, Sung Kook Kim, Chang Heon Yang
Journal of Crohn's and Colitis.2022; 16(11): 1706. CrossRef
How to Choose the Optimal Bowel Preparation Regimen for Colonoscopy
Ji Eun Na, Eun Ran Kim
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Oral Sulfate Solution is as Effective as 2 L Polyethylene Glycol Plus Ascorbic Acid
Sung Hyun Shin, Kwang An Kwon
Clinical Endoscopy.2020; 53(5): 503. CrossRef

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Reasons for Diagnostic Failure in Forty-Five Consecutive Mucosal Cutting Biopsy Examinations of Gastric Subepithelial Tumors: Yoshiko Nakano, Toshitatsu Takao, Yoshinori Morita, Shinwa Tanaka, Takashi Toyonaga, Eiji Umegaki, Yuzo Kodama; Clin Endosc 2020;53(5):575-582. Published online February 14, 2020; DOI: https://doi.org/10.5946/ce.2019.150

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Background
/Aims: Mucosal cutting biopsy (MCB) is useful for the histopathological diagnosis of gastric subepithelial tumors (SETs). However, there is little information on cases in which MCB did not establish a diagnosis. In the current study, we aimed to investigate the characteristics of cases in which MCB was unsuccessful.
Methods
Cases in which MCB was used to histopathologically diagnose gastric SETs at Kobe University Hospital between August 2012 and October 2018 were retrospectively reviewed.
Results
Forty-five cases in which MCB was used to diagnose 43 gastric SETs in 43 patients were analyzed. The median tumor size was 20 mm (range, 8–50 mm). Pathological examinations resulted in definitive and suspected diagnoses and no diagnosis in 29 (gastrointestinal stromal tumor: n=17, leiomyoma: n=7, aberrant pancreas: n=3, others: n=2), 6, and 10 cases, respectively. Failure to expose the tumor according to retrospective examinations of endoscopic images was significantly associated with no diagnosis. Other possible explanations included a less elevated tumor, biopsy of the surrounding field instead of the tumor due to the mobility, and poor endoscope maneuverability due to the tumor being close to the cardia.
Conclusions
Clear exposure of gastric SETs during MCB may improve the diagnostic rate of such examinations.

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Technical outcomes and postprocedural courses of mucosal incision‐assisted biopsy for possible gastric gastrointestinal stromal tumors: A series of 48 cases (with video)
Eriko Koizumi, Osamu Goto, Shun Nakagome, Tsugumi Habu, Yumiko Ishikawa, Kumiko Kirita, Hiroto Noda, Kazutoshi Higuchi, Takeshi Onda, Teppei Akimoto, Jun Omori, Naohiko Akimoto, Katsuhiko Iwakiri
DEN Open.2024;[Epub] CrossRef
Utility and advantage of the unroofing technique for gastrointestinal subepithelial tumors: A multicenter retrospective cohort study
Masashi Yamamoto, Tsutomu Nishida, Ryotaro Uema, Takashi Kanesaka, Hiroyuki Ogawa, Shinji Kitamura, Hideki Iijima, Kengo Nagai, Shusaku Tsutsui, Masato Komori, Katsumi Yamamoto, Yoshiki Tsujii, Yoshito Hayashi, Tetsuo Takehara
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Endoscopic ultrasound-guided bite-on-bite biopsy and endoscopic ultrasound-guided fine-needle aspiration in the diagnosis of gastric tumors with negative malignant endoscopy biopsies: a retrospective cohort study
Liang Min, Yan Jin, Jiefei Chen, Hongyi Zhu, Chengbai Liang, Liang Lv, Yongjun Wang, Deliang Liu, Yuqian Zhou, Yi Chu, Yuyong Tan
Minimally Invasive Therapy & Allied Technologies.2024; : 1. CrossRef
Systematic Endoscopic Approach for Diagnosing Gastric Subepithelial Tumors
Gwang Ha Kim
Gut and Liver.2022; 16(1): 19. CrossRef
The Diagnosis of Small Gastrointestinal Subepithelial Lesions by Endoscopic Ultrasound-Guided Fine Needle Aspiration and Biopsy
Masanari Sekine, Takeharu Asano, Hirosato Mashima
Diagnostics.2022; 12(4): 810. CrossRef
Advancements in the Diagnosis of Gastric Subepithelial Tumors
Osamu Goto, Mitsuru Kaise, Katsuhiko Iwakiri
Gut and Liver.2022; 16(3): 321. CrossRef
Mucosal Incision-Assisted Endoscopic Biopsy as an Alternative to Endoscopic Ultrasound-Guided Fine-Needle Aspiration/Biopsy for Gastric Subepithelial Tumor
Cheol Woong Choi, Joo Ha Hwang
Clinical Endoscopy.2020; 53(5): 505. CrossRef

