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대한소화기내시경학회> Clinical Endoscopy> Infant Percutaneous Endoscopic Gastrostomy: Risks or Benefits?

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Infant Percutaneous Endoscopic Gastrostomy: Risks or Benefits?

Francesco Macchini , Andrea Zanini , Giorgio Farris , Anna Morandi , Giulia Brisighelli , Valerio Gentilino , Giorgio Fava , Ernesto Leva
  • : 대한소화기내시경학회
  • : Clinical Endoscopy 51권3호
  • : 연속간행물
  • : 2018년 05월
  • : 260-265(6pages)

DOI


목차

INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

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초록 보기


						
Background/Aims: To present a single center’s experience with percutaneous endoscopic gastrostomy (PEG) tube placement in infants.
Methods: Clinical records of infants who underwent PEG tube placement between January 2010 and December 2015 were reviewed. All patients underwent an upper gastrointestinal contrast study and an abdominal ultrasonography before the procedure. PEGs were performed with a 6-mm endoscope using the standard pull-through technique. Data regarding gestational age, birth weight, age and weight, days to feeding start, days to full diet, and complications were reviewed.
Results: Twenty-three patients were included. The most common indication was dysphagia related to hypoxic-ischemic encephalopathy. Median gestational age was 37 weeks (range, 24-41) and median birth weight was 2,605 grams (560-4,460). Patients underwent PEG procedures at a median age of 114 days (48-350); mean weight was 5.1 kg (3.2-8.8). In all patients but one, a 12-Fr tube was positioned. Median feeding start was 3 days (1-5) and on average full diet was achieved 5 days after the procedure (2-11). Six minor complications were recorded and effectively treated in the outpatient clinic; no major complications were recorded.
Conclusions: PEG is safe and feasible in infants when performed by highly experienced physicians. Clin Endosc 2018;51:260-265

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1Clinical Implications of Synchronous and Metachronous Multiple Gastric Tumors after Endoscopic Resection of Gastric Neoplasms

저자 : Cheol Min Shin

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 51권 3호 발행 연도 : 2018 페이지 : pp. 209-210 (2 pages)

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2Convex versus Radial Echoendoscopes - Comparison of Capability for Evaluating the Pancreatobiliary Junction

저자 : Sung Yong Han , Dong Uk Kim

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 51권 3호 발행 연도 : 2018 페이지 : pp. 211-212 (2 pages)

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3Is Percutaneous Endoscopic Necrosectomy Really Safe and Effective for Symptomatic Laterally Placed Walled-off Necrosis?

저자 : Se Woo Park

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 51권 3호 발행 연도 : 2018 페이지 : pp. 213-214 (2 pages)

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4Contrast Enhanced Harmonic Endoscopic Ultrasound: A Novel Approach for Diagnosis and Management of Gastrointestinal Stromal Tumors

저자 : Ankit Chhoda , Deepanshu Jain , Venkateswar R Surabhi , Shashideep Singhal

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 51권 3호 발행 연도 : 2018 페이지 : pp. 215-221 (7 pages)

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The histologic analysis of gastrointestinal stromal tumors (GISTs) is a common method to detect the mitotic activity and to subsequently determine the risk of GISTs for malignancy. The potential false negative error due to inadequate yield of specimens and actual determination of malignancy risk requires analysis of the whole tumor. We aimed to assess the role of contrast enhanced endoscopic ultrasound (CE-EUS) in the management of GISTs. Two authors individually did review of English literatures to identify nine peerreviewed original articles using keywords- contrast endoscopic ultrasound, GIST and submucosal tumor. Studies were heterogeneous in their aims looking either at differentiating submucosal lesions from GISTs, estimating malignant potential of GISTs with histologic correlation or studying the role of angiogenesis in malignant risk stratification. CE-EUS had moderate to high efficacy in differentiating GISTs from alternative submucosal tumors. CE-EUS had a higher sensitivity than EUS-guided fine needle aspiration, contrast computed tomography and Doppler EUS for detection of neo-vascularity within the GISTs. However, the evidence of abnormal angiogenesis within GIST as a prognostic factor needs further validation. CE-EUS is a non-invasive modality, which can help differentiate GISTs and provide valuable assessment of their perfusion patterns to allow better prediction of their malignant potential but more experience is needed. Clin Endosc 2018;51:215-221

5Endoscopic Ultrasound-Guided Portal Pressure Measurement and Interventions

저자 : Jason B. Samarasena , Kenneth J. Chang

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 51권 3호 발행 연도 : 2018 페이지 : pp. 222-228 (7 pages)

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A growing number of studies have explored endoscopic ultrasound (EUS)-guided vascular catheterization. Potential clinical applications of EUS-guided portal venous access include angiography, measurement of the portosystemic pressure gradient, EUS-guided transhepatic intrahepatic portosystemic shunt creation and portal vein sampling for the evaluation in gastrointestinal cancer. The following article reviews the different devices and techniques employed in these applications. Clin Endosc 2018;51:222-228

6Future Perspectives on Endoscopic Ultrasonography-Guided Therapy for Pancreatic Neoplasm

저자 : Woo Hyun Paik , Sang Hyub Lee , Sunguk Jang

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 51권 3호 발행 연도 : 2018 페이지 : pp. 229-234 (6 pages)

