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Current status of preoperative endoscopic biliary drainage for distal and hilar biliary obstruction Digest. Endosc. (IF 5.3) Pub Date : 2024-04-17 Hirotoshi Ishiwatari, Junya Sato, Hiroki Sakamoto, Takuya Doi, Hiroyuki Ono
The purpose of preoperative biliary drainage (PBD) is to reduce complications during the perioperative period. The extrahepatic bile duct comprises distal and hilar bile ducts and assessing the need for PBD must be considered separately for each duct, as surgical procedures and morbidities vary. The representative disease‐causing distal bile duct obstruction is pancreatic cancer. A randomized controlled
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WEO Newsletter: Tips and tricks for ultrasound assessment of inflammatory bowel disease Digest. Endosc. (IF 5.3) Pub Date : 2024-04-12
WEO DEN Newsletter issue 36-4 – April 2024 WEO Newsletter Editor: Nalini M Guda MD, MASGE, AGAF, FACG, FJGES Tips and tricks for ultrasound assessment of inflammatory bowel disease Partha Pal and Mohammad Abdul Mateen Asian Institute of Gastroenterology, Hyderabad, Telangana, India Correspondence: Partha Pal, Department of Medical Gastroenterology and IBD, 6-3-661, Asian Institute of Gastroenterology
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Texture and color enhancement imaging for biliary cannulation via balloon enteroscopy in patients with surgically altered anatomy Digest. Endosc. (IF 5.3) Pub Date : 2024-04-11 Haruka Toyonaga, Akio Katanuma
Percutaneous procedures have been used in the examination and treatment of pancreatobiliary diseases in patients with surgically altered anatomy. Recently, balloon enteroscopy-assisted endoscopic retrograde cholangiopancreatography (BE-ERCP) has been widely conducted.1, 2 Despite the development of various techniques and devices that have increased the success rates of BE-ERCP, biliary cannulation
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Texture and color enhancement imaging improve visibility in photodynamic therapy for patients with esophageal squamous cell carcinoma Digest. Endosc. (IF 5.3) Pub Date : 2024-04-11 Jun Nakamura, Takuto Hikichi, Minami Hashimoto
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Rescue technique for basket impaction with a plastic stent, a rare complication of biliary inside stenting Digest. Endosc. (IF 5.3) Pub Date : 2024-04-04 Nao Fujimori, Akihisa Ohno, Keijiro Ueda
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Double novel integrated outside biliary stent and nasobiliary drainage catheter system placement for hilar biliary stricture Digest. Endosc. (IF 5.3) Pub Date : 2024-04-04 Akihiro Sekine, Kazunari Nakahara, Keisuke Tateishi
Watch a video of this article.
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Response to “Novel cold snare technique with clipping for duodenal angioectasia” Digest. Endosc. (IF 5.3) Pub Date : 2024-04-03 Chengqian Zhong, Tiantian Cao, Shiqian Lan
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Closing the defect after gastric endoscopic full‐thickness resection with a novel closure device Digest. Endosc. (IF 5.3) Pub Date : 2024-04-01 Shunsuke Ueda, Noboru Kawata, Hiroyuki Ono
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Importance of bile reflux to the esophagus in reflux esophagitis and the meaning of establishing a new endoscopy EP‐0002 system to visualize bilirubin Digest. Endosc. (IF 5.3) Pub Date : 2024-04-01 Mitsushige Sugimoto, Masaki Murata, Takashi Kawai
Gastroesophageal reflux disease (GERD), including nonerosive reflux disease (NERD) and reflux esophagitis, is defined as the presence of reflux-associated symptoms and/or esophageal mucosal damage caused by the reflux of gastric content into the esophagus.1 In general, the main therapeutic strategy for GERD is potent acid inhibition for a 24 h period. This is because esophageal mucosal breaks and reflux-related
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Primary rectal Hodgkin lymphoma mimicking neuroendocrine tumor successfully removed by endoscopic submucosal dissection Digest. Endosc. (IF 5.3) Pub Date : 2024-04-01 Tao Liu, Lei Shi, Yuyong Tan
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Utilizing a stent retriever: Novel technique for the management of appendiceal orifice stenosis during endoscopic retrograde appendicitis therapy Digest. Endosc. (IF 5.3) Pub Date : 2024-04-01 Zhiqian Chen, Junxiu Li, Xianhui Zeng
