Unusual Rectal Foreign Body: A Golf Ball.
Authors: Park YJ, Baek DH, Park EY, Kim GH, Song GA PMID: 32447882 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - May 27, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Feasibility and Accuracy of Transduodenal Endoscopic Ultrasound-Guided Fine-Needle Aspiration of Solid Lesions Using a 19-Gauge Flexible Needle: A Multicenter Study.
Conclusions: The transduodenal approach for obtaining samples from solid lesions using a 19-G flexible needle seems feasible and accurate. PMID: 32447874 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - May 26, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Trends of Colorectal Cancer Prevalence in Kazakhstan Related to Screening.
Authors: Zhylkaidarova A, Kaidarova D, Batyrbekov K, Shatkovskaya O, Begimbetova D Abstract We carried out an analysis of the total incidence of colon cancer throughout Kazakhstan. Retrospectively, according to the regional reports on endoscopic screening, the study showed an increase in the age-related incidence of colorectal cancer (CRC) cases from 2004-2008 to 2009-2014. The peak of morbidity in both periods was noted in the age category of>70 years. The indicators of the territorial distribution of CRC incidence make it possible to divide the regions into areas with low or high rates of CRC. Specific indicat...
Source: Clinical Endoscopy - May 26, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Determining the Safety and Effectiveness of Electrocautery Enhanced Scissors for Peroral Endoscopic Myotomy (with Video).
Conclusions: In the largest series to date on the use of EES in POEM, we demonstrated that this technique has both technical and clinical efficacy as well as an excellent safety profile. PMID: 32438778 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - May 23, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Unilateral Versus Bilateral Biliary Drainage for Post-Transplant Anastomotic Stricture.
Authors: Choi JH, Paik WH Abstract Living donor liver transplantation is the most common type of liver transplantation in Asia. Post-transplant biliary stricture is frequent in living donor liver transplantation, and endoscopic management is considered to be the treatment of choice. However, endoscopic management is still challenging in patients who undergo right lobe living donor liver transplantation because of the anatomical alteration. In this article, we reviewed the recently updated results for proper endoscopic biliary drainage in post-living donor liver transplantation anatomical biliary stricture and compa...
Source: Clinical Endoscopy - May 23, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Photodynamic Therapy for Esophageal Cancer.
Authors: Inoue T, Ishihara R Abstract Photodynamic therapy, a curative local treatment for esophageal squamous cell carcinoma, involves a photosensitizing drug (photosensitizer) with affinity for tumors and a photodynamic reaction triggered by laser light. Previously, photodynamic therapy was used to treat superficial esophageal squamous cell carcinoma judged to be difficult to undergo endoscopic resection. Recently, photodynamic therapy has mainly been performed for local failure after chemoradiotherapy. Although surgery is the most promising treatment for local failure after chemoradiotherapy, its morbidity and m...
Source: Clinical Endoscopy - May 20, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Role of Endoscopy in Primary Sclerosing Cholangitis.
Authors: Bhat P, Aabakken L Abstract Primary sclerosing cholangitis (PSC) is a progressive disease of the bile ducts that usually results in chronic liver disease often requiring liver transplantation. Endoscopy remains crucial to the care of these patients, although magnetic resonance cholangiopancreatography has replaced endoscopic retrograde cholangiopancreatography (ERCP) as the primary imaging modality for diagnosis. For detection of dysplasia or cholangiocarcinoma, ERCP with intraductal sampling remains compulsory. Moreover, dominant strictures play an important part in the disease development, and management...
Source: Clinical Endoscopy - May 10, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Accessories to Enhance Adenoma Detection Rates: Is the Endocuff Better than the Conventional Cap for Trainees?
Authors: Gweon TG, Kang SB PMID: 32375456 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - May 9, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Confocal Laser Endomicroscopic Findings of Refractory Erosive Reflux Disease versus Non-Erosive Reflux Disease with Anti-Reflux Mucosectomy: An in vivo and ex vivo Study.
