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대한소화기내시경학회> Clinical Endoscopy

Clinical Endoscopy update

  • : 대한소화기내시경학회
  • : 의약학분야  >  내과학
  • : KCI등재
  • : SCOPUS
  • : 연속간행물
  • : 격월
  • : 2234-2400
  • : 2234-2443
  • : 대한소화기내시경학회지(~2011)→Clinical Endoscopy(2012~)

수록정보
수록범위 : 44권1호(2011)~52권6호(2019) |수록논문 수 : 921
Clinical Endoscopy
52권6호(2019년 11월) 수록논문
최근 권호 논문
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KCI등재 SCOPUS

1Diagnosis of Gastric Subepithelial Tumors Using Endoscopic Ultrasonography or Abdominopelvic Computed Tomography: Which is Better?

저자 : Eun Young Park , Gwang Ha Kim

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 52권 6호 발행 연도 : 2019 페이지 : pp. 519-520 (2 pages)

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KCI등재 SCOPUS

2Endoscopic Sclerotherapy with Aluminum Potassium Sulfate and Tannic Acid: An Effective and Less Invasive Strategy for Internal Hemorrhoids

저자 : Naoki Muguruma , Tetsuji Takayama

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 52권 6호 발행 연도 : 2019 페이지 : pp. 521-522 (2 pages)

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KCI등재 SCOPUS

3Can Localized Stenosis of the Main Pancreatic Duct be a Predictive Factor for Early Detection of Pancreatic Cancer?

저자 : Mamoru Takenaka , Kentaro Yamao , Masatoshi Kudo

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 52권 6호 발행 연도 : 2019 페이지 : pp. 523-524 (2 pages)

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4Strategies to Overcome Risks Associated with Endoscopic Biliary Stenting

저자 : Woo Hyun Paik , Yong-tae Kim

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 52권 6호 발행 연도 : 2019 페이지 : pp. 525-526 (2 pages)

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KCI등재 SCOPUS

5Current Status of Endoscopic Ultrasound Techniques for Pancreatic Neoplasms

저자 : Yousuke Nakai , Naminatsu Takahara , Suguru Mizuno , Hirofumi Kogure , Kazuhiko Koike

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 52권 6호 발행 연도 : 2019 페이지 : pp. 527-532 (6 pages)

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Endoscopic ultrasound (EUS) now plays an important role in the management of pancreatic neoplasms. There are various types of pancreatic neoplasms, from benign to malignant lesions, and the role of EUS ranges from the imaging diagnosis to treatment. EUS is useful for the detection, characterization, and tissue acquisition of pancreatic lesions. Recent advancement of contrast-enhanced harmonic EUS and elastography enables better characterization of pancreatic lesions. In addition to these enhanced EUS imaging techniques, EUS-guided tissue acquisition is now the standard procedure to establish the pathological diagnosis of pancreatic neoplasms. While these diagnostic roles of EUS have been established, EUS-guided interventions such as ablation and drainage are also increasingly utilized in the management of pancreatic neoplasms. However, most of these EUS-guided interventions are not yet standardized in terms of techniques and devices and thus need further investigations. Clin Endosc 2019;52:527-532

KCI등재 SCOPUS

6Elastography of the Pancreas, Current View

저자 : Christoph F. Dietrich , Michael Hocke

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 52권 6호 발행 연도 : 2019 페이지 : pp. 533-540 (8 pages)

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Ultrasound elastography (USE) of the pancreas allows pancreatic tissue stiffness assessment by virtual palpation. Two main types of USE are used. For the pancreas strain elastography applying by endoscopic ultrasound has been established for the characterisation of small solid pancreatic lesions (SPL). In larger SPL >30 mm the results are less convincing mainly due to the heterogenicity of the lesions but also by concomitant changes of the surrounding pancreatic parenchyma. The current role of shear wave elastography has to be determined. This article reviews the current use of elastography of the pancreas. Clin Endosc 2019;52:533-540

KCI등재 SCOPUS

7Present and Future of Endoscopic Ultrasound-Guided Tissue Acquisition in Solid Pancreatic Tumors

저자 : Jae Keun Park , Kwang Hyuck Lee

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 52권 6호 발행 연도 : 2019 페이지 : pp. 541-548 (8 pages)

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Endoscopic ultrasound-guided tissue acquisition (EUS-TA) is a well-established method for pathological diagnosis of solid pancreatic neoplasm. It can be performed either as EUS-guided fine-needle aspiration (EUS-FNA) or EUS-guided fine-needle biopsy (EUSFNB). The incidence of adverse events related to EUS-TA is less than 1%. The factors that affect the diagnostic accuracy and specimen adequacy include the techniques used, type and size of the needle, competency of endosonographers, presence of cytopathologists/ cytotechnologists, and rapid on-site examination. EUS-TA may contribute to precision medicine through obtaining tissue samples for next-generation sequencing. The current status, several clinical issues for diagnostic yield and adverse events, and future perspectives of EUS-FNA/FNB for diagnosing pancreatic neoplasm have been discussed in this review article. Clin Endosc 2019;52:541-548