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Salvage treatment after endoscopic submucosal dissection for a rectal neuroendocrine tumor: Premeditated peranal endoscopic myectomy Digest. Endosc. (IF 5.3) Pub Date : 2024-03-22 Daiki Kitagawa, Takashi Kanesaka, Ryu Ishihara
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How to prevent and treat biliary lumen-apposing metal stent dysfunction? Digest. Endosc. (IF 5.3) Pub Date : 2024-03-21 Jérémie Albouys, Thomas Guilmoteau, Marion Schaefer, Jérémie Jacques
Since the development of lumen-apposing metal stents (LAMS), biliary drainage by endoscopic ultrasound guided choledochoduodenostomy (EUS-CDS) has become increasingly popular, thanks especially to its relative simplicity. Initially used as rescue therapy after endoscopic retrograde cholangiopancreatography (ERCP) failure, it is now accepted as first-line treatment in inoperable patients and by expert
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Assemblage of a functional and versatile endoscopy trainer reusing medical waste: Step‐by‐step video tutorial Digest. Endosc. (IF 5.3) Pub Date : 2024-03-18 Riccardo Vasapolli, Jörg Schirra, Christian Schulz
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Is blue light imaging without magnification satisfactory as screening for esophageal squamous cell carcinoma? Post‐hoc analysis of multicenter randomized controlled trial Digest. Endosc. (IF 5.3) Pub Date : 2024-03-18 Yohei Ogata, Waku Hatta, Tomoyuki Koike, So Takahashi, Tamotsu Matsuhashi, Wataru Iwai, Sho Asonuma, Hideki Okata, Motoki Ohyauchi, Hirotaka Ito, Yasuhiko Abe, Yu Sasaki, Masashi Kawamura, Masahiro Saito, Kaname Uno, Fumiyoshi Fujishima, Tomohiro Nakamura, Naoki Nakaya, Katsunori Iijima, Atsushi Masamune
ObjectivesNarrow light observation is currently recommended as an alternative to Lugol chromoendoscopy (LCE) to detect esophageal squamous cell carcinoma (ESCC). Studies revealed little difference in sensitivity between the two modalities in expert settings; however, these included small numbers of cases. We aimed to determine whether blue light imaging (BLI) without magnification is satisfactory for
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Evaluating optimal bilateral biliary stenting in endoscopic reintervention after initial plastic stent dysfunction for unresectable malignant hilar biliary obstruction: Retrospective cross‐sectional study Digest. Endosc. (IF 5.3) Pub Date : 2024-03-16 Mitsuru Okuno, Keisuke Iwata, Takuji Iwashita, Tsuyoshi Mukai, Kota Shimojo, Yosuke Ohashi, Yuhei Iwasa, Akihiko Senju, Shota Iwata, Ryuichi Tezuka, Hironao Ichikawa, Naoki Mita, Shinya Uemura, Kensaku Yoshida, Akinori Maruta, Eiichi Tomita, Ichiro Yasuda, Masahito Shimizu
ObjectivesThe placement of plastic stents (PS), including intraductal PS (IS), is useful in patients with unresectable malignant hilar biliary obstruction (UMHBO) because of patency and ease of endoscopic reintervention (ERI). However, the optimal stent replacement method for PS remains unclear.MethodsThis retrospective study included 322 patients with UMHBO. Among them, 146 received PS placement as
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Role of advanced endoscopy in the management of inflammatory digestive diseases (pancreas and biliary tract) Digest. Endosc. (IF 5.3) Pub Date : 2024-03-13 Toshiharu Ueki, Toru Maruo, Yoshinori Igarashi, Akira Yamamiya, Keiichi Tominaga, Atsushi Irisawa, Hitoshi Yoshida, Terumi Kamisawa, Mamoru Takenaka, Hiroyuki Isayama
The progress of endoscopic diagnosis and treatment for inflammatory diseases of the biliary tract and pancreas have been remarkable. Endoscopic ultrasonography (EUS) and EUS‐elastography are used for the diagnosis of early chronic pancreatitis and evaluation of endocrine and exocrine function in chronic pancreatitis. Notably, extracorporeal shock wave lithotripsy and electrohydraulic shock wave lithotripsy
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Direct clipping using a half‐opened reopenable clip and long hood for colonic diverticular bleeding Digest. Endosc. (IF 5.3) Pub Date : 2024-03-12 Kazuya Miyaguchi, Yoshikazu Tsuzuki, Hiroyuki Imaeda
