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https://www.readbyqxmd.com/read/29465420/pathologic-features-of-infectious-gastritis
#1
Eric U Yee, Enoch Kuo, Jeffrey D Goldsmith
This manuscript presents a review of infectious causes of gastritis aimed at the practicing anatomic pathologist. We shall highlight unique histologic findings and clinical attributes that will assist those analyzing endoscopically obtained mucosal biopsies of the stomach or resection specimens.
February 20, 2018: Advances in Anatomic Pathology
https://www.readbyqxmd.com/read/29464545/extra-mucosal-enucleation-is-still-a-safe-and-feasible-treatment-option-of-giant-esophageal-leiomyomas
#2
Azhar Perwaiz, Vinay Kumar Shaw, Amanjeet Singh, Adarsh Chaudhary
Esophageal leiomyoma (EL) is rare but still the most common benign tumor of the esophagus. Extra-mucosal enucleation (EME) is the treatment of choice. Many recent reports have favored esophageal resection for giant Esophageal leiomyomas (ELs). The consequence of esophageal resection is well known and it would be radical to consider it as a preferred treatment for giant EL since most of them are still benign. We share case series of five giant ELs managed by EME, avoiding a mucosal breach and hence avoiding potentially morbid esophageal resections...
February 21, 2018: Indian Journal of Gastroenterology: Official Journal of the Indian Society of Gastroenterology
https://www.readbyqxmd.com/read/29458679/transitional-and-temporal-changes-in-the-mucosal-and-submucosal-intestinal-microbiota-in-advanced-crohn-s-disease-of-the-terminal-ileum
#3
Rodrick J Chiodini, Scot E Dowd, James N Barron, Susan Galandiuk, Brian Davis, Angela Glassing
PURPOSE: Crohn's disease is a chronic debilitating intestinal syndrome of unknown aetiology that is thought to result in part from an imbalance (dysbiosis) of the intestinal microbial populations, known as the microbiota. In this study we sought to compare the microbiota at the mucosal and submucosal levels at the resection margin in Crohn's disease to those in other intestinal dysbiotic disease controls to determine the level of bacterial translocation. METHODOLOGY: 16S microbiota sequencing was performed on DNA extracted from mucosal and submucosal samples from resected intestinal tissues from Crohn's disease and controls...
February 12, 2018: Journal of Medical Microbiology
https://www.readbyqxmd.com/read/29458293/endoscopic-mucosal-resection-of-non-ampullary-sporadic-duodenal-adenomas-a-retrospective-analysis-with-long-term-follow-up
#4
Giorgio Valerii, Andrea Tringali, Rosario Landi, Ivo Boškoski, Pietro Familiari, Alessandra Bizzotto, Vincenzo Perri, Lucio Petruzziello, Guido Costamagna
OBJECTIVE: We investigate the efficiency of endoscopic mucosal resection (EMR) of non-ampullary sporadic duodenal adenomas (NASDA) in a retrospective analysis with long-term follow-up. METHODS: Consecutive patients undergoing EMR of NASDA between May 2002 and December 2016 were retrospectively identified from an electronic database. Endoscopic follow-up was scheduled after 3, 6 and 12 months for the first year, then yearly for up to five years. RESULTS: EMR of 75 NASDA was performed in 68 patients (56% en-bloc, 44% piecemeal)...
