Usefulness of an Overtube Device in Gastrointestinal Endoscopy.
Authors: Kim SH Abstract PMID: 31154698 [PubMed] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - June 5, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

The Most Common Cause of Lower Gastrointestinal Bleeding without Other Symptoms in Children is Colonic Polyp: Is Total Colonoscopy Needed?
Authors: Lee YJ, Park JH Abstract PMID: 31121995 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - May 28, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Microforceps-Assisted Diagnosis of Cystic Pancreatic Neuroendocrine Tumor.
Authors: Trikudanathan G, Snover D, Mallery SJ PMID: 31121996 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - May 28, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

A Nationwide Assessment of the "July Effect" and Predictors of Post-Endoscopic Retrograde Cholangiopancreatography Sepsis at Urban Teaching Hospitals in the United States.
A Nationwide Assessment of the "July Effect" and Predictors of Post-Endoscopic Retrograde Cholangiopancreatography Sepsis at Urban Teaching Hospitals in the United States. Clin Endosc. 2019 May 27;: Authors: Desai R, Patel U, Doshi S, Zalavadia D, Siddiq W, Dave H, Bilal M, Khullar V, Goyal H, Desai M, Shah N Abstract Background/Aims: To analyze the incidence of post-endoscopic retrograde cholangiopancreatography (ERCP) sepsis in the early (July to September) and later (October to June) academic months to assess the "July effect". Methods: : The National Inpatient Sample (2010-2...
Source: Clinical Endoscopy - May 28, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Risk Factors for Pancreatitis and Cholecystitis after Endoscopic Biliary Stenting in Patients with Malignant Extrahepatic Bile Duct Obstruction.
Conclusions: : Considering that contrast injection is the most important factor for both complications, a careful approach by the physician is essential in preventing the occurrence of any complications. Further, choosing the type of stent is an important factor for patients at a risk of post-procedure pancreatitis. PMID: 31132847 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - May 28, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Immunohistochemical Expression of Epithelial-Mesenchymal Transition Markers in Early Gastric Cancer: Cancer Tissue versus Noncancer Tissue.
Authors: Jung HJ, Hong SJ, Kim SH Abstract Background/Aims: Epithelial-mesenchymal transition (EMT) is a developmental process, wherein the epithelial cells show reduced intercellular adhesions and acquire migratory fibroblastic properties. EMT is associated with downregulation in epithelial marker expression, abnormal translocation of E-cadherin, and upregulation in mesenchymal marker expression. Here, we investigated the immunohistochemical (IHC) expression of EMT markers in early gastric cancer (EGC) between cancer and noncancer tissues. Methods: Tissue samples were prospectively obtained from 19 patients wi...
Source: Clinical Endoscopy - May 24, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Endoscopic Management of Acute Cholecystitis Following Metal Stent Placement for Malignant Biliary Strictures: A View from the Inside Looking in.
Authors: Bhalla S, Law R PMID: 31117337 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - May 24, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Commentary on "Efficacy of Endoscopic Submucosal Dissection of Esophageal Neoplasms under General Anesthesia".
Commentary on "Efficacy of Endoscopic Submucosal Dissection of Esophageal Neoplasms under General Anesthesia". Clin Endosc. 2019 May 23;: Authors: Choi SI, Park JC PMID: 31117338 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - May 24, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Efficacy of Endoscopic Submucosal Dissection of Esophageal Neoplasms under General Anesthesia.
This study aims to evaluate the efficacy and safety of esophageal ESD under GA. Methods: A total of 227 lesions from 198 consecutive patients with superficial esophageal neoplasms treated by ESD at 3 Japanese institutions between April 2011 and September 2017 were included in this retrospective study. For ESD, GA and deep sedation (DS) were used in 102 (51.5%, GA group) and 96 patients (48.5%, DS group), respectively. Results: There were no statistically significant differences in age, sex, or comorbidities between the groups. In the GA group, the tumor size was larger (21 [3-77] mm vs. 14 [3-63] mm, p
Source: Clinical Endoscopy - May 24, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Massive Duodenal Bleeding after the Migration of Endovascular Coils into the Small Bowel.
