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Volume 54(5); September 2021
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Commentarys
Issues to be Considered for Learning Curve for Peroral Endoscopic Myotomy
Hironari Shiwaku, Haruhiro Inoue
Clin Endosc 2021;54(5):625-626.   Published online September 15, 2021
DOI: https://doi.org/10.5946/ce.2021.217
PDFPubReaderePub

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  • Therapieoptionen von primären Motilitätsstörungen des Ösophagus
    Ulrike W. Denzer, Michaela Müller, Nicole Kreuser, René Thieme, Albrecht Hoffmeister, Juergen Feisthammel, Stefan Niebisch, Ines Gockel
    Zeitschrift für Gastroenterologie.2023; 61(02): 183.     CrossRef
  • When is POEM truly equivalent to LHM? A comparison of complication rates during the learning curve
    Wei Jin Wong, Nik Arsyad Nik Muhamad Affendi, Sze Li Siow, Hans Alexander Mahendran, Peng Choong Lau, Shiaw Hooi Ho, Sanjiv Mahadeva
    Surgical Endoscopy.2023; 37(3): 1735.     CrossRef
  • Learning curve for peroral endoscopic myotomy in therapeutic endoscopy experts and nonexperts: Large single‐center experience
    Yusuke Fujiyoshi, Haruhiro Inoue, Mary Raina Angeli Fujiyoshi, Enrique Rodriguez de Santiago, Yohei Nishikawa, Akiko Toshimori, Mayo Tanabe, Yuto Shimamura, Kazuya Sumi, Masashi Ono, Hironari Shiwaku, Haruo Ikeda, Manabu Onimaru
    Digestive Endoscopy.2023; 35(3): 323.     CrossRef
  • Therapieoptionen von primären Motilitätsstörungen des Ösophagus
    Ulrike Denzer, Michaela Müller, Nicole Kreuser, René Thieme, Albrecht Hoffmeister, Juergen Feisthammel, Stefan Niebisch, Ines Gockel
    Laryngo-Rhino-Otologie.2023; 102(11): 824.     CrossRef
  • 3,364 View
  • 68 Download
  • 4 Web of Science
  • 4 Crossref
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Submucosal Epinephrine Injection Before Endoscopic Papillectomy: Less is More?
Roy L.J. van Wanrooij, Jeanin E. van Hooft
Clin Endosc 2021;54(5):627-628.   Published online August 24, 2021
DOI: https://doi.org/10.5946/ce.2021.173
PDFPubReaderePub

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Citations to this article as recorded by  
  • The usefulness of traction-assisted endoscopic papillectomy for ampullary early tumors(with video)
    Jiao Xie, Donggui Hong, Chuanshen Jiang, Longping Chen, Dazhou Li, Wen Wang
    Scandinavian Journal of Gastroenterology.2024; 59(4): 489.     CrossRef
  • Endoscopic papillectomy for ampullary lesions of minor papilla
    Kien Vu Trung, Christian Heise, Einas Abou-Ali, Francesco Auriemma, Elias Karam, Sophia E. van der Wiel, Marco J. Bruno, Fabrice Caillol, Marc Giovannini, Viliam Masaryk, Uwe Will, Andrea Anderloni, Enrique Pérez-Cuadrado-Robles, Ana Dugic, Benjamin Meier
    Gastrointestinal Endoscopy.2024; 99(4): 587.     CrossRef
  • Endoscopic papillectomy for ampullary lesions in patients with familial adenomatous polyposis compared with sporadic lesions: a propensity score-matched cohort
    Kien Vu Trung, Einas Abou-Ali, Fabrice Caillol, Woo H. Paik, Bertrand Napoleon, Viliam Masaryk, Sophia E. van der Wiel, Enrique Pérez-Cuadrado-Robles, Nicolas Musquer, Asif Halimi, Kevin Soares, Francois R. Souche, Steffen Seyfried, Maria C. Petrone, Stef
    Endoscopy.2023; 55(08): 709.     CrossRef
  • 3,149 View
  • 86 Download
  • 3 Web of Science
  • 3 Crossref
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Endoscopic Biliary Drainage for Hilar Obstruction: Further Evidence But Still A Long Way To Go
Yousuke Nakai
Clin Endosc 2021;54(5):629-630.   Published online June 23, 2021
DOI: https://doi.org/10.5946/ce.2021.158
PDFPubReaderePub

Citations

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  • Loop technique for guidewire manipulation during endoscopic ultrasound‐guided hepaticogastrostomy
    Haruo Miwa, Kazuya Sugimori, Yuto Matsuoka, Kazuki Endo, Ritsuko Oishi, Masaki Nishimura, Yuichiro Tozuka, Takashi Kaneko, Kazushi Numata, Shin Maeda
    JGH Open.2023; 7(5): 358.     CrossRef
  • 3,136 View
  • 83 Download
  • 1 Web of Science
  • 1 Crossref
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Special Article: Celebrating the 10th Anniversarys of Clinical Endoscopy
10th Anniversary of Clinical Endoscopy
Eun Young Kim
Clin Endosc 2021;54(5):631-632.   Published online September 3, 2021
DOI: https://doi.org/10.5946/ce.2021.220
PDFPubReaderePub
  • 2,532 View
  • 58 Download
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Editors' Choice of Noteworthy Clinical Endoscopy Publications in the First Decade
Gwang Ha Kim, Kwang An Kwon, Do Hyun Park, Jimin Han
Clin Endosc 2021;54(5):633-640.   Published online September 13, 2021
DOI: https://doi.org/10.5946/ce.2021.216
AbstractAbstract PDFPubReaderePub
This is a special review to celebrate the 10th anniversary of Clinical Endoscopy. Each deputy editor has selected articles from one’s subspecialty that are significant in terms of the number of downloads, citations, and clinical importance. The articles included original articles, review articles, systematic reviews, and meta-analyses.
  • 3,001 View
  • 74 Download
  • 1 Web of Science
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Document Network and Conceptual and Social Structures of Clinical Endoscopy from 2015 to July 2021 Based on the Web of Science Core Collection: A Bibliometric Study
Sun Huh
Clin Endosc 2021;54(5):641-650.   Published online September 30, 2021
DOI: https://doi.org/10.5946/ce.2021.207
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background
/Aims: The present study investigated the relevance and network of institutions, keywords, and authors’ countries of the articles in Clinical Endoscopy published from 2015 to May 2021 based on the Web of Science Core Collection.
Methods
The Web of Science Core Collection was searched with the term Clinical Endoscopy as the publication title on July 12, 2021. All 776 citations published from 2015 to May 2021 and 2,964 articles citing those 776 articles were analyzed using Biblioshiny.
Results
The corresponding authors were from 73 countries. Document coupling showed that the colorectal cancer-colonoscopyrandomized controlled trial cluster had the most significant impact and highest centrality. There were 442 articles with corresponding authors from Korea (57.0%). The number of collaborative works by Korean authors with the authors of other countries was 33 (7.5%). The articles were cited 2,964 times by corresponding authors from 37 countries.
Conclusions
The above results show that Clinical Endoscopy has published several studies on gastrointestinal endoscopy. A large proportion of citations (84.7 %) were from outside Korea, indicating that the journal content is useful for global physicians. Collaborative work between authors from Korea and other countries should be encouraged to promote the journal.

