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Clinical Endoscopy

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https://www.readbyqxmd.com/read/28103654/rapid-on-site-evaluation-by-endosonographers-during-endoscopic-ultrasonography-guided-fine-needle-aspiration-for-diagnosis-of-gastrointestinal-stromal-tumors
#1
Takashi Tamura, Yasunobu Yamashita, Kazuki Ueda, Yuki Kawaji, Masahiro Itonaga, Shin-Ichi Murata, Kaori Yamamoto, Takeichi Yoshida, Hiroki Maeda, Takao Maekita, Mikitaka Iguchi, Hideyuki Tamai, Masao Ichinose, Jun Kato
Background/Aims: Endoscopic ultrasonography-guided fine-needle aspiration (EUS-FNA) has been used to diagnose gastrointestinal submucosal tumors (SMTs). Although rapid on-site evaluation (ROSE) has been reported to improve the diagnostic accuracy of EUS-FNA for pancreatic lesions, on-site cytopathologists are not routinely available. Given this background, the usefulness of ROSE by endosonographers themselves for pancreatic tumors has also been reported. However, ROSE by endosonographers for diagnosis of SMT has not been reported...
January 20, 2017: Clinical Endoscopy
https://www.readbyqxmd.com/read/28076941/double-balloon-endoscopy-in-overt-and-occult-small-bowel-bleeding-results-complications-and-correlation-with-prior-videocapsule-endoscopy-in-a-tertiary-referral-center
#2
Carlijn Hermans, Arnold Stronkhorst, Annemarie Tjhie-Wensing, Jan Kamphuis, Bas van Balkom, Rob Dahlmans, Lennard Gilissen
Background/Aims: Videocapsule endoscopy (VCE) and double-balloon endoscopy (DBE) allow deep exploration in patients with suspected small bowel pathology. VCE is often performed as an initial small bowel examination to explore whether an intervention by DBE is indicated and to determine insertion route. The study aim was to evaluate the correlation between DBE and VCE in patients with obscure or overt bleeding or anemia, as well as intervention frequency, and complications. Methods: Retrospective observational study...
January 12, 2017: Clinical Endoscopy
https://www.readbyqxmd.com/read/28030916/endoscopic-treatment-of-intussusception-due-to-intestinal-tuberculosis
#3
Dooyoup Kim, Hyundo Jung, Mindae Kim, Jaehyung Lee, Sukhun Kim, Dongku Kang, Jiha Kim, Ilseon Lee
Traditionally, adult intussusception has required a bowel resection because of the malignancy risk. A patient with anorexia, weight loss, and abdominal pain visited our clinic. A physical exam and imaging study revealed no acute peritoneal signs. A colonoscopy for biopsy and bowel reduction was attempted. The tissue sample was consistent with intestinal tuberculosis. We report intestinal tuberculosis complicating intussusception which was treated without surgical intervention.
December 27, 2016: Clinical Endoscopy
https://www.readbyqxmd.com/read/28008164/fluoroscopy-guided-endoscopic-removal-of-foreign-bodies
#4
Junhwan Kim, Ji Yong Ahn, Seol So, Mingee Lee, Kyunghwan Oh, Hwoon-Yong Jung
In most cases of ingested foreign bodies, endoscopy is the first treatment of choice. Moreover, emergency endoscopic removal is required for sharp and pointed foreign bodies such as animal or fish bones, food boluses, and button batteries due to the increased risks of perforation, obstruction, and bleeding. Here, we presented two cases that needed emergency endoscopic removal of foreign bodies without sufficient fasting time. Foreign bodies could not be visualized by endoscopy due to food residue; therefore, fluoroscopic imaging was utilized for endoscopic removal of foreign bodies in both cases...
December 23, 2016: Clinical Endoscopy
https://www.readbyqxmd.com/read/28008163/risk-factors-for-the-presence-of-symptoms-in-peptic-ulcer-disease
#5
Sang Pyo Lee, In-Kyung Sung, Jeong Hwan Kim, Sun-Young Lee, Hyung Seok Park, Chan Sup Shim
Background/Aims: Peptic ulcer disease (PUD) is a common condition, but is difficult to detect in asymptomatic individuals. We aimed to investigate the prevalence of symptomatic and asymptomatic PUD during screening endoscopy and to identify risk factors for the presence of symptoms in patients with PUD. Methods: We investigated subjects who underwent a health inspection, including endoscopy of the upper gastrointestinal (GI) tract and a serum anti-Helicobacter pylori IgG assay, and who completed a self-report questionnaire about their symptoms...
