Clinical Endoscopy

A remnant choledochal cyst after choledochal cyst excision treated with a lumen-apposing metal stent: a case report: Bo Kyung Kim, Jung Won Chun, Sang Hyub Lee, Ji Kon Ryu, Yong-Tae Kim, Woo Hyun Paik; Clin Endosc 2022;55(4):564-569. Published online January 8, 2020; DOI: https://doi.org/10.5946/ce.2019.176

A lumen-apposing metal stent (LAMS) is a saddle-shaped stent with large flanges at both ends, thereby preventing stent migration and helping with approximation of the adjacent structures. We report the case of a 25-year-old female with remnant choledochal cyst which was successfully treated with LAMS after initial treatment failure with a plastic stent. Although complete excision of the cyst is the definite treatment of choledochal cysts, endoscopic ultrasonography-guided cystoduodenostomy can be considered in cases wherein surgery is not feasible and dysplasia is not present. LAMS may be preferred to plastic stents for effective resolution of remnant choledochal cyst and prevention of ascending infection.

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Hepatic multiple hyperintense cystic lesions: a rare caroli disease
Mohammed H. Alsharif, Nagi M. Bakhit, Abdulaziz Alarifi, Elbagir M. Nassir, Abair A. Mahdi, Juman M. Almasaad, Abubaker Y. Elamin, Khalid M. Taha
THE NEW ARMENIAN MEDICAL JOURNAL.2023; (1, 17 (202): 41. CrossRef
Hepatic multiple hyperintense cystic lesions: a rare caroli disease.
Mohammed H. Alsharif, Nagi.M Bakhit, Abdulaziz Alarifi, Elbagir M. Nassir, Abair A. Mahdi, Juman M. Almasaad, Abubaker.Y. Elamin, Khalid M. Taha
THE NEW ARMENIAN MEDICAL JOURNAL.2023; (1, 17 (202): 41. CrossRef

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Strategies to Overcome Risks Associated with Endoscopic Biliary Stenting: Woo Hyun Paik, Yong-Tae Kim; Clin Endosc 2019;52(6):525-526. Published online November 26, 2019; DOI: https://doi.org/10.5946/ce.2019.197

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Duodenal Stricture due to Necrotizing Pancreatitis following Endoscopic Ultrasound-Guided Ethanol Ablation of a Pancreatic Cyst: A Case Report: Jung Won Chun, Sang Hyub Lee, Jin Ho Choi, Woo Hyun Paik, Ji Kon Ryu, Yong-Tae Kim; Clin Endosc 2019;52(5):510-515. Published online July 4, 2019; DOI: https://doi.org/10.5946/ce.2018.191

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The frequency of incidental detection of pancreatic cystic lesions (PCLs) is increasing because of the frequent use of cross-sectional imaging. The appropriate treatment for PCLs is challenging, and endoscopic ultrasound-guided ablation for PCLs has been reported in several studies. Although the feasibility and efficacy of this therapeutic modality have been shown, the safety issues associated with the procedure are still a concern. We present a case of a 61-year-old man who underwent ultrasound-guided ethanol ablation for PCL and needed repeated endoscopic balloon dilatation for severe duodenal stricture caused by necrotizing pancreatitis after the cyst ablation therapy.

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Benign Duodenal Stricture Treated with Surgical Correction and Dietary Therapy in a Golden Retriever
John C. Rowe, Alice A. Huang, Jin Heo, Nolie K. Parnell, Adam J. Rudinsky
Case Reports in Veterinary Medicine.2020; 2020: 1. CrossRef
Endoscopic ultrasound-guided injective ablative treatment of pancreatic cystic neoplasms
Chen Du, Ning-Li Chai, En-Qiang Linghu, Hui-Kai Li, Xiu-Xue Feng
World Journal of Gastroenterology.2020; 26(23): 3213. CrossRef

