Clinical Endoscopy最新文献

Endoscopic radiofrequency for treating metastatic adenopathy. 内镜下射频治疗转移性腺病。

IF 2.3

Clinical Endoscopy Pub Date : 2026-04-30 DOI: 10.5946/ce.2025.461

Ana Tirado-Escuder, Belén Martínez-Moreno, Jose Ramón Aparicio-Tormo

引用次数: 0

Recanalization of complete hepaticojejunostomy stricture via delayed fistula formation after direct needle puncture: a video case report. 直接穿刺后经延迟造瘘再通肝空肠吻合术狭窄1例视频报告。

IF 2.3

Clinical Endoscopy Pub Date : 2026-04-28 DOI: 10.5946/ce.2025.214

Koichi Soga, Ikuhiro Kobori, Masaya Tamano

引用次数: 0

Latest advancements in endoscopic palliative care for patients with pancreatic cancer. 胰腺癌患者内镜姑息治疗的最新进展。

IF 2.3

Clinical Endoscopy Pub Date : 2026-04-28 DOI: 10.5946/ce.2025.227

Raquel Gonçalves, Joel Silva, Eduardo Rodrigues-Pinto

{"title":"Latest advancements in endoscopic palliative care for patients with pancreatic cancer.","authors":"Raquel Gonçalves, Joel Silva, Eduardo Rodrigues-Pinto","doi":"10.5946/ce.2025.227","DOIUrl":"https://doi.org/10.5946/ce.2025.227","url":null,"abstract":"Pancreatic cancer is a major cause of cancer-related mortality and is frequently diagnosed at advanced stages when surgery is no longer an option. Most patients require palliative care to manage symptoms, such as jaundice, pain, and gastric outlet obstruction (GOO). Therapeutic endoscopic options, including endoscopic ultrasound (EUS)-guided techniques, have become essential for improving quality of life. We conducted a literature review focusing on the current palliative endoscopic therapy options for advanced pancreatic cancer. Malignant biliary obstruction is primarily treated using endoscopic retrograde cholangiopancreatography. However, when this method is complex or unsuccessful, EUS-guided biliary drainage is considered a reliable and safe alternative. Irradiating stents may increase stent patency times and patient survival. EUS-guided gastroenterostomy, if technical expertise is available, is becoming the first option for GOO in patients with longer survival, with enteral stenting being preferred for patients with limited life expectancies or when the EUS option is not available. Although EUS-guided celiac plexus neurolysis and pancreatic duct drainage play a role in pain management, EUS-guided radiofrequency ablation remains under investigation. In conclusion, endoscopic and EUS-guided interventions provide safe, minimally invasive, and highly effective approaches for the palliative care of pancreatic cancer, enhancing patients' quality of life and minimizing the need for more invasive surgical procedures.","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147811827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Large pseudopolyp of appendiceal stump treated by endoscopic loop ligation "loop-and-let-go" in two pediatric cases. 内镜环结扎术治疗阑尾残端大假性息肉2例。

IF 2.3

Clinical Endoscopy Pub Date : 2026-04-28 DOI: 10.5946/ce.2025.448

Maria Veghova Velganova, Martin Stasek, Eva Karaskova, Jana Volejnikova

引用次数: 0

Echoendoscopic evaluation of the vascular pattern of solid pancreatic lesions as a predictor of neuroendocrine neoplasms: a retrospective study in Mexico. 作为神经内分泌肿瘤预测因子的胰腺实体病变血管形态的超声内镜评估：墨西哥的一项回顾性研究。

IF 2.3

Clinical Endoscopy Pub Date : 2026-04-23 DOI: 10.5946/ce.2025.338

Edgardo Amaya-Fragoso, José Guillermo de la Mora-Levy, Uriel Isaías Martín-Flores

