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Clinical Endoscopy

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https://www.readbyqxmd.com/read/30157619/strongyloidiasis-presenting-as-yellowish-nodules-in-colonoscopy-of-an-immunocompetent-patient
#1
Hannah Ra, Jun-Won Chung, Dong Hae Chung, Jung Ho Kim, Yoon Jae Kim, Kyoung Oh Kim, Kwang An Kwon, Dong Kyun Park
Strongyloides stercoralis is endemic to tropical and subtropical regions, and infections are usually asymptomatic. However, immunocompromised patients, such as those receiving immunosuppressive therapy, high-dose steroids, or chemotherapy, can develop fatal hyperinfections. An 84-year-old man without any symptoms was diagnosed with strongyloidiasis during a regular screening colonoscopy. His medical history only involved a gastric endoscopic submucosal dissection for early gastric cancer 6 months previously...
August 30, 2018: Clinical Endoscopy
https://www.readbyqxmd.com/read/30153725/endoscopic-removal-of-inflated-transected-sengstaken-blakemore-tube-using-endoscopic-scissors
#2
Jun Ho Lee, Eu-Kwon Hwang, Chanmesa Doeun, Jeong-Ju Yoo, Sang Gyune Kim, Young Seok Kim
Balloon tamponade using Sengstaken-Blakemore (SB) tube is employed as a bridging therapy in cases in which endoscopic therapy fails to control esophageal variceal bleeding. Although SB tube insertion can lead to successful hemostasis, it is accompanied by numerous complications, with SB tube transection being one of the rarest complications. A 53-year-old man with liver cirrhosis and hepatocellular carcinoma presented with massive esophageal variceal bleeding. Therapeutic endoscopic variceal ligation failed, and SB tube was inserted...
August 29, 2018: Clinical Endoscopy
https://www.readbyqxmd.com/read/30153724/effect-of-sending-educational-video-clips-via-smartphone-mobile-messenger-on-bowel-preparation-before-colonoscopy
#3
Sung Chan Jeon, Jae Hyun Kim, Sun Jung Kim, Hye Jung Kwon, Youn Jung Choi, Kyoungwon Jung, Sung Eun Kim, Won Moon, Moo In Park, Seun Ja Park
Background/Aim: We aimed to evaluate the efficacy of sending educational video clips via smartphone mobile messenger (SMM) on enhancing bowel preparation before colonoscopy. Methods: This was a prospective, endoscopist-blinded, randomized controlled study. Patients in the SMM group received two video clips sent via SMM that explained the diet and regimen for bowel preparation, whereas those in the control group did not receive any video clips. We compared the quality of bowel preparation between the two groups, which was assessed by an endoscopist using the Ottawa scale...
August 29, 2018: Clinical Endoscopy
https://www.readbyqxmd.com/read/30153723/pneumoperitoneum-after-endoscopic-duodenal-stent-insertion-in-a-patient-with-percutaneous-transhepatic-biliary-drainage-and-biliary-stent-a-case-report
#4
Jinwoo Choi, Min Ji Lee, Hyodeok Lee, Yook Kim, Joung-Ho Han, Seon Mee Park
Early removal of a percutaneous transhepatic biliary drainage (PTBD) tube commonly causes pneumoperitoneum. However, we encountered a patient who developed pneumoperitoneum even with an indwelling PTBD tube. An 84-year-old man was admitted with type III combined duodenal and biliary obstruction secondary to metastatic bladder cancer. A biliary stent was placed using a percutaneous approach, and a duodenal stent was placed endoscopically. A large amount of subphrenic free air was detected after the procedures...
August 29, 2018: Clinical Endoscopy
https://www.readbyqxmd.com/read/30134646/ocular-melanoma-recurrence-presenting-as-cholestatic-jaundice-due-to-periampullary-area-metastases
#5
Sotiris Anastasiadis, Andreas Xanthis, Jannis Kountouras, Panagiotis Katsinelos
No abstract text is available yet for this article.
August 22, 2018: Clinical Endoscopy
https://www.readbyqxmd.com/read/30130844/multicenter-implementation-of-a-new-electronic-medical-record-system-leads-to-longer-procedure-times-and-poor-staff-satisfaction
#6
Andrew C Storm, Marvin Ryou, Christopher C Thompson
No abstract text is available yet for this article.
August 21, 2018: Clinical Endoscopy
https://www.readbyqxmd.com/read/30130843/impact-of-periampullary-diverticulum-on-ercp-performance-a-matched-case-control-study
#7
Juan E Corral, Omar Y Mousa, Paul T Kröner, Victoria Gomez, Frank J Lukens
Background/Aims: Periampullary diverticulum (PAD) is frequently encountered during endoscopic retrograde cholangiopancreatography (ERCP) and has been associated with stone formation in the bile duct. The effects of PAD on the ERCP procedure have been often debated. We aimed to compare the therapeutic success of ERCP between patients with PAD and matched controls. Methods: We reviewed all ERCPs with findings of PAD in a national database (n=1,089) and compared them with age- and gendermatched controls in a 1:3 fashion (n=3,267)...
