107,519 results match your criteria Esophagogastroduodenoscopy


Impact of Brush Cytology Analysis for the Diagnosis of Esophageal Squamous Cell Carcinoma: The Quality of Liquid-Based Preparation of Cytological Slides.

Acta Cytol 2019 Mar 21:1-7. Epub 2019 Mar 21.

Molecular Oncology Research Center, Barretos Cancer Hospital/Pio XII Foundation, Barretos,

Objectives: The diagnostic performance of cytology in esophageal squamous cell carcinoma (ESCC) is meticulously described.

Methods: Cytological and biopsy specimens were prospectively taken during esophagogastroduodenoscopy of 123 individuals in 2013 and 2014. Cytology samples were maintained in preservative fluid until processing and biopsies were formalin-fixed and paraffin-embedded. Read More

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http://dx.doi.org/10.1159/000496567DOI Listing

The origin of p40-negative and CDX2-positive primary squamous cell carcinoma of the stomach: case report.

World J Surg Oncol 2019 Mar 19;17(1):53. Epub 2019 Mar 19.

Department of Surgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Japan.

Background: Primary gastric squamous cell carcinoma (SCC) is a very rare disease. The origin of this tumor remains unclear, although there are some hypotheses. A 60-year-old man consulted a previous physician complaining of upper abdominal pain. Read More

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http://dx.doi.org/10.1186/s12957-019-1594-8DOI Listing
March 2019
1 Read

Extremely young case of small bowel intussusception due to Peutz-Jeghers syndrome with nonsense mutation of STK11.

Clin J Gastroenterol 2019 Mar 19. Epub 2019 Mar 19.

Oncogene Research Unit/Cancer Prevention Unit, Tochigi Cancer Center Research Institute, Utsunomiya, Tochigi, Japan.

Intussusception is a frequent and severe complication of Peutz-Jeghers syndrome (PJS). We herein present the case of a 3-year-old girl who experienced jejuno-jejunal intussusception due to PJS polyps. Despite no apparent family history of PJS, she had exhibited mucocutaneous pigmentation since infancy and recurrent abdominal pain and vomiting from 2 years of age. Read More

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http://dx.doi.org/10.1007/s12328-019-00964-0DOI Listing

Low-dose midazolam and propofol use for conscious sedation during diagnostic endoscopy.

Kaohsiung J Med Sci 2019 Mar;35(3):160-167

Department of Internal Medicine, Ajou University School of Medicine, Suwon, Republic of Korea.

To find the right sedation technique for different types of treatment methods and the right amount of sedatives so the chances of side effects happening can be reduced. This was a retrospective cohort analysis conducted on prospectively collected data. Patients who underwent esophagogastroduodenoscopy only (E group) were sub-divided into two subgroups: (a) Those who received 0. Read More

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http://dx.doi.org/10.1002/kjm2.12028DOI Listing

A case of primary malignant melanoma of the esophagus with a widely expanded surface area.

Clin J Gastroenterol 2019 Mar 18. Epub 2019 Mar 18.

Department of Gastroenterology and Metabolism, Graduate School of Biomedical and Health Sciences, Institute of Biomedical and Health Sciences, Hiroshima, Japan.

Primary malignant melanoma of the esophagus (PMME) is rare but aggressive. PMME accounts for approximately 0. 1% of all malignant esophageal neoplasms occurring worldwide, and is usually diagnosed during the advanced stage. Read More

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http://dx.doi.org/10.1007/s12328-019-00961-3DOI Listing

Rare presentation of renal cell cancer as dysphagia: a case report.

J Med Case Rep 2019 Mar 19;13(1):89. Epub 2019 Mar 19.

Department of Pathology, AmeriPath, Plano, TX, USA.

Background: Metastasis from distal solid organs to the esophagus is very rare. Renal cell cancer with esophageal metastasis is extremely rare. We present the first case report of undiagnosed renal cell cancer presenting as dysphagia. Read More

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http://dx.doi.org/10.1186/s13256-018-1967-6DOI Listing

Pancreas divisum and recurrent pancreatitis: long-term results of minor papilla sphincterotomy.

Scand J Gastroenterol 2019 Mar 17:1-6. Epub 2019 Mar 17.

a Digestive Endoscopy Unit, Policlinico Agostino Gemelli Foundation IRCCS , Rome , Italy.

Background And Aims: Pancreas divisum (PD) is the most common congenital variant of the pancreatic ductal system and a potential cause of acute recurrent pancreatitis (ARP). Endoscopic therapy is a therapeutic option for symptomatic PD, but there is limited data on long-term results. We aimed to assess the effect of minor papilla endoscopic sphincterotomy (MiES) in the setting of ARP in patients with PD. Read More

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http://dx.doi.org/10.1080/00365521.2019.1584640DOI Listing

Management of Patients with Circumferential Intramural Esophageal Dissection.

