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Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society

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https://www.readbyqxmd.com/read/28419588/endoscopic-treatment-of-intraductal-pancreatic-stent-fragmentation
#1
Mateusz Jagielski, Marian Smoczyński, Anna Jabłońska, Krystian Adrych
OBJECTIVES: Complications of endoscopic treatment are reported more and more often due to popularization of pancreatic endotherapy. Our study presents the results of treatment in patients with intraductal pancreatic stent fragmentation diagnosed during endotherapy of chronic pancreatitis. METHODS: Retrospective analysis of 2496 endoscopic retrograde cholangiopancreatography (ERCP) procedures which were performed in 607 patients at Gastrointestinal Endoscopy Unit of the University Clinical Center in Gdansk...
April 17, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28419557/usefulness-of-the-valsalva-maneuver-without-a-mouthpiece-to-observe-the-hypopharynx-using-transoral-endoscopy
#2
Yasushi Yamasaki, Ryu Ishihara, Kenta Hamada
Transoral endoscopy with narrow band imaging is useful for early detection of pharyngeal cancer.(1) The postcricoid area and the posterior wall of the hypopharynx, however, are still difficult to observe because they're anatomically closed.(2) Although the Valsalva maneuver with transnasal endoscopy has been reportedly useful for opening the closed area,(3) it is difficult with transoral endoscopy. This article is protected by copyright. All rights reserved.
April 17, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28379614/balanced-propofol-sedation-for-ercp-and-octogenarians-can-we-achieve-both-safety-and-efficacy
#3
EDITORIAL
John Vargo
In this edition of Digestive Endoscopy, Han and colleagues present a prospective double-blind randomized trial comparing the combination of fentanyl and propofol to fentanyl and midazolam in patients over the years of age 80 who are undergoing ERCP.(1) A total of 100 patients were randomized with the primary outcome being safety and a secondary outcome surrounding efficacy of ERCP. This article is protected by copyright. All rights reserved.
April 5, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28374894/endoscopic-drainage-of-pancreatic-fluid-collections-long-term-outcomes-in-children
#4
Zaheer Nabi, Sundeep Lakhtakia, Jahangeer Basha, Radhika Chavan, Rajesh Gupta, Mohan Ramchandani, Rakesh Kalapala, Partha Pal, Santosh Darisetty, Guduru Venkat Rao, D Nageshwar Reddy
BACKGROUND AND OBJECTIVE: Endoscopic drainage of pancreatic fluid collections (PFC) is the standard of care in adult patients. The literature is limited in children. In the present study, we aim to evaluate the safety and long term efficacy of endoscopic ultrasound (EUS) guided drainage of PFC in children. METHODS: The data of all children (<18 years) with PFC who underwent EUS-drainage with plastic stents was analysed retrospectively. Technical feasibility, clinical efficacy and adverse events (AE) were analysed...
April 4, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28370508/heparin-bridging-therapy-and-risk-of-post-polypectomy-bleeding-a-meta-analysis-of-data-reported-by-japanese-colonoscopists
#5
REVIEW
Veeravich Jaruvongvanich, Buravej Assavapongpaiboon, Karn Wijarnpreecha, Patompong Ungprasert
BACKGROUND: Peri-procedural bridging with heparin is recommended for patients with high thromboembolic risk who need to withhold anti-thrombotic therapy for colonoscopic polypectomy. However, little is known about the bleeding risk from heparin-bridging therapy itself. METHODS: MEDLINE and EMBASE databases were searched through January 2017 for studies that compared the risk of PPB in patients who received heparin-bridging therapy in lieu of anti-thrombotic agents for colonoscopic polypectomy and those who discontinued anti-thrombotic agents without receiving heparin...
