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Original Articles
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Endoscopic Ultrasound-Guided Fine Needle Aspiration Using a 22-G Needle for Hepatic Lesions: Single-Center Experience
- Ebru Akay, Deniz Atasoy, Engin Altınkaya, Ali Koç, Tamer Ertan, Hatice Karaman, Erkan Caglar
- Clin Endosc 2021;54(3):404-412. Published online December 9, 2020
- DOI: https://doi.org/10.5946/ce.2020.065
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Abstract
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Supplementary Material
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ePub - Background
/Aims: Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) has been accepted as a reliable tool in diagnosing and staging intra-abdominal tumors. In this study, we aimed to investigate the performance of EUS-FNA in the evaluation of liver masses and its impact on patient management and procedure-related complications retrospectively.
Methods
Data of patients who underwent EUS-FNA biopsies due to liver masses between November 2017 and July 2018 were retrieved retrospectively. Biopsies were performed using 22-G needles. The demographics, EUS-FNA results, sensitivity and specificity of the procedure, negative predictive value, positive predictive value, and specimen sufficiency rates were assessed.
Results
A total of 25 patients (10 females) were included in the study. The mean age was 62.73±15.2 years. The mean size of the masses was 34.50±16.04 mm. The technical success rate was 88%. During the EUS-FNA procedure, each patient had only one pass with 94.45% of aspirate sufficiency rate and 86.3% of biopsy sufficiency rate. The diagnostic accuracy rate was 86.3%. There were no complications.
Conclusions
For the evaluation of liver masses, EUS-FNA using a 22-G needle with even one pass had high aspiration and biopsy success rates accompanied with high diagnostic accuracy rates. -
Citations
Citations to this article as recorded by
- Endoscopic ultrasound‐guided tissue acquisition for focal liver lesions in patients with a history of multiple primary malignant neoplasms
Yuichi Takano, Naoki Tamai, Masataka Yamawaki, Jun Noda, Tetsushi Azami, Fumitaka Niiya, Fumiya Nishimoto, Naotaka Maruoka, Tatsuya Yamagami, Masatsugu Nagahama
DEN Open.2025;[Epub] CrossRef - The outcomes of endoscopic ultrasound‐guided tissue acquisition for small focal liver lesions measuring ≤2 cm
Yuichi Takano, Naoki Tamai, Masataka Yamawaki, Jun Noda, Tetsushi Azami, Fumitaka Niiya, Fumiya Nishimoto, Naotaka Maruoka, Tatsuya Yamagami, Masatsugu Nagahama
DEN Open.2025;[Epub] CrossRef - Advances in Endo-Hepatology: The Role of Endoscopic Ultrasound in the Management of Portal Hypertension
Angelo Bruni, Giuseppe Dell’Anna, Jayanta Samanta, Jacopo Fanizza, Francesco Vito Mandarino, Jahnvi Dhar, Antonio Facciorusso, Vito Annese, Sara Massironi, Alberto Malesci, Giovanni Marasco, Elton Dajti, Leonardo Henry Eusebi, Giovanni Barbara, Gianfranco
Diagnostics.2025; 15(8): 967. CrossRef - Diagnostic and therapeutic role of endoscopic ultrasound in liver diseases: A systematic review and meta-analysis
Eyad Gadour, Abeer Awad, Zeinab Hassan, Khalid Jebril Shrwani, Bogdan Miutescu, Hussein Hassan Okasha
World Journal of Gastroenterology.2024; 30(7): 742. CrossRef - Endoscopic ultrasound-guided tissue acquisition for the diagnosis of focal liver lesion
Alina Tantău, Cosmina Sutac, Anamaria Pop, Marcel Tantău
World Journal of Radiology.2024; 16(4): 72. CrossRef - Contrast-enhanced guided endoscopic ultrasound procedures
Marcel Ioan Gheorghiu, Andrada Seicean, Cristina Pojoga, Claudia Hagiu, Radu Seicean, Zeno Sparchez
World Journal of Gastroenterology.2024; 30(17): 2311. CrossRef - Endoscopic ultrasound-guided fine-needle aspiration in the diagnostic value of focal liver lesions: A systematic analysis of 88 cases (with video)