Citations

Citations to this article as recorded by  
  • Research Progress in Land Consolidation and Rural Revitalization: Current Status, Characteristics, Regional Differences, and Evolution Laws
    Shuchang Li, Wei Song
    Land.2023; 12(1): 210.     CrossRef
  • Journal metrics, document network, and conceptual and social structures of the Korean Journal of Anesthesiology from 2017 to July 2022: a bibliometric study
    Sun Huh
    Korean Journal of Anesthesiology.2023; 76(1): 3.     CrossRef
  • Promotion to Top-Tier Journal and Development Strategy of the Annals of Laboratory Medicine for Strengthening its Leadership in the Medical Laboratory Technology Category: A Bibliometric Study
    Sun Huh
    Annals of Laboratory Medicine.2022; 42(3): 321.     CrossRef
  • Research trends on endoscopic mucosal resection: A bibliometric analysis from 1991 to 2021
    Yihan Yang, Xuan Xu, Menghui Wang, Yang Zhang, Pinglang Zhou, Sifan Yang, Xu Shu, Chuan Xie
    Frontiers in Surgery.2022;[Epub]     CrossRef
  • Riesgo de sangrado gastrointestinal por uso de anticoagulantes directos orales: ¿cuál es más seguro?
    Ivan David Lozada Martinez, Luis Carlos Solano Díaz, Marcela Barbosa Pérez, Víctor Andrés Rueda Oviedo, Brainerd Lenin Caicedo Moncada, Gustavo Andrés Diaz Cruz, Adriana cristina Ceballos Espitia, David Esteban Diaz Gómez, Daiana Andrea Rojas Ramí
    Revista Cuarzo.2022; 28(2): 31.     CrossRef
  • 3,700 View
  • 63 Download
  • 4 Web of Science
  • 5 Crossref
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Reviews
Technical Review of Developments in Endoscopic Ultrasound-Guided Hepaticogastrostomy
Takeshi Ogura, Kazuhide Higuchi
Clin Endosc 2021;54(5):651-659.   Published online April 26, 2021
DOI: https://doi.org/10.5946/ce.2021.020-KDDW
AbstractAbstract PDFPubReaderePub
Endoscopic ultrasound-guided biliary drainage has been developed as an alternative method for biliary drainage. EUS-guided hepaticogastrostomy (EUS-HGS) can be attempted via the trans-gastric route. These procedures are technically complex for two reasons. First, puncture of the intrahepatic bile duct via the trans-gastric route can be more difficult than that by other approaches because of the small diameter of the target site, and guidewire insertion or manipulation is challenging during EUS-HGS. Second, critical adverse events, such as stent migration into the abdominal cavity, could occur because of the greater mobility of the stomach compared to the duodenum. Therefore, endoscopists should be cautious when performing EUS-HGS. An advantage of EUS-HGS is that it can be performed in patients with complications such as duodenal bulb obstruction or surgically altered anatomy. Recent advances in technique and improvements in devices and stents for EUS-HGS have shown promise for improving the technical success rate of EUS-HGS and reducing the rate of adverse events. However, endoscopists should remain aware of the possibility of critical adverse events such as stent migration.

Citations

Citations to this article as recorded by  
  • Propensity score matching analysis for clinical impact of braided-type versus laser-cut-type covered self-expandable metal stents for endoscopic ultrasound-guided hepaticogastrostomy
    Mitsuki Tomita, Takeshi Ogura, Akitoshi Hakoda, Saori Ueno, Atsushi Okuda, Nobu Nishioka, Yoshitaro Yamamoto, Hiroki Nishikawa
    Hepatobiliary & Pancreatic Diseases International.2024; 23(2): 181.     CrossRef
  • Usefulness of endoscopic ultrasound‐guided transhepatic biliary drainage with a 22‐gauge fine‐needle aspiration needle and 0.018‐inch guidewire in the procedure's induction phase
    Kei Yane, Masahiro Yoshida, Takayuki Imagawa, Kotaro Morita, Hideyuki Ihara, Kota Hanada, Sota Hirokawa, Yusuke Tomita, Takeyoshi Minagawa, Yutaka Okagawa, Tetsuya Sumiyoshi, Michiaki Hirayama, Hitoshi Kondo
    DEN Open.2024;[Epub]     CrossRef
  • EUS-guided hepaticogastrostomy versus EUS-guided hepaticogastrostomy with antegrade stent placement in patients with unresectable malignant distal biliary obstruction: a propensity score–matched case-control study
    Hirotoshi Ishiwatari, Takeshi Ogura, Susumu Hijioka, Takuji Iwashita, Saburo Matsubara, Kazuma Ishikawa, Fumitaka Niiya, Junya Sato, Atsushi Okuda, Saori Ueno, Yoshikuni Nagashio, Yuta Maruki, Shinya Uemura, Akifumi Notsu
    Gastrointestinal Endoscopy.2024; 100(1): 66.     CrossRef
  • Stent Deployment Without Tract Dilation in Endoscopic Ultrasound-Guided Hepaticogastrostomy Using a Novel Partially Covered Metal Stent With a Super-Slim Stent Delivery System: A Case Report
    Koji Takahashi, Hiroshi Ohyama, Izumi Ohno, Naoya Kato
    Cureus.2024;[Epub]     CrossRef
  • TOKYO criteria 2024 for the assessment of clinical outcomes of endoscopic biliary drainage
    Hiroyuki Isayama, Tsuyoshi Hamada, Toshio Fujisawa, Mitsuharu Fukasawa, Kazuo Hara, Atsushi Irisawa, Shigeto Ishii, Ken Ito, Takao Itoi, Yoshihide Kanno, Akio Katanuma, Hironari Kato, Hiroshi Kawakami, Hirofumi Kawamoto, Masayuki Kitano, Hirofumi Kogure,
    Digestive Endoscopy.2024;[Epub]     CrossRef
  • One-step technique for endoscopic ultrasound-guided hepaticogastrostomy using a partially covered metal stent for superficial bile duct access
    Takeshi Ogura, Yuki Uba, Nobuhiro Hattori, Kimi Bessho, Hiroki Nishikawa
    Endoscopy.2024; 56(S 01): E665.     CrossRef
  • Endoscopic ultrasound-guided hepaticogastrostomy for patients with frequent respiratory fluctuations using a novel hybrid guidewire to prevent guidewire shearing
    Takeshi Ogura, Yuki Uba, Nobuhiro Hattori, Jun Matsuno, Hiroki Nishikawa
    Endoscopy.2024; 56(S 01): E743.     CrossRef
  • Technique tips for fitting alignment of puncture route during EUS-guided hepaticogastrostomy (with video)
    Takeshi Ogura, Kimi Bessho, Nobihiro Hattori, Yuki Uba, Hiroki Nishikawa
    Endoscopic Ultrasound.2024; 13(4): 276.     CrossRef
  • Efficacy of a dedicated plastic stent in endoscopic ultrasound-guided hepaticogastrostomy during the learning curve: cumulative multi-center experience
    Koh Kitagawa, Akira Mitoro, Ryuki Minami, Shinsaku Nagamatsu, Takahiro Ozutsumi, Yukihisa Fujinaga, Norihisa Nishimura, Yasuhiko Sawada, Tadashi Namisaki, Takemi Akahane, Kosuke Kaji, Fumimasa Tomooka, Shohei Asada, Miki Kaneko, Hitoshi Yoshiji
    Scandinavian Journal of Gastroenterology.2023; 58(3): 296.     CrossRef
  • Removal of a small pancreatic stone in thin main pancreatic duct using an ultrafine balloon catheter (with video)
    Saburo Matsubara, Keito Nakagawa, Kentaro Suda, Takeshi Otsuka, Masashi Oka, Sumiko Nagoshi
    Journal of Hepato-Biliary-Pancreatic Sciences.2023;[Epub]     CrossRef
  • Drainage of Afferent Limb Obstruction via the Trans-gastric-bile Duct Formed after Endoscopic Ultrasound-guided Hepaticogastrostomy in a Patient with Pancreatic Cancer
    Masatoshi Mabuchi, Seiji Adachi, Yukari Uno, Hironori Nakamura, Makoto Shimazaki, Shinji Nishiwaki, Iwao Kumazawa, Takuji Iwashita, Masahito Shimizu
    Internal Medicine.2023; 62(16): 2355.     CrossRef
  • Clinical feasibility of endoscopic ultrasound‐guided biliary drainage for preoperative management of malignant biliary obstruction (with videos)
    Shuntaro Mukai, Takao Itoi, Takayoshi Tsuchiya, Kentaro Ishii, Ryosuke Tonozuka, Yuichi Nagakawa, Shingo Kozono, Chie Takishita, Hiroaki Osakabe, Atsushi Sofuni
    Journal of Hepato-Biliary-Pancreatic Sciences.2023; 30(7): 983.     CrossRef
  • A retrospective multicenter study comparing the punctures to B2 and B3 in endoscopic ultrasound–guided hepaticogastrostomy
    Masanari Sekine, Yusuke Hashimoto, Taro Shibuki, Kei Okumura, Ikuhiro Kobori, Aki Miyagaki, Yoshihiro Sasaki, Yuichi Takano, Keita Matsumoto, Hirosato Mashima
    DEN Open.2023;[Epub]     CrossRef
  • Stent‐in‐stent technique in a case of difficult removal of a EUS‐guided hepaticogastrostomy partially covered metal stent due to mucosal hyperplasia (with video)
    Takeshi Ogura, Yuki Uba, Hiroki Nishikawa
    Journal of Hepato-Biliary-Pancreatic Sciences.2023; 30(10): 1188.     CrossRef
  • Loop technique for guidewire manipulation during endoscopic ultrasound‐guided hepaticogastrostomy
    Haruo Miwa, Kazuya Sugimori, Yuto Matsuoka, Kazuki Endo, Ritsuko Oishi, Masaki Nishimura, Yuichiro Tozuka, Takashi Kaneko, Kazushi Numata, Shin Maeda
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  • Guidewire malposition outside the bile duct during endoscopic ultrasound-guided hepaticogastrostomy
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  • EUS–guided transhepatic metal stent deployment technique without tract dilation using a 0.018-inch guidewire (with video)
    Takeshi Ogura, Jyunichi Kawai, Kyohei Nishiguchi, Yoshitaro Yamamoto, Kazuhide Higuchi
    Endoscopic Ultrasound.2023; 12(5): 431.     CrossRef
  • The writing on the wall: self-expandable stents for endoscopic ultrasound-guided hepaticogastrostomy?
    Hyung Ku Chon, Shayan Irani, Tae Hyeon Kim
    Clinical Endoscopy.2023; 56(6): 741.     CrossRef
  • Rescue technique after endoscopic ultrasound-guided hepaticogastrostomy stent dislocation
    Takeshi Ogura, Taro Iwatsubo, Atsushi Okuda, Saori Ueno, Hiroki Nishikawa
    Endoscopy.2023; 55(S 01): E1236.     CrossRef
  • Simplified single-session EUS-guided transhepatic antegrade stone removal for management of choledocholithiasis in patients with surgically altered anatomy
    Tingting Yu, Suning Hou, Haiming Du, Wei Zhang, Jiao Tian, Yankun Hou, Jun Yao, Senlin Hou, Lichao Zhang
    Gastroenterology Report.2023;[Epub]     CrossRef
  • Endoscopic ultrasound-guided hepaticogastrostomy using a novel drill dilator
    Masanori Yamada, Kazuo Hara, Shin Haba, Nobumasa Mizuno, Takamichi Kuwahara, Nozomi Okuno, Yasuhiro Kuraishi
    Endoscopy.2022; 54(S 02): E856.     CrossRef
  • Successful endoscopic treatment of huge infected biloma and hepatic abscess after endoscopic ultrasound-guided hepaticogastrostomy with brain abscess
    Koji Takahashi, Hiroshi Ohyama, Hiroki Nagashima, Yotaro Iino, Yuko Kusakabe, Kohichiroh Okitsu, Izumi Ohno, Yuichi Takiguchi, Naoya Kato
    Clinical Journal of Gastroenterology.2022; 15(5): 988.     CrossRef
  • Prevention of Serious Complications during Endoscopic Ultrasound-Guided Biliary Drainage: A Case-Based Technical Review
    Surinder Singh Rana, Jimil Shah, Harish Bhujade, Ujjwal Gorsi, Mandeep Kang, Rajesh Gupta
    Journal of Digestive Endoscopy.2022; 13(02): 082.     CrossRef
  • Endoscopic salvage therapy after failed biliary cannulation using advanced techniques: A concise review
    Yung-Kuan Tsou, Kuang-Tse Pan, Mu Hsien Lee, Cheng-Hui Lin
    World Journal of Gastroenterology.2022; 28(29): 3803.     CrossRef
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    Mamoru Takenaka, Masatoshi Kudo
    Clinical Endoscopy.2022; 55(5): 605.     CrossRef
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    Gunn Huh, Tae Jun Song
    The Korean Journal of Pancreas and Biliary Tract.2021; 26(4): 248.     CrossRef
  • 5,593 View
  • 305 Download
  • 27 Web of Science
  • 29 Crossref
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Cracking Difficult Biliary Stones
Phonthep Angsuwatcharakon, Rungsun Rerknimitr
Clin Endosc 2021;54(5):660-668.   Published online March 16, 2021
DOI: https://doi.org/10.5946/ce.2020.256-IDEN
AbstractAbstract PDFPubReaderePub
Apart from difficult biliary cannulation, biliary stone removal is considered one of the hurdles in endoscopic retrograde cholangiopancreatography. Generally, simple common bile duct (CBD) stones can be removed either with an extraction balloon or a basket. However, there are difficult stones that cannot be removed using these standard methods. The most difficult stones are large CBD stones and impacted stones in a tapering CBD. A few decades ago, mechanical lithotripsy was usually required to manage these stones. At present, endoscopic papillary large balloon dilation (EPLBD) of the biliary orifice has become the gold standard for large CBD stones up to 1.5 cm. EPLBD can reduce the procedural time by shortening the stone removal process. It can also save the cost of the devices, especially multiple baskets, used in mechanical lithotripsy. Unfortunately, very large CBD stones, stones impacted in a tapering CBD, and some intrahepatic duct stones still require lithotripsy. Peroral cholangioscopy provides direct visualization of the stone, which helps the endoscopist perform a probe-based lithotripsy either with an electrohydraulic probe or a laser probe. This technique can facilitate the management of difficult CBD stones with a high success rate and save procedural time without significant technical complications.

