World Journal of Gastrointestinal Endoscopy最新文献_第2页

Hyperbaric oxygen therapy in the treatment of severe gastric laceration with active bleeding: A case report.

IF 1.4

World Journal of Gastrointestinal Endoscopy Pub Date : 2025-01-16 DOI: 10.4253/wjge.v17.i1.100904

Jie-Li Chen, Hui-Xin Zhi, Jun-Yu Pan, Ze-Han Chen, Jia-Lan Huang, Jun Yao

{"title":"Hyperbaric oxygen therapy in the treatment of severe gastric laceration with active bleeding: A case report.","authors":"Jie-Li Chen, Hui-Xin Zhi, Jun-Yu Pan, Ze-Han Chen, Jia-Lan Huang, Jun Yao","doi":"10.4253/wjge.v17.i1.100904","DOIUrl":"10.4253/wjge.v17.i1.100904","url":null,"abstract":"Background: Endoscopic therapy is the primary approach for treating Mallory-Weiss syndrome, particularly under conditions of mucosal protection and gastric acid suppression. However, for a subset of patients who cannot undergo endoscopic intervention or for whom such treatment proves ineffective, alternative measures like arterial embolization or surgical intervention may be required. While hyperbaric oxygen therapy (HBOT) has been applied across a range of medical conditions, its application in managing hemorrhage due to gastric tears remains undocumented.Case summary: A 52-year-old patient was admitted with symptoms of hematemesis and melena, and an endoscopy revealed a gastric fundus tear approximately 4 cm × 5 cm in size. The lesion was considered unsuitable for endoscopic repair by the attending endoscopist. Despite conservative measures, including fasting and acid suppression, the patient experienced persistent bleeding and a substantial decrease in hemoglobin levels relative to admission values. Following a multidisciplinary consultation, HBOT was initiated, resulting in the cessation of bleeding and rapid wound healing.Conclusion: For patients with gastric tears presenting with active hemorrhage, HBOT might offer an effective alternative when conventional endoscopic therapies are not viable or have been unsuccessful.","PeriodicalId":23953,"journal":{"name":"World Journal of Gastrointestinal Endoscopy","volume":"17 1","pages":"100904"},"PeriodicalIF":1.4,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029682","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

Multimodal artificial intelligence system for detecting a small esophageal high-grade squamous intraepithelial neoplasia: A case report.

IF 1.4

World Journal of Gastrointestinal Endoscopy Pub Date : 2025-01-16 DOI: 10.4253/wjge.v17.i1.101233

Yang Zhou, Rui-De Liu, Hui Gong, Xiang-Lei Yuan, Bing Hu, Zhi-Yin Huang

{"title":"Multimodal artificial intelligence system for detecting a small esophageal high-grade squamous intraepithelial neoplasia: A case report.","authors":"Yang Zhou, Rui-De Liu, Hui Gong, Xiang-Lei Yuan, Bing Hu, Zhi-Yin Huang","doi":"10.4253/wjge.v17.i1.101233","DOIUrl":"10.4253/wjge.v17.i1.101233","url":null,"abstract":"Background: Recent advancements in artificial intelligence (AI) have significantly enhanced the capabilities of endoscopic-assisted diagnosis for gastrointestinal diseases. AI has shown great promise in clinical practice, particularly for diagnostic support, offering real-time insights into complex conditions such as esophageal squamous cell carcinoma.Case summary: In this study, we introduce a multimodal AI system that successfully identified and delineated a small and flat carcinoma during esophagogastroduodenoscopy, highlighting its potential for early detection of malignancies. The lesion was confirmed as high-grade squamous intraepithelial neoplasia, with pathology results supporting the AI system's accuracy. The multimodal AI system offers an integrated solution that provides real-time, accurate diagnostic information directly within the endoscopic device interface, allowing for single-monitor use without disrupting endoscopist's workflow.Conclusion: This work underscores the transformative potential of AI to enhance endoscopic diagnosis by enabling earlier, more accurate interventions.","PeriodicalId":23953,"journal":{"name":"World Journal of Gastrointestinal Endoscopy","volume":"17 1","pages":"101233"},"PeriodicalIF":1.4,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752473/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029734","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

High Joule heat as a risk factor for post-endoscopic submucosal dissection electrocoagulation syndrome: A multicenter prospective study. 高焦耳热是内镜后粘膜下夹层电凝综合征的危险因素：一项多中心前瞻性研究。

