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대한소화기내시경학회> Clinical Endoscopy

Clinical Endoscopy update

  • : 대한소화기내시경학회
  • : 의약학분야  >  내과학
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  • : 대한소화기내시경학회지(~2011)→Clinical Endoscopy(2012~)

수록정보
수록범위 : 44권1호(2011)~54권2호(2021) |수록논문 수 : 1,090
Clinical Endoscopy
54권2호(2021년 03월) 수록논문
최근 권호 논문
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KCI등재 SCOPUS

1Long-Term Outcomes of Endoscopic Submucosal Dissection of Undifferentiated-Type Early Gastric Cancer

저자 : Chang Seok Bang

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 54권 2호 발행 연도 : 2021 페이지 : pp. 143-144 (2 pages)

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KCI등재 SCOPUS

2The Value of Risk Scores to Predict Clinical Outcomes in Patients with Variceal and Non-Variceal Upper Gastrointestinal Bleeding

저자 : James Yun-wong Lau

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 54권 2호 발행 연도 : 2021 페이지 : pp. 145-146 (2 pages)

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3Optimal Predictive Criteria for Common Bile Duct Stones: The Search Continues

저자 : Yun Nah Lee , Jong Ho Moon

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 54권 2호 발행 연도 : 2021 페이지 : pp. 147-148 (2 pages)

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4Fecal Microbiota Transplantation beyond Clostridioides Difficile Infection

저자 : Chang Mo Moon , Sung Noh Hong

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 54권 2호 발행 연도 : 2021 페이지 : pp. 149-151 (3 pages)

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With advancing analytical methods for gut microbes, many studies have been conducted, revealing that gut microbes cause various diseases, including gastrointestinal and non-gastrointestinal diseases. Accordingly, studies have been actively conducted to analyze the effects on the prevention and treatment of these diseases through changes in intestinal microbes and control of dysbiosis. Fecal microbiota transplantation (FMT) is an effort and is currently being applied to Clostridioides difficile treatment in Korea. Many studies have demonstrated the application of FMT in inflammatory bowel disease, irritable bowel syndrome, non-alcoholic fatty liver disease, metabolic syndrome, obesity, and diabetes. With further studies and accumulation of evidence, FMT could help treat presently untreatable diseases in clinical practice. Clin Endosc 2021;54:149-151

KCI등재 SCOPUS

5Next Generation Fecal Microbiota Transplantation

저자 : Tae-geun Gweon , Soo-young Na

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 54권 2호 발행 연도 : 2021 페이지 : pp. 152-156 (5 pages)

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Fecal microbiota transplantation (FMT) is considered as an effective treatment for Clostridioides difficile infection. However, the precise mechanism of FMT is yet to be determined. Human stool consists of the gut microbiota, bacterial debris, and metabolic products. Of these, the intestinal microbiota is the most important factor that exerts therapeutic efficacy in FMT. Fresh donor stool, blended with normal saline, has been employed for traditional FMT. Nevertheless, stool processing is a major impediment in FMT. Frozen stool and capsule formulations have similar efficacy to that of fresh stool. In addition, several novel stool products have been identified. A stool bank that provides stool products with pre-screened donor stool has been established to help physicians and thereby facilitate FMT. Recent next-generation sequencing techniques have been key in facilitating the detailed analysis of the microbiota and gut environment of individual donors and recipients. Clin Endosc 2021;54:152-156

KCI등재 SCOPUS

6Fecal Microbiota Transplantation: Is It Safe?

저자 : Seon-young Park , Geom Seog Seo

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 54권 2호 발행 연도 : 2021 페이지 : pp. 157-160 (4 pages)

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Fecal microbiota transplantation (FMT) is an accepted procedure for the management of recurrent Clostridioides difficile infections. FMT is generally considered safe and well-tolerated - even in high-risk patients. Most short-term risks are mild and known to be associated with delivery methods. Long-term side effects have not been established, and no signs of harm have been found to date. However, causality for several microbiome-associated diseases has to be established. Even though FMT is generally considered safe with strict donor screening, serious adverse events have been recently associated with the FMT product from the stool bank, where screening for multi-drug resistant organisms is not included in protocols. Here, we discuss the adverse events associated with FMT and safety issues. Clin Endosc 2021;54:157-160

KCI등재 SCOPUS

7Clinical and Technical Guideline for Endoscopic Ultrasound (EUS)- Guided Tissue Acquisition of Pancreatic Solid Tumor: Korean Society of Gastrointestinal Endoscopy (KSGE)

저자 : Moon Jae Chung , Se Woo Park , Seong-hun Kim , Chang Min Cho , Jun-ho Choi , Eun Kwang Choi , Tae Hoon Lee , Eunae Cho , Jun Kyu Lee , Tae Jun Song , Jae Min Lee , Jun Hyuk Son , Jin Suk Park , Chi Hyuk

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 54권 2호 발행 연도 : 2021 페이지 : pp. 161-181 (21 pages)

