Clinical Endoscopy

Original Article

Diode Laser—Can It Replace the Electrical Current Used in Endoscopic Submucosal Dissection?: Yunho Jung, Gwang Ho Baik, Weon Jin Ko, Bong Min Ko, Seong Hwan Kim, Jin Seok Jang, Jae-Young Jang, Wan-Sik Lee, Young Kwan Cho, Sun Gyo Lim, Hee Seok Moon, In Kyung Yoo, Joo Young Cho; Clin Endosc 2021;54(4):555-562. Published online January 13, 2021; DOI: https://doi.org/10.5946/ce.2020.229

Abstract PDF Supplementary Material PubReader ePub

Background
/Aims: A new medical fiber-guided diode laser system (FDLS) is expected to offer high-precision cutting with simultaneous hemostasis. Thus, this study aimed to evaluate the feasibility of using the 1,940-nm FDLS to perform endoscopic submucosal dissection (ESD) in the gastrointestinal tract of an animal model.
Methods
In this prospective animal pilot study, gastric and colorectal ESD using the FDLS was performed in ex vivo and in vivo porcine models. The completeness of en bloc resection, the procedure time, intraprocedural bleeding, histological injuries to the muscularis propria (MP) layer, and perforation were assessed.
Results
The en bloc resection and perforation rates in the ex vivo study were 100% (10/10) and 10% (1/10), respectively; those in the in vivo study were 100% (4/4) and 0% for gastric ESD and 100% (4/4) and 25% (1/4) for rectal ESD, respectively. Deep MP layer injuries tended to occur more frequently in the rectal than in the gastric ESD cases, and no intraprocedural bleeding occurred in either group.
Conclusions
The 1,940-nm FDLS was capable of yielding high en bloc resection rates without intraprocedural bleeding during gastric and colorectal ESD in animal models.

Citations

Citations to this article as recorded by

Use of Diode Laser in Hysteroscopy for the Management of Intrauterine Pathology: A Systematic Review
Andrea Etrusco, Giovanni Buzzaccarini, Antonio Simone Laganà, Vito Chiantera, Salvatore Giovanni Vitale, Stefano Angioni, Maurizio Nicola D’Alterio, Luigi Nappi, Felice Sorrentino, Amerigo Vitagliano, Tommaso Difonzo, Gaetano Riemma, Liliana Mereu, Alessa
Diagnostics.2024; 14(3): 327. CrossRef
Recent advances in endoscopic management of gastric neoplasms
Hira Imad Cheema, Benjamin Tharian, Sumant Inamdar, Mauricio Garcia-Saenz-de-Sicilia, Cem Cengiz
World Journal of Gastrointestinal Endoscopy.2023; 15(5): 319. CrossRef
Safety and efficacy of dual emission endoscopic laser treatment in patients with upper or lower gastrointestinal vascular lesions causing chronic anemia: results from the first multicenter cohort study
Gian Eugenio Tontini, Lorenzo Dioscoridi, Alessandro Rimondi, Paolo Cantù, Flaminia Cavallaro, Aurora Giannetti, Luca Elli, Luca Pastorelli, Francesco Pugliese, Massimiliano Mutignani, Maurizio Vecchi
Endoscopy International Open.2022; 10(04): E386. CrossRef

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Case Reports

Acquired Hemophilia A with Gastrointestinal Bleeding: Narae Park, Jin Seok Jang, Jae Hwang Cha; Clin Endosc 2020;53(1):90-93. Published online July 8, 2019; DOI: https://doi.org/10.5946/ce.2019.036

Abstract PDF PubReader ePub

Peptic ulcer disease is the most common cause of acute gastrointestinal bleeding, followed by variceal bleeding, Mallory–Weiss syndrome, and malignancy. On the contrary, acquired hemophilia A is a very rare hemorrhagic disease, which usually manifests with musculocutaneous bleeding, caused by autoantibodies against coagulation factor VIII.
A 78-year-old man presented to the Emergency Department with melena. Dieulafoy’s lesions were observed on esophagogastroduodenoscopy, and endoscopic cauterization was performed. However, the patient complained of back pain and symptoms indicative of upper gastrointestinal bleeding. Abdominopelvic computed tomography was performed, and hematoma in the psoas muscle was detected. Antibodies against coagulation factor VIII were confirmed with a blood test, and the diagnosis of acquired hemophilia A was made. Here, we report a case of acquired hemophilia A presenting with upper gastrointestinal bleeding symptoms and present a brief review of literature.