KCI등재 SCOPUS

8Anesthetic Consideration for Peroral Endoscopic Myotomy

저자 : Yun-sic Bang , Chunghyun Park

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 52권 6호 발행 연도 : 2019 페이지 : pp. 549-555 (7 pages)

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A recent achalasia guideline suggests that peroral endoscopic myotomy (POEM) is a safe option for achalasia that is as effective as Heller myotomy. It is recommended that POEM should be performed under general anesthesia. The incidence of adverse events such as bleeding, perforation, and carbon dioxide insufflation-related complications was lower in POEM under endotracheal general anesthesia than in POEM under sedation. Subcutaneous emphysema, pneumothorax, pneumomediastinum, pneumoperitoneum, and accompanying hemodynamic instability can be caused by carbon dioxide insufflation. Treatment of possible physiological changes and adverse events during the POEM procedure from the point of view of anesthesiologists may give endoscopists a new perspective on improving patient safety. The territory of therapeutic endoscopy can be expanded through cooperation with other departments, including anesthesia services. Efforts to understand different perspectives will certainly help not only secure patient safety but also expand the area of treatment. Clin Endosc 2019;52:549-555

KCI등재 SCOPUS

9The Role of Peroral Cholangioscopy in Evaluating Indeterminate Biliary Strictures

저자 : Nasim Parsa , Mouen A. Khashab

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 52권 6호 발행 연도 : 2019 페이지 : pp. 556-564 (9 pages)

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Biliary strictures are considered indeterminate when the initial radiologic evaluation and endoscopic retrograde cholangiopancreatography with brush cytology and/or forceps biopsy do not reveal diagnostic findings. Evaluation of these strictures is challenging and often requires a multidisciplinary approach and multiple procedures. Peroral cholangioscopy allows direct visualization of these lesions and targeted tissue acquisition using miniature biopsy forceps. In the past decade, there have been significant improvements in the field of cholangioscopy. These advances have allowed higher-quality image acquisition, easy setup, operation by a single operator, easy maneuverability, and excellent targeted tissue sampling performance. However, the interpretation of cholangioscopic visual findings remains challenging. In this review, we discuss the role of peroral cholangioscopy in the evaluation of indeterminate biliary strictures. Clin Endosc 2019;52:556-564

KCI등재 SCOPUS

10Comparison of the Diagnostic Ability of Endoscopic Ultrasonography and Abdominopelvic Computed Tomography in the Diagnosis of Gastric Subepithelial Tumors

저자 : Sang Yoon Kim , Ki-nam Shim , Joo-ho Lee , Ji Young Lim , Tae Oh Kim , A. Reum Choe , Chung Hyun Tae , Hye-kyung Jung , Chang Mo Moon , Seong-eun Kim , Sung-ae Jung

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 52권 6호 발행 연도 : 2019 페이지 : pp. 565-573 (9 pages)

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Background/Aims: Endoscopic ultrasonography (EUS) is the most efficient imaging modality for gastric subepithelial tumors (SETs). However, abdominopelvic computed tomography (APCT) has other advantages in evaluating the characteristics, local extension, or invasion of SETs to adjacent organs. This study aimed to compare the diagnostic ability of EUS and APCT based on surgical histopathology results.
Methods: We retrospectively reviewed data from 53 patients who underwent both EUS and APCT before laparoscopic wedge resection for gastric SETs from January 2010 to December 2017 at a single institution. On the basis of histopathology results, we assessed the diagnostic ability of the 2 tests.
Results: The overall accuracy of EUS and APCT was 64.2% and 50.9%, respectively. In particular, the accuracy of EUS vs. APCT for the diagnosis of gastrointestinal stromal tumors (GISTs), leiomyomas, and ectopic pancreas was 83.9% vs. 74.2%, 37.5% vs. 0.0%, and 57.1% vs. 14.3%, respectively. Most of the incorrect diagnoses with EUS involved hypoechoic lesions originating in the fourth echolayer, with the most common misdiagnosed lesions being GISTs mistaken for leiomyomas and vice versa.
Conclusions: APCT showed a lower overall accuracy than EUS; however, APCT remains a useful modality for malignant/potentially malignant gastric SETs. Clin Endosc 2019;52:565-573

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계명대학교 인하대학교 University of Pennsylvania 서울대학교
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