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Endoscopic definition of esophagogastric junction for diagnosis of barrett's esophagus: importance of systematic education and trainingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The diagnosis of Barrett's esophagus (BE) requires an accurate recognition of the columnar-lined esophagus at endoscopy. However, a universally accepted standardized endoscopic grading system of BE was lacking prior to the development of the Prague 'circumferential and maximal' criteria. In this system, the landmark for the esophagogastric junction (EGJ) is the proximal end of the gastric folds, not the distal end of the palisade vessels, which are used to endoscopically identify the EGJ in Japan. Although the circumferential and maximal criteria are clinically relevant, an important shortcoming of this system may be failu...
Source: Digestive Endoscopy - September 15, 2009 Category: Gastroenterology Authors: Norihisa Ishimura, Yuji Amano, Yoshikazu Kinoshita Tags: REVIEW Source Type: journals

English abstracts of the papers that appeared in Gastroenterological Endoscopy Volume 51, Number 4–6, the official Japanese journal of Japan Gastroenterological Endoscopy SocietyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Digestive Endoscopy)
Source: Digestive Endoscopy - September 13, 2009 Category: Gastroenterology Tags: ABSTRACTS Source Type: journals

The 8th Korea-Japan Joint Symposium on Gastrointestinal EndoscopyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Digestive Endoscopy)
Source: Digestive Endoscopy - September 13, 2009 Category: Gastroenterology Tags: ABSTRACTS Source Type: journals

CorrigendumEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Digestive Endoscopy)
Source: Digestive Endoscopy - September 13, 2009 Category: Gastroenterology Tags: CORRIGENDUM Source Type: journals

AnnouncementsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Digestive Endoscopy)
Source: Digestive Endoscopy - September 13, 2009 Category: Gastroenterology Tags: ANNOUNCEMENTS Source Type: journals

Tribute to our reviewersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Digestive Endoscopy)
Source: Digestive Endoscopy - September 13, 2009 Category: Gastroenterology Authors: Hiromitsu Saisho Tags: TRIBUTE TO OUR REVIEWERS Source Type: journals

Endoscopic retrograde cholangiography for intrabiliary rupture of hydatid cystEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report feasibility and outcome of the endoscopic method for treatment of ruptured hepatic hydatid cyst into the biliary tract that also benefited from drainage of the whole cyst and membranes into the major biliary duct. (Source: Digestive Endoscopy)
Source: Digestive Endoscopy - September 13, 2009 Category: Gastroenterology Authors: Manouchehr Khoshbaten, Sara Farhang, Naser Hajavi Tags: ENDOSCOPIC IMAGES OF INTEREST Source Type: journals

Pedunculated inverted hyperplastic polyp of the sigmoid colon treated with endoscopic polypectomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A case of inverted hyperplastic polyp of the sigmoid colon is reported. The patient was a 67-year-old woman who visited our hospital for further evaluation of constipation. Colonoscopy revealed a pedunculated polyp with linear central depression, about 12 mm in diameter, in the sigmoid colon. Excluding the polyp, there was no lesion in the colorectum. Endoscopic polypectomy was performed. Histological examination of the specimen revealed a stalked polyp that had scattered goblet cells and elongated tubules with serrated profiles in the superficial portion. The nodules of deep tubules impinged on the muscularis mucosae. Pro...
Source: Digestive Endoscopy - September 13, 2009 Category: Gastroenterology Authors: Shoji Hirasaki, Hiromitsu Kanzaki, Seiyuu Suzuki, Atsuko Shirakawa Tags: ENDOSCOPIC IMAGES OF INTEREST Source Type: journals

Endoscopic submucosal dissection for superficial duodenal neoplasmsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report our experience with duodenal ESD with a combination of ST hood and hook knife. (Source: Digestive Endoscopy)
Source: Digestive Endoscopy - September 13, 2009 Category: Gastroenterology Authors: Tetsuro Honda, Hironori Yamamoto, Hiroyuki Osawa, Mitsuyo Yoshizawa, Hidetoshi Nakano, Keijiro Sunada, Kazunobu Hanatsuka, Kentaro Sugano Tags: HOW I DO IT Source Type: journals