Citations

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  • Cholangioscopy as a rescue for a post-cholecystectomy adherent stone formed around a migrated surgical clip in the common bile duct
    Chukwunonso Ezeani, Samuel O. Igbinedion, Kwabena Asafo-Agyei, Erik A. Holzwanger, Sultan Mahmood, Mandeep S. Sawhney, Tyler M. Berzin, Moamen Gabr, Douglas K. Pleskow
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    L.L. Generdukayev, D.A. Blagovestnov, Yu.S. Teterin, P.A. Yartsev
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    A. K. Uribe Rivera, B. Seeliger, C. A. Saldivar, E. Houghton, F. Rodríguez, P. Acquafresca, M. Palermo, M. E. Giménez
    Surgical Endoscopy.2023; 37(10): 7774.     CrossRef
  • Outcomes of balloon vs basket catheter for clearance of choledocholithiasis: a systematic review and meta-analysis
    Ruchi Sharma, Vikram Sharma, Umang Singhal, Madhusudhan Sanaka
    Endoscopy International Open.2022; 10(11): E1447.     CrossRef
  • 5,037 View
  • 221 Download
  • 3 Web of Science
  • 5 Crossref
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Systematic Review and Meta-Analysis
Endoscopic Band Ligation Versus Argon Plasma Coagulation in the Treatment of Gastric Antral Vascular Ectasia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Bruno Salomão Hirsch, Igor Braga Ribeiro, Mateus Pereira Funari, Diogo Turiani Hourneaux de Moura, Sergio Eiji Matuguma, Sergio A. Sánchez-Luna, Fabio Catache Mancini, Guilherme Henrique Peixoto de Oliveira, Wanderley Marques Bernardo, Eduardo Guimarães Hourneaux de Moura
Clin Endosc 2021;54(5):669-677.   Published online May 31, 2021
DOI: https://doi.org/10.5946/ce.2021.063
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background
/Aims: Argon plasma coagulation (APC) is the most commonly used endoscopic treatment for gastric antral vascular ectasia (GAVE). Endoscopic band ligation (EBL) has emerged as an alternative therapy. Our goal was to evaluate the feasibility, efficacy, and safety of APC and EBL for the treatment of GAVE. This is the first systematic review that included only randomized controlled trials (RCTs) on this topic.
Methods
A comprehensive search was performed using electronic databases to identify RCTs comparing APC and EBL for the treatment of GAVE following the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines.
Results
Four RCTs were included, with a total of 204 patients. EBL was related to higher endoscopic eradication rates risk difference [RD], 0.29; 95% confidence interval [CI] [0.14, 0.44]; I2=0%) and less bleeding recurrence than APC (RD, 0.29; 95% CI [0.15, 0.44]; I2=0%). Patients treated with EBL required fewer blood transfusions (mean difference [MD], 1.49; 95% CI [0.28, 2.71]; I2=96%) and hospitalizations (MD, 0.29; 95% CI [0.19, 0.39]; I2=0%). The number of sessions required for the obliteration of lesions was higher with APC. There was no difference in the incidence of adverse events.
Conclusions
EBL is superior to APC in the treatment of GAVE in terms of endoscopic eradication rates, recurrence of bleeding, and transfusion requirements.