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Development and validation of a scoring system for in‐hospital mortality following band ligation in esophageal variceal bleeding Digest. Endosc. (IF 5.3) Pub Date : 2024-03-11 Chikamasa Ichita, Tadahiro Goto, Yohei Okada, Haruki Uojima, Masao Iwagami, Akiko Sasaki, Sayuri Shimizu
ObjectivesWe aimed to develop and validate a simple scoring system to predict in‐hospital mortality after endoscopic variceal ligation (EVL) for esophageal variceal bleeding.MethodsData from a 13‐year study involving 46 Japanese institutions were split into development (initial 7 years) and validation (last 6 years) cohorts. The study subjects were patients hospitalized for esophageal variceal bleeding
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Bile duct cannulation with a balloon catheter and hemostasis when identification of the papilla is difficult due to clots from bleeding after endoscopic sphincterotomy Digest. Endosc. (IF 5.3) Pub Date : 2024-03-11 Ikuhiro Kobori, Koichi Soga, Masaya Tamano
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Using endoscopic radial incision and cutting combined with endoscopic retrograde cholangiopancreatography to treat biliary‐enteric anastomotic stricture and stones Digest. Endosc. (IF 5.3) Pub Date : 2024-03-07 Li Wang, Wei‐Feng Chen, Ping‐Hong Zhou
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Postendoscopic papillectomy recurrence of familial adenomatous polyposis‐related ampullary adenomas: New or remnant lesions? Digest. Endosc. (IF 5.3) Pub Date : 2024-03-05 Kenjiro Yamamoto, Takao Itoi
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Hemostasis for postendoscopic sphincterotomy hemorrhage using a stone exaction balloon filled with ice‐cold water Digest. Endosc. (IF 5.3) Pub Date : 2024-03-05 Takafumi Mie, Hiroki Nakagawa, Takashi Sasaki
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Anchor‐looped‐wire technique using a double lumen catheter to prevent proximal dislocation of a pigtail plastic stent when placing multiple biliary stents Digest. Endosc. (IF 5.3) Pub Date : 2024-03-05 Yuichi Hirata, Daisuke Orita, Yoshihiro Okabe
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WEO Newsletter: Tips and tricks for successful and safe endoscopic full‐thickness resection (EFTR) Digest. Endosc. (IF 5.3) Pub Date : 2024-03-05
WEO Newsletter Editor: Nalini M Guda MD, MASGE, AGAF, FACG, FJGES
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Coagulation with hemostatic forceps after endoscopic injection sclerotherapy in a pediatric patient with esophageal varices Digest. Endosc. (IF 5.3) Pub Date : 2024-03-04 Jun Nakamura, Takuto Hikichi, Hideaki Tanaka
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Efficacy of texture and color enhancement imaging for short‐type single‐balloon enteroscopy‐assisted biliary cannulation in patients with Roux‐en‐Y gastrectomy: Multicenter study (with video) Digest. Endosc. (IF 5.3) Pub Date : 2024-03-04 Yuki Tanisaka, Mamoru Takenaka, Masafumi Mizuide, Akashi Fujita, Ryuhei Jinushi, Takahiro Shin, Kei Sugimoto, Ken Kamata, Kosuke Minaga, Shunsuke Omoto, Tomohiro Yamazaki, Shomei Ryozawa
ObjectivesTexture and color enhancement imaging (TXI) reportedly improves the identification of the papilla of Vater for selective biliary cannulation compared with white light imaging (WLI). This multicenter study evaluated the efficacy of short‐type single‐balloon enteroscopy (SBE)‐assisted biliary cannulation using a new‐generation image‐enhanced endoscopy processing system equipped with TXI in
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Consensus statements on endoscopic ultrasound‐guided tissue acquisition. Guidelines from the Asian Endoscopic Ultrasound Group Digest. Endosc. (IF 5.3) Pub Date : 2024-03-04 Charing Ching‐Ning Chong, Rapat Pittayanon, Nonthalee Pausawasdi, Vikram Bhatia, Nozomi Okuno, Raymond Shing‐Yan Tang, Tsu‐Yao Cheng, Yu‐Ting Kuo, Dongwook Oh, Tae Jun Song, Tae Hyeon Kim, Kazuo Hara, Anthony Wing‐Hung Chan, Howard Ho Wai Leung, Aiming Yang, Zhendong Jin, Can Xu, Sundeep Lakhtakia, Hsiu‐Po Wang, Dong‐Wan Seo, Anthony Yuen‐Bun Teoh, Lawrence Khek‐Yu Ho, Mitsuhiro Kida
ObjectivesThis consensus was developed by the Asian EUS Group (AEG), who aimed to formulate a set of practice guidelines addressing various aspects of endoscopic ultrasound‐guided tissue acquisition (EUS‐TA).MethodsThe AEG initiated the development of consensus statements and formed an expert panel comprising surgeons, gastroenterologists, and pathologists. Three online consensus meetings were conducted