Citations

Citations to this article as recorded by

Variceal hemorrhage in a patient with cirrhosis and congenital hemophilia A: A therapeutic challenge
Rafael Gregorio Peña Amaya, María del Carmen Figueredo Peña
SAGE Open Medical Case Reports.2024;[Epub] CrossRef
Acquired hemophilia A as a disease of the elderly: A comprehensive review of epidemiology, pathogenesis, and novel therapy
Andrea Lehoczki, Mónika Fekete, Gábor Mikala, Imre Bodó
GeroScience.2024;[Epub] CrossRef
A case of refractory bleeding from duodenal angioectasia with acquired hemophilia A
Hiroko Abe, Masahiro Saito, Kaname Uno, Tomoyuki Koike, Satoshi Ichikawa, Masashi Saito, Takeshi Kanno, Waku Hatta, Naoki Asano, Atsushi Masamune
Clinical Journal of Gastroenterology.2023; 16(3): 355. CrossRef
C-Reactive Protein: Pathophysiology, Diagnosis, False Test Results and a Novel Diagnostic Algorithm for Clinicians
Dimitra S. Mouliou
Diseases.2023; 11(4): 132. CrossRef
THE RESTRICTIVE EFFECTS OF THE COVID-19 PANDEMIC ON THE MANAGEMENT OF PLASTRON APPENDICITIS IN A KNOWN HEMOPHILIA A PATIENT
Mert Yurtsever, İrfan Arda Aykut, Beste Girgin, Berkay Aldemir, Oğuzhan Alp Öztürk, Zeliha Türkyılmaz
TURKISH MEDICAL STUDENT JOURNAL.2022; 9(3): 84. CrossRef
A rare cause of lower gastrointestinal bleeding: acquired hemophilia A
Pilar Del Pino Bellido, María Fernanda Guerra Veloz, Reyes Aparcero López
Revista Española de Enfermedades Digestivas.2021;[Epub] CrossRef
Undiagnosed Acquired Hemophilia A: Presenting as Recurrent Gastrointestinal Bleeding
Arya Mariam Roy, Aisha Siddiqui, Anand Venkata
Cureus.2020;[Epub] CrossRef

5,255 View
157 Download
6 Web of Science
7 Crossref

Eosinophilic Gastritis Presenting as Tissue Necrosis: Yong Min Jo, Jin Seok Jang, Seung Hee Han, Sang Hyun Kang, Woo Jae Kim, Jin Sook Jeong; Clin Endosc 2015;48(6):558-562. Published online November 30, 2015; DOI: https://doi.org/10.5946/ce.2015.48.6.558

Abstract PDF PubReader ePub: Eosinophilic gastroenteritis is very rare disorder that is characterized by eosinophilic infiltration of the gastrointestinal tract in the absence of any definite causes of eosinophilia. It is associated with various clinical gastrointestinal manifestations, and depends on the involved layer and site. We report a case of eosinophilic gastritis presenting with severe necrosis. The symptoms disappeared immediately after beginning steroid treatment, and the eosinophil count decreased to the reference range. The patient showed eosinophilic gastritis characterized by necrotic change such as necrotizing gastritis. It is a unique presentation of eosinophilic gastritis. To the best of our knowledge, no case of eosinophilic gastritis characterized by necrotic change such as necrotizing gastritis has been previously reported in Korea.

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Original Article

Efficacy of I-scan Endoscopy in the Diagnosis of Gastroesophageal Reflux Disease with Minimal Change: Min Sik Kim, Seok Reyol Choi, Myung Hwan Roh, Jong Hun Lee, Jin Seok Jang, Byung Geun Kim, Sang Ock Kim, Ji Sun Han, Chien Ter Hsing; Clin Endosc 2011;44(1):27-32. Published online September 30, 2011; DOI: https://doi.org/10.5946/ce.2011.44.1.27

Abstract PDF PubReader ePub

Background/Aims

The aim of the study was to evaluate the efficacy of i-scans for the diagnosis of gastroesophageal reflux disease, especially where only minimal change is involved.

Methods

The esophageal mucosa was inspected using an i-scan following conventional white light endoscopy. The examination with iscan was performed under tone enhancement (TE) esophagus (e) mode. Patients with subtle distal esophageal mucosal changes without definite mucosal breaks, such as blurring of Z-line (B), mucosal coarseness (C), hyperemic or purplish discoloration (D), erythema (E), ectopic gastric mucosal islet (I) and mixed type were classified as minimal change.

Results

A total of 156 patients were included. Using i-scan endoscopy, the number of minimal change was found to further increase from 94 (conventional endoscopy; 19B, 9C, 29D, 13E, 5I, 19 mixed type) to 109 (i-scan; 15B, 8C, 29D, 16E, 5I, 36 mixed type). And 14 patients who had single type by conventional endoscopy were converted to mixed type after i-scan. Therefore, 29 of 156 patients were upgraded after i-scan, they were account for 19% (p<0.0001; 95% confidence interval, 0.13 to 0.25).