Endoscopic submucosal dissection for gastric submucosal tumor, endoscopic sub-tumoral dissectionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Gastric submucosal tumor (SMT) is frequently found during screening endoscopy, but definitive diagnosis based on histological confirmation is relatively difficult. Even without accurate diagnosis before treatment, open or laparoscopic surgery is currently carried out to remove SMT. The purpose of this study was to demonstrate the feasibility of endoscopic submucosal dissection (ESD) in diagnostic treatment for submucosal tumor (SMT) of the stomach. Subjects in this case study comprised nine patients who had undergone ESD for gastric SMT. Before treatment, endoscopic ultrasonography was carried out in all cases to evaluate ...
Source: Digestive Endoscopy - September 13, 2009 Category: Gastroenterology Authors: Shu Hoteya, Toshiro Iizuka, Daisuke Kikuchi, Naohisa Yahagi Tags: HOW I DO IT Source Type: journals

Superficial esophageal squamous cell carcinoma with bulky gastric hiatus lymph node metastasis: a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of superficial esophageal cancer who presented with lymph node metastasis. In another hospital a 49-year-old man was found to have a bulky tumor adjacent to the cardiac area of the stomach and a total gastrectomy was carried out. Postoperatively, the tumor was identified as a lymph node containing metastatic squamous cell carcinoma. The main lesion could not be identified on fluorodeoxyglucose positron emission tomography. On esophagogastric endoscopy, using the iodine spray technique, we found an unstained lesion about 32 cm from the incisor teeth. The tumor was removed using endoscopic mucosal resection....
Source: Digestive Endoscopy - September 13, 2009 Category: Gastroenterology Authors: Yoshiaki Takahashi, Shinsuke Takeno, Satoshi Watanabe, Mirei Kamei, Kiyoshi Ono, Shinichi Yamashita, Kenji Kashima, Katsunobu Kawahara Tags: CASE REPORTS Source Type: journals

An endocrine cell carcinoma with gastric-and-intestinal mixed phenotype adenocarcinoma component in the stomachEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, we experienced ECC with a GI type adenocarcinoma component. The ECC cases with the GI type adenocarcinoma component may have a relatively good prognosis, being similar to the results of advanced gastric cancers from the viewpoint of gastric and intestinal phenotypic expression. (Source: Digestive Endoscopy)
Source: Digestive Endoscopy - September 13, 2009 Category: Gastroenterology Authors: Tsutomu Mizoshita, Hiromi Kataoka, Eiji Kubota, Takaya Shimura, Yoshinori Mori, Tsuneya Wada, Naotaka Ogasawara, Makoto Sasaki, Takeshi Kamiya, Masaki Sakamoto, Yoshimi Akamo, Takashi Joh Tags: CASE REPORTS Source Type: journals

Slow growing flat-type primary malignant melanoma of the esophagus treated with cap-assisted emrEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a rare case of flat-type primary malignant melanoma of the esophagus treated with endoscopic mucosal resection (EMR). A 64-year-old woman was referred for examination of a small pigmented lesion located in the mid esophagus. On endoscopy, the lesion exhibited almost no change in size over the year. Cap-assisted EMR was performed en bloc. The histopathological findings showed atypical melanocyte proliferation in the basal layer, spindle cells, and epithelioid cell proliferation with nuclear enlargement and a few mitotic figures. Histopathological examination confirmed the diagnosis of primary malignant melanoma. I...
Source: Digestive Endoscopy - September 13, 2009 Category: Gastroenterology Authors: Hiroyuki Miyatani, Yukio Yoshida, Shinya Ushimaru, Noriyoshi Sagihara, Shigeki Yamada Tags: CASE REPORTS Source Type: journals