Citations

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  • Role of Endoscopy in the Diagnosis, Grading, and Treatment of Portal Hypertensive Gastropathy and Gastric Antral Vascular Ectasia
    Ali Khalifa, Don C. Rockey
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    Matthew H. Meyers, Laura Rodriguez, Michael S. Kriss
    American Journal of Gastroenterology.2023;[Epub]     CrossRef
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    Emma Vanderschueren, Jonel Trebicka, Wim Laleman
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    Cheng-Che Che, Sz-Iuan Shiu, Chung-Wang Ko, Yu-Kang Tu, Chung-Hsin Chang
    Digestive Diseases and Sciences.2023; 68(9): 3534.     CrossRef
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    Ali A Alali, Alan N Barkun
    Gastroenterology Report.2022;[Epub]     CrossRef
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    Babu P. Mohan, Gregory Toy, Lena L. Kassab, Suresh Ponnada, Saurabh Chandan, Sheeva Parbhu, Shaun Chandna, Douglas G. Adler
    Gastrointestinal Endoscopy.2021; 94(6): 1021.     CrossRef
  • 4,845 View
  • 230 Download
  • 7 Web of Science
  • 8 Crossref
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Original Articles
Impact of COVID-19 on Endoscopy Training: Perspectives from a Global Survey of Program Directors and Endoscopy Trainers
Shivakumar Vignesh, Amna Subhan Butt, Mohamed Alboraie, Bruno Costa Martins, Alejandro Piscoya, Quang Trung Tran, Damien Tan Meng Yew, Shahriyar Ghazanfar, Pezhman Alavinejad, Edna Kamau, Ajay M Verma, Robin B Mendelsohn, Christopher Khor, Alan Moss, David Wei Chih Liao, Christopher S Huang, Franklin C Tsai
Clin Endosc 2021;54(5):678-687.   Published online September 30, 2021
DOI: https://doi.org/10.5946/ce.2021.140
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background
/Aims: The coronavirus disease of 2019 (COVID-19) pandemic has impacted the training of medical trainees internationally. The aim of this study was to assess the global impact of COVID-19 on endoscopy training from the perspective of endoscopy trainers and to identify strategies implemented to mitigate the impact on trainee education.
Methods
Teaching faculty of gastroenterology (GI) training programs globally were invited to complete a 36-question web-based survey to report the characteristics of their training programs and the impact of COVID-19 on various aspects of endoscopy training, including what factors decisions were based on.
Results
The survey response rate was 52.6% (305 out of 580 individuals); 92.8% reported a negative impact on endoscopy training, with suspension of elective procedures (77.1%) being the most detrimental factor. Geographic variations were noted, with European programs reporting the lowest percentage of trainee participation in procedures. A higher proportion of trainees in the Americas were allowed to continue performing procedures, and trainers from the Americas reported receiving the greatest support for endoscopy teaching.
Conclusions
This study demonstrated that the COVID-19 pandemic has had a significant negative impact on GI endoscopy training internationally, as reported by endoscopy trainers. Focus-optimizing endoscopy training and assessment of competencies are necessary to ensure adequate endoscopy training.

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    Hon Chi Yip, Noriya Uedo, Louis Ho‐Shing Lau, Daizen Hirata, Yasushi Sano, Philip Wai‐yan Chiu
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    Mitchell S. Cappell, David M. Friedel
    Gastroenterology Clinics of North America.2023; 52(1): 77.     CrossRef
  • Simulator-based training method in gastrointestinal endoscopy training and currently available simulators
    Yuri Kim, Jeong Hoon Lee, Gin Hyug Lee, Ga Hee Kim, Gunn Huh, Seung Wook Hong, Hwoon-Yong Jung
    Clinical Endoscopy.2023; 56(1): 1.     CrossRef
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    Rashid N. Lui, Raymond S. Y. Tang, Philip W. Y. Chiu
    Current Treatment Options in Gastroenterology.2022; 20(1): 46.     CrossRef
  • A Simulation Study to Investigate the Usefulness of a Novel Stricture Tool for Training Wire Guided Balloon Dilation
    Avinash Bhat Balekuduru, Manoj K. Sahu
    Journal of Digestive Endoscopy.2022; 13(03): 141.     CrossRef
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“Endoshield”: A Physical Protective Box for Pediatric Endoscopy during the COVID-19 Pandemic
Busara Charoenwat, Suphasarang Sirirattanakul, Kangsadan Hangnak, Itsares Muikham
Clin Endosc 2021;54(5):688-693.   Published online April 1, 2021
DOI: https://doi.org/10.5946/ce.2021.082
AbstractAbstract PDFPubReaderePub
Background
/Aims: The coronavirus disease (COVID)-19 pandemic presents challenges for gastrointestinal endoscopy. Although the virus is transmitted through contact and droplets, aerosol-generating procedures produce aerosols that can spread through airborne routes. Several gastrointestinal societies have released statements to protect patients and health care providers (HCPs). This study describes a barrier box that may be used as an adjunctive device in addition to personal protective equipment during endoscopies.
Methods
A transparent acrylic box called “Endoshield” was created to place over patient’s head and shoulders and was tested for its ease of use for the endoscopist and suitability for patient size and position.
Results
Twelve children (66.67%, male) with a median age of 9 years (range, 2–11 years) underwent emergency or urgent endoscopy between April and June 2020 during the COVID-19 outbreak. The most common presenting symptom was life-threatening gastrointestinal bleeding (8/12, 66.67%), while the rest had urgent symptoms (4/12, 33.33%). The “Endoshield” was suitable for all patient positions (left lateral position: 9/12, 75% and supine position: 3/12, 25%). The patients and HCPs were followed up for their symptoms on day 14, and none of them had any symptoms of concern.
Conclusions
The “Endoshield” is affordable, reusable, and suitable for both positions.

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  • A Novel Aerosol-Exposure Protection Mask for Patients During Upper Endoscopy
    Soo-Jeong Cho
    Clinical Endoscopy.2022; 55(2): 208.     CrossRef
  • Simple and innovative methods of minimizing risk of aerosol generation during endoscopy
    Sumitro Kosasih, Adli Metussin, Norwani Basir, Vui Heng Chong
    Clinical Endoscopy.2022; 55(3): 470.     CrossRef
  • Management of aerosol generation during upper gastrointestinal endoscopy
    Chawisa Nampoolsuksan, Vitoon Chinswangwatanakul, Asada Methasate, Jirawat Swangsri, Atthaphorn Trakarnsanga, Chainarong Phalanusitthepha, Thammawat Parakonthun, Voraboot Taweerutchana, Nicha Srisuworanan, Tharathorn Suwatthanarak, Thikhamporn Tawantanako
    Clinical Endoscopy.2022; 55(5): 588.     CrossRef
  • Biopsy channel of the endoscope as a potential source of infectious droplets during GI endoscopy
    Mark F. Coughlan, Mandeep S. Sawhney, Douglas K. Pleskow, Umar Khan, Andy Silva-Santisteban, Awais Ahmed, Xuejun Zhang, Maria Glyavina, Liming Chen, Paul K. Upputuri, Yuri N. Zakharov, Lei Zhang, Le Qiu, Lev T. Perelman
    Gastrointestinal Endoscopy.2022; 96(5): 764.     CrossRef
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Feasibility of Wearable Display Glasses for Medical Students in the Endoscopy Room
Kang Won Lee, Hyuk Soon Choi, Hoon Jai Chun, Jae Min Lee, Eun Sun Kim, Bora Keum, Yeon Seok Seo, Yoon Tae Jeen, Soon Ho Um, Hong Sik Lee
Clin Endosc 2021;54(5):694-700.   Published online March 15, 2021
DOI: https://doi.org/10.5946/ce.2020.246
AbstractAbstract PDFPubReaderePub
Background
/Aims: Several attempts have been made to incorporate smart glasses in the medical field. We applied wearable display glasses to show the position of an observer during endoscopy and compared students’ responses between the conventional and new methods.
Methods
We surveyed 28 medical students regarding the use of wearable display devices. The students used wearable display glasses to observe an endoscopic procedure and answered the prepared questionnaire. Their collected responses were analyzed for statistical correlations between each variable.
Results
The survey of medical students revealed disadvantages including dizziness (dissatisfied and very dissatisfied: 21.5%) and eye fatigue (25% dissatisfied) and advantages including concentration (satisfied and very satisfied: 57.2%) and securing patient rights (71.4%). The students showed more positive than negative reviews regarding the new devices (32.1% vs. 21.5%).
Conclusions
We investigated the advantages and disadvantages of viewing the endoscope image with new wearable display glasses compared to the conventional method using the survey to record user experience. The results revealed relatively positive responses from the medical students in the survey. If the new device compensates for some shortcomings, its use in the endoscopy room will be feasible.