Xiaohong Kong, Zijun Fan, Ruiping Li, Duanmin Hu, Guilian Cheng
Clinics and Research in Hepatology and Gastroenterology.2024; 48(7): 102382. CrossRef - Endoscopic Ultrasound-Guided Fine Needle Biopsy of Focal Liver Lesions: An Effective Mini-Invasive Alternative to the Percutaneous Approach
Gabriele Rancatore, Dario Ligresti, Giacomo Emanuele Maria Rizzo, Lucio Carrozza, Mario Traina, Ilaria Tarantino
Diagnostics.2024; 14(13): 1336. CrossRef - Endoscopic ultrasound-guided tissue acquisition for focal liver lesions can be safely performed in patients with ascites
Yuichi Takano, Naoki Tamai, Masataka Yamawaki, Jun Noda, Tetsushi Azami, Fumitaka Niiya, Fumiya Nishimoto, Naotaka Maruoka, Tatsuya Yamagami, Masatsugu Nagahama
Endoscopy International Open.2024; 12(11): E1309. CrossRef - A case in which ultrasound-guided fine needle aspiration was useful in the diagnosis of liver metastasis of gallbladder cancer
Ayako Inada, Masao Toki, Takahiro Yamada, Sho Kawamoto, Komei Kambayashi, Takeshi Nosaka, Kazushige Ochiai, Koichi Gondo, Shunsuke Watanabe, Akimasa Hayashi, Hiroaki Shimoyamada, Junji Shibahara, Tadakazu Hisamatsu
Progress of Digestive Endoscopy.2023; 102(1): 140. CrossRef - Endo-hepatology: Updates for the clinical hepatologist
Frances Lee, Tarun Rustagi, R. Todd Frederick
Clinical Liver Disease.2023; 22(2): 42. 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 - Endoscopic Ultrasound-Guided Fine-Needle Biopsy versus Fine-Needle Aspiration in the Diagnosis of Focal Liver Lesions: Prospective Head-to-Head Comparison
Marcel Gheorghiu, Andrada Seicean, Sorana D. Bolboacă, Ioana Rusu, Radu Seicean, Cristina Pojoga, Ofelia Moșteanu, Zeno Sparchez
Diagnostics.2022; 12(9): 2214. CrossRef - Endoscopic Ultrasound-Guided Fine-Needle Aspiration for Focal Liver Lesions: The Expanding Light Over the Shadow
Takuji Iwashita, Masahito Shimizu
Clinical Endoscopy.2021; 54(3): 299. CrossRef - Hepatic Squamous Cell Carcinoma Diagnosed by Endoscopic Ultrasound-Guided Fine-Needle Aspiration
Koki Yamada, Susumu Shinoura, Kaoru Kikuchi, Chia-Tung Shun
Case Reports in Gastrointestinal Medicine.2021; 2021: 1. 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
- Endoscopic ultrasound‐guided tissue acquisition for focal liver lesions in patients with a history of multiple primary malignant neoplasms
- 5,785 View
- 147 Download
- 16 Web of Science
- 17 Crossref
- Experience of the Endoscopists Matters in Endoscopic Retrograde Cholangiopancreatography in Billroth II Gastrectomy Patients
- Erkan Caglar, Deniz Atasoy, Mukaddes Tozlu, Engin Altınkaya, Serkan Dogan, Hakan Senturk
- Clin Endosc 2020;53(1):82-89. Published online September 3, 2019
- DOI: https://doi.org/10.5946/ce.2019.073
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Abstract
PDFPubReaderePub
- Background
/Aims: Altered anatomy is a challenge in endoscopic retrograde cholangiopancreatography (ERCP) for patients with Billroth II anastomosis. In this study, we investigated the overall success and role of endoscopist experience.
Methods
Data of patients who underwent ERCP between 2014 and 2018 after a previous Billroth II operation were retrieved retrospectively from 2 tertiary ERCP centers. The procedures were performed by 2 endoscopists with different levels of experience. Clinical success was defined as extraction of the stone, placement of a stent through a malignant stricture, and clinical and laboratory improvements in patients.
Results
Seventy-five patients were included. The technical success rate was 83% for the experienced endoscopist and 75% for the inexperienced endoscopist (p=0.46). The mean (±standard deviation) procedure time was 23.8±5.7 min for the experienced endoscopist and 40.68±6.07 min for the inexperienced endoscopist (p<0.001). In total, 3 perforations (4%) were found. The rate of afferent loop perforation was 6.25% (1/16) for the inexperienced endoscopist and 0% (0/59) for the experienced endoscopist (p=0.053).