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Pancreatic Pseudocyst after Endoscopic Ultrasound-Guided Fine Needle Aspiration of Pancreatic Mass: Kwang Hyun Chung, Ji Kon Ryu, Hong Sang Oh, Ji Yeon Seo, Eunhyo Jin, Dong Hyeon Lee, Yong-Tae Kim, Yong Bum Yoon; Clin Endosc 2012;45(4):431-434. Published online November 30, 2012; DOI: https://doi.org/10.5946/ce.2012.45.4.431

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Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is well known as a safe diagnostic procedure. We report the first case of pancreatic pseudocyst after EUS-FNA of the pancreatic body mass. A 60-year-old male underwent EUS-FNA for incidentally detected pancreatic solid mass which was suspected as neuroendocrine tumor. Two weeks later, the patient visited emergency room with acute abdominal pain and right upper quadrant tenderness; leukocytosis and elevated C-reactive protein, amylase, and lipase levels were noted. Computed tomography discovered newly developed 11.5×9.5 cm sized cystic mass communicating with the main pancreatic duct. Cyst fluid analysis revealed amylase level of 3,423 U/L and fluid culture isolated Streptococcus parasanguinis. The cystic mass corresponds with pancreatic pseudocyst. FNA induced main pancreatic duct injury and fluid leakage may cause it. Endoscopists who perform EUS-FNA must remember that pancreatic main duct injury can occur as one of severe complications and that it could be treated successfully with endoscopic internal drainage.

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Pancreatic Pseudocyst after Fully Covered Self-expandable Metallic Stent Placement
Mitsuhito Koizumi, Sho Ishikawa, Kaori Marui, Masahito Kokubu, Yusuke Okujima, Yuki Numata, Yoshiki Imamura, Teru Kumagi, Yoichi Hiasa
Internal Medicine.2024; 63(21): 2943. CrossRef
Needle tract seeding and abscess associated with pancreatic fistula after endoscopic ultrasound-guided fine-needle aspiration
Takeshi Okamoto, Kenji Nakamura, Ayaka Takasu, Toshimi Kaido, Katsuyuki Fukuda
Clinical Journal of Gastroenterology.2020; 13(6): 1322. CrossRef
Peripancreatic Fluid Collection Complicated by Endoscopic Ultrasound-Guided Fine-Needle Aspiration
Tsuyoshi Suda, Kazuya Kitamura, Shuichi Kaneko
ACG Case Reports Journal.2020; 7(7): e00432. CrossRef
Early pancreatic cancer — The role of endoscopic ultrasound with or without tissue acquisition in diagnosis and staging
Pedro Moutinho-Ribeiro, Julio Iglesias-Garcia, Rui Gaspar, Guilherme Macedo
Digestive and Liver Disease.2019; 51(1): 4. CrossRef
Endoscopic ultrasonography guided-fine needle aspiration for the diagnosis of solid pancreaticobiliary lesions: Clinical aspects to improve the diagnosis
Hiroyuki Matsubayashi
World Journal of Gastroenterology.2016; 22(2): 628. CrossRef
A Patient with a Wedge-shaped Pulmonary Lesion Associated with Streptococcus parasanguinis
Hiroya MIYAMOTO, Harumi GOMI, Haruhiko ISHIOKA, taijiro SHIROKAWA
Kansenshogaku Zasshi.2016; 90(3): 316. CrossRef
Immunodepletion Plasma Proteomics by TripleTOF 5600 and Orbitrap Elite/LTQ-Orbitrap Velos/Q Exactive Mass Spectrometers
Kelly A. Jones, Phillip D. Kim, Bhavinkumar B. Patel, Steven G. Kelsen, Alan Braverman, Derrick J. Swinton, Philip R. Gafken, Lisa A. Jones, William S. Lane, John M. Neveu, Hon-Chiu E. Leung, Scott A. Shaffer, John D. Leszyk, Bruce A. Stanley, Todd E. Fox
Journal of Proteome Research.2013; 12(10): 4351. CrossRef

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