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  • A remote clinical clerkship program for severe COVID-19 in ICU using smart glasses: questionnaire survey
    Nobuyuki Nosaka, Hideo Yamanouch, Kazuki Takada, Kenji Wakabayashi
    Journal of the Japanese Society of Intensive Care Medicine.2023; 30(4): 261.     CrossRef
  • Smart Glasses to Facilitate Ultrasound Guided Peripheral Intravenous Access in the Simulation Setting for Thai Emergency Medical Service Providers
    Kamonwon Ienghong, Lap Woon Cheung, Pornpawit Wongwan, Korakot Apiratwarakul
    Journal of Multidisciplinary Healthcare.2023; Volume 16: 2201.     CrossRef
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The Learning Curve for Peroral Endoscopic Myotomy in Latin America: A Slide to the Right?
Michel Kahaleh, Amy Tyberg, Supriya Suresh, Arnon Lambroza, Fernando Rodriguez Casas, Mario Rey, Jose Nieto, Guadalupe Ma Martínez, Felipe Zamarripa, Vitor Arantes, Maria G Porfilio, Monica Gaidhane, Pietro Familiari, Juan Carlos Carames, Romulo Vargas-Rubio, Raul Canadas, Albis Hani, Guillermo Munoz, Bismarck Castillo, Eduardo T Moura, Farias F Galileu, Hannah P Lukashok, Carlos Robles-Medranda, Eduardo G de Moura
Clin Endosc 2021;54(5):701-705.   Published online June 3, 2021
DOI: https://doi.org/10.5946/ce.2020.290
AbstractAbstract PDFPubReaderePub
Background
/Aims: Peroral endoscopic myotomy (POEM) has been increasingly used for achalasia in Latin America, where Chagas disease is prevalent, and this makes POEM more challenging. The aim of this study was to determine the learning curve for POEM in Latin America.
Methods
Patients undergoing POEM in Latin America with a single operator were included from a prospective registry over 4 years. Non-linear regression and cumulative sum control chart (CUSUM) analyses were conducted for the learning curve.
Results
A total of 125 patients were included (52% male; mean age, 59 years), of which 80 had type II achalasia (64%), and 38 had Chagas disease (30%). The average pre-procedure and post-procedure Eckardt scores were 6.79 and 1.87, respectively. Technical success was achieved in 93.5% of patients, and clinical success was achieved in 88.8%. Adverse events occurred in 27 patients (22%) and included bleeding (4 patients), pneumothorax (4 patients), mucosal perforation (13 patients), mediastinitis (2 patients), and leakage (4 patients).
The CUSUM chart showed a median procedure time of 97 min (range, 45-196 min), which was achieved at the 61st procedure. Procedure duration progressively decreased, with the last 10 procedures under 50 min approaching a plateau (p-value <0.01).
Conclusions
Mastering POEM in Latin America requires approximately 61 procedures for both POEM efficiency and to accomplish the procedure within 97 minutes.

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  • Experiencia en miotomía endoscópica peroral en un centro de Bogotá, Colombia, entre 2018 y 2022
    Tatiana P Barragan Briceño, Paola Stephany Gonzalez Ausique, Carlos Fernando Fuentes Díaz, Jesús Antonio Rodríguez Fajardo, Maria Camila Gomez Ayala
    Revista colombiana de Gastroenterología.2024; 39(2): 146.     CrossRef
  • Learning curve for esophageal peroral endoscopic myotomy: a systematic review and meta-analysis
    Srinivas R. Puli, Mihir S. Wagh, David Forcione, Harishankar Gopakumar
    Endoscopy.2023; 55(04): 355.     CrossRef
  • Diagnosis and Management of Achalasia: Updates of the Last Two Years
    Amir Mari, Fadi Abu Baker, Rinaldo Pellicano, Tawfik Khoury
    Journal of Clinical Medicine.2021; 10(16): 3607.     CrossRef
  • Issues to be Considered for Learning Curve for Peroral Endoscopic Myotomy
    Hironari Shiwaku, Haruhiro Inoue
    Clinical Endoscopy.2021; 54(5): 625.     CrossRef
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Efficacy of Hypertonic Saline-Epinephrine Local Injection Around the Anal Side before Endoscopic Papillectomy for Ampullary Tumors
Naoki Okano, Yoshinori Igarashi, Ken Ito, Saori Mizutani, Hiroki Nakagawa, Kouji Watanabe, Yuuto Yamada, Kensuke Yoshimoto, Yuusuke Kimura, Susumu Iwasaki, Kensuke Takuma, Seiichi Hara, Yuui Kishimoto
Clin Endosc 2021;54(5):706-712.   Published online March 10, 2021
DOI: https://doi.org/10.5946/ce.2020.208
AbstractAbstract PDFPubReaderePub
Background
/Aims: Bleeding is a complication of endoscopic snare papillectomy for ampullary tumors. This study aimed to investigate the clinical efficacy of hypertonic saline-epinephrine (HSE) local injection before endoscopic papillectomy for prevention of bleeding.
Methods
We retrospectively reviewed the data of 107 consecutive patients with ampullary tumors who underwent endoscopic papillectomy. The rates of en bloc resection, pathological resection margins, and prevention of immediate or delayed bleeding in the simple snaring resection group (Group A) and the HSE injection group (Group B) were compared.
Results
A total of 44 and 63 patients were enrolled in Groups A and B, respectively. The total complete resection rate was 89.7% (96/107); the clinical complete resection rates in Group A and Group B were 86.3% (38/44) and 92.1% (58/63), respectively (p=0.354). Post-papillectomy bleeding occurred in 22 patients. In Groups A and B, the immediate bleeding rates were 20.5% (9/44) and 4.8% (3/63), respectively (p=0.0255), while the delayed bleeding rates were 7% (3/44) and 11% (7/63), respectively (p=0.52). The rates of positive horizontal and vertical pathological margin in both groups were 27% and 16%, respectively.
Conclusions
HSE local injection was effective in preventing immediate bleeding and was useful for safely performing endoscopic papillectomy for ampullary tumors.

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  • Endoscopic papillectomy for ampullary lesions of minor papilla
    Kien Vu Trung, Christian Heise, Einas Abou-Ali, Francesco Auriemma, Elias Karam, Sophia E. van der Wiel, Marco J. Bruno, Fabrice Caillol, Marc Giovannini, Viliam Masaryk, Uwe Will, Andrea Anderloni, Enrique Pérez-Cuadrado-Robles, Ana Dugic, Benjamin Meier
    Gastrointestinal Endoscopy.2024; 99(4): 587.     CrossRef
  • Endoscopic papillectomy for ampullary lesions in patients with familial adenomatous polyposis compared with sporadic lesions: a propensity score-matched cohort
    Kien Vu Trung, Einas Abou-Ali, Fabrice Caillol, Woo H. Paik, Bertrand Napoleon, Viliam Masaryk, Sophia E. van der Wiel, Enrique Pérez-Cuadrado-Robles, Nicolas Musquer, Asif Halimi, Kevin Soares, Francois R. Souche, Steffen Seyfried, Maria C. Petrone, Stef
    Endoscopy.2023; 55(08): 709.     CrossRef
  • Updates in endoscopic management of ampullary and duodenal adenomas
    Pravallika Chadalavada, Tilak Upendra Shah
    Current Opinion in Gastroenterology.2023; 39(6): 496.     CrossRef
  • Submucosal Epinephrine Injection Before Endoscopic Papillectomy: Less is More?
    Roy L.J. van Wanrooij, Jeanin E. van Hooft
    Clinical Endoscopy.2021; 54(5): 627.     CrossRef
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Endoscopic Stenting for Malignant Biliary Obstruction: Results of a Nationwide Experience
Jeanne Lubbe, Gabriel Sandblom, Urban Arnelo, Eduard Jonas, Lars Enochsson
Clin Endosc 2021;54(5):713-721.   Published online May 31, 2021
DOI: https://doi.org/10.5946/ce.2021.016
AbstractAbstract PDFPubReaderePub
Background
/Aims: Many unanswered questions remain about the treatment of malignant hilar obstruction. We investigated endoscopic stenting for malignant biliary strictures, as reported in a nationwide registry.
Methods
All endoscopic retrograde cholangiopancreatography (ERCP) procedures entered in the Swedish Registry of Gallstone Surgery and ERCP from January 2010 to December 2017 in which stenting was performed for malignant biliary stricture management were included in this study. Patency was estimated by determining the time to reintervention.
Results
Endoscopic stenting was performed for malignant stricture management in 4623 ERCP procedures, of which 1364 (29.5%) were performed for hilar strictures. Of the hilar strictures, 320 (23.5%) were intrahepatic strictures (Bismuth–Corlette III–IV). Adverse events were more common after hilar stenting than after distal stenting (17.2% vs. 12.0%, p<0.0001). The 6-month reintervention rate was 73.4% after hilar stenting compared with 55.9% after distal stenting (p<0.0001). The 6-month reintervention rates for Bismuth–Corlette types I, II, IIIa, IIIb, and IV were 70.4%, 75.6%, 90.0%, 87.5%, and 85.7%, respectively. In multivariate analysis, the risk for reintervention was three times higher after hilar stenting than after distal stenting (hazard ratio 3.47, 95% confidence interval 2.01–6.00, p<0.001).
Conclusions
This study with a relatively large patient cohort undergoing endoscopic stenting confirms that stenting for malignant hilar obstruction has more adverse events and lower patency than stenting for distal malignant obstruction.

