Clinical Endoscopy最新文献_第10页

Computer-aided quality control in colonoscopy: clinical applications and limitations. 结肠镜检查的计算机辅助质量控制：临床应用与局限性。

IF 2.3

Clinical Endoscopy Pub Date : 2025-12-17 DOI: 10.5946/ce.2025.309

Elizabeth Lee Yoong Chen, James Weiquan Li

{"title":"Computer-aided quality control in colonoscopy: clinical applications and limitations.","authors":"Elizabeth Lee Yoong Chen, James Weiquan Li","doi":"10.5946/ce.2025.309","DOIUrl":"https://doi.org/10.5946/ce.2025.309","url":null,"abstract":"Computer-aided quality control (CAQ) systems are redefining colonoscopy by enabling the objective evaluation of procedural metrics and providing real-time feedback. This review explores the clinical utility, implementation barriers, and future prospects of CAQ, with an emphasis on its role in standardizing quality assessment and enhancing patient outcomes. A systematic search of PubMed (inception to January 2025) identified 66 relevant publications, including eight systematic reviews or meta-analyses, seven randomized controlled trials, and five cohort studies, in addition to validation and observational reports. CAQ systems improve traditional quality indicators such as withdrawal time, bowel preparation scores, and cecal intubation rates (CIRs). Emerging metrics-including effective withdrawal time, fold examination quality, and withdrawal speed-offer novel, quantifiable insights. Artificial intelligence-assisted colonoscopy consistently increases adenoma detection rates (from 38.5% to 47.9%) and extends withdrawal time (from 5.68 to 7.03 minutes). Automated systems achieve high accuracy in bowel preparation scoring (93.3%), cecal intubation recognition (95.5%), and surveillance interval assignment (92.0%), thereby addressing persistent gaps in documentation and follow-up care. CAQ systems hold transformative promise for improving colonoscopy quality. Addressing implementation challenges-including false positives, clinician adoption, cost, and regulatory issues-is essential. Future research should emphasize comparative effectiveness, standardized metrics, and large-scale clinical integration to help reduce the burden of colorectal cancer.","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145773706","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

Advanced endoscopy and artificial intelligence-enabled vascular healing for ulcerative colitis: promising frontiers or mere mirage? 先进内窥镜和人工智能支持的溃疡性结肠炎血管愈合：有希望的前沿还是仅仅是海市蜃楼？

IF 2.3

Clinical Endoscopy Pub Date : 2025-12-15 DOI: 10.5946/ce.2025.186

Yasuharu Maeda, Shin-Ei Kudo, Takanori Kuroki, Yurie Kawabata, Jun Ohara, Katsuro Ichimasa, Noriyuki Ogata, Kazuo Ohtsuka, Masashi Misawa

{"title":"Advanced endoscopy and artificial intelligence-enabled vascular healing for ulcerative colitis: promising frontiers or mere mirage?","authors":"Yasuharu Maeda, Shin-Ei Kudo, Takanori Kuroki, Yurie Kawabata, Jun Ohara, Katsuro Ichimasa, Noriyuki Ogata, Kazuo Ohtsuka, Masashi Misawa","doi":"10.5946/ce.2025.186","DOIUrl":"https://doi.org/10.5946/ce.2025.186","url":null,"abstract":"Ulcerative colitis, a chronic inflammatory bowel disease, is characterized by subtle microvascular alterations that play a critical role in disease perpetuation and mucosal injury. Recent advances in image-enhanced endoscopy and ultrahigh-magnification endoscopy have improved the real-time visualization of these vascular changes while highlighting their diagnostic value. Artificial intelligence (AI)-enabled endoscopic systems provide automated, reproducible vascular assessments. Emerging data suggest that AI-based vascular healing correlates with clinical remission and may alter histological scores, enabling the prediction of sustained remission. Despite these promising advances, challenges remain, such as standardizing vascular healing definitions, addressing interobserver variability, and validating AI-driven platforms in real-world settings. Integrating microvascular-targeted therapies and advanced imaging has the potential to transform the management of ulcerative colitis, facilitating sustained remission and improving the quality of life. This review examined the evolving role of microvascular assessment in ulcerative colitis, the potential of AI in refining endoscopic evaluation, and the prospects of incorporating vascular healing as a therapeutic target.","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145773672","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