August 21, 2018: Clinical Endoscopy
https://www.readbyqxmd.com/read/30130842/removal-of-esophageal-variceal-bands-to-salvage-complete-esophageal-obstruction
#8
Ala' A Abdel Jalil, Ghassan Hammoud, Jamal A Ibdah, Sami Samiullah
Esophageal varices develop in almost half of the patients with cirrhosis, and variceal hemorrhage constitutes an ominous sign with an increased risk of mortality. Variceal banding is considered an effective and mostly safe measure for primary and secondary prophylaxis. Although adverse events related to banding including dysphagia, stricture formation, bleeding, and ligation-induced ulcers have been described, complete esophageal obstruction is rare, with only 10 reported cases in the literature. Among those cases, 6 were managed conservatively; 1 patient had esophageal intraluminal dissection from an attempt to remove the bands using biopsy forceps but ultimately recovered with conservative management...
August 21, 2018: Clinical Endoscopy
https://www.readbyqxmd.com/read/30130841/experimental-study-to-develop-a-method-for-improving-sample-collection-to-monitor-laryngoscopes-after-reprocessing
#9
Savina Ditommaso, Monica Giacomuzzi, Elisa Ricciardi, Carla Zotti
Background/Aims: The microbiological surveillance of endoscopes and automated flexible endoscope reprocessing have been proven to be two of the most difficult and controversial areas of infection control in endoscopy. The purpose of this study was to standardize a sampling method for assessing the effectiveness of standard reprocessing operating procedures for flexible fiberoptic laryngoscopes (FFLs). Methods: First, the sampling devices were directly inoculated with Bacillus atrophaeus spores; second, tissue non tissue (TNT) wipes were tested on artificially contaminated surfaces and on FFLs...
August 21, 2018: Clinical Endoscopy
https://www.readbyqxmd.com/read/30130840/chronological-review-of-endoscopic-indices-in-inflammatory-bowel-disease
#10
Joon Seop Lee, Eun Soo Kim, Won Moon
Inflammatory bowel disease (IBD) is considered a chronic condition characterized by mucosal or transmural inflammation in the gastrointestinal tract. Endoscopic diagnosis and surveillance in patients with IBD have become crucial. In addition, endoscopy is a useful modality in estimation and evaluation of the disease, treatment results, and efficacy of treatment delivery and surveillance. In relation to these aspects, endoscopic disease activity has been commonly estimated in clinical practices and trials. At present, many endoscopic indices of ulcerative colitis have been introduced, including the Truelove and Witts Endoscopy Index, Baron Index, Powell-Tuck Index, Sutherland Index, Mayo Clinic Endoscopic Sub-Score, Rachmilewitz Index, Modified Baron Index, Endoscopic Activity Index, Ulcerative Colitis Endoscopic Index of Severity, Ulcerative Colitis Colonoscopic Index of Severity, and Modified Mayo Endoscopic Score...
August 21, 2018: Clinical Endoscopy
https://www.readbyqxmd.com/read/30130839/the-more-the-better-is-this-true-in-endoscopy-for-gastric-cancer-screening
#11
Seong Woo Jeon
No abstract text is available yet for this article.
August 21, 2018: Clinical Endoscopy
https://www.readbyqxmd.com/read/30130838/robotics-for-advanced-therapeutic-colonoscopy
#12
Jennie Y Y Wong, Khek Yu Ho
Although colonoscopy was originally a diagnostic imaging procedure, it has now expanded to include an increasing range of therapeutic interventions. These procedures require precise maneuvers of instruments, execution of force, efficient transmission of force from the operator to the point of application, and sufficient dexterity in the mobilization of endoscopic surgical instruments. The conventional endoscope is not designed to support technically demanding endoscopic procedures. In case of colonoscopy, the tortuous anatomy of the colon makes inserting, moving, and orientating the endoscope difficult...
August 21, 2018: Clinical Endoscopy
https://www.readbyqxmd.com/read/30103296/blue-laser-imaging-with-a-small-caliber-endoscope-facilitates-detection-of-early-gastric-cancer
#13
Haruo Takahashi, Yoshimasa Miura, Hiroyuki Osawa, Takahito Takezawa, Yuji Ino, Masahiro Okada, Alan Kawarai Lefor, Hironori Yamamoto
Conventional endoscopy often misses early gastric cancers with minimal red discoloration because they cannot be distinguished from inflamed mucosa. We treated a patient with a small early gastric cancer that was difficult to diagnose using conventional endoscopy. Conventional endoscopy using a small-caliber endoscope showed only subtle red discoloration of the gastric mucosa. However, blue laser imaging showed a clearly discolored area measuring 10 mm in diameter around the red lesion, which was distinct from the surrounding inflamed mucosa...