February 19, 2018: Scandinavian Journal of Gastroenterology
https://www.readbyqxmd.com/read/29449039/clinical-guidelines-for-endoscopic-mucosal-resection-of-non-pedunculated-colorectal-lesions
#5
Eduardo Albéniz, María Pellisé, Antonio Z Gimeno García, Alfredo José Lucendo, Pedro A Alonso Aguirre, Alberto Herreros de Tejada, Marco Antonio Álvarez, María Fraile, Maite Herráiz Bayod, Leopoldo López Rosés, David Martínez Ares, Akiko Ono, Adolfo Parra Blanco, Eduardo Redondo, Andrés Sánchez Yagüe, Santiago Soto, José Díaz Tasende, Marta Montes Díaz, Manuel Rodríguez Téllez, Orlando García, Alba Zuñiga Ripa, Marta Hernández Conde, Fernando Alberca de Las Parras, Carla Gargallo, Esteban Saperas, Miguel Muñoz Navas, Javier Gordillo, Felipe Ramos Zabala, José Manuel Echevarría, Marco Bustamante, Mariano González Haba, Ferrán González Huix, Begoña González Suárez, Juan José Vila Costas, Carlos Guarner Argente, Fernando Múgica, Julyssa Cobián, Joaquín Rodríguez Sánchez, Bartolomé López Viedma, Noel Pin, José Carlos Marín Gabriel, Óscar Nogales, Joaquín de la Peña, Francisco Javier Navajas León, Helena León Brito, David Remedios, José Miguel Esteban, David Barquero, Juan Gabriel Martínez Cara, Felipe Martínez Alcalá, Ignacio Fernández Urién, Eduardo Valdivielso
This document summarizes the contents of the Clinical Guidelines for the Endoscopic Mucosal Resection of Non-Pedunculated Colorectal Lesions that was developed by the working group of the Spanish Society of Digestive Endoscopy (GSEED of Endoscopic Resection). This document presents recommendations for the endoscopic management of superficial colorectal neoplastic lesions.
February 12, 2018: Gastroenterología y Hepatología
https://www.readbyqxmd.com/read/29435819/expanding-role-of-third-space-endoscopy-in-the-management-of-esophageal-diseases
#6
REVIEW
Dennis Yang, Peter V Draganov
OPINION STATEMENT: "Third space" endoscopy, also commonly referred as submucosal endoscopy, is founded on the principle that the deeper layers of the gastrointestinal (GI) tract can be accessed by tunneling in the submucosal space without compromising the integrity of the overlying mucosa. Peroral endoscopic myotomy (POEM), endoscopic submucosal dissection (ESD), and submucosal tunneling endoscopic resection (STER) are innovative techniques within the field of third space endoscopy in the management of esophageal disorders...
February 12, 2018: Current Treatment Options in Gastroenterology
https://www.readbyqxmd.com/read/29435750/clinical-efficacy-of-endoscopic-ultrasonography-for-decision-of-treatment-strategy-of-gastric-cancer
#7
Jung Kim, Sang Gyun Kim, Hyunsoo Chung, Joo Hyun Lim, Ji Min Choi, Jae Yong Park, Hyo-Joon Yang, Seung Jun Han, Sooyeon Oh, Min Seong Kim, Hyun Ju Kim, Hyoungju Hong, Hee Jong Lee, Jue Lie Kim, Eunwoo Lee, Hyun Chae Jung
BACKGROUND: Accurate preoperative tumor staging of gastric cancer is indispensable with expansion of indications for laparoscopic surgery and endoscopic resection. It is important to distinguish mucosal cancer (T1a) in smaller lesion and differentiate early gastric cancer (EGC) in larger lesion considering endoscopic resection indication and laparoscopic surgery indication. We evaluated the clinical outcomes of endoscopic ultrasonography (EUS) for the decision of treatment strategy of gastric cancer compared with pathological staging...
February 12, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29430468/endoscopic-submucosal-dissection-of-rectal-cancer-close-to-the-dentate-line-accompanied-by-mucosal-prolapse-syndrome
#8
Hirokazu Honda, Kenji Nakamura, Naoki Ishii, Koyu Suzuki, Katsuyuki Fukuda
A 37-year-old man presented to our hospital for early rectal cancer accompanied by mucosal prolapse syndrome. Biopsy confirmed an adenocarcinoma, and endoscopic ultrasonography indicated proximity to the dentate line but no submucosal invasion. The tumor was removed en bloc via endoscopic submucosal dissection without complications, and its margin was free of tumor cells. The total procedure duration was 37 minutes, and the resected specimen measured 23 × 13 mm. There was no recurrence during the 3-year observation period...