A new thin endoscopic method of transanal drainage tube insertion for acute colonic obstruction due to colorectal cancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Management of acute colorectal obstruction by transanal drainage tube insertion using the thin endoscope was effective and safe. (Source: Digestive Endoscopy)
Source: Digestive Endoscopy - September 13, 2009 Category: Gastroenterology Authors: Ken Ohnita, Saburo Shikuwa, Hajime Isomoto, Naoyuki Yamaguchi, Kenta Okamoto, Hitoshi Nishiyama, Eiichiro Fukuda, Takashi Nakamura, Yohei Mizuta, Shigeru Kohno Tags: NEW INSTRUMENTS AND TECHNIQUES Source Type: journals

Optimal timing of endoscopic evaluation of the primary site of esophageal cancer after chemoradiotherapy or radiotherapy: a retrospective analysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Recommended time of first response evaluation for esophageal cancer following initiation of CRT/RT was found to be between 75 and 90 days. Subsequent evaluation should be carried out approximately one month following non-CR/non-progressive disease declassification. (Source: Digestive Endoscopy)
Source: Digestive Endoscopy - September 13, 2009 Category: Gastroenterology Authors: Sadamoto Zenda, Shuichi Hironaka, Keisei Taku, Hiroshi Sato, Takayuki Hashimoto, Noriaki Hasuike, Narikazu Boku, Yasuhiro Tsubosa, Hiroyuki Ono, Tetsuo Nishimura Tags: ORIGINAL ARTICLES Source Type: journals

Endosonography-guided biliary drainage in cases with difficult transpapillary endoscopic biliary drainageEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: ESBD is an effective treatment for obstructive jaundice that will replace percutaneous transhepatic biliary drainage in cases of difficult EBD and is a possible alternative to EBD in selected cases. (Source: Digestive Endoscopy)
Source: Digestive Endoscopy - September 13, 2009 Category: Gastroenterology Authors: Jun Horaguchi, Naotaka Fujita, Yutaka Noda, Go Kobayashi, Kei Ito, Takashi Obana, Osamu Takasawa, Shinsuke Koshita, Yoshihide Kanno Tags: ORIGINAL ARTICLES Source Type: journals

Analysis of prognostic factors in patients with gastric varices after endoscopic treatmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Grade B or C in Child[ndash]Pugh classification, emergency or elective situation, and association with hepatocellular carcinoma are negative prognostic factors after endoscopic treatment. (Source: Digestive Endoscopy)
Source: Digestive Endoscopy - September 13, 2009 Category: Gastroenterology Authors: Takeru Wakatsuki, Katsutoshi Obara, Atsushi Irisawa, Hiroaki Sakamoto, Toshimitu Kuwana, Fujio Takiguchi, Ayako Saito, Hideo Shishido, Takuto Hikichi, Hitoshi Oyama, Goro Shibukawa, Tadayuki Takagi, Go Yamamoto, Hidemichi Imamura, Yuta Takahashi, Ai Sato, Tags: ORIGINAL ARTICLES Source Type: journals

Percutaneous endoscopic gastrostomy and ventriculoperitoneal shunts: a dangerous combination?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: In patients who need long-term enteral feeding following a VP shunt insertion it may be prudent to delay insertion of a PEG for at least 10 days to reduce VPS infection. In stable patients who have had a VP shunt inserted on previous hospital admissions PEG insertion need not be avoided because of concern regarding cerebrospinal fluid or shunt infection. (Source: Digestive Endoscopy)
Source: Digestive Endoscopy - September 13, 2009 Category: Gastroenterology Authors: Alastair Cairns, Joseph Geraghty, Ahmed Al-Rifai, Christopher Babbs Tags: ORIGINAL ARTICLES Source Type: journals

