Clinical Endoscopy最新文献_第4页

Efficacy of multi-hole self‑expandable metallic stents versus partially covered self‑expandable metallic stents in patients with malignant distal biliary obstruction caused by unresectable pancreatic cancer: a retrospective comparative cohort study in Japan. 日本的一项回顾性比较队列研究：多孔自膨胀金属支架与部分覆盖自膨胀金属支架在不可切除胰腺癌引起的恶性胆道远端梗阻患者中的疗效。

IF 2.3

Clinical Endoscopy Pub Date : 2025-09-01 Epub Date: 2025-08-26 DOI: 10.5946/ce.2024.340

Shohei Asada, Koh Kitagawa, Fumimasa Tomooka, Jun-Ichi Hanatani, Yuki Motokawa, Yui Osaki, Tomihiro Iwata, Kosuke Kaji, Akira Mitoro, Hitoshi Yoshiji

{"title":"Efficacy of multi-hole self‑expandable metallic stents versus partially covered self‑expandable metallic stents in patients with malignant distal biliary obstruction caused by unresectable pancreatic cancer: a retrospective comparative cohort study in Japan.","authors":"Shohei Asada, Koh Kitagawa, Fumimasa Tomooka, Jun-Ichi Hanatani, Yuki Motokawa, Yui Osaki, Tomihiro Iwata, Kosuke Kaji, Akira Mitoro, Hitoshi Yoshiji","doi":"10.5946/ce.2024.340","DOIUrl":"10.5946/ce.2024.340","url":null,"abstract":"Background: This study aimed to compare the stent patency between the novel multi-hole self-expandable metallic stent (MH-SEMS) and conventional partially covered SEMS (PC-SEMS) for malignant distal biliary obstruction (MDBO) in patients with pancreatic carcinoma.Methods: This retrospective study compared stent patency between patients with MH-SEMS (n=43) and those with PC-SEMS (n=94). Secondary outcomes were overall survival (OS), incidence of recurrent biliary obstruction (RBO), causes of RBO, and adverse events (AEs).Results: The median time to RBO did not differ significantly between the MH-SEMS and PC-SEMS groups (318 vs. 460 days, p=0.17). Furthermore, the two groups did not differ significantly in terms of OS and incidence rate of AEs, including RBO and cholecystitis. RBO caused by tumor ingrowth was slightly more common in the MH-SEMS group (p=0.089). The MH-SEMS group had a slightly lower 12-month non-obstruction rate than the PC-SEMS group (33.9% vs. 60.9%). In the MH-SEMS group, stent removal was successful in all seven patients in whom it was attempted.Conclusions: The clinical outcomes of MH-SEMS and PC-SEMS were similar in patients with MDBO caused by pancreatic carcinoma were similar.","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":"744-756"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12489573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144945126","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

Per-rectal endoscopic myotomy for ultrashort-segment Hirschsprung's disease in adult patients. 经直肠内镜下肌切开术治疗成人超短节段先天性巨结肠病。

IF 2.3

Clinical Endoscopy Pub Date : 2025-09-01 Epub Date: 2025-05-08 DOI: 10.5946/ce.2025.002

Harshal Surendra Mandavdhare, Arvind Sekar, Ritesh Acharya, Rajani Kant Kumar

引用次数: 0

Endoscopic full-thickness resection for the treatment of gastric gastrointestinal stromal tumors. 内镜下全层切除治疗胃肠道间质瘤。

IF 2.3

Clinical Endoscopy Pub Date : 2025-08-28 DOI: 10.5946/ce.2025.001

Bao-Hui Song, Jiashaer Bahetinuer, Yun-Shi Zhong, Hon Chi Yip, Ping-Hong Zhou, Ming-Yan Cai

引用次数: 0

Isolated gastric plasmacytoma mimicking a gastrointestinal stromal tumor. 模拟胃肠道间质瘤的分离胃浆细胞瘤。

IF 2.3

Clinical Endoscopy Pub Date : 2025-08-27 DOI: 10.5946/ce.2025.176

César Vivian Lopes, Franciele S Bertol, Carolina F Gomes, Pedro G Schaefer, Antônio Dal Pizzol Júnior

引用次数: 0

Comparative efficacy and safety of supine versus prone positioning in endoscopic retrograde cholangiopancreatography: a systematic review and meta-analysis. 内镜逆行胆管造影中仰卧位与俯卧位的疗效和安全性比较：一项系统回顾和荟萃分析。

IF 2.3

Clinical Endoscopy Pub Date : 2025-08-26 DOI: 10.5946/ce.2025.072

Fariha Hasan, Muhammad Shahzil, Ayesha Liaquat, Taha Bin Arif, Muhammad Yafaa Naveed Chaudhary, Eugene Annor, Dushyant Singh Dahiya, Jay Patel, Rohini Maddigunta, Avneet Singh, Alexander Garcia, Babu P Mohan, Rachel Frank, Adib Chaaya

