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Endoscopy International Open

Amit Maydeo, Gaurav Kumar Patil
No abstract text is available yet for this article.
November 2018: Endoscopy International Open
Anna Rawa-Golebiewska, Michal F Kaminski
No abstract text is available yet for this article.
November 2018: Endoscopy International Open
Jordan Orr, Robert Lockwood, Safia Salaria, Anthony Gamboa, Patrick Yachimski
Background and study aims  Mucinous cystic neoplasms (MCNs) of the pancreas have malignant potential. Current methods for diagnosing MCNs are inadequate. The aim of this case series is to present a novel method for establishing the diagnosis of MCNs. Clinical information from three patients seen at our institution was collected for a case series presentation. Patients were selected retrospectively based on diagnostic results. Three patients were diagnosed with MCNs based on histopathology obtained via microforceps biopsy...
November 2018: Endoscopy International Open
Thomas R McCarty, Corey R O'Brien, Anas Gremida, Christina Ling, Tarun Rustagi
Background and study aims  Although duodenal biopsy is considered the "gold standard" for diagnosis of celiac disease, the optimal location of biopsy within the small bowel for diagnosis remains unclear. The primary aim of this study was to perform a structured systematic review and meta-analysis to evaluate the diagnostic utility of endoscopic duodenal bulb biopsy for celiac disease. Patients and methods  Searches of PubMed, EMBASE, Web of Science, and Cochrane Library databases were performed from 2000 through December 2017...
November 2018: Endoscopy International Open
Rasmus Kroijer, Anne-Kirstine Dyrvig, Morten Kobaek-Larsen, Jens Overgaard Støvring, Niels Qvist, Gunnar Baatrup
Background and study aims  To achieve a complete colon capsule endoscopy, the entire colon must be visualized, clean and filled with clear fluids. The primary aim was to compare three booster regimens in colon capsule endoscopy in achieving capsule excretion within recording time. Secondary aims were quality of bowel cleansing and completion rate (both adequate cleansing and capsule excretion). Patients and methods  Patients scheduled for follow-up colonoscopy due to previous neoplastic findings or familial history of colorectal cancer aged 18 to 70 years were eligible...
November 2018: Endoscopy International Open
Andreas Probst, Alanna Ebigbo, Bruno Märkl, Saskia Ting, Tina Schaller, Matthias Anthuber, Carola Fleischmann, Helmut Messmann
Background and study aims  The ideal treatment strategy for rectal neoplasia extending to the dentate line (RNDL) is not well defined. Endoscopic mucosal resection (EMR) and submucosal dissection (ESD) compete with surgical techniques such as transanal endoscopic microsurgery (TEM). Non-Asian data and prospective data on ESD are lacking. The study aim was to evaluate the role of ESD in treatment of RNDL in a Western center. Patients and methods  Eighty-six patients with rectal adenomas were included. ESD was performed in 86 rectal adenomas including 24 RNDLs (27...
November 2018: Endoscopy International Open
Yoshihide Kanno, Shinsuke Koshita, Takahisa Ogawa, Kaori Masu, Hiroaki Kusunose, Toshitaka Sakai, Toji Murabayashi, Sho Haegawa, Fumisato Kozakai, Keisuke Yonamine, Yujiro Kawakami, Yuki Fujii, Jun Horaguchi, Yutaka Noda, Kei Ito
Background and study aims  A newly developed peroral cholangioscopy (POCS) system, SpyGlassDS has high maneuverability. This study aimed to evaluate acceptability of the accuracy of SpyGlassDS accompanied by simultaneous POCS-guided biopsy compared with that of a traditional POCS scope, CHF-B260, to diagnose the lateral extent of extrahepatic cholangiocarcinoma (LEC). Patients and methods  Patients who underwent surgical resection after preoperative examinations to diagnose LEC were evaluated. POCS by CHF-B260 was performed if there was discrepancy between preceding fluoroscopy-guided biopsy findings and other examinations between January 2004 and September 2015 (group A, n = 56); and POCS plus POCS-guided mapping biopsy by SpyGlassDS was performed in all surgical candidates between October 2015 and December 2017 (group B, n = 20)...