IF 1.4

World Journal of Gastrointestinal Endoscopy Pub Date : 2024-12-16 DOI: 10.4253/wjge.v16.i12.668

Masanori Ochi, Asaji Yamamoto, Satoshi Suematsu, Keita Fukuda, Kenjiro Morishige, Yasuhiro Oka, Yuta Ishikawa, Shunsuke Ueyama, Yoshinori Hiroshima, Yoshio Omae, Fumihiko Kusano, Toshiro Kamoshida

{"title":"High Joule heat as a risk factor for post-endoscopic submucosal dissection electrocoagulation syndrome: A multicenter prospective study.","authors":"Masanori Ochi, Asaji Yamamoto, Satoshi Suematsu, Keita Fukuda, Kenjiro Morishige, Yasuhiro Oka, Yuta Ishikawa, Shunsuke Ueyama, Yoshinori Hiroshima, Yoshio Omae, Fumihiko Kusano, Toshiro Kamoshida","doi":"10.4253/wjge.v16.i12.668","DOIUrl":"10.4253/wjge.v16.i12.668","url":null,"abstract":"Background: Thermal damage may lead to inflammation of the peeled mucosal surface during endoscopic submucosal dissection (ESD).Aim: To determine the effect of Joule heat on the onset of post-ESD electrocoagulation syndrome (PECS).Methods: In this prospective study, PECS was characterized by in-hospital fever (white blood cell count: ≥ 10000 μ/L or body temperature ≥ 37.5 °C) and abdominal pain (visual analog scale score ≥ 30 mm during hospitalization or increased by ≥ 20 mm from baseline at admission). High Joule heat was defined as 15390 J. Between April 2020 and April 2024, 209 patients underwent colorectal ESD; those with intraoperative perforation or penetration were excluded. The remaining 202 patients were divided into the PECS and non-PECS groups.Results: PECS occurred in 30 (14.9%) patients. Multivariate analysis revealed high Joule heat as an independent factor associated with PECS (odds ratio = 7.96; 95% confidence interval: 2.91-21.8, P < 0.01). The procedure time and presence of lesions in the right colon were not associated with PECS.Conclusion: Accumulated thermal damage on the peeled mucosal surface should be considered during PECS onset. This thermal damage is likely a major component of the mechanism underlying PECS.","PeriodicalId":23953,"journal":{"name":"World Journal of Gastrointestinal Endoscopy","volume":"16 12","pages":"668-677"},"PeriodicalIF":1.4,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903728","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

Emerging strategies in outpatient endoscopy sedation management: Recent trends and developments. 门诊内窥镜镇静管理的新策略：最近的趋势和发展。

IF 1.4

World Journal of Gastrointestinal Endoscopy Pub Date : 2024-12-16 DOI: 10.4253/wjge.v16.i12.686

Ming-Qi Chen, Qi-Sheng Zhang

引用次数: 0

Endoscopic ultrasound-guided therapies in the treatment of gastric varices: An in-depth examination of associated adverse events. 内镜下超声引导治疗胃静脉曲张：相关不良事件的深入检查。

IF 1.4

World Journal of Gastrointestinal Endoscopy Pub Date : 2024-12-16 DOI: 10.4253/wjge.v16.i12.640

Anastasios Manolakis, Kyriaki Tsagkidou, Konstantinos Eleftherios Koumarelas

引用次数: 0

Physical and psychological symptoms and survey importance in celiac disease. 乳糜泻的生理和心理症状及调查重要性。

IF 1.4

World Journal of Gastrointestinal Endoscopy Pub Date : 2024-12-16 DOI: 10.4253/wjge.v16.i12.632