Predictive value of endoscopy and endoscopic ultrasonography for regression of gastric diffuse large b-cell lymphomas after helicobacter pylori eradicationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: In gastric diffuse large B-cell lymphomas without a concomitant MALT lymphoma but associated with H. pylori infection, only superficial cases and lesions limited to the shallow portion of the submucosa regressed completely after successful H. pylori eradication. The endoscopic appearance and the rating of the depth of invasion by endosonography are both valuable for predicting the efficacy of H. pylori eradication in treating gastric diffuse large B-cell lymphomas. (Source: Digestive Endoscopy)
Source: Digestive Endoscopy - September 13, 2009 Category: Gastroenterology Authors: Akira Tari, Hideki Asaoku, Kozo Kashiwado, Tadashi Yoshino, Yasuhiko Kitadai, Shinji Tanaka, Megumu Fujihara Tags: ORIGINAL ARTICLES Source Type: journals

Current status and evaluation of transnasal esophagogastroduodenoscopyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We reviewed the current status of transnasal esophagogastroduodenoscopy (EGD) with regard to tolerance, safety, feasibility and accuracy. Comparison of standard and ultrathin scopes and recently reported endoscopic techniques with transnasal insertion are also described as well as the current status of transnasal EGD in European countries compared with Japan. As several studies concluded that transnasal EGD can facilitate comfortable endoscopy without the need for sedative drugs, it has been tried in countries in which a relatively high number of unsedated EGD are carried out in daily practice. Long-tube intubation of the ...
Source: Digestive Endoscopy - June 25, 2009 Category: Gastroenterology Authors: Yoshihide Tatsumi, Akiko Harada, Takahiro Matsumoto, Tomoko Tani, Hiroshi Nishida Tags: REVIEW Source Type: journals

English abstracts of the papers that appeared in Gastroenterological Endoscopy Volume 51, Number 1–3, the official Japanese journal of Japan Gastroenterological Endoscopy SocietyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Digestive Endoscopy)
Source: Digestive Endoscopy - June 21, 2009 Category: Gastroenterology Tags: ABSTRACTS Source Type: journals

AnnouncementsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Digestive Endoscopy)
Source: Digestive Endoscopy - June 21, 2009 Category: Gastroenterology Tags: ANNOUNCEMENTS Source Type: journals

Formation of gastrocolic fistula during treatment for peptic ulcerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of gastrocolic fistula (GCF) caused by a gastric ulcer and rare endoscopic findings indicating the early stages of GCF formation. The patient was a 58-year-old man who was hospitalized with upper abdominal pain. He was diagnosed as having a gastric ulcer, and was prescribed a proton pump inhibitor (PPI), but did not comply with the medication. One year later, he was again referred with recurrent abdominal pain. Endoscopic examination showed what appeared to be a portion of exposed colonic wall located in the center of an active gastric ulcer, and repeated endoscopy after PPI treatment for 8 days demonstrat...
Source: Digestive Endoscopy - June 21, 2009 Category: Gastroenterology Authors: Yoshimi Iwasaki, Keiichi Kubota, Mitsugi Shimoda, Kunifumi Ishikawa, Naoki Satoh Tags: ENDOSCOPIC IMAGES OF INTEREST Source Type: journals

Herpes simplex esophagitis in the elderlyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Herpes simplex esophagitis (HSE) occurs mostly in immunocompromised patients and rarely in immunocompetent patients. We encountered an elderly patient, a biologically immunocompromised patient with HSE who had characteristic endoscopic features and responded to acyclovir therapy. An 82-year-old woman presented with high-grade fever and epigastric discomfort for several days. A diagnosis of bacterial pneumonia was made based on imaging studies and cultures. Despite antibiotic treatment, epigastric discomfort persisted. Endoscopy revealed multiple exudative and circumscribed shallow ulcers with slightly raised edges in the m...
Source: Digestive Endoscopy - June 21, 2009 Category: Gastroenterology Authors: Tomoki Bando, Mitsunobu Matsushita, Motokazu Kitano, Kazuichi Okazaki Tags: ENDOSCOPIC IMAGES OF INTEREST Source Type: journals