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Endoscopic Ultrasound-Guided, Percutaneous, and Transjugular Liver Biopsy: A Comparative Systematic Review and Meta-Analysis: Thomas R. McCarty, Ahmad Najdat Bazarbashi, Basile Njei, Marvin Ryou, Harry R. Aslanian, Thiruvengadam Muniraj; Clin Endosc 2020;53(5):583-593. Published online September 29, 2020; DOI: https://doi.org/10.5946/ce.2019.211

Abstract PDF Supplementary Material PubReader ePub

Background
/Aims: Percutaneous liver biopsy (PCLB) or transjugular liver biopsy (TJLB) have traditionally been performed to obtain a sample of hepatic tissue; however, endoscopic ultrasound-guided liver biopsy (EUSLB) has become an attractive alternative. The aim of this study was to compare the efficacy and safety of EUSLB, PCLB, and TJLB.
Methods
Search strategies were developed in accordance with PRISMA and MOOSE guidelines. Major outcomes included the following: adequacy of biopsy specimens (i.e., complete portal triads [CPT], total specimen length [TSL] in mm, and length of longest piece [LLP]) in mm), and rate of adverse events. Only studies comparing all biopsy approaches (i.e., EUSLB, PCLB, and TJLB) were included.
Results
Five studies (EUSLB [n=301]; PCLB [n=176]; and TJLB [n=179]) were included. Biopsy cumulative adequacy rates for EUSLB, PCLB, and TJLB were 93.51%, 98.27%, and 97.61%, respectively. Based on the subgroup analysis limited to EUS biopsy needles in current clinical practice, there was no difference in biopsy adequacy or adverse events for EUSLB compared to PCLB and TJLB (all p>0.050). A comparison of EUSLB and PCLB revealed no difference between specimens regarding both CPT (p=0.079) and LLP (p=0.085); however, a longer TSL (p<0.001) was observed. Compared to TJLB, EUSLB showed no difference in LLP (p=0.351), fewer CPT (p=0.042), and longer TSL (p=0.005).
Conclusions
EUSLB appears to be a safe, minimally invasive procedure that is comparable to PCLB and TJLB regarding biopsy specimens obtained and rate of adverse events associated with each method.

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Achintya Dinesh Singh, Ahmad Najdat Bazarbashi, Christina C. Lindenmeyer
Clinical Liver Disease.2022; 20(6): 209. CrossRef
Feasibility and Safety of Transjugular Liver Biopsy for Japanese Patients with Chronic Liver Diseases
Makoto Iijima, Takahiro Arisaka, Akira Yamamiya, Keiichi Tominaga, Kazunori Nagashima, Akira Kanamori, Satoshi Masuyama, Yuichi Majima, Kenichi Goda, Kazuyuki Ishida, Atsushi Irisawa
Diagnostics.2021; 11(1): 131. CrossRef
Editors' Choice of Noteworthy Clinical Endoscopy Publications in the First Decade
Gwang Ha Kim, Kwang An Kwon, Do Hyun Park, Jimin Han
Clinical Endoscopy.2021; 54(5): 633. CrossRef
Role of Endoscopic Ultrasound in Liver Disease: Where Do We Stand?
Tajana Pavic, Ivana Mikolasevic, Dominik Kralj, Nina Blazevic, Anita Skrtic, Ivan Budimir, Ivan Lerotic, Davor Hrabar
Diagnostics.2021; 11(11): 2021. CrossRef

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Endoscopic Ultrasound-Guided Random Omental Fine Needle Aspiration: A Novel Technique for the Diagnosis of Peritoneal Carcinomatosis: Pradeep Kumar Siddappa, Neha Jain, Naveen K. Agarwal, Monika Jain, Gurwant Singh Lamba; Clin Endosc 2020;53(5):594-599. Published online September 29, 2020; DOI: https://doi.org/10.5946/ce.2019.175