Conclusions
ERCP in patients who had undergone Billroth II gastrectomy was time consuming for the inexperienced endoscopist who should beware of the unique adverse events related to ERCP in patients with altered anatomy. -
Citations
Citations to this article as recorded by- Clinical outcomes of endoscopic retrograde cholangiopancreatography after Billroth II anastomosis: a comparison of gastroscope and duodenoscope
Kang Ho Lee, Gwang Hyo Yim, Jimin Han, Han Taek Jeong
BMC Gastroenterology.2025;[Epub] CrossRef - Practical application of the modification in endoscopic retrograde cholangiopancreatography treated common bile duct stones in patients with Billroth II gastroenterostomy in Vietnam
Tran Thi Anh Tuyet, Nguyen Van Thai, Nguyen Tien Thinh, Mai Thanh Binh
Therapeutic Advances in Gastrointestinal Endoscopy.2024;[Epub] 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 - Efficacy and safety of a single-use cholangioscope for percutaneous transhepatic cholangioscopy
Ivo Boskoski, Torsten Beyna, James YW Lau, Arnaud Lemmers, Mehran Fotoohi, Mohan Ramchandani, Valerio Pontecorvi, Joyce Peetermans, Eran Shlomovitz
Endoscopy International Open.2024; 12(08): E981. CrossRef - Endoscopic Retrograde Cholangiopancreatography Performed by Trainees Is Not Associated with Increased Immediate Adverse Events or Technical Failure Rates
Osayande Osagiede, Frank J. Lukens, Vivek Kumbhari, Juan E. Corral
Digestive Diseases and Sciences.2023; 68(5): 1747. CrossRef - Impact of center and endoscopist ERCP volume on ERCP outcomes: a systematic review and meta-analysis
Sara Teles de Campos, Apostolis Papaefthymiou, Theodosia Florou, Antonio Facciorusso, Marianna Arvanitakis, Jacques Devière, Paraskevas Gkolfakis
Gastrointestinal Endoscopy.2023; 98(3): 306. CrossRef - Unusual biliary gem: Cause of acute obstructive suppurative cholangitis and pancreatitis in a patient with Billroth II anastomosis
Koki Yamada, Susumu Shinoura
Annals of the Academy of Medicine, Singapore.2022; 51(3): 196. CrossRef - Increased ERCP volume improves cholangiogram interpretation: a new performance measure for ERCP training?
Shyam Vedantam, Sunil Amin, Ben Maher, Saqib Ahmad, Shanil Kadir, Saad Khalid Niaz, Mark Wright, Nadeem Tehami
Clinical Endoscopy.2022; 55(3): 426. CrossRef - Percutaneous transhepatic cholangiography vs endoscopic ultrasound-guided biliary drainage: A systematic review
Zeinab Hassan, Eyad Gadour
World Journal of Gastroenterology.2022; 28(27): 3514. CrossRef - Experience of endoscopic retrograde cholangiopancreatography with side-viewing duodenoscope in patients with previous gastric surgery
Mehmet Emin Gürbüz, Dursun Özgür Karakaş
Turkish Journal of Surgery.2022; 38(2): 149. CrossRef - A comparative study of side-viewing duodenoscope and forward-viewing gastroscope to perform endoscopic retrograde cholangiopancreatography in patients with Billroth II gastrectomy
Orhan Coşkun, Bülent Ödemiş
Surgical Endoscopy.2021; 35(8): 4222. CrossRef - Efficacy and safety of the rotatable sphincterotome during ERCP in patients with prior Billroth II gastrectomy (with videos)
Feng Zhu, Yaping Guan, Jing Wang
Surgical Endoscopy.2021; 35(8): 4849. CrossRef - Experience of Endoscopists in Endoscopic Retrograde Cholangiopancreatography in Surgically Altered Anatomy Patients
Chang-Hwan Park
Clinical Endoscopy.2020; 53(1): 7. CrossRef
- Clinical outcomes of endoscopic retrograde cholangiopancreatography after Billroth II anastomosis: a comparison of gastroscope and duodenoscope
- 6,713 View
- 158 Download
- 14 Web of Science
- 13 Crossref
Case Report
- Long-Term Palliative Effect of Stenting in Gastric Outlet Obstruction Due to Transarterial Chemoembolization with Yttrium-90 in a Patient with Metastatic Neuroendocrine Tumor
- Erkan Caglar, Gulen Doğusoy, Levent Kabasakal, Ahmet Dobrucali
- Clin Endosc 2016;49(5):479-482. Published online June 29, 2016
- DOI: https://doi.org/10.5946/ce.2015.149
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Abstract
PDFPubReaderePub
- Internal radioembolization with yttrium-90 is a promising treatment method, predominantly for liver tumors. However, the shifting of yttrium-90-loaded spherules into the arteries and veins that supply the duodenum and stomach, leading to ulceration, hemorrhage, perforation, and outlet obstruction of these organs, is one of the major undesirable consequences of this technique. We report a case of gastric outlet obstruction (GOO) due to antropyloric stenosis with ulceration, edema, and inflammation following transarterial yttrium-90 treatment for a metastatic neuroendocrine tumor in a 58-year-old man. Stenting was used for palliation in this case. GOO improved after stenting and recovery of oral intake was permanent after stent removal.
