Clinical Endoscopy

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

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.

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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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Minimally Invasive Approach Using Digital Single-Operator Peroral Cholangioscopy-Guided Electrohydraulic Lithotripsy and Endoscopic Nasogallbladder Drainage for the Management of High-Grade Mirizzi Syndrome: Hyung Ku Chon, Chan Park, Tae Hyeon Kim; Clin Endosc 2021;54(6):930-934. Published online February 18, 2021; DOI: https://doi.org/10.5946/ce.2021.015

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Mirizzi syndrome is a rare complication of gallbladder disease that can be difficult to treat. In particular, endoscopic treatment often fails because of the inability to access or to capture the impacted cystic duct stone. We report a case of Mirizzi syndrome grade III that was successfully managed by digital single-operator peroral cholangioscopy-guided electrohydraulic lithotripsy with endoscopic nasogallbladder drainage and interval laparoscopic cholecystectomy. Based on our experience, digital single-operator peroral cholangioscopy-guided electrohydraulic lithotripsy with endoscopic nasogallbladder drainage is a feasible minimally invasive approach for the management of high-grade Mirizzi syndrome.

Citations

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Difficult Biliary Stones: A Comprehensive Review of New and Old Lithotripsy Techniques
Edoardo Troncone, Michelangela Mossa, Pasquale De Vico, Giovanni Monteleone, Giovanna Del Vecchio Blanco
Medicina.2022; 58(1): 120. CrossRef
Endoscopic management of cystic duct stones and Mirizzi’s syndrome: experience at an academic medical center
Rishi Pawa, Robert Dorrell, Swati Pawa
Endoscopy International Open.2022; 10(01): E135. CrossRef
Mirizzi Syndrome Type IV Successfully Treated with Peroral Single-operator Cholangioscopy-guided Electrohydraulic Lithotripsy: A Case Report with Literature Review
Hirokazu Kawai, Toshifumi Sato, Masaaki Natsui, Kotaro Watanabe, Ryosuke Inoue, Mayuki Kimura, Kazumi Yoko, Syun-ya Sasaki, Masashi Watanabe, Taku Ohashi, Akihiro Tsukahara, Norio Tanaka, Yoshihisa Tsukada
Internal Medicine.2022; 61(23): 3513. CrossRef
Quality of life of treated patients with Mirizi syndrome
F. M. Pavuk
Klinicheskaia khirurgiia.2021; 88(1-2): 69. CrossRef
A Stone in Remnant Cystic Duct Causing Mirizzi Syndrome Following Laparoscopic Cholecystectomy
Min Jae Yang, Do Hyun Park
Clinical Endoscopy.2021; 54(5): 777. CrossRef

3,496 View
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Increased Detection of Colorectal Polyps in Screening Colonoscopy Using High Definition i-SCAN Compared with Standard White Light: Woo Jung Kim, Sang Young Park, Iksoo Park, Wook Jin Lee, Jaechan Park, Nuri Chon, Tak Geun Oh, Kwang Hyun Kim; Clin Endosc 2016;49(1):69-75. Published online January 28, 2016; DOI: https://doi.org/10.5946/ce.2016.49.1.69

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Background
/Aims: The aim of this study was to evaluate the efficacy of high definition (HD) i-SCAN for colorectal polyp detection in screening colonoscopy.
Methods
We retrospectively analyzed the records of 501 patients who had undergone screening colonoscopy performed by three endoscopists with either HD i-SCAN (n=149) or standard white light (n=352) from January 2, 2014 through June 30, 2014. Patient information and inter-endoscopist variation as well as polyp number, endoscopic findings, and pathologic characteristics were reviewed.
Results
The detection rates of colorectal and neoplastic polyps were significantly higher using HD i-SCAN than standard white light colonoscopy (52% vs. 38.1%, p=0.004 for colorectal polyps; and 37.2% vs. 27.9%, p=0.041 for neoplastic polyps). Analysis of endoscopic findings revealed no difference in detected polyp size between HD i-SCAN and standard white light colonoscopy (4.59±2.35 mm vs. 4.82±2.81 mm, p=0.739), but non-protruding polyps were more commonly detected by i-SCAN than by standard white light colonoscopy (24.6% vs. 13.5%, p=0.007).
Conclusions
Colonoscopy using HD i-SCAN had a significantly higher detection rate of colorectal polyps, including neoplastic polyps, because of improved sensitivity for detecting non-protruding lesions.

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Mucosal imaging in colon polyps: New advances and what the future may hold
Edward John Young, Arvinf Rajandran, Hamish Lachlan Philpott, Dharshan Sathananthan, Sophie Fenella Hoile, Rajvinder Singh
World Journal of Gastroenterology.2022; 28(47): 6632. CrossRef
Técnicas colonoscópicas para la detección de pólipos: un estudio egipcio
M. Abdelbary, S. Hamdy, H. Shehab, N. ElGarhy, M. Menesy, R. Marzaban
Revista de Gastroenterología de México.2021; 86(1): 36. CrossRef
Colonoscopic techniques in polyp detection: An Egyptian study
M. Abdelbary, S. Hamdy, H. Shehab, N. ElGarhy, M. Menesy, R. Marzaban
Revista de Gastroenterología de México (English Edition).2021; 86(1): 36. CrossRef
Effect of I-scan Electronic Chromoendoscopy on Detection of Adenomas During Colonoscopy
Trilokesh D. Kidambi, Jonathan P. Terdiman, Najwa El-Nachef, Aparajita Singh, Michael G. Kattah, Jeffrey K. Lee
Clinical Gastroenterology and Hepatology.2019; 17(4): 701. CrossRef
Can technology increase adenoma detection rate?
Wee Sing Ngu, Colin Rees
Therapeutic Advances in Gastroenterology.2018; 11: 1756283X1774631. CrossRef
New technologies improve adenoma detection rate, adenoma miss rate, and polyp detection rate: a systematic review and meta-analysis
Daniel Castaneda, Violeta B. Popov, Elijah Verheyen, Praneet Wander, Seth A. Gross
Gastrointestinal Endoscopy.2018; 88(2): 209. CrossRef
Role of Image-Enhanced Endoscopy in Pancreatobiliary Diseases
Yun Nah Lee, Jong Ho Moon, Hyun Jong Choi
Clinical Endoscopy.2018; 51(6): 541. CrossRef
Enhanced flat adenoma detection rate with high definition colonoscopy plus i-scan for average-risk colorectal cancer screening
Antonio Rodríguez-D´Jesus, Esteban Saperas
Revista Española de Enfermedades Digestivas.2016;[Epub] CrossRef

7,464 View
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