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Successful staged mechanical lithotripsy using standard grasping forceps for Bouveret syndrome with direct visualization of a cholecystoduodenal fistula. 使用标准抓取钳对布韦莱特综合征进行成功的分阶段机械碎石术，直接观察胆囊十二指肠瘘。
IF 3.4
Clinical Endoscopy Pub Date : 2026-09-11 DOI: 10.5946/ce.2026.333
Sei Kurokawa, Takae Minami, Tomomi Yajima, Fumitake Hata
{"title":"Successful staged mechanical lithotripsy using standard grasping forceps for Bouveret syndrome with direct visualization of a cholecystoduodenal fistula.","authors":"Sei Kurokawa, Takae Minami, Tomomi Yajima, Fumitake Hata","doi":"10.5946/ce.2026.333","DOIUrl":"https://doi.org/10.5946/ce.2026.333","url":null,"abstract":"","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148929067","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
Strategies for successful endoscopic submucosal dissection in difficult conditions of the upper gastrointestinal tract. 上消化道困难条件下成功的内镜粘膜下剥离策略。
IF 3.4
Clinical Endoscopy Pub Date : 2026-09-10 DOI: 10.5946/ce.2025.476
Jin Woong Cho
{"title":"Strategies for successful endoscopic submucosal dissection in difficult conditions of the upper gastrointestinal tract.","authors":"Jin Woong Cho","doi":"10.5946/ce.2025.476","DOIUrl":"https://doi.org/10.5946/ce.2025.476","url":null,"abstract":"<p><p>Endoscopic submucosal dissection (ESD) is a useful method for the treatment of early cancers of the esophagus and stomach. Difficulty during gastric ESD increases the risk of local recurrence or severe complications, with risk factors including an upper gastric location, large lesions (>20 mm), submucosal cancer, and fibrotic lesions. Various types of electrosurgical knives with advanced functions have been developed, and image-enhanced endoscopy provides more accurate information for tumor assessment. Under certain conditions, the endoscopic approach to ESD can be challenging and may result in poor resection outcomes. Clip traction, changes in patient positioning, air deflation, and precise dissection can be effective options, depending on the circumstances. The pocket creation method is useful for resecting large lesions in the esophagus and stomach. Severe fibrotic lesions may require endoscopic subserosal dissection when located in the cardia, or along the lesser or greater curvature of the stomach. In addition, gastric peroral endoscopic myotomy can overcome anatomical obstacles in some cases.</p>","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148918697","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
Buoyancy-assisted grasp-surface-cut technique: a scissor-type mucosal incision approach for water-collecting esophageal regions where traction devices are difficult to deploy. 浮力辅助抓面切割技术：一种剪刀式粘膜切口入路，用于难以部署牵引装置的食管集水区域。
IF 3.4
Clinical Endoscopy Pub Date : 2026-09-10 DOI: 10.5946/ce.2026.104
Satoshi Abiko, Masaki Inoue, Shuichi Miyamoto, Masayoshi Ono, Shoko Ono, Naoya Sakamoto
{"title":"Buoyancy-assisted grasp-surface-cut technique: a scissor-type mucosal incision approach for water-collecting esophageal regions where traction devices are difficult to deploy.","authors":"Satoshi Abiko, Masaki Inoue, Shuichi Miyamoto, Masayoshi Ono, Shoko Ono, Naoya Sakamoto","doi":"10.5946/ce.2026.104","DOIUrl":"https://doi.org/10.5946/ce.2026.104","url":null,"abstract":"","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148918714","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
Spontaneous complete fracture of a fully covered self-expandable biliary metal stent. 全覆盖自膨胀胆道金属支架自然完全断裂。
IF 3.4
Clinical Endoscopy Pub Date : 2026-09-09 DOI: 10.5946/ce.2026.227
Masahiro Yanagi, Masaki Miyazawa, Hajime Takatori
{"title":"Spontaneous complete fracture of a fully covered self-expandable biliary metal stent.","authors":"Masahiro Yanagi, Masaki Miyazawa, Hajime Takatori","doi":"10.5946/ce.2026.227","DOIUrl":"https://doi.org/10.5946/ce.2026.227","url":null,"abstract":"","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148910689","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
From learning curves to competency curves in colorectal endoscopic submucosal dissection. 从学习曲线到能力曲线在结肠内镜下粘膜下解剖。
IF 3.4
Clinical Endoscopy Pub Date : 2026-09-09 DOI: 10.5946/ce.2026.338
Dong Hoon Baek
{"title":"From learning curves to competency curves in colorectal endoscopic submucosal dissection.","authors":"Dong Hoon Baek","doi":"10.5946/ce.2026.338","DOIUrl":"https://doi.org/10.5946/ce.2026.338","url":null,"abstract":"","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148910423","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
Superficial non-ampullary duodenal epithelial tumors resembling colorectal traditional serrated adenoma with features identified by texture and color enhancement imaging with indigo carmine. 浅表非壶腹性十二指肠上皮肿瘤，类似结直肠传统的锯齿状腺瘤，通过纹理和靛蓝胭脂红彩色增强成像识别特征。
IF 3.4
Clinical Endoscopy Pub Date : 2026-09-07 DOI: 10.5946/ce.2026.186
Kenichiro Okimoto, Keisuke Matsusaka, Tomoaki Matsumura, Tsubasa Ishikawa, Yuki Ohta, Takashi Taida, Jun-Ichiro Ikeda, Jun Kato
