World Journal of Gastrointestinal Endoscopy最新文献

{"title":"Leucine-rich alpha-2 glycoprotein as a superior biomarker to C-reactive protein for detecting small bowel lesions in Crohn's disease.","authors":"Masashi Ohno, Atsushi Nishida, Akinori Otsuki, Yoshihiro Yokota, Takayuki Imai, Shigeki Bamba, Osamu Inatomi","doi":"10.4253/wjge.v17.i2.100793","DOIUrl":"10.4253/wjge.v17.i2.100793","url":null,"abstract":"<p><strong>Background: </strong>Achievement of endoscopic healing (EH) is significant in the clinical practice of inflammatory bowel disease as it is correlated with improved prognosis. Existing biomarkers, including C-reactive protein (CRP), have relatively low accuracy for predicting EH, especially in small intestinal lesions in Crohn's disease (CD); thus, noninvasive and more accurate biomarkers are required. Leucine-rich alpha-2 glycoprotein (LRG), a 50-kD protein, is produced under inflammatory conditions and has been reported to be useful in assessing disease activity in inflammatory bowel disease. However, the usefulness of LRG in small intestinal lesions in CD remains inconclusive.</p><p><strong>Aim: </strong>To determine the usefulness of LRG for EH in small bowel lesions in CD and compare it with CRP.</p><p><strong>Methods: </strong>This study included 133 consecutive patients with CD who underwent balloon-assisted enteroscopy between June 2021 and March 2024 at Shiga University of Medical Science Hospital (Otsu, Japan). We retrospectively analyzed endoscopic scores in each of the ileum and colon and four markers including LRG, CRP, albumin, and Harvey-Bradshaw index (HBI). Spearman's rank correlation coefficient and receiver operating characteristic analysis were performed.</p><p><strong>Results: </strong>Either active ileal or colonic lesions exhibited significant differences in LRG, CRP, albumin, and HBI compared with EH. CRP, albumin, and HBI showed a worse correlation with endoscopic activity in the ileum than that in the colon; however, LRG did not show a worse correlation (colon, <i>r</i> = 0.5218; ileum, <i>r</i> = 0.5602). Receiver operating characteristic analysis revealed that LRG for EH in the ileum and colon had the same cutoff values of 12.4 μg/mL. Comparing the areas under the curve of LRG and CRP for predicting EH in the ileum revealed a significantly higher areas under the curve of LRG (95% confidence interval, 0.017-0.194; <i>P</i> = 0.024), whereas the two showed no significant difference in the colon.</p><p><strong>Conclusion: </strong>LRG is a useful biomarker in assessing the endoscopic activity of CD and is more useful than CRP in the small intestine.</p>","PeriodicalId":23953,"journal":{"name":"World Journal of Gastrointestinal Endoscopy","volume":"17 2","pages":"100793"},"PeriodicalIF":1.4,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484298","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}