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Proportions and characteristics of interval cancer in annual fecal immunochemical test screening and postcolonoscopy colorectal cancer: Results from a Japanese multicenter prospective study using questionnaires, the C‐DETECT study Digest. Endosc. (IF 5.3) Pub Date : 2024-03-04 Masau Sekiguchi, Yoshihiro Kishida, Hiroaki Ikematsu, Maki Konno, Yasuhiko Mizuguchi, Kinichi Hotta, Kenichiro Imai, Sayo Ito, Kazunori Takada, Akio Shiomi, Hirofumi Yasui, Shunsuke Tsukamoto, Hidekazu Hirano, Nozomu Kobayashi, Yutaka Saito, Atsushi Inaba, Kensuke Shinmura, Jun Konishi, Heita Ozawa, Shin Fujita, Yoshitaka Murakami, Takahisa Matsuda
ObjectivesThere are several types of colorectal cancer (CRC) according to the detection methods and intervals, including interval CRC (iCRC) and postcolonoscopy CRC (PCCRC). We aimed to examine their proportions and characteristics.MethodsWe conducted a multicenter prospective study using questionnaires in Japan (“C‐DETECT study”), in which differences in CRC characteristics according to detection
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Efficacy of a novel covered metallic stent with side holes for malignant anastomotic stenosis of choledochojejunostomy Digest. Endosc. (IF 5.3) Pub Date : 2024-02-28 Koh Kitagawa, Fumimasa Tomooka, Hitoshi Yoshiji
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Can endoscopic ultrasound‐guided gallbladder drainage be an alternative biliary drainage in all cases after failed endoscopic retrograde cholangiopancreatography? Digest. Endosc. (IF 5.3) Pub Date : 2024-02-28 Yousuke Nakai
In this issue of Digestive Endoscopy, Debourdeau et al.1 reported comparable outcomes of endoscopic ultrasound (EUS)-guided choledochoduodenostomy (EUS-CDS) and EUS-guided gallbladder drainage (EUS-GBD) for distal malignant biliary obstruction (dMBO) after failed endoscopic retrograde cholangiopancreatography. In their multicenter, retrospective study, the clinical success rate was 87.8% for EUS-GBD
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Does longer withdrawal time increase discomfort? Digest. Endosc. (IF 5.3) Pub Date : 2024-02-27 Kenichiro Majima, Yosuke Muraki
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Randomized controlled trial of remimazolam compared with placebo in Japanese patients undergoing upper gastrointestinal endoscopy: Phase III investigator‐initiated clinical trial Digest. Endosc. (IF 5.3) Pub Date : 2024-02-26 Ryoji Ichijima, Hisatomo Ikehara, Daisuke Yamaguchi, Yasuhiko Nagata, Kanako Ogura, Mitsuru Esaki, Yosuke Minoda, Hiroyuki Ono, Yuki Maeda, Shinsuke Kiriyama, Tetsuya Sumiyoshi, Yuichi Kanmura, Takuji Gotoda
ObjectivesTo assess the effectiveness of remimazolam against normal saline (placebo) as a sedative agent for endoscopy in a multicenter, randomized, double‐blind, investigator‐initiated phase III controlled trial.MethodsWe included 48 Japanese patients undergoing upper gastrointestinal endoscopy. For the procedure, an initial remimazolam dose of 3 mg and additional doses of 1 mg were administered,
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Advances in the endoscopic management of gastric varices Digest. Endosc. (IF 5.3) Pub Date : 2024-02-26 Xin‐Tong Chi, Ting‐Ting Lian, Ze‐Hao Zhuang
This review provides an overview of the treatment options available for gastric varices (GV) with a focus on endoscopic methods. Various minimally invasive techniques, including endoscopic band ligation, endoscopic cyanoacrylate injection, and transjugular intrahepatic portosystemic shunt, can be applied to the treatment of GV. Endoscopic cyanoacrylate injection is now recognized as a first‐line treatment
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Excision and closure: Challenge to surgery by endoscopists Digest. Endosc. (IF 5.3) Pub Date : 2024-02-21 Osamu Goto, Katsuhiko Iwakiri
Endoscopic full-thickness resection (EFTR), which involves a full-layered lesion removal and defect closure by flexible endoscopy, is considered a minimally invasive surgery for small gastric subepithelial tumors (SETs) that were diagnosed/suspected as intraluminally growing type gastrointestinal stromal tumor (GIST) without ulceration and can be retrieved transorally. This technique creates no scars
