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Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society

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https://www.readbyqxmd.com/read/29164672/resection-of-an-intra-esophageal-bronchogenic-cyst-by-endoscopic-submucosal-dissection
#1
Alexandros Raptis, Pierre H Deprez, Anne Jouret-Mourin
Bronchogenic cysts are rare foregut abnormalities that arise from aberrant budding of the tracheobronchial tree early in embryological development. They account for 10% to 15% of all primary masses of the mediastinum (1), where they appear predominantly and may compress nearby structures. Intra-esophageal bronchogenic cysts are rare and have only been reported in 23 adult cases since 1981 (2). We report an intra-esophageal bronchogenic cyst that was removed by endoscopic mucosal dissection (ESD). This article is protected by copyright...
November 22, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29160938/-knitting-through-the-mesh-novel-single-channel-troubleshooter-technique-for-dilation-assisted-transstricture-retrieval-of-a-migrated-gastroduodenal-stent
#2
Vincent Zimmer
Gastroduodenal stenting using self-expandable metallic stents (SEMSs) represents a viable endoscopic option for palliative treatment of gastric outlet obstruction (GOO), less invasive relative to surgical and/or endoscopic ultrasound-guided gastroenterostomy (EUS-GE). Nevertheless, high rates of stent dysfunction remain a significant Achilles' heel of the procedure. Endoscopic removal of a distally migrated gastroduodenal stent remains challenging with single-channel techniques, calling for individually tailored solutions vis-à-vis the inevitable upstream stricture...
November 21, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29152792/novel-technique-using-a-non-tip-and-short-wire-papillotome-for-biliary-cannulation-of-intradiverticular-papilla-in-patients-with-roux-en-y-anastomosis
#3
Maya Suguro, Kenjiro Yamamoto, Takao Itoi
Balloon enteroscopy-assisted endoscopic retrograde cholangiopancreatography (BE-ERCP) has enabled the endoscopic treatment of pancreatobiliary disease in patients with a surgically altered gastrointestinal anatomy.(1-3) However, even though the endoscope can reach the papilla, successful cannulation of the common bile duct may be difficult in the papilla located within a diverticulum because of an insufficient distance from the papilla in the tangential direction. Therefore endoscopic ultrasound-guided biliary drainages have been reported as useful and safety methods...
November 20, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29127731/endoscopic-submucosal-dissection-of-early-gastric-neoplasms-in-the-fornix-using-the-newly-developed-scissors-type-sb-knife-gx
#4
Yuki Sumida, Toshio Kuwai, Sauid Ishaq
Endoscopic submucosal dissection (ESD) using a scissors-type knife, the Stag-Beetle knife (SB knife, Sumitomo Bakelite, Tokyo, Japan), is considered technically easy and safe due to its ability to grasp the target tissue to allow controlled resection without the complex endoscopic tip control required with conventional ESD devices. There are two types of SB knife (short-type and Jr-type), used mainly for esophageal and colorectal neoplasms (1-3). Recently, a new type, SB knife GX, has been developed for gastric ESD...
November 11, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29127729/tips-for-endoscopic-stone-extraction-using-new-short-type-double-balloon-endoscope-for-common-bile-duct-stones-in-patients-with-surgically-altered-gastrointestinal-anatomy
#5
Masaaki Shimatani, Makoto Takaoka, Kazuichi Okazaki
The endoscopic approach to pancreatobiliary diseases in postoperative patients had been difficult (1). Percutaneous or surgical interventions were applied as the first line policy. However, using double balloon endoscopes (DBE), especially the short-type DBE, radically made it practical and safe (2, 3). In this study, endoscopic technical tips using the newly developed short-type DBE (EI-580 BT; FUJIFILM Co, Tokyo, Japan) for stone-extraction via papilla for common bile duct stones in patients with Roux-en Y reconstruction post gastrectomy will be introduced...
November 11, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29106761/a-case-of-diminutive-duodenal-deep-submucosal-invasive-adenocarcinoma-resected-by-endoscopic-mucosal-resection
#6
Naoki Yorita, Yoji Sanomura, Shinji Tanaka
A 50-year-old man underwent esophagogastroduodenoscopy, which revealed a tiny duodenal polypoid tumor 4 mm in diameter in the descending part of the duodenum. The tumor had no depressive area. Narrow-band imaging magnifying endoscopic findings revealed regular surface and vessel patterns. This article is protected by copyright. All rights reserved.
