Clinical Endoscopy最新文献_第8页

Aerosol protection using modified N95 respirator during upper gastrointestinal endoscopy: a randomized controlled trial. 在上消化道内窥镜检查过程中使用改良型 N95 呼吸器进行气溶胶防护：随机对照试验。

IF 2.5

Clinical Endoscopy Pub Date : 2024-05-01 Epub Date: 2023-06-21 DOI: 10.5946/ce.2023.018

Chawisa Nampoolsuksan, Thawatchai Akaraviputh, Asada Methasate, Jirawat Swangsri, Atthaphorn Trakarnsanga, Chainarong Phalanusitthepha, Thammawat Parakonthun, Voraboot Taweerutchana, Nicha Srisuworanan, Tharathorn Suwatthanarak, Thikhamporn Tawantanakorn, Varut Lohsiriwat, Vitoon Chinswangwatanakul

{"title":"Aerosol protection using modified N95 respirator during upper gastrointestinal endoscopy: a randomized controlled trial.","authors":"Chawisa Nampoolsuksan, Thawatchai Akaraviputh, Asada Methasate, Jirawat Swangsri, Atthaphorn Trakarnsanga, Chainarong Phalanusitthepha, Thammawat Parakonthun, Voraboot Taweerutchana, Nicha Srisuworanan, Tharathorn Suwatthanarak, Thikhamporn Tawantanakorn, Varut Lohsiriwat, Vitoon Chinswangwatanakul","doi":"10.5946/ce.2023.018","DOIUrl":"10.5946/ce.2023.018","url":null,"abstract":"Background/aims: The coronavirus disease 2019 pandemic has affected the worldwide practice of upper gastrointestinal endoscopy. Here we designed a modified N95 respirator with a channel for endoscope insertion and evaluated its efficacy in upper gastrointestinal endoscopy.Methods: Thirty patients scheduled for upper gastrointestinal endoscopy were randomized into the modified N95 (n=15) or control (n=15) group. The mask was placed on the patient after anesthesia administration and particles were counted every minute before (baseline) and during the procedure by a TSI AeroTrak particle counter (9306-04; TSI Inc.) and categorized by size (0.3, 0.5, 1, 3, 5, and 10 µm). Differences in particle counts between time points were recorded.Results: During the procedure, the modified N95 group displayed significantly smaller overall particle sizes than the control group (median [interquartile range], 231 [54-385] vs. 579 [213-1,379]×103/m3; p=0.056). However, the intervention group had a significant decrease in 0.3-µm particles (68 [-25-185] vs. 242 [72-588]×103/m3; p=0.045). No adverse events occurred in either group. The device did not cause any inconvenience to the endoscopists or patients.Conclusions: This modified N95 respirator reduced the number of particles, especially 0.3-µm particles, generated during upper gastrointestinal endoscopy.","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":"335-341"},"PeriodicalIF":2.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11133990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9757512","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

Efficacy and safety of endoscopic submucosal dissection for colorectal dysplasia in patients with inflammatory bowel disease: a systematic review and meta-analysis. 内镜黏膜下剥离术治疗炎症性肠病患者结直肠发育不良的有效性和安全性：系统综述和荟萃分析。

IF 2.5

Clinical Endoscopy Pub Date : 2024-05-01 Epub Date: 2024-02-29 DOI: 10.5946/ce.2023.205

Talia F Malik, Vaishnavi Sabesan, Babu P Mohan, Asad Ur Rahman, Mohamed O Othman, Peter V Draganov, Gursimran S Kochhar

