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Case Report
Omental Patching and Purse-String Endosuture Closure after Endoscopic Full-Thickness Resection in Patients with Gastric Gastrointestinal Stromal Tumors
Faisal Inayat, Aysha Aslam, Mathew D. Grunwald, Qulsoom Hussain, Abu Hurairah, Shahzad Iqbal
Clin Endosc 2019;52(3):283-287.   Published online October 5, 2018
DOI: https://doi.org/10.5946/ce.2018.116
AbstractAbstract PDFPubReaderePub
Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors of the gastrointestinal tract, primarily arising from the stomach. With the widespread utilization of and technical advancements in endoscopy, gastric GISTs are being increasingly detected at an early stage, enabling complete endoscopic resection. Endoscopic full-thickness resection (EFTR) is an advanced technique that has been recognized as a treatment tool for neoplasms in the digestive tract in selected patients. Although a number of methods are available, closing large iatrogenic defects after EFTR can be a concern in clinical practice. If this potential problem is appropriately solved, patients with gastric GISTs would be suitable candidates for resection utilizing this technique. To our knowledge, this is the first study to propose omental patching and purse-string endosuture closure following EFTR as a feasible endoscopic option in patients with gastric GISTs.

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  • Endoscopic Full Thickness Resection: A Systematic Review
    Partha Pal, Mohan Ramchandani, Pradev Inavolu, Duvvuru Nageshwar Reddy, Manu Tandan
    Journal of Digestive Endoscopy.2022; 13(03): 152.     CrossRef
  • Colon Sparing Endoscopic Full-Thickness Resection for Advanced Colorectal Lesions: Is It Time for Global Adoption?
    Zhong-Wei Wu, Chao-Hui Ding, Yao-Dong Song, Zong-Chao Cui, Xiu-Qian Bi, Bo Cheng
    Frontiers in Oncology.2022;[Epub]     CrossRef
  • Endoscopic Therapy in the Management of Patients With Severe Rectal Bleeding Following Transrectal Ultrasound-Guided Prostate Biopsy: A Case-Based Systematic Review
    Adnan Malik, Rizwan Ishtiaq, Muhammad Hassan Naeem Goraya, Faisal Inayat, Vinaya V. Gaduputi
    Journal of Investigative Medicine High Impact Case Reports.2021;[Epub]     CrossRef
  • Closure techniques in exposed endoscopic full-thickness resection: Overview and future perspectives in the endoscopic suturing era
    Antonino Granata, Alberto Martino, Dario Ligresti, Francesco Paolo Zito, Michele Amata, Giovanni Lombardi, Mario Traina
    World Journal of Gastrointestinal Surgery.2021; 13(7): 645.     CrossRef
  • Use of omental patch and endoscopic closure technique as an alternative to surgery after endoscopic full thickness resection of gastric intestinal stromal tumors: A series of cases
    Amit H Sachdev, Shahzad Iqbal, Igor Braga Ribeiro, Diogo Turiani Hourneaux de Moura
    World Journal of Clinical Cases.2020; 8(1): 120.     CrossRef
  • Endoscopic full-thickness resection
    David Friedel, Xiaocen Zhang, Rani Modayil, Stavros N. Stavropoulos
    Techniques in Gastrointestinal Endoscopy.2019; 21(1): 19.     CrossRef
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  • 5 Web of Science
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Focused Review Series: Updates on endoscopic bariatric and metabolic therapies
Experimental Gastric Non-Balloon Devices
Youn I Choi, Kyoung Oh Kim
Clin Endosc 2018;51(5):420-424.   Published online September 27, 2018
DOI: https://doi.org/10.5946/ce.2018.150
AbstractAbstract PDFPubReaderePub
Endoscopic bariatric therapies (EBTs) are promising alternatives to the conventional surgeries used to treat obesity and related metabolic conditions, targeting gastrointestinal anatomical and physiological processes. Many EBTs are at various stages of development and are aimed at promoting an early sense of satiety via anatomical and physiological mechanisms. In the present study, we focused on relevant clinical issues and future perspectives with regard to gastric non-balloon methods treating obesity.