Conclusions: The irregular shape of the IPCLs were significantly correlated with a positive diagnosis of GERD. CLE may diagnose NERD with high sensitivity and accuracy. PMID: 32375457 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - May 9, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

A Survey of Peri-Colonoscopy Management of Anti-Diabetic Medications.
Authors: Lee B, Jain D, Rajala M PMID: 32340087 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - April 30, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Three-Dimensional Flexible Endoscopy Can Facilitate Efficient and Reliable Endoscopic Hand Suturing: An ex-vivo Study.
Conclusions: 3D endoscopy may contribute to increasing the speed and accuracy of EHS in a short time period. Stereoscopic viewing during 3D endoscopy may help in efficient skill acquisition for EHS, particularly among novice endoscopists. PMID: 32336050 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - April 29, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Comparison of Oral Sulfate Solution and Polyethylene Glycol Plus Ascorbic Acid on the Efficacy of Bowel Preparation.
Authors: Nam JH, Hong SB, Lim YJ, Lee S, Kang HW, Kim JH, Lee JH Abstract Background/Aims: The quality of bowel preparation is one of the quality indicators for colonoscopy. The aim of this study was to compare the efficacy of oral sulfate solution (OSS) and polyethylene glycol plus ascorbic acid (PEG-AA) for bowel preparation. Methods: The study involved 167 patients who underwent diagnostic colonoscopies. Inadequate bowel preparation was defined as any score of ≤1 in each colon section based on the Boston Bowel Preparation Scale. Multivariate logistic regression was used to compare the efficacy of OSS and ...
Source: Clinical Endoscopy - April 29, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Effectiveness of Underwater Endoscopic Submucosal Dissection for a Superficial Cervical Esophageal Cancer.
Authors: Sasaki S, Nishikawa J, Yamamoto K, Sakaida I PMID: 32340085 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - April 29, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Endoscopic Yield, Appropriateness, and Complications of Pediatric Upper Gastrointestinal Endoscopy in an Adult Suite: A Retrospective Study of 822 Children.
This study aimed to study the endoscopic yield, appropriateness, and complications of pediatric endoscopy performed by adult gastroenterologists in an adult endoscopic suite. Methods: This a retrospective study in which records of all the patients less than 18 years of age who underwent endoscopy in the last 5 years were studied. The indications of endoscopy in children were categorized as appropriate or inappropriate per the latest guidelines by American Society for Gastrointestinal Endoscopy and North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. Positive endoscopic yield was defined as t...
Source: Clinical Endoscopy - April 9, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Intraductal Ultrasonography Can Enhance the Success of Endoscopic Transpapillary Gallbladder Drainage in Patients with Acute Cholecystitis.
Authors: Wu CCH, Khor CJL PMID: 32252503 [PubMed] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - April 9, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Convolutional Neural Network Technology in Endoscopic Imaging: Artificial Intelligence for Endoscopy.
Authors: Choi J, Shin K, Jung J, Bae HJ, Kim DH, Byeon JS, Kim N Abstract Recently, significant improvements have been made in artificial intelligence. The artificial neural network was introduced in the 1950s. However, because of the low computing power and insufficient datasets available at that time, artificial neural networks suffered from overfitting and vanishing gradient problems for training deep networks. This concept has become more promising owing to the enhanced big data processing capability, improvement in computing power with parallel processing units, and new algorithms for deep neural networks, whi...
Source: Clinical Endoscopy - April 9, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Lesion-Based Convolutional Neural Network in Diagnosis of Early Gastric Cancer.
Authors: Yoon HJ, Kim JH Abstract Diagnosis and evaluation of early gastric cancer (EGC) using endoscopic images is significantly important; however, it has some limitations. In several studies, the application of convolutional neural network (CNN) greatly enhanced the effectiveness of endoscopy. To maximize clinical usefulness, it is important to determine the optimal method of applying CNN for each organ and disease. Lesion´┐Ż-based CNN is a type of deep learning model designed to learn the entire lesion from endoscopic images. This review describes the application of lesion-based CNN technology in diagnosis of E...
Source: Clinical Endoscopy - April 9, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Artificial Intelligence in Gastrointestinal Endoscopy.
