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Editorial
Role of endoscopic ultrasound in the secondary prevention of gastric varices
Joung-Ho Han
Clin Endosc 2023;56(1):50-52.   Published online January 16, 2023
DOI: https://doi.org/10.5946/ce.2022.301
PDFPubReaderePub
  • 1,721 View
  • 135 Download
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Case Reports
Pneumoperitoneum after Endoscopic Duodenal Stent Insertion in a Patient with Percutaneous Transhepatic Biliary Drainage and Biliary Stent: A Case Report
Jinwoo Choi, Min Ji Lee, Hyodeok Lee, Yook Kim, Joung-Ho Han, Seon Mee Park
Clin Endosc 2019;52(3):288-292.   Published online August 29, 2018
DOI: https://doi.org/10.5946/ce.2018.128
AbstractAbstract PDFPubReaderePub
Early removal of a percutaneous transhepatic biliary drainage (PTBD) tube commonly causes pneumoperitoneum. However, we encountered a patient who developed pneumoperitoneum even with an indwelling PTBD tube. An 84-year-old man was admitted with type III combined duodenal and biliary obstruction secondary to metastatic bladder cancer. A biliary stent was placed using a percutaneous approach, and a duodenal stent was placed endoscopically. A large amount of subphrenic free air was detected after the procedures. Laboratory tests indicated intestinal perforation; however, peritoneal signs were absent. The patient was treated conservatively using an indwelling Levin tube. Seven days later, the massive amount of subphrenic free air disappeared. Follow-up tubography revealed unrestricted bile flow into the small intestine, and the PTBD tube was removed. Prolonged endoscopic procedures in patients with a PTBD tract communicating with the gastrointestinal tract can precipitate pneumoperitoneum. Clinicians should be careful to avoid misdiagnosing this condition as intestinal perforation.

Citations

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  • The characteristics of residual pneumoperitoneum after laparoscopic colorectal surgery
    Sotaro Fukuhara, Hiroyuki Egi, Masatoshi Kochi, Wataru Shimizu, Yuji Takakura, Kazuhiro Taguchi, Ikki Nakashima, Yusuke Sumi, Shintaro Akabane, Koki Sato, Hisaaki Yoshinaka, Yoshifumi Teraoka, Minoru Hattori, Hideki Ohdan
    Asian Journal of Endoscopic Surgery.2022; 15(2): 320.     CrossRef
  • 5,484 View
  • 122 Download
  • 1 Web of Science
  • 1 Crossref
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Papillary Cannulation Facilitated by Submucosal Saline Injection into an Intradiverticular Papilla
Kanglock Lee, Ji Wook Choi, Yunhyeong Lee, Joung-Ho Han, Seon Mee Park
Clin Endosc 2019;52(1):83-86.   Published online June 12, 2018
DOI: https://doi.org/10.5946/ce.2018.060
AbstractAbstract PDFPubReaderePub
Endoscopic retrograde cholangiopancreatography (ERCP) of the intradiverticular papilla with its invisible orifice remains challenging. Several techniques have been introduced to evert the papillary opening to facilitate cannulation. A 79-year-old woman with bile duct stones underwent ERCP, which revealed that the papilla was located inside a large diverticulum and tended to rotate inward with a trial of papillary cannulation. Submucosal papillary injection of 3 cc of normal saline was performed at 3 and 9 o’clock. Eversion and fixation of a papilla in the diverticulum with this technique allowed selective cannulation of the biliary tree. Stones were retrieved after endoscopic papillary balloon dilation without complications. She had an uneventful post-procedural course. Our findings suggest that submucosal saline injection technique is safe and effective for selective cannulation and can be recommended when cannulation is very difficult because of an intradiverticular papilla.

Citations

Citations to this article as recorded by  
  • Two-devices-in-one-channel method: a challenging cannulation of intradiverticular major papilla
    Renato Medas, Eduardo Rodrigues-Pinto, Pedro Pereira, Guilherme Macedo
    VideoGIE.2024; 9(3): 141.     CrossRef
  • Periampullary submucosal saline injection to facilitate intradiverticular papillary biliary cannulation
    Jad P. AbiMansour, Ryan J. Law
    VideoGIE.2024;[Epub]     CrossRef
  • A “One Accessory and One Guidewire-in-One Channel” Technique in a Patient with Billroth II Anastomosis
    Kook Hyun Kim, Sung Bum Kim, Tae Nyeun Kim
    Clinical Endoscopy.2021; 54(1): 139.     CrossRef
  • Difficult Biliary Cannulation in Endoscopic Retrograde Cholangiopancreatography: An Overview of Advanced Techniques
    Brian M. Fung, Teodor C. Pitea, James H. Tabibian
    EMJ Hepatology.2021; : 73.     CrossRef
  • Make mission impossible successful: clip-with-line traction facilitates difficult pancreatic duct cannulation in a patient with duodenal duplication
    Wei-hui Liu, Zhao-shen Li, Dong Wang
    Endoscopy.2020; 52(09): E346.     CrossRef
  • 6,426 View
  • 214 Download
  • 2 Web of Science
  • 5 Crossref
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Original Article
Efficacy of the Over-the-Scope Clip System for Treatment of Gastrointestinal Fistulas, Leaks, and Perforations: A Korean Multi-Center Study
Hang Lak Lee, Joo Young Cho, Jun-Hyung Cho, Jong Jae Park, Chan Gyoo Kim, Seong Hwan Kim, Joung-Ho Han
Clin Endosc 2018;51(1):61-65.   Published online August 29, 2017
DOI: https://doi.org/10.5946/ce.2017.027
AbstractAbstract PDFPubReaderePub
Background
/Aims: Currently, a new over-the-scope clip (OTSC) system has been introduced. This system has been used for gastrointestinal perforations and fistulas in other countries. The aim of our study is to examine the therapeutic success rate of endoscopic treatment using the OTSC system in Korea.
Methods
This was a multicenter prospective study. A total of seven endoscopists at seven centers performed this procedure.
Results
A total of 19 patients were included, with gastrointestinal leakages from anastomosis sites, fistulas, or esophageal perforations due to Boerhaave’s syndrome. Among these, there were three gastrojejunostomy sites, three esophagojejunostomy sites, four esophagogastrostomy sites, one esophagocolonostomy site, one jejuno-jejunal site, two endoscopic full thickness resection site closures, one Boerhaave’s syndrome, two esophago-bronchial fistulas, one gastrocolonic fistula, and one colonopseudocyst fistula. The size of the leakage ranged from 5 to 30 mm. The median procedure time was 16 min. All cases were technically successful. Complete closure of the leak was achieved in 14 of 19 patients using OTSC alone.
Conclusions
The OTSC system is a safe and effective method for the management of gastrointestinal leakage, especially in cases of anastomotic leakage after surgery.