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  • Repeated photodynamic therapy using a chlorin e6‐embedded device to prolong the therapeutic effects on obesity
    Jung‐Hoon Park, Ji Won Kim, Dae Sung Ryu, Hyeonseung Lee, Hee Kyong Na, Jin Hee Noh, Do Hoon Kim, Sanghee Lee, Kun Na, Hwoon‐Yong Jung
    Obesity.2024; 32(5): 911.     CrossRef
  • Photoactive intragastric satiety-inducing device using polymeric photosensitizers for minimally invasive weight loss treatment
    Ji Won Kim, Sanghee Lee, Dae Sung Ryu, Jinhwan Park, Hyeonseung Lee, Hee Kyong Na, Jin Hee Noh, Do Hoon Kim, Jung-Hoon Park, Hwoon-Yong Jung, Kun Na
    Biomaterials.2023; 299: 122159.     CrossRef
  • Photodynamic Methylene Blue-Embedded Intragastric Satiety-Inducing Device to Treat Obesity
    Sanghee Lee, Ji Won Kim, Jinhwan Park, Hee Kyong Na, Do Hoon Kim, Jin Hee Noh, Dae Sung Ryu, Jae Myung Park, Jung-Hoon Park, Hwoon-Yong Jung, Kun Na
    ACS Applied Materials & Interfaces.2022; 14(15): 17621.     CrossRef
  • Biomaterials in Gastroenterology: A Critical Overview
    Adrian Goldis, Ramona Goldis, Traian V. Chirila
    Medicina.2019; 55(11): 734.     CrossRef
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  • 120 Download
  • 4 Web of Science
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Reviews
Robotics for Advanced Therapeutic Colonoscopy
Jennie Y Y Wong, Khek Yu Ho
Clin Endosc 2018;51(6):552-557.   Published online August 21, 2018
DOI: https://doi.org/10.5946/ce.2018.089
AbstractAbstract PDFPubReaderePub
Although colonoscopy was originally a diagnostic imaging procedure, it has now expanded to include an increasing range of therapeutic interventions. These procedures require precise maneuvers of instruments, execution of force, efficient transmission of force from the operator to the point of application, and sufficient dexterity in the mobilization of endoscopic surgical instruments. The conventional endoscope is not designed to support technically demanding endoscopic procedures. In case of colonoscopy, the tortuous anatomy of the colon makes inserting, moving, and orientating the endoscope difficult. Exerting excessive pressure can cause looping of the endoscope, pain to the patient, and even perforation of the colon. To mitigate the technical constraints, numerous technically enhanced systems have been developed to enable better control of instruments and precise delivery of force in the execution of surgical tasks such as apposing, grasping, traction, counter-traction, and cutting of tissues. Among the recent developments are highly dexterous robotic master and slave systems, computer-assisted or robotically enhanced conventional endoscopes, and autonomously driven locomotion devices that can effortlessly traverse the colon. Developments in endoscopic instrumentations have overcome technical barriers and opened new horizons for further advancements in therapeutic interventions. This review describes examples of some of these systems in the context of their applications to advanced therapeutic colonoscopy.