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  • Endoscopic Biliary Drainage for Hilar Obstruction: Further Evidence But Still A Long Way To Go
    Yousuke Nakai
    Clinical Endoscopy.2021; 54(5): 629.     CrossRef
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High Sensitivity of Endoscopic Ultrasound-Guided Fine-Needle Aspiration and Endoscopic Ultrasound-Guided Fine-Needle Biopsy in Lymphadenopathy Caused by Metastatic Disease: A Prospective Comparative Study
Per Hedenström, Vasilis Chatzikyriakos, Roozbeh Shams, Catarina Lewerin, Riadh Sadik
Clin Endosc 2021;54(5):722-729.   Published online March 4, 2021
DOI: https://doi.org/10.5946/ce.2020.283
AbstractAbstract PDFPubReaderePub
Background
/Aims: The diagnostic work-up of lymphadenopathy is challenging but important to determine the correct therapy. Nevertheless, few studies have addressed the topic of endosonography (EUS)-guided tissue acquisition in lymphadenopathy. Therefore, we aimed to evaluate the accuracy and safety of EUS-guided fine-needle biopsy sampling (EUS-FNB) in intrathoracic and intraabdominal lymphadenopathy.
Methods
In a tertiary care center, patients with lymphadenopathy referred for EUS-guided sampling were included prospectively from 2014 to 2019 (NCT02360839). In all cases, EUS-FNB (22 gauge) and EUS-guided fine-needle aspiration (EUS-FNA) (25 gauge) were performed. The patients were randomized to the first needle pass with FNB or FNA. Study outcomes were the diagnostic accuracy and adverse event rate.
Results
Forty-eight patients were included (median age: 69 years [interquartile range, 59–76]; 24/48 females [50%]). The final diagnoses were metastasis (n=17), lymphoma (n=11), sarcoidosis (n=6), and inflammatory disease (n=14). The diagnostic performance of the two modalities was comparable, including a high sensitivity for metastatic nodes (EUS-FNB: 87% vs. EUSFNA: 100%, p=0.5). The sensitivity for lymphoma was borderline superior in favor of EUS-FNB (EUS-FNB: 55% vs. EUS-FNA: 9%, p=0.06). No adverse events were recorded.
Conclusions
In lymphadenopathy, both EUS-FNB and EUS-FNA are safe and highly sensitive for metastatic lymph node detection. Lymphoma diagnosis is challenging regardless of the needle used.

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  • Transesophageal Bronchoscopic Ultrasound-guided Cryobiopsy (EUS-B-Cryo) for mediastinal lesions in critical airway obstruction: a case series with a systematic review
    Sanchit Mohan, A. J. Mahendran, Rohit Kumar, Manu Madan, Pranav Ish, Rajnish Kaushik, Nitesh Gupta
    Chest Disease Reports.2024;[Epub]     CrossRef
  • Comparison of 19-gauge conventional and Franseen needles for the diagnosis of lymphadenopathy and classification of malignant lymphoma using endoscopic ultrasound fine-needle aspiration
    Mitsuru Okuno, Keisuke Iwata, Tsuyoshi Mukai, Yusuke Kito, Takuji Tanaka, Naoki Watanabe, Senji Kasahara, Yuhei Iwasa, Akihiko Sugiyama, Youichi Nishigaki, Yuhei Shibata, Junichi Kitagawa, Takuji Iwashita, Eiichi Tomita, Masahito Shimizu
    Clinical Endoscopy.2024; 57(3): 364.     CrossRef
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    Mitsuru Sugimoto, Tadayuki Takagi, Rei Suzuki, Naoki Konno, Hiroyuki Asama, Yuki Sato, Hiroki Irie, Jun Nakamura, Mika Takasumi, Minami Hashimoto, Tsunetaka Kato, Yuko Hashimoto, Takuto Hikichi, Hiromasa Ohira
    Journal of Clinical Gastroenterology.2024;[Epub]     CrossRef
  • Diagnostic accuracy and safety of EUS-guided end-cutting fine-needle biopsy needles for tissue sampling of abdominal and mediastinal lymphadenopathies: a prospective multicenter series
    Silvia Carrara, Daoud Rahal, Kareem Khalaf, Tommy Rizkala, Glenn Koleth, Cristiana Bonifacio, Marta Andreozzi, Benedetto Mangiavillano, Francesco Auriemma, Paola Bossi, Monica Balzarotti, Antonio Facciorusso, Teresa Staiano, Elena Maldi, Marco Spadaccini,
    Gastrointestinal Endoscopy.2023; 98(2): 191.     CrossRef
  • Endoscopic Ultrasound-Guided Fine Needle Biopsy in the Diagnostic Work-Up of Deep-Seated Lymphadenopathies and Spleen Lesions: A Monocentric Experience
    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
    Diagnostics.2023; 13(17): 2839.     CrossRef
  • Endoscopic ultrasound fine-needle biopsy vs fine-needle aspiration for lymph nodes tissue acquisition: a systematic review and meta-analysis
    Antonio Facciorusso, Stefano Francesco Crinò, Paraskevas Gkolfakis, Daryl Ramai, Andrea Lisotti, Ioannis S Papanikolaou, Benedetto Mangiavillano, Ilaria Tarantino, Andrea Anderloni, Carlo Fabbri, Konstantinos Triantafyllou, Pietro Fusaroli
    Gastroenterology Report.2022;[Epub]     CrossRef
  • A Novel Approach to Classification and Reporting of Lymph Node Fine-Needle Cytology: Application of the Proposed Sydney System
    Elena Vigliar, Gennaro Acanfora, Antonino Iaccarino, Massimo Mascolo, Daniela Russo, Giulia Scalia, Roberta Della Pepa, Claudio Bellevicine, Marco Picardi, Giancarlo Troncone
    Diagnostics.2021; 11(8): 1314.     CrossRef
  • Endoscopic Ultrasound Fine-Needle Biopsy versus Fine-Needle Aspiration for Tissue Sampling of Abdominal Lymph Nodes: A Propensity Score Matched Multicenter Comparative Study
    Antonio Facciorusso, Stefano Francesco Crinò, Nicola Muscatiello, Paraskevas Gkolfakis, Jayanta Samanta, Juliana Londoño Castillo, Christian Cotsoglou, Daryl Ramai
    Cancers.2021; 13(17): 4298.     CrossRef
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Comparison of Endoscopic Ultrasound-Guided Tissue Acquisition Using a 20-Gauge Menghini Needle with a Lateral Forward Bevel and a 22-Gauge Franseen Needle: A Single-Center Large Cohort Study
Takafumi Mie, Takashi Sasaki, Ryo Kanata, Takaaki Furukawa, Tsuyoshi Takeda, Akiyoshi Kasuga, Masato Matsuyama, Masato Ozaka, Naoki Sasahira
Clin Endosc 2021;54(5):730-738.   Published online March 4, 2021
DOI: https://doi.org/10.5946/ce.2020.251
AbstractAbstract PDFPubReaderePub
Background
/Aims: Several fine-needle biopsy (FNB) needles are available for endoscopic ultrasound (EUS)-guided tissue acquisition. However, there is disagreement on which type of needle has the best diagnostic yield. The aim of this study was to compare the performance and safety of two commonly used EUS-FNB needles.
Methods
We retrospectively analyzed consecutive patients who underwent EUS-FNB between June 2016 and March 2020 in our hospital. Two types of needles were evaluated: a 20-gauge Menghini needle with a lateral forward bevel and a 22-gauge Franseen needle. Rapid on-site evaluation was performed in all the cases. A multivariate analysis was performed to clarify the negative predictive factors for obtaining a histological diagnosis. Propensity score matching was performed to compare the diagnostic yields of these two needles.
Results
We analyzed 666 patients and 690 lesions. The overall diagnostic rate of histology alone was 88.8%, and the overall adverse event rate was 1.5%. Transduodenal access and small lesions (≤2 cm) were identified as negative predictive factors for obtaining a histological diagnosis. After propensity score matching, 482 lesions were analyzed. The diagnostic accuracy rates of histology in the M and F needle groups were 89.2% and 88.8%, respectively (p=1.00).
Conclusions
Both the needles showed high diagnostic yield, and no significant difference in performance was observed between the two.