Authors: Abadir AP, Ali MF, Karnes W, Samarasena JB Abstract Artificial intelligence (AI) is rapidly integrating into modern technology and clinical practice. Although in its nascency, AI has become a hot topic of investigation for applications in clinical practice. Multiple fields of medicine have embraced the possibility of a future with AI assisting in diagnosis and pathology applications. In the field of gastroenterology, AI has been studied as a tool to assist in risk stratification, diagnosis, and pathologic identification. Specifically, AI has become of great interest in endoscopy as a technology with substa...
Source: Clinical Endoscopy - April 9, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Clinical Practice Guideline for Endoscopic Resection of Early Gastrointestinal Cancer.
Authors: Park CH, Yang DH, Kim JW, Kim JH, Kim JH, Min YW, Lee SH, Bae JH, Chung H, Choi KD, Park JC, Lee H, Kwak MS, Kim B, Lee HJ, Lee HS, Choi M, Park DA, Lee JY, Byeon JS, Park CG, Cho JY, Lee ST, Chun HJ Abstract Although surgery was the standard treatment for early gastrointestinal cancers, endoscopic resection is now a standard treatment for early gastrointestinal cancers without regional lymph node metastasis. High-definition white light endoscopy, chromoendoscopy, and image-enhanced endoscopy such as narrow band imaging are performed to assess the edge and depth of early gastrointestinal cancers for deline...
Source: Clinical Endoscopy - April 9, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Sharing Our Experience of Operating an Endoscopy Unit in the Midst of a COVID-19 Outbreak.
Authors: Han J, Kim EY PMID: 32252508 [PubMed] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - April 9, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

The Efficacy of 4 Liters of Clear Liquids for Small Bowel Preparation Prior to Video Capsule Endoscopy.
Authors: Placone N, Bahar R, Mann S Abstract Background/Aims: Optimal small bowel (SB) preparation for video capsule endoscopy (VCE) is controversial. Our study aimed to support the use of a specified volume of 4 liters of clear liquids for bowel preparation for VCE. Methods: A retrospective review of 284 patients who underwent SB preparation with 2 liters of polyethylene glycol (PEG) and 284 patients who had 4 liters of clear liquid preparation. We analyzed image quality, endoscopic findings, completion rate, and transit times. Results: The 4-liter clear liquid group had significantly higher mean image qua...
Source: Clinical Endoscopy - April 3, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

The Role of Needle-Based Confocal Laser Endomicroscopy in the Evaluation of Pancreatic Cystic Lesions: A Systematic Review.
Authors: Chin YK, Wu CCH, Tan DMY Abstract The prevalence of pancreatic cystic lesions (PCLs) has increased recently due to the increased use of cross-sectional abdominal imaging and the ageing global population. Current diagnostic techniques are inadequate to distinguish between PCLs that require surgery, close surveillance, or expectant management. This has resulted in increased morbidity from both inappropriately aggressive and conservative management strategies. Needle-based confocal laser endomicroscopy (nCLE) has allowed microscopic examination and visual delineation of the surface epithelium of PCLs. Landmar...
Source: Clinical Endoscopy - April 3, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Clinical Outcomes of Percutaneous Endoscopic Gastrostomy in the Surgical Intensive Care Unit.
Conclusions: PEG is a safe and feasible method of enteral feeding for critically ill patients who require ICU care after surgery. PMID: 32229800 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - April 3, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Efficacy and Safety of Etomidate in Comparison with Propofol or Midazolam as Sedative for Upper Gastrointestinal Endoscopy.
Conclusions: The outcomes following the use of etomidate for maintenance after induction with midazolam for sedation in upper gastrointestinal endoscopy were not inferior to those following midazolam or propofol use from the perspectives of safety and efficacy. PMID: 32229801 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - April 3, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Hybrid Peroral Endoscopic Myotomy for Achalasia with Prior Treatment Failure.
