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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)~53권4호(2020) |수록논문 수 : 1,002
Clinical Endoscopy
53권4호(2020년 07월) 수록논문
최근 권호 논문
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KCI등재 SCOPUS

1Safety and Competency are the Main Priorities in Pediatric Endoscopy

저자 : Byung-ho Choe

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 53권 4호 발행 연도 : 2020 페이지 : pp. 379-380 (2 pages)

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2Safeness of Endoscopic Resection in Patients with End-Stage Renal Disease on Dialysis

저자 : Sun-jin Boo

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 53권 4호 발행 연도 : 2020 페이지 : pp. 381-382 (2 pages)

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3Endoscopic Treatment for Gastrointestinal Stromal Tumors in the Upper Gastrointestinal Tract

저자 : In Kyung Yoo , Joo Young Cho

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 53권 4호 발행 연도 : 2020 페이지 : pp. 383-384 (2 pages)

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4Usefulness of Colonoscopy in Patients with Hematochezia Aged under 40 Years

저자 : Hee Chan Yang , Sang Wook Kim

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 53권 4호 발행 연도 : 2020 페이지 : pp. 385-386 (2 pages)

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5The Future of Capsule Endoscopy: The Role of Artificial Intelligence and Other Technical Advancements

저자 : Young Joo Yang

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 53권 4호 발행 연도 : 2020 페이지 : pp. 387-394 (8 pages)

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Capsule endoscopy has revolutionized the management of small-bowel diseases owing to its convenience and noninvasiveness. Capsule endoscopy is a common method for the evaluation of obscure gastrointestinal bleeding, Crohn's disease, small-bowel tumors, and polyposis syndrome. However, the laborious reading process, oversight of small-bowel lesions, and lack of locomotion are major obstacles to expanding its application. Along with recent advances in artificial intelligence, several studies have reported the promising performance of convolutional neural network systems for the diagnosis of various small-bowel lesions including erosion/ulcers, angioectasias, polyps, and bleeding lesions, which have reduced the time needed for capsule endoscopy interpretation. Furthermore, colon capsule endoscopy and capsule endoscopy locomotion driven by magnetic force have been investigated for clinical application, and various capsule endoscopy prototypes for active locomotion, biopsy, or therapeutic approaches have been introduced. In this review, we will discuss the recent advancements in artificial intelligence in the field of capsule endoscopy, as well as studies on other technological improvements in capsule endoscopy. Clin Endosc 2020;53:387-394

KCI등재 SCOPUS

6A New Active Locomotion Capsule Endoscopy under Magnetic Control and Automated Reading Program

저자 : Dong Jun Oh , Kwang Seop Kim , Yun Jeong Lim

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 53권 4호 발행 연도 : 2020 페이지 : pp. 395-401 (7 pages)

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Capsule endoscopy (CE) is the first-line diagnostic modality for detecting small bowel lesions. CE is non-invasive and does not require sedation, but its movements cannot be controlled, it requires a long time for interpretation, and it has lower image quality compared to wired endoscopy. With the rapid advancement of technology, several methods to solve these problems have been developed. This article describes the ongoing developments regarding external CE locomotion using magnetic force, artificial intelligence-based interpretation, and image-enhancing technologies with the CE system. Clin Endosc 2020;53:395-401

KCI등재 SCOPUS

7Roles of Capsule Endoscopy and Balloon-Assisted Enteroscopy in the Optimal Management of Small Bowel Bleeding

저자 : Hani Abutalib , Tomonori Yano , Satoshi Shinozaki , Alan Kawarai Lefor , Hironori Yamamoto

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 53권 4호 발행 연도 : 2020 페이지 : pp. 402-409 (8 pages)

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The small bowel had long been considered a dark unapproachable tunnel until the invention of capsule endoscopy and double-balloon enteroscopy in the 21st century, which revolutionized the diagnosis and management of small bowel diseases, including bleeding. Various imaging modalities such as computed tomographic enterography, angiography, capsule endoscopy, and balloon-assisted enteroscopy play vital roles in the diagnosis and management of small bowel bleeding. The choice of modality to use and timing of application differ according to the availability of the modalities, patient's history, and physician's experience. Small bowel bleeding is managed using different strategies as exemplified by medical treatment, interventional radiology, endoscopic therapy, or surgical intervention. Balloon-assisted enteroscopy enables endoscopic interventions to control small bowel bleeding, including electrocautery, argon plasma coagulation, clip application, and tattooing as a prelude to surgery. In this article, we clarify the recent approaches to the optimal diagnosis and management of patients with small bowel bleeding. Clin Endosc 2020;53:402-409

KCI등재 SCOPUS

8Roles of Capsule Endoscopy and Device-Assisted Enteroscopy in the Diagnosis and Treatment of Small-Bowel Tumors