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  • Primary Pancreatic Lymphoma: Endosonography-Guided Tissue Acquisition Diagnosis
    Anna Carolina Orsini-Arman , Rodrigo Cañada T Surjan, Filadélfio E Venco, José C Ardengh
    Cureus.2023;[Epub]     CrossRef
  • Diagnostic Yield of Serial Pancreatic Juice Aspiration Cytologic Examination With Brush Cytology for Pancreatic Ductal Stenosis
    Takafumi Mie, Takashi Sasaki, Tsuyoshi Takeda, Takeshi Okamoto, Chinatsu Mori, Takaaki Furukawa, Yuto Yamada, Akiyoshi Kasuga, Masato Matsuyama, Masato Ozaka, Naoki Sasahira
    Pancreas.2022; 51(8): 995.     CrossRef
  • Pancreatic follicular lymphoma: a report of two cases and literature review
    Takeshi Okamoto, Takashi Sasaki, Noriko Nishimura, Manabu Takamatsu, Chinatsu Mori, Takafumi Mie, Takaaki Furukawa, Yuto Yamada, Tsuyoshi Takeda, Akiyoshi Kasuga, Masato Matsuyama, Masato Ozaka, Dai Maruyama, Naoki Sasahira
    Clinical Journal of Gastroenterology.2021; 14(6): 1756.     CrossRef
  • 4,443 View
  • 88 Download
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Superior Specimen and Diagnostic Accuracy with Endoscopic Ultrasound-Guided Liver Biopsies Using 19-Gauge versus 22-Gauge Core Needles
Rucha M. Shah, Jason Schmidt, Elizabeth John, Sheila Rastegari, Priyanka Acharya, Prashant Kedia
Clin Endosc 2021;54(5):739-744.   Published online November 13, 2020
DOI: https://doi.org/10.5946/ce.2020.212
AbstractAbstract PDFPubReaderePub
Background
/Aims: Endoscopic ultrasound-guided liver biopsy (EUS-LB) is an effective and safe method of procuring liver tissue. The aims of this study were to assess and compare the outcomes and tissue adequacy of a single-pass, single-actuation, wet suction technique between 19 G and 22 G needles in patients undergoing EUS-LB.
Methods
We performed a prospective case series study of 20 patients undergoing EUS-LB at a single center between September 2017 and April 2020. The primary objective was to evaluate differences in sample adequacy via a single actuation wet suction technique between a 19 G core needle and a 22 G core needle. Adequacy was gauged by cumulative core biopsy length and the number of portal tracts visualized.
Results
The 19 G needle provided a longer core length (2.5 cm vs. 1.2 cm, p<0.0001), more complete portal tracts (5.8 vs. 1.7, p<0.0001), more total tracts (8.8 vs. 3, p<0.0001), and a longer, intact, fragment length (0.75 cm vs. 0.32 cm, p<0.0006). The 19 G needle was superior in providing adequate (60% vs. 5%, p<0.001) and diagnostic pathologic samples (85% vs. 10%, p<0.001).
Conclusions
A single-pass, single-actuation, wet suction technique using a 19 G needle is superior to that using a 22 G needle for tissue acquisition and sample adequacy in EUS-LB.

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    Ankit Dalal, Nagesh Kamat, Gaurav Patil, Amol Vadgaonkar, Sanil Parekh, Sehajad Vora, Amit Maydeo
    Endoscopy International Open.2024; 12(02): E291.     CrossRef
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    Alina Tantău, Cosmina Sutac, Anamaria Pop, Marcel Tantău
    World Journal of Radiology.2024; 16(4): 72.     CrossRef
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    Mithun Sharma, Sundeep Lakhtakia, Nitin Jagtap, Anuradha Sekaran, Rakesh Kalapala, Basha Jahangeer, Anand Kulkarni, Mohan Ramchandani, Rajesh Gupta, Swapna Samudraala, Juhi Khanna, Padaki Nagaraja, Sowmya Iyengar, Baker Ali Gora, Guduru Venkat Rao, Nagesh
    Endoscopy International Open.2023; 11(02): E172.     CrossRef
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    Praveer Rai, Abdul Majeed, Pankaj Kumar, Mayank Rajput, Amit Goel, Ram Naval Rao
    Indian Journal of Gastroenterology.2023; 42(3): 418.     CrossRef
  • Quality of Tissue Samples Obtained by Endoscopic Ultrasound-Guided Liver Biopsy: A Randomized, Controlled Clinical Trial
    José Lariño-Noia, Javier Fernández-Castroagudín, Daniel de la Iglesia-García, Héctor Lázare, Laura Nieto, Sol Porto, Nicolau Vallejo-Senra, Esther Molina, Alba San Bruno, Xurxo Martínez-Seara, Julio Iglesias-García, Silvia García-Acuña, J. Enrique Domíngu
    American Journal of Gastroenterology.2023; 118(10): 1821.     CrossRef
  • Distinct ways to perform a liver biopsy: The core technique setups and updated understanding of these modalities
    Chao Sun, Xingliang Zhao, Lei Shi, Xiaofei Fan, Xiaolong Qi
    Endoscopic Ultrasound.2023; 12(6): 437.     CrossRef
  • Role of endoscopic ultrasound-guided liver biopsy: a meta-analysis
    Keyu Zeng, Zhenpeng Jiang, Jie Yang, Kefei Chen, Qiang Lu
    Scandinavian Journal of Gastroenterology.2022; 57(5): 545.     CrossRef
  • Update on endoscopic ultrasound-guided liver biopsy
    Shiva Rangwani, Devarshi R Ardeshna, Khalid Mumtaz, Sean G Kelly, Samuel Y Han, Somashekar G Krishna
    World Journal of Gastroenterology.2022; 28(28): 3586.     CrossRef
  • Diagnostic and interventional EUS in hepatology: An updated review
    Vaneet Jearth, Sridhar Sundaram, SurinderSingh Rana
    Endoscopic Ultrasound.2022; 11(5): 355.     CrossRef
  • 4,081 View
  • 84 Download
  • 13 Web of Science
  • 9 Crossref
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Role of Endoscopic Ultrasound-Guided Fine-Needle Aspiration of Portal Vein Thrombus in the Diagnosis and Staging of Hepatocellular Carcinoma
Dina Eskandere, Hazem Hakim, Magdy Attwa, Wagdi Elkashef, Ahmed Youssef Altonbary
Clin Endosc 2021;54(5):745-753.   Published online March 15, 2021
DOI: https://doi.org/10.5946/ce.2020.240
AbstractAbstract PDFPubReaderePub
Background
/Aims: Malignant portal vein thrombus (PVT) is found in up to 44% of patients with hepatocellular carcinoma (HCC). The nature of the thrombus influences treatment selection. The aim of this study was to assess the safety and efficacy of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) in determining the nature of PVT in liver cirrhosis and/or HCC.
Methods
A prospective study was conducted in 34 patients with liver cirrhosis and/or HCC with PVT. Under EUS guidance, PVT was punctured using a 22 G FNA needle (Cook Medical, Bloomington, IN, USA) followed by monitoring of the puncture tract using color Doppler. Patients were followed for adverse events 2 hours after recovery.
Results
Throughout the 30-month study period, 34 patients, including 24 males with a mean age of 59±8 years, were enrolled. There were 8 patients with known HCC and 26 with no liver masses detected by computed tomography (CT). EUS-FNA from PVT was positive for malignancy in 3 patients (8.8%), of which only 1 patient was diagnosed with HCC by CT and 2 patients were newly diagnosed with HCC after EUS-FNA. No major complications were reported.
Conclusions
EUS-FNA is a safe and effective technique for determining the nature of PVT that does not fulfill the malignant criteria via imaging studies in patients with liver cirrhosis and/or HCC.

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  • 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
  • 4,031 View
  • 104 Download
  • 1 Web of Science
  • 1 Crossref
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Case Reports
Management of Biliopancreatic Limb Bleeding after Roux-en-Y Gastric Bypass: A Case Report
Christophe Riquoir, Luis Antonio Díaz, David Chiliquinga, Roberto Candia, Fernando Pimentel, Alex Arenas
Clin Endosc 2021;54(5):754-758.   Published online May 25, 2021
DOI: https://doi.org/10.5946/ce.2021.060
AbstractAbstract PDFPubReaderePub
The Roux-en-Y gastric bypass is one of the most extensive surgical treatments for obesity. The treatment of upper gastrointestinal bleeding after Roux-en-Y gastric bypass is complex due to the difficulty of accessing the excluded gastric antrum and duodenal bulb. There is no consensus regarding the management of this complication. While various techniques have been described to access the biliopancreatic limb, double-balloon enteroscopy is the most commonly used. If double-balloon enteroscopy is unavailable, a pediatric colonoscope may be used as an alternative; however, its use in such cases has not been described. We report the case of a 50-year-old male patient who underwent gastric bypass 13 years ago and was admitted for a second episode of upper gastrointestinal bleeding. The initial approach using upper endoscopy, colonoscopy, and abdominal computed tomography angiography did not reveal the cause of gastrointestinal hemorrhage; therefore, an endoscopic study of the biliopancreatic limb was performed using a pediatric colonoscope. A Forrest Ib ulcer was found in the duodenal bulb, and endoscopic therapy was administered. The evolution was found to be satisfactory.