Authors: Choi CJ, Lim H, Kim DS, Jeong YS, Park SY, Kim JE Abstract Among gastrointestinal emergencies, acute upper gastrointestinal bleeding (UGIB) remains a challenging clinical problem owing to significant patient morbidity and costs involved in management. Endoscopic hemostatic therapy is the mainstay of treatment and decreases the incidence of re-bleeding, the need for surgery, morbidity, and mortality. However, in 8%-15% of patients with UGIB, endoscopic hemostatic therapy does not successfully control bleeding. Trans-arterial coil embolization is an effective alternative treatment for endoscopic hemostatic f...
Source: Clinical Endoscopy - May 21, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Diagnostic Ability of Convex-Arrayed Endoscopic Ultrasonography for Major Vascular Invasion in Pancreatic Cancer.
Conclusion: s: Tumors at a distance ≥1,000 µm from the main vessels were correctly diagnosed by EUS. PMID: 31091868 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - May 18, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

A "Back Light System" for Identification of Sites for Endoscopic Ultrasound-Guided Fine-Needle Aspiration in Solid Pancreatic Masses: A Prospective, Randomized Study with a Crossover Design.
Conclusion: s: The BLS did not influence the ability to identify specimen sampling sites or reliable assessment of specimen site adequacy using gross visual inspection. PMID: 31091869 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - May 18, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Effectiveness of Autologous Platelet-Rich Plasma for the Healing of Ulcers after Endoscopic Submucosal Dissection.
Conclusions: The local injection of PRP is a safe and effective procedure for ulcer healing after ESD. PMID: 31096727 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - May 18, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Endoscopic Submucosal Dissection Followed by Concurrent Chemoradiotherapy in Patients with Early Esophageal Cancer with a High Risk of Lymph Node Metastasis.
Authors: Kim HK, Ko WJ, Kwon CI, Song GW, Yoo IK, Song JH, Kim HS, Cho JY Abstract Endoscopic submucosal dissection is recommended as an alternative therapy for early esophageal cancer. However, achieving curative resection in this procedure remains controversial since precise prediction of lymph node metastasis can be difficult. Here, we present the preliminary results of endoscopic submucosal dissection followed by concurrent chemoradiotherapy for early esophageal cancer with a high risk of lymph node metastasis. From May 2006 to January 2014, six patients underwent concurrent chemoradiotherapy after endoscopic s...
Source: Clinical Endoscopy - May 17, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Endoscopic Findings in Children with Isolated Lower Gastrointestinal Bleeding.
Conclusion: s: Single left-sided juvenile polyps were the most common cause of isolated lower gastrointestinal bleeding in our study. It was rare to find multiple polyps and polyps proximal to the splenic flexure in our cohort. A full colonoscopy is still recommended in all patients in order to properly diagnose the small but significant group of patients with pathologies found proximal to the splenic flexure. PMID: 31085966 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - May 17, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Ascending Colon Cancer with Pathologically Confirmed Tumor Thrombosis of Superior Mesenteric Vein: A Case Report.
Authors: Kim SE, Lee SJ, Cha JY, Yi SW, Kim TS, Cho IL, Kwak JY, Oh KH Abstract Colon cancer is very rarely accompanied by tumor thrombosis of the superior mesenteric vein (SMV). A 46-year-old patient had been diagnosed with SMV tumor thrombosis related to colon cancer without hepatic metastasis and underwent right hemicolectomy with SMV tumor thrombectomy. Tumor thrombosis was pathologically confirmed as metastatic colon cancer. There has been no recurrence for 12 months with 12 cycles of adjuvant-chemotherapy. PMID: 30992420 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - April 18, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

A Case of Concurrent Ampullary Adenoma and Gangliocytic Paraganglioma at the Minor Papilla Treated with Endoscopic Resection.
