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Endoscopic hemostatic powder as a salvage treatment for acute gastrointestinal bleeding. 内镜止血粉作为急性消化道出血的挽救治疗方法。
IF 2.1
Clinical Endoscopy Pub Date : 2024-09-01 Epub Date: 2024-08-22 DOI: 10.5946/ce.2024.098
Duc Trong Quach
{"title":"Endoscopic hemostatic powder as a salvage treatment for acute gastrointestinal bleeding.","authors":"Duc Trong Quach","doi":"10.5946/ce.2024.098","DOIUrl":"10.5946/ce.2024.098","url":null,"abstract":"","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":"606-607"},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11474475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142016580","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
Painless colonoscopy: fact or fiction? 无痛结肠镜检查：事实还是虚构？
IF 2.1
Clinical Endoscopy Pub Date : 2024-09-01 Epub Date: 2024-06-27 DOI: 10.5946/ce.2024.001
Pieter Sinonquel, Alexander Jans, Raf Bisschops
{"title":"Painless colonoscopy: fact or fiction?","authors":"Pieter Sinonquel, Alexander Jans, Raf Bisschops","doi":"10.5946/ce.2024.001","DOIUrl":"10.5946/ce.2024.001","url":null,"abstract":"<p><p>Although colonoscopy is a routinely performed procedure, it is not devoid of challenges, such as the potential for perforation and considerable patient discomfort, leading to patients postponing the procedure with several healthcare risks. This review delves into preprocedural and procedural solutions, and emerging technologies aimed at addressing the drawbacks of colonoscopies. Insufflation and sedation techniques, together with various other methods, have been explored to increase patient satisfaction, and thereby, the quality of endoscopy. Recent advances in this field include the prevention of loop formation, encompassing the use of variable-stiffness endoscopes, computer-guided scopes, magnetic endoscopic imaging, robotics, and capsule endoscopy. An autonomous endoscope that relies on self-propulsion to completely avoid looping is a potentially groundbreaking technology for the next generation of endoscopes. Nevertheless, critical techniques need to be refined to ensure the development of effective and efficient endoscopes.</p>","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":"581-587"},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11474464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141455695","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
Usefulness of micro forceps biopsy for cystic degenerated pancreatic neuroendocrine neoplasm. 胰腺神经内分泌肿瘤囊性变性的微型镊子活检术的实用性。
IF 2.1
Clinical Endoscopy Pub Date : 2024-09-01 Epub Date: 2024-08-22 DOI: 10.5946/ce.2024.052
Takuya Doi, Hirotoshi Ishiwatari, Junya Sato, Hiroki Sakamoto
{"title":"Usefulness of micro forceps biopsy for cystic degenerated pancreatic neuroendocrine neoplasm.","authors":"Takuya Doi, Hirotoshi Ishiwatari, Junya Sato, Hiroki Sakamoto","doi":"10.5946/ce.2024.052","DOIUrl":"10.5946/ce.2024.052","url":null,"abstract":"","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":"688-689"},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11474469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142016581","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
Timed barium esophagography to predict recurrent achalasia after peroral endoscopic myotomy: a retrospective study in Thailand. 预测口周内窥镜肌切开术后贲门失弛缓症复发的定时食管钡餐造影：泰国的一项回顾性研究。
IF 2.1
Clinical Endoscopy Pub Date : 2024-09-01 Epub Date: 2024-06-14 DOI: 10.5946/ce.2023.236
Tharathorn Suwatthanarak, Chainarong Phalanusitthepa, Chatbadin Thongchuam, Thawatchai Akaraviputh, Vitoon Chinswangwatanakul, Thikhamporn Tawantanakorn, Somchai Leelakusolvong, Monthira Maneerattanaporn, Piyaporn Apisarnthanarak, Jitladda Wasinrat
{"title":"Timed barium esophagography to predict recurrent achalasia after peroral endoscopic myotomy: a retrospective study in Thailand.","authors":"Tharathorn Suwatthanarak, Chainarong Phalanusitthepa, Chatbadin Thongchuam, Thawatchai Akaraviputh, Vitoon Chinswangwatanakul, Thikhamporn Tawantanakorn, Somchai Leelakusolvong, Monthira Maneerattanaporn, Piyaporn Apisarnthanarak, Jitladda Wasinrat","doi":"10.5946/ce.2023.236","DOIUrl":"10.5946/ce.2023.236","url":null,"abstract":"<p><strong>Background/aims: </strong>Achalasia is a rare esophageal motility disease, for which peroral endoscopic myotomy (POEM) has emerged as a promising treatment option; however, recurrence remains a challenge. Timed barium esophagography (TBE) is a useful diagnostic tool and potential outcome predictor of achalasia. This study aimed to determine predictive tools for recurrence after POEM.</p><p><strong>Methods: </strong>This retrospective study enrolled achalasia patients who underwent POEM between January 2015 and December 2021. Patients were categorized into two groups using the 1-month post-POEM Eckardt scores and TBE: the discordant group (Eckardt score improved >50%, TBE decreased <50%) and the concordant group (both Eckardt score and TBE improved >50%). Recurrence was defined as a reincrease in the Eckardt score to more than three during follow-up.