{"title":"Echoendoscopic evaluation of the vascular pattern of solid pancreatic lesions as a predictor of neuroendocrine neoplasms: a retrospective study in Mexico.","authors":"Edgardo Amaya-Fragoso, José Guillermo de la Mora-Levy, Uriel Isaías Martín-Flores","doi":"10.5946/ce.2025.338","DOIUrl":"https://doi.org/10.5946/ce.2025.338","url":null,"abstract":"Background/aims: Endoscopic ultrasonography (EUS) is essential for evaluating solid pancreatic lesions (SPL). Pancreatic neuroendocrine neoplasms (pNEN) account for 2% of SPL and typically show hypervascularity. This study aimed to assess whether a specific vascular pattern could predict pNEN.Methods: Patients who underwent EUS for a SPL and were histologically diagnosed with pNEN were included. Tissues were obtained using endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB) and/or surgical resection. Power Doppler was used to assess the vascular patterns. Patients with pNEN were compared to those diagnosed with pancreatic ductal adenocarcinoma during the same period. Group comparisons by size and histological grade were performed using the chi-square test. Logistic regression analysis identified the EUS features associated with pNEN.Results: Among 125 patients (43 pNEN), a peripheral vascular rim (PVR) was associated with pNEN (odds ratio [OR], 2.8; 95% confidence interval [CI], 1.7-8.5; p=0.03), with 100% specificity. Hypervascularity (OR, 3.8; 95% CI, 1.1-13.4; p=0.03) and pancreatic atrophy (OR, 0.3; 95% CI, 0.1-0.9; p=0.04) were also associated.Conclusions: PVR demonstrated 100% specificity and 34.9% sensitivity for pNEN diagnosis, serving as a rule-in sign. PVR visualization may aid in differential diagnosis when EUS-FNB is unavailable or inconclusive.","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147811848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A pilot study of a novel tapered and flared fully covered self-expandable metal stent for unresectable malignant distal biliary obstruction: a multicenter study in Japan. 一种新型锥形和喇叭全覆盖自膨胀金属支架用于不可切除的恶性胆道远端梗阻的初步研究：日本的一项多中心研究。

IF 2.3

Clinical Endoscopy Pub Date : 2026-04-23 DOI: 10.5946/ce.2025.399

Toji Murabayashi, Makoto Kobayashi, Keisuke Iwata, Yuhei Iwasa, Yujiro Kawakami, Yoshiharu Masaki, Shinya Kawaguchi, Hayato Nakagawa

{"title":"A pilot study of a novel tapered and flared fully covered self-expandable metal stent for unresectable malignant distal biliary obstruction: a multicenter study in Japan.","authors":"Toji Murabayashi, Makoto Kobayashi, Keisuke Iwata, Yuhei Iwasa, Yujiro Kawakami, Yoshiharu Masaki, Shinya Kawaguchi, Hayato Nakagawa","doi":"10.5946/ce.2025.399","DOIUrl":"https://doi.org/10.5946/ce.2025.399","url":null,"abstract":"Background/aims: This study evaluated the feasibility and clinical outcomes of a novel tapered and flared, fully covered, self-expandable metal stent (TF-FCSEMS) for unresectable malignant distal biliary obstruction (UMDBO).Methods: This multicenter retrospective study included 40 patients who underwent transpapillary placement of a TF-FCSEMS (10-mm cylindrical body with an 8-mm tapered distal end) for UMDBO between May 2023 and July 2024. The primary outcome was time to recurrent biliary obstruction (TRBO). Secondary outcomes included technical and clinical successes, adverse events (AEs), and overall survival.Results: Technical and clinical success rates were 100% and 98%, respectively. During a median follow-up period of 271 days, recurrent biliary obstruction (RBO) occurred in 10 (26%) patients. The median TRBO was 539 days (95% confidence interval, 389-not reached), and the non-RBO rates at 3, 6, and 12 months were 94%, 71%, and 61%, respectively. During a median follow-up period of 271 days, recurrent biliary obstruction (RBO) occurred in 10 (26%) of the 39 patients who achieved clinical success. Post-endoscopic retrograde cholangiopancreatography pancreatitis occurred in four patients (10%). Non-occlusion cholangitis developed in five (13%) patients, mostly with tumor-related duodenal stenosis. All AEs were managed conservatively or endoscopically.Conclusions: TF-FCSEMS appears to be a feasible and acceptable treatment option for UMDBO. Further prospective studies are required to confirm these findings.","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147811888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of real-time artificial intelligence integration on detection of gastric lesions: an exploratory single-center before-and-after study using low-definition routine endoscopy. 实时人工智能集成对胃病变检测的影响：低清晰度常规内镜下的探索性单中心前后研究