{"title":"Discordance between endoscopic and histopathologic assessment in ileal Crohn's disease.","authors":"Scott D Lee, Brian Mau, Cody J Avalos, Kindra D Clark-Snustad, Kendra J Kamp, Xianyong Gui","doi":"10.4253/wjge.v17.i2.101284","DOIUrl":"10.4253/wjge.v17.i2.101284","url":null,"abstract":"<p><strong>Background: </strong>Discordance between endoscopic and histologic assessments in Crohn's disease (CD) have been observed, however the prevalence and cause are unclear.</p><p><strong>Aim: </strong>To assess if a protocolized approach to biopsy collection facilitates understanding of this discordance in patients with ileal CD.</p><p><strong>Methods: </strong>Patients with known ileal CD underwent colonoscopy with endoscopic disease activity assessment. Three protocolized biopsies were taken respectively from an ulcer edge, 7-mm, and 14-mm away from the ulcer edge in patients with discrete ileal ulcer(s). In patients with no ulcers as controls, the same 3-site biopsy protocol was applied in a randomly selected area of endoscopically-unremarkable terminal ileal mucosa. A blinded pathologist assessed mucosal inflammation in each biopsy using 3 validated histologic indices.</p><p><strong>Results: </strong>Twenty-four participants had visible ulcer(s) on endoscopy and 12 served as no-ulcer controls. Of biopsies taken from an ulcer edge, only 67% showed histologic evidence of active (neutrophilic) inflammation, and 33% showed histologic features of ulcer or erosion; all were from either large (<i>n</i> = 4) or very large (<i>n</i> = 4) ulcers. In the no-ulcer controls, no biopsies showed histologic features of ulcer or erosion, but 8% showed active inflammation.</p><p><strong>Conclusion: </strong>A striking discordance exists between endoscopic and histologic assessments for mucosal inflammation in patients with active ileal CD, even in biopsies targeted at an ulcer edge, while a higher concordance is seen in patients with no endoscopic disease activity. It remains unclear how to incorporate histologic disease activity into the treatment paradigm. Further research is needed to optimize biopsy protocols and histologic assessments for CD.</p>","PeriodicalId":23953,"journal":{"name":"World Journal of Gastrointestinal Endoscopy","volume":"17 2","pages":"101284"},"PeriodicalIF":1.4,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484193","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}

{"title":"Complete resection of recurrent anal canal cancer using endoscopic submucosal dissection and transanal resection: A case report.","authors":"Mayuko Kinoshita, Tetsuro Maruyama, Shutaro Hike, Takuya Hirosuna, Shunsuke Kainuma, Kazuya Kinoshita, Akira Nakano, Gaku Ohira, Masaya Uesato, Hisahiro Matsubara","doi":"10.4253/wjge.v17.i1.101119","DOIUrl":"10.4253/wjge.v17.i1.101119","url":null,"abstract":"<p><strong>Background: </strong>Early anal canal cancer is frequently treated with endoscopic submucosal dissection (ESD) to preserve anal function. However, if the lesion is in the anal canal, then significant difficulties such as bleeding and challenges associated with scope manipulation can arise.</p><p><strong>Case summary: </strong>A 70-year-old woman undergoing follow-up after transverse colon cancer surgery was diagnosed with anal canal cancer extending to the dentate line. The patient underwent a combination of ESD and transanal resection (TAR). The specimen was excised in pieces, which resulted in difficulty performing the pathological evaluation of the margins, especially on the anal side where TAR was performed and severe crushing was observed. Careful follow-up was performed, and local recurrence was observed 3 years postoperatively. Because the patient had superficial cancer without lymph node metastasis, local resection was performed again. The second treatment attempt was improved as follows: (1) TAR and ESD were performed appropriately based on the situation by the same physician; (2) A needle scalpel was used during TAR to prevent tissue crushing; and (3) The lesion borders were marked using ESD techniques before treatment. Complete resection was performed without complications.</p><p><strong>Conclusion: </strong>Anal canal lesions can be safely and reliably removed when ESD and TAR are used appropriately.</p>","PeriodicalId":23953,"journal":{"name":"World Journal of Gastrointestinal Endoscopy","volume":"17 1","pages":"101119"},"PeriodicalIF":1.4,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752465/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029666","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}