Citations

Citations to this article as recorded by  
  • Bariatric surgery and reproduction-implications for gynecology and obstetrics
    Isaac A. Babarinsa, Mohammed Bashir, Husham AbdelRahman Ahmed, Badreldeen Ahmed, Justin C. Konje
    Best Practice & Research Clinical Obstetrics & Gynaecology.2023; 90: 102382.     CrossRef
  • Current status in endoscopic management of upper gastrointestinal perforations, leaks and fistulas
    Shannon Melissa Chan, Kitty Kit Ying Auyeung, Siu Fung Lam, Philip Wai Yan Chiu, Anthony Yuen Bun Teoh
    Digestive Endoscopy.2022; 34(1): 43.     CrossRef
  • Endoscopic vacuum therapy (EVT) for acute esophageal perforation: Could it replace surgery?
    Petros Stathopoulos, Malte Zumblick, Sabine Wächter, Leif Schiffmann, Thomas M. Gress, Detlef Bartsch, Guido Seitz, Ulrike W. Denzer
    Endoscopy International Open.2022; 10(05): E686.     CrossRef
  • Acquired Benign Tracheoesophageal Fistula
    Hasnain S. Bawaadam, Matthew Russell, Yaron B. Gesthalter
    Journal of Bronchology & Interventional Pulmonology.2022; 29(3): e38.     CrossRef
  • Exclusión pilórica con dispositivo Ovesco (over-thescope) en caso de fístula yeyunal en obstrucción duodenal de etiología maligna
    Raul Eduardo Pinilla Morales, Helena Facundo Navia, Elio Fabio Sánchez Cortés, Ivette C. Jiménez Lafourie, Álvaro Eduardo Sánchez Hernández, Luis Carlos Llorente Portillo
    Revista colombiana de Gastroenterología.2022; 37(3): 320.     CrossRef
  • Endoscopic management of leaks and fistulas after bariatric surgery: a systematic review and meta-analysis
    Pawel Rogalski, Agnieszka Swidnicka-Siergiejko, Justyna Wasielica-Berger, Damian Zienkiewicz, Barbara Wieckowska, Eugeniusz Wroblewski, Andrzej Baniukiewicz, Magdalena Rogalska-Plonska, Grzegorz Siergiejko, Andrzej Dabrowski, Jaroslaw Daniluk
    Surgical Endoscopy.2021; 35(3): 1067.     CrossRef
  • Endoscopic management of gastro‐bronchial fistula following two‐stage esophagectomy using over‐the‐scope‐clip (OTSC): Case series
    Chih Y. Tan, Htet A. Kyaw, Neda Farhangmehr, Cheuk‐Bong Tang, Naga V. Jayanthi
    Advances in Digestive Medicine.2021; 8(2): 84.     CrossRef
  • Over-the-Scope Clip Closure of Persistent Gastrocutaneous Fistula After Percutaneous Endoscopic Gastrostomy Tube Removal: A Report of Two Cases
    Shigenori Masaki, Keishi Yamada
    Cureus.2021;[Epub]     CrossRef
  • Over‐the‐scope clip: a novel approach to the management of a colorectal anastomotic leak
    Stephanie G. Jordan, Gregory J. Nolan
    ANZ Journal of Surgery.2021; 91(11): 2534.     CrossRef
  • Conservative treatment of patients with small bowel fistula
    A.V. Vodyasov, D.M. Kopaliani, P.A. Yartsev, O.Kh. Kaloeva
    Khirurgiya. Zhurnal im. N.I. Pirogova.2021; (4): 78.     CrossRef
  • An Approach to Accelerate Healing and Shorten the Hospital Stay of Patients With Anastomotic Leakage After Esophagectomy: An Explorative Study of Systematic Endoscopic Intervention
    LeQi Zhong, JiuDi Zhong, ZiHui Tan, YiTong Wei, XiaoDong Su, ZheSheng Wen, TieHua Rong, Yi Hu, KongJia Luo
    Frontiers in Oncology.2021;[Epub]     CrossRef
  • AGA Clinical Practice Update on Endoscopic Management of Perforations in Gastrointestinal Tract: Expert Review
    Jeffrey H. Lee, Prashant Kedia, Stavros N. Stavropoulos, David Carr-Locke
    Clinical Gastroenterology and Hepatology.2021; 19(11): 2252.     CrossRef
  • Editors' Choice of Noteworthy Clinical Endoscopy Publications in the First Decade
    Gwang Ha Kim, Kwang An Kwon, Do Hyun Park, Jimin Han
    Clinical Endoscopy.2021; 54(5): 633.     CrossRef
  • Diagnostic challenge and surgical management of Boerhaave’s syndrome: a case series 
    Jiayue Wang, Degang Wang, Jianjiao Chen
    Journal of Medical Case Reports.2021;[Epub]     CrossRef
  • Over-the-scope clip management of non-acute, full-thickness gastrointestinal defects
    David J. Morrell, Joshua S. Winder, Ansh Johri, Salvatore Docimo, Ryan M. Juza, Samantha R. Witte, Vamsi V. Alli, Eric M. Pauli
    Surgical Endoscopy.2020; 34(6): 2690.     CrossRef
  • Use of the Over the Scope Clip to Close Perforations and Fistulas
    Panida Piyachaturawat, Parit Mekaroonkamol, Rungsun Rerknimitr
    Gastrointestinal Endoscopy Clinics of North America.2020; 30(1): 25.     CrossRef
  • Therapie der Ösophagusleckagen
    Jutta Weber-Eibel
    Journal für Gastroenterologische und Hepatologische Erkrankungen.2020; 18(1): 8.     CrossRef
