Clinical EndoscopyPub Date : 2024-05-01Epub Date: 2024-02-02DOI: 10.5946/ce.2023.281
Seunghyun Hong, Gwang Ha Kim
{"title":"Aortoduodenal fistula bleeding caused by an aortic stent graft.","authors":"Seunghyun Hong, Gwang Ha Kim","doi":"10.5946/ce.2023.281","DOIUrl":"10.5946/ce.2023.281","url":null,"abstract":"","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11133986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139671404","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}
Clinical EndoscopyPub Date : 2024-05-01Epub Date: 2024-03-22DOI: 10.5946/ce.2024.007
Ji Young Chang, Soo Jung Park
{"title":"A rare colonoscopic finding in a renal transplant recipient.","authors":"Ji Young Chang, Soo Jung Park","doi":"10.5946/ce.2024.007","DOIUrl":"10.5946/ce.2024.007","url":null,"abstract":"","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11133992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140183883","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}
Clinical EndoscopyPub Date : 2024-05-01Epub Date: 2024-05-10DOI: 10.5946/ce.2024.036
Jin Woong Cho
{"title":"Endoscopic resection penetrating the muscularis propria for gastric gastrointestinal stromal tumors: advances and challenges.","authors":"Jin Woong Cho","doi":"10.5946/ce.2024.036","DOIUrl":"10.5946/ce.2024.036","url":null,"abstract":"","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11133984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140897396","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}
Clinical EndoscopyPub Date : 2024-05-01Epub Date: 2024-02-23DOI: 10.5946/ce.2023.120
Judy Daboul, Shiab Mussad, Anna Cecilia Amaral, Waleed K Hussain, Peter J Lee, Samuel Han
{"title":"Use of an endoscopic powered debridement device for treatment of post-surgical fatty pancreatic necrosis.","authors":"Judy Daboul, Shiab Mussad, Anna Cecilia Amaral, Waleed K Hussain, Peter J Lee, Samuel Han","doi":"10.5946/ce.2023.120","DOIUrl":"10.5946/ce.2023.120","url":null,"abstract":"","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11133995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139930314","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}
Hirokazu Saito, Yoshihiro Kadono, Takashi Shono, Kentaro Kamikawa, Atsushi Urata, J. Nasu, M. Uehara, I. Matsushita, Tatsuyuki Kakuma, S. Hashigo, Shuji Tada
{"title":"Synergistic effect of independent risk factors for post-endoscopic retrograde cholangiopancreatography pancreatitis: a multicenter retrospective study in Japan.","authors":"Hirokazu Saito, Yoshihiro Kadono, Takashi Shono, Kentaro Kamikawa, Atsushi Urata, J. Nasu, M. Uehara, I. Matsushita, Tatsuyuki Kakuma, S. Hashigo, Shuji Tada","doi":"10.5946/ce.2023.203","DOIUrl":"https://doi.org/10.5946/ce.2023.203","url":null,"abstract":"Background/Aims\u0000This study aimed to examine the synergistic effect of independent risk factors on post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP).\u0000\u0000\u0000Methods\u0000This multicenter retrospective study included 1,273 patients with native papillae who underwent ERCP for bile dust stones in Japan. Independent PEP risk factors were identified using univariate and multivariate analyses. Significant risk factors for PEP in the multivariate analysis were included in the final analysis to examine the synergistic effect of independent risk factors for PEP.\u0000\u0000\u0000Results\u0000PEP occurred in 45 of 1,273 patients (3.5%). Three factors including difficult cannulation ≥10 minutes, pancreatic injection, and normal serum bilirubin level were included in the final analysis. The incidences of PEP in patients with zero, one, two, and three factors were 0.5% (2/388), 1.9% (9/465), 6.0% (17/285), and 12.6% (17/135), respectively. With increasing risk factors for PEP, the incidence of PEP significantly increased (1 factor vs. 2 factors, p=0.006; 2 factors vs. 3 factors, p=0.033).\u0000\u0000\u0000Conclusions\u0000As the number of risk factors for PEP increases, the risk of PEP may not be additive; however, it may multiply. Thus, aggressive prophylaxis for PEP is strongly recommended in patients with multiple risk factors.","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140689449","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}