Citations

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  • Endoscopic management of postoperative bleeding
    Sung Hyeok Ryou, Ki Bae Bang
    Clinical Endoscopy.2023; 56(6): 706.     CrossRef
  • 3,344 View
  • 75 Download
  • 1 Web of Science
  • 1 Crossref
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Successful Endoscopic Resection of Residual Colonic Mucosa-Associated Lymphoid Tissue Lymphoma after Polypectomy
Jeongmin Choi
Clin Endosc 2021;54(5):759-762.   Published online November 6, 2020
DOI: https://doi.org/10.5946/ce.2020.233
AbstractAbstract PDFPubReaderePub
Mucosa-associated lymphoid tissue (MALT) lymphomas are typically found in the stomach, while colonic MALT lymphoma is rarely found. Considering its rarity, definitive treatment of colonic MALT lymphoma has not been established. Different from that in the stomach, Helicobacter pylori infection might play a minor role while determining the treatment of colonic MALT lymphoma. If colonic MALT lymphoma is localized, treatment options are surgical resection, radiation, endoscopic resection, or combination therapy. Here, we report a case of residual colonic MALT lymphoma after endoscopic mucosal resection, which was a 1.5-cm-sized tumor confined to the superficial wall of the rectum. The lesion was successfully treated using the endoscopic submucosal dissection technique. The patient remained disease-free for 4 years. This case provides rationale for endoscopic submucosal dissection treatment as a salvage therapy for residual tumors in properly selected patients with colonic MALT lymphoma.

Citations

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  • A rare cause of hematochezia: colonic extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue (MALToma): A case report and literature review
    Chien-Hung Lu, Wei-Yu Kao, Chun-Chao Chang, Yu-An Kan
    Medicine.2023; 102(21): e33869.     CrossRef
  • Mucosa-Associated Lymphoid Tissue (MALT) Lymphoma in the Gastrointestinal Tract in the Modern Era
    Eri Ishikawa, Masanao Nakamura, Akira Satou, Kazuyuki Shimada, Shotaro Nakamura
    Cancers.2022; 14(2): 446.     CrossRef
  • Successful Endoscopic Resection of Primary Rectal Mucosa-Associated Lymphoid Tissue Lymphoma by Endoscopic Submucosal Dissection: A Case Report
    Jian Han, Zhe Zhu, Chao Zhang, Hua-ping Xie
    Frontiers in Medicine.2021;[Epub]     CrossRef
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  • 102 Download
  • 3 Web of Science
  • 3 Crossref
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Successful Endoscopic Ultrasound-Guided Treatment of a Spontaneous Rupture of a Hemorrhagic Pancreatic Pseudocyst
Chan Park, Tae Hyeon Kim, Hyung Ku Chon
Clin Endosc 2021;54(5):763-766.   Published online March 3, 2021
DOI: https://doi.org/10.5946/ce.2020.279
AbstractAbstract PDFPubReaderePub
Spontaneous rupture of a hemorrhagic pancreatic pseudocyst may be life-threatening. Endoscopic ultrasound (EUS)-guided drainage has been reported to be a valuable treatment option for pancreatic pseudocysts. However, its usefulness in the management of a ruptured pancreatic pseudocyst is limited. We report a rare case of a spontaneous rupture of a hemorrhagic pancreatic pseudocyst in a patient with chronic pancreatitis, which was successfully treated with EUS-guided gastrocystostomy with a fully covered self-expandable metallic stent.

Citations

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  • Perforation of pancreatic pseudocyst diagnosed with endoscopy and treated with percutaneous drainage
    Mako Koseki, Yusuke Hashimoto
    DEN Open.2024;[Epub]     CrossRef
  • Spontaneous rupture of an infected pseudocyst of the pancreas: A case report
    Mohamed Fadhel Chtourou, Hazem Beji, Slim Zribi, Yassine Kallel, Mahdi Bouassida, Hassen Touinsi
    International Journal of Surgery Case Reports.2023; 105: 107987.     CrossRef
  • A ruptured pancreatic pseudocyst causes acute peritonitis with clinical characteristics of a gastrointestinal tract perforation
    Tran Que Son, Tran Hieu Hoc, Tran Thu Huong, Ngo Quang Dinh, Pham Van Tuyen
    Journal of Surgical Case Reports.2022;[Epub]     CrossRef
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Endoscopic Ultrasound Through-the-Needle Biopsy for the Diagnosis of an Abdominal Bronchogenic Cyst
Jessica Cassiani, Stefano Francesco Crinò, Erminia Manfrin, Matteo Rivelli, Armando Gabbrielli, Alfredo Guglielmi, Corrado Pedrazzani
Clin Endosc 2021;54(5):767-770.   Published online February 17, 2021
DOI: https://doi.org/10.5946/ce.2020.195
AbstractAbstract PDFPubReaderePub
A 57-year-old woman with epigastric pain was diagnosed with a 6-cm abdominal cystic lesion of unclear origin on cross-sectional imaging. Endoscopic ultrasound (EUS) demonstrated a unilocular cyst located between the pancreas, gastric wall, and left adrenal gland, with a regular wall filled with dense fluid with multiple hyperechoic floating spots. A 19-G needle was used to puncture the cyst, but no fluid could be aspirated. Therefore, EUS-guided through-the-needle biopsy (EUS-TTNB) was performed. Histological analysis of the retrieved fragments revealed a fibrous wall lined by “respiratory-type” epithelium with ciliated columnar cells, consistent with the diagnosis of a bronchogenic cyst. Laparoscopic excision was performed, and the diagnosis was confirmed based on the findings of the surgical specimen. Abdominal bronchogenic cysts are extremely uncommon, and a definitive diagnosis is commonly obtained after the examination of surgical specimens due to the lack of pathognomonic findings on cross-sectional imaging and poor cellularity on EUS-guided fine-needle aspiration cytology. EUS-TTNB is useful for establishing a preoperative histological diagnosis, thus supporting the decision-making process.

Citations

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  • Optimal resection of gastric bronchogenic cysts based on anatomical continuity with adherent gastric muscular layer: A case report
    Masayoshi Terayama, Koshi Kumagai, Hiroshi Kawachi, Rie Makuuchi, Masaru Hayami, Satoshi Ida, Manabu Ohashi, Takeshi Sano, Souya Nunobe
    World Journal of Gastrointestinal Surgery.2023; 15(6): 1216.     CrossRef
  • Retroperitoneal tumor finally diagnosed as a bronchogenic cyst: A case report and review of literature
    Yang-Yang Gong, Xin Qian, Bo Liang, Ming-Dong Jiang, Jun Liu, Xing Tao, Jing Luo, Hong-Jian Liu, You-Gang Feng
    World Journal of Clinical Cases.2022; 10(19): 6679.     CrossRef
  • Endoscopic resection in the treatment of intramural esophageal bronchogenic cysts: A retrospective analysis of 17 cases
    Jiao Jiao, Xiaofei Fan, Lili Luo, Zhongqing Zheng, Bangmao Wang, Wentian Liu
    Digestive and Liver Disease.2022; 54(12): 1691.     CrossRef
  • Subdiaphragmatic bronchogenic cysts: Case series and literature review
    Jianchun Xiao, Xueyang Zhang, Hongru Zhou, Tao Hong, Binglu Li, Xiaodong He, Wei Liu
    Frontiers in Medicine.2022;[Epub]     CrossRef
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  • 60 Download
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Brief Reports
Endoscopic Biopsy Technique using an Alcohol Swab to Prevent Transmission through the Instrument Channel in the COVID-19 Era
Shusei Fukunaga, Taku Manabe, Mitsuhiro Kono, Tadashi Ochiai, Akira Higashimori, Masaki Ominami, Yasuaki Nagami, Yasuhiro Fujiwara
Clin Endosc 2021;54(5):771-773.   Published online May 11, 2021
DOI: https://doi.org/10.5946/ce.2021.027
PDFSupplementary MaterialPubReaderePub
  • 3,763 View
  • 62 Download
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Needle Fracture, a Rare Endoscopic Ultrasound-Guided Fine-Needle Aspiration Complication and Why?
Kook Hyun Kim, Sung Bum Kim, Tae Nyeun Kim
Clin Endosc 2021;54(5):774-776.   Published online August 21, 2020
DOI: https://doi.org/10.5946/ce.2020.128
PDFPubReaderePub

Citations

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  • Needle Fracture During Endobronchial Ultrasound Transbronchial Needle Aspiration
    Jason Rajchgot, Kayvan Amjadi
    Journal of Bronchology & Interventional Pulmonology.2021; 28(4): e65.     CrossRef
  • 3,630 View
  • 71 Download
  • 1 Crossref
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Boost Your Learning with Quiz
A Stone in Remnant Cystic Duct Causing Mirizzi Syndrome Following Laparoscopic Cholecystectomy
Min Jae Yang, Do Hyun Park
Clin Endosc 2021;54(5):777-779.   Published online September 30, 2021
DOI: https://doi.org/10.5946/ce.2021.205
PDFPubReaderePub

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  • Mirizzi Syndrome. Clinical case
    Ángel Rafael Borja Cabrera, Grace Kelly Guevara Benítez, Fausto Andrés Guamán Pintado, María Salome Argotti Zumbana, Adriana del Rocío Lascano Sánchez, Alexandra Elizabeth Ramírez Suque, Amanda Yadira Analuisa Sisalema
    Salud, Ciencia y Tecnología.2022; 2: 255.     CrossRef
  • 3,253 View
  • 65 Download
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