{"title":"Superficial non-ampullary duodenal epithelial tumors resembling colorectal traditional serrated adenoma with features identified by texture and color enhancement imaging with indigo carmine.","authors":"Kenichiro Okimoto, Keisuke Matsusaka, Tomoaki Matsumura, Tsubasa Ishikawa, Yuki Ohta, Takashi Taida, Jun-Ichiro Ikeda, Jun Kato","doi":"10.5946/ce.2026.186","DOIUrl":"https://doi.org/10.5946/ce.2026.186","url":null,"abstract":"","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148910718","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
Artificial intelligence-driven decision-making after endoscopic resection for early gastric cancer. 早期胃癌内镜切除术后人工智能驱动的决策。
IF 3.4
Clinical Endoscopy Pub Date : 2026-09-04 DOI: 10.5946/ce.2026.176
Katsuro Ichimasa, Masashi Misawa, Jimmy Bok Yan So, Fumiaki Ishibashi, Taishi Okumura, Yasuharu Maeda, Sho Suzuki, Tetsuo Nemoto, Khay Guan Yeoh, Kazuo Ohtsuka
{"title":"Artificial intelligence-driven decision-making after endoscopic resection for early gastric cancer.","authors":"Katsuro Ichimasa, Masashi Misawa, Jimmy Bok Yan So, Fumiaki Ishibashi, Taishi Okumura, Yasuharu Maeda, Sho Suzuki, Tetsuo Nemoto, Khay Guan Yeoh, Kazuo Ohtsuka","doi":"10.5946/ce.2026.176","DOIUrl":"https://doi.org/10.5946/ce.2026.176","url":null,"abstract":"<p><p>Early gastric cancer (EGC) is increasingly managed by endoscopic resection (ER); however, lymph node metastasis (LNM), which occurs in approximately 5%-10% of cases, remains the key determinant for recommending additional gastrectomy. Current guideline-based strategies, including the eCura system, provide structured risk stratification but rely on categorical decision-making and may lead to overtreatment, as nearly 90% of patients undergoing additional surgery do not have LNM. Artificial intelligence (AI) has emerged as a promising tool for improving LNM predictions. Machine learning models using clinicopathological variables have demonstrated promising discriminatory performance (area under the curve, 0.69-0.94), often outperforming conventional scoring systems such as eCura. However, these approaches rely on predefined variables and are susceptible to interobserver variability in pathological assessments. Whole-slide image-based AI directly analyzes histopathological images, offering an objective and reproducible approach. Although evidence for EGC is limited, recent multicenter data have demonstrated promising results using routine hematoxylin and eosin-stained slides. Beyond the LNM risk, treatment decisions should also consider patient factors such as age, comorbidities, and competing mortality risks. AI is expected to support treatment decision-making by integrating these multidimensional factors, enabling more personalized and risk-adapted management after ER.</p>","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886588","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
Computed tomography portal venous reconstruction assisted endoscopic ultrasound-guided selective inflow vessel devascularization for the treatment of type 1 gastroesophageal varices. 门静脉重建辅助内镜超声引导下选择性入流血管断流术治疗1型胃食管静脉曲张。
IF 3.4
Clinical Endoscopy Pub Date : 2026-09-04 DOI: 10.5946/ce.2025.451
Qingyan Fu, Haiping Peng, Xiang Ding
{"title":"Computed tomography portal venous reconstruction assisted endoscopic ultrasound-guided selective inflow vessel devascularization for the treatment of type 1 gastroesophageal varices.","authors":"Qingyan Fu, Haiping Peng, Xiang Ding","doi":"10.5946/ce.2025.451","DOIUrl":"https://doi.org/10.5946/ce.2025.451","url":null,"abstract":"","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886591","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
Gastritis cystica profunda of the gastric cardia mimicking an early neoplastic lesion in an unoperated stomach. 贲门深囊性胃炎，类似于未手术胃的早期肿瘤病变。
IF 3.4
Clinical Endoscopy Pub Date : 2026-09-04 DOI: 10.5946/ce.2026.115
Ming-Hui Chang, Yu-Hao Chen, Yu-Ting Yu, Chao-Yen Huang, Chun-Che Lin, Chi-Chih Wang
{"title":"Gastritis cystica profunda of the gastric cardia mimicking an early neoplastic lesion in an unoperated stomach.","authors":"Ming-Hui Chang, Yu-Hao Chen, Yu-Ting Yu, Chao-Yen Huang, Chun-Che Lin, Chi-Chih Wang","doi":"10.5946/ce.2026.115","DOIUrl":"https://doi.org/10.5946/ce.2026.115","url":null,"abstract":"","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886617","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
Outcomes of endoscopic resection of upper gastrointestinal tract subepithelial lesions <2 cm in size. 内镜下切除上消化道上皮下病变< 2cm的结果。
IF 3.4
Clinical Endoscopy Pub Date : 2026-09-02 DOI: 10.5946/ce.2026.168
Taylor Bowler, Rahul Karna, James S Mallery, Mohammad Bilal, Nabeel Azeem
{"title":"Outcomes of endoscopic resection of upper gastrointestinal tract subepithelial lesions <2 cm in size.","authors":"Taylor Bowler, Rahul Karna, James S Mallery, Mohammad Bilal, Nabeel Azeem","doi":"10.5946/ce.2026.168","DOIUrl":"https://doi.org/10.5946/ce.2026.168","url":null,"abstract":"","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148873063","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
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