December 23, 2016: Clinical Endoscopy
https://www.readbyqxmd.com/read/28008162/endoscopic-approach-for-major-complications-of-bariatric-surgery
#6
Moon Kyung Joo
As lifestyle and diet patterns have become westernized in East Asia, the prevalence of obesity has rapidly increased. Bariatric surgeries, such as Roux-en-Y gastric bypass (RYGB), sleeve gastrectomy (SG), and laparoscopic adjustable gastric banding (LAGB), are considered the first-line treatment option in patients with severe obesity. However, postoperative complications have increased and the proper management of these complications, including the use of endoscopic procedures, has become important. The most serious complications, such as leaks and fistulas, can be treated with endoscopic stent placement and injection of fibrin glue, and a novel full-thickness closure over-the-scope clip (OTSC) has been used for treatment of postoperative leaks...
December 23, 2016: Clinical Endoscopy
https://www.readbyqxmd.com/read/27817191/conversion-of-percutaneous-cholecystostomy-to-endoscopic-gallbladder-stenting-by-using-the-rendezvous-technique
#7
Kwangwoo Nam, Jun-Ho Choi
We report the successful conversion of percutaneous cholecystostomy (PC) to endoscopic transpapillary gallbladder stenting (ETGS) with insertion of an antegrade guidewire into the duodenum. An 84-year-old man presented with severe acute cholecystitis and septic shock. He had significant comorbidities, and emergent PC was successfully performed. Subsequent ETGS was attempted but unsuccessful owing to difficulties with cystic duct cannulation. However, via the PC tract, the guidewire was passed antegradely into the duodenum, and ETGS with a double-pigtail plastic stent was successfully performed with the rendezvous technique...
November 7, 2016: Clinical Endoscopy
https://www.readbyqxmd.com/read/27817183/evaluation-and-endoscopic-management-of-esophageal-submucosal-tumor
#8
Weon Jin Ko, Ga Won Song, Joo Young Cho
Submucosal tumors (SMTs) originate from tissues that constitute the submucosal layer and muscularis propria, and are covered by normal mucosa. Esophageal SMTs are rare, accounting for <1% of all esophageal tumors. However, the recent widespread use of endoscopy has led to a rapid increase in incidental detection of SMTs in Korea. Esophageal SMTs are benign in ≥90% of cases, but the possibility of malignancies such as gastrointestinal stromal tumor and malignant leiomyosarcoma still exists. Therefore, patients undergo resection in the presence of symptoms or the possibility of a malignant tumor...
November 7, 2016: Clinical Endoscopy
https://www.readbyqxmd.com/read/27802375/endoscopic-management-of-gastrointestinal-leaks-and-bleeding-with-the-over-the-scope-clip-a-prospective-study
#9
Mahesh Kumar Goenka, Vijay Kumar Rai, Usha Goenka, Indrajit Kumar Tiwary
Background/Aims: The over-the-scope clip (OTSC) is a device used for endoscopic closure of perforations, leaks and fistulas, and for endoscopic hemostasis. To evaluate the clinical effectiveness and safety of OTSC. Methods: Between October 2013 and November 2015, 12 patients underwent OTSC placement by an experienced endoscopist. OTSC was used for the closure of gastrointestinal (GI) leaks and fistula in six patients, three of which were iatrogenic (esophageal, gastric, and duodenal) and three of which were inflammatory...
October 31, 2016: Clinical Endoscopy
https://www.readbyqxmd.com/read/27894188/challenges-of-endoscopic-management-of-pancreaticobiliary-complications-in-surgically-altered-gastrointestinal-anatomy
#10
REVIEW
Tin Moe Wai, Eun Young Kim
Pancreaticobiliary complications following various surgical procedures, including liver transplantation, are not uncommon and are important causes of morbidity and mortality. Therapeutic endoscopy plays a substantial role in these patients and can help to avoid the need for reoperation. However, the endoscopic approach in patients with surgically altered gastrointestinal (GI) anatomy is technically challenging because of the difficulty in entering the enteral limb to reach the target orifice to manage pancreaticobiliary complications...
November 2016: Clinical Endoscopy
https://www.readbyqxmd.com/read/27894187/endoscopic-ultrasound-guided-pancreatobiliary-endoscopy-in-surgically-altered-anatomy
#11
REVIEW
Pichamol Jirapinyo, Linda S Lee
Endoscopic retrograde cholangiopancreatography (ERCP) has become the mainstay of therapy for pancreatobiliary diseases. While ERCP is safe and highly effective in the general population, the procedure remains challenging or impossible in patients with surgically altered anatomy (SAA). Endoscopic ultrasound (EUS) allows transmural access to the bile or pancreatic duct (PD) prior to ductal drainage using ERCP-based techniques. Also known as endosonography-guided cholangiopancreatography (ESCP), the procedure provides multiple advantages over overtube-assisted enteroscopy ERCP or percutaneous or surgical approaches...
November 2016: Clinical Endoscopy
https://www.readbyqxmd.com/read/27894186/what-is-the-mean-procedure-time-to-optimize-colonoscopy
#12
Taehyun Kim, Beom Jae Lee
No abstract text is available yet for this article.