Ann Thorac Surg 2019 Mar 14. Epub 2019 Mar 14.

Division of thoracic surgery, Department of surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan. Electronic address:

A novel minimal invasive endoscopic drainage using a double-tube system technique improves the feasibility and safety of conservative treatment in spontaneous esophageal intramural dissection (EID). Two patients with spontaneous EID underwent double-tube system placement via esophagogastroduodenoscopy. One tube was inserted into the submucosal layer with continuous suction, and another nasoduodenal tube was simultaneously inserted for enteral nutritional support. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.085DOI Listing

Estimating neoplasia detection rate (NDR) in patients with Barrett's oesophagus based on index endoscopy: a systematic review and meta-analysis.

Gut 2019 Mar 14. Epub 2019 Mar 14.

Department of Gastroenterology, Kansas City VA Medical Center, Kansas City, Kansas, USA.

Background: Biopsies are obtained to confirm intestinal metaplasia and rule out prevalent dysplasia and cancer when Barrett's oesophagus (BE) is detected at index upper endoscopy (oesophagogastroduodenoscopy [EGD]).

Aim: The purpose of this systematic review was to obtain summary estimates of the prevalence of high-grade dysplasia (HGD) and oesophageal adenocarcinoma (EAC) associated with BE during index EGD for chronic GERD symptoms, defined as neoplasia detection rate (NDR) which could be used as a quality measure.

Methods: An extensive search was performed within PUBMED, EMBASE and the Cochrane Library databases to identify studies in which patients underwent index endoscopy for the evaluation of the presence of BE. Read More

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http://dx.doi.org/10.1136/gutjnl-2018-317800DOI Listing
March 2019
1 Read

Secondary aortoenteric fistula possibly associated with continuous physical stimulation: a case report and review of the literature.

J Med Case Rep 2019 Mar 15;13(1):61. Epub 2019 Mar 15.

Department of Cardiovascular Surgery, Sendai Kousei Hospital, Sendai, Miyagi, Japan.

Background: Secondary aortoenteric fistula is a rare but fatal complication after reconstructive surgery for an aortic aneurysm characterized by abdominal pain, fever, hematochezia, and hematemesis, and the mortality rate is high. It has been suggested that it arises due to either continuous physical stimulation or prosthesis infection during primary surgery. We describe an aortoenteric fistula following reconstructive surgery for an abdominal aortic aneurysm together with postmortem pathological findings. Read More

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http://dx.doi.org/10.1186/s13256-019-2003-1DOI Listing
March 2019
1 Read

The safety of newly developed automatic temperature-controlled endobiliary radiofrequency ablation system for malignant biliary strictures: a prospective multicenter study.

J Gastroenterol Hepatol 2019 Mar 12. Epub 2019 Mar 12.

Digestive Disease Center and Research Institute, Department of Internal Medicine, SoonChunHyang University School of Medicine, Korea.

Background And Aims: Catheter-based endobiliary radiofrequency ablation (RFA) is an endoscopic local treatment for patients with malignant biliary stricture (MBS). However, excessive heating of the bile duct by the current RFA system can induce serious complications. Recently, a new RFA system with automatic temperature control was developed. Read More

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http://doi.wiley.com/10.1111/jgh.14657
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http://dx.doi.org/10.1111/jgh.14657DOI Listing
March 2019
2 Reads

A deep neural network improves endoscopic detection of early gastric cancer without blind spots.

Endoscopy 2019 Mar 12. Epub 2019 Mar 12.

Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.

Background:  Gastric cancer is the third most lethal malignancy worldwide. A novel deep convolution neural network (DCNN) to perform visual tasks has been recently developed. The aim of this study was to build a system using the DCNN to detect early gastric cancer (EGC) without blind spots during esophagogastroduodenoscopy (EGD). Read More

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http://dx.doi.org/10.1055/a-0855-3532DOI Listing
March 2019
1 Read
5.053 Impact Factor

Underwater endoscopic mucosal resection for adenocarcinoma arising from Brunner's gland.

Dig Endosc 2019 Mar 12. Epub 2019 Mar 12.

Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-Ku, Okayama, 700-8558, Japan.