{"title":"Outcomes of bile duct cannulation using a novel contrast-enhanced catheter: A single-center, retrospective cohort study.","authors":"Toru Kaneko, Mitsuhiro Kida, Takahiro Kurosu, Gen Kitahara, Shiori Koyama, Nao Nomura, Kumiko Tahara, Chika Kusano","doi":"10.4253/wjge.v17.i1.97840","DOIUrl":"10.4253/wjge.v17.i1.97840","url":null,"abstract":"<p><strong>Background: </strong>Endoscopic retrograde cholangiopancreatography is a challenging procedure involving bile duct cannulation. Despite the development of several cannulation devices, none have effectively facilitated the procedure.</p><p><strong>Aim: </strong>To evaluate the efficacy of a recently developed catheter for bile duct cannulation.</p><p><strong>Methods: </strong>We retrospectively examined 342 patients who underwent initial cholangiopancreatography. We compared the success rate of bile duct cannulation and the incidence of complications between the groups using existing and novel catheters.</p><p><strong>Results: </strong>The overall success rates of bile duct cannulation were 98.3% and 99.1% in the existing and novel catheter groups, respectively (<i>P</i> = 0.47). The bile duct cannulation rate using the standard technique was 73.0% and 82.1% in the existing and novel catheter groups, respectively (<i>P</i> = 0.042). Furthermore, when catheterization was performed by expert physicians, the bile duct cannulation rate was significantly higher in the novel catheter group (81.3%) than in the existing catheter group (65.2%) (<i>P</i> = 0.017). The incidence of difficult cannulation was also significantly lower in the novel catheter group (17.4%) than in the existing catheter group (33.0%) (<i>P</i> = 0.019).</p><p><strong>Conclusion: </strong>The novel catheter improved the bile duct cannulation rate using the standard technique and reduced the frequency of difficult cannulation cases, valuable tool in endoscopic retrograde cholangiopancreatography procedures performed by experts.</p>","PeriodicalId":23953,"journal":{"name":"World Journal of Gastrointestinal Endoscopy","volume":"17 1","pages":"97840"},"PeriodicalIF":1.4,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029758","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}

{"title":"Bibliometric analysis on the top one hundred cited studies on gastrointestinal endoscopy.","authors":"Jing Sui, Jian-Sheng Luo, Chao Xiong, Chun-Yong Tang, Yan-Hua Peng, Rui Zhou","doi":"10.4253/wjge.v17.i1.100219","DOIUrl":"10.4253/wjge.v17.i1.100219","url":null,"abstract":"<p><strong>Background: </strong>Gastrointestinal endoscopy has been widely used in the diagnosis and treatment of gastrointestinal diseases. A great many of studies on gastrointestinal endoscopy have been done.</p><p><strong>Aim: </strong>To analyze the characteristics of top 100 cited articles on gastrointestinal endoscopy.</p><p><strong>Methods: </strong>A bibliometric analysis was conducted. The publications and their features were extracted from the Web of Science Core Collection, Science Citation Index-Expanded database. Excel, Web of Science database and SPSS software were used to perform the statistical description and analysis. VOSviewer software and MapChart were responsible for the visualizations.</p><p><strong>Results: </strong>The top 100 cited articles were published between 1976 and 2022. The guidelines (52%) and clinical trials (37%) are the main article types, and average publication year of the guidelines is much later than that of the clinical trials (2015 <i>vs</i> 1998). Among the clinical trials, diagnostic study (27.0%), cohort study (21.6%), case series (13.5%) and cross-sectional study (10.8%) account for a large proportion. Average citations of different study types and designs of the enrolled studies are of no significant differences. Most of the 100 articles were published by European authors and recorded by the endoscopic journals (65%). Top journals in medicine, such as the <i>Lancet</i>, <i>New England Journal of Medicine</i> and <i>JAMA</i>, also reported studies in this field. The hot spots of involved diseases include neoplasm or cancer-related diseases, inflammatory diseases, obstructive diseases, gastrointestinal hemorrhage and ulcer. Endoscopic surgery, endoscopic therapy and stent placement are frequently studied.</p><p><strong>Conclusion: </strong>Our research contributes to delineating the field and identifying the characteristics of the most highly cited articles. It is noteworthy that there is a significantly smaller number of clinical trials included compared to guidelines, indicating potential areas for future high-quality clinical trials.</p>","PeriodicalId":23953,"journal":{"name":"World Journal of Gastrointestinal Endoscopy","volume":"17 1","pages":"100219"},"PeriodicalIF":1.4,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029656","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}

