Clinical Endoscopy最新文献_第7页

Prevalence and natural course of incidental gastric subepithelial tumors. 胃上皮下肿瘤的发病率和自然病程

IF 2.1

Clinical Endoscopy Pub Date : 2024-07-01 Epub Date: 2024-03-29 DOI: 10.5946/ce.2023.124

Dae-Hyuk Heo, Min A Yang, Jae Sun Song, Won Dong Lee, Jin Woong Cho

{"title":"Prevalence and natural course of incidental gastric subepithelial tumors.","authors":"Dae-Hyuk Heo, Min A Yang, Jae Sun Song, Won Dong Lee, Jin Woong Cho","doi":"10.5946/ce.2023.124","DOIUrl":"10.5946/ce.2023.124","url":null,"abstract":"Background/aims: Gastric subepithelial tumors (SETs) are often encountered during the upper gastrointestinal endoscopic screening. We assessed the prevalence of gastric SETs and the risk factors for their progression.Methods: We reviewed the electronic medical records of 30,754 patients who underwent upper gastrointestinal endoscopic screening at our medical center between January 2013 and December 2016.Results: Among the 30,754 patients examined, 599 (1.94%) had gastric SETs. The prevalence increased with age and was 9.56% in patients aged ≥70 years. In total, 262 patients underwent serial endoscopy for more than 6 months. The median age was 68 years (interquartile range [IQR], 61-74), and the number of females was 167 (63.7%). During a median follow-up of 58 months (IQR, 38-75), 22 patients (8.4%) showed significant changes in tumor size. An irregular border (odds ratio, 4.623; 95% confidence interval, 1.093-19.558; p=0.037) was a significant risk factor for progression. Seven patients underwent surgical or endoscopic resections. The pathologies of gastric SETs included leiomyomas (n=3), gastrointestinal stromal tumors (n=2), and lipomas (n=2).Conclusions: The prevalence of gastric SETs increases with age. Most gastric SETs do not progress during long-term endoscopic examinations, and the risk of an increase in size is low in asymptomatic small SETs without irregular borders.","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11294851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140317917","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

Choosing needles wisely: 19-G conventional vs. Franseen needles in endoscopic ultrasound-guided fine-needle aspiration for malignant lymphoma diagnosis and classification. 明智地选择针头：在内窥镜超声引导下进行细针抽吸以诊断和分类恶性淋巴瘤时，19G 传统针头与 Franseen 针头的对比。

IF 2.1

Clinical Endoscopy Pub Date : 2024-07-01 Epub Date: 2024-07-29 DOI: 10.5946/ce.2024.129

Kajornvit Raghareutai, Worapoth Yingyongthawat, Nonthalee Pausawasdi

引用次数: 0

Migration of covered expandable metal stents after endoscopic ultrasound-guided hepaticogastrostomy: stent covering versus stent design? 内镜超声引导肝胃造口术后有盖可扩张金属支架的移位：支架覆盖与支架设计？

IF 2.1

Clinical Endoscopy Pub Date : 2024-07-01 Epub Date: 2024-07-29 DOI: 10.5946/ce.2024.158

Todd H Baron

引用次数: 0

Endoscopic management of giant colonic polyps: a retrospective Italian study 巨大结肠息肉的内窥镜治疗：一项意大利回顾性研究