A 50-year-old asymptomatic man presented for screening esophagogastroduodenoscopy. Esophagogastroduodenoscopy showed a 10-mm semipedunculated type of submucosal tumor (SMT)-like protrusion with slight depression on top in the second portion of the duodenum (Fig. 1a). Read More

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http://dx.doi.org/10.1111/den.13394DOI Listing
March 2019
1 Read

[Helicobacter pylori, nodular gastritis and premalignant stomach lesions: a case-control study].

Rev Gastroenterol Peru 2018 Oct-Dec;38(4):349-355

Unidad de Gastroenterología, Universidad Nacional de Colombia, Hospital Universitario Nacional. Bogotá, Colombia.

Introduction: Nodular gastritis (GN) is a type of gastritis strongly related to Helicobacter pylori and may be a risk factor for gastric cancer. It is a highly prevalent pathology in children infected with H. pylori. Read More

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Randomised controlled trial of WISENSE, a real-time quality improving system for monitoring blind spots during esophagogastroduodenoscopy.

Gut 2019 Mar 11. Epub 2019 Mar 11.

Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.

Objective: Esophagogastroduodenoscopy (EGD) is the pivotal procedure in the diagnosis of upper gastrointestinal lesions. However, there are significant variations in EGD performance among endoscopists, impairing the discovery rate of gastric cancers and precursor lesions. The aim of this study was to construct a real-time quality improving system, WISENSE, to monitor blind spots, time the procedure and automatically generate photodocumentation during EGD and thus raise the quality of everyday endoscopy. Read More

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http://dx.doi.org/10.1136/gutjnl-2018-317366DOI Listing
March 2019
14.660 Impact Factor

Plenvu - a low-volume PEG-based colonoscopy preparation.

Authors:

Med Lett Drugs Ther 2019 Jan;61(1564):11-14

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January 2019
3 Reads

The controversy of esophageal carcinosarcoma: A case report and brief review of literature.

Medicine (Baltimore) 2019 Mar;98(10):e14787

Cancer Center, The Fourth Affiliated Hospital, China Medical University, Shenyang, China.

Rationale: Esophageal carcinosarcoma (ECS) is defined as a relatively rare malignant neoplasm with both epithelial carcinomatous and sarcomatous components. Besides, there were so many various controversies in ECS. This article describes a case of ECS that was effectively treated with radical esophagectomy and adjuvant chemotherapy. Read More

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http://dx.doi.org/10.1097/MD.0000000000014787DOI Listing
March 2019
2 Reads
5.723 Impact Factor

[IgG4 related hypertrophic gastropathy. Report of one case].

Rev Med Chil 2019 ;147(1):119-124

Servicio de Anatomía Patológica, Clínica Dávila, Santiago, Chile.

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http://dx.doi.org/10.4067/S0034-98872019000100119DOI Listing

Endoscopic Management of Biliary Disorders: Diagnosis and Therapy.

Surg Clin North Am 2019 Apr;99(2):369-386

Digestive Diseases Institute, Virginia Mason Medical Center, Seattle, WA 98101, USA. Electronic address:

Endoscopic retrograde cholangiopancreatography (ERCP) has evolved from a diagnostic and therapeutic tool to a predominantly therapeutic tool. There is a limited role for diagnostic ERCP with widespread availability of magnetic resonance cholangiopancreatography and endoscopic ultrasound (EUS). Since its introduction, EUS evolved from a diagnostic imaging modality to one with combined diagnostic and therapeutic capabilities. Read More

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http://dx.doi.org/10.1016/j.suc.2018.12.002DOI Listing

Treatment of Synchronous Traumatic Perforations of the Trachea and the Esophagus With Two Inferiorly Based Strap Muscle Interposition Flaps: An Innovative Approach.

J Craniofac Surg 2019 Feb 9. Epub 2019 Feb 9.

Department of Surgery, Division of Plastic Surgery, University of Illinois, College of Medicine, Peoria, IL.

: Traumatic perforations of the esophagus and trachea are devastating injuries that necessitate prompt treatment. Large defects benefit from coverage with well vascularized tissue. Injuries at the level of the thoracic inlet are more challenging, as the options for local tissue coverage are limited. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005234DOI Listing
February 2019

Esophagogastric junction outflow obstruction successfully treated with laparoscopic Heller myotomy and Dor fundoplication: First case report in the literature.

World J Gastrointest Surg 2019 Feb;11(2):112-116

Division of Gastrointestinal Surgery and Liver Transplantation, Hospital de Clinicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre 90035-903, Brazil.