Encoscopic management of stenotic anastomosis using a rendezvous technique after pancreatogastrostomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 46-year-old female patient was referred to our hospital for endoscopic treatment of stenotic pancreatogastrostomy. She had undergone pylorus-preserving pancreatoduodenectomy due to duodenal carcinoma of the papilla of Vater 5 years before referral. Two years after the operation, she had to be hospitalized several times during a 1-year period because of acute recurrent pancreatitis caused by stenosis of the anastomosis of the pancreatoduodenostomy. An endoscopic ultrasound (EUS)-guided rendezvous technique was selected to puncture the main pancreatic duct via a transgastric approach. We identified the dilated main pancrea...
Source: Digestive Endoscopy - June 21, 2009 Category: Gastroenterology Authors: Yuji Ota, Masataka Kikuyama, Yuzo Sasada, Toru Matsuhashi, Jun Nakahodo, Kenji Yamao, Tomoyuki Shirafuji Tags: HOW I DO IT Source Type: journals

Long intestinal tube insertion with the ropeway method facilitated by a guidewire placed by transnasal ultrathin endoscopy for bowel obstructionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Long-tube insertion facilitated by transnasal endoscopy reduces the time required for insertion in comparison with the conventional technique without endoscopy. Endoscopy-assisted long-tube insertion with the ropeway method is a safe and useful procedure for decompression in patients with bowel obstruction. (Source: Digestive Endoscopy)
Source: Digestive Endoscopy - June 21, 2009 Category: Gastroenterology Authors: Yoshihide Kanno, Dai Hirasawa, Naotaka Fujita, Yutaka Noda, Go Kobayashi, Kazuhiko Ishida, Kei Ito, Takashi Obana, Takashi Suzuki, Toshiki Sugawara, Jun Horaguchi, Osamu Takasawa, Kazunari Nakahara, Tetsuya Ohira, Kengo Onochi, Yoshihiro Harada, Wataru Iw Tags: HOW I DO IT Source Type: journals

Gastric schwannoma with adjacent external progression harbored aberrant nf2 geneEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, we identified a rare mutation of the NF2 gene in gastric schwannoma. A diagnosis can only be definitive when based on histological and immunohistochemical findings. Digestive tract schwannomas are rare mesenchymal tumors that are differentiated from gastrointestinal stromal tumors by the absence of KIT protein. Follow up suggested that complete resection is an effective long-term treatment strategy. (Source: Digestive Endoscopy)
Source: Digestive Endoscopy - June 21, 2009 Category: Gastroenterology Authors: Naotaka Ogasawara, Makoto Sasaki, Hideyuki Ishiguro, Yukimi Itoh, Syunsuke Nojiri, Eiji Kubota, Tsuneya Wada, Hiromi Kataoka, Yoshiyuki Kuwabara, Takashi Joh Tags: CASE REPORTS Source Type: journals

Refractory diverticular colitis with progressive ulcerative colitis-like changes extending to the rectumEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 68-year-old man visited our department because of diarrhea and bloody stools. Colonoscopy revealed diverticula scattered in the sigmoid colon with localized mucosal edema and reddening. The mucosa became somewhat rough 9 months later, and had an erosive, ulcerative colitis (UC)-like appearance after a further 6 months, with these changes extending to the rectum. These findings led to a diagnosis of diverticular colitis (DC) with UC-like changes. The condition was refractory to treatment including drug therapy and was thus surgically treated. No cases of DC have been reported in Japan, and a refractory case of DC with pro...
Source: Digestive Endoscopy - June 21, 2009 Category: Gastroenterology Authors: Tateki Yamane, Kan Uchiyama, Takayuki Ishii, Hironori Ishii, Mitsuhiro Omura, Kiyotaka Fujise, Hisao Tajiri Tags: CASE REPORTS Source Type: journals

Primary extra-ampullary duodenal neuroendocrine carcinoma in an adult maleEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A primary extra-ampullary duodenal neuroendocrine carcinoma was found in a 40-year-old man who presented with upper abdominal pain and weight loss. Duodenoscopy and hypotonic duodenography revealed a protruding fungating mass with luminal occlusion at the third part of the duodenum (D3). Although the metastatic work-up was normal, the tumor was inoperable intraoperatively, hence a palliative bypass was carried out followed by chemotherapy with 5-fluorouracil and leucovorin. Examination of the biopsy by immunohistochemistry and ultrastructural study revealed it to be neuroendocrine in nature, expressing synaptophysin, chrom...
Source: Digestive Endoscopy - June 21, 2009 Category: Gastroenterology Authors: Ajay H Bhandarwar, Shivkumar S Utture, Bharat Nandu, Nikhil Agarkhedkar Tags: CASE REPORTS Source Type: journals