We report a case of a gangliocytic paraganglioma occurring at the minor duodenal papilla (a rare location) with a concurrent adenoma of the ampulla of Vater. Both lesions were treated simultaneously using endoscopic resection. Additionally, we have presented a literature review. PMID: 30974934 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - April 14, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Management of Complications of Colorectal Submucosal Dissection.
Authors: Kim ER, Chang DK Abstract Endoscopic submucosal dissection (ESD) is a useful procedure for the treatment of superficial gastrointestinal neoplasm. Compared with endoscopic mucosal resection (EMR), ESD has several benefits, which include resectability of various difficult lesion, accurate histologic assessment of specimen, and lower recurrence rate. However, the risk of procedure- related complications is higher with ESD than with EMR. Moreover, because the colon has a thin wall and limited endoscopic maneuverability, ESD is considered a more challenging and risky procedure when performed in the colon than ...
Source: Clinical Endoscopy - April 10, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Efficacy of Nasobiliary Tubes and Biliary Stents in Management of Patients with Bile Leak after Liver Transplantation: A Systematic Review.
CONCLUSION: In this systematic review, the overall efficacy was 82.43% in biliary stent group, and 87.15% in nasobiliary tube group. Both biliary stent and nasobiliary tube were more effective in managing non-anastomotic leaks compared to anastomotic leaks. PMID: 30959587 [PubMed] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - April 10, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Usefulness of Probe-Based Confocal Laser Endomicroscopy for Esophageal Squamous Cell Neoplasm.
Authors: Lee SK PMID: 30909686 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - March 28, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Fecal Microbiota Transplantation: An Update on Clinical Practice.
Authors: Kim KO, Gluck M Abstract Fecal microbiota transplantation (FMT) is an infusion in the colon, or the delivery through the upper gastrointestinal tract, of stool from a healthy donor to a recipient with a disease believed to be related to an unhealthy gut microbiome. FMT has been successfully used to treat recurrent Clostridium difficile infection (rCDI). The short-term success of FMT in rCDI has led to investigations of its application to other gastrointestinal disorders and extra-intestinal diseases with presumed gut dysbiosis. Despite the promising results of FMT in these conditions, several barriers rema...
Source: Clinical Endoscopy - March 28, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

How to Improve the Diagnostic Accuracy of EUS-FNA in Abdominal and Mediastinal Lymphadenopathy?
Authors: Kim TH Abstract PMID: 30914627 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - March 28, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Endoscopic Submucosal Dissection for Colitis-Associated Dysplasia.
Authors: Yang DH, Rey I Abstract Dysplasia is a precancerous lesion of colorectal cancer in patients with long-standing inflammatory bowel diseases (IBDs), such as ulcerative colitis and Crohn's disease. Recent guidelines suggest endoscopic resection as a key modality for the treatment of endoscopically resectable dysplasia in patients with colitis. Endoscopic submucosal dissection (ESD) has been suggested as one of the therapeutic options for dysplasia that is potentially resectable but not suitable for the conventional endoscopic mucosal resection technique. Several recent studies supported the feasibility of ESD...
Source: Clinical Endoscopy - March 28, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Estimation of Invasion Depth: The First Key to Successful Colorectal ESD.
Authors: Lee BI, Matsuda T Abstract Colorectal tumors with superficial submucosal invasion, which cannot be removed by snaring, are one of the most optimal indications for colorectal endoscopic submucosal dissection (ESD). Therefore, estimation of the invasion depth is the first key to successful colorectal ESD. Although estimation of the invasion depth based on the gross morphology may be useful in selected cases, its diagnostic accuracy could not reach the clinical requirement. The Japan Narrow-band Imaging (NBI) Expert Team (JNET) classification of NBI magnifying endoscopy findings is a useful method for histolo...
Source: Clinical Endoscopy - March 28, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Endoscopic Ultrasonography-Guided Gallbladder Drainage as a Treatment Option for Acute Cholecystitis after Metal Stent Placement in Malignant Biliary Strictures.