{"title":"Novel approach to managing two enormous bezoars with successive snare-tip electrocautery: A case report.","authors":"Cherng Harng Lim, Cherng Jyr Lim, Chih-Ta Yao, Chi-Chun Chang","doi":"10.4253/wjge.v17.i1.102185","DOIUrl":"10.4253/wjge.v17.i1.102185","url":null,"abstract":"<p><strong>Background: </strong>Gastric bezoars are indigestible masses that can lead to gastrointestinal obstruction and ulceration. Standard treatments include endoscopic mechanical lithotripsy with a polypectomy snare and Coca-Cola dissolution therapy or a combination of both approaches. However, giant bezoars frequently require multiple treatment sessions and extended hospital stays. Additionally, snare-based mechanical fragmentation may be limited by factors such as bezoar size, shape, density, slipperiness, and restricted working space. In cases where refractory giant bezoars are unresponsive to traditional methods, surgical intervention is often necessary.</p><p><strong>Case summary: </strong>A 57-year-old male with a history of type 2 diabetes presented with severe epigastric pain and vomiting. Endoscopy revealed two large phytobezoars and a gastric ulcer. Initial attempts at mechanical fragmentation with a polypectomy snare and Coca-Cola ingestion for dissolution were unsuccessful due to the large size and complex structure of the bezoars. An innovative approach using snare-tip electrocautery was then employed. It successfully penetrated the slippery, hard surface of the bezoars and fragmented them into smaller pieces. The patient was subsequently treated with Coca-Cola ingestion, enzyme supplements, and proton pump inhibitors. He was discharged without complications following the endoscopic sessions.</p><p><strong>Conclusion: </strong>Snare-tip electrocautery is a safe, cost-effective, and minimally invasive alternative for managing large, refractory gastric bezoars. This is a valuable option in resource-limited settings.</p>","PeriodicalId":23953,"journal":{"name":"World Journal of Gastrointestinal Endoscopy","volume":"17 1","pages":"102185"},"PeriodicalIF":1.4,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029740","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}

{"title":"Revisiting malignant gastric outlet obstruction: Where do we stand?","authors":"Krishna Kumar Govindarajan","doi":"10.4253/wjge.v17.i1.100472","DOIUrl":"10.4253/wjge.v17.i1.100472","url":null,"abstract":"<p><p>The scope of management of malignant gastric outlet obstruction is ever-expanding. The therapeutic use of endoscopy is gaining popularity not just owing to its technical advancement and satisfactory patient outcomes. With technical success rates close to 96%, stent placement for palliating gastric obstruction has ensured a median survival of about 2 months post-deployment of gastro-duodenal stents. Understanding the correct concept of palliation is the need of the hour in management. Identifying the right patient for palliation, selecting the appropriate intervention and auditing the outcome are vital in delivering optimal care. Also, newer procedures such as endoscopic gastro-enterostomy offer promising outcomes in palliative care.</p>","PeriodicalId":23953,"journal":{"name":"World Journal of Gastrointestinal Endoscopy","volume":"17 1","pages":"100472"},"PeriodicalIF":1.4,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752472/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029761","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}