{"title":"Comparative efficacy and safety of supine versus prone positioning in endoscopic retrograde cholangiopancreatography: a systematic review and meta-analysis.","authors":"Fariha Hasan, Muhammad Shahzil, Ayesha Liaquat, Taha Bin Arif, Muhammad Yafaa Naveed Chaudhary, Eugene Annor, Dushyant Singh Dahiya, Jay Patel, Rohini Maddigunta, Avneet Singh, Alexander Garcia, Babu P Mohan, Rachel Frank, Adib Chaaya","doi":"10.5946/ce.2025.072","DOIUrl":"10.5946/ce.2025.072","url":null,"abstract":"Background/aims: Endoscopic retrograde cholangiopancreatography (ERCP) is conventionally performed in the prone position (PP). Recent studies have shown that the supine position (SP) is an effective alternative, with comparable success rates. We conducted a meta-analysis to directly compare the safety and efficacy of the two ERCP positions.Methods: In line with Cochrane and Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a systematic review was performed through a comprehensive search of PubMed, Embase, Web of Science, and the Cochrane Library. Statistical analyses were performed using RevMan, with results considered significant at p<0.05 and reported as odds ratios (ORs) and mean differences (MDs).Results: Eleven studies (24,285 patients) were included in the final analysis. Procedural success was significantly higher in the PP (OR, 0.52; 95% confidence interval [CI], 0.36-0.75; p<0.0004) than the SP. However, no significant difference was observed in procedure times (MD, 0.22; 95% CI, -7.07 to 7.50; p=0.95), number of cardiopulmonary complications (OR, 1.08; 95% CI, 0.47-2.48; p=0.86), or post-ERCP pancreatitis (OR, 1.12; 95% CI, 0.52-2.42; p=0.31) between the two groups.Conclusions: The PP demonstrates superior ERCP success compared to the SP, without prolonging procedure time or increasing the risk of adverse events. However, given the comparable procedure times, incidence of adverse events, and increased comfort for both patients and anesthesiologists, the SP may be a suitable alternative for a select group of patients in whom the PP is not feasible, such as those with morbid obesity or recent abdominal surgery.","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144945111","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

Endoscopic hand suturing combined with radiofrequency coagulation for persistent gastrocutaneous fistula. 内镜下手缝合联合射频凝固治疗顽固性胃皮瘘。

IF 2.3

Clinical Endoscopy Pub Date : 2025-08-21 DOI: 10.5946/ce.2025.206

Atsushi Goto, Koichi Hamabe, Shunsuke Ito, Shinichi Hashimoto, Jun Nishikawa, Taro Takami

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 : 2025-08-20 DOI: 10.5946/ce.2025.181

Gwang Ha Kim

引用次数: 0

Current status of therapeutic endoscopy in Vietnam. 越南治疗性内窥镜的现状。

IF 2.3

Clinical Endoscopy Pub Date : 2025-08-19 DOI: 10.5946/ce.2025.041

Ky Doan Thai, Binh Thanh Mai, Tung Lam Nguyen, Dung Dang Quy Ho

引用次数: 0

Mucosal defect closure using the side hole of a transparent hood. 使用透明罩的侧孔封闭粘膜缺损。

IF 2.3

Clinical Endoscopy Pub Date : 2025-08-18 DOI: 10.5946/ce.2025.183

Yasuhiro Taniguchi, Takuma Okamura, Hisamitsu Miyaaki

引用次数: 0

Self-expandable metal vs. plastic stents for preoperative biliary drainage in patients receiving neoadjuvant chemotherapy. 自膨胀金属支架与塑料支架在接受新辅助化疗患者术前胆道引流中的应用。

IF 2.3

Clinical Endoscopy Pub Date : 2025-07-30 DOI: 10.5946/ce.2025.045

Takashi Tamura, Reiko Ashida, Yuki Kawaji, Masahiro Itonaga, Yasunobu Yamashita, Masayuki Kitano

{"title":"Self-expandable metal vs. plastic stents for preoperative biliary drainage in patients receiving neoadjuvant chemotherapy.","authors":"Takashi Tamura, Reiko Ashida, Yuki Kawaji, Masahiro Itonaga, Yasunobu Yamashita, Masayuki Kitano","doi":"10.5946/ce.2025.045","DOIUrl":"https://doi.org/10.5946/ce.2025.045","url":null,"abstract":"Neoadjuvant chemotherapy (NAC) improves the rate of curative resection and overall prognosis in patients with resectable or borderline resectable pancreatic cancer. The treatment period from the initiation of NAC to surgery typically ranges from 2 to 6 months. In cases of malignant biliary obstruction caused by pancreatic cancer, maintaining preoperative biliary drainage (PBD) until surgery is essential to continue NAC. Minimizing adverse events related to endoscopic biliary drainage and avoiding perioperative adverse events are crucial. Plastic stents (PSs) are commonly used for PBD; however, the extended duration of PBD required for NAC increases the risk of recurrent biliary obstruction (RBO), potentially leading to discontinuation of NAC. Therefore, preventing RBO during PBD in patients with pancreatic cancer receiving NAC is important. The placement of self-expandable metal stents (SEMSs) for PBD significantly reduces the rate of RBO compared with PS placement. Although SEMS placement may increase the risk of pancreatitis or cholecystitis, its effect on postoperative outcomes is comparable to that of PS placement. Given their lower rate of RBO, SEMSs are considered more suitable than PSs for PBD in patients with pancreatic cancer receiving NAC.","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144741340","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