IF 2.5

Clinical Endoscopy Pub Date : 2024-06-05 DOI: 10.5946/ce.2023.229

P. Quitadamo, Sara Isoldi, G. de Nucci, Giulia Muzi, Flora Caruso

{"title":"Endoscopic management of giant colonic polyps: a retrospective Italian study","authors":"P. Quitadamo, Sara Isoldi, G. de Nucci, Giulia Muzi, Flora Caruso","doi":"10.5946/ce.2023.229","DOIUrl":"https://doi.org/10.5946/ce.2023.229","url":null,"abstract":"Background/Aims: Polyps greater than 30 mm are classified as “giants”. Their endoscopic removal represents a technical challenge. The choice of the endoscopic removal technique is important because it provides a resection sample for precise histopathological staging. This is pivotal for diagnostic, prognostic, and management purposes. Methods: From a retrospective analysis, we obtained a sample of 38 giant polyps. Eighteen polypectomies were performed using the epinephrine volume reduction (EVR) method, nine polypectomies utilized endo-looping or clipping methods, and 11 patients underwent surgery. Results: We obtained en bloc resection with the EVR method in all cases; histology confirmed the correct indication for endoscopic resection in all cases. Moreover, no early or delayed complications were observed, and no patient required hospitalization. Using en-do-looping or clipping methods, we observed advanced histology in 1/9 (11.1%) cases, while another patient (1/9, 11.1%) had delayed bleeding. Among patients who underwent surgery, 5/11 (45.5%) were deemed overtreated and three had post-surgical complications. Conclusions: We propose EVR as an alternative technique for giant polyp resection due to its safety, effectiveness, cost-efficiency, and the advantage of avoiding the need to postpone polypectomy to a later time. Further prospective studies might help improve this experience and enhance the technique.","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141385527","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

Safety and efficacy of endoscopic ultrasound-guided pancreatic duct drainage using a drill dilator: a retrospective study from Japan 内镜超声引导下使用钻孔扩张器进行胰管引流的安全性和有效性：日本的一项回顾性研究

IF 2.5

Clinical Endoscopy Pub Date : 2024-06-05 DOI: 10.5946/ce.2023.272

Ahmed Sadek, Kazuo Hara, Nozomi Okuno, S. Haba, Takamichi Kuwahara, Toshitaka Fukui, Mina Urata, Takashi Kondo, Yoshitaro Yamamoto, Kenneth Tachi

引用次数: 0

The evolution and current state of bariatric endoscopy in Western countries 西方国家减肥内镜检查的发展和现状

IF 2.5

Clinical Endoscopy Pub Date : 2024-05-24 DOI: 10.5946/ce.2023.253

M. V. Matteo, V. Bove, V. Pontecorvi, Loredana Gualtieri, Giorgio Carlino, Cristiano Spada, I. Boškoski

引用次数: 0

Effectiveness of endoscopic ultrasound-guided tissue acquisition with stereomicroscopic on-site evaluation for preoperative diagnosis of resectable or borderline resectable pancreatic cancer: a prospective study 内窥镜超声引导下组织采集与立体显微镜现场评估对可切除或边缘可切除胰腺癌术前诊断的有效性：一项前瞻性研究

IF 2.5

Clinical Endoscopy Pub Date : 2024-05-24 DOI: 10.5946/ce.2023.277

Junro Ishizaki, K. Okuwaki, Masafumi Watanabe, H. Imaizumi, T. Iwai, R. Hasegawa, Takahiro Kurosu, M. Tadehara, Takaaki Matsumoto, K. Adachi, Taro Hanaoka, M. Kida, Chika Kusano

引用次数: 0

Systematic review of self-assembling peptides as topical agents for treatment and prevention of gastrointestinal bleeding 将自组装肽作为治疗和预防消化道出血的外用药物的系统综述

IF 2.5

Clinical Endoscopy Pub Date : 2024-05-24 DOI: 10.5946/ce.2023.168

A. Voiosu, M. State, Victor Drăgan, S. Văduva, P. Balanescu, R. Mateescu, T. Voiosu

引用次数: 0

Drainage for fluid collections post pancreatic surgery and acute pancreatitis: similar but different? 胰腺手术后积液引流与急性胰腺炎：相似但不同？

IF 2.5

Clinical Endoscopy Pub Date : 2024-05-17 DOI: 10.5946/ce.2023.254

Yousuke Nakai, Saburo Matsubara, Tsuyoshi Mukai, Tsuyoshi Hamada, Takashi Sasaki, Hirotoshi Ishiwatari, Susumu Hijioka, Hideyuki Shiomi, Mamoru Takenaka, Takuji Iwashita, Atsuhiro Masuda, Tomotaka Saito, Hiroyuki Isayama, Ichiro Yasuda