Background: Esophagogastric junction outflow obstruction (EGJOO) is a rare syndrome, characterized by an elevation of the integrated relaxation pressure of the lower esophageal sphincter, not accompanied by alterations in esophageal motility that may lead to the criteria for achalasia. We were unable to find any prior report of the combination of Heller myotomy with anterior partial fundoplication (Dor) as the treatment for EGJOO. We herein report a case of EGJOO treated with laparoscopic Heller myotomy combined with Dor fundoplication. Read More

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http://dx.doi.org/10.4240/wjgs.v11.i2.112DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6397795PMC
February 2019
1 Read

Calcified mucinous adenocarcinoma of the stomach metastatic to the iris: a case report.

J Med Case Rep 2019 Mar 7;13(1):64. Epub 2019 Mar 7.

Third Department of Internal Medicine, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan.

Background: Gastric cancer has a wide spectrum of clinical features, imaging manifestations, and pathology. Punctate calcifications in gastric cancer are infrequent but are usually found in mucinous adenocarcinoma. However, there have only been a few autopsy case reports describing the correlation between the radiology and pathology findings of calcified mucinous adenocarcinoma of the stomach. Read More

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http://dx.doi.org/10.1186/s13256-019-1977-zDOI Listing
March 2019
3 Reads

Early gastric cancer with ball valve syndrome treated by endoscopic submucosal dissection.

Clin J Gastroenterol 2019 Mar 6. Epub 2019 Mar 6.

Department of Gastroenterology and Hepatology, Kurashiki Central Hospital, 1-1-1 Miwa, Kurashiki, Okayama, 710-8602, Japan.

An 84-year-old woman with pneumonia, congestive heart failure and chronic renal failure presented for iron-deficiency anemia and appetite loss. Esophagogastroduodenoscopy revealed a 60-mm sub-pedunculated tumor arising from the antrum of the stomach. The tumor was friable, with bleeding, and prolapsed into the duodenal bulb, the ball valve syndrome. Read More

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http://dx.doi.org/10.1007/s12328-019-00955-1DOI Listing
March 2019
2 Reads

Multiplex Polymerase Chain Reaction for diagnosis of gastrointestinal tuberculosis.

JGH Open 2019 Feb 17;3(1):32-37. Epub 2018 Oct 17.

Department of Gastroenterology Postgraduate Institute of Medical Education and Research Chandigarh India.

Background And Aim: To evaluate the role of multiplex polymerase chain reaction (PCR) for diagnosis of gastrointestinal tuberculosis (GITB).

Methods: This was a prospective observational study conducted from July 2015 to November 2016 at a tertiary care teaching institution in north India. Fifty individuals with clinically suspected GITB and older than 18 years of age were recruited. Read More

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http://doi.wiley.com/10.1002/jgh3.12100
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http://dx.doi.org/10.1002/jgh3.12100DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6386748PMC
February 2019
2 Reads

Nomenclature and semantic description of vascular lesions in small bowel capsule endoscopy: an international Delphi consensus statement.

Endosc Int Open 2019 Mar 28;7(3):E372-E379. Epub 2019 Feb 28.

Sorbonne Université & Department of Hepatogastroenterology, APHP, Saint Antoine Hospital, Paris, France.

 Nomenclature and descriptions of small bowel (SB) vascular lesions in capsule endoscopy (CE) are scarce in the medical literature. They are mostly based on the reader's opinion and thus differ between experts, with a potential negative impact on clinical care, teaching and research regarding SBCE. Our aim was to better define a nomenclature and to give a description of the most frequent vascular lesions in SBCE. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0761-9742
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http://dx.doi.org/10.1055/a-0761-9742DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6395173PMC
March 2019
2 Reads

Lumen apposing metal stents are superior to plastic stents in pancreatic walled-off necrosis: a large international multicenter study.

Endosc Int Open 2019 Mar 28;7(3):E347-E354. Epub 2019 Feb 28.

Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, Baltimore, MD, USA.

 The use of lumen apposing metal stents (LAMS) during EUS-guided transmural drainage (EUS-TD) of pancreatic walled-off necrosis (WON) has gained popularity. Data supporting their use in WON over plastic stents (PS), however, remain scarce. The aim of this study was to compare the clinical efficacy of LAMS (Axios, Boston Scientific) with PS in WON. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0828-7630
Publisher Site
http://dx.doi.org/10.1055/a-0828-7630DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6395102PMC
March 2019
5 Reads

Next endoscopic approach for acute lower gastrointestinal bleeding without an identified source on colonoscopy: upper or capsule endoscopy?

Endosc Int Open 2019 Mar 28;7(3):E337-E346. Epub 2019 Feb 28.

Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo, Tokyo 113-8655, Japan.