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Endoscopic ultrasound (EUS)-guided tissue acquisition of pancreatic solid tumor requires a strict recommendation for its proper use in clinical practice because of its technical difficulty and invasiveness. The Korean Society of Gastrointestinal Endoscopy (KSGE) appointed a Task Force to draft clinical practice guidelines for EUS-guided tissue acquisition of pancreatic solid tumor. The strength of recommendation and the level of evidence for each statement were graded according to the Minds Handbook for Clinical Practice Guideline Development 2014. The committee, comprising a development panel of 16 endosonographers and an expert on guideline development methodology, developed 12 evidence-based recommendations in 8 categories intended to help physicians make evidence-based clinical judgments with regard to the diagnosis of pancreatic solid tumor. This clinical practice guideline discusses EUS-guided sampling in pancreatic solid tumor and makes recommendations on circumstances that warrant its use, technical issues related to maximizing the diagnostic yield (e.g., needle type, needle diameter, adequate number of needle passes, sample obtaining techniques, and methods of specimen processing), adverse events of EUS-guided tissue acquisition, and learning-related issues. This guideline was reviewed by external experts and suggests best practices recommended based on the evidence available at the time of preparation. This guideline may not be applicable for all clinical situations and should be interpreted in light of specific situations and the availability of resources. It will be revised as necessary to cover progress and changes in technology and evidence from clinical practice. Clin Endosc 2021;54:161-181

KCI등재 SCOPUS

8Recent Developments in Devices Used for Gastrointestinal Endoscopy Sedation

저자 : Basavana Goudra , Gowri Gouda , Preet Mohinder Singh

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 54권 2호 발행 연도 : 2021 페이지 : pp. 182-192 (11 pages)

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Hypoxemia is a frequent and potentially fatal complication occurring in patients during gastrointestinal endoscopy. The administration of propofol sedation increases the risk of most complications, especially hypoxemia. Nevertheless, propofol has been increasingly used in the United States, and the trend is likely to increase in the years to come. Patient satisfaction and endoscopist satisfaction along with rapid turnover are some of the touted reasons for this trend. However, propofol sedation generally implies deep sedation or general anesthesia. As a result, hypopnea and apnea frequently occur. Inadequate sedation and presence of irritable airway often cause coughing and laryngospasm, both leading to hypoxemia and potential cardiac arrest. Hence, prevention of hypoxemia is of paramount importance. Traditionally, standard nasal cannula is used to administer supplement oxygen. However, it cannot sufficiently provide continuous positive airway pressure (CPAP) or positive pressure ventilation. Device manufacturers have stepped in to fill this void and created many types of cannulas that provide apneic insufflation of oxygen and CPAP and eliminate dead space. Such measures decrease the incidence of hypoxemia. This review aimed to provide essential information of some of these devices. Clin Endosc 2021;54:182-192

KCI등재 SCOPUS

9Role of Endoscopy in Primary Sclerosing Cholangitis

저자 : Purnima Bhat , Lars Aabakken

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 54권 2호 발행 연도 : 2021 페이지 : pp. 193-201 (9 pages)

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Primary sclerosing cholangitis (PSC) is a progressive disease of the bile ducts that usually results in chronic liver disease often requiring liver transplantation. Endoscopy remains crucial to the care of these patients, although magnetic resonance cholangiopancreatography has replaced endoscopic retrograde cholangiopancreatography (ERCP) as the primary imaging modality for diagnosis. For detection of dysplasia or cholangiocarcinoma, ERCP with intraductal sampling remains compulsory. Moreover, dominant strictures play an important part in the disease development, and management by balloon dilatation or stenting could contribute to long-term prognosis. In addition, endoscopy offers management for adverse events such as bile leaks and anastomotic strictures after liver transplantation. Finally, the special phenotype of inflammatory bowel disease associated with PSC as well as the frequent occurrence of portal hypertension mandates close follow-up with colonoscopy and upper endoscopy. With the emergence of novel techniques, the endoscopist remains a key member of the multidisciplinary team caring for PSC patients. Clin Endosc 2021;54:193-201

KCI등재 SCOPUS

10Endoscopic Submucosal Dissection versus Surgery for Undifferentiated-Type Early Gastric Cancer: A Systematic Review and Meta-Analysis

저자 : Cheal-wung Huh , Dae Won Ma , Byung-wook Kim , Joon Sung Kim , Seung Jae Lee

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 54권 2호 발행 연도 : 2021 페이지 : pp. 202-210 (9 pages)

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Background/Aims: The use of endoscopic submucosal dissection (ESD) for treating undifferentiated-type early gastric cancer is controversial. The objective of this study was to perform a meta-analysis to compare the long-term outcomes of ESD and surgery for undifferentiated-type early gastric cancer.
Methods: The PubMed, Cochrane Library, and EMBASE databases were used to search for relevant studies comparing ESD and surgery for undifferentiated-type early gastric cancer. The methodological quality of the included publications was evaluated using the Risk of Bias Assessment tool for Nonrandomized Studies. The rates of overall survival, recurrence, adverse event, and complete resection were determined. Odds ratios (ORs) and 95% confidence intervals (CIs) were also evaluated.
Results: This meta-analysis enrolled five studies with 429 and 1,236 participants undergoing ESD and surgery, respectively. No significant difference was found in the overall survival rate between the ESD and surgery groups (OR, 2.29; 95% CI, 0.98-5.36; p=0.06). However, ESD was associated with a higher recurrence rate and a lower complete resection rate. The adverse event rate was similar between the two groups.
Conclusions: ESD with meticulous surveillance esophagogastroduodenoscopy may be as effective and safe as surgery in patients with undifferentiated-type early gastric cancer. Further large-scale, randomized, controlled studies from additional regions are required to confirm these findings. Clin Endosc 2021;54:202-210

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