March 31, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28370422/clinical-practice-guideline-for-enteroscopy
#6
REVIEW
Hironori Yamamoto, Haruhiko Ogata, Takayuki Matsumoto, Naoki Ohmiya, Kazuo Ohtsuka, Kenji Watanabe, Tomonori Yano, Toshiyuki Matsui, Kazuhide Higuchi, Tetsuya Nakamura, Kazuma Fujimoto
The management of small bowel diseases has evolved since the advent of capsule endoscopy (CE) and balloon-assisted enteroscopy (BAE). One of the most common indications of enteroscopy is obscure gastrointestinal bleeding (OGIB), and followed by small bowel stenosis, tumors, and inflammatory bowel diseases. Although these enteroscopes have been regarded as useful tools, a proper guideline is urged to ensure that we manipulate these enteroscopes safely and efficiently in clinical practice. Herein, the Japanese Gastroenterological Endoscopy Society (JGES) has developed "Clinical Practice Guideline for Enteroscopy" in collaboration with the Japanese Society of Gastroenterology, the Japanese Gastroenterological Association, and the Japanese Association for Capsule Endoscopy...
March 31, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28370417/usefulness-of-short-double-balloon-enteroscopy-for-biliary-intervention-via-the-papilla-of-vater-in-a-patient-with-roux-en-y-gastrectomy
#7
Koichiro Tsutsumi, Hironari Kato, Hiroyuki Okada
Short double-balloon enteroscopy (DBE) has facilitated endoscopic retrograde cholangiopancreatography (ERCP) in patients with surgically altered anatomies (1-3) . However, the advantage of the short DBE is not limited to improving success of scope insertion into the target site. We report a case wherein short DBE was useful for biliary cannulation and treatment via the papilla of Vater, which had failed using conventional pediatric colonoscopy (PC) (4,5) This article is protected by copyright. All rights reserved...
March 31, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28349613/prospective-evaluation-of-digital-single-operator-cholangioscope-for-diagnostic-and-therapeutic-procedures-with-videos
#8
Takeshi Ogura, Miyuki Imanishi, Kurisu Yoshitaka, Saori Onda, Tastsushi Sano, Wataru Takagi, Atsushi Okuda, Akira Miyano, Mio Amano, Nobu Nishioka, Tadahiro Yamada, Daisuke Masuda, Mamoru Takenaka, Masayuki Kitano, Kazuhide Higuchi
OBJECTIVES: Recently, the digital single-operator cholangioscope (DSOCS) has become available. This system may allow diagnosis by direct visualization and allow performance of various therapeutic procedures. The aim of this study was to prospectively evaluate the clinical utility of the DSOCS for diagnostic and therapeutic procedures for biliary disease. METHODS: Technical success was defined as successful visualization of target lesions in the biliary tract and performing forceps biopsy as a diagnostic procedure, and successfully performing treatment such as guidewire insertion for the area of interest, electrohydraulic lithotripsy (EHL), or migrated stent removal...
March 28, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28349612/efficacy-of-hyperbaric-oxygen-therapy-in-patients-with-radiation-induced-rectal-ulcers-a-report-of-five-cases
#9
Shoichi Yoshimizu, Akiko Chino, Yuji Miyamoto, Fuyuki Tagao, Susumu Iwasaki, Daisuke Ide, Yoshiro Tamegai, Masahiro Igarashi, Shoichi Saito, Junko Fujisaki
For decades, hyperbaric oxygen therapy has been considered a treatment option in patients with chronic radiation-induced proctitis after pelvic radiation therapy. Refractory cases of chronic radiation-induced proctitis include ulceration, stenosis, and intestinal fistulas with perforation. Appropriate treatment needs to be administered. In this study, we assessed the efficacy of hyperbaric oxygen therapy in five patients with radiation-induced rectal ulcers. Significant improvement and complete ulcer resolution was observed in all treated patients; no side effects were reported...