저자 : Eun Ran Kim

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 53권 4호 발행 연도 : 2020 페이지 : pp. 410-416 (7 pages)

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With the development of capsule endoscopy (CE) and device-assisted enteroscopy (DAE), the incidence of small-bowel tumors has increased and the characteristics of these tumors have changed. In addition, the diagnostic and therapeutic approaches for small-bowel tumors have diversified. CE is a simple, noninvasive method that aid in the visualization the entire small bowel. CE is considered the initial approach for small-bowel tumors. DAE can be used to perform endoscopic procedures such as bleeding control, polypectomy, stent insertion, and tattooing, as well as for diagnosis through visualization or tissue sampling. Therapeutic intervention with DAE is particularly useful in polyposis syndromes such as familial adenomatous polyposis and Peutz-Jeghers syndrome. This review will discuss the roles of CE and DAE in the diagnosis and treatment of small-bowel tumors. Clin Endosc 2020;53:410-416

KCI등재 SCOPUS

9Endoscopic Ultrasound-Guided Fine Needle Aspiration and Endoscopic Retrograde Cholangiopancreatography-Based Tissue Sampling in Suspected Malignant Biliary Strictures: A Meta-Analysis of Same-Session Procedures

저자 : Diogo Turiani Hourneax De Moura , Marvin Ryou , Eduardo Guimar , Es Hourneaux De Moura , Igor Braga Ribeiro , Wanderlei Marques Bernardo , Christopher C. Thompson

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 53권 4호 발행 연도 : 2020 페이지 : pp. 417-428 (12 pages)

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Background/Aims: The diagnosis of biliary strictures can be challenging. There are no systematic reviews studying same-session endoscopic retrograde cholangiopancreatography (ERCP)-based tissue sampling and endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) for the diagnosis of biliary strictures.
Methods: A systematic review was conducted on studies analyzing same-session EUS and ERCP for tissue diagnosis of suspected malignant biliary strictures. The primary outcome was the accuracy of each method individually compared to the two methods combined. The secondary outcome was the accuracy of each method in pancreatic and biliary etiologies. In the meta-analysis, we used Forest plots, summary receiver operating characteristic curves, and estimates of the area under the curve for intention-to-treat analysis.
Results: Of the 12,132 articles identified, six were included, resulting in a total of 497 patients analyzed. The sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, and accuracy of the association between the two methods were: 86%, 98%, 12.50, 0.17, and 96.5%, respectively. For the individual analysis, the sensitivity, specificity and accuracy of EUS-FNA were 76%, 100%, and 94.5%, respectively; for ERCP-based tissue sampling, the sensitivity, specificity, and accuracy were 58%, 98%, and 78.1%, respectively. For pancreatic lesions, EUS-FNA was superior to ERCP-based tissue sampling. However, for biliary lesions, both methods had similar sensitivities.
Conclusions: Same-session EUS-FNA and ERCP-based tissue sampling is superior to either method alone in the diagnosis of suspected malignant biliary strictures. Considering these results, combination sampling should be performed when possible. Clin Endosc 2020;53:417-428

KCI등재 SCOPUS

10Endoscopic Ultrasound-Guided Pancreatic Transmural Stenting and Transmural Intervention

저자 : Takeshi Ogura Hideko Ohama , Kazuhide Higuchi

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 53권 4호 발행 연도 : 2020 페이지 : pp. 429-435 (7 pages)

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Endoscopic ultrasound (EUS)-guided pancreatic access is an emergent method that can be divided into the two main techniques of EUS-guided rendezvous and pancreatic transmural stenting (PTS). While many reports have described EUS-guided procedures, the indications, technical tips, clinical effects, and safety of EUS-guided pancreatic duct drainage (EUS-PD) remain controversial. This review describes the current status of and problems associated with EUS-PD, particularly PTS. We reviewed clinical data derived from a total of 334 patients. Rates of technical and clinical success ranged from 63% to 100% and 76% to 100%, respectively. In contrast, the rate of procedure-related adverse events was high at 26.7% (89/334). The most frequent adverse events comprised abdominal pain (n=38), acute pancreatitis (n=15), bleeding (n=9), and issues associated with pancreatic juice leakage such as perigastric fluid, pancreatic fluid collection, or pancreatic juice leaks (n=8). In conclusion, indications for EUS-PTS are limited, as is the evidence of its viability, due to the scarcity of expert operators. Despite improvements made to various devices, EUS-PTS remains technically challenging. Therefore, a long-term, large-scale, multicenter study is required to establish this technique as a viable alternative drainage method. Clin Endosc 2020;53:429-435

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건양대학교 동의대학교 Monash University
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