We report a new technique called "hybrid POEM" for the treatment of patients with achalasia who had been previously treated with pneumatic balloon dilatation. We performed two techniques of POEM simultaneously, the standard POEM for the upper part of the submucosal tunnel and open POEM for the stenotic part of the esophagogastric junction. We dissected the mucosa and submucosa, and performed myotomy simultaneously. We overcame submucosal fibrosis of the esophagogastric junction, which was caused by the previous hybrid POEM treatment. The risks of mucosal incision and technical challenge of submucosal tunneling fo...
Source: Clinical Endoscopy - April 3, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Efficacy and Safety of Endoscopic Treatment for Gastrointestinal Stromal Tumors in the Upper Gastrointestinal Tract.
Conclusions: ET is effective and safe for curative removal of GISTs in the upper gastrointestinal tract, and it can be a treatment of choice for patients with no metastasis. PMID: 32178486 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - March 18, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

A Case of Suspicious Allergic Reaction to Peracetic Acid Following Endoscopy.
Authors: Harada N, Hirowatari M, Ihara E, Ishihara E, Inoue M, Miyamura T, Nakamuta M Abstract A 43-year-old man with rheumatic arthritis was admitted to our hospital for symptoms of cough, left chest pain, and left elbow pain, and further examination revealed an elevated level of C-reactive protein. On day 2 after admission, he underwent esophagogastroduodenoscopy. On the morning of day 7, he developed a high fever of 39.7°C, several hours after bronchoscopy. On day 13, he underwent colonoscopy. Five minutes after the colonoscopy, he developed a high fever of 39.9°C, accompanied by stridor, indicating a de...
Source: Clinical Endoscopy - March 17, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Esophageal Stricture Caused by the Ingestion of Undissolved Picosulfate Powder.
Authors: Kim D, Cho B, Choi JW, Kim KB, Park SM Abstract Picosulfate solution is widely used as a small volume bowel cleansing agent and is considered to be effective and relatively safe. A case of a 75-year-old woman ingested picosulfate powder and drank a small volume of water, subsequently experienced severe burning pain in the chest. Endoscopy was performed and showed a submucosal hemorrhage and exudative ulcers at the mid to lower esophagus. At 2 weeks, her symptoms improved with conservative treatment. However, liquid food dysphagia developed 11 weeks after ingestion. A follow-up endoscopy revealed multiple e...
Source: Clinical Endoscopy - March 17, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Quality Indicators for the Detection of Helicobacter Pylori-Negative Early Gastric Cancer: A Retrospective Observational Study.
Authors: Ishibashi F, Kobayashi K, Fukushima K, Tanaka R, Kawakami T, Kato J, Sugihara K Abstract Background/Aims: While Helicobacter pylori (HP)-negative gastric cancer is frequently reported, little is known about the predictors for detecting HP-negative early gastric cancer (EGC). We aimed to evaluate the predictors for the detection of HP-negative EGC. Methods: We retrospectively reviewed 13,477 consecutive asymptomatic cases where upper endoscopy was performed by nine physicians from April 2017 to March 2019 and analyzed the detection rate of high-risk lesions (HRLs), including EGC, tubular adenoma, and ly...
Source: Clinical Endoscopy - March 14, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Are there Seasonal Variations in the Incidence and Mortality of Esophageal Variceal Bleeding?
Authors: Suh JI PMID: 32164048 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - March 14, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Is Endoscopic Ultrasound-Fine Needle Aspiration for Ki67 Aspirational Enough?
Authors: David Y, Kim M PMID: 32156105 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - March 13, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Non-Curative Resection: Should Clinicians Consider Providing Additional Surgery for All Patients?
Authors: Hatta W, Gotoda T, Masamune A PMID: 32138464 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - March 7, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Inside Plastic Stents versus Metal Stents for Treating Unresectable Malignant Perihilar Biliary Obstructions: A Retrospective Comparative Study.
Conclusions: s Time to RBO after iPS placement was significantly longer than that after MS placement. IPSs, which are removable, unlike MSs, were an acceptable option. PMID: 32126740 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - March 6, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Endoscopic Self-Expandable Metal Stent Placement for Malignant Afferent Loop Obstruction After Pancreaticoduodenectomy: A Case Series and Review.