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Effectiveness of endoscopic ultrasound (EUS)‐guided choledochoduodenostomy vs. EUS‐guided gallbladder drainage for jaundice in patients with malignant distal biliary obstruction after failed endoscopic retrograde cholangiopancreatography: Retrospective, multicenter study (GALLBLADEUS Study) Digest. Endosc. (IF 5.3) Pub Date : 2024-02-21 Antoine Debourdeau, Jules Daniel, Ludovic Caillo, Eric Assenat, Martin Bertrand, Thomas Bardol, François‐Régis Souche, Philippe Pouderoux, Romain Gerard, Diane Lorenzo, Jean‐François Bourgaux
ObjectivesThe aim of this study was to compare endoscopic ultrasound‐guided choledochoduodenostomy (EUS‐CDS) vs. EUS‐gallbladder drainage (EUS‐GBD) in cases of failed endoscopic retrograde cholangiopancreatography (ERCP) for jaundice resulting from malignant distal biliary obstruction (MDBO).MethodsThis multicenter retrospective study included patients with obstructive jaundice secondary to MDBO who
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Case of hilar cholangiocarcinoma with a distal skip lesion detected by cholangioscopy Digest. Endosc. (IF 5.3) Pub Date : 2024-02-20 Ko Tomishima, Yuki Fukumura, Hiroyuki Isayama
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Efficacy of prophylactic clip closure in reducing the risk of delayed bleeding after colorectal endoscopic submucosal dissection in patients on anticoagulant therapy: Multicenter prospective study Digest. Endosc. (IF 5.3) Pub Date : 2024-02-20 Hideharu Ogiyama, Minoru Kato, Shinjiro Yamaguchi, Takashi Kanesaka, Takuya Yamada, Masashi Yamamoto, Masato Komori, Koji Nagaike, Masanori Nakahara, Shusaku Tsutsui, Yoshiki Tsujii, Ryotaro Saita, Hideki Iijima, Yoshito Hayashi, Tetsuo Takehara
ObjectivesThe high rate of delayed bleeding after colorectal endoscopic submucosal dissection (ESD) in patients undergoing anticoagulant therapy remains a problem. Whether prophylactic clip closure reduces the rate of delayed bleeding in these patients is unclear. This study aimed to evaluate the efficacy of prophylactic clip closure in patients receiving anticoagulants.MethodsThis multicenter prospective
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Over-the-scope clip rescue method of endoscopic hemostasis for severe acute colonic diverticular bleeding Digest. Endosc. (IF 5.3) Pub Date : 2024-02-14 Daisuke Yamaguchi, Yuichiro Tanaka, Tadahiro Nomura
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Securing threads with a novel clip to prevent preceding stent migration in multiple biliary inside plastic stents Digest. Endosc. (IF 5.3) Pub Date : 2024-02-14 Koichiro Mandai, Shiho Nakamura
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Quantitative diagnosis of superficial nonampullary duodenal adenocarcinoma: Moving forward with formalin-fixed paraffin-embedded specimens Digest. Endosc. (IF 5.3) Pub Date : 2024-02-14 Masao Yoshida
Duodenal adenocarcinoma is a relatively rare disease, with a gross incidence of 23.7 per million population in Japan, a country known for its good accessibility to endoscopic examinations.1 The rarity of this disease has resulted in a limited number of research studies compared with other gastrointestinal malignancies. Although clinical practice guidelines for duodenal cancer were issued in Japan in
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What are the appropriate timing and cut-off values of pancreatic enzymes for predicting postendoscopic retrograde cholangiopancreatography pancreatitis? Digest. Endosc. (IF 5.3) Pub Date : 2024-02-05 Hironari Kato
Postendoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP) is the most common complication of ERCP-related procedures. In a large, prospective, multicenter observational study of complications associated with ERCP for naive papilla, the incidence of post-ERCP PEP was 6.9%. The incidence of severe PEP was 0.45%, and the mortality rate among patients who developed pancreatitis was 0
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Novel cold snare technique with clipping for duodenal angioectasia Digest. Endosc. (IF 5.3) Pub Date : 2024-02-07 Jun Owada, Atsushi Kihara, Tomonori Yano
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Pigtail trap: Stent migration crisis following endoscopic ultrasound-guided gallbladder drainage Digest. Endosc. (IF 5.3) Pub Date : 2024-02-07 Takehiko Koga, Yusuke Ishida, Fumihito Hirai
Watch a video of this article.