Citations

Citations to this article as recorded by  
  • Endoluminal and next generation robotics in colorectal surgery
    Barbara Seeliger, Jacques Marescaux
    Seminars in Colon and Rectal Surgery.2024; 35(1): 101006.     CrossRef
  • Snake Robot with Motion Based on Shape Memory Alloy Spring-Shaped Actuators
    Ricardo Cortez, Marco Antonio Sandoval-Chileño, Norma Lozada-Castillo, Alberto Luviano-Juárez
    Biomimetics.2024; 9(3): 180.     CrossRef
  • Robotics in interventional endoscopy—evolution and the way forward
    Zaheer Nabi, Chaithanya Manchu, D. Nageshwar Reddy
    Indian Journal of Gastroenterology.2024; 43(5): 966.     CrossRef
  • A Novel Dynamic Rigidizing Overtube Significantly Eases Difficult Colonoscopy
    Nathan Park, Alexander Abadir, Anastasia Chahine, David Eng, Samuel Ji, Peter Nguyen, Emily Bernal, Rochelle Simoni, Jason B. Samarasena
    Techniques and Innovations in Gastrointestinal Endoscopy.2022; 24(2): 116.     CrossRef
  • Robotics in therapeutic endoscopy (with video)
    YongYan Cui, Christopher C. Thompson, Philip Wai Yan Chiu, Seth A. Gross
    Gastrointestinal Endoscopy.2022; 96(3): 402.     CrossRef
  • Colonic endoscopic submucosal dissection using a novel robotic system (with video)
    Philip Wai Yan Chiu, Khek Yu Ho, Soo Jay Phee
    Gastrointestinal Endoscopy.2021; 93(5): 1172.     CrossRef
  • Endoscopic Submucosal Dissection of Large Pseudo-Polyps in the Right Colon Using a Novel Articulating Grasper With a Double-Balloon Endolumenal Surgical Platform: An Ex Vivo Study in a Porcine Colorectal Model
    Shinya Urakawa, Kota Momose, Yohei Kono, Teijiro Hirashita, Makoto Nishimura, Jeffrey W. Milsom
    Diseases of the Colon & Rectum.2021; 64(2): e34.     CrossRef
  • Robotics and Artificial Intelligence in Gastrointestinal Endoscopy: Updated Review of the Literature and State of the Art
    Ivo Boškoski, Beatrice Orlandini, Luigi Giovanni Papparella, Maria Valeria Matteo, Martina De Siena, Valerio Pontecorvi, Guido Costamagna
    Current Robotics Reports.2021; 2(1): 43.     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
  • Robotics in Gastrointestinal Endoscopy
    Sang-Hyun Kim, Hyuk-Soon Choi, Bora Keum, Hoon-Jai Chun
    Applied Sciences.2021; 11(23): 11351.     CrossRef
  • Robot-Assisted Endoscopic Resection: Current Status and Future Directions
    Hung Leng Kaan, Khek Yu Ho
    Gut and Liver.2020; 14(2): 150.     CrossRef
  • Robotics In Vivo: A Perspective on Human–Robot Interaction in Surgical Robotics
    Alaa Eldin Abdelaal, Prateek Mathur, Septimiu E. Salcudean
    Annual Review of Control, Robotics, and Autonomous Systems.2020; 3(1): 221.     CrossRef
  • Application of Robot in Colonoscopy
    Yongde Zhang, Peiwang Qin, Jingang Jiang, Xinghua Wu, Qi Zhao, Zhiyuan Huang
    Recent Patents on Mechanical Engineering.2020; 13(3): 205.     CrossRef
  • Modern robotics in medicine
    M. S. Mosoyan, D. A. Fedorov
    Translational Medicine.2020; 7(5): 91.     CrossRef
  • The evolution of lower gastrointestinal endoscopy: where are we now?
    Arun Sivananthan, Ben Glover, Lakshmana Ayaru, Kinesh Patel, Ara Darzi, Nisha Patel
    Therapeutic Advances in Gastrointestinal Endoscopy.2020; 13: 263177452097959.     CrossRef
  • Robot-assisted endoscopic submucosal dissection versus conventional ESD for colorectal lesions: outcomes of a randomized pilot study in endoscopists without prior ESD experience (with video)
    Diogo Turiani Hourneaux de Moura, Hiroyuki Aihara, Pichamol Jirapinyo, Galileu Farias, Kelly E. Hathorn, Ahmad Bazarbashi, Amit Sachdev, Christopher C. Thompson
    Gastrointestinal Endoscopy.2019; 90(2): 290.     CrossRef
  • Robotic-assisted surgical endoscopy: a new era for endoluminal therapies
    Diogo Turiani Hourneaux de Moura, Hiroyuki Aihara, Christopher C. Thompson
    VideoGIE.2019; 4(9): 399.     CrossRef
  • Endoscopic robotic suturing: The way forward
    HungLeng Kaan, KhekYu Ho
    Saudi Journal of Gastroenterology.2019; 25(5): 272.     CrossRef
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  • 14 Web of Science
  • 18 Crossref
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Highlights from the 52nd Seminar of the Korean Society of Gastrointestinal Endoscopy
Eun Young Kim, Il Ju Choi, Kwang An Kwon, Ji Kon Ryu, Ki Baik Hahm
Clin Endosc 2015;48(4):269-278.   Published online July 24, 2015
DOI: https://doi.org/10.5946/ce.2015.48.4.269
AbstractAbstract PDFPubReaderePub