{"title":"Long-term follow-up of patients developing gastric mucosal lesions after initiating the potassium-competitive acid blocker vonoprazan.","authors":"Kimitoshi Kubo, Noriko Kimura","doi":"10.5946/ce.2023.186","DOIUrl":"https://doi.org/10.5946/ce.2023.186","url":null,"abstract":"Vonoprazan has recently been developed and approved for clinical use in Japan 1 as a drug of the potassium-competitive acid blocker (P-CAB) class reported to reversibly inhibit gastric acid output through K + -competitive ionic binding to H + /K + -ATP- ase. 2 Vonoprazan has been shown to selectively accumulate in gastric parietal cells in the mucosal layer of the rat stomach, 3 and gastric cracked mucosa (GCM), redness, white spots (WS), and gastric polyps (GP) have been reported as P-CAB-asso-ciated gastric mucosal lesions. 4-10 However, only a few cases have demonstrated a causal relationship between vonoprazan and gastric mucosal lesions through long-term follow-up from before drug initiation to after its discontinuation. 5,6 We herein report two cases in which GCM, WS, and GP newly appeared after the initiation of vonoprazan treatment and were followed up after switching to proton pump inhibitors (PPIs). The study protocol was","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140689687","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}
J. Choe, Jong Jin Hyun, Seong-Jin Son, Seung-Hak Lee
{"title":"Development of a predictive model for hypoxia due to sedatives in gastrointestinal endoscopy: a prospective clinical study in Korea.","authors":"J. Choe, Jong Jin Hyun, Seong-Jin Son, Seung-Hak Lee","doi":"10.5946/ce.2023.198","DOIUrl":"https://doi.org/10.5946/ce.2023.198","url":null,"abstract":"Background/Aims\u0000Sedation has become a standard practice for patients undergoing gastrointestinal (GI) endoscopy. However, considering the serious cardiopulmonary adverse events associated with sedatives, it is important to identify patients at high risk. Machine learning can generate reasonable prediction for a wide range of medical conditions. This study aimed to evaluate the risk factors associated with sedation during GI endoscopy and develop a predictive model for hypoxia during endoscopy under sedation.\u0000\u0000\u0000Methods\u0000This prospective observational study enrolled 446 patients who underwent sedative endoscopy at the Korea University Ansan Hospital. Clinical data were used as predictor variables to construct predictive models using the random forest method that is a machine learning algorithm.\u0000\u0000\u0000Results\u0000Seventy-two of the 446 patients (16.1%) experienced life-threatening hypoxia requiring immediate medical intervention. Patients who developed hypoxia had higher body weight, body mass index (BMI), neck circumference, and Mallampati scores. Propofol alone and higher initial and total dose of propofol were significantly associated with hypoxia during sedative endoscopy. Among these variables, high BMI, neck circumference, and Mallampati score were independent risk factors for hypoxia. The area under the receiver operating characteristic curve for the random forest-based predictive model for hypoxia during sedative endoscopy was 0.82 (95% confidence interval, 0.79-0.86) and displayed a moderate discriminatory power.\u0000\u0000\u0000Conclusions\u0000High BMI, neck circumference, and Mallampati score were independently associated with hypoxia during sedative endoscopy. We constructed a model with acceptable performance for predicting hypoxia during sedative endoscopy.","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140709443","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}
{"title":"Polyposis of gastrointestinal tract after COVID-19 mRNA vaccination: a report of two cases.","authors":"Jun Ho Kim, Eun Hye Oh, Dong Soo Han","doi":"10.5946/ce.2023.268","DOIUrl":"https://doi.org/10.5946/ce.2023.268","url":null,"abstract":"Cronkhite-Canada syndrome is a rare gastrointestinal polyposis syndrome with distinctive clinical features and endoscopic findings. Diagnosis can be challenging without suspicion, and the disease carries high mortality due to complications such as infection, gastrointestinal bleeding, and malignancies. This paper presents two cases of Cronkhite-Canada syndrome occurring after coronavirus disease 2019 (COVID-19) mRNA vaccination. Both cases exhibited typical clinical findings, including hypogeusia, onychodystrophy, alopecia, and weight loss. Typical polyposis in the gastrointestinal tract was confirmed through endoscopies. As symptomatic treatment did not improve the symptoms, corticosteroids were administered, and symptoms and laboratory test results improved immediately. The patients improved upon corticosteroids tapering. These cases illustrate typical presentations of Cronkhite-Canada syndrome and the course of the disease following corticosteroid treatment. Additionally, they suggest the possibility that Cronkhite-Canada syndrome may be triggered by COVID-19 mRNA vaccination.","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140711344","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}
{"title":"Could a bleeding-sensor device be established as a new paradigm for detecting upper gastrointestinal bleeding before performing endoscopy?","authors":"Sun Gyo Lim","doi":"10.5946/ce.2024.008","DOIUrl":"https://doi.org/10.5946/ce.2024.008","url":null,"abstract":"","PeriodicalId":10351,"journal":{"name":"Clinical Endoscopy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140243099","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}