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Background
/Aims: Diagnostic abdominal paracentesis has been described in literature to have variable sensitivity of 50%–75% for the detection of peritoneal carcinomatosis (PC). We believe that random needle aspirates from the omentum, even in the absence of obvious deposits by endoscopic ultrasound (EUS), could prove malignancy in patients with PC.
Methods
Consecutive patients who underwent EUS for diagnosis and staging of cancer and found to have ascites were included after obtaining informed consent. EUS-guided fine needle aspiration (EUS-FNA) from random sites in the omentum was performed through the transgastric route using a linear echoendoscope.
Results
Fifty-four patients underwent EUS during October 2015 to April 2017 for detection, staging, or FNA of a suspected malignant lesion. Ascites was seen in 17 patients and 15 patients who fulfilled the criteria were included. The procedure was successful in all patients. Cytology was suggestive of malignancy in 12 (80%) but not suggestive of malignancy in 3 (20%) patients. Three patients who tested negative had hyperbilirubinemia with biliary obstruction. Their ascitic fluid analysis result was also negative.
Conclusions
Random FNA of the omentum in patients with malignancy-related ascites is highly effective in the diagnosis of PC and could be employed during EUS evaluation of malignancies.

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Role of Endoscopic Ultrasound in Diagnosis of Pancreatic Ductal Adenocarcinoma
Abhirup Chatterjee, Jimil Shah
Diagnostics.2023; 14(1): 78. CrossRef

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Endoscopic Ultrasound Fine-Needle Aspiration versus Fine-Needle Biopsy for Lymph Node Diagnosis: A Large Multicenter Comparative Analysis: Diogo Turiani Hourneaux de Moura, Thomas R. McCarty, Pichamol Jirapinyo, Igor Braga Ribeiro, Galileu Ferreira Ayala Farias, Marvin Ryou, Linda S. Lee, Christopher C. Thompson; Clin Endosc 2020;53(5):600-610. Published online December 3, 2019; DOI: https://doi.org/10.5946/ce.2019.170

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Background
/Aims: Endoscopic ultrasound fine-needle aspiration (EUS-FNA) is preferred for sampling of lymph nodes (LNs) adjacent to the gastrointestinal wall; however, fine-needle biopsy (FNB) may provide improved diagnostic outcomes. This study aimed to evaluate the comparative efficacy and safety of FNA versus FNB for LN sampling.
Methods
This was a multicenter retrospective study of prospectively collected data to evaluate outcomes of EUS-FNA and EUS-FNB for LN sampling. Characteristics analyzed included sensitivity, specificity, accuracy, the number of needle passes, diagnostic adequacy of rapid on-site evaluation (ROSE), cell-block analysis, and adverse events.
Results
A total of 209 patients underwent EUS-guided LN sampling. The mean lesion size was 16.22±8.03 mm, with similar sensitivity and accuracy between FNA and FNB ([67.21% vs. 75.00%, respectively, p=0.216] and [78.80% vs. 83.17%, respectively, p=0.423]). The specificity of FNB was better than that of FNA (100.00% vs. 93.62%, p=0.01). The number of passes required for diagnosis was not different. Abdominal and peri-hepatic LN location demonstrated FNB to have a higher sensitivity (81.08% vs. 64.71%, p=0.031 and 80.95% vs. 58.33%, p=0.023) and accuracy (88.14% vs. 75.29%, p=0.053 and 88.89% vs. 70.49%, p=0.038), respectively. ROSE was a significant predictor for accuracy (odds ratio, 5.16; 95% confidence interval, 1.15–23.08; p=0.032). No adverse events were reported in either cohort.
Conclusions
Both EUS-FNA and EUS-FNB are safe for the diagnosis of LNs. EUS-FNB is preferred for abdominal LN sampling. EUSFNA+ ROSE was similar to EUS-FNB alone, showing better diagnosis for EUS-FNB than traditional FNA. While ROSE remained a significant predictor for accuracy, due to its poor availability in most centers, its use may be limited to cases with previous inconclusive diagnoses.