Conclusions

The use of i-scan endoscopy significantly improves the identification of minimal change and helps to identify more precisely the type of minimal change.

Citations

Citations to this article as recorded by

Endoscopic Advances in the Diagnosis and Management of Gastroesophageal Reflux Disease
Priyadarshini Loganathan, Mahesh Gajendran, Abhilash Perisetti, Hemant Goyal, Rupinder Mann, Randy Wright, Shreyas Saligram, Nirav Thosani, Chandraprakash Umapathy
Medicina.2024; 60(7): 1120. CrossRef
Usefulness of Endoscopy for the Detection and Diagnosis of Primary Esophageal Motility Disorders and Diseases Relating to Abnormal Esophageal Motility
Shiko Kuribayashi, Hiroko Hosaka, Toshio Uraoka
Diagnostics.2023; 13(4): 695. CrossRef
Role of endoscopy in gastroesophageal reflux disease
Daniel Martin Simadibrata, Elvira Lesmana, Ronnie Fass
Clinical Endoscopy.2023; 56(6): 681. CrossRef
The role of endoscopy in the management of gastroesophageal reflux disease
Shiko Kuribayashi, Hiroko Hosaka, Fumihiko Nakamura, Ko Nakata, Keigo Sato, Yuki Itoi, Yu Hashimoto, Kengo Kasuga, Hirohito Tanaka, Toshio Uraoka
DEN Open.2022;[Epub] CrossRef
Evaluation of Minimal Change Lesions Using Linked Color Imaging in Patients With Nonerosive Reflux Esophagitis
Ni-Na Zhang, Yi-Min Ma, Qi Sun, Liang-Liang Shi, Yin Xie, Xiao-Ping Zou
Journal of Clinical Gastroenterology.2022; 56(5): 405. CrossRef
Reflux Finding Score Using HD Video Chromoendoscopy: A Diagnostic Adjunct in Suspected Laryngopharyngeal Reflux?
Nurhamizah Mahmud Mohayuddin, Mawaddah Azman, Aneeza Khairiyah Wan Hamizan, Farah Dayana Zahedi, Thomas Leigh Carroll, Marina Mat Baki
Journal of Voice.2022;[Epub] CrossRef
Narrowed-spectrum Technologies in Endoscopic Imaging of The Upper Gastrointestinal Tract
Amrit K. Kamboj, Allon Kahn, Cadman L. Leggett
Techniques and Innovations in Gastrointestinal Endoscopy.2021; 23(1): 19. CrossRef
Image-enhanced endoscopy is specific for the diagnosis of non-erosive gastroesophageal reflux disease
Neil D. Parikh, Artur V. Viana, Saloni Shah, Loren Laine
Scandinavian Journal of Gastroenterology.2018; 53(3): 260. CrossRef
Ambulatory 24-hour multichannel intraluminal impedance-pH monitoring and high resolution endoscopy distinguish patients with non-erosive reflux disease from those with functional heartburn
Chuanlian Chu, Quanlin Du, Changqing Li, Linlu Zhang, Xiaoyan Zhou, Fang Zuo, Yanmin Zhang, Fang Li, Guofeng Xie, Yanqing Li, John Green
PLOS ONE.2017; 12(4): e0175263. CrossRef
High-definition endoscopy withiScan and Lugol's solution for the detection of inflammation in patients with nonerosive reflux disease: histologic evaluation in comparison with a control group
J. W. Rey, N. Deris, J. U. Marquardt, T. Thomaidis, M. Moehler, J. M. Kittner, M. Nguyen-Tat, S. Dümcke, A. Tresch, S. Biesterfeld, M. Goetz, J. Mudter, M. F. Neurath, P. R. Galle, R. Kiesslich, A. Hoffman
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Identifying Minimal Changes in Nonerosive Reflux Disease
Scott L. Gabbard, Ronnie Fass, Carla Maradey-Romero, Rachel Gingold Belfer, Ram Dickman
Journal of Clinical Gastroenterology.2016; 50(1): 11. CrossRef
Minimal Change Esophagitis
Han Seung Ryu, Suck Chei Choi
The Korean Journal of Gastroenterology.2016; 67(1): 4. CrossRef
Advanced Imaging Technology Other than Narrow Band Imaging
Jun-Hyung Cho
Clinical Endoscopy.2015; 48(6): 503. CrossRef
Present and future perspectives of virtual chromoendoscopy with i‐scan and optical enhancement technology
Helmut Neumann, Mitsuhiro Fujishiro, C. Mel Wilcox, Klaus Mönkemüller
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Gastroenterology Research and Practice.2013; 2013: 1. CrossRef
Red Flag Imaging Techniques in Barrett's Esophagus
Payal Saxena, Marcia Irene Canto
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7,639 View
65 Download
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