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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)~54권4호(2021) |수록논문 수 : 1,143
Clinical Endoscopy
54권4호(2021년 07월) 수록논문
최근 권호 논문
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KCI등재 SCOPUS

1Endoscopes that Complete Pre-Cleaning may be Stored Overnight until Next Morning for the Subsequent Reprocessing

저자 : Soo-jeong Cho

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 54권 4호 발행 연도 : 2021 페이지 : pp. 449-450 (2 pages)

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KCI등재 SCOPUS

3Endoscopic Closure After Endoscopic Resection for Superficial Non- Ampullary Duodenal Tumors

저자 : Satoshi Tanabe , Takuya Wada

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 54권 4호 발행 연도 : 2021 페이지 : pp. 453-454 (2 pages)

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KCI등재 SCOPUS

4Clinical Efficacy of Endocytoscopy for Gastrointestinal Endoscopy

저자 : Masashi Misawa , Shin-ei Kudo , Yuki Takashina , Yoshika Akimoto , Yasuharu Maeda , Yuichi Mori , Toyoki Kudo , Kunihiko Wakamura , Hideyuki Miyachi , Fumio Ishida , Haruhiro Inoue

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 54권 4호 발행 연도 : 2021 페이지 : pp. 455-463 (9 pages)

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Endocytoscopy (EC) is a contact-type optical endoscope that allows in vivo cellular observation during gastrointestinal endoscopy and is now commercially available not only in Japan but also in Asian, European Union, and Middle Eastern countries. EC helps conduct a highly accurate pathological prediction without biopsy. Initially, EC was reported to be effective for esophageal diseases. Subsequently, its efficacy for stomach and colorectal diseases has been reported. In this narrative review, we searched for clinical studies that investigated the efficacy of EC. EC seems to accurately diagnose gastrointestinal diseases without biopsy. Most of the studies aimed to clarify the relationship between endocytoscopic findings of gastrointestinal neoplasia and pathological diagnosis. Some studies have investigated non-epithelial lesions or diseases, such as inflammatory bowel disease or infectious diseases. However, there are few high-level pieces of evidence, such as randomized trials; thus, further studies are needed. Clin Endosc 2021;54:455-463

KCI등재 SCOPUS

5Current Status of Image-Enhanced Endoscopy for Early Identification of Esophageal Neoplasms

저자 : Shin Hee Kim , Su Jin Hong

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 54권 4호 발행 연도 : 2021 페이지 : pp. 464-476 (13 pages)

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Advanced esophageal cancer is known to have a poor prognosis. The early detection of esophageal neoplasms, including esophageal dysplasia and early esophageal cancer, is highly important for the accurate treatment of the disease. However, esophageal dysplasia and early esophageal cancer are usually subtle and can be easily missed. In addition to the early detection, proper pretreatment evaluation of the depth of invasion of esophageal cancer is very important for curative treatment. The progression of non-invasive diagnosis via image-enhanced endoscopy techniques has been shown to aid the early detection and estimate the depth of invasion of early esophageal cancer and, as a result, may provide additional opportunities for curative treatment. Here, we review the advancement of image-enhanced endoscopy-related technologies and their role in the early identification of esophageal neoplasms. Clin Endosc 2021;54:464-476

KCI등재 SCOPUS

6Application of Current Image-Enhanced Endoscopy in Gastric Diseases

저자 : Wansik Lee

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 54권 4호 발행 연도 : 2021 페이지 : pp. 477-487 (11 pages)

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Image-enhanced endoscopy (IEE) plays an integral role in endoscopic diagnosis and treatment. IEE enables an early and accurate detection of cancer and characterization of lesions prior to therapeutic decisions. Ideal IEE can serve as an optical or digital chromoscopic endoscopy, as well as an optical biopsy that predicts exact histopathology. Several IEE modalities have recently been developed and are used in the clinical field. The stomach is a challenging organ for imaging because of its complex secretion function and status of Helicobacter pylori infection. Therefore, understanding the current IEE modalities for their clinical applicability in an evidence-based approach is warranted. Along with technology refinements, the new paradigm will be available for the diagnosis of gastric cancer or other conditions in the stomach in the near future. Clin Endosc 2021;54:477-487

KCI등재 SCOPUS

7Clinical Applications of Linked Color Imaging and Blue Laser/Light Imaging in the Screening, Diagnosis, and Treatment of Superficial Colorectal Tumors

저자 : Taku Sakamoto , Hourin Cho , Yutaka Saito

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 54권 4호 발행 연도 : 2021 페이지 : pp. 488-493 (6 pages)

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Considering its contribution to reducing colorectal cancer morbidity and mortality, the most important task of colonoscopy is to find all existing polyps. Moreover, the accurate detection of existing polyps determines the risk of colorectal cancer morbidity and is an important factor in deciding the appropriate surveillance program for patients. Image-enhanced endoscopy is an easy-to-use modality with improved lesion detection. Linked color imaging (LCI) and blue laser/light imaging (BLI) are useful modalities for improving colonoscopy quality. Each mode has unique optical features; therefore, their intended use differs. LCI contributes to improved polyp detection due to its brightness and high color contrast between the lesion and normal mucosa, while BLI contributes to the characterization of detected polyps by evaluating the vessel and surface patterns of detected lesions. The proper use of these observation modes allows for more efficient endoscopic diagnosis. Moreover, recent developments in artificial intelligence will soon change the clinical practice of colonoscopy and this system will provide an efficient education modality for novice endoscopists. Clin Endosc 2021;54:488-493