  • Successful Closure of a Benign Refractory Tracheoesophageal Fistula Using an Over-the-Scope Clip after Failed Esophageal Stent Placement and Surgical Management
    Nonthalee Pausawasdi, Chotirot Angkurawaranon, Tanyaporn Chantarojanasiri, Arunchai Chang, Wanchai Wongkornrat, Somchai Leelakusolvong, Asada Methasate
    Clinical Endoscopy.2020; 53(3): 361.     CrossRef
  • Clinical efficacy of the over-the-scope clip device: A systematic review
    Nicholas Bartell, Krystle Bittner, Vivek Kaul, Truptesh H Kothari, Shivangi Kothari
    World Journal of Gastroenterology.2020; 26(24): 3495.     CrossRef
  • Endoscopic devices and techniques for the management of bariatric surgical adverse events (with videos)
    Allison R. Schulman, Rabindra R. Watson, Barham K. Abu Dayyeh, Manoop S. Bhutani, Vinay Chandrasekhara, Pichamol Jirapinyo, Kumar Krishnan, Nikhil A. Kumta, Joshua Melson, Rahul Pannala, Mansour A. Parsi, Guru Trikudanathan, Arvind J. Trindade, John T. Ma
    Gastrointestinal Endoscopy.2020; 92(3): 492.     CrossRef
  • Gastrointestinal tract injuries after thermal ablative therapies for hepatocellular carcinoma: A case report and review of the literature
    Teresa Marzia Rogger, Andrea Michielan, Sandro Sferrazza, Cecilia Pravadelli, Luisa Moser, Flora Agugiaro, Giovanni Vettori, Sonia Seligmann, Elettra Merola, Marcello Maida, Francesco Antonio Ciarleglio, Alberto Brolese, Giovanni de Pretis
    World Journal of Gastroenterology.2020; 26(35): 5375.     CrossRef
  • Over‐the‐scope clip system: A review of 1517 cases over 9 years
    Hideki Kobara, Hirohito Mori, Noriko Nishiyama, Shintaro Fujihara, Keiichi Okano, Yasuyuki Suzuki, Tsutomu Masaki
    Journal of Gastroenterology and Hepatology.2019; 34(1): 22.     CrossRef
  • Recent advancements in the minimally invasive management of esophageal perforation, leaks, and fistulae
    Shirin Siddiqi, Dean P. Schraufnagel, Hafiz Umair Siddiqui, Michael J. Javorski, Adam Mace, Abdulrhman S. Elnaggar, Haytham Elgharably, Patrick R. Vargo, Robert Steffen, Saad M. Hasan, Siva Raja
    Expert Review of Medical Devices.2019; 16(3): 197.     CrossRef
  • Diagnosis and endoscopic treatment of esophageal leakage: a systematic review
    Bram D. Vermeulen, Peter D. Siersema
    Techniques in Gastrointestinal Endoscopy.2019; 21(2): 58.     CrossRef
  • Management of esophagojejunal anastomosis leakage after total gastrectomy
    Pablo Priego, Pietro Giordano, Marta Cuadrado, Araceli Ballestero, Julio Galindo, Eduardo Lobo
    European Surgery.2018; 50(6): 262.     CrossRef
  • Endoluminal Therapies for Esophageal Perforations and Leaks
    Jeffrey R. Watkins, Alexander S. Farivar
    Thoracic Surgery Clinics.2018; 28(4): 541.     CrossRef
  • Esophageal leaks: I thought that glue was not effective
    Ignacio Fernández-Urién, Juan Vila
    Endoscopy International Open.2018; 06(09): E1100.     CrossRef
  • 7,622 View
  • 325 Download
  • 26 Web of Science
  • 27 Crossref
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Case Reports
Two Cases of Plug or Stone in Remnant Intrapancreatic Choledochal Cysts Treated with Endoscopic Retrograde Cholangiopancreatography
Eunbee Kim, Min Ho Kang, Jisun Lee, Hanlim Choi, Jae-Woon Choi, Joung-Ho Han, Seon Mee Park
Clin Endosc 2017;50(5):504-507.   Published online February 16, 2017
DOI: https://doi.org/10.5946/ce.2017.012
AbstractAbstract PDFPubReaderePub
Incomplete resection of choledochal cysts (CCs) that extend deep into the pancreas can lead to protein plug or stone formation, pancreatitis, and cholangiocarcinoma. We encountered two cases of choledocholithiasis in remnant intrapancreatic CCs (IPCCs), in which the patients exhibited symptoms after 3 and 21 years of cyst excision. A 21-year-old woman who had undergone excision of a CC, as a neonate, presented with epigastric pain. Abdominal computed tomography (CT) revealed stones inside the remnant pancreatic cyst, which were removed by endoscopic retrograde cholangiopancreatography (ERCP), and her symptoms improved. A 33-year-old woman, who underwent cyst excision 3 years ago, presented with pancreatitis. Abdominal CT showed a radiolucent plug inside the remnant pancreatic cyst. The soft, whitish plug was removed by ERCP, and the pancreatitis improved. These cases indicate that plugs and stones in CCs have the same pathogenetic mechanism, and their form depends on the time since the incomplete excision surgery.

