Clinical Endoscopy

Original Article

A prospective study of fully covered self-expandable metal stents for refractory benign pancreatic duct strictures: Bhavik Bharat Shah, Gajanan Ashokrao Rodge, Usha Goenka, Shivaraj Afzalpurkar, Mahesh Kumar Goenka; Clin Endosc 2022;55(6):793-800. Published online April 4, 2022; DOI: https://doi.org/10.5946/ce.2021.211

Background
/Aims: Fully covered self-expanding metal stents (FCSEMSs) are a relatively novel option for treating painful main pancreatic duct refractory strictures in patients with chronic pancreatitis. Herein, we aimed to assess the efficacy, feasibility, and safety of FCSEMSs in this patient group.
Methods
This prospective single-center study included patients who underwent endoscopic retrograde pancreatography with FCSEMS placement. The primary endpoints were the technical and clinical success rates. A reduction in visual analog scale pain score of >50% compared with that before stent placement was defined as clinical success. Secondary endpoints were resolution of pancreatic strictures on fluoroscopy during endoscopic retrograde pancreatography and the development of stent-related adverse events.
Results
Thirty-six patients were included in the analysis. The technical success rate was 100% (n=36) and the clinical success rate was 86.1% (n=31). There was a significant increase in stricture diameter from 1.7 mm to 3.5 mm (p<0.001) after stent removal. The mean visual analog scale pain score showed statistically significant improvement. At 19 months of follow-up, 55.6% of the patients were asymptomatic. Stent migration (16.7%), intolerable abdominal pain (8.3%), development of de novo strictures (8.3%), and mild pancreatitis (2.8%) were the most common adverse events.
Conclusions
FCSEMS placement showed good technical and clinical success rates for achieving pain relief in patients with refractory main pancreatic duct strictures.

Citations

Citations to this article as recorded by

A review on pancreatic duct stents: materials and emerging trends
Huijuan Fan, Nan Li, Xingguang Zhang, Wei Xu, Wencheng Zhang, Yangjuan Ding, Lingjian Li, Taotao Liu, Shihai Xia
Biomedical Materials.2025; 20(3): 032004. CrossRef
Citric Acid Loaded Hydrogel-Coated Stent for Dissolving Pancreatic Duct Calculi
Jing Li, Yanwei Lv, Zheng Chen, Jiulong Zhao, Shige Wang
Gels.2024; 10(2): 125. CrossRef
Fully Covered Self-expandable Metallic Stents for Refractory Benign Pancreatic Duct Strictures: A Systematic Review and Meta-analysis
Gajanan Rodge, Suprabhat Giri, Kailash Kolhe, Shivaraj Afzalpurkar, Sidharth Harindranath, Sridhar Sundaram, Aditya Kale
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2024; 34(5): 529. CrossRef
Self-expanding metallic stent for refractory pancreatic duct stricture in chronic pancreatitis: A prospective follow-up study
Praveer Rai, Pankaj Kumar, Ashok Kumar, Sana Asari, Kartik Agarwal, Mayank, Ravi V. Krishna Kishore, Prabhaker Mishra
Indian Journal of Gastroenterology.2023;[Epub] CrossRef
Quality of life after endoscopic procedures for chronic pancreatitis: A multicentre study
Mikael Parhiala, Camilla Nøjgaard, Andreas Bartholdy, Anne Waage, Povilas Ignatavičius, Trond Engjom, Georg Dimcevski, Ingrid Kvåle Nordaas, Evangelos Kalaitzakis, Asbjørn M. Drewes, Amer Hadi, Søren S. Olesen, Jakob L. Poulsen, Johanna Laukkarinen
United European Gastroenterology Journal.2023; 11(9): 884. CrossRef
Pancreatic duct stents
Jin Hui Yi, Zhao Shen Li, Liang Hao Hu
Journal of Digestive Diseases.2022; 23(12): 675. CrossRef

4,211 View
296 Download
7 Web of Science
6 Crossref

FOCUSED REVIEW SERIES: Endoscopic Managements for Patients with Obesity and Its Related Comorbidities