In conclusion, endoscopic SEMS placement may be an effective and safe treatment for malignant ALO that arises after PD. PMID: 32124582 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - March 4, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Efficacy and Safety of Complete Endoscopic Resection of Colorectal Neoplasia Using a Stepwise Endoscopic Protocol with SOUTEN, a Novel Multifunctional Snare.
Conclusions: By using SOUTEN, precutting and hybrid were successfully performed on 10-30 mm tumors with a shorter procedure time than conventional without major complications. PMID: 32102497 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - February 29, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Effect of Aspiration Therapy on Obesity-Related Comorbidities: Systematic Review and Meta-Analysis.
This study aimed to assess the effect of AT on obesity-related comorbidities. Methods: A meta-analysis of studies that assessed AT outcomes was conducted through December 2018. Primary outcomes were changes in comorbidities at 1 year following AT. Secondary outcomes were the amount of weight loss at up to 4 years and pooled serious adverse events (SAEs). Results: Five studies with 590 patients were included. At 1 year, there were improvements in metabolic conditions: mean difference (MD) in systolic blood pressure: -7.8 (-10.7 - -4.9) mm Hg; MD in diastolic blood pressure: -5.1 (-7.0 - 3.2) mm Hg; MD in triglycerid...
Source: Clinical Endoscopy - February 29, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Hepatosplenic T-Cell Lymphoma Diagnosed by Endoscopic Ultrasound-Guided Fine-Needle Biopsy.
Authors: Shibata Y, Miyamoto M, Shinomiya W, Kirita K, Motomura S, Hidai H, Hagino T, Ito Y PMID: 32106363 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - February 29, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Endoscopic Full Thickness Resection for Gastrointestinal Tumors - Challenges and Solutions.
Authors: Kaan HL, Ho KY Abstract Standard polypectomy, endoscopic mucosal resection, and endoscopic submucosal dissection (ESD) are established techniques for the treatment of gastrointestinal tumors. However, resection of submucosal tumors via ESD often results in low rates of microscopically margin-negative (R0) resection and high rates of perforation. Endoscopic full thickness resection (EFTR) overcomes this adverse event and aids in the therapeutic management of complex tumors. Multiple techniques for EFTR have been developed, each with its own advantages and disadvantages. Submucosal tunneling and nonexposed t...
Source: Clinical Endoscopy - February 19, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Validation of a Novel Endoscopic Retrograde Cholangiopancreatography Cannulation Simulator.
This study aimed to develop and validate a novel ERCP simulator. Methods: The simulator consists of papillae presenting different anatomy and positioned in varied locations. Deep cannulation of the pancreatic duct, followed by the bile duct, was performed. The time allotted was 5 minutes. The content validity indexes (CVIs) for realism, relevance, and representativeness were calculated. Correlation between ERCP experience and simulator score was determined. Results: Twenty-three participants completed the simulation. The CVIs for realism were orientation of duodenoscope to papilla (1.00), angulation of papillotome ...
Source: Clinical Endoscopy - February 19, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Reasons for Diagnostic Failure in Forty-Five Consecutive Mucosal Cutting Biopsy Examinations of Gastric Subepithelial Tumors.
Conclusions: Clear exposure of gastric SETs during MCB may improve the diagnostic rate of such examinations. PMID: 32053861 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - February 16, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Endoscopic Ultrasound-Guided Vascular Therapy for Portoduodenal Fistula.
We reported a case of intermittent massive upper gastrointestinal bleeding in a 33-year-old man with cholangiocarcinoma who underwent surgical resection followed by chemoradiation. A portoduodenal fistula due to chronic duodenal ulceration was identified. The bleeding was successfully controlled by endoscopic ultrasound-guided coil placement through the duodenal bulb using the anchoring technique. Follow-up endoscopy and computed tomography scan showed multiple coil placements between a part of the portal vein and the duodenal bulb without any evidence of portal vein thrombosis. There were no complications, and bleeding di...