November 2018: Endoscopy International Open
Carl-Fredrik Rönnow, Noriya Uedo, Ervin Toth, Henrik Thorlacius
Background and study aims  Endoscopic submucosal dissection (ESD) allows en bloc resection of large colorectal lesions but ESD experience is limited outside Asia. This study evaluated implementation of ESD in the treatment of colorectal neoplasia in a Western center. Patients and methods  Three hundred and one cases of colorectal ESD (173 rectal and 128 colonic lesions) were retrospectively evaluated in terms of outcome, learning curve and complications. Results  Median size was 4 cm (range 1 - 12...
November 2018: Endoscopy International Open
Kazuhiro Minami, Eisuke Iwasaki, Takao Itoi, Seiichiro Fukuhara, Masayasu Horibe, Takashi Seino, Shintaro Kawasaki, Tadashi Katayama, Yoichi Takimoto, Hiroki Tamagawa, Yujiro Machida, Yasuo Hamamoto, Haruhiko Ogata, Takanori Kanai
Background and study aims  We report the effectiveness of a newly developed plastic stent for preventing bile leakage after endoscopic ultrasonography (EUS)-guided antegrade stenting. This treatment was performed on a 59-year-old woman with malignant obstructive jaundice caused by peritoneal metastasis. First, we attempted transpapillary drainage using short-type single-balloon enteroscopy-assisted endoscopic retrograde cholangiopancreatography, but we could not achieve it. We then attempted EUS-guided antegrade stenting through the intrahepatic bile duct from the esophagojejunal anastomosis...
November 2018: Endoscopy International Open
Kei Yane, Akio Katanuma, Tsuyoshi Hayashi, Kuniyuki Takahashi, Toshifumi Kin, Kazumasa Nagai, Kazunari Tanaka, Naohiro Komatsu, Masato Endo, Yousuke Kobayashi, Yukiko Takigawa, Ran Utsunomiya
Endoscopic enteral self-expandable metal stent (SEMS) placement is a useful alternative treatment option for malignant afferent limb syndrome (ALS). We investigated the safety, efficacy, and follow-up results of enteral SEMS placement using a single-balloon enteroscope for the treatment of malignant ALS.
November 2018: Endoscopy International Open
Sérgio Alexandre Barrichello Junior, Igor Braga Ribeiro, Ricardo José Fittipaldi-Fernandez, Ana Carolina Hoff, Diogo Turiani Hourneaux de Moura, Mauricio Kazuyoshi Minata, Thiago Ferreira de Souza, Manoel Dos Passos Galvão Neto, Eduardo Guimarães Hourneaux de Moura
Background and study aims  Obesity is a serious disease, resulting in significant morbidity and mortality. Intragastric balloons (IGBs) have been in use since the 1980s. After the insertion of an IGB, complications such as migration of the device and even severe gastric perforation can occur, requiring laparoscopic surgery. Here, we report three cases of gastric perforation after IGB insertion. In all three cases, the perforation was successfully repaired through an exclusively endoscopic approach.
November 2018: Endoscopy International Open
Raffaele Manta, Santi Mangiafico, Angelo Zullo, Helga Bertani, Angelo Caruso, Giuseppe Grande, Francesco Paolo Zito, Benedetto Mangiavillano, Luigi Pasquale, Andrea Parodi, Bastianello Germanà, Gabrio Bassotti, Fabio Monica, Maurizio Zilli, Antonio Pisani, Massimiliano Mutignani, Rita Conigliaro, Giuseppe Galloro
Background and study aims  Endoscopic treatment is the mainstay approach for gastrointestinal bleeding, in either upper (UGIB) or lower (LGIB) tract. The over-the-scope clip (OTSC) may overcome limitations of standard clips or thermocoagulation in high-risk bleeding lesions. We evaluate the main clinically relevant outcomes following endoscopic hemostasis with OTSC in high-risk lesions and/or patients. Patients and methods  This was a retrospective analysis of prospectively collected databases including all patients with UGIB and LGIB who underwent OTCS placement as first-line treatment in eleven tertiary endoscopic referral centers...