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Shinpei Doi, Takako Adachi, Ayako Watanabe, Nobuhiro Katsukura, Takayuki Tsujikawa
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Taha Yaseen, Abbas Ali Tasneem, Syed Mudassir Laeeq, Zain Majid, Nasir Hassan Luck
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Choosing needles wisely: 19-G conventional vs. Franseen needles in endoscopic ultrasound-guided fine-needle aspiration for malignant lymphoma diagnosis and classification
Kajornvit Raghareutai, Worapoth Yingyongthawat, Nonthalee Pausawasdi
Clinical Endoscopy.2024; 57(4): 473. CrossRef
Lymphadenopathy Tissue Sampling by EUS-Guided Fine-Needle Biopsy Contributes to Meeting the Conditions for Genomic Profiling
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Hafiz Irfan Mushtaq, Fariha Shams, Shafqat Rasool, Ghias Ul Hassan, Sadia Jabbar, Farwa Javed, Sidra Rasheed, Akif Dlishad, Ghias Un Nabi Tayyab
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Flaminia Bellisario, Fabia Attili, Fabrizia Campana, Federica Borrelli de Andreis, Silvia Bellesi, Elena Maiolo, Eleonora Alma, Rosalia Malafronte, Giuseppe Macis, Luigi Maria Larocca, Salvatore Annunziata, Francesco D’Alò, Stefan Hohaus
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Comparison of Fine-Needle Biopsy (FNB) versus Fine-Needle Aspiration (FNA) Combined with Flow Cytometry in the Diagnosis of Deep-Seated Lymphoma
Yilei Yang, Aruna, Bin Cheng, Dingkun Xiong, Dong Kuang, Haochen Cui, Si Xiong, Xia Mao, Yunlu Feng, Yuchong Zhao
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Comparing the diagnostic adequacy of 25-Gauge fork-tip versus franseen versus reverse-bevel-type needles in EUS–guided tissue acquisition: A prospective randomized study with a retrospective control
Adam Haig, Andrew St John, Kasturi Vaska, Xuan Banh, Alexander Huelsen
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Managing adverse events after endoscopic ultrasound‐guided drainage of the biliary tract and pancreatic fluid collections: Narrative review (with video)
Mateus Pereira Funari, Igor Braga Ribeiro, Marcos Eduardo Lera dos Santos, Sergio Eiji Matuguma, Eduardo Guimarães Hourneaux de Moura
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Primary Pancreatic Lymphoma Evaluated by Fine-Needle Aspiration
Qiong Gan, Nancy P Caraway, Cady Ding, John M Stewart
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Aya Kato, Takahisa Mashiba, Yoshinori Tateishi, Rentaro Oda, Hiraku Funakoshi, Keiichi Iwanami, Yasuaki Motomura
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Linbin Chen, Yin Li, Xiaoyan Gao, Shiyong Lin, Longjun He, Guangyu Luo, Jianjun Li, Chunyu Huang, Guobao Wang, Qing Yang, Hongbo Shan
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Epifânio Silvino do Monte Junior, Dalton Marques Chaves, Christiano Makoto Sakai, Gustavo de Oliveira Luz, Igor Braga Ribeiro, Vitor Massaro Takamatsu Sagae, Eduardo Guimarães Hourneaux de Moura
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Shujun Xia, Yilai Chen, Weiwei Zhan, Wei Zhou
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Irving Levine, Arvind J Trindade
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Per Hedenström, Vasilis Chatzikyriakos, Roozbeh Shams, Catarina Lewerin, Riadh Sadik
Clinical Endoscopy.2021; 54(5): 722. CrossRef
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Case Reports

Acute Pancreatitis: A Rare Post-Colonoscopy Sequela: Sujit P. Nair, Prasanta Debnath, Suhas Udgirkar, Parmeshwar Junare, Sanjay Chandnani, Shubham Jain, Vinay B. Pawar, Pravin M. Rathi; Clin Endosc 2020;53(5):611-614. Published online February 12, 2020; DOI: https://doi.org/10.5946/ce.2019.151

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Abdominal pain is a common but benign symptom after colonoscopy. We report a case of acute pancreatitis that occurred just after an elective screening colonoscopy; this is a rare event with very few reported cases. A healthy, asymptomatic male underwent screening colonoscopy at our center and developed abdominal pain and emesis after the procedure. An abdominal X-ray ruled out perforation but laboratory tests revealed elevated levels of amylase and lipase. The patient had no etiological risk factors for pancreatitis. The presumed mechanism of pancreatitis in this case is mechanical and pressure trauma from excessive insufflation, external abdominal pressure, and repeated withdrawal of the colonoscope due to tight angulation of the splenic flexure, a structure that is in close proximity to the pancreatic tail. Acute pancreatitis should be considered in the differential diagnosis of patients who present with abdominal pain after colonoscopy once more common etiologies have been excluded.