{"title":"Efficacy and safety of endoscopic submucosal dissection for colorectal dysplasia in patients with inflammatory bowel disease: a systematic review and meta-analysis.","authors":"Talia F Malik, Vaishnavi Sabesan, Babu P Mohan, Asad Ur Rahman, Mohamed O Othman, Peter V Draganov, Gursimran S Kochhar","doi":"10.5946/ce.2023.205","DOIUrl":"10.5946/ce.2023.205","url":null,"abstract":"Background/aims: In this meta-analysis, we studied the safety and efficacy of endoscopic submucosal dissection (ESD) for colorectal dysplasia in patients with inflammatory bowel disease (IBD).Methods: Multiple databases were searched, and studies were retrieved based on pre-specified criteria until October 2022. The outcomes assessed were resection rates, procedural complications, local recurrence, metachronous tumors, and the need for surgery after ESD in IBD. Standard meta-analysis methods were followed using the random-effects model, and I2% was used to assess heterogeneity.Results: Twelve studies comprising 291 dysplastic lesions in 274 patients were included with a median follow-up of 25 months. The pooled en-bloc resection, R0 resection, and curative resection rates were 92.5% (95% confidence interval [CI], 87.9%-95.4%; I2=0%), 81.5% (95% CI, 72.5%-88%; I2=43%), and 48.9% (95% CI, 32.1%-65.9%; I2=87%), respectively. The local recurrence rate was 3.9% (95% CI, 2%-7.5%; I2=0%). The pooled rates of bleeding and perforation were 7.7% (95% CI, 4.5%-13%; I2=10%) and 5.3% (95% CI, 3.1%-8.9%; I2=0%), respectively. The rates of metachronous recurrence and additional surgery following ESD were 10% (95% CI, 5.2%-18.2%; I2=55%) and 13% (95% CI, 8.5%-19.3%; I2=54%), respectively.Conclusions: ESD is safe and effective for the resection of dysplastic lesions in IBD with an excellent pooled rate of en-bloc and R0 resection.","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":"317-328"},"PeriodicalIF":2.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11133987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139989393","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

Effective hemostasis under gel immersion endoscopy using inflated balloons on the tip of double balloon endoscope for active bleeding in the small intestine. 使用双气囊内窥镜顶端的充气球囊在凝胶浸泡内窥镜下有效止血，治疗小肠活动性出血。

IF 2.5

Clinical Endoscopy Pub Date : 2024-05-01 Epub Date: 2024-02-08 DOI: 10.5946/ce.2023.146

Shunsuke Horitani, Natsuko Saito, Koki Hosoda, Hironao Matsumoto, Toshiyuki Mitsuyama, Takeshi Yamashina, Masaaki Shimatani, Makoto Naganuma

引用次数: 0

The role of needle-based confocal laser endomicroscopy in the diagnosis of pancreatic neuroendocrine tumors. 基于针头的共焦激光内窥镜检查在胰腺神经内分泌肿瘤诊断中的作用。

IF 2.5

Clinical Endoscopy Pub Date : 2024-05-01 Epub Date: 2023-09-12 DOI: 10.5946/ce.2023.068

Masanori Yamada, Kazuo Hara, Nobumasa Mizuno, Shin Haba, Takamichi Kuwahara, Nozomi Okuno, Yasuhiro Kuraishi, Takafumi Yanaidani, Sho Ishikawa, Tsukasa Yasuda, Toshitaka Fukui

{"title":"The role of needle-based confocal laser endomicroscopy in the diagnosis of pancreatic neuroendocrine tumors.","authors":"Masanori Yamada, Kazuo Hara, Nobumasa Mizuno, Shin Haba, Takamichi Kuwahara, Nozomi Okuno, Yasuhiro Kuraishi, Takafumi Yanaidani, Sho Ishikawa, Tsukasa Yasuda, Toshitaka Fukui","doi":"10.5946/ce.2023.068","DOIUrl":"10.5946/ce.2023.068","url":null,"abstract":"Background/aims: Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is a highly accurate method for diagnosing pancreatic neuroendocrine tumors (PNETs); however, some PNETs are difficult to diagnose. Recently, the efficacy of needle-based confocal laser endomicroscopy (nCLE) in diagnosing solid pancreatic masses has been reported. However, the efficacy of nCLE in the diagnosis of PNETs remains unknown and only a small number of cases have been reported. Hence, this study aimed to evaluate the efficacy of nCLE in the diagnosis of PNETs.Methods: This single-center retrospective study evaluated 30 consecutive patients with suspected PNETs on contrast-enhanced computed tomography, who consented to nCLE combined with EUS-FNA and were diagnosed using EUS-FNA or surgical resection. The diagnostic criteria for PNETs using nCLE were based on the nesting and trabecular and glandular arrangement of tumor cell clusters surrounded by capillary vessels and fibrosis, as reported in previous studies.Results: The diagnosis using nCLE was classified into three categories: misdiagnosis in three cases (10%), non-diagnostic in six cases (20%), and diagnostic in 21 cases (70%). nCLE was able to diagnose PNET in one of the two cases with inconclusive EUS-FNA.Conclusions: Although further development of the resolution and optimization of the diagnostic criteria are required, nCLE may constitute a useful diagnostic option in cases of inconclusive EUS-FNA for PNETs.","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":"393-401"},"PeriodicalIF":2.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11134000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41099980","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 rare colonoscopic finding in a renal transplant recipient. 肾移植受者罕见的结肠镜检查结果。