Citations

Citations to this article as recorded by  
  • Choledochal cysts – state of the art
    Thanh Liem Nguyen, V. S. Cheremnov, Yu. A. Kozlov
    Russian Journal of Pediatric Surgery.2021; 25(1): 37.     CrossRef
  • 6,943 View
  • 130 Download
  • 1 Crossref
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Repair of an Endoscopic Retrograde Cholangiopancreatography-Related Large Duodenal Perforation Using Double Endoscopic Band Ligation and Endoclipping
Keunmo Kim, Eun Bee Kim, Yong Hyeok Choi, Youngmin Oh, Joung-Ho Han, Seon Mee Park
Clin Endosc 2017;50(2):202-205.   Published online September 13, 2016
DOI: https://doi.org/10.5946/ce.2016.112
AbstractAbstract PDFPubReaderePub
Endoscopic closure techniques have been introduced for the repair of duodenal wall perforations that occur during endoscopic retrograde cholangiopancreatography (ERCP). We report a case of successful repair of a large duodenal wall perforation by using double endoscopic band ligation (EBL) and an endoclip. Lateral duodenal wall perforation occurred during ERCP in a 93-year-old woman with acute calculous cholangitis. We switched to a forward endoscope that had a transparent band apparatus. A 2.0-cm ovalshaped perforation was found at the lateral duodenal wall. We repaired the perforation by sequentially performing double EBL and endoclipping. The first EBL was performed at the proximal edge of the perforation orifice, and two-thirds of the perforation were repaired. The second EBL, which also included the contents covered under the first EBL, repaired the defect almost completely. Finally, to account for the possible presence of a residual perforation, an endoclip was applied at the distal end of the perforation. The detection and closure of the perforation were completed within 10 minutes. We suggest that double EBL is an effective method for closure.

Citations

Citations to this article as recorded by  
  • Endoscopic treatment of ERCP-related duodenal perforation
    Nicole Evans, James L. Buxbaum
    Techniques in Gastrointestinal Endoscopy.2019; 21(2): 83.     CrossRef
  • 8,852 View
  • 183 Download
  • 2 Web of Science
  • 1 Crossref
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Original Articles
Endoluminal Closure of Colon Perforation with Endoscopic Band Ligation: Technical Feasibility and Safety in an In Vivo Canine Model
Joung-Ho Han, Myounghwan Kim, Tae Hoon Lee, Hyun Kim, Yunho Jung, Seon Mee Park, Heebok Chae, Seijin Youn, Ji Yun Shin, In-Kwang Lee, Tae Soo Lee, Seok Hwa Choi
Clin Endosc 2015;48(6):534-541.   Published online November 30, 2015
DOI: https://doi.org/10.5946/ce.2015.48.6.534
AbstractAbstract PDFPubReaderePub
Background
/Aims: Endoscopic band ligation (EBL) is an accepted method in the management of variceal bleeding; however, there is little evidence on the safety and feasibility of EBL for the closure of bowel perforation. In this study, we aimed to evaluate the technical feasibility and efficacy of EBL in iatrogenic colon perforation by using a canine model.
Methods
We established an iatrogenic colon perforation model by using seven beagle dogs. Longitudinal 1.5- to 1.7-cm colon perforations were created with a needle knife and an insulated-tip knife, and the perforation was subsequently closed with EBL. During a 2-week follow-up period, the animals were carefully monitored and then euthanized for pathologic examination.
Results
The EBL of iatrogenic colon perforations was successful in all dogs. The mean procedure time for EBL closure with one to three bands was 191.7 seconds, and there were no immediate complications. One animal was euthanized after 3 days because of peritonitis. There were no clinical and laboratory features of sepsis or peritonitis in the remaining six animals. On necropsy, we did not find any fecal peritonitis, pericolonic abscess formation, or transmural dehiscence at the perforation site. Histopathology demonstrated inflamed granulation tissue and scar lesions replaced by fibrosis.
Conclusions
EBL might be a feasible and safe method for the management of iatrogenic colon perforations in an in vivo model.

Citations

Citations to this article as recorded by  
  • Endoscopic Management of Iatrogenic Colon Perforation
    Yunho Jung
    Clinical Endoscopy.2020; 53(1): 29.     CrossRef
  • Endoluminal closure of an unrecognized penetrating stab wound of the duodenum with endoscopic band ligation: A case report
    Dae Hoon Kim, Hanlim Choi, Ki Bae Kim, Hyo Yung Yun, Joung-Ho Han
    World Journal of Clinical Cases.2019; 7(20): 3271.     CrossRef
  • Endoscopic management of iatrogenic gastrointestinal perforations
    Kan Wang, Jihao Shi, Linna Ye
    Laparoscopic, Endoscopic and Robotic Surgery.2019; 2(2): 41.     CrossRef
  • Endoscopic Band Ligation Is Able to Close Perforations Caused by Colonoscopy: A Porcine Model Study
    Yidong Yang, Xianyi Lin, Siwei Tan, Xiaoli Huang, Zijun Xie, Xuan Xu, Yiming Lei, Bin Wu
    Gastroenterology Research and Practice.2018; 2018: 1.     CrossRef
  • 10,385 View
  • 79 Download
  • 3 Web of Science
  • 4 Crossref
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Efficacy and Safety of Endoscopic Papillary Balloon Dilation Using Cap-Fitted Forward-Viewing Endoscope in Patients Who Underwent Billroth II Gastrectomy
Jong Soon Jang, Seungho Lee, Hee Seung Lee, Myeong Ho Yeon, Joung-Ho Han, Soon Man Yoon, Hee Bok Chae, Sei Jin Youn, Seon Mee Park
Clin Endosc 2015;48(5):421-427.   Published online September 30, 2015
DOI: https://doi.org/10.5946/ce.2015.48.5.421
AbstractAbstract PDFPubReaderePub
Background/Aims

Endoscopic exploration of the common bile duct (CBD) is difficult and dangerous in patients with Billroth II gastrectomy (B-II). Endoscopic papillary balloon dilation (EPBD) via a cap-fitted forward-viewing endoscope has been reported to be an effective and safe procedure. We analyzed the technical success and complications of EPBD in patients who underwent B-II.

Methods

Thirty-six consecutive patients with B-II were enrolled from among 2,378 patients who had undergone endoscopic retrograde cholangiopancreatography in a single institute in the last 4 years. The EPBD procedure was carried out using a cap-fitted forward-viewing endoscope with 8-mm balloon catheters for 60 seconds. We analyzed the rates of CBD exploration, technical success, and complications.