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Aggravated pancreatitis after performing a colonoscopy
Han‐Lin Liao, Tyng‐Yuan Jang
Advances in Digestive Medicine.2024;[Epub] CrossRef
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Saima H Shawl, Usama Bilal, Chandra Essar Mal, Veera Durga Vaishnavi Kurra, Romil Singh
Cureus.2022;[Epub] CrossRef
CT imaging findings of complications of optical colonoscopy
Abhishek Keraliya, Hei Shun Yu, Jennifer W. Uyeda
Emergency Radiology.2022; 29(5): 915. CrossRef

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An Unusual Presentation of a Solid Pseudopapillary Tumor of the Pancreas Mimicking Adenocarcinoma: Hyung Ku Chon, Keum Ha Choi, Tae Hyeon Kim; Clin Endosc 2020;53(5):615-619. Published online November 22, 2019; DOI: https://doi.org/10.5946/ce.2019.158

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Solid pseudopapillary tumors of the pancreas are rare and typically occur in young women. Compared with pancreatic adenocarcinoma, solid pseudopapillary tumors are characterized by notable indolent biological behavior associated with a favorable prognosis. Despite their large size, these tumors rarely metastasize. Even in cases of hepatic metastasis, most lesions are usually solitary in distribution and are amenable to resection. We report a case of a 55-year-old man with a small solid pseudopapillary tumor (≤3-cm diameter) mimicking a pancreatic adenocarcinoma, with multiple hepatic metastases. The diagnosis was confirmed by endoscopic ultrasound-guided fine-needle biopsy using a 22-G core needle. Unfortunately, rapid tumor progression led to patient mortality 5 months after diagnosis. To our knowledge, this is the first case report that describes a small solid pseudopapillary tumor of the pancreas with multiple hepatic metastasis and poor prognosis in a patient who was diagnosed with this condition at the time of initial diagnosis.

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Rare case of solid pseudopapillary neoplasm of the pancreas with liver and splenic metastasis in a 19-year-old girl
Chi-Chi Chen, Ting-Yuan Feng, Hsiang-Chun Jan, Shaw-Jiun Chou, Tzu-Hung Chen, Sheng-Chun Wang
International Journal of Surgery Case Reports.2024; 120: 109867. CrossRef
Large Solid Pseudopapillary Tumor Pancreas with Extensive Splenoportal Thrombosis and Malignant Transformation—A Rare Entity
Thara Pratap, Dhanya Jacob, Abhishek Yadav, Muhammed Jasim Abdul Jalal, Iona Leekha Mathew
Journal of Gastrointestinal and Abdominal Radiology.2022; 05(03): 196. CrossRef
Aggressive solid pseudopapillary tumor of the pancreas. (Literature review and case report)
D.V. Sidorov, N.A. Grishin, M.V. Lozhkin, N.N. Volchenko, Kh.S. Kosumova, A.A. Troitskii, I.V. Stepanyuk, S.A. Bykasov, R.I. Moshurov
Onkologiya. Zhurnal imeni P.A.Gertsena.2022; 11(2): 52. CrossRef

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Brief Reports

Redesigning the Landscape for Women and Leadership: Insights Gained from the Covid-19 Pandemic. On Behalf of Women in Gastroenterology Network Asia Pacific (WIGNAP) and Women in Endoscopy (WIE): Lubna Kamani, Nonthalee Pausawasdi, Jeanin E.Van Hooft, Amrita Sethi, Sharmila Sachithanandan; Clin Endosc 2020;53(5):620-622. Published online September 29, 2020; DOI: https://doi.org/10.5946/ce.2020.202

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The Emerging Leaders Committee: Turning a new page for APAGE to nurture the next generation of Asia‐Pacific leaders in digestive health
Rashid N. Lui, Ting Ting Chan, Tanyaporn Chantarojanasiri, Mu‐Ming Chien, Viet‐Hang Dao, Jalpa Devi, Daniel Q. Huang, Eun‐Hyo Jin, Tsevelnorov Khurelbaatar, Zaheer Nabi, Koji Otani, Mara Teresa T. Panlilio, Sang Hyoung Park, Rabbinu Rangga Pribadi, Yuqi Q
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A Survey of Peri-Colonoscopy Management of Anti-Diabetic Medications: Byeori Lee, Deepanshu Jain, Michael Rajala; Clin Endosc 2020;53(5):623-626. Published online April 28, 2020; DOI: https://doi.org/10.5946/ce.2020.021

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Peri-colonoscopy Implications of Sodium-Glucose Cotransporter-2 Inhibitor Therapy: A Mini-review of Available Evidence
Venkatesan Thiruvenkatarajan, Joshua M. Inglis, Emily Meyer, Mahesh M. Umapathysivam, Nagesh Nanjappa, Roelof Van Wijk, David Jesudason
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Boost Your Learning with Quiz

Pancreatic Tail Mass: A Diagnostic Challenge: Jimin Han; Clin Endosc 2020;53(5):627-628. Published online September 29, 2020; DOI: https://doi.org/10.5946/ce.2020.224

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