Needle-knife precut techniques as the initial approach for biliary cannulation, is the evidence sufficient? 针刀预切技术作为胆道插管的初始入路，证据是否充分？

IF 2.3

Clinical Endoscopy Pub Date : 2025-12-15 DOI: 10.5946/ce.2025.391

Erfan Arabpour, Amir Sadeghi

引用次数: 0

Comment on "Impact of opioid addition on procedural conditions during colonoscopy: a randomized trial comparing propofol-based sedation protocols". 评论“阿片类药物添加对结肠镜检查过程条件的影响：一项比较异丙酚镇静方案的随机试验”。

IF 2.3

Clinical Endoscopy Pub Date : 2025-12-15 DOI: 10.5946/ce.2025.386

Ekrem Aslan

引用次数: 0

Endoscopic strategy and covered self-expandable metal stents for malignant hilar biliary obstruction. 内镜下治疗恶性肝门胆道梗阻及有盖自扩金属支架。

IF 2.3

Clinical Endoscopy Pub Date : 2025-12-03 DOI: 10.5946/ce.2025.343

Tae Hoon Lee, Jong Ho Moon, Sang-Heum Park

{"title":"Endoscopic strategy and covered self-expandable metal stents for malignant hilar biliary obstruction.","authors":"Tae Hoon Lee, Jong Ho Moon, Sang-Heum Park","doi":"10.5946/ce.2025.343","DOIUrl":"https://doi.org/10.5946/ce.2025.343","url":null,"abstract":"Malignant hilar biliary obstruction (MHO), most commonly caused by cholangiocarcinoma, is an aggressive condition with a poor prognosis. Because most patients with MHO are unsuitable for primary surgical resection at presentation because of advanced age or comorbidities, palliative biliary drainage is essential to relieve obstructive jaundice and improve the quality of life. Endoscopic drainage has become the preferred palliative approach, with the choice between plastic and metal stents depending on subsequent therapeutic plans, such as systemic chemotherapy or local ablative therapies. Among biliary stents, self-expandable metal stents (SEMSs) are widely used, typically in their uncovered form. However, unlike plastic stents, uncovered SEMSs cannot be removed once deployed, and endoscopic revision is technically challenging. To improve stent patency and facilitate removability, covered SEMSs (CSEMSs) were developed, and are now commonly used in distal malignant biliary obstruction. Nevertheless, in advanced MHO, the primary use of CSEMSs remains controversial. This review summarizes recent endoscopic strategies for advanced MHO, the evolution of CSEMSs, their clinical outcomes, current limitations, and future directions.","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145660724","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

Non-invasive colorectal cancer screening: emerging tools and clinical evidence. 非侵入性结直肠癌筛查：新兴工具和临床证据。

IF 2.3

Clinical Endoscopy Pub Date : 2025-12-03 DOI: 10.5946/ce.2025.246

Hyoung Il Choi, Jae Myung Cha

{"title":"Non-invasive colorectal cancer screening: emerging tools and clinical evidence.","authors":"Hyoung Il Choi, Jae Myung Cha","doi":"10.5946/ce.2025.246","DOIUrl":"https://doi.org/10.5946/ce.2025.246","url":null,"abstract":"The fecal immunochemical test (FIT) is a widely used non-invasive screening method for colorectal cancer (CRC) in many countries, valued for its simplicity, affordability, and reasonable sensitivity. Typically recommended on an annual or biennial basis, the FIT is effective in reducing CRC incidence and mortality by facilitating early detection. Stool DNA tests, including multitarget DNA tests and DNA methylation assays, demonstrate higher sensitivity than FIT for CRC and advanced adenomas, although they have slightly lower specificity and higher cost. These tests are generally performed at longer intervals, such as every 3 years, and are useful alternatives for individuals who are unwilling or unable to undergo a colonoscopy. Emerging non-invasive CRC screening tools, such as liquid biopsy, microRNA, microbiome tests, and urine-based tests, are being developed to improve patient compliance and test convenience. In particular, liquid biopsy offers a minimally invasive option that may be more acceptable to populations hesitant to undergo stool-based tests. Furthermore, the integration of machine learning with metagenomic sequencing data has shown promise in distinguishing patients with CRC from healthy individuals. As CRC screening evolves, these novel approaches may enable the development of more personalized, accessible, and effective screening strategies, ultimately improving adherence and reducing CRC-related mortality.","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145660756","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