2018: ACG Case Reports Journal
https://www.readbyqxmd.com/read/29423433/adenoma-recurrence-after-endoscopic-mucosal-resection-propensity-score-analysis-of-old-and-new-colonoscopes-and-sydney-recurrence-tool-implementation
#9
Daniela Guerrero Vinsard, Pujan Kandel, Lady Katherine Mejia Perez, Russell L Bingham, Ryan J Lennon, Timothy A Woodward, Victoria Gomez, Massimo Raimondo, Ernest P Bouras, Michael B Wallace
Background and study aims: Risk factors for colorectal adenoma recurrence after endoscopic mucosal resection (EMR) have been well documented. We assessed the efficacy of the newer 190 colonoscope versus the standard 180 colonoscope for complete resection of lateral spreading lesions. Patients and methods: A single-center, retrospective study of patients who underwent EMR with Olympus 180 or 190 colonoscopes from January 1, 2010 to September 30, 2016. We included patients with lesions ≥ 20 mm and surveillance colonoscopy (SC1) after index EMR...
February 2018: Endoscopy International Open
https://www.readbyqxmd.com/read/29421912/clinical-guidelines-for-endoscopic-mucosal-resection-of-non-pedunculated-colorectal-lesions
#10
Eduardo Albéniz, María Pellisé, Antonio Z Gimeno-García, Alfredo José Lucendo, Pedro A Alonso-Aguirre, Alberto Herreros de Tejada, Marco Antonio Álvarez, María Fraile, Maite Herráiz Bayod, Leopoldo López Rosés, David Martínez Ares, Akiko Ono, Adolfo Parra Blanco, Eduardo Redondo, Andrés Sánchez-Yagüe, Santiago Soto, José Díaz-Tasende, Marta Montes Díaz, Manuel Rodríguez-Téllez, Orlando García, Alba Zuñiga Ripa, Marta Hernández Conde, Fernando Alberca de Las Parras, Carla Jerusalén Gargallo, Esteban Saperas, Miguel Muñoz Navas, Javier Gordillo, Felipe Ramos Zabala, José Manuel Echevarría, Marco Bustamante, Mariano González-Haba, Ferrán González-Huix, Begoña González-Suárez, Juan José Vila Costas, Carlos Guarner Argente, Fernando Múgica, Julyssa Cobián, Joaquín Rodríguez Sánchez, Bartolomé López Viedma, Noel Pin, José Carlos Marín Gabriel, Óscar Nogales, Joaquín de la Peña, Francisco Javier Navajas León, Helena León Brito, David Remedios, José Miguel Esteban, David Barquero, Juan Gabriel Martínez Cara, Felipe Martínez Alcalá, Ignacio Fernández-Urién, Eduardo Valdivielso
This document summarizes the contents of the Clinical Guidelines for the Endoscopic Mucosal Resection of Non-Pedunculated Colorectal Lesions that was developed by the working group of the Spanish Society of Digestive Endoscopy (GSEED of Endoscopic Resection). This document presents recommendations for the endoscopic management of superficial colorectal neoplastic lesions.
February 9, 2018: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/29420839/underwater-endoscopic-mucosal-resection-of-a-duodenal-adenoma-with-biopsy-scars
#11
Minoru Kato, Yoshiki Tsujii, Tetsuo Takehara
Preoperative biopsies are required to diagnose superficial duodenal epithelial tumours because a non-invasive endoscopic method for accurate diagnosis has not been established. However, biopsies cause scarring of the lesion. Kinoshita et al. reported that 24.6% of the duodenal lesions considered applicable for conventional endoscopic mucosal resection (C-EMR) were treated by endoscopic submucosal dissection (ESD) because of a non-lifting sign caused by biopsies 1 . However, duodenal ESD is challenging, even for experts 2 ...