 We evaluated the utility of esophagogastroduodenoscopy (EGD) or capsule endoscopy (CE) as the next diagnostic approach after negative colonoscopy (CS) results in acute-onset hematochezia.  We retrospectively analyzed 401 patients emergently hospitalized for acute hematochezia who underwent CS within 48 hours of arriving at two large emergency hospitals and in whom a definitive bleeding source was not identified. The positive endoscopic findings, requirement for additional therapeutic procedures, and 30-day rebleeding rates were compared among three strategies: EGD following CS (CS-EGD), CE following CS (CS-CE), and CS alone. Read More

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http://dx.doi.org/10.1055/a-0824-6647DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6395095PMC
March 2019
1 Read

Severe Coagulopathy as a Rare Feature of Celiac Crisis in a Patient Previously Diagnosed with Celiac Disease.

Am J Case Rep 2019 Mar 5;20:290-293. Epub 2019 Mar 5.

Internal Medicine Residency Program, McLaren Flint/Michigan State University, Flint, MI, USA.

BACKGROUND Celiac crisis is an uncommon but critical complication of celiac disease (CD) manifesting with copious diarrhea, dehydration, and severe metabolic imbalances. Celiac crisis occurring in individuals who have been formerly diagnosed with CD and displaying severe coagulopathy is tremendously rare. CASE REPORT We report a case of a 76-year-old male, previously diagnosed with CD and non-compliant with gluten free diet, who presented with severe coagulopathy manifesting as gastrointestinal bleeding in addition to other features of celiac crisis, including severe diarrhea, dehydration, metabolic acidosis, electrolyte disturbances, and renal dysfunction. Read More

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http://dx.doi.org/10.12659/AJCR.913731DOI Listing
March 2019
1 Read

Transhiatal esophagectomy with gastric pull-up, pyloric exclusion and Roux-en-Y gastroenterostomy for the management of esophageal caustic injury.

Int J Surg Case Rep 2019 13;56:66-69. Epub 2019 Feb 13.

Universidade Federal do Vale do São Francisco, Av. José de Sá Maniçoba, S/N - Centro CEP: 56304-917, Petrolina, PE, Brazil. Electronic address:

Introduction: Ingestion of caustic materials can lead to digestive tube perforation involving the mouth, pharynx, esophagus and stomach (Vezakis et al., 2016 [1]). In this case report, the authors opted for gastric pull-up in a case of esophageal and pyloric stenosis secondary to caustic ingestion, and a Roux-en-Y gastroenterostomy in the lower portion of the gastric pull-up. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.02.006DOI Listing
February 2019
2 Reads

Detachable string magnetically controlled capsule endoscopy for complete viewing of the esophagus and stomach.

Endoscopy 2019 Apr 1;51(4):360-364. Epub 2019 Mar 1.

National Clinical Research Center for Digestive Diseases; Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China.

Background:  Esophageal capsule endoscopy is reported to be insufficiently accurate to replace esophagogastroduodenoscopy (EGD) because the passage of the capsule through the esophagus is passive and precludes a thorough investigation. We developed a modified capsule endoscopy technique, called detachable string magnetically controlled capsule endoscopy (DS-MCE), and performed a pilot study to assess the feasibility and safety of this novel technique.

Methods:  4 healthy volunteers and 21 patients with suspected esophageal disease first underwent DS-MCE followed by EGD within 1 week. Read More

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http://dx.doi.org/10.1055/a-0856-6845DOI Listing
April 2019
2 Reads

Endoscopic injection sclerotherapy for pediatric bleeding esophageal varices complicated by gastric vein, main portal vein, splenic mesenteric junction, and splenic vein occlusion: a case report.

BMC Gastroenterol 2019 Feb 28;19(1):37. Epub 2019 Feb 28.

Liver Transplant Program, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan.

Background: Endoscopic injection sclerotherapy (EIS) is a life-saving procedure for pediatric patients with bleeding gastric varices (GV) associated with advanced liver cirrhosis and severe portal hypertension. Because of the lack of an endoscopic banding ligation device for pediatric patients, EIS is usually performed for bleeding esophageal varices (EV) in infants with congenital biliary atresia.

Case Presentation: We present a case of a 15-month-old female infant with type I biliary atresia with jaundice (total serum bilirubin, 22. Read More

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http://dx.doi.org/10.1186/s12876-019-0955-7DOI Listing
February 2019
1 Read

Comprehensive review of acute oesophageal necrosis.

BMJ Case Rep 2019 Feb 26;12(2). Epub 2019 Feb 26.

Department of Medicine, THQ Hospital Talash, Lower Dir, Khyber Pakhtunkhwa, Pakistan.