- 7,675 View
- 111 Download
- 1 Web of Science
Original Articles
- Concordance of Endoscopic Ultrasonography-Guided Fine Needle Aspiration Diagnosis with the Final Diagnosis in Subepithelial Lesions
- Erkan Çağlar, İbrahim Hatemi, Deniz Atasoy, Gürhan Şişman, Hakan Şentürk
- Clin Endosc 2013;46(4):379-383. Published online July 31, 2013
- DOI: https://doi.org/10.5946/ce.2013.46.4.379
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Abstract
PDFPubReaderePub
Background/Aims In this study we aimed to determine the rate of concordance of endoscopic ultrasonography (EUS)-guided fine needle aspiration (FNA) diagnosis with the final diagnosis obtained by surgery or endoscopic resection and follow-up in upper gastrointestinal subepithelial lesions.
Methods We retrospectively studied patients with subepithelial lesions who underwent EUS at our center from 2007 to 2011.
Results We had a final diagnosis in 67 patients (mean age±SD, 51.23±12.48 years; 23 [34.3%] female, 44 [65.6%] male). EUS-FNA was performed in all of the patients. On-site pathology was not performed. In nine of the patients, the obtained material which was obtained was insufficient. The cytologic examination was benign in 31 and malignant in 27 of the patients. Based on the final diagnosis, the EUS-FNA had a sensitivity of 96%, a specificity of 100%, and a diagnostic yield of 85%.
Conclusions The diagnostic yield of EUS-FNA, in the absence of the on-site cytopathologist, is feasible for the diagnosis of subepithelial lesions of the upper gastrointestinal system.
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Citations
Citations to this article as recorded by- Diagnostic yield of endoscopic and EUS-guided biopsy techniques in subepithelial lesions of the upper GI tract: a systematic review
Cynthia A. Verloop, Jacqueline A.C. Goos, Marco J. Bruno, Rutger Quispel, Lydi M.J.W. van Driel, Lieke Hol
Gastrointestinal Endoscopy.2024; 99(6): 895. CrossRef - Clinical course of asymptomatic duodenal subepithelial lesions
Seokin Kang, Kwangbeom Park, Do Hoon Kim, Yuri Kim, Hee Kyong Na, Jeong Hoon Lee, Ji Yong Ahn, Kee Wook Jung, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung
The Korean Journal of Internal Medicine.2024; 39(4): 603. CrossRef - Use of Artificial Intelligence in the Prediction of Malignant Potential of Gastric Gastrointestinal Stromal Tumors
Gulseren Seven, Gokhan Silahtaroglu, Koray Kochan, Ali Tuzun Ince, Dilek Sema Arici, Hakan Senturk
Digestive Diseases and Sciences.2022; 67(1): 273. 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 - Differentiating Gastrointestinal Stromal Tumors from Leiomyomas Using a Neural Network Trained on Endoscopic Ultrasonography Images
Gulseren Seven, Gokhan Silahtaroglu, Ozden Ozluk Seven, Hakan Senturk
Digestive Diseases.2022; 40(4): 427. CrossRef - Subepithelial esophageal tumors: a single-center review of resected and surveilled lesions
Don C. Codipilly, Hongfei Fang, Jeffrey A. Alexander, David A. Katzka, Karthik Ravi
Gastrointestinal Endoscopy.2018; 87(2): 370. CrossRef - Extra-mucosal enucleation is still a safe and feasible treatment option of giant esophageal leiomyomas
Azhar Perwaiz, Vinay Kumar Shaw, Amanjeet Singh, Adarsh Chaudhary
Indian Journal of Gastroenterology.2018; 37(1): 63. CrossRef - The Role of Endoscopic Ultrasound in the Diagnostic Assessment of Subepithelial Lesions of the Upper Gastrointestinal Tract
Francisca Dias de Castro, Joana Magalhães, Sara Monteiro, Sílvia Leite, José Cotter
GE Portuguese Journal of Gastroenterology.2016; 23(6): 287. CrossRef - Which Needle Is Better for Diagnosing Subepithelial Lesions?
