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대한소화기내시경학회> Clinical Endoscopy

Clinical Endoscopy update

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

수록정보
수록범위 : 44권1호(2011)~53권6호(2020) |수록논문 수 : 1,045
Clinical Endoscopy
53권6호(2020년 11월) 수록논문
최근 권호 논문
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KCI등재 SCOPUS

1Quality Indicator for Gastric Cancer Detection Based on Helicobacter pylori Status

저자 : Jae Myung Park

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 53권 6호 발행 연도 : 2020 페이지 : pp. 629-630 (2 pages)

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KCI등재 SCOPUS

2Ideal Method for Small Bowel Preparation before Video Capsule Endoscopy

저자 : Jun Lee , Shai Friedland

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 53권 6호 발행 연도 : 2020 페이지 : pp. 631-632 (2 pages)

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3The Need for a Better-Designed Study of the Outcomes of Endoscopic Management of Bile Leak

저자 : Hyung Ku Chon , Eun Ji Shin , Seong-hun Kim

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 53권 6호 발행 연도 : 2020 페이지 : pp. 633-635 (3 pages)

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4Changing Trends in Biliary Stenting for Unresectable Malignant Perihilar Obstructions

저자 : Lubna Kamani , Muhammad Arshad

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 53권 6호 발행 연도 : 2020 페이지 : pp. 636-637 (2 pages)

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5Peroral Endoscopic Myotomy for Esophageal Motility Disorders

저자 : Jun Young Kim , Yang Won Min

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 53권 6호 발행 연도 : 2020 페이지 : pp. 638-645 (8 pages)

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Peroral endoscopic myotomy (POEM) is one of the most clinically successful tunnel-based minimally invasive endoscopic treatments. The classic indications of POEM include achalasia of all types, including failed prior treatments, and expanded indications include the non-achalasia esophageal motility disorders, such as esophagogastric junction outflow obstruction, diffuse esophageal spasm, and jackhammer esophagus. For achalasia treatment, POEM has achieved a comparable surgical efficacy and a safety outcome and, therefore, has emerged as a first-line treatment. For non-achalasia esophageal motility disorders, POEM has also shown high clinical response rates. The complication rate of POEM for esophageal motility disorders is low and most complications are managed with conservative treatment. Currently, POEM is a representative procedure of natural orifice transluminal endoscopic surgery, which has shown a good clinical efficacy with low complication rates for esophageal motility disorders including achalasia. However, further studies are needed to treat non-achalasia motility disorder via POEM. Clin Endosc 2020;53:638-645

KCI등재 SCOPUS

6Role of Peroral Endoscopic Myotomy (POEM) in the Management of Esophageal Diverticula

저자 : Bogdan P. Miutescu , Sarah Khan , Shruti Mony , Mouen A. Khashab

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 53권 6호 발행 연도 : 2020 페이지 : pp. 646-651 (6 pages)

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Esophageal diverticula are uncommon; however, when present, they can cause symptoms of dysphagia, regurgitation, and chest pain. Based on location and pathophysiological characteristics, they are classified as pulsion- and traction-type diverticula. In the past, the open surgical approach was the only treatment available; however, in the past few decades, transoral incisionless approaches in the form of rigid and flexible endoscopy have gained popularity. Diverticular peroral endoscopic myotomy has emerged as an alternative treatment option. In this paper, we reviewed the role of peroral endoscopic myotomy as a treatment option for different types of esophageal diverticula. Although a safe and effective procedure, this novel submucosal tunneling technique for the treatment of esophageal diverticula requires further validation, and head-to-head comparisons between the different approaches for the treatment of esophageal diverticula are warranted. Clin Endosc 2020;53:646-651

KCI등재 SCOPUS

7Present Status of Endoscopic Submucosal Dissection for Non-Ampullary Duodenal Epithelial Tumors

저자 : Naomi Kakushima , Masao Yoshida , Yohei Yabuuchi , Noboru Kawata , Kohei Takizawa , Yoshihiro Kishida , Sayo Ito , Kenichiro Imai , Kinichi Hotta , Hirotoshi Ishiwatari , Hiroyuki Matsubayashi , Hiroyuki Ono

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 53권 6호 발행 연도 : 2020 페이지 : pp. 652-658 (7 pages)

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Prediction of histology by endoscopic examination is important in the clinical management of non-ampullary duodenal epithelial tumors (NADETs), including adenoma and adenocarcinoma. The use of a simple scoring system based on the findings of white-light endoscopy or magnified endoscopy with narrow-band imaging is useful to differentiate between Vienna category 3 (C3) and C4/5 lesions. Less invasive endoscopic resection procedures, such as cold snare polypectomy, are quick to perform and convenient for small (<10 mm) C3 lesions. Neoplasms with higher grade histology, such as C4/5 lesions, should be treated by endoscopic mucosal resection (EMR), endoscopic submucosal dissection (ESD), or surgery. Although EMR often requires piecemeal resection, the complication rate is acceptable. Excellent complete resection rates could be achieved by ESD; however, it remains a challenging method considering the high risk of complications. Shielding or closure of the ulcer after ESD is effective at decreasing the risk of delayed bleeding and perforation. Laparoscopic endoscopic cooperative surgery is an ideal treatment with a high rate of en bloc resection and a low rate of complications, although it is limited to high-volume centers. Patients with NADETs could benefit from a multidisciplinary approach to stratify the optimal treatment based on endoscopic diagnoses. Clin Endosc 2020;53:652-658