November 6, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29106753/salvage-endoscopic-resection-after-chemoradiotherapy-for-esophageal-squamous-cell-carcinoma-what-are-the-risk-factors-for-recurrence-after-salvage-er
#7
Takuya Hombu, Tomonori Yano, Ken Hatogai, Takashi Kojima, Tomohiro Kadota, Masakatsu Onozawa, Yusuke Yoda, Keisuke Hori, Yasuhiro Oono, Hiroaki Ikematsu, Satoshi Fujii
BACKGROUND AND AIMS: Salvage endoscopic resection (ER) is among the curative treatments for superficial local failure after chemoradiotherapy (CRT) for esophageal squamous cell carcinoma (ESCC). This study aimed to clarify risk factors for recurrence after salvage ER. METHODS: This study enrolled consecutive ESCC patients treated with salvage ER for local failure after CRT between 1998 and 2013. Recurrences after salvage ER included locoregional recurrences and distant metastases...
November 6, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29105846/the-role-of-two-step-eus-guided-antegrade-treatment-as-an-option-for-bile-duct-stones-in-patients-with-surgically-altered-anatomy
#8
EDITORIAL
Masaaki Shimatani, Toshiyuki Mitsuyama, Makoto Takaoka, Kazuichi Okazaki
The treatment of bile duct stones in patients with surgically altered anatomy had been difficult for management until the balloon assisted endoscope (BAE) approach was introduced. Patients had been referred to either percutaneous transhepatic biliary drainage (PTBD) or surgical operation which were the gold standard, though they were invasive and indication was limited. For example, percutaneous drainage is relatively contraindicated in patients with significant ascites, obesity, and/or non-dilated bile duct...
November 6, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29094455/incidence-of-gastric-adenocarcinoma-among-lesions-diagnosed-as-low-grade-adenoma-dysplasia-on-endoscopic-biopsy-a-multi-center-prospective-observational-study
#9
Akira Maekawa, Motohiko Kato, Takeshi Nakamura, Masato Komori, Takuya Yamada, Katsumi Yamamoto, Hideharu Ogiyama, Masanori Nakahara, Naoki Kawai, Takamasa Yabuta, Akira Mukai, Yoshito Hayashi, Tsutomu Nishida, Hideki Iijima, Masahiko Tsujii, Eiichi Morii, Tetsuo Takehara
OBJECTIVES: Differentiation between gastric adenocarcinoma and low-grade adenoma/dysplasia (LGA) on endoscopic forceps biopsy is difficult. We aimed to clarify the incidence of carcinoma in specimens-obtained via endoscopic resection (ER)-from cases that had been diagnosed as LGA (Vienna category 3) on endoscopic biopsy. METHODS: In this multi-center, prospective, observational study, patients with gastric adenoma (Vienna category 3 or 4.1) diagnosed on endoscopic forceps biopsy were enrolled...
November 2, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29055151/prevention-and-management-of-spouting-bleeding-during-endoscopic-submucosal-dissection-for-large-subpedunculated-type-colonic-tumor
#10
Yuzuru Tamaru, Shiro Oka, Shinji Tanaka
Endoscopic submucosal dissection (ESD) is a reliable method for treating superficial colorectal tumors, however it is technically more difficult and requires more experience than gastric ESD, because of difficulties associated with endoscope operability and the anatomical features of the colorectal region, including the presence of folds/flexures, bending of the intestinal tract, and the thinness of the intestinal wall.(1) Main accidental complications during colorectal ESD are perforation and bleeding.(2, 3) With continued bleeding, the visibility of the operative field would deteriorate...
October 21, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29055109/endoscopic-reduction-of-gastric-antrum-herniation-through-the-foramen-of-winslow-into-the-lesser-sac
#11
Cheal Wung Huh, Joon Sung Kim, Byung-Wook Kim
A 67-years-old woman visited our hospital because of abdominal distension and vomiting. Upper gastrointestinal series (UGI) showed diffuse stomach dilatation with no contrast passage (Fig. 1a). Abdominal computed tomography(CT) scan revealed entrapment of the antrum and converging mesenteric vessels into the lesser sac through Winslow's foramen without evidence of bowel necrosis or strangulation (Fig. 1b). This article is protected by copyright. All rights reserved.
October 20, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29055071/advanced-diagnostic-endoscopy-in-lower-gi-a-review-of-jges-core-sessions
#12
REVIEW
Shiro Oka, Shinji Tanaka, Yasushi Sano, Yusuke Saitoh, Ryo Shimoda, Hisao Tajiri
At the 89(th) -92(nd) Congress of the Japan Gastroenterological Endoscopy Society, a series of featured discussion sessions concerning advanced diagnostic endoscopy in the lower gastrointestinal tract were presented each year. In total 45 lectures were presented in regard to this subject area. It was revealed that several convenient and less invasive colonoscopic modalities have been developed in recent years. This review article summarizes these core sessions and the efficacy of the techniques discussed. This article is protected by copyright...