Ercp after roux-en-y reconstruction can be carried out using an oblique-viewing endoscope with an overtubeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The results appear to support the feasibility of using an oblique-viewing endoscope for ERCP in Roux-en-Y reconstruction. Further studies including a large population of patients should be planned to confirm these results. (Source: Digestive Endoscopy)
Source: Digestive Endoscopy - June 21, 2009 Category: Gastroenterology Authors: Masataka Kikuyama, Yuzo Sasada, Toru Matsuhashi, Yuji Ota, Jun Nakahodo Tags: NEW INSTRUMENTS AND TECHNIQUES Source Type: journals

Endoscopic submucosal dissection (two-point fixed esd) for early esophageal cancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Endoscopic submucosal dissection with a transparent hood fitted with a mucosa-holding forceps channel is highly useful, safe and simple when applied to the esophagus. (Source: Digestive Endoscopy)
Source: Digestive Endoscopy - June 21, 2009 Category: Gastroenterology Authors: Osamu Motohashi, Ken Nishimura, Norisuke Nakayama, Seiichi Takagi, Naoki Yanagida Tags: NEW INSTRUMENTS AND TECHNIQUES Source Type: journals

Long-term prognosis of patients after endoscopic sphincterotomy for choledocholithiasisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: EST for choledocholithiasis is safe and effective. Cholecystectomy after EST is recommended in patients with calculous GB, but is not necessary in patients with acalculous GB. Pneumobilia was associated with the recurrence of choledocholithiasis. (Source: Digestive Endoscopy)
Source: Digestive Endoscopy - June 21, 2009 Category: Gastroenterology Authors: Masanobu Kageoka, Fumitoshi Watanabe, Yasuhiko Maruyama, Ken Nagata, Akihiko Ohata, Yuji Noda, Ichita Miwa, Kentarou Ikeya Tags: ORIGINAL ARTICLES Source Type: journals

A proposal for differentiation between early- and advanced-stage autoimmune pancreatitis by endoscopic ultrasonographyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Lobularity and hyperechoic pancreatic duct margin are characteristic EUS features of early AIP, which has a more favorable prognosis, and shows a higher frequency of spontaneous remission and preservation of acinar cells, than advanced AIP. (Source: Digestive Endoscopy)
Source: Digestive Endoscopy - June 21, 2009 Category: Gastroenterology Authors: Kensuke Kubota, Shingo Kato, Tomoyuki Akiyama, Koji Fujita, Masato Yoneda, Hirokazu Takahashi, Masami Ogawa, Masahiko Inamori, Yasunobu Abe, Hiroyuki Kirikoshi, Noritoshi Kobayashi, Satoru Saito, Kantaro Hisatomi, Nobuyuki Matsuhashi, Atsushi Nakajima Tags: ORIGINAL ARTICLES Source Type: journals

Endoscopic sphincterotomy alone in the management of low-grade biliary leaks due to cholecystectomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Endoscopic retrograde cholangiopancreatography is essential in the management of postoperative biliary leaks. Endoscopic sphincterotomy alone can be the initial procedure in the treatment of LGL from the CDS due to cholecystectomy. (Source: Digestive Endoscopy)
Source: Digestive Endoscopy - June 21, 2009 Category: Gastroenterology Authors: Kadir Aksoz, Belkis Unsal, Gazi Yoruk, Zafer Buyrac, Mehmet Haciyanli, Zehra Akpinar, Emrah Alper Tags: ORIGINAL ARTICLES Source Type: journals