Acute oesophageal necrosis, also known as 'black oesophagus', is a rare condition characterised by the black discolouration of the oesophageal mucosa on endoscopy and involves the distal oesophagus in majority of cases but may also extend proximally. A number of conditions are found to be associated with it and it is thought to occur due to a combination of hypovolaemia and inadequate oesophageal protective mucosal barrier function. Gastric secretions may have a direct effect on the oesophageal mucosa. Read More

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http://dx.doi.org/10.1136/bcr-2018-227967DOI Listing
February 2019
1 Read

Association of increased B7 protein expression by infiltrating immune cells with progression of gastric carcinogenesis.

Medicine (Baltimore) 2019 Feb;98(8):e14663

Jiangsu Institute of Clinical Immunology, The First Affiliated Hospital of Soochow University Jiangsu Key Laboratory of Clinical Immunology, Soochow University.

B7 negative costimulatory molecules are a group of molecules associated with the occurrence, development, and therapy of cancers. Here, we aimed to determine the clinical significance of PD-L1, B7-H3, and B7-H4 and their expression in CD8 and CD68 positive cells at different stages of gastric carcinogenesis.We detected PD-L1, B7-H3, B7-H4, CD8, and CD68 expression in samples by immunohistochemical staining of 62 chronic superficial gastritis (CSG) samples, 72 chronic atrophic gastritis (CAG) samples, 68 low-grade intraepithelial neoplasia (LIN) samples, 65 high-grade intraepithelial neoplasia (HIN) samples obtained from gastroscopic biopsies and 50 gastric adenocarcinoma (GA) samples obtained from surgical resections. Read More

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http://dx.doi.org/10.1097/MD.0000000000014663DOI Listing
February 2019
1 Read

Ectopic papilla of Vater in duodenum bulb: A hospital-based study.

Medicine (Baltimore) 2019 Feb;98(8):e14642

Division of Gastroenterology, Department of Internal Medicine, Taichung Tzu-Chi Hospital, Taichung, Taiwan.

The major papilla of Vater can be ectopically present in the stomach, pyloric canal, duodenal bulb, and third or fourth portion of the duodenum. In this study, we determined the clinical significance of ectopic papilla of Vater by endoscopic retrograde cholangiopancreatogram (ERCP).A retrospective study was conducted by reviewing the medical records of 6133 patients receiving ERCP from 1988 to 2011. Read More

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http://dx.doi.org/10.1097/MD.0000000000014642DOI Listing
February 2019
1 Read

Unrecognized esophageal fish bone impaction with delayed presentation of acute spastic central chest pain: A case report.

Medicine (Baltimore) 2019 Feb;98(8):e14627

Division of Cardiology, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, R.O.C.

Rationale: Esophageal chest pain is difficult to be identified, and the diagnosis requires a high index of clinical suspicion. Upon presentation, they are difficult to be differentiated from acute coronary syndrome (ACS) by symptomatology alone.

Patient Concerns: We report a 71-year-old woman with multiple risk factors for coronary heart disease who presented with acute central spastic chest pain and was diagnosed as ACS in emergency department. Read More

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http://dx.doi.org/10.1097/MD.0000000000014627DOI Listing
February 2019
1 Read

Peritoneal lymphoma with ascites mimicking portal hypertensive ascites: A case report.

Medicine (Baltimore) 2019 Feb;98(8):e14583

Division of Hematology and Medical Oncology, Department of Internal Medicine, E-Da Hospital.

Rationale: Lymphoma with an initial manifestation of ascites and peritoneal invasion is rare.

Patient Concerns: A 65-year-old woman presented to the emergency department with a 3-week history of abdominal distention, anorexia, and night sweating, and a 2-week history of melena. She was a silent hepatitis B virus carrier. Read More

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http://dx.doi.org/10.1097/MD.0000000000014583DOI Listing
February 2019
3 Reads

Effectiveness of an orally administered steroid gel at preventing restenosis after endoscopic balloon dilation of benign esophageal stricture.

Medicine (Baltimore) 2019 Feb;98(8):e14565

Department of Gastroenterology and Hepatology, Peking University Third Hospital, Beijing, China.

Background: Restenosis occurs in 10% to 30% of patients after endoscopic balloon dilation (EBD) of benign esophageal stricture. This study aimed to investigate whether an orally administered steroid/gel mixture would inhibit restenosis after EBD for benign esophageal stricture.

Methods: This retrospective analysis included patients with benign esophageal stricture treated with EBD at the Peking University Third Hospital, China (September 2005 to October 2017). Read More

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http://dx.doi.org/10.1097/MD.0000000000014565DOI Listing
February 2019
1 Read

Vonoprazan versus proton pump inhibitors in treating post-endoscopic submucosal dissection ulcers and preventing bleeding: Protocol for meta-analysis of randomized controlled trials and observational studies.