</p><p><strong>Results: </strong>Complete medical records were available in 30 patients who underwent POEM. Seventeen patients (56.7%) were classified into the discordant group, while 13 patients (43.3%) were in the concordant group. The overall recurrence rate was 11.9% at 1-year, increasing to 23.8% during the extended follow-up. The discordant group had a 6.87 fold higher recurrence rate than the concordant group (52.9% vs. 7.7%, p=0.017).</p><p><strong>Conclusions: </strong>These results strongly suggest that combining the Eckardt score with TBE can effectively predict recurrent achalasia after POEM. Patients in the discordant group had an elevated risk.</p>","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":"610-619"},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11474463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141316872","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
Surveillance for metachronous cancers after endoscopic resection of esophageal squamous cell carcinoma. 对食管鳞状细胞癌内镜切除术后的间变性癌症进行监控。
IF 2.1
Clinical Endoscopy Pub Date : 2024-09-01 Epub Date: 2024-05-10 DOI: 10.5946/ce.2023.263
Ryu Ishihara
{"title":"Surveillance for metachronous cancers after endoscopic resection of esophageal squamous cell carcinoma.","authors":"Ryu Ishihara","doi":"10.5946/ce.2023.263","DOIUrl":"10.5946/ce.2023.263","url":null,"abstract":"<p><p>The literature pertaining to surveillance following treatment for esophageal squamous cell carcinoma (SCC) was reviewed and summarized, encompassing the current status and future perspectives. Analysis of the standardized mortality and incidence ratios for these cancers indicates an elevated risk of cancer in the oral cavity, pharynx, larynx, and lungs among patients with esophageal SCC compared to the general population. To enhance the efficacy of surveillance for these metachronous cancers, risk stratification is needed. Various factors, including multiple Lugol-voiding lesions, multiple foci of dilated vascular areas, young age, and high mean corpuscular volume, have been identified as predictors of metachronous SCCs. Current practice involves stratifying the risk of metachronous esophageal and head/neck SCCs based on the presence of multiple Lugol-voiding lesions. Endoscopic surveillance, scheduled 6-12 months post-endoscopic resection, has demonstrated effectiveness, with over 90% of metachronous esophageal SCCs treatable through minimally invasive modalities. Narrow-band imaging emerges as the preferred surveillance method for esophageal and head/neck SCC based on comparative studies of various imaging techniques. Innovative approaches, such as artificial intelligence-assisted detection systems and radiofrequency ablation of high-risk background mucosa, may improve outcomes in patients following endoscopic resection.</p>","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":"559-570"},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11474468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140897400","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
Advances in self-expandable metal stents for endoscopic ultrasound-guided interventions. 用于内窥镜超声引导介入治疗的自膨胀金属支架的进展。
IF 2.1
Clinical Endoscopy Pub Date : 2024-09-01 Epub Date: 2024-07-09 DOI: 10.5946/ce.2023.169
Dong Kee Jang, Dong Wook Lee, Seong-Hun Kim, Kwang Bum Cho, Sundeep Lakhtakia
{"title":"Advances in self-expandable metal stents for endoscopic ultrasound-guided interventions.","authors":"Dong Kee Jang, Dong Wook Lee, Seong-Hun Kim, Kwang Bum Cho, Sundeep Lakhtakia","doi":"10.5946/ce.2023.169","DOIUrl":"10.5946/ce.2023.169","url":null,"abstract":"<p><p>Endoscopic ultrasound (EUS)-guided interventions have evolved rapidly in recent years, with dedicated metal stents playing a crucial role in this process. Specifically, the invention of biflanged short metal-covered stents, including lumen-apposing metal stents (LAMS), and modifications in a variety of tubular self-expandable metal stents (SEMS), have led to innovations in EUS-guided interventions. LAMS or non-LAMS stents are commonly used in the EUS-guided drainage of pancreatic fluid collections, especially in cases of walled-off necrosis. Additionally, LAMS is commonly considered for drainage of the EUS-guided gallbladder or dilated common bile duct and EUS-guided gastroenterostomy. Fully or partially covered tubular SEMS with several new designs are being considered for EUS-guided biliary drainage. This review focuses on advances in SEMS for EUS-guided interventions and discusses related research results.</p>","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":"588-594"},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11474478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141558254","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
Current status and clinical outcome of endoscopic hemostatic powder in gastrointestinal bleeding: a retrospective multicenter study. 内镜止血粉治疗消化道出血的现状和临床疗效：一项回顾性多中心研究。