Source: Clinical Endoscopy - February 15, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Acute Pancreatitis: A Rare Post-Colonoscopy Sequela.
We report a case of acute pancreatitis that occurred just after an elective screening colonoscopy; this is a rare event with very few reported cases. A healthy, asymptomatic male underwent screening colonoscopy at our center and developed abdominal pain and emesis after the procedure. An abdominal X-ray ruled out perforation but laboratory tests revealed elevated levels of amylase and lipase. The patient had no etiological risk factors for pancreatitis. The presumed mechanism of pancreatitis in this case is mechanical and pressure trauma from excessive insufflation, external abdominal pressure, and repeated withdrawal of t...
Source: Clinical Endoscopy - February 13, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

The Role of Dual Red Imaging in Gastric Endoscopic Submucosal Dissection.
Authors: Yoo IK, Cho JY PMID: 32013320 [PubMed] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - February 6, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Transcolonic Endoscopic Ultrasound-Guided Fine-Needle Aspiration Has a Promising Future.
Authors: Sachithanandan S PMID: 32013321 [PubMed] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - February 6, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Endoscopic Retrograde Cholangiopancreatography in Recurrent Acute Pancreatitis: Determining the Optimal Subgroup of Patients in Whom the Procedure is Beneficial.
Authors: Lee TY, Iwashita T PMID: 32013322 [PubMed] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - February 6, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Experience of Endoscopists in Endoscopic Retrograde Cholangiopancreatography in Surgically Altered Anatomy Patients.
Authors: Park CH PMID: 32013323 [PubMed] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - February 6, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Modified EUS Needle to Obtain Histological Core Tissue Samples: A Retrospective Analysis.
Authors: Ashat M, Soota K, Klair JS, Gupta S, Jensen C, Murali AR, Jesudoss R, El-Abiad R, Gerke H Abstract Background/Aims: Endoscopic ultrasound (EUS)-guided fine-needle aspiration is very effective for providing specimens for cytological evaluation. However, the ability to provide sufficient tissue for histological evaluation has been challenging due to the technical limitations of dedicated core biopsy needles. Recently, a modified EUS needle has been introduced to obtain tissue core samples for histological analysis. We aimed to determine (1) its ability to obtain specimens for histological assessment and (2) ...
Source: Clinical Endoscopy - February 6, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Endoscopic Submucosal Dissection of a Colonic Calcifying Fibrous Tumor.
Authors: Kim J, Ryu S, Kim YJ Abstract A 49-year-old woman was referred to our hospital for further treatment due to the suspicion of a submucosal tumor in a routine screening colonoscopy. On colonoscopy, a 1-cm sized subepithelial mass with normal overlying mucosa in the hepatic flexure was found. Endoscopic ultrasonography (EUS) showed a homogenous hypoechoic lesion arising from the second and third layer. We were unable to make a final diagnosis because the lesion showed a small tumor with atypical macroscopic morphology including EUS findings. Therefore, endoscopic submucosal dissection was performed for the di...
Source: Clinical Endoscopy - January 23, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Present Status of Endoscopic Submucosal Dissection for Non-Ampullary Duodenal Epithelial Tumors.
Authors: Kakushima N, Yoshida M, Yabuuchi Y, Kawata N, Takizawa K, Kishida Y, Ito S, Imai K, Hotta K, Ishiwatari H, Matsubayashi H, Ono H Abstract Prediction of histology by endoscopic examination is important in the clinical management of non-ampullary duodenal epithelial tumors (NADETs), including adenoma and adenocarcinoma. The use of a simple scoring system based on the findings of white-light endoscopy or magnified endoscopy with narrow-band imaging is useful to differentiate between Vienna category 3 (C3) and C4/5 lesions. Less invasive endoscopic resection procedures, such as cold snare polypectomy, are quic...
Source: Clinical Endoscopy - January 17, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Endocuff-Assisted versus Cap-Assisted Colonoscopy Performed by Trainees: A Retrospective Study.
Conclusions: Our results suggest that EAC exhibits increased ADR and MAP compared to CAC when performed by trainees. PMID: 31918537 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - January 11, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research