November 2016: Clinical Endoscopy
https://www.readbyqxmd.com/read/27894185/endoscopic-retrograde-cholangiopancreatography-in-post-gastrectomy-patients
#13
REVIEW
Chang-Hwan Park
Endoscopic retrograde cholangiopancreatography (ERCP) in post-gastrectomy patients with Billroth II (BII) reconstruction and Roux-en-Y (RY) reconstruction presents a challenge to therapeutic endoscopists. Major difficulties, including intubation to the ampulla of Vater, selective cannulation, and ampullary intervention, must be overcome in these patients. Recent data have shown that device-assisted ERCP allows for high success rates in these patients because various devices are useful for overcoming major difficulties...
November 2016: Clinical Endoscopy
https://www.readbyqxmd.com/read/27853129/is-endoscopic-ultrasonography-adequate-for-the-diagnosis-of-gastric-schwannomas
#14
Eun Jeong Gong, Kee Don Choi
No abstract text is available yet for this article.
November 2016: Clinical Endoscopy
https://www.readbyqxmd.com/read/27842437/the-importance-of-an-endoscopic-quality-assessment-program-reflecting-real-practice
#15
In Kyung Yoo, Yoon Tae Jeen
No abstract text is available yet for this article.
November 2016: Clinical Endoscopy
https://www.readbyqxmd.com/read/27838918/endoscopic-retrograde-cholangiopancreatography-in-bilioenteric-anastomosis
#16
REVIEW
Eun Taek Park
For diagnosis and treatment of pancreatobiliary diseases, endoscopic retrograde cholangiopancreatography (ERCP) is useful method nowadays and its technically success rate is usually in about 90%-95% of patients with normal gastric and pancreaticobiliary anatomy. Recently ERCP is significantly challenging after intestinal reconstruction, particularly in patients who have undergone pancreaticoduodenectomy (PD, classic Whipple's operation) or pylorus-preserving pancreatoduodenectomy (PPPD) with reconstruction...
November 2016: Clinical Endoscopy
https://www.readbyqxmd.com/read/27832684/fecal-microbiota-transplantation-and-the-brain-microbiota-in-neurological-diseases
#17
Marco Ruggiero
No abstract text is available yet for this article.
November 2016: Clinical Endoscopy
https://www.readbyqxmd.com/read/27737521/giant-brunner-s-gland-hamartoma-of-the-duodenal-bulb-presenting-with-upper-gastrointestinal-bleeding-and-obstruction
#18
Ju Hyoung Lee, Kyeong Min Jo, Tae Oh Kim, Jong Ha Park, Seung Hyun Park, Jae Won Jung, So Chong Hur, Sung Yeun Yang
Brunner's gland hamartomas are small benign lesions that are most commonly found in the bulb of the duodenum. They are very uncommon, and most are found incidentally during upper gastrointestinal series or esophagogastroduodenoscopy. The lesions tend to be asymptomatic, but patients may present with symptoms of duodenal obstruction or hemorrhage secondary to ulceration. Histologically, a Brunner's gland hamartoma consists of the components of Brunner's gland cells, as well as glandular, adipose and muscle cells...
November 2016: Clinical Endoscopy
https://www.readbyqxmd.com/read/27642850/percutaneous-transhepatic-cholangioscopy-in-bilioenteric-anastomosis-stricture
#19
REVIEW
Hyoung-Chul Oh
Bilioenteric anastomosis strictures are a serious complication of biliary surgery, and often result in recurrent cholangitis, choledocholithiasis, biliary cirrhosis, and hepatic failure. Bilioenteric reconstructive surgery is the standard treatment of choice for such complications. However, percutaneous transhepatic cholangioscopy (PTCS), also known as per-oral endoscopic-guided intervention, is a less invasive procedure that is becoming an increasingly popular alternative. This review describes the PTCS procedure (including the preparation process), as well as the diagnostic and therapeutic role of PTCS in bilioenteric anastomosis strictures...
November 2016: Clinical Endoscopy
https://www.readbyqxmd.com/read/27515392/an-intractable-caustic-esophageal-stricture-successfully-managed-with-sequential-treatment-comprising-incision-with-an-insulated-tip-knife-balloon-dilation-and-an-oral-steroid
#20
Woong Ki Lee, Byung Sun Kim, Min A Yang, So Hee Yun, Young Jae Lee, Ji Woong Kim, Jin Woong Cho
Bougie or balloon dilation is a good short-term treatment for caustic esophageal strictures, although recurrence after dilation occurs in approximately 30% of these cases. Therefore, long-term treatment options are required in some cases, and endoscopic incisional therapy has been used for patients with an anastomotic stricture in the gastrointestinal tract. A 58-year-old woman presented with severe swallowing difficulty because of a caustic esophageal stricture, which was caused by accidental exposure to anhydrous acetic acid at infancy...
November 2016: Clinical Endoscopy
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