Relation between obesity and adenomatous polyps of the large bowelEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: We conclude that obesity in men is a risk factor for the development of polyps. These results must be confirmed by additional epidemiological studies. (Source: Digestive Endoscopy)
Source: Digestive Endoscopy - June 21, 2009 Category: Gastroenterology Authors: Yumi Sato, Ryoichi Nozaki, Kazutaka Yamada, Masahiro Takano, Ken Haruma Tags: ORIGINAL ARTICLES Source Type: journals

No evidence for patient-to-patient transmission of hepatitis c virus during upper gastrointestinal endoscopy: molecular studies on three acute hepatitis c patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The present study suggests that patient-to-patient transmission of HCV during UGIE is infrequent. (Source: Digestive Endoscopy)
Source: Digestive Endoscopy - June 21, 2009 Category: Gastroenterology Authors: Takayuki Toda, Takehiro Mitsui, Yukie Tsukamoto, Takeshi Ebara, Kazuo Masuko, Masaharu Takahashi, Hiroaki Okamoto Tags: ORIGINAL ARTICLES Source Type: journals

Laparoscopic radiofrequency ablation for hepatocellular carcinomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Radiofrequency ablation (RFA) is one of the best curative treatments for hepatocellular carcinoma in selected patients, and this procedure can be applied either percutaneously or laparoscopically. Although the percutaneous approach is less invasive and is considered the first choice, RFA with laparoscopic guidance is highly recommended for patients with a relative contraindication for percutaneous RFA, such as lesions adjacent to the gastrointestinal tract, gallbladder, bile duct and heart. Recent advances in laparoscopic ultrasound have widened the indication for laparoscopic ablation. In the present paper, we review the ...
Source: Digestive Endoscopy - March 15, 2009 Category: Gastroenterology Authors: Yasuhiro Asahina, Hiroyuki Nakanishi, Namiki Izumi Tags: REVIEW Source Type: journals

English abstracts of the papers that appeared in Gastroenterological Endoscopy Volume 50, Number 10–12, the official Japanese journal of Japan Gastroenterological Endoscopy SocietyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Digestive Endoscopy)
Source: Digestive Endoscopy - March 12, 2009 Category: Gastroenterology Tags: ABSTRACTS Source Type: journals

AnnouncementsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Digestive Endoscopy)
Source: Digestive Endoscopy - March 12, 2009 Category: Gastroenterology Tags: ANNOUNCEMENTS Source Type: journals

Cautious comparison between East and West is necessary in terms of the serum pepsinogen testEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Digestive Endoscopy)
Source: Digestive Endoscopy - March 12, 2009 Category: Gastroenterology Tags: LETTER TO THE EDITOR Source Type: journals

White ball appearance: predictor of effective variceal ligation in massive bleeding with an obscure bleeding pointEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Although a purple-colored ball-like appearance (purple ball appearance) is typically observed on ligated varices during endoscopic variceal ligation (EVL), another endoscopic appearance of ligated varices (white ball appearance), which is observed after EVL at the bleeding site, have been reported. We encountered a case of massive variceal bleeding with an obscure bleeding point, where this appearance was useful in the confirmation of effective ligation. A 66-year-old man, who had liver cirrhosis with hepatocellular carcinoma, presented with hematemesis and melena. Although emergent endoscopy revealed a fibrin-plug on the ...
Source: Digestive Endoscopy - March 12, 2009 Category: Gastroenterology Authors: Mitsunobu Matsushita, Yoshiya Tahashi, Kazushige Uchida, Akiyoshi Nishio, Hiroshi Takakuwa, Kazuichi Okazaki Tags: ENDOSCOPIC IMAGES OF INTEREST Source Type: journals