Results

Afferent loop intubation was performed in all patients and selective cannulation of the bile duct was performed in 32 patients (88.9%). Complications such as transient hypoxia were observed in two patients (5.6%) and perforation, in three patients (9.7%). The perforation sites were ductal injury in two patients and one patient showed retroperitoneal air alone without symptoms. Three patients manifested different clinical courses of severe acute pancreatitis and peritonitis, transient abdominal pain, and retroperitoneal air alone. The condition of one patient improved with surgery and that of the other two patients, with conservative management.

Conclusions

Patients with perforation during EPBD in B-II showed different clinical courses. Tailored treatment strategies are necessary for improving the clinical outcomes.

Citations

Citations to this article as recorded by  
  • A “One Accessory and One Guidewire-in-One Channel” Technique in a Patient with Billroth II Anastomosis
    Kook Hyun Kim, Sung Bum Kim, Tae Nyeun Kim
    Clinical Endoscopy.2021; 54(1): 139.     CrossRef
  • Which scope is appropriate for endoscopic retrograde cholangiopancreatography after Billroth II reconstruction: An esophagogastroduodenoscope or a colonoscope?
    Mitsuru Sugimoto, Tadayuki Takagi, Rei Suzuki, Naoki Konno, Hiroyuki Asama, Yuki Sato, Hiroki Irie, Ko Watanabe, Jun Nakamura, Hitomi Kikuchi, Mika Takasumi, Minami Hashimoto, Tsunetaka Kato, Takuto Hikichi, Hiromasa Ohira
    World Journal of Gastrointestinal Endoscopy.2020; 12(8): 220.     CrossRef
  • Recent advances in endoscopic retrograde cholangiopancreatography in Billroth II gastrectomy patients: A systematic review
    Tae Young Park, Tae Jun Song
    World Journal of Gastroenterology.2019; 25(24): 3091.     CrossRef
  • Challenges of endoscopic retrograde cholangiopancreatography in patients with Billroth II gastrointestinal anatomy: A review article
    Rabbinu Rangga Pribadi, Abdul Aziz Rani, Murdani Abdullah
    Journal of Digestive Diseases.2019; 20(12): 631.     CrossRef
  • Endoscopic retrograde cholangiopancreatography in Billroth II gastrectomy patients: Outcomes and potential factors affecting technical failure
    Jia-Su Li, Duo-Wu Zou, Zhen-Dong Jin, Jie Chen, Xin-Gang Shi, Zhao-Shen Li, Feng Liu
    Saudi Journal of Gastroenterology.2019; 25(6): 355.     CrossRef
  • Endoscopic Management of Difficult Bile Duct Stones
    Murad Aburajab, Kulwinder Dua
    Current Gastroenterology Reports.2018;[Epub]     CrossRef
  • Forward-viewing endoscope for ERCP in patients with Billroth II gastrectomy: a systematic review and meta-analysis
    Tae Young Park, Chang Seok Bang, Sang Hyeon Choi, Young Joo Yang, Suk Pyo Shin, Ki Tae Suk, Gwang Ho Baik, Dong Joon Kim, Jai Hoon Yoon
    Surgical Endoscopy.2018; 32(11): 4598.     CrossRef
  • Self-expandable metal stents for choledocholithiasis in Billroth II gastrectomy patients
    Min-Gui Han, Eunae Cho, Chang-Hwan Park, Chung-Hwan Jun, Seon-Young Park
    Hepatobiliary & Pancreatic Diseases International.2018; 17(6): 546.     CrossRef
  • Recent Advanced Endoscopic Management of Endoscopic Retrograde Cholangiopancreatography Related Duodenal Perforations
    Seon Mee Park
    Clinical Endoscopy.2016; 49(4): 376.     CrossRef
  • 8,969 View
  • 77 Download
  • 10 Web of Science
  • 9 Crossref
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Diagnostic Accuracy of the Initial Endoscopy for Ampullary Tumors
Hee Seung Lee, Jong Soon Jang, Seungho Lee, Myeong Ho Yeon, Ki Bae Kim, Jae Geun Park, Joo Young Lee, Mi Jin Kim, Joung-Ho Han, Rohyun Sung, Seon Mee Park
Clin Endosc 2015;48(3):239-246.   Published online May 29, 2015
DOI: https://doi.org/10.5946/ce.2015.48.3.239
AbstractAbstract PDFPubReaderePub
Background/Aims

Ampullary tumors come in a wide variety of malignant forms. We evaluated the diagnostic accuracy of endoscopy for ampullary tumors, and analyzed the causes of misdiagnosis.

Methods

We compared endoscopic imaging and biopsy results to final diagnoses. Types of endoscope, numbers of biopsy specimens taken, and final diagnoses were evaluated as possible factors influencing diagnostic accuracy.

Results

Final diagnoses were 19 adenocarcinomas, 18 normal or papillitis, 11 adenomas, two adenomyomas, one paraganglioma, and one neuroendocrine tumor. The diagnostic accuracy of endoscopic imaging or the initial biopsy was identical (67.3%). At least one test was concordant with the final diagnosis in all except two cases. Compared with the final diagnosis, endoscopic imaging tended to show more advanced tumors, whereas the initial biopsy revealed less advanced lesions. The diagnostic accuracy of the initial biopsy was influenced by the type of endoscope used and the final diagnosis, but not by the number of biopsies taken.

Conclusions

Endoscopy has limited accuracy in the diagnosis of ampullary tumors. However, most cases with concordant endoscopic imaging and biopsy results are identical to the final diagnosis. Therefore, in cases where both of these tests disagree, re-evaluation with a side-viewing endoscope after resolution of papillitis is required.