The Efficacy and Safety of Endoscopic Sleeve Gastroplasty as an Alternative to Laparoscopic Sleeve Gastrectomy: Jin Young Yoon, Román Turró Arau, The study group for endoscopic bariatric and metabolic therapies in the Korean Society of Gastrointestinal Endoscopy; Clin Endosc 2021;54(1):17-24. Published online January 22, 2021; DOI: https://doi.org/10.5946/ce.2021.019

Abstract PDF PubReader ePub

Endoscopic sleeve gastroplasty (ESG) is a therapeutic endoscopic technique for reducing the size of the gastric reservoir in obese patients, using a full-thickness endoscopic suturing device. The effectiveness of ESG in weight loss is significantly greater than that of high-intensity diet and lifestyle therapy and lower than that of laparoscopic sleeve gastrectomy (LSG). The efficacy at 12 months after ESG in terms of percentage of total body weight loss and excess body weight loss was approximately 16% and 60%, respectively. The well-known predictive factors for increased weight loss by ESG are good compliance with regular monitoring and post-procedure care involving a multidisciplinary team approach. Although the underlying mechanism of weight loss induced by ESG is debatable, delayed gastric emptying and early satiation are some of the proposed mechanisms. The pooled rate of adverse events after ESG reported in several meta-analysis studies ranged from 1.5% to 2.3% and the incidence of new-onset gastroesophageal reflux disease after ESG was negligible, indicating that ESG has a superior safety profile to LSG. Moreover, ESG reduced the risk of obesity-related metabolic comorbidities, evidenced by the reduction in HbA1c level, systolic blood pressure, triglyceride level, and risk of hepatic steatosis and fibrosis; it even improved the quality of life. ESG could be considered safe and qualify as an alternative treatment to LSG.