{"title":"Drainage for fluid collections post pancreatic surgery and acute pancreatitis: similar but different?","authors":"Yousuke Nakai, Saburo Matsubara, Tsuyoshi Mukai, Tsuyoshi Hamada, Takashi Sasaki, Hirotoshi Ishiwatari, Susumu Hijioka, Hideyuki Shiomi, Mamoru Takenaka, Takuji Iwashita, Atsuhiro Masuda, Tomotaka Saito, Hiroyuki Isayama, Ichiro Yasuda","doi":"10.5946/ce.2023.254","DOIUrl":"https://doi.org/10.5946/ce.2023.254","url":null,"abstract":"Postoperative pancreatic fistulas (POPFs) are common adverse events that occur after pancreatic surgery. Endoscopic ultrasonography (EUS)-guided drainage (EUS-D) is a first-line treatment, similar to that for pancreatic fluid collection (PFCs) after acute pancreatitis. However, some POPFs do not develop fluid collections depending on the presence or location of the surgical drain, whereas others develop fluid collections, such as postoperative fluid collections (POPFCs). Although POPFCs are similar to PFCs, the strategy and modality for POPF management need to be modified according to the presence of fluid collections, surgical drains, and surgical type. As discussed for PFCs, the indications, timing, and selection of interventions or stents for EUS-D have not been fully elucidated for POPFs. In this review, we discuss the management of POPFs and POPFCs in comparison with PFCs due to acute pancreatitis and summarize the topics that should be addressed in future studies.","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140956230","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

Comparison of 19-gauge conventional and Franseen needles for the diagnosis of lymphadenopathy and classification of malignant lymphoma using endoscopic ultrasound fine-needle aspiration. 19号常规针和Franssee针在内镜超声细针抽吸诊断淋巴结病和恶性淋巴瘤分类中的比较。

IF 2.1

Clinical Endoscopy Pub Date : 2024-05-01 Epub Date: 2023-09-08 DOI: 10.5946/ce.2023.095

Mitsuru Okuno, Keisuke Iwata, Tsuyoshi Mukai, Yusuke Kito, Takuji Tanaka, Naoki Watanabe, Senji Kasahara, Yuhei Iwasa, Akihiko Sugiyama, Youichi Nishigaki, Yuhei Shibata, Junichi Kitagawa, Takuji Iwashita, Eiichi Tomita, Masahito Shimizu

{"title":"Comparison of 19-gauge conventional and Franseen needles for the diagnosis of lymphadenopathy and classification of malignant lymphoma using endoscopic ultrasound fine-needle aspiration.","authors":"Mitsuru Okuno, Keisuke Iwata, Tsuyoshi Mukai, Yusuke Kito, Takuji Tanaka, Naoki Watanabe, Senji Kasahara, Yuhei Iwasa, Akihiko Sugiyama, Youichi Nishigaki, Yuhei Shibata, Junichi Kitagawa, Takuji Iwashita, Eiichi Tomita, Masahito Shimizu","doi":"10.5946/ce.2023.095","DOIUrl":"10.5946/ce.2023.095","url":null,"abstract":"Background/aims: Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) using a 19-gauge needle is an efficient sampling method for the diagnosis of lymphadenopathy. This study compared 19-gauge conventional and Franseen needles for the diagnosis of lymphadenopathy and classification of malignant lymphoma (ML).Methods: Patient characteristics, number of needle passes, puncture route, sensitivity, specificity, and accuracy of cytology/histology for lymphadenopathy were analyzed in patients diagnosed with lymphadenopathy by EUS-FNA using conventional or Franseen needles.Results: Between 2012 and 2022, 146 patients met the inclusion criteria (conventional [n=70] and Franseen [n=76]). The median number of needle passes was significantly lower in the conventional group than in the Franseen group (3 [1-6] vs. 4 [1-6], p=0.023). There were no significant differences in cytological/histological diagnoses between the two groups. For ML, the immunohistochemical evaluation rate, sensitivity of flow cytometry, and cytogenetic assessment were not significantly different in either group. Bleeding as adverse events (AEs) were observed in three patients in the Franseen group.Conclusions: Both the 19-gauge conventional and Franseen needles showed high accuracy in lymphadenopathy and ML classification. Considering sufficient tissue collection and the avoidance of AEs, the use of 19-gauge conventional needles seems to be a good option for the diagnosis of lymphadenopathy.","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11133993/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41105968","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