Citations

Citations to this article as recorded by  
  • The Optimal Cutoff Value of Tumor Markers for Prognosis Prediction in Ampullary Cancer
    Seungho Lee, Hongbeom Kim, Heeju Sohn, Mirang Lee, Hyesol Jung, Youngjae Jo, Youngmin Han, Wooil Kwon, Jin-Young Jang
    Cancers.2023; 15(8): 2281.     CrossRef
  • Outcomes of endoscopic papillectomy of ampullary carcinoma and factors affecting additional surgery
    Yoshihisa Takada, Takuya Ishikawa, Kentaro Yamao, Yasuyuki Mizutani, Tadashi Iida, Kota Uetsuki, Noriaki Gibo, Eizaburo Ohno, Hiroki Kawashima
    Journal of Hepato-Biliary-Pancreatic Sciences.2023;[Epub]     CrossRef
  • Obstrucción biliar por adenomioma de la ampolla de Vater
    Francisco Ramos-Muñoz, Luis Carlos Hinojosa-Arco, Jorge Francisco Roldán-de la Rúa, Ana Isabel García-Salguero, Miguel Ángel Suárez-Muñoz
    Gastroenterología y Hepatología.2022; 45: 69.     CrossRef
  • Adenomatous neoplasia in the papilla of Vater endoscopic and/or surgical resection?
    Erik Haraldsson, Asif Halimi, Elena Rangelova, Roberto Valente, J. Matthias Löhr, Urban Arnelo
    Surgical Endoscopy.2022; 36(4): 2401.     CrossRef
  • Endoscopic Papillectomy
    Sara Teles de Campos, Marco J. Bruno
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    Gastroenterology Research and Practice.2022; 2022: 1.     CrossRef
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  • Proposed nomogram predicting neoplastic ampullary obstruction in patients with a suspected ampulla of Vater lesion on CT
    Soo Young Jang, Jin Sil Kim, Seung Yon Baek, Hye Ah Lee, Jeong Kyong Lee
    Abdominal Radiology.2021; 46(7): 3128.     CrossRef
  • Long‐term outcomes of endoscopic papillectomy for early‐stage cancer in duodenal ampullary adenoma: Comparison to surgical treatment
    Jun Seong Hwang, Hoonsub So, Dongwook Oh, Tae Jun Song, Do Hyun Park, Dong‐Wan Seo, Sung Koo Lee, Myung‐Hwan Kim, Seung‐Mo Hong, Jungho Yang, Sang Soo Lee
    Journal of Gastroenterology and Hepatology.2021; 36(8): 2315.     CrossRef
  • Endoscopic management of ampullary tumors: European Society of Gastrointestinal Endoscopy (ESGE) Guideline
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    Endoscopy.2021; 53(04): 429.     CrossRef
  • Predictive factor of recurrence after endoscopic papillectomy for ampullary neoplasms
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    Journal of Hepato-Biliary-Pancreatic Sciences.2021; 28(7): 625.     CrossRef
  • Surgical ampullectomy: A comprehensive review
    Darren L Scroggie, Vasileios K Mavroeidis
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  • Endoscopic treatment of benign ampullary tumors
    I.Y. Nedoluzhko, E.I. Khon, K.V. Shishin, L.V. Shumkina, N.A. Kurushkina
    Dokazatel'naya gastroenterologiya.2021; 10(4): 67.     CrossRef
  • Methods and outcome of the endoscopic treatment of ampullary tumors
    Jan-Werner Poley, Sara Campos
    Therapeutic Advances in Gastrointestinal Endoscopy.2020; 13: 263177451989978.     CrossRef
  • Signet-ring cell carcinoma of the ampulla of Vater: a case diagnosed via repeated biopsies
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    Clinical Journal of Gastroenterology.2020; 13(4): 607.     CrossRef
  • New experience of endoscopic papillectomy for ampullary neoplasms
    Shuling Li, Zikai Wang, Fengchun Cai, Enqiang Linghu, Gang Sun, Xiangdong Wang, Jiangyun Meng, Hong Du, Yunsheng Yang, Wen Li
    Surgical Endoscopy.2019; 33(2): 612.     CrossRef
  • Differentiation of benign and malignant ampullary obstruction by multi-row detector CT
    Wirana Angthong, Kran Jiarakoop, Kaan Tangtiang
    Japanese Journal of Radiology.2018; 36(8): 477.     CrossRef
  • How to Improve Diagnostic Accuracy in Suspicious Ampullary Lesions?
    Woo Hyun Paik, Jin-Hyeok Hwang
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    Ali Rıza KÖKSAL, Hüseyin ALKIM, Salih BOĞA, İlker ŞEN, Mehmet BAYRAM, Özgür BOSTANCI, Banu YILMAZ ÖZGÜVEN, Canan ALKIM
    Endoskopi Gastrointestinal.2015; 23(2): 35.     CrossRef
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Twenty-Second versus Sixty-Second Dilation Duration in Endoscopic Papillary Balloon Dilation for the Treatment of Small Common Bile Duct Stones: A Prospective Randomized Controlled Multicenter Trial
Byoung Wook Bang, Tae Hoon Lee, Tae Jun Song, Joung-Ho Han, Hyun Jong Choi, Jong Ho Moon, Chang-Il Kwon, Seok Jeong
Clin Endosc 2015;48(1):59-65.   Published online January 31, 2015
DOI: https://doi.org/10.5946/ce.2015.48.1.59
AbstractAbstract PDFPubReaderePub
Background/Aims

Endoscopic papillary balloon dilation (EPBD) has been advocated as an alternative therapy to endoscopic sphincterotomy for the treatment of common bile duct (CBD) stones. However, there is no established consensus on the optimal balloon dilation duration (BDD). We prospectively evaluated the efficacy and post-endoscopic retrograde cholangiopancreatography (ERCP) complications between the 20- and 60-second EPBD groups.

Methods

A total of 228 patients with small CBD stones (≤12 mm) were randomly assigned to undergo EPBD with a 20- or 60-second duration at six institutions. We evaluated baseline patient characteristics, endoscopic data, clinical outcomes, and procedure-related complications. In addition, we analyzed risk factors for postprocedural pancreatitis.