August 14, 2018: Clinical Endoscopy
https://www.readbyqxmd.com/read/30021250/a-case-of-esophageal-squamous-cell-carcinoma-in-situ-arising-from-esophageal-squamous-papilloma
#14
Jae Yeong Cho, Dae Young Cheung, Tae Jung Kim, Jae Kwang Kim
Squamous papilloma is a common benign tumor of the esophagus. Patients with papilloma are usually asymptomatic, and they are diagnosed incidentally during esophagogastroduodenoscopy. Most papillomas are small and easily removed by forceps biopsy. Recurrence of papilloma after removal is rare. Human papilloma virus infection is supposed to play a role in the development of esophageal papilloma; however, malignant transformation of papilloma is extremely unusual. Here, we report a case of malignant transformation of esophageal squamous papilloma at the gastroesophageal junction into squamous cell carcinoma in situ, which was treated by endoscopic submucosal dissection...
July 18, 2018: Clinical Endoscopy
https://www.readbyqxmd.com/read/30001616/prospective-assessment-of-the-performance-of-a-new-fine-needle-biopsy-device-for-eus-guided-sampling-of-solid-lesions
#15
Ihab I. El Hajj, Howard Wu, Sarah Reuss, Melissa Randolph, Akeem Harris, Mark A Gromski, Mohammad Al-Haddad
Background/Aims: Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) remains the most common EUS-guided tissue acquisition technique. This study aimed to evaluate the performance of a new Franseen tip fine needle biopsy (FNB) device for EUSguided sampling of solid lesions and compare it with the historical FNA technique. Methods: Acquire® 22 G FNB needle (Boston Scientific Co., Natick, MA, USA) was used for solid tumor sampling (Study group). Tissue was collected for rapid on-site evaluation, and touch and crush preparations were made...
July 13, 2018: Clinical Endoscopy
https://www.readbyqxmd.com/read/29976037/primary-gastric-small-cell-carcinoma-a-case-identified-as-a-large-subepithelial-tumor-from-invisible-state-in-6-months
#16
Yun Im Lee, Hong Kil Jeon, Jae Wook Im, Sang Yu Oh, Kyung Bin Kim, Byunggyu Kim
Primary gastric small cell carcinoma (GSCC) is a rare cancer with a very aggressive behavior and a poor prognosis because of the high rate of metastases. It is usually found in far advanced stage. We experienced a case of GSCC which had developed into a large subepithelial tumor (SET) from invisible state in a short period. A 65-year-old man consulted our hospital because of early gastric cancer. He underwent endoscopic submucosal dissection for the early gastric cancer at high body posterior wall. After 6 months, the follow-up endoscopy showed a large newly developed SET-like lesion with central ulceration at the gastric cardia...
July 6, 2018: Clinical Endoscopy
https://www.readbyqxmd.com/read/29945424/the-bilio-papillary-z-line-proposal-for-a-novel-quality-indicator-of-direct-cholangioscopy
#17
Vincent Zimmer
No abstract text is available yet for this article.
June 27, 2018: Clinical Endoscopy
https://www.readbyqxmd.com/read/30078308/quality-indicators-in-barrett-s-esophagus-time-to-change-the-status-quo
#18
Samuel Han, Sachin Wani
The push for high quality care in all fields of medicine highlights the importance of establishing and adhering to quality indicators.In response, several gastrointestinal societies have established quality indicators specific to Barrett's esophagus, which serve to createthresholds for performance while standardizing practice and guiding value-based care. Recent studies, however, have consistentlydemonstrated the lack of adherence to these quality indicators, particularly in surveillance (appropriate utilization of endoscopy andobtaining biopsies using the Seattle protocol) and endoscopic eradication therapy practices...
July 2018: Clinical Endoscopy
https://www.readbyqxmd.com/read/30078307/recent-advance-in-colon-capsule-endoscopy-what-s-new
#19
Sung Noh Hong, Sun-Hyung Kang, Hyun Joo Jang, Michael B Wallace
Colon capsule endoscopy (CCE) is a relatively new diagnostic procedure for patients with suspected colonic diseases. This convenient,noninvasive method enables the physician to explore the entire colon without significant discomfort to the patient. However, while CCEcan be performed painlessly without bowel air insufflation, the need for vigorous bowel preparation and other technical limitationsexist. Due to such limitations, CCE has not replaced conventional colonoscopy. In this review, we discuss historical and recentadvances in CCE including technical issues, ideal bowel preparation, indications and contraindications and highlight further technicaladvancements and clinical studies which are needed to develop CCE as a potential diagnostic tool...
July 2018: Clinical Endoscopy
https://www.readbyqxmd.com/read/30078306/current-status-of-interpretation-of-small-bowel-capsule-endoscopy
#20
Su Hwan Kim, Dong-Hoon Yang, Jin Su Kim
Capsule endoscopy (CE) has revolutionized direct small bowel imaging and is widely used in clinical practice. Remote visualization ofbowel images enables painless, well-tolerated endoscopic examinations. Small bowel CE has a high diagnostic yield and the ability toexamine the entire small bowel. The diagnostic yield of CE relies on lesion detection and interpretation. In this review, issues related tolesion detection and interpretation of CE have been addressed, and the current status of automated reading software development hasbeen reviewed...
July 2018: Clinical Endoscopy
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