February 8, 2018: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29419676/gastrointestinal-involvement-by-mantle-cell-lymphoma-identified-by-biopsy-performed-during-endoscopy-a-case-report
#12
Qin-Fang Zheng, Jin-Ying Li, Liu Qin, Hai-Ming Wei, Lian-Ying Cai, Bing Nong
RATIONALE: Primary gastrointestinal mantle cell lymphoma is rare, and histopathological examination and specific immunohistochemical staining are still the gold standard for diagnosis. Therefore, it is necessary to find a new way to improve positive biopsy rates. PATIENT CONCERNS: A 58-year-old man was admitted to our hospital with epigastric pain, abdominal distension, nausea, and melena. Endoscopy identified submucosal neoplasms and diffuse gastrointestinal tract involvement including the esophagus...
February 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29409923/hot-snare-polypectomy-with-or-without-saline-solution-epinephrine-lift-for-the-complete-resection-of-small-colorectal-polyps
#13
Hyun-Soo Kim, Ho Yeon Jung, Hong Jun Park, Hee Man Kim, Jae Ho Seong, Yong Seok Kang, Mee Yon Cho, Min Heui Yu, Dae Ryong Kang
BACKGROUND: /Aim: The criterion standard polypectomy technique for the complete removal of small colorectal polyps has not yet been established. This study aimed to compare the complete resection rate of hot snare polypectomy (HSP) with that of endoscopic mucosal resection (EMR) for small, sessile, or flat polyps. METHODS: Patients with 5-9-mm non-pedunculated colorectal polyps were prospectively randomized to the HSP or EMR group. The presence of residual polyps was assessed by performing histological assessment of 4-quadrant forceps biopsies taken from the edges of the polypectomy site...
February 1, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29406437/combining-eastern-and-western-practices-for-safe-and-effective-endoscopic-resection-of-large-complex-colorectal-lesions
#14
Andrew Emmanuel, Shraddha Gulati, Margaret Burt, Bu'Hussain Hayee, Amyn Haji
BACKGROUND: Endoscopic resection of large colorectal polyps is well established. However, significant differences in technique exist between eastern and western interventional endoscopists. We report the results of endoscopic resection of large complex colorectal lesions from a specialist unit that combines eastern and western techniques for assessment and resection. PATIENTS AND METHODS: Endoscopic resections of colorectal lesions of at least 2 cm were included...
February 5, 2018: European Journal of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/29405795/oral-mucosa-grafting-in-periorbital-reconstruction
#15
Andre Grixti, Raman Malhotra
To provide an extensive literature review on the clinical indications of oral mucosa grafts (OMG) and minor salivary gland grafts (MSGG) in periorbital reconstruction together with safe practice graft harvesting techniques to minimize donor-site morbidity. A literature review was performed by searching the databases of PUBMED, EMBASE, and COCHRANE library using the keywords: minor salivary glands; oral mucosal graft; orbit; and eye. The bibliographies of the pertinent articles were examined for additional papers...
February 6, 2018: Orbit
https://www.readbyqxmd.com/read/29402730/clinical-complications-in-the-application-of-polyglycolic-acid-sheets-with-fibrin-glue-after-resection-of-mucosal-lesions-in-oral-cavity
#16
Kohei Okuyama, Souichi Yanamoto, Tomofumi Naruse, Yuki Sakamoto, Satoshi Rokutanda, Seigo Ohba, Izumi Asahina, Masahiro Umeda
OBJECTIVES: Covering open wounds with a polyglycolic acid (PGA) sheet using fibrin glue after resection of oral mucosal lesions is reportedly useful. We focused on clinical complications of this procedure: development of marked granuloma-like neoplasm (GLN) and abnormal postoperative bleeding (APB) on the resected region. STUDY DESIGN: The characteristics of 100 cases with PGA sheet application after the resection of oral mucosal lesion were examined retrospectively by the medical records and/or oral photographs at our department between 2010 and 2016...