Citations

Citations to this article as recorded by

Comparative effectiveness of metabolic and bariatric surgeries: a network meta-analysis
Adnan Malik, Muhammad Imran Malik, Sadia Javaid, Shahbaz Qureshi, Abdul Nadir
International Journal of Obesity.2025; 49(1): 54. CrossRef
Prise de position et recommandations gastroplastie endoscopique longitudinale ou Endoscopic Sleeve Gastroplasty (ESG) dite « Endo-sleeve »
Clément Baratte, Hugues Sebbag, Laurent Arnalsteen, Thomas Auguste, M.-C. Blanchet, Salomon Benchetrit, Adel Abou-Mrad, Fabian Reche, Laurent Genser, Robert Caiazzo, Andrea Lazzati, Jean-Marc Catheline, Guillaume Pourcher, Pierre Leyre, Sandrine Kamoun-Za
Journal de Chirurgie Viscérale.2025; 162(1): 76. CrossRef
Bariatric surgery for treatment of morbid obesity in adults
Ki Bum Park, Kyong-Hwa Jun
The Korean Journal of Internal Medicine.2025; 40(1): 24. CrossRef
Position statement and guidelines about Endoscopic Sleeve Gastroplasty (ESG) also known as “Endo-sleeve”
Clément Baratte, Hugues Sebbag, Laurent Arnalsteen, Thomas Auguste, Marie-Cécile Blanchet, Salomon Benchetrit, Adel Abou-Mrad, Fabian Reche, Laurent Genser, Robert Caiazzo, Andrea Lazzati, Jean-Marc Catheline, Guillaume Pourcher, Pierre Leyre, Sandrine Ka
Journal of Visceral Surgery.2025; 162(1): 71. CrossRef
A combination of drug, behavioral and surgical therapy to relieve from severe obesity complicated with multiple organs failure: A case report
Feng Feng, Jiaqi Zhang, Yuqi Gao, Qiaoni Ye, Guiqi Wang, Jingfeng Gu, Liping Peng
Medicine.2025; 104(13): e41846. CrossRef
Endoscopic Sleeve Gastroplasty: A Retrospective Cohort Study of 90 Patients in Colombia
Camilo Ortiz Silva, Maria Pamela Delgado Mosquera, Julio Ricardo Zuluaga Peña, Valeria Atenea Costa Barney
Obesity Surgery.2025;[Epub] CrossRef
Performance of Endoscopic Sleeve Gastroplasty by Obesity Class in the United States Clinical Setting
Khushboo Gala, Vitor Brunaldi, Christopher McGowan, Reem Z. Sharaiha, Daniel Maselli, Brandon Vanderwel, Prashant Kedia, Michael Ujiki, Eric Wilson, Eric J. Vargas, Andrew C. Storm, Barham K. Abu Dayyeh
Clinical and Translational Gastroenterology.2024; 15(1): e00647. CrossRef
Recent advances in therapeutic interventions of polycystic ovarian syndrome
Sakshi Upendra Lad, Ganesh Sunil Vyas, Sharfuddin Mohd, Vijay Mishra, Sheetu Wadhwa, Saurabh Singh, Vancha Harish
Obesity Medicine.2024; 48: 100543. CrossRef
Fundus-to-Antrum Ratio Measured with Fluoroscopy within One Week after Endoscopic Sleeve Gastroplasty Predicts Total Body Weight Loss over Time
Kaveh Hajifathalian, Kamal Amer, Dema Shamoon, Donevan Westerveld, Louis Aronne, Amit Mehta, Angela Wong, Grace Lo, Sarah Oh, Andrea Siobhan Kierans, Kamal M. Hassan, Ali Lahooti, Reem Z. Sharaiha
Journal of Clinical Medicine.2024; 13(13): 3933. CrossRef
Endoscopic treatment of obesity: A protocol of updated systematic review with network meta-analysis of randomized controlled trials
Eun Jeong Gong, Chang Seok Bang, Gwang Ho Baik, Dong Keon Yon
PLOS ONE.2024; 19(9): e0308410. CrossRef
The Risk of Leakage and Bleeding After Using the Ezisurg Endostapler Technique for Bariatric Surgery
Mohammad Alhroot, Ramadan Hassanat, Alaa Albadaina, Qasem Alqaisi, Ashraf Altamimi, Mohammad Aldaileh, Yousef Alsardia, Majed Alqaisi, Eyad Rawashdeh, Abdallah Al-Shawabkeh
Cureus.2024;[Epub] CrossRef
The Efficacy Comparison of Endoscopic Bariatric Therapies: 6-Month Versus 12-Month Intragastric Balloon Versus Endoscopic Sleeve Gastroplasty
K. Kozłowska-Petriczko, K. M. Pawlak, K. Wojciechowska, A. Reiter, Ł. Błaszczyk, J. Szełemej, J. Petriczko, A. Wiechowska-Kozłowska
Obesity Surgery.2023; 33(2): 498. CrossRef
Endobariatrics: a Still Underutilized Weight Loss Tool
Niel Dave, Enad Dawod, Okeefe L. Simmons
Current Treatment Options in Gastroenterology.2023; 21(2): 172. CrossRef
Safety and efficacy of endoscopic sleeve gastroplasty and laparoscopic sleeve gastrectomy in obese type 2 diabetes patients
Vimal Thomas, Tarun Kumar Suvvari, Anu Varghese, Nikhat Kousar Ahmed, Yasmine Tarek Elsherif, Aasim Akthar Ahmed
Surgery Open Digestive Advance.2023; 11: 100098. CrossRef
Endoscopic Sleeve Gastroplasty: A Practice Pattern Survey
James D. Haddad, Jaime P. Almandoz, Victoria Gomez, Allison R. Schulman, Jay D. Horton, Jeffrey Schellinger, Sarah E. Messiah, M. Sunil Mathew, Elisa Morales Marroquin, Anna Tavakkoli
Obesity Surgery.2023; 33(8): 2434. CrossRef
Endoscopic Sleeve Gastroplasty (ESG) Versus Laparoscopic Sleeve Gastroplasty (LSG): A Comparative Review
Basil N Nduma, Kelly A Mofor, Jason Tatang, Loica Amougou, Stephen Nkeonye, Princess Chineme, Chukwuyem Ekhator, Solomon Ambe
Cureus.2023;[Epub] CrossRef
Operator-specific outcomes in endoscopic sleeve gastroplasty: a propensity-matched analysis of the US population using a multicenter database
Hassam Ali, Faisal Inayat, Talia F. Malik, Pratik Patel, Gul Nawaz, Sobaan Taj, Attiq Ur Rehman, Arslan Afzal, Rizwan Ishtiaq, Muhammad Sohaib Afzal, Rashmi Advani, Rabindra R. Watson
Baylor University Medical Center Proceedings.2023; 36(5): 592. CrossRef
The surgical management of obesity
Alan Askari, Periyathambi Jambulingam, Roy Gurprashad, Omer Al-Taan, Tanveer Adil, Aruna Munasinghe, Vigyan Jain, Farhan Rashid, Douglas Whitelaw
Clinical Medicine.2023; 23(4): 330. CrossRef
Endoluminal bariatric and metabolic therapies: state-of-the-art
Nader Bakheet, Dilhana Badurdeen, Adrian Sartoretto, Vivek Kumbhari
Current Opinion in Gastroenterology.2023; 39(5): 362. CrossRef
Bariatric and metabolic surgery in patients with low body mass index: an online survey of 543 bariatric and metabolic surgeons
Shahab Shahabi Shahmiri, Chetan Parmar, Wah Yang, Panagiotis Lainas, Sjaak Pouwels, Amir Hossein DavarpanahJazi, Sonja Chiappetta, Yosuke Seki, Islam Omar, Ramon Vilallonga, Radwan Kassir, Syed Imran Abbas, Ahmad Bashir, Rishi Singhal, Lilian Kow, Mohamma
BMC Surgery.2023;[Epub] CrossRef
Summarizing Consensus Guidelines on Obesity Management
Reem Z. Sharaiha, Scott Shikora, Kevin P. White, Guilherme Macedo, Jim Toouli, Lillian Kow
Journal of Clinical Gastroenterology.2023; 57(10): 967. CrossRef
Endoscopic sleeve gastroplasty reintervention score using supervised machine learning
Hassam Ali, Pratik Patel, Talia Farrukh Malik, Rahul Pamarthy, Babu P. Mohan, Ravishankar Asokkumar, Gontrand Lopez-Nava, Douglas G. Adler
Gastrointestinal Endoscopy.2023; 98(5): 747. CrossRef
Endoscopic sleeve gastroplasty: results from a single surgical bariatric centre
Lino Polese, Luca Prevedello, Amanda Belluzzi, Emilia Giugliano, Alice Albanese, Mirto Foletto
Updates in Surgery.2022; 74(6): 1971. CrossRef
Various Novel and Emerging Technologies in Endoscopic Bariatric and Metabolic Treatments
Hee Kyong Na, Diogo Turiani Hourneaux De Moura
Clinical Endoscopy.2021; 54(1): 25. CrossRef
The Effect of Endoscopic Bariatric and Metabolic Therapies on Gastroesophageal Reflux Disease
Su-Young Kim
Medicina.2021; 57(8): 737. CrossRef