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Endoscopic ultrasonography (EUS)-guided therapy with ethanol injection or catheter-based radiofrequency ablation for pancreatic neoplasm has been conducted as a potential alternate treatment modality for patients who are not eligible for surgery. On the basis of the limited number of studies available, EUS-guided ablation therapy with the aforementioned methods for small pancreatic neoplasms has demonstrated promising technical feasibility and safety profiles. To be considered as a legitimate alternative option to surgery, however, EUS-guided ablation therapy must provide a long-term efficacy profile along with the consensus among experts regarding its treatment parameter. This review focuses on the clinical issues and future perspectives of EUS-guided therapy for pancreatic neoplasm. Clin Endosc 2018;51:229-234

7Safety and Complications of Interventional Endoscopic Ultrasound

저자 : Monica Saumoy , Michel Kahaleh

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 51권 3호 발행 연도 : 2018 페이지 : pp. 235-238 (4 pages)

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Endoscopic ultrasound (EUS) has become an essential tool for the diagnostic and therapeutic intervention of gastrointestinal diseases. Beyond the drainage of fluid collections, it enables decompression of inaccessible bile and pancreatic ducts, the gallbladder, and the creation of anastomosis within the gastrointestinal tract using fully lumen-apposing stents. This review explored the safety and efficacy of these novel procedures and discussed the training pathway that is necessary to perform them efficiently and safely. Clin Endosc 2018;51:235-238

8Revision of Quality Indicators for the Endoscopy Quality Improvement Program of the National Cancer Screening Program in Korea

저자 : Jun Ki Min , Jae Myung Cha , Yu Kyung Cho , Jie-hyun Kim , Soon Man Yoon , Jong Pil Im , Yunho Jung , Jeong Seop Moon , Jin-oh Kim , Yoon Tae Jeen

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 51권 3호 발행 연도 : 2018 페이지 : pp. 239-252 (14 pages)

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Gastroscopy and colonoscopy are widely used for the early diagnosis of stomach and colorectal cancer. The present revision integrates recent data regarding previous quality indicators and novel indicators suggested for gastroscopy and colonoscopy procedures for the National Cancer Screening Program in Korea. The new indicators, developed by the Quality Improvement Committee of the Korean Society for Gastrointestinal Endoscopy, vary in the level of supporting evidence, and most are based solely on expert opinion. Updated indicators validated by clinical research were prioritized, but were chosen by expert consensus when such studies were absent. The resultant quality indicators were graded according to the levels of consensus and recommendations. The updated indicators will provide a relevant guideline for high-quality endoscopy. The future direction of quality indicator development should include relevant outcome measures and an evidence-based approach to support proposed performance targets. Clin Endosc 2018;51:239-252

9Metachronous Gastric Cancer Following Curative Endoscopic Resection of Early Gastric Cancer

저자 : Seiichiro Abe , Ichiro Oda , Takeyoshi Minagawa , Masau Sekiguchi , Satoru Nonaka , Haruhisa Suzuki , Shigetaka Yoshinaga , Amit Bhatt , Yutaka Saito

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 51권 3호 발행 연도 : 2018 페이지 : pp. 253-259 (7 pages)

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This review article summarizes knowledge about metachronous gastric cancer (MGC) occurring after curative endoscopic resection (ER) of early gastric cancer (EGC), treatment outcomes of patients who developed MGC, and efficacy of Helicobacter pylori eradication to prevent MGC. The incidence of MGC following curative ER increases over time and is higher than in patients undergoing gastrectomy. Increasing age and multifocal EGC are independent risk factors for developing MGC. An MGC following curative ER is usually a small (<20 mm) and differentiated intramucosal cancer. Most MGC lesions are found at an early stage on semiannual or annual surveillance endoscopy and are successfully treated by further ER, with excellent long-term outcomes. Eradication of H. pylori may reduce the risk of MGC following ER of EGC, but further prospective studies with long-term outcomes are required. Surveillance endoscopy following gastric ER should be continued indefinitely, due to the risk of MGC even after successful H. pylori eradication. Risk stratification and tailored endoscopic surveillance schedules need to be developed. Clin Endosc 2018;51:253-259

10Infant Percutaneous Endoscopic Gastrostomy: Risks or Benefits?

저자 : Francesco Macchini , Andrea Zanini , Giorgio Farris , Anna Morandi , Giulia Brisighelli , Valerio Gentilino , Giorgio Fava , Ernesto Leva

발행기관 : 대한소화기내시경학회 간행물 : Clinical Endoscopy 51권 3호 발행 연도 : 2018 페이지 : pp. 260-265 (6 pages)

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(기관인증 필요)

초록보기

Background/Aims: To present a single center's experience with percutaneous endoscopic gastrostomy (PEG) tube placement in infants.
Methods: Clinical records of infants who underwent PEG tube placement between January 2010 and December 2015 were reviewed. All patients underwent an upper gastrointestinal contrast study and an abdominal ultrasonography before the procedure. PEGs were performed with a 6-mm endoscope using the standard pull-through technique. Data regarding gestational age, birth weight, age and weight, days to feeding start, days to full diet, and complications were reviewed.
Results: Twenty-three patients were included. The most common indication was dysphagia related to hypoxic-ischemic encephalopathy. Median gestational age was 37 weeks (range, 24-41) and median birth weight was 2,605 grams (560-4,460). Patients underwent PEG procedures at a median age of 114 days (48-350); mean weight was 5.1 kg (3.2-8.8). In all patients but one, a 12-Fr tube was positioned. Median feeding start was 3 days (1-5) and on average full diet was achieved 5 days after the procedure (2-11). Six minor complications were recorded and effectively treated in the outpatient clinic; no major complications were recorded.
Conclusions: PEG is safe and feasible in infants when performed by highly experienced physicians. Clin Endosc 2018;51:260-265

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