December 29, 2017: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
https://www.readbyqxmd.com/read/29399614/high-complete-resection-rate-for-pre-lift-and-cold-biopsy-of-diminutive-colorectal-polyps
#17
Sam A O'Connor, Trevor N Brooklyn, Paul D Dunckley, Roland M Valori, Ruth Carr, Chris Foy, Thusitha Somarathna, Lukasz A Adamczyk, Neil A Shepherd, John T Anderson
Background and study aims:  The majority of polyps removed at colonoscopy are diminutive (≤ 5 mm) to small (< 10 mm) and there are few guidelines for the best way for these polyps to be removed. We aimed to assess the feasibility and effectiveness of cold biopsy forceps polypectomy with pre-lift (CBPP) for polyps ≤ 7 mm. Our aims were to assess completeness of histological resection of this technique, to identify factors contributing to this and assess secondary considerations such as timing, retrieval and complication rates...
February 2018: Endoscopy International Open
https://www.readbyqxmd.com/read/29399612/validity-of-conventional-endoscopy-using-non-extension-sign-for-optical-diagnosis-of-colorectal-deep-submucosal-invasive-cancer
#18
Takashi Hisabe, Sumio Tsuda, Toshio Hoashi, Hiroshi Ishihara, Kazutomo Yamasaki, Tatsuhisa Yasaka, Fumihito Hirai, Toshiyuki Matsui, Kenshi Yao, Hiroshi Tanabe, Akinori Iwashita
Background and study aims:  The non-extension sign relates to a localized increase in thickness and rigidity due to deep submucosal invasive (SM-d: depth of 1000 μm or more) cancer. The present study aimed to evaluate the efficacy of the non-extension sign in assessing the optical diagnosis of colorectal SM-d cancer. Patients and methods:  We retrospectively analyzed 309 patients with 315 early colorectal cancers that had been endoscopically or surgically resected...
February 2018: Endoscopy International Open
https://www.readbyqxmd.com/read/29397659/s-1-based-doublet-as-an-adjuvant-chemotherapy-for-curatively-resected-stage-iii-gastric-cancer-results-from-the-randomized-phase-iii-post-trial
#19
Choong-Kun Lee, Minkyu Jung, Hyo Song Kim, Inkyung Jung, Dong Bok Shin, Seok Yun Kang, Dae Young Zang, Ki Hyang Kim, Moon Hee Lee, Bong-Seog Kim, Kyung Hee Lee, Jae-Ho Cheong, Woo Jin Hyung, Sung Hoon Noh, Hyun Cheol Chung, Sun Young Rha
Purpose: We conducted a randomized, multicenter, phase III trial to compare S-1 plus docetaxel (DS) with S-1 plus cisplatin (SP) as adjuvant chemotherapy for stage III gastric cancer patients. Patients and Methods Stage III gastric cancer patients who had received curative gastrectomy with D2 lymphadenectomy were randomized into equal groups to receive adjuvant chemotherapy of 8 cycles of DS (S-1 70 mg/m2/day on days 1-14 plus docetaxel 35 mg/m2 on days 1 and 8) every 3 weeks or SP (S-1 70 mg/m2/day on days 1-14 plus cisplatin 60 mg/m2 on day 1) every 3 weeks...
February 5, 2018: Cancer Research and Treatment: Official Journal of Korean Cancer Association
https://www.readbyqxmd.com/read/29397656/current-status-of-peroral-endoscopic-myotomy
#20
REVIEW
Young Kwan Cho, Seong Hwan Kim
Peroral endoscopic myotomy (POEM) has been established as an optional treatment for achalasia. POEM is an endoluminal procedure that involves dissection of esophageal muscle fibers followed by submucosal tunneling. Inoue first attempted to use POEM for the treatment of achalasia in humans. Expanded indications of POEM include classic indications such as type I, type II, type III achalasia, failed prior treatments, including Botulinum toxin injection, endoscopic balloon dilation, laparoscopic Heller myotomy, and hypertensive motor disorders such as diffuse esophageal spasm, jackhammer esophagus...
January 2018: Clinical Endoscopy
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