Conclusions: : EUS-GBD after MS placement was a feasible option for treating acute cholecystitis. However, it was a rescue technique following the established percutaneous intervention in the current setting because of the immature technical methodology, including dedicated devices, which need further development. PMID: 30871312 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - March 17, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Comparison of Clinical Outcomes between Plastic Stent and Novel Lumen-apposing Metal Stent for Endoscopic Ultrasound-Guided Drainage of Peripancreatic Fluid Collections.
Conclusions: : Although our study showed similar clinical outcomes for LAMS and PS, further prospective trials are required to validate the superiority of LAMS. PMID: 30862153 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - March 15, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Air Embolism during Upper Endoscopy: A Case Report.
Authors: Fang Y, Wu J, Wang F, Cheng L, Lu Y, Cao X Abstract Air embolism is a rare complication of upper endoscopy and potentially causes life-threatening events. A 67-year-old man with a history of surgery of cardiac carcinoma and pancreatic neuroendocrine tumor underwent painless upper endoscopy because of tarry stools. During the procedure, air embolism developed, which caused decreased pulse oxygen saturation and delayed sedation recovery. He recovered with some weakness of the left upper limb in the intensive care unit without hyperbaric oxygen therapy. The etiology, clinical manifestations, and treatments of...
Source: Clinical Endoscopy - March 15, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Do Patients with Pancreatic Hyperenzymemia without Abnormal Imaging Need Additional Endoscopic Ultrasound?
Authors: Choe JW, Hyun JJ Abstract PMID: 30866610 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - March 15, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Endoscopic Ultrasound-Guided Biliary Drainage for Benign Biliary Diseases.
Authors: Nakai Y, Kogure H, Isayama H, Koike K Abstract Although endoscopic retrograde cholangiopancreatography (ERCP) is the first-line treatment for benign biliary diseases, this procedure is technically difficult in some conditions such as a surgically altered anatomy and gastric outlet obstruction. After a failed ERCP, a surgical or a percutaneous approach is selected as a rescue procedure; however, various endoscopic ultrasound (EUS)-guided interventions are increasingly utilized in pancreatobiliary diseases, including EUS-guided rendezvous for failed biliary cannulation, EUS-guided antegrade treatment for sto...
Source: Clinical Endoscopy - March 15, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

How Can We Differentiate Malignant Biliary Strictures from Clinically Indeterminate Biliary Strictures?
Authors: Kim EJ, Cho JH PMID: 30857381 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - March 14, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Recent Development of Computer Vision Technology to Improve Capsule Endoscopy.
Authors: Park J, Hwang Y, Yoon JH, Park MG, Kim J, Lim YJ, Chun HJ Abstract Capsule endoscopy (CE) is a preferred diagnostic method for analyzing small bowel diseases. However, capsule endoscopes capture a sparse number of images because of their mechanical limitations. Post-procedural management using computational methods can enhance image quality. Additional information, including depth, can be obtained by using recently developed computer vision techniques. It is possible to measure the size of lesions and track the trajectory of capsule endoscopes using the computer vision technology, without requiring additio...
Source: Clinical Endoscopy - February 24, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Endoscopic Ultrasound-Guided Transgastric Drainage of an IntraAbdominal Abscess following Gastrectomy.
Authors: Kikuchi S, Kubota T, Kuroda S, Nishizaki M, Kagawa S, Kato H, Okada H, Fujiwara T Abstract Endoscopic ultrasound (EUS)-guided transgastric drainage has been performed as a less invasive procedure for pancreatic fistulas and intra-abdominal abscesses occurring after surgery in recent years. However, there are no reports of EUS-guided transgastric drainage of intra-abdominal abscesses following gastrectomy. This case report describes 2 patients who developed an intra-abdominal abscess following gastrectomy and underwent EUS-guided transgastric drainage. Both patients underwent laparoscopy-assisted distal gas...
Source: Clinical Endoscopy - February 16, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Is Radical Surgery Necessary for All Patients Diagnosed as Having Non-Curative Endoscopic Submucosal Dissection?