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WEO Newsletter: EUS-guided hepaticogastrostomy: Tips and tricks Digest. Endosc. (IF 5.3) Pub Date : 2024-02-02
WEO Newsletter Editor: Nalini M Guda MD, MASGE, AGAF, FACG, FJGES
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Rescue technique using a novel device delivery system for difficult endoscopic transpapillary gallbladder stenting Digest. Endosc. (IF 5.3) Pub Date : 2024-02-01 Kazunari Nakahara, Akihiro Sekine, Keisuke Tateishi
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Case of single-balloon enteroscopy-assisted lithotripsy using a holmium:YAG laser for an impacted stone in the jejunum Digest. Endosc. (IF 5.3) Pub Date : 2024-01-30 Kyoko Asano, Ryosuke Tonozuka, Takao Itoi
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Electrohydraulic lithotripsy treatment with mother–baby endoscopic system useful for gallstone impacted in ileum Digest. Endosc. (IF 5.3) Pub Date : 2024-01-25 Hideaki Kazumori, Kousuke Fukuda, Takashi Sato
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Hemostatic efficacy of a novel self-assembling peptide gel for delayed bleeding following colorectal endoscopic submucosal dissection with complete endoscopic defect closure Digest. Endosc. (IF 5.3) Pub Date : 2024-01-22 Mao Daikaku, Mitsuru Esaki, Yorinobu Sumida
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Successful conversion of transpapillary bile duct drainage to endoscopic ultrasound-guided choledochoduodenostomy using an inflated balloon catheter Digest. Endosc. (IF 5.3) Pub Date : 2024-01-22 Masafumi Watanabe, Kosuke Okuwaki, Chika Kusano
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Empowering African endoscopy through Indian initiative Digest. Endosc. (IF 5.3) Pub Date : 2024-01-12
WEO Newsletter Editor: Nalini M Guda MD, MASGE, AGAF, FACG, FJGES
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Layered closure by endoscopic hand suturing involving the muscle layer for large defect after gastric endoscopic submucosal dissection Digest. Endosc. (IF 5.3) Pub Date : 2024-01-11 Teppei Masunaga, Naohisa Yahagi, Motohiko Kato
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Modified endoscopic retrograde appendicitis therapy vs. laparoscopic appendectomy for uncomplicated acute appendicitis in children Digest. Endosc. (IF 5.3) Pub Date : 2024-01-03 Anding Zhang, Yalong Zhang, Na Fan, Yaxing Hui, Ying Zhou, Lingchao Zeng, Chunhui Wang, Lei Shang, Ke Qi, Xiaobao He, Yan Lin, Xun Jiang
Modified endoscopic retrograde appendicitis therapy (mERAT) has been proposed as an alternative to laparoscopic appendectomy for the treatment of appendicitis. However, data from children in large samples are lacking. The aim of this article is to evaluate the efficacy between mERAT and laparoscopic appendectomy (LA) in children with uncomplicated appendicitis.
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Know endoscopic retrograde cholangiopancreatography and yourself, then you need not fear the result of a hundred cases Digest. Endosc. (IF 5.3) Pub Date : 2023-12-28 Suguru Mizuno, Satoshi Mochida
Endoscopic retrograde cholangiopancreatography (ERCP) is an advanced endoscopic technique used for the diagnosis and treatment of biliopancreatic diseases. Recent technical advancements have expanded the applications of this technique, particularly in therapeutic settings. The importance of training and education in ERCP has been increasing for endoscopists; however, there is a lack of standard training