Results

CBD stones were removed successfully in 107 of 109 patients (98.1%) in the 20-second group and in 112 of 119 patients (94.1%) in the 60-second group (p=0.146). Post-ERCP pancreatitis developed in seven patients (6.4%) in the 20-second group and nine patients (7.5%) in the 60-second group (p=0.408). In multivariate analysis, contrast dye injection into the pancreatic duct is a significant risk factor for post-EPBD pancreatitis.

Conclusions

Based on the data showing that there were no significant differences in safety and efficacy between the two BDD groups, 20 seconds of BDD may be adequate for treatment of small CBD stones with EPBD.

Citations

Citations to this article as recorded by  
  • The therapeutic effect of balloon dilatation with different duration for biliary duct calculi: A network meta-analysis
    ZhiYuan Yu, Chen Liang, ShiYu Yang, Xu Zhang, Yan Sun
    Journal of Minimal Access Surgery.2022; 18(3): 327.     CrossRef
  • The ballooning time in endoscopic papillary balloon dilation for removal of bile duct stones
    Qiang Wang, Luyao Fu, Tao Wu, Xiong Ding
    Medicine.2021; 100(11): e24735.     CrossRef
  • Nouveautés dans la prise en charge des calculs biliaires à l’UEGW 2015
    E. Bories, C. Lefort
    Acta Endoscopica.2016; 46(1-2): 20.     CrossRef
  • Is endoscopic papillary balloon dilatation really a risk factor for post-ERCP pancreatitis?
    Toshio Fujisawa, Koichi Kagawa, Kantaro Hisatomi, Kensuke Kubota, Atsushi Nakajima, Nobuyuki Matsuhashi
    World Journal of Gastroenterology.2016; 22(26): 5909.     CrossRef
  • Is the Balloon Dilation Duration in Endoscopic Papillary Balloon Dilation (EPBD) Related to the Occurrence of Post-EPBD Pancreatitis?
    Dong Uk Kim
    Clinical Endoscopy.2015; 48(1): 6.     CrossRef
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Special Issue Article of IDEN 2013
Endoscopic Treatments of Endoscopic Retrograde Cholangiopancreatography-Related Duodenal Perforations
Tae Hoon Lee, Joung-Ho Han, Sang-Heum Park
Clin Endosc 2013;46(5):522-528.   Published online September 30, 2013
DOI: https://doi.org/10.5946/ce.2013.46.5.522
AbstractAbstract PDFPubReaderePub

Iatrogenic duodenal perforation associated with endoscopic retrograde cholangiopancreatography (ERCP) is a very uncommon complication that is often lethal. Perforations during ERCP are caused by endoscopic sphincterotomy, placement of biliary or duodenal stents, guidewire-related causes, and endoscopy itself. In particular, perforation of the medial or lateral duodenal wall usually requires prompt diagnosis and surgical management. Perforation can follow various clinical courses, and management depends on the cause of the perforation. Cases resulting from sphincterotomy or guidewire-induced perforation can be managed by conservative treatment and biliary diversion. The current standard treatment for perforation of the duodenal free wall is early surgical repair. However, several reports of primary endoscopic closure techniques using endoclip, endoloop, or newly developed endoscopic devices have recently been described, even for use in direct perforation of the duodenal wall.