Medicine (Baltimore) 2019 Feb;98(8):e14381

Graduate School of Pharmaceutical Sciences, Osaka University, 1-6 Yamadaoka, Suita City, Osaka, Japan.

Background: Vonoprazan is a potassium-competitive acid blocker (P-CAB). It is often used in Japan for Helicobacter pylori (H pylori) eradication, gastroesophageal reflux disease, and endoscopic submucosal dissection (ESD) ulcers and bleeding. This meta-analysis aims to evaluate whether vonoprazan has better therapeutic effect on ESD-induced ulcers and bleeding than proton pump inhibitors (PPIs) at different length of treatment periods (2, 4, and 8 weeks). Read More

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http://dx.doi.org/10.1097/MD.0000000000014381DOI Listing
February 2019
1 Read

Barrett's esophagus: What do we need to know?

Dis Mon 2019 Feb 23. Epub 2019 Feb 23.

Division of Gastroenterology & Hepatology, The University of Texas Medical Branch, Galveston, TX, United States.

Barrett's esophagus (BE) is characterized by a change in the mucosal lining of the distal esophagus whereby the squamous epithelium of the esophagus is replaced by the metaplastic columnar epithelium. It is a pre-malignant lesion associated with esophageal adenocarcinoma. Patients with gastroesophageal reflux disease who have additional risk factors (Caucasian race, male gender, age > 50 years, tobacco use, and central obesity) should undergo an esophagogastroduodenoscopy to screen for Barrett's esophagus. Read More

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http://dx.doi.org/10.1016/j.disamonth.2019.02.003DOI Listing
February 2019
2 Reads

The clinical value of ERCP-guided cholangiopancreatoscopy using a single-operator system.

BMC Gastroenterol 2019 Feb 26;19(1):35. Epub 2019 Feb 26.

Division of Surgery, CLINTEC, Karolinska Institutet, Center for Digestive Diseases, Karolinska University Hospital, Huddinge, 114 86, Stockholm, Sweden.

Background: Single-operator, per-oral cholangiopancreatoscopy (SOPCP) enables direct biliopancreatic ductal visualization, targeted tissue sampling, and therapeutic intervention. At Karolinska University Hospital, SOPCP was introduced early and has since been extensively utilized according to a standardized protocol. We analysed the clinical value of SOPCP in the diagnosis and treatment of biliopancreatic diseases in a single high volume center. Read More

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http://dx.doi.org/10.1186/s12876-019-0953-9DOI Listing
February 2019

Nasal positive pressure with the SuperNOVA™ device decreases sedation-related hypoxemia during pre-bariatric surgery EGD.

Surg Endosc 2019 Feb 25. Epub 2019 Feb 25.

Department of Surgery, New York Presbyterian Hospital-Weill Cornell Medicine, 525 East 68th Street Box 294, New York, NY, 10065, USA.

Introduction: Pre-operative esophagogastroduodenoscopy (EGD) is becoming routine practice in patients undergoing bariatric surgery. Many patients with morbid obesity have obstructive sleep apnea (OSA), which can worsen hypoxia during an EGD. In this study, we report our outcomes using the SuperNOVA™ device, a sealed nasal positive airway pressure mask designed to deliver high-fraction inhaled oxygen and titratable positive pressure compared to conventional nasal cannula. Read More

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http://dx.doi.org/10.1007/s00464-019-06721-1DOI Listing
February 2019
1 Read

"Fungating" tumour? No, it's bacterial!

BMJ Case Rep 2019 Feb 25;12(2). Epub 2019 Feb 25.

County Hospital Hereford, Hereford, UK.

A fit and healthy 26-year-old woman presented to the general surgical team with epigastric pain and weight loss of 2 stones over 6 months. She has also a positive family history of ulcerative colitis. As her oesophagogastroduodenoscopy and colonoscopy were normal, a contrasted CT was requested, and it detected an inflammatory mass with fat streaking around her transverse colon. Read More

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http://dx.doi.org/10.1136/bcr-2018-227876DOI Listing
February 2019
1 Read

[Diagnosis and surgical treatment of duodenal tumors].

Khirurgiia (Mosk) 2019 (1):5-13

A.V. Vishnevsky Institute of Surgery, Moscow, Russia.

Aim: To present the experience in diagnosis and surgical treatment of duodenal tumors.