9,536 View
295 Download
20 Web of Science
25 Crossref

The Efficacy and Safety of Performing Colonoscopy in Patients 80 Years of Age and Older: Yeun Jung Lim, M.D., Young-Ho Kim, M.D., Dong Kyung Chang, M.D., Hee Jung Son, M.D., Poong-Lyul Rhee, M.D., Jae J. Kim, M.D. and Jong Chul Rhee, M.D.; Korean J Gastrointest Endosc 2009;38(3):128-132. Published online March 30, 2009

Abstract PDF: Background
/Aims: Optical colonoscopy is considered the gold standard for conducting a colorectal examination. Yet clinicians are often reluctant to refer elderly patients for colonoscopy because of their perception that it is a risky procedure. The aim of this study was to establish the efficacy and safety of performing colonoscopy in patients 80 years of age and older.
Methods
The study data was retrospectively collected from January 2000 to April 2007. Comparisons were made between two groups: The patients were classified based on age: 50~69 years and ≥80 years of age. We collected data on sedation, the total colonoscopy rates, the indication, the colonoscopic findings and the complications.
Results
Three hundred and forty-nine patients (170 elderly patients and 179 patients aged 50~69 years) were enrolled. Compared to the patients aged 50~69 years, the elderly patients had more clinically significant findings (55.9% for the elderly patient and 37.4% for the patients aged 50~80 years). Cecal intubation was done at a similar rate for both groups (94.7% and 96.6%, respectively). Although the elderly patients usually had one or more co-morbid illnesses (p＜0.001), the complication rate was not different between the 2 groups.
Conclusions
Colonoscopy in the elderly is safe and effective and it allows physicians to discover many significant findings. (Korean J Gastrointest Endosc 2009;38:128-132)