KCI등재 SCOPUS

8Photodynamic Therapy for Esophageal Cancer

저자 : Takahiro Inoue , Ryu Ishihara

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 54권 4호 발행 연도 : 2021 페이지 : pp. 494-498 (5 pages)

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Photodynamic therapy, a curative local treatment for esophageal squamous cell carcinoma, involves a photosensitizing drug (photosensitizer) with affinity for tumors and a photodynamic reaction triggered by laser light. Previously, photodynamic therapy was used to treat superficial esophageal squamous cell carcinoma judged to be difficult to undergo endoscopic resection. Recently, photodynamic therapy has mainly been performed for local failure after chemoradiotherapy. Although surgery is the most promising treatment for local failure after chemoradiotherapy, its morbidity and mortality rates are high. Endoscopic resection is feasible for local failure after chemoradiotherapy but requires advanced skills, and its indication is limited to within the submucosal layer by depth. Photodynamic therapy is less invasive than surgery and has a wider indication than endoscopic resection. Porfimer sodium (a first-generation photosensitizer) causes a high frequency of side effects related to photosensitivity and requires the long-term sun-shade period. Talaporfin (a second-generation photosensitizer) requires a much shorter sun-shade period than porfimer sodium. Photodynamic therapy will profoundly change treatment strategies for local failure after chemoradiotherapy. Clin Endosc 2021;54:494-498

KCI등재 SCOPUS

9Current Status of Colorectal Cancer and Its Public Health Burden in Thailand

저자 : Kasenee Tiankanon , Satimai Aniwan , Rungsun Rerknimitr

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 54권 4호 발행 연도 : 2021 페이지 : pp. 499-504 (6 pages)

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Colorectal cancer (CRC) accounts for approximately 10.3% of new cancer cases in Thailand and is currently the 3rd most prevalent cancer found among the Thai population. Starting in 2017, the Thai government announced the national CRC screening program as a response to this important issue. Among the 70 million people currently residing in Thailand, 14 million require screening, while there are approximately a total of 1,000 endoscopists available to perform colonoscopy. Due to the limited resources and shortage of endoscopists in Thailand, applying a population-based one-step colonoscopy program as a primary screening method is not feasible. To reduce colonoscopy workload, with the help of others, including village health volunteers, institution-based health personnel, reimbursement coders, pathologists, and patients due for CRC screening, a two-step approach of one-time fecal immunochemical test (FIT), which prioritizes and filters out subjects for colonoscopy, is chosen. Moreover, additional adjustments to the optimal FIT cutoff value and the modified Asia-Pacific Colorectal Screening risk score, including body weight, were proposed to stratify the priority of colonoscopy schedule. This article aims to give an overview of the past and current policy developmental strategies and the current status of the Thailand CRC screening program. Clin Endosc 2021;54:499-504

KCI등재 SCOPUS

10Clinical Practice Guidelines for the Endoscopic Management of Peripancreatic Fluid Collections

저자 : Chi Hyuk Oh , Jun Kyu Lee , Tae Jun Song , Jin-seok Park , Jae Min Lee , Jun Hyuk Son , Dong Kee Jang , Miyoung Choi , Jeong-Sik Byeon , In Seok Lee , Soo Teik Lee , Ho Soon Choi , Ho Gak Kim , Hoon Jai

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 54권 4호 발행 연도 : 2021 페이지 : pp. 505-521 (17 pages)

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Endoscopic ultrasonography-guided intervention has gradually become a standard treatment for peripancreatic fluid collections (PFCs). However, it is difficult to popularize the procedure in Korea because of restrictions on insurance claims regarding the use of endoscopic accessories, as well as the lack of standardized Korean clinical practice guidelines. The Korean Society of Gastrointestinal Endoscopy (KSGE) appointed a Task Force to develope medical guidelines by referring to the manual for clinical practice guidelines development prepared by the National Evidence-Based Healthcare Collaborating Agency. Previous studies on PFCs were searched, and certain studies were selected with the help of experts. Then, a set of key questions was selected, and treatment guidelines were systematically reviewed. Answers to these questions and recommendations were selected via peer review. This guideline discusses endoscopic management of PFCs and makes recommendations on Indications for the procedure, pre-procedural preparations, optimal approach for drainage, procedural considerations (e.g., types of stent, advantages and disadvantages of plastic and metal stents, and accessories), adverse events of endoscopic intervention, and procedural quality issues. This guideline was reviewed by external experts and suggests best practices recommended based on the evidence available at the time of preparation. This will be revised as necessary to address advances and changes in technology and evidence obtained in clinical practice and future studies. Clin Endosc 2021;54:505-521

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