March 28, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28349592/clinical-impact-of-surveillance-colonoscopy-using-magnification-without-diminutive-polyp-removal
#10
Yuki Ninomiya, Shiro Oka, Shinji Tanaka, Kazuki Boda, Ken Yamashita, Kyoku Sumimoto, Daiki Hirano, Yuzuru Tamaru, Kenjiro Shigita, Nana Hayashi, Taiji Matsuo, Kazuaki Chayama
BACKGROUND AND AIM: Endoscopic removal of all adenomas during colonoscopy is recommended in Western countries. This study evaluated the usefulness of magnifying colonoscopy without removal of diminutive (≤ 5 mm) colorectal polyps. METHODS: Patients with diminutive polyps who were observed for over 5 years using magnification at Hiroshima University Hospital were selected retrospectively. Lesions ≥ 6 mm in size, depressed lesions, and lesions with type V pit pattern were indications for endoscopic resection...
March 28, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28349557/unusual-cause-of-dysphagia-superior-thyroid-cornu-syndrome
#11
Venkatraman Indiran
A 72 year old male came with 2 weeks history of dysphagia, odynophagia and globus sensation. There was no vomiting or hematamesis. There was no swelling on visual examination or palpation. Direct videolaryngoscopy showed mucosa covered bony projection in right pyriform sinus. [Figure 1]. Upper gastrointestinal endoscopy was normal. CT scan of neck revealed bilateral prominent ossified superior cornu of thyroid [STC] with right cornua just beneath mucosa [Figure 2]. There was no other abnormality. Diagnosis of superior thyroid cornu syndrome [STCS] was made...
March 28, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28337804/endo-2017-weo-s-successful-first-world-congress-of-gi-endoscopy
#12
EDITORIAL
Jean-François Rey
For more than 50 years, the World Endoscopy Organization (WEO) has promoted the study and advancement of digestive endoscopy around the globe. Our key efforts have been to promote education and training in digestive endoscopy, and to forge close links with the the WEO zones: Asian Pacific Society of Digestive Endoscopy (A-PSDE), European Society of Gastrointestinal Endoscopy (ESGE), and Inter-American Society of Digestive Endoscopy (SIED). With increased interaction and connectivity between different global regions, our goal to support the advancement of endoscopy in underserved areas of the world has been strengthened...
March 24, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28321928/eus-evaluation-for-pancreatic-cysts-necessity-or-overkill
#13
REVIEW
Nonthalee Pausawasdi, Thawee Ratanachu-Ek
Incidental pancreatic cysts have been gradually more recognized in clinical practice due to an increased use of transabdominal ultrasound, computed tomography (CT) and magnetic resonance imaging (MRI). These lesions consist of inflammatory cysts (pseudocysts) and pancreatic cystic neoplasms (PCNs) which have been classified as benign, pre-malignant and malignant. The diagnosis and management strategy of incidentally discovered pancreatic cysts can be challenging as the majority of them are PCNs and CT or MRI alone may not be sufficient to provide an accurate diagnosis...
March 21, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28317208/current-status-of-interventional-endoscopic-ultrasound
#14
REVIEW
Shomei Ryozawa, Naotaka Fujita, Atsushi Irisawa, Yoshiki Hirooka, Tetsuya Mine
Endoscopic ultrasound (EUS) is being used increasingly in the management of pancreatic fluid collection, biliary and pancreatic duct drainage in cases of failed endoscopic retrograde cholangiopancreatography, drainage of the gallbladder, and other conditions. The role of interventional EUS is rapidly expanding and new interventions are continuously emerging. The development of devices could be a major breakthrough in the field of interventional EUS. New devices would enable the expansion of its role even further and prompt its widespread use in clinical practice...