Edward J Ciaccio, Anne R Lee, Jessica Lebovits, Randi L Wolf, Suzanne K Lewis

{"title":"Physical and psychological symptoms and survey importance in celiac disease.","authors":"Edward J Ciaccio, Anne R Lee, Jessica Lebovits, Randi L Wolf, Suzanne K Lewis","doi":"10.4253/wjge.v16.i12.632","DOIUrl":"10.4253/wjge.v16.i12.632","url":null,"abstract":"Celiac disease is an autoimmune condition that affects approximately 1% of the worldwide community. Originally thought to be confined mostly to the small intestine, resulting in villous atrophy and nutrient malabsorption, it has more recently been implicated in systemic manifestations as well, particularly when undiagnosed or left untreated. Herein, the physical and psychological symptoms of celiac disease are described and explored. An emphasis is placed on efforts to query prospective and confirmed celiac disease patients via the use of surveys. Suggestions are made regarding the development of efficacious surveys for the purpose of screening for celiac disease in undiagnosed persons, and monitoring efficacy of the gluten-free diet in persons diagnosed with celiac disease. There are broad categories of physical and psychological symptoms associated with celiac disease. There is also an essential interaction between such physical and the psychological symptoms. It is important to capture the association between symptoms, via queries directed toward suspected and confirmed persons with celiac disease. The use of anonymous online surveys can be helpful to determine the qualities and characteristics which may be associated with this condition. It is suggested that personal surveys should be given a greater role in screening and to lessen the time for diagnosis. Querying the subject directly via a survey can provide clues as to the types of symptoms being experienced by those with celiac disease currently, as well as to determine the salient aspects of the symptomatology, which will be useful for rapid screening and monitoring in future work.","PeriodicalId":23953,"journal":{"name":"World Journal of Gastrointestinal Endoscopy","volume":"16 12","pages":"632-639"},"PeriodicalIF":1.4,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903730","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

Water-assisted colonoscopy in inflammatory bowel diseases: From technical implications to diagnostic and therapeutic potentials. 炎症性肠病的水辅助结肠镜检查：从技术意义到诊断和治疗潜力。

IF 1.4

World Journal of Gastrointestinal Endoscopy Pub Date : 2024-12-16 DOI: 10.4253/wjge.v16.i12.647

Raffaele Pellegrino, Giovanna Palladino, Michele Izzo, Ilaria De Costanzo, Fabio Landa, Alessandro Federico, Antonietta Gerarda Gravina

引用次数: 0

Endoscopic ultrasound guided-gastroenterostomy is the best choice in the treatment of gastric outlet obstruction. 内镜下超声引导下的胃造口术是治疗胃出口梗阻的最佳选择。

IF 1.4

World Journal of Gastrointestinal Endoscopy Pub Date : 2024-12-16 DOI: 10.4253/wjge.v16.i12.691

Mateusz Jagielski

引用次数: 0

Endoscopic resection of a giant irregular leiomyoma in fundus and cardia: A case report. 内镜下切除眼底贲门巨大不规则平滑肌瘤1例。

IF 1.4

World Journal of Gastrointestinal Endoscopy Pub Date : 2024-12-16 DOI: 10.4253/wjge.v16.i12.678

Peng Li, Guang-Ming Tang, Pei-Lin Li, Chun Zhang, Wei-Qiang Wang

{"title":"Endoscopic resection of a giant irregular leiomyoma in fundus and cardia: A case report.","authors":"Peng Li, Guang-Ming Tang, Pei-Lin Li, Chun Zhang, Wei-Qiang Wang","doi":"10.4253/wjge.v16.i12.678","DOIUrl":"10.4253/wjge.v16.i12.678","url":null,"abstract":"Background: Endoscopic resection of giant gastric leiomyomas, particularly in the fundus and cardia regions, is infrequently documented and presents a significant challenge for endoscopic surgery.Case summary: Herein, a case of a 59-year-old woman with a giant gastric leiomyoma was reported. The patient presented to the department of hepatological surgery with a complaint of right upper abdominal pain for one month and worsening for one week. The patient was diagnosed as gastric submucosal tumor (SMT), gallstone, and cholecystitis combined with computed tomography and gastroendoscopy prior to operation. Upon admission, following a multi-disciplinary treatment discussion, it was determined that the patient would undergo a laparoscopic cholecystectomy and endoscopic resection of gastric SMT. It took 3 hours to completely resect the lesion by Endoscopic submucosal excavation and endoscopic full-thickness resection, and about 3 hours to suture the wound and take out the lesion. The lesion, ginger-shaped and measuring 8 cm × 5 cm, led to transient peritonitis post-surgery. With no cardiac complications, the patient was discharged one week after surgery.Conclusion: Endoscopic resection of a giant leiomyoma in the cardiac fundus is feasible and suitable for skilled endoscopists.","PeriodicalId":23953,"journal":{"name":"World Journal of Gastrointestinal Endoscopy","volume":"16 12","pages":"678-685"},"PeriodicalIF":1.4,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903764","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

Colon capsule endoscopy: Can it contribute to green endoscopy? 结肠胶囊内窥镜：它能成为绿色内窥镜吗？

IF 1.4

World Journal of Gastrointestinal Endoscopy Pub Date : 2024-12-16 DOI: 10.4253/wjge.v16.i12.627

Konosuke Nakaji

引用次数: 0