Removal of embedded fully covered self-expandable metal stents above benign biliary strictures: the peel technique. 良性胆道狭窄上方嵌入的全覆盖自膨胀金属支架的去除：剥离技术。

IF 2.3

Clinical Endoscopy Pub Date : 2025-11-20 DOI: 10.5946/ce.2025.236

Rosario Arena, Annasara Diotaiuti, Tommaso Antenucci, Chiara Distabile, Emilio Barbera, Riccardo Solimando

引用次数: 0

Comments on 'The comparative study of Stretta radiofrequency and anti-reflux mucosectomy in the management of intractable gastroesophageal reflux disease: a single-center retrospective study from Korea'. 评论“Stretta射频与抗反流粘膜切除术治疗顽固性胃食管反流病的比较研究：韩国单中心回顾性研究”

IF 2.3

Clinical Endoscopy Pub Date : 2025-11-01 Epub Date: 2025-08-20 DOI: 10.5946/ce.2025.181

Gwang Ha Kim

引用次数: 0

Colorectal endoscopic submucosal dissection defect closure: promising but still evolving. 内镜下结肠粘膜下夹层缺损闭合：有希望但仍在发展。

IF 2.3

Clinical Endoscopy Pub Date : 2025-11-01 Epub Date: 2025-11-10 DOI: 10.5946/ce.2025.367

Yunho Jung

引用次数: 0

Effect of double-layered suturing for mucosal defect closure after colorectal endoscopic submucosal dissection on postoperative adverse events: a propensity score-matched retrospective study in Japan. 结直肠内镜下粘膜下剥离术后双层缝合粘膜缺损对术后不良事件的影响：日本一项倾向评分匹配的回顾性研究

IF 2.3

Clinical Endoscopy Pub Date : 2025-11-01 Epub Date: 2025-11-06 DOI: 10.5946/ce.2025.053

Kyohei Nishino, Hiroki Fujita, Takahiro Yuge, Masanori Hongo, Naoko Mori, Kazumi Shimamoto, Yu Kobayashi, Takashi Toyonaga, Hiromitsu Ban

{"title":"Effect of double-layered suturing for mucosal defect closure after colorectal endoscopic submucosal dissection on postoperative adverse events: a propensity score-matched retrospective study in Japan.","authors":"Kyohei Nishino, Hiroki Fujita, Takahiro Yuge, Masanori Hongo, Naoko Mori, Kazumi Shimamoto, Yu Kobayashi, Takashi Toyonaga, Hiromitsu Ban","doi":"10.5946/ce.2025.053","DOIUrl":"10.5946/ce.2025.053","url":null,"abstract":"Background: Prophylactic closure of mucosal defects after colorectal endoscopic submucosal dissection (ESD) can reduce the incidence of postoperative adverse events. However, data on this notion are limited. This study retrospectively evaluated the effect of closure using a double-layered suturing technique on postoperative adverse events.Methods: A total of 370 lesions in 317 patients who underwent colorectal ESD were included in this analysis. Patients with 197 lesions that were completely closed were then assigned to the closure group. Patients with 173 lesions, including 55 that were partially closed and 118 that were not closed, were assigned to the non-closure group. Propensity score matching was performed, and 136 lesions were selected for each group.Results: The closure group had a significantly lower overall incidence rate of postoperative adverse events, including delayed bleeding, delayed perforation, and post-ESD electrocoagulation syndrome, than the non-closure group (2.2% vs. 9.6%, p=0.018). The closure group had a significantly lower incidence of abdominal pain on the day after ESD than the non-closure group (2.9% vs. 11.0%, p=0.015).Conclusions: Prophylactic closure of mucosal defects after colorectal ESD using a double-layered suturing technique could prevent postoperative adverse events and abdominal pain on the day after ESD.","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":"58 6","pages":"881-889"},"PeriodicalIF":2.3,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12933538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145630353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0