2,089 View
16 Download

대장 내시경 검사 시 사형 플라스틱 투명관의 임상적 유용성 ( Efficacy of Total Colonoscopy with a Transparent Cap ): Korean J Gastrointest Endosc 2000;20(4):262-266. Published online November 30, 1999

Abstract PDF: Background
/Aims : There were two blind spots during colonoscopy, one was on angulated portion of colon, other was on non-fixated portion of colon. In spite of careful inspection during routine colonoscopy, small lesions behind the semilunar folds can be situated in blind spots, where they are easily overlooked. The aim of this study was to evaluate the efficacy of total colonoscopy with transparent cap in identifying such lesions, in comparison with colonoscopy without the cap. Methods : We performed colonoscopy with or without transparent cap in 30 patients and 30 controls. During colonoscopy, frequencies of ileal intubation, time required for intubation as far as the terminal ileum and degrees of patients discomfort were checked. Results : Colonoscopy with a transparent cap ensured good visual fields during insertion and withdrawal of the colonoscopy. There were no significant differences in the intubation times to the terminal ileum or in the frequencies of terminal ileal intubation, degree of patients discomfort between the two procedures. Conclusions : Total Colonoscopy with a transparent cap allows inspection of the blind area of the colonic mucosa behind the semilunar folds, with good visual fields. But the statistical significance was not found in this study. This method may be potentially useful for both screening and diagnostic purposes. Further study in more cases would be needed. (Korean J Gastrointest Endosc 2000;20:262-266)

1,567 View
11 Download

원저 : 담도 췌장 ; 내시경적 유두괄약근절개술과 담췌관조영술시 침형절개도의 효율성과 안전성 ( Original Articles : Biliary Tract & Pancreas ; The Efficacy and Safety of Needle-Knife Papillotomy for Endoscopic Sphincterotomy and Cholangiography ): Korean J Gastrointest Endosc 1997;17(3):380-389. Published online November 30, 1996

Abstract PDF: Background
Conventional endoscopic sphincterotomy with papillotome(CES) is an established method of management for patients with biliary obstruction from various causes. However, an alternative treatment to CES must be considered when antecedent cholangiagraphy is unsuccessful or when cannulatian with the conventional papillotome fails. The needle-knife papillotomy(NKP) is one of the alternative methods to CES. Recently, it has been suggested that NKP can be used to achieve diagnostic cholangiography. But NKP is controversial because results from studies assessing its efficacy and safety are conflicting. The current study was undertaken to assess retrospectively the efficacy and safety of NKP and CES. Methods: All enrolled patients(CES group 113, NKP group 105) underwent ERCP between September 1993 and August 1996 at Korea Univeisity Guro Hospital. NKP for cannulation was used only when biliary tract disease was suspected but deep canulation failed inspite of several attempts. The efficacy and safety of NKP and CES were evaluated according to the rate of success of performing purposes(removal of common bile duct stones, inser tion of endoscopic nasobiliary drainage or endoprosthesis, treatment of sphincter of Oddi dysfunction, and cannulation) and complications(bleeding, perforation, pancreatitis). (Korean J Gastrointest Endosc 17: 380-389, 1997) (continue)

1,596 View
7 Download

경피 내시경하 위루술 ( PEG ) 의 장기적 효율성 ( Long Term Efficacy of Percutaneous Endoscopic Gastrostomy ): Korean J Gastrointest Endosc 1992;12(1):29-35. Published online November 30, 1991

Abstract PDF: Since the introduction of Percutaneous Endoscopic Gastrostomy(PEG) into clinical practice by Ponsky in 1980, the endoscopic procedure for the placement of a gastrostomy feeding tube has been markedly developed in the world. In l986, PEG was first described in Korea, thereafter it is widely used in many Korean institutions. But until recently the clinical studies of the long term efficacy of PEG has almost not been reported. (continue...)

1,599 View
21 Download

First
Prev
Page of 1
Next
Last

Search