IF 2.5

Clinical Endoscopy Pub Date : 2024-05-01 Epub Date: 2024-03-22 DOI: 10.5946/ce.2024.007

Ji Young Chang, Soo Jung Park

引用次数: 0

Aortoduodenal fistula bleeding caused by an aortic stent graft. 主动脉支架移植引起的主动脉十二指肠瘘出血。

IF 2.5

Clinical Endoscopy Pub Date : 2024-05-01 Epub Date: 2024-02-02 DOI: 10.5946/ce.2023.281

Seunghyun Hong, Gwang Ha Kim

引用次数: 0

Endoscopic resection penetrating the muscularis propria for gastric gastrointestinal stromal tumors: advances and challenges. 穿透固有肌的内镜下胃肠道间质瘤切除术：进步与挑战。

IF 2.5

Clinical Endoscopy Pub Date : 2024-05-01 Epub Date: 2024-05-10 DOI: 10.5946/ce.2024.036

Jin Woong Cho

引用次数: 0

Use of an endoscopic powered debridement device for treatment of post-surgical fatty pancreatic necrosis. 使用内窥镜动力清创器治疗手术后胰腺脂肪坏死。

IF 2.5

Clinical Endoscopy Pub Date : 2024-05-01 Epub Date: 2024-02-23 DOI: 10.5946/ce.2023.120

Judy Daboul, Shiab Mussad, Anna Cecilia Amaral, Waleed K Hussain, Peter J Lee, Samuel Han

引用次数: 0

Safety of endoscopic ultrasound-guided hepaticogastrostomy in patients with malignant biliary obstruction and ascites. 内镜下超声引导肝胃造口术治疗恶性胆道梗阻和腹水患者的安全性。

IF 2.1

Clinical Endoscopy Pub Date : 2024-03-01 Epub Date: 2023-09-07 DOI: 10.5946/ce.2023.075

Tsukasa Yasuda, Kazuo Hara, Nobumasa Mizuno, Shin Haba, Takamichi Kuwahara, Nozomi Okuno, Yasuhiro Kuraishi, Takafumi Yanaidani, Sho Ishikawa, Masanori Yamada, Toshitaka Fukui

{"title":"Safety of endoscopic ultrasound-guided hepaticogastrostomy in patients with malignant biliary obstruction and ascites.","authors":"Tsukasa Yasuda, Kazuo Hara, Nobumasa Mizuno, Shin Haba, Takamichi Kuwahara, Nozomi Okuno, Yasuhiro Kuraishi, Takafumi Yanaidani, Sho Ishikawa, Masanori Yamada, Toshitaka Fukui","doi":"10.5946/ce.2023.075","DOIUrl":"10.5946/ce.2023.075","url":null,"abstract":"Background/aims: Endoscopic ultrasound (EUS)-guided hepaticogastrostomy (EUS-HGS) is useful for patients with biliary cannulation failure or inaccessible papillae. However, it can lead to serious complications such as bile peritonitis in patients with ascites; therefore, development of a safe method to perform EUS-HGS is important. Herein, we evaluated the safety of EUS-HGS with continuous ascitic fluid drainage in patients with ascites.Methods: Patients with moderate or severe ascites who underwent continuous ascites drainage, which was initiated before EUS-HGS and terminated after the procedure at our institution between April 2015 and December 2022, were included in the study. We evaluated the technical and clinical success rates, EUS-HGS-related complications, and feasibility of re-intervention.Results: Ten patients underwent continuous ascites drainage, which was initiated before EUS-HGS and terminated after completion of the procedure. Median duration of ascites drainage before and after EUS-HGS was 2 and 4 days, respectively. Technical success with EUS-HGS was achieved in all 10 patients (100%). Clinical success with EUS-HGS was achieved in 9 of the 10 patients (90 %). No endoscopic complications such as bile peritonitis were observed.Conclusion: In patients with ascites, continuous ascites drainage, which is initiated before EUS-HGS and terminated after completion of the procedure, may prevent complications and allow safe performance of EUS-HGS.","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":" ","pages":"246-252"},"PeriodicalIF":2.1,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10984745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41112952","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

Role of contrast-enhanced harmonic endoscopic ultrasonography (EUS) and EUS elastography in pancreatic lesions. 造影剂增强谐波内窥镜超声造影（EUS）和 EUS 弹性成像在胰腺病变中的作用。

IF 2.5

Clinical Endoscopy Pub Date : 2024-03-01 Epub Date: 2024-01-17 DOI: 10.5946/ce.2023.074

Yasunobu Yamashita, Masayuki Kitano

引用次数: 0