IF 2.1
Clinical Endoscopy Pub Date : 2024-09-01 Epub Date: 2024-03-08 DOI: 10.5946/ce.2023.179
Zie Hae Lim, Seung In Seo, Dae-Seong Myung, Seung Han Kim, Han Hee Lee, Selen Kim, Bo-In Lee
{"title":"Current status and clinical outcome of endoscopic hemostatic powder in gastrointestinal bleeding: a retrospective multicenter study.","authors":"Zie Hae Lim, Seung In Seo, Dae-Seong Myung, Seung Han Kim, Han Hee Lee, Selen Kim, Bo-In Lee","doi":"10.5946/ce.2023.179","DOIUrl":"10.5946/ce.2023.179","url":null,"abstract":"<p><strong>Background/aims: </strong>Few multicenter studies have investigated the efficacy of hemostatic powders in gastrointestinal (GI) bleeding. We aimed to investigate the clinical outcomes of hemostatic powder therapy and the independent factors affecting rebleeding rates.</p><p><strong>Methods: </strong>We retrospectively recruited patients who underwent a new hemostatic adhesive powder (UI-EWD; Next-Biomedical) treatment for upper and lower GI bleeding between January 1, 2020 and March 1, 2023. We collected patients' medical records and bleeding lesions. The primary outcomes were clinical and technical success rates, and the secondary outcomes were early, delayed, and refractory bleeding, mortality, and factors affecting early rebleeding rates.</p><p><strong>Results: </strong>This study enrolled 135 patients (age: 67.7±13.6 years, male: 74.1%) from five hospitals. Indications for UI-EWD were peptic ulcers (51.1%), post-procedure-related bleeding (23.0%), and tumor bleeding (19.3%). The clinical and technical success rates were both 97%. The early, delayed, and refractory rebleeding rates were 19.3%, 11.1%, and 12.8%, respectively. Initially elevated blood urea nitrogen (BUN) levels (p=0.014) and Forrest classification IA or IB compared with IIA or IIB (p=0.036) were factors affecting early rebleeding.</p><p><strong>Conclusions: </strong>UI-EWD showed high clinical and technical success rates; however, rebleeding after UI-EWD therapy in patients with initially high BUN levels and active bleeding, according to the Forrest classification, should be considered.</p>","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":"620-627"},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11474474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140058793","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
Long-term surveillance of gastric varices after cyanoacrylate injection in patients with non-cirrhotic portal hypertension: is it worth the effort? 非肝硬化门静脉高压症患者注射氰基丙烯酸酯后胃静脉曲张的长期监测：值得吗？
IF 2.1
Clinical Endoscopy Pub Date : 2024-09-01 Epub Date: 2024-05-17 DOI: 10.5946/ce.2023.239
Bernhard Morell, Fritz Ruprecht Murray, Christoph Gubler, Christoph Schlag, Andreas E Kremer, Ansgar Deibel
{"title":"Long-term surveillance of gastric varices after cyanoacrylate injection in patients with non-cirrhotic portal hypertension: is it worth the effort?","authors":"Bernhard Morell, Fritz Ruprecht Murray, Christoph Gubler, Christoph Schlag, Andreas E Kremer, Ansgar Deibel","doi":"10.5946/ce.2023.239","DOIUrl":"10.5946/ce.2023.239","url":null,"abstract":"","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":"690-693"},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11474480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140956232","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
Safety and efficacy of liquid nitrogen spray cryotherapy-assisted balloon dilation for refractory anastomotic strictures. 液氮喷雾冷冻疗法辅助球囊扩张术治疗难治性吻合口狭窄的安全性和有效性。
IF 2.1
Clinical Endoscopy Pub Date : 2024-09-01 Epub Date: 2024-06-12 DOI: 10.5946/ce.2024.012
Christopher Adam Bouvette, Ahmad Basel Nasir, James Matthew Reinersman, Amir Rumman
{"title":"Safety and efficacy of liquid nitrogen spray cryotherapy-assisted balloon dilation for refractory anastomotic strictures.","authors":"Christopher Adam Bouvette, Ahmad Basel Nasir, James Matthew Reinersman, Amir Rumman","doi":"10.5946/ce.2024.012","DOIUrl":"10.5946/ce.2024.012","url":null,"abstract":"","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":"694-696"},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11474479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141305589","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
A novel spiral dilator for pancreatic duct drainage: catching two birds with one stone. 用于胰管引流的新型螺旋扩张器：一石二鸟。
IF 2.1
Clinical Endoscopy Pub Date : 2024-09-01 Epub Date: 2024-09-02 DOI: 10.5946/ce.2024.201
Han Taek Jeong, Jimin Han
{"title":"A novel spiral dilator for pancreatic duct drainage: catching two birds with one stone.","authors":"Han Taek Jeong, Jimin Han","doi":"10.5946/ce.2024.201","DOIUrl":"10.5946/ce.2024.201","url":null,"abstract":"","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":"608-609"},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11474471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142104989","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
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