Eun Young Kim
Clinical Endoscopy.2015; 48(2): 91. CrossRef - EUS-guided tissue acquisition: an evidence-based approach (with videos)
Sachin Wani, V. Raman Muthusamy, Srinadh Komanduri
Gastrointestinal Endoscopy.2014; 80(6): 939. CrossRef - Diagnosis of Subepithelial Lesion: Still "Tissue Is the Issue"
Eun Young Kim
Clinical Endoscopy.2013; 46(4): 313. CrossRef
- Diagnostic yield of endoscopic and EUS-guided biopsy techniques in subepithelial lesions of the upper GI tract: a systematic review
- 7,298 View
- 59 Download
- 11 Crossref
- Self-Expandable Metallic Stent Placement in the Palliative Treatment of Malignant Obstruction of Gastric Outlet and Duodenum
- Erkan Çaglar, Ahmet Dobrucali
- Clin Endosc 2013;46(1):59-64. Published online January 31, 2013
- DOI: https://doi.org/10.5946/ce.2013.46.1.59
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Abstract
PDFPubReaderePub
Background/Aims To asses the usefulness of flexible metallic stents in the palliation of malignant obstruction of gastric outlet and duodenum.
Methods Retrospective review was performed between January 2006 and December 2011 in 30 patients. Thirty consecutive patients with obstruction of the gastric outlet underwent palliative treatment with self-expandable flexible metallic stents. Complications and clinical outcomes were assessed.
Results Twenty-four patients had advanced gastric carcinoma at the antrum and/or pylorus, four patients had obstruction at the pylorus due to pancreas tumours and one patient had duodedum and one patient had gall bladder tumour. Symptoms improved in 82.7% of the patients after the procedure. The improvement in ability to eat using the score system was statistically significant (
p <0.001). Tumor ingrowth and/or overgrowth were seen in four patients (13.3%), and a second stent was inserted in these patients. The mean stent patency was 100 days (range, 5 to 410). The mean survival was 120.76±38.96 days.Conclusions Endoscopic placement of self-expendable metallic stents under fluoroscopy is a safe and effective treatment for the palliation of patients with inoperable malignant gastric outlet obstruction caused by stomach or pancreas cancer.
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Citations
Citations to this article as recorded by- 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 - Photodynamic Therapy and Hyperthermia in Combination Treatment—Neglected Forces in the Fight against Cancer
Aleksandra Bienia, Olga Wiecheć-Cudak, Aleksandra Anna Murzyn, Martyna Krzykawska-Serda
Pharmaceutics.2021; 13(8): 1147. CrossRef - Clinical outcomes after multiple self-expandable metallic stent placement using stent-in-stent technique for malignant gastric outlet obstruction
Jin Won Mo, Young Min Kim, Jie-Hyun Kim, Seung Yong Shin, Young Hoon Youn, Hyojin Park
Medicine.2020; 99(21): e19432. CrossRef - Modified Devine Exclusion for Unresectable Distal Gastric Cancer in Symptomatic Patients
María Carmen Fernández-Moreno, Roberto Martí-Obiol, Fernando López, Joaquín Ortega
Case Reports in Gastroenterology.2017; 11(1): 9. CrossRef - Clinical outcomes of re-stenting in patients with stent malfunction in malignant gastric outlet obstruction
Eun Hyo Jin, Sang Gyun Kim, Ji Yeon Seo, Jong Pil Im, Joo Sung Kim, Hyun Chae Jung
Surgical Endoscopy.2016; 30(4): 1372. CrossRef - Long-Term Palliative Effect of Stenting in Gastric Outlet Obstruction Due to Transarterial Chemoembolization with Yttrium-90 in a Patient with Metastatic Neuroendocrine Tumor
Erkan Caglar, Gulen Doğusoy, Levent Kabasakal, Ahmet Dobrucali
Clinical Endoscopy.2016; 49(5): 479. CrossRef - Efficacy and safety of a partially covered duodenal stent for malignant gastroduodenal obstruction: a pilot study
Dongwook Oh, Sang Soo Lee, Tae Jun Song, Jun-Ho Choi, Do Hyun Park, Dong-Wan Seo, Sung Koo Lee, Myung-Hwan Kim
Gastrointestinal Endoscopy.2015; 82(1): 32. CrossRef - Nausea and vomiting in advanced cancer
Pamela Gordon, Susan B. LeGrand, Declan Walsh
European Journal of Pharmacology.2014; 722: 187. CrossRef
- Endoscopic Ultrasonography-guided Gastrojejunostomy for Patients with Gastric Outlet Obstruction and Pyloric Metal Stent Dysfunction
- 7,171 View
- 70 Download
- 8 Crossref
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