November 2018: Endoscopy International Open
John Eccles, Aducio Thiesen, Gurpal Sandha
Background and study aims  Cholangioadenoma is not recognized commonly and is often only diagnosed on surgical specimens. Direct per oral single-operator cholangioscopy (SOC) allows characterization of common bile duct (CBD) lesions through direct visualization and directed forceps biopsies with potential for impacting surgical management decisions. This is a retrospective review of all SOC cases diagnosed with cholangioadenoma. Patient demographics and outcomes were recorded. Three patients (all male), average age 68 years (range 62 - 76 years), were identified to have a cholangioadenoma...
November 2018: Endoscopy International Open
Julio F León Moreno
Background and study aims  High-quality colonoscopy is fundamental for preventing colorectal cancer (CRC). The adenoma detection rate (ADR) is a key colonoscopy quality measure. The aim of this study was to establish the screening colonoscopy ADR of a tertiary referral center in Peru, identify the relationship between the ADR and patient age, sex and the colonoscopist, and determine the endoscopic and histopathological characteristics of the lesions found. Patients and methods  A retrospective observational longitudinal study was undertaken between January 2016 and June 2017...
November 2018: Endoscopy International Open
Harmeet Singh Mashiana, Mahendran Jayaraj, Babu Pappu Mohan, Gordon Ohning, Douglas G Adler
Background  While endoscopic retrograde cholangiopancreatography (ERCP) is usually performed in the prone position, some studies have advocated for ERCP in the supine position. Studies comparing the technical success and safety outcomes have shown variable results. We performed a systematic review and meta-analysis of studies reporting the comparison between the two positions for ERCP outcomes. Methods  We conducted a search of electronic databases and conference proceedings including PubMed, EMBASE, and Web of Science databases (from inception through October 2016) to identify studies that reported the comparison of technical success and safety outcomes between supine and prone ERCP...
November 2018: Endoscopy International Open
Kazuyoshi Yagi, Itsuo Nagayama, Takahiro Hoshi, Satoshi Abe, Shin-Ichi Morita, Takeshi Suda, Go Hasegawa, Yu-Ichi Sato, Shuji Terai
No abstract text is available yet for this article.
November 2018: Endoscopy International Open
Haoxiong Zhou, Jieying Xuan, Xianyi Lin, Yunwei Guo
Background and study aims  Esophagogastric variceal bleeding (EGVB) is common in patients with portal vein thrombosis (PVT). Hereditary deficiencies in natural anticoagulant proteins, such as protein S, might contribute to PVT. However, recurrent EGVB caused by PVT in patients with protein S deficiency is seldom reported. Herein, we present the case of a 38-year-old man with protein S deficiency complicated with PVT. The patient suffered recurrent EGVB for 7 years. He underwent splenectomy plus pericardial revascularization and sequential endoscopic therapy, including one gastric variceal obturation (GVO) procedure and two esophageal variceal ligations (EVL) to eradicate the varices...
November 2018: Endoscopy International Open
Bas van der Spek, Krijn Haasnoot, Christof Meischl, Dimitri Heine
[This corrects the article DOI: 10.1055/a-0672-1138.].
October 2018: Endoscopy International Open
Marc Schurr, Thomas Gottwald
No abstract text is available yet for this article.
October 2018: Endoscopy International Open
Thomas Frieling
So, is there enough evidence to incorporate CC in clinical practice? If we interpret the literature and the meta-analysis by Nutalapati et al., the answer for the clinically-focused endoscopist, with regard to adenoma detection rate (ADR), at present, may be "no". Significant differences do not necessarily imply clinical benefits and translation into clinical practice. The answer for the improvement of cecal intubation frequency and intubation time by the cap depends on the focus of training commitment, because these effects of the cap may be beneficial, especially for unexperienced endoscopists...
October 2018: Endoscopy International Open
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