KCI등재 SCOPUS

8Management of Remnant or Recurrent Lesions after Endoscopic Papillectomy

저자 : Ichiro Yasuda , Saito Kobayashi , Kosuke Takahashi , Sohachi Nanjo , Hiroshi Mihara , Shinya Kajiura , Takayuki Ando , Kazuto Tajiri , Haruka Fujinami

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 53권 6호 발행 연도 : 2020 페이지 : pp. 659-662 (4 pages)

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Endoscopic papillectomy (EP) for ampullary adenomas achieves cure rates ranging from 76% to 90%, and recurrence rates are as high as 33%. If remnant or recurrent lesions after prior EP are endoscopically visible and are not suspected of intraductal extension into the biliary or pancreatic duct, repeated snaring and cutting can be performed until all visible lesions are completely resected. However, endoscopic ablative therapies, particularly argon plasma coagulation, can be attempted for tiny or uncertain remnant and recurrent lesions. In addition, intraductal radiofrequency ablation has recently been attempted for residual intraductal lesions after EP at several institutions. Although still under investigation, it has shown some promise. It might be offered as an alternative to surgery, particularly in patients who are unfit for surgery or those who refuse to undergo surgery. Clin Endosc 2020;53:659-662

KCI등재 SCOPUS

9Clinical Practice Guideline for the Management of Antithrombotic Agents in Patients Undergoing Gastrointestinal Endoscopy

저자 : Hyun Lim , Eun Jeong Gong , Byung-hoon Min , Seung Joo Kang , Cheol Min Shin , Jeong-sik Byeon , Miyoung Choi , Chan Guk Park , Joo Young Cho , Soo Teik Lee , Ho Gak Kim , Hoon Jai Chun

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 53권 6호 발행 연도 : 2020 페이지 : pp. 663-677 (15 pages)

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Antithrombotic agents, including antiplatelet agents and anticoagulants, are increasingly used in South Korea. The management of patients using antithrombotic agents and requiring gastrointestinal endoscopy is an important clinical challenge. Although clinical practice guidelines (CPGs) for the management of patients receiving antithrombotic agents and undergoing gastrointestinal endoscopy have been developed in the Unites States, Europe, and Asia Pacific region, it is uncertain whether these guidelines can be adopted in South Korea. After reviewing current CPGs, we identified unmet needs and recognized significant discrepancies in the clinical practice among regions. This is the first CPG in Korea providing information that may assist endoscopists in the management of patients on antithrombotic agents who require diagnostic or elective therapeutic endoscopy. This guideline was developed through the adaptation process as an evidence-based method, with four guidelines retrieved by systematic review. Eligible guidelines were evaluated according to the Appraisal of Guidelines for Research and Evaluation II process, and 13 statements were established using a grading system. This guideline was reviewed by external experts before an official. It will be revised as necessary to cover changes in technology, evidence, or other aspects of clinical practice. Clin Endosc 2020;53:663-677

KCI등재 SCOPUS

10Practical Approaches for High-Risk Surgical Patients with Acute Cholecystitis: The Percutaneous Approach versus Endoscopic Alternatives

저자 : Rungsun Rerknimitr , Khanh Cong Pham

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 53권 6호 발행 연도 : 2020 페이지 : pp. 678-685 (8 pages)

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In high-risk surgical patients with acute cholecystitis who are not candidates for early laparoscopic cholecystectomy, gallbladder (GB) drainage is an alternative treatment option. Percutaneous transhepatic gallbladder drainage (PTGBD) is a recommended first line intervention because of its high efficacy and feasibility in most centers. However, with the advent of endoscopic accessories and technology, endoscopic GB drainage has been chosen as a more favorable choice by endoscopists. Endoscopic transpapillary gallbladder drainage (ETGBD) can be performed under either fluoroscopic or peroral cholangioscopic guidance via endoscopic retrograde cholangiopancreatography by the transpapillary placement of a long double-pigtail stent. In a patient with common bile duct stones, this procedure is accompanied with stone removal. ETGBD is especially useful for acute cholecystitis patients who are contraindicated for PTGBD or those with severe coagulopathy, thrombocytopenia, and abnormal anatomy. Moreover, the advantage of ETGBD is its preservation of the external GB structure. Thereby it would not disturb the future cholecystectomy. Recently, endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) using plastic, fully covered metallic, or lumen-apposing metal stents transmurally has emerged as a modality for GB drainage with higher technical and clinical success rates. EUS-GBD can provide a more permanent GB drainage than PTGBD and ETGBD. Clin Endosc 2020;53:678-685

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