March 20, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28303613/feasibility-of-liquid-nitrogen-cryotherapy-after-failed-radiofrequency-ablation-for-barrett-s-esophagus
#15
Arvind J Trindade, Sumant Inamdar, Shivangi Kothari, Joshua Berkowitz, Matthew McKinley, Vivek Kaul
OBJECTIVES: Radiofrequency ablation (RFA) for dysplastic Barrett's esophagus (BE) is highly effective. RFA failures are infrequent but can be a challenging cohort to manage. There is limited data on the feasibility of liquid nitrogen cryospray ablation for the complete eradication of dysplasia (CE-D) and/or intestinal metaplasia (CE-IM) after RFA has failed to achieve CE-IM in patients with dysplastic BE. METHODS: This is a retrospective review from two medical centers of prospectively maintained databases looking at patients that underwent liquid nitrogen cryospray ablation for refractory intestinal metaplasia post failed RFA...
March 16, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28303610/new-rescue-technique-of-endoscopic-ultrasonography-guided-rendezvous-procedure-with-video
#16
Hiroshi Kawakami, Yoshimasa Kubota
The newly developed endoscopic ultrasonography-guided rendezvous procedure (EUS-RV) is used after failed endoscopic retrograde cholangiopancreatography (ERCP) [1,2]. Guidewire manipulation is one of the most challenging aspects of EUS-RV. A rescue technique that bounces back the guidewire from the perihilar bile duct in a long endoscopic position is commonly used. Herein, we describe a case using EUS-RV in a short endoscopic position. This article is protected by copyright. All rights reserved.
March 16, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28303607/esophageal-keratinous-inclusion-cyst
#17
Keiichi Hashiguchi, Kazuo Ohba, Masahiro Nakashima
A 68-year-old man was evaluated for an esophageal submucosal tumor (SMT). The esophageal SMT had been incidentally identified 3 years previously on esophagogastroduodenoscopy (EGD) during cancer screening, and had increased in size on subsequent follow-ups, although the patient had no symptoms. EGD at our hospital revealed a yellowish elevated 9-mm lesion, covered by normal squamous epithelium in the middle of the esophagus (Fig. 1A). The tumor had a negative cushion sign. Endoscopic ultrasonography revealed an isoechoic mass in the lamina propria (Fig...
March 16, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28303601/novel-biopsy-forceps-anchoring-technique-for-completion-of-direct-cholangioscopy-after-freehand-intubation
#18
V Zimmer
The widespread dissemination of direct cholangioscopy (DC) has been hindered by the need for special equipment and the perceived high procedure-related technical complexity. DC with freehand intubation has been reported to have high technical success rates in a single report, albeit the pervasive expert opinion question its clinical applicability, thus most centers resort to anchoring techniques for intubation and/or scope advancement.[1] However, although newer anchoring balloons are being developed, first-generation balloons have been withdrawn from the market...
March 16, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28295664/small-pancreatic-insulinoma-successful-endoscopic-ultrasound-guided-radiofrequency-ablation-in-a-single-session-using-a-22g-fine-needle
#19
Francesc Bas-Cutrina, Domingo Bargalló, Joan B Gornals
A 63-year-old woman, morbidly obese, with clinical symptoms of periodic hypoglycemic episodes, was diagnosed with an insulinoma in pancreatic body that had not been detected by previous computed tomography and magnetic resonance. This neuroendocrine tumour was identified by EUS as a hypoechoic lesion with some iso-hyperechoic tracts, measuring 9 x 10 mm, and 4-5 mm from splenic vessels (Figure 1a). This article is protected by copyright. All rights reserved.
March 14, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28295627/second-local-recurrence-with-advanced-rectal-cancer-after-salvage-emr-of-local-recurrence-following-initial-cold-polypectomy
#20
Motohiko Kato, Junichi Shiraishi, Toshio Uraoka
A 60-year-old woman underwent colonoscopy for a positive fecal immunochemical test. A 5 mm sessile polyp (Paris type 0-Isp) was found in the lower rectum (Figure 1a). This polyp was diagnosed as a low-grade adenoma based on findings of magnification colonoscopy with narrow band imaging (Figure 1b) and then was resected in a single piece with cold snare polypectomy. This article is protected by copyright. All rights reserved.
March 14, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
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