Citations

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  • Endoscopic nasobiliary drainage tube placement through a periampullary perforation for management of intestinal leak and necrotizing pancreatitis
    Mitsuru Okuno, Keisuke Iwata, Tsuyoshi Mukai, Yuhei Iwasa, Tomio Ogiso, Yoshiyuki Sasaki, Eiichi Tomita
    VideoGIE.2023; 8(2): 75.     CrossRef
  • Post-endoscopic Retrograde Cholangiopancreatography Complications: A Case of Duodenal Perforation and Literature Review
    Rabira R Dufera, Tamiru B Berake, Benedict Maliakkal
    Cureus.2023;[Epub]     CrossRef
  • Causes and Management of Endoscopic Retrograde Cholangiopancreatography-Related Perforation: A Retrospective Study
    Tetsuya Shimizu, Masato Yoshioka, Akira Matsushita, Keiko Kaneko, Junji Ueda, Mampei Kawashima, Toshiyuki Irie, Takashi Ono, Hiroyasu Furuki, Tomohiro Kanda, Yoshiaki Mizuguchi, Yoichi Kawano, Yoshiharu Nakamura, Hiroshi Yoshida
    Journal of Nippon Medical School.2023; 90(4): 316.     CrossRef
  • Endoscopic management of upper gastrointestinal perforations, leakage and fistula
    Hee Seok Moon
    Journal of Innovative Medical Technology.2023; 1(1): 15.     CrossRef
  • Endoscopic clipping to prevent papillary obstruction when closing a duodenal perforation with an over-the-scope clip
    Kazuya Kanaya, Haruka Toyonaga, Tsuyoshi Hayashi, Kuniyuki Takahashi, Akio Katanuma
    VideoGIE.2021; 6(6): 266.     CrossRef
  • Endoscopic Closure of an Acute Duodenal Perforation Occurring during Endoscopic Ultrasound Using Endoclips and Polyglycolic Acid Sheets with Fibrin Glue
    Mana Matsuoka, Katsumasa Kobayashi, Yukito Okura, Tomohiro Mochida, Takahito Nozaka, Ayako Sato, Masato Yauchi, Taichi Matsumoto, Yohei Furumoto, Takao Horiuchi, Toru Asano
    Case Reports in Gastroenterology.2021; 15(1): 253.     CrossRef
  • ERCP-related perforation: an analysis of operative outcomes in a large series over 12 years
    Nilesh Sadashiv Patil, Nisha Solanki, Pramod Kumar Mishra, Barjesh Chander Sharma, Sundeep Singh Saluja
    Surgical Endoscopy.2020; 34(1): 77.     CrossRef
  • Computed tomography classification of endoscopic retrograde cholangiopancreatography‐related perforation
    Jhong‐Han Wu, Hong‐Ming Tsai, Chiung‐Yu Chen, Yao‐Sheng Wang
    The Kaohsiung Journal of Medical Sciences.2020; 36(2): 129.     CrossRef
  • Retracted: Endoscopic Treatment of Endoscopic Retrograde Cholangiopancreatography-Related Duodenal Perforations
    Ding Shi, Jian feng Yang, Yong pan Liu
    Journal of Laparoendoscopic & Advanced Surgical Techniques.2019; 29(3): 385.     CrossRef
  • Duodenal perforation after the cutting an ENPD tube in a patient with pancreatic cancer and acute suppurative pancreatic ductitis
    Akihisa OHNO, Nao FUJIMORI, Kazuhide MATSUMOTO, Katsuhito TERAMATSU, Yu TAKAMATSU, Masami MIKI, Takehiro TAKAOKA, Takamasa OONO
    Suizo.2019; 34(1): 30.     CrossRef
  • Endoscopic management of iatrogenic gastrointestinal perforations
    Kan Wang, Jihao Shi, Linna Ye
    Laparoscopic, Endoscopic and Robotic Surgery.2019; 2(2): 41.     CrossRef
  • Clinical outcomes of iatrogenic upper gastrointestinal endoscopic perforation: a 10-year study
    Dae Hwan Kang, Dae Gon Ryu, Cheol Woong Choi, Hyung Wook Kim, Su Bum Park, Su Jin Kim, Hyeong Seok Nam
    BMC Gastroenterology.2019;[Epub]     CrossRef
  • Outcome and management of endoscopic retrograde cholangiopancreatography perforations: A community perspective
    Mallory S. Bray, Andrew J. Borgert, Milan E. Folkers, Shanu N. Kothari
    The American Journal of Surgery.2017; 214(1): 69.     CrossRef
  • Algorithm for the management of ERCP-related perforations
    Vivek Kumbhari, Amitasha Sinha, Aditi Reddy, Elham Afghani, Deanna Cotsalas, Yuval A. Patel, Andrew C. Storm, Mouen A. Khashab, Anthony N. Kalloo, Vikesh K. Singh
    Gastrointestinal Endoscopy.2016; 83(5): 934.     CrossRef
  • Recent Advanced Endoscopic Management of Endoscopic Retrograde Cholangiopancreatography Related Duodenal Perforations
    Seon Mee Park
    Clinical Endoscopy.2016; 49(4): 376.     CrossRef
  • Closure of echoendoscope-related duodenal free wall perforation by placement of a covered metallic stent
    Selçuk Disibeyaz, Erkin Öztaş, UfukBarış Kuzu, Mustafa Özdemir
    Endoscopic Ultrasound.2016; 5(6): 399.     CrossRef
  • Retroperitoneales Emphysem nach endoskopischer retrograder Cholangiopankreatikographie
    T. Vowinkel, N. Senninger
    Der Chirurg.2015; 86(5): 462.     CrossRef
  • Tratamiento conservador de la perforación duodenal tras realización de colangiopancreatografía retrógrada endoscópica terapéutica
    Antonio Palomeque Jiménez, Cristina González Puga, Beatriz Pérez Cabrera, José Antonio Jiménez Ríos
    Gastroenterología y Hepatología.2015; 38(4): 285.     CrossRef
  • Efficacy and Safety of Endoscopic Papillary Balloon Dilation Using Cap-Fitted Forward-Viewing Endoscope in Patients Who Underwent Billroth II Gastrectomy
    Jong Soon Jang, Seungho Lee, Hee Seung Lee, Myeong Ho Yeon, Joung-Ho Han, Soon Man Yoon, Hee Bok Chae, Sei Jin Youn, Seon Mee Park
    Clinical Endoscopy.2015; 48(5): 421.     CrossRef
  • Fatal pneumoperitoneum following endoscopic retrograde cholangiopancreatography confirmed by post-mortem computed tomography
    Ann Sophie Schröder, Axel Heinemann, Hideyuki Nushida, Jan Peter Sperhake
    Forensic Science, Medicine, and Pathology.2015; 11(3): 460.     CrossRef
  • Endoscopic Retrograde Cholangiopancreatography–Related Adverse Events
    Tarun Rustagi, Priya A. Jamidar
    Gastrointestinal Endoscopy Clinics of North America.2015; 25(1): 97.     CrossRef
  • Closure of transmural defects in the gastrointestinal tract by methods other than clips and sutures
    Juliana Yang, David Lee, Deepak Agrawal
    Techniques in Gastrointestinal Endoscopy.2015; 17(3): 141.     CrossRef
  • Duodenal perforation following esophagogastroduodenoscopy (EGD) with cautery and epinephrine injection for peptic ulcer disease: An interesting case of nonoperative management in the medical intensive care unit (MICU)
    Jason Chertoff, Vikas Khullar, Lucas Burke
    International Journal of Surgery Case Reports.2015; 10: 121.     CrossRef
  • Endoscopic Retrograde Cholangiopancreatography-Related Large Jejunal Perforation: Operate or Apply Over-the-Scope Clip Device?
    George Tribonias, Evangelos Voudoukis, Emmanouil Vardas, Angeliki Theodoropoulou, Manola Margarita-Eleni, Gregorios Paspatis
    Clinical Endoscopy.2014; 47(3): 281.     CrossRef
  • The Management of Endoscopic Retrograde Cholangiopancreatography-Related Duodenal Perforation
    Kwang Bum Cho
    Clinical Endoscopy.2014; 47(4): 341.     CrossRef
  • Colic and gastric over-the-scope clip (Ovesco) for the treatment of a large duodenal perforation during endoscopic retrograde cholangiopancreatography
    Gianfranco Donatelli, Jean-Loup Dumont, Bertrand Marie Vergeau, Renaud Chiche, Jean-Jacques Quioc, Thierry Tuszynski, Bruno Meduri
    Therapeutic Advances in Gastroenterology.2014; 7(6): 282.     CrossRef
  • Value of temporary stents for the management of perivaterian perforation during endoscopic retrograde cholangiopancreatography
    Sang Min Lee
    World Journal of Clinical Cases.2014; 2(11): 689.     CrossRef
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  • 186 Download
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