Material And Methods: The study included 27 patients with different duodenal tumors: adenocarcinoma (AC, n=8), gastrointestinal stromal tumor (GIST, n=13), neuroendocrine tumor (NET, n=6). The examination included computed tomography (in 27 patients), magnetic resonance imaging (12), transcutaneous ultrasound (14), endosonography (16), esophagogastroduodenoscopy (16). Read More

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http://www.mediasphera.ru/issues/khirurgiya-zhurnal-im-n-i-p
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http://dx.doi.org/10.17116/hirurgia20190115DOI Listing
January 2019
3 Reads

What is the cost of endoscopic submucosal dissection (ESD)? A medico-economic study.

United European Gastroenterol J 2019 Feb 28;7(1):138-145. Epub 2018 Oct 28.

Hépato-gastro-entérologie, CHU Dupuytren, Limoges, France.

Introduction: Endoscopic submucosal dissection (ESD) is the gold-standard treatment for superficial lesions of the digestive tract. No medico-economic study has been conducted in Europe.

Material And Methods: A monocentric study was conducted including all patients undergoing ESD between January 2015 and December 2017. Read More

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http://dx.doi.org/10.1177/2050640618810572DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374836PMC
February 2019

Histologic retrieval rate of a newly designed side-bevelled 20G needle for EUS-guided tissue acquisition of solid pancreatic lesions.

United European Gastroenterol J 2019 Feb 30;7(1):96-104. Epub 2018 Sep 30.

Gastroenterology and Digestive Endoscopy Unit, The Pancreas Institute, G.B. Rossi University Hospital, Verona, Italy.

Background: Innovative approaches to improve diagnostic yield of endoscopic ultrasound-guided tissue acquisition (EUS-TA) have focused on needle design with development of fine-needle biopsy (FNB) needles with microcore-acquisition technology. Recently, a 20-gauge (20G) antegrade-cutting-side-bevelled biopsy needle (ProCore®) was developed for EUS-TA, but data about its diagnostic performance and histological capability are scant.

Objectives: We assessed the diagnostic performance and histologic retrieval rate of a new 20G antegrade-cutting-side-bevelled biopsy needle compared with a 22G reverse-side-bevelled needle for EUS sampling of solid pancreatic lesions. Read More

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http://journals.sagepub.com/doi/10.1177/2050640618804443
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http://dx.doi.org/10.1177/2050640618804443DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374840PMC
February 2019
4 Reads

Narrow band imaging evaluation of duodenal villi in patients with and without celiac disease: A prospective study.

World J Gastrointest Endosc 2019 Feb;11(2):145-154

Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN 55905, United States.

Background: Duodenal biopsies are commonly obtained during esophagogastroduodenoscopy (EGD) but are very often histopathologically normal. Therefore, a more strategic method for evaluating the duodenal mucosa and avoiding unnecessary biopsies is needed.

Aim: To examine the clinical utility of narrow band imaging (NBI) for evaluating duodenal villous morphology. Read More

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http://dx.doi.org/10.4253/wjge.v11.i2.145DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6379743PMC
February 2019

BEST POLYPECTOMY TECHNIQUE FOR SMALL AND DIMINUTIVE COLORECTAL POLYPS: A SYSTEMATIC REVIEW AND META-ANALYSIS.

Arq Gastroenterol 2018 Oct-Dec;55(4):358-368

Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Serviço de Endoscopia Gastrointestinal, São Paulo, SP, Brasil.

Background: Polypectomy of colorectal polyps is the mainstay of colorectal cancer prevention. Identification of the best polypectomy technique is imperative.

Objective: This review aims at comparing efficacy of nine different resection methods for small colorectal polyps (<10 mm). Read More

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http://dx.doi.org/10.1590/S0004-2803.201800000-79DOI Listing
March 2019
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Endoscopic diagnosis of colorectal polyps with the use of blue-light imaging: For experts only?

Gastrointest Endosc 2019 03;89(3):655-656

Gastroenterology Department, Cochin Hospital, Paris, France; Paris Descartes University, Paris, France.

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http://dx.doi.org/10.1016/j.gie.2018.11.002DOI Listing

Research design can be improved to support double-guidewire technique.

Gastrointest Endosc 2019 03;89(3):654

Department of Gastroenterology, Gongli Hospital, The Second Military Medical University, Shanghai, China; Department of Gastroenterology, Changhai Hospital, The Second Military Medical University, Shanghai, China.

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http://dx.doi.org/10.1016/j.gie.2018.10.032DOI Listing
March 2019
2 Reads

Response.

Gastrointest Endosc 2019 03;89(3):653

Department of Endoscopy, New Tokyo Hospital, Chiba, Japan.

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http://dx.doi.org/10.1016/j.gie.2018.10.028DOI Listing