Authors: Lee SH, Park BS Abstract If a lesion does not meet the expanded indication criteria for treatment with endoscopic therapy for early gastric cancer or does not have a positive resection margin, it is regarded as suitable for non-curative resection. Non-curative resection is closely related to the risk of local recurrence, lymph node metastasis, and poor prognosis. If the result is confirmed as non-curative resection, additional treatment should be considered depending on the risks of residual tumor, local recurrence, and lymph node metastasis. As lymphatic invasion is the most important risk factor of recur...
Source: Clinical Endoscopy - February 9, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

How Can We Achieve Good Compliance for Bowel Preparation?
Authors: Park J, Kim TO PMID: 30677789 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - January 27, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Risk Factors for Lymph Node Metastasis in Undifferentiated-Type Gastric Carcinoma.
Authors: Kook MC Abstract Undifferentiated-type carcinoma has a high incidence of lymph node metastasis. The independent risk factors for lymph node metastasis in undifferentiated-type carcinoma are invasion depth, tumor size, lymphovascular invasion, and presence of ulcer. In the cases that meet the curative resection criteria, no lymph node metastasis was observed in the Japanese studies, but some metastases were observed in Korean studies. After performing curative endoscopic submucosal dissection, the survival rate is similar to that of gastrectomy. The discrepancy between endoscopy and pathology is high in und...
Source: Clinical Endoscopy - January 27, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Strategy for Curative Endoscopic Resection of Undifferentiated-Type Early Gastric Cancer.
Authors: Kim JH Abstract Endoscopic resection (ER) of undifferentiated-type early gastric cancer (UD-EGC) has a lower curative resection (CR) rate than differentiated-type EGC. However, if UD-EGC is curatively resected using ER, long-term outcomes can be favorable. Thus, the strategy for CR by ER is important in UD-EGC. To achieve CR in UD-EGC, biological behaviors including tumor growth patterns must be considered. This review aims to describe what is important for curative ER of UD-EGC. PMID: 30674183 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - January 26, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Should We Resect and Discard Low Risk Diminutive Colon Polyps.
Authors: Kandel P, Wallace MB Abstract Diminutive colorectal polyps
Source: Clinical Endoscopy - January 23, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Endoscopic Palliation for Biliary and Pancreatic Malignancies: Recent Advances.
Authors: Nabi Z, Reddy DN Abstract Malignancies of the pancreatobiliary system are usually unresectable at the time of diagnosis. As a consequence, a majority of these cases are candidates for palliative care. With advances in chemotherapeutic agents and multidisciplinary care, the survival rate in pancreatobiliary malignancies has improved. Therefore, there is a need to provide an effective and long-lasting palliative care for these patients. Endoscopic palliation is preferred to surgery as the former is associated with equal efficacy and reduced morbidity. The main role of endoscopic palliation in the vast majori...
Source: Clinical Endoscopy - January 23, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

The Use of Vasoconstrictors in Acute Variceal Bleeding: How Long Is Enough?
Authors: Lo GH Abstract Vasoconstrictors are often used as the first line therapy for acute esophageal variceal hemorrhage. They might also be used for a few days after endoscopic therapy to prevent early rebleeding. International guidelines recommend the use of vasoconstrictor therapy when acute esophageal variceal hemorrhage is suspected and continuation of the therapy until 3 to 5 days after endoscopic treatment. However, the duration of use of vasoconstrictors after endoscopic therapy is not clear. This review shows that if variceal bleeding is successfully controlled by endoscopic variceal ligation, the combin...
Source: Clinical Endoscopy - January 23, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Pitfalls in the Interpretation of Publications about Endoscopic Submucosal Dissection of Early Gastric Cancer with Undifferentiated-Type Histology.
Authors: Bang CS, Baik GH Abstract Endoscopic submucosal dissection (ESD) is a standard treatment for patients with gastrointestinal neoplasms with a negligible risk of lymph node metastasis. ESD enables en bloc resection of gastrointestinal neoplasms and organ preservation, thereby, avoiding surgical treatment. Although small (
Source: Clinical Endoscopy - January 19, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

When Should We Perform Endoscopy for Patients with Upper Gastrointestinal Bleeding?