In this July issue of Clinical Endoscopy, state-of-the-art articles selected from the lectures delivered during the 52nd Seminar of the Korean Society of Gastrointestinal Endoscopy (KSGE) on March 29, 2015 are covered, focusing on highlighted educational contents relevant to either diagnostic or therapeutic gastrointestinal (GI) endoscopy. Our society, the KSGE, has continued to host this opportunity for annual seminars twice a year over the last 26 years and it has become a large-scale prestigious seminar accommodating over 4,000 participants. Definitely, the KSGE seminar is considered as one of the premier state-of-the-art seminars dealing with GI endoscopy, appealing to both the beginner and advanced experts. Lectures, live demonstrations, hands-on courses, as well as an editor school, which was an important consensus meeting on how to upgrade our society journal, Clinical Endoscopy, to a Science Citation Index (Expanded) designation were included in this seminar. The 52nd KSGE seminar consisted of more than 20 sessions, including special lectures, concurrent sessions for GI endoscopy nurses, and sessions exploring new technologies. This is a very special omnibus article to highlight the core contents divided into four sessions: upper GI tract, lower GI tract, pancreatobiliary system, and other specialized sessions.

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Endoscopic Ultrasound-Guided Treatment beyond Drainage: Hemostasis, Anastomosis, and Others
Jessica L. Widmer, Kahaleh Michel
Clin Endosc 2014;47(5):432-439.   Published online September 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.5.432
AbstractAbstract PDFPubReaderePub

Since the introduction of endoscopic ultrasound (EUS) in the 1990s, it has evolved from a primarily diagnostic modality into an instrument that can be used in various therapeutic interventions. EUS-guided fine-needle injection was initially described for celiac plexus neurolysis. By using the fundamentals of this method, drainage techniques emerged for the biliary and pancreatic ducts, fluid collections, and abscesses. More recently, EUS has been used for ablative techniques and injection therapies for patients with for gastrointestinal malignancies. As the search for minimally invasive techniques continued, EUS-guided hemostasis methods have also been described. The technical advances in EUS-guided therapies may appear to be limitless; however, in many instances, these procedures have been described only in small case series. More data are required to determine the efficacy and safety of these techniques, and new accessories will be needed to facilitate their implementation into practice.