Small bowel pseudomelanosis and oral iron therapyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Small bowel pseudomelanosis is a rarely reported clinical entity characterized by brown pigmentation of small bowel mucosa. The authors describe two cases, both with iron deficiency anemia, one of an 81-year-old female patient submitted for capsule endoscopy that revealed a brown pigmentation of all small bowel mucosa and another of an 81-year-old male whose retrograde double-balloon enteroscopy revealed a diffuse brown pattern of small bowel mucosa. Ileal biopsies confirmed intense iron deposition in the macrophages of the lamina propria. Both patients were on oral iron therapy and the second one had a previous double-bal...
Source: Digestive Endoscopy - March 12, 2009 Category: Gastroenterology Authors: Nuno Almeida, Pedro Figueiredo, Sandra Lopes, Paulo Freire, Vítor Sousa, Clotilde Lérias, Hermano Gouveia, Maximino C. Leitão Tags: ENDOSCOPIC IMAGES OF INTEREST Source Type: journals

Novel technique of endoscopic submucosal dissection using an external grasping forceps for superficial gastric neoplasiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a novel technique of ESD using an external grasping forceps. A total of 265 lesions with EGC or gastric adenoma were enrolled in this study. Sixteen lesions were located in the upper third portion of the stomach, 114 in the middle third portion, and 135 in the lower third portion. After submucosal injection followed by circumcision of the lesions with a flex knife, the external grasping forceps was introduced with the help of a second grasping forceps and anchored at the margin of the lesion. Oral traction applied with this forceps could elevate the lesion and make the submucosal layer wider and more visible, the...
Source: Digestive Endoscopy - March 12, 2009 Category: Gastroenterology Authors: Hiroyuki Imaeda, Naoki Hosoe, Yosuke Ida, Kazuhiro Kashiwagi, Yuichi Morohoshi, Kazuhiro Suganuma, Shuichi Nagakubo, Koichi Komatsu, Hidekazu Suzuki, Yoshimasa Saito, Koichi Aiura, Haruhiko Ogata, Yasushi Iwao, Koichiro Kumai, Yuko Kitagawa, Toshifumi Hib Tags: HOW I DO IT Source Type: journals

Comparison of the diagnostic utility of the ultrathin endoscope and the conventional endoscope in early gastric cancer screeningEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, the diagnostic utility of ultrathin esophagogastroduodenoscopy might be lower than that of conventional esophagogastroduodenoscopy in terms of screening for early gastric cancer. The disadvantages of ultrathin esophagogastroduodenoscopy should be taken carefully into consideration while examining lesions. (Source: Digestive Endoscopy)
Source: Digestive Endoscopy - March 12, 2009 Category: Gastroenterology Authors: Yuko Hayashi, Yorimasa Yamamoto, Takanori Suganuma, Kazuhisa Okada, Masami Nego, Shin-Ichi Imada, Mizuka Imai, Kazuhito Yoshimoto, Nobue Ueki, Toshiaki Hirasawa, Naoyuki Uragami, Tomohiro Tsuchida, Junko Fujisaki, Etsuo Hoshino, Hiroshi Takahashi, Masahir Tags: HOW I DO IT Source Type: journals

Endoscopic submucosal dissection for esophageal squamous cell neoplasmsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Endoscopic submucosal dissection (ESD) has gradually gained acceptance as one of the standard treatments for early esophageal cancer, as well as for early gastric cancer in Japan, but standardization of the knowledge is still incomplete. The final goal to perform ESD is not to resect the lesion in an en bloc fashion, but to save the patient from esophageal cancer-related death. Thus, the indications should be considered based on the entire patient, not just the target lesion itself, and pre-, peri- and postoperative management of the patient is also very important, as well as technical aspects of ESD. In terms of the techn...
Source: Digestive Endoscopy - March 12, 2009 Category: Gastroenterology Authors: Mitsuhiro Fujishiro, Shinya Kodashima, Osamu Goto, Satoshi Ono, Keiko Niimi, Nobutake Yamamichi, Masashi Oka, Masao Ichinose, Masao Omata Tags: HOW I DO IT Source Type: journals

Case of a closed choledochocele with biliary and pancreatic drainage via the accessory duct causing acute pancreatitisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the case of a 'closed choledochocele', in which the bile and ventral pancreatic ducts emptied into the cyst, but because there was no outlet into the duodenum, drainage was retrograde via the accessory duct. This type of choledochocele variant has never previously