{"title":"Endoscopic retrograde cholangiopancreatography for patients aged ninety and older with choledocholithiasis: A single-center experience in south China.","authors":"Lei Wang, Zi-Ye Li, Fan Wu, Guo-Qian Tan, Bai-Lin Wang","doi":"10.4253/wjge.v17.i1.102010","DOIUrl":"10.4253/wjge.v17.i1.102010","url":null,"abstract":"<p><strong>Background: </strong>Endoscopic retrograde cholangiopancreatography (ERCP) serves an essential role in treating biliary diseases, especially in choledocholithiasis. However, due to the limited human lifespan, there remains a paucity of clinical investigations on ERCP treatment in patients over 90 years old.</p><p><strong>Aim: </strong>To explore the effectiveness and safety of ERCP in super-older patients aged ≥ 90 years with choledochal stones.</p><p><strong>Methods: </strong>This study retrospectively analyzed data from patients (aged ≥ 65 years) with choledocholithiasis who received ERCP treatment in our hospital from 2011 to 2023. Among them, patients ≥ 90 years old were in the super-older group, and patients aged 65-89 years were in the older group. Baseline data, including gender, number of stones, stone size, gallbladder stones, periampullary diverticulum, and common bile duct intubation of patients in the two groups, were matched by adopting the 1:1 propensity score matching method.</p><p><strong>Results: </strong>After matching, 44 patients were included in both the super-older group and the older group. The incidence of stroke in the super-older group was markedly higher than that in the older group [34.1% (15/44) <i>vs</i> 6.8% (3/44), <i>P</i> = 0.008]. The success rate of the ERCP procedure in the super-older group was 90.9% (40/44), compared to that in the older group [93.2% (41/44), <i>P</i> = 1.000]. Although endoscopic papillary balloon dilation was more frequently used in the super-older group than in the older group [61.4% (27/44) <i>vs</i> 18.2% (8/44), <i>P</i> < 0.001], there was no significant difference in terms of stone removal rate, the incidence of complications, mortality, recurrence, and length of hospitalization between the two groups (<i>P</i> > 0.05).</p><p><strong>Conclusion: </strong>ERCP is safe and effective in super-older patients ≥ 90 years old with choledocholithiasis.</p>","PeriodicalId":23953,"journal":{"name":"World Journal of Gastrointestinal Endoscopy","volume":"17 1","pages":"102010"},"PeriodicalIF":1.4,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029616","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}

{"title":"Early esophageal cancer with mucosal bridging in the resting room: A case report.","authors":"Ying-Ling Liu, Jie Liu, Ye-Tao Wang","doi":"10.4253/wjge.v17.i1.103404","DOIUrl":"10.4253/wjge.v17.i1.103404","url":null,"abstract":"<p><strong>Background: </strong>Patients diagnosed with esophageal mucosal bridges often experience symptoms such as chest pain and dysphagia, which pose considerable challenges for endoscopic surgical interventions.</p><p><strong>Case summary: </strong>We present a case involving early-stage esophageal cancer discovered in a resting room, notable for the rare manifestation of esophageal mucosal bridging. Following a comprehensive multidisciplinary discussion and the development of a treatment strategy, we proceeded with endoscopic submucosal dissection for the patient. During the procedure, we encountered operational challenges due to the presence of a diverticulum and a partial absence of the muscularis propria. To facilitate the retraction of a portion of the resected specimen, we utilized dental floss. Ultimately, we successfully excised the entire lesion. After a three-day period of fasting with a water-only diet, subsequent iodine water cholangiography did not indicate any perforations, and the patient was advised to transition to a liquid diet. The patient was discharged five days post-operation. A follow-up endoscopy conducted three months later revealed scar-like changes in the mid-esophagus, with the patient reporting no significant discomfort.</p><p><strong>Conclusion: </strong>In summary, although esophageal mucosal bridges are rarely documented, they should be considered in the differential diagnosis of mechanical dysphagia. Furthermore, endoscopic therapy represents a feasible approach for their management.</p>","PeriodicalId":23953,"journal":{"name":"World Journal of Gastrointestinal Endoscopy","volume":"17 1","pages":"103404"},"PeriodicalIF":1.4,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029669","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}

{"title":"Efficacy of spray flushing in the reprocessing of flexible endoscopes.","authors":"Harendra Kumar, Arkadeep Dhali, Rick Maity, Jyotirmoy Biswas","doi":"10.4253/wjge.v17.i1.100298","DOIUrl":"10.4253/wjge.v17.i1.100298","url":null,"abstract":"<p><p>This article comments on the article by Du <i>et al</i>, who conducted a randomized controlled trial aiming at evaluating the effectiveness of a novel spray flushing system in cleaning flexible endoscopes while minimizing damage to the working channels. We share our perspective on the importance of improving endoscope reprocessing methods. The findings highlight the spray flushing system's capacity to improve cleaning efficacy while minimizing damage, suggesting that it might be important in enhancing endoscope reprocessing procedures.</p>","PeriodicalId":23953,"journal":{"name":"World Journal of Gastrointestinal Endoscopy","volume":"17 1","pages":"100298"},"PeriodicalIF":1.4,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029673","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}