October 20, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29055054/a-multicenter-prospective-evaluation-study-of-endoscopic-ultrasound-guided-hepaticogastrostomy-combined-with-antegrade-stenting-with-video
#13
Takeshi Ogura, Masayuki Kitano, Mamoru Takenaka, Atsushi Okuda, Kosuke Minaga, Kentaro Yamao, Yukitaka Yamashita, Keiichi Hatamaru, Chishio Noguchi, Yasuhiko Gotoh, Taira Kuroda, Tomoyuki Yokota, Hidefumi Nishikiori, Ryota Sagami, Kazuhide Higuchi, Yasutaka Chiba
OBJECTIVE: EUS-guided hepaticogastrostomy (EUS-HGS) is often indicated for advanced stage patients because it prevents the adverse events associated with EUS-HGS procedures, and provides long stent patency. EUS-guided antegrade stenting (AS) has been developed as an advanced technique. Thus, to prevent adverse events and achieve, long stent patency, EUS-AS combined with EUS-HGS (EUS-HGAS) has been reported. The aim of this study was to evaluate the technical feasibility and efficacy of EUS-HGAS in a multicenter, prospective study...
October 20, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28986932/usefulness-of-water-immersion-observations-to-identify-the-stigmata-of-hemorrhage-in-colonic-diverticular-bleeding
#14
Takaaki Kishino, Tomoko Kitaichi, Kazuyuki Kanemasa
One of the important issues associated with colonic diverticular bleeding is the low rate at which the stigmata of recent hemorrhage is identified [1-2]. The space of a colonic diverticulum is often narrow, which makes observations of this area challenging. We attempted to overcome this issue using water immersion. This article is protected by copyright. All rights reserved.
October 7, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28976027/underwater-endoscopic-mucosal-resection-of-an-intramucosal-carcinoma-located-from-the-lower-rectum-to-the-anal-canal
#15
LETTER
Kenta Hamada, Noriya Uedo, Hitoshi Tanishita
No abstract text is available yet for this article.
October 4, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28976024/effective-insertion-method-of-transnasal-ileus-tube-for-adhesive-small-bowel-obstruction
#16
Daisuke Yamaguchi, Tomohito Morisaki, Seiji Tsunada
No abstract text is available yet for this article.
October 4, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28972289/endoscopic-grading-of-myochosis-and-its-association-with-colonic-obstructive-symptoms
#17
Subhash Chandra, Adrian Holm, Konrad S Schulze
Prominent colonic mucosal folds are referred as myochosis. Myochosis results from shortening of taeniae from elastosis, squishing together of the sigmoid like an accordion, creating deep recesses between prominent folds.(1) These changes are often under-reported in endoscopy notes. Here, we report development of an endoscopic classification system for diagnosis, grading and reporting of myochosis. We also evaluated the obstructive nature of myochosis. This article is protected by copyright. All rights reserved...
October 3, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28940818/retrograde-colon-capsule-endoscopy-with-the-self-propelling-capsule-endoscope-the-first-human-trial-with-videos
#18
Sadaharu Nouda, Kazuhiro Ota, Kazuhide Higuchi
No abstract text is available yet for this article.
September 22, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28905472/design-paper-japan-endoscopy-database-jed-a-prospective-big-database-project-related-to-gastroenterological-endoscopy-in-japan
#19
K Matsuda, K Tanaka, M Fujishiro, Y Saito, K Ohtsuka, I Oda, C Katada, M Kato, M Kida, K Kobayashi, S Hoteya, T Horimatsu, S Kodashima, T Matsuda, M Muto, H Yamamoto, S Ryozawa, R Iwakiri, H Kutsumi, H Miyata, M Kato, K Haruma, K Fujimoto, N Uemura, M Kaminishi, H Tajiri
The advent of electrical medical records brought image filing systems to many hospitals, as well as electrical endoscopic medical records. However, data integration among multiple different venders has not yet been accomplished. We start the Japan Endoscopic Database (JED) Project endorsed by Japan Gastroenterological Endoscopy Society (JGES) from January 2015. The purposes of this project are as follows: 1) developing the world's largest endoscopic database generated from daily use of the reporting system 2) capturing the actual performance of endoscopic practice in Japan; and 3) standardizing the terminology and fundamental items for the registry of clinical studies...
September 14, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28902968/two-step-eus-guided-antegrade-treatment-of-a-difficult-bile-duct-stone-in-a-surgically-altered-anatomy-patient
#20
Yousuke Nakai, Hiroyuki Isayama, Kazuhiko Koike
EUS-guided antegrade (EUS-AG) treatment is a treatment option for bile duct stones (BDS) in surgically altered anatomy patients[1, 2] but can be technically demanding due to the limitation of stone extraction devices[3, 4]. Herein, we presented a case of a difficult BDS successfully removed by two-step EUS-AG treatment after enterobiliary fistula maturation.A 73 year-old male with a history of gastrectomy and Roux-en-Y reconstruction for gastric cancer presented with 12-mm BDS on CT scan (Figure1). This article is protected by copyright...
September 13, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
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