Citations

Citations to this article as recorded by  
  • Role of Therapeutic Endoscopic Ultrasound in Management of Pancreatic Cancer: An Endoscopic Oncologist Perspective
    Dushyant Singh Dahiya, Saurabh Chandan, Hassam Ali, Bhanu Siva Mohan Pinnam, Manesh Kumar Gangwani, Hashem Al Al Bunni, Andrew Canakis, Harishankar Gopakumar, Ishaan Vohra, Jay Bapaye, Mohammad Al-Haddad, Neil R. Sharma
    Cancers.2023; 15(12): 3235.     CrossRef
  • Echoendoscopic ablative therapy for solid pancreatic tumors
    Woo Hyun Paik, Dong Wan Seo
    Journal of Digestive Diseases.2017; 18(3): 135.     CrossRef
  • Endoscopic ultrasound: Current roles and future directions
    Scott R Friedberg, Jesse Lachter
    World Journal of Gastrointestinal Endoscopy.2017; 9(10): 499.     CrossRef
  • Endoscopic Ultrasound-Guided Drainage without Fluoroscopic Guidance for Extraluminal Complicated Cysts
    Hyeong Seok Nam, Hyung Wook Kim, Dae Hwan Kang, Cheol Woong Choi, Su Bum Park, Su Jin Kim, Dae Gon Ryu, Joon Ho Jeon
    Gastroenterology Research and Practice.2016; 2016: 1.     CrossRef
  • Role of endoscopic ultrasound-guided fine needle aspiration in the diagnosis of mass lesions
    Chaoqun Han, Rong Lin, Qin Zhang, Jun Liu, Zhen Ding, Xiaohua Hou
    Experimental and Therapeutic Medicine.2016; 12(2): 1085.     CrossRef
  • Chronic pancreatic pain successfully treated by endoscopic ultrasound-guided pancreaticogastrostomy using fully covered self-expandable metallic stent
    Arunchai Chang, Pitulak Aswakul, Varayu Prachayakul
    World Journal of Clinical Cases.2016; 4(4): 112.     CrossRef
  • International Digestive Endoscopy Network 2014: Turnpike to the Future
    Eun Young Kim, Kwang An Kwon, Il Ju Choi, Ji Kon Ryu, Ki Baik Hahm
    Clinical Endoscopy.2014; 47(5): 371.     CrossRef
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Is Endoscopic Resection Currently Available in Non-tertiary or Non-academic Hospitals?
Seong Woo Jeon, M.D., Min Kyu Jung, M.D., Sung Kook Kim, M.D., Tae Nyeun Kim, M.D.*, Byung Ik Jang, M.D.*, Si Hyung Lee, M.D.*, Kyeong Ok Kim, M.D.*, Eun Soo Kim, M.D., Kwang Bum Cho, M.D., Kyung Sik Park, M.D.
Korean J Gastrointest Endosc 2010;41(6):338-343.   Published online December 30, 2010
AbstractAbstract PDF
Background
/Aims: Endoscopic mucosal resection (EMR) has been gaining popularity with the advances in the technique and the accumulating experience. The objectives of this study are to assess the current situation of endoscopic resection (ER) in primary clinics and community-based hospitals and to suggest an affordable training program.
Methods
A questionnaire about the indications to perform ER for gastric or colonic lesions was sent to the doctors working in the non-tertiary hospitals by mail. Results: The responders who were performing EMR or polypectomy for gastric lesions accounted for 43% (31/72) and 44.8% (47/101), respectively, of the total responders. The percentage of responders who had experience with performing EMR or polypectomy for colonic lesions accounted for 56.6% (30/53) and 87.3% (62/71), respectively, of the total responders. The indication for ER for treating gastric and colonic lesions was restricted to the size of 1∼2 cm irrespective of the type or location of lesion. Most of the responders assumed that ER should be performed in their clinics and they wanted to have a chance to improve these techniques.
Conclusions
The infrastructure for therapeutic endoscopy, such as ER, should be progressively expanded. Therefore, well designed schematic training programs are currently needed to advance using ER more commonly in clinical practice. (Korean J Gastrointest Endosc 2010;41:338-343)
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A Case of Duodenal Intramural Hematoma and Hemoperitoneum after Therapeutic Endoscopy in a Patient with Chronic Renal Failure
Dong Seon Park, M.D., Woon Geon Shin, M.D., Min Kwan Kim, M.D., Jeang A Lee, M.D., Gyeong Mi Heo, M.D. and Hak Yang Kim, M.D.
Korean J Gastrointest Endosc 2007;34(5):269-273.   Published online May 30, 2007
AbstractAbstract PDF
Duodenal intramural hematoma is mostly caused by blunt abdominal trauma. It is also less commonly reported as a complication of anticoagulation therapy or as a blood dyscrasia, and as a complication of diagnostic/ therapeutic endoscopy. The presentation of these patients is abdominal pain, vomiting, fever and hematochezia, and this is rarely accompanied with intestinal obstruction, severe pancreatitis and acute peritonitis as its complications. The diagnosis is made clear by performing abdominal ultrasonography and abdominal computed tomography. We reported here on one case of intramural duodenal hematoma and hemoperitoneum after performing endoscopic hemostasis in a chronic renal failure patient who was on maintenance hemodialysis. (Korean J Gastrointest Endosc 2007;34:269⁣273)
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