IF 2.3

Clinical Endoscopy Pub Date : 2026-04-22 DOI: 10.5946/ce.2025.272

Hwijun Lee, Huynh Cong Bang, Seokho Cho, Jungmin Ha, Tran Thien Khiem, Le Viet Tung, La Vinh Phuc, Duong Trong Si, Tran The Du, Diem Thi-Ngoc Vo, Vo Nguyen Trung

{"title":"Impact of real-time artificial intelligence integration on detection of gastric lesions: an exploratory single-center before-and-after study using low-definition routine endoscopy.","authors":"Hwijun Lee, Huynh Cong Bang, Seokho Cho, Jungmin Ha, Tran Thien Khiem, Le Viet Tung, La Vinh Phuc, Duong Trong Si, Tran The Du, Diem Thi-Ngoc Vo, Vo Nguyen Trung","doi":"10.5946/ce.2025.272","DOIUrl":"https://doi.org/10.5946/ce.2025.272","url":null,"abstract":"Background/aims: Early detection of gastric neoplasia, particularly subcentimeter lesions, using upper gastrointestinal (GI) endoscopy remains challenging. This study evaluated the impact of a real-time artificial intelligence (AI) detection system on the lesion detection rate (LDR) during routine upper GI endoscopy performed using a low-definition platform commonly used in resource-limited settings, with a focus on lesions ≤0.5 cm.Methods: Diagnostic upper GI endoscopies performed between September 2024 and May 2025 were analyzed. LDRs were compared between the pre- and post-AI periods, including subgroup analyses by lesion size and type.Results: A total of 2,329 patients were included (1,491 pre-AI, 838 post-AI). After AI implementation, overall LDR per person increased from 1.15±0.45 to 1.20±0.57 (p<0.05). Detection of lesions ≤0.5 cm increased from 18.0% to 19.8% (p<0.05), while detection of larger lesions remained unchanged. The biopsy rate decreased from 13.8% to 8.5% (p<0.05).Conclusions: Real-time AI modestly improved the detection of diminutive gastric lesions while reducing unnecessary biopsies without compromising malignancy detection, thereby supporting its utility in routine endoscopy under resource-limited conditions.","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147811835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Korean clinical practice guidelines for bowel preparation before colonoscopy. 韩国临床实践指南结肠镜检查前肠道准备。

IF 2.3

Clinical Endoscopy Pub Date : 2026-04-22 DOI: 10.5946/ce.2026.053

Jae Hyun Kim, Seung-Joo Nam, Beom Jae Lee, Eun Ran Kim, Eun Sun Kim, Eun Soo Kim, Chang Kyun Lee, Yehyun Park, Geom Seog Seo, Jong-Jae Park, Hyun-Soo Kim

引用次数: 0

Seeing more by looking longer: the value of time in diagnostic upper endoscopy. 看得越久，看得越多：时间在上内镜诊断中的价值。

IF 2.3

Clinical Endoscopy Pub Date : 2026-04-15 DOI: 10.5946/ce.2026.025

Seung Young Seo

引用次数: 0

Successful endoscopic removal of a hard rectal fecaloma using a needle-type knife and snare. 成功的内镜下切除硬直肠粪瘤使用针型刀和圈套。

IF 2.3

Clinical Endoscopy Pub Date : 2026-04-08 DOI: 10.5946/ce.2026.046

Sukit Pattarajierapan, Papanun Methakittrakoon, Thitithep Limvorapitak, Prapon Kanjanasilp, Supakij Khomvilai

引用次数: 0