Authors: Jung K, Park MI PMID: 30650946 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - January 19, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Presence of Periampullary Diverticulum is Not a Hurdle to Successful Endoscopic Retrograde Cholangiopancreatography.
Authors: Han J PMID: 30650947 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - January 19, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

The Utility of Endoscopic Ultrasound in Patients with Isolated Elevations in Serum Amylase and/or Lipase.
Conclusions: In our study of patients with isolated elevations in amylase and/or lipase without acute pancreatitis who underwent EUS, approximately 50% had a pancreatobiliary finding, most commonly chronic pancreatitis or biliary sludge. PMID: 30646674 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - January 17, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Endoscopic Management of Combined Biliary and Duodenal Obstruction.
Authors: Nabi Z, Reddy DN Abstract Combined obstruction of the bile duct and duodenum is a common occurrence in periampullary malignancies. The obstruction of gastric outlet or duodenum can follow, occur simultaneously, or precede biliary obstruction. The prognosis in patients with combined obstruction is particularly poor. Therefore, minimally invasive palliation is preferred in these patients to avoid morbidity associated with surgery. Endoscopic palliation is preferred to surgical bypass due to similar efficacy, less morbidity, and shorter hospital stay. The success of endoscopic palliation depends on the type o...
Source: Clinical Endoscopy - January 12, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Screening Relevance of Sessile Serrated Polyps.
Authors: Kahi CJ Abstract Conventional adenomas have historically been considered to be the only screening-relevant colorectal cancer (CRC) precursor lesion. The prevailing paradigm was that most CRCs arise along the chromosomal instability pathway, where adenomas accumulate incremental genetic alterations over time, leading eventually to malignancy. However, it is now recognized that this "conventional" pathway accounts for only about two-thirds of CRCs. The serrated pathway is responsible for most of the remainder, and is a disproportionate contributor to postcolonoscopy CRC. Hallmarks of the serrated p...
Source: Clinical Endoscopy - January 10, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Diagnostic Efficacy of Endoscopic Ultrasound Elastography in Differentiating Solid Pancreatic Lesions: A Single-Center Experience.
Conclusions: The use of the ES combined with the SR increases the accuracy of differentiation between benign and malignant SPLs and is an effective method for the evaluation of pancreatic masses. PMID: 30625265 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - January 10, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Single-Stage Endoscopic Stone Extraction and Cholecystectomy during the Same Hospitalization: What is the Optimal Strategy for Patients with Choledocholithiasis and Cholelithiasis?
Authors: Lee TY PMID: 30625266 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - January 10, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Factors Associated with Malignant Biliary Strictures in Patients with Atypical or Suspicious Cells on Brush Cytology.
Conclusions: Elevated levels of CA19-9, CEA, ALP, and rGT and stricture length are associated with malignant strictures in patients with indeterminate biliary strictures on imaging and atypical or suspicious cells on brush cytology. PMID: 30625267 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - January 10, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Predictive Factors for Inaccurate Diagnosis of Swollen Lymph Nodes in Endoscopic Ultrasound-Guided Fine Needle Aspiration.
Conclusions: The lymph node size of
Source: Clinical Endoscopy - January 9, 2019 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Image-Enhanced Endoscopy in Lower Gastrointestinal Diseases: Present and Future.
Authors: Lee HH, Lee BI Abstract From dye-assisted conventional chromoendoscopy to novel virtual chromoendoscopy, image-enhanced endoscopy (IEE) is continuously evolving to meet clinical needs and improve the quality of colonoscopy. Dye-assisted chromoendoscopy using indigo carmine or crystal violet, although slightly old-fashioned, is still useful to emphasize the pit patterns of the colonic mucosa and predict the histological structures of relevant lesions. Equipment-based virtual chromoendoscopy has the advantage of being relatively easy to use. There are several types of virtual chromoendoscopy that vary depend...
Source: Clinical Endoscopy - December 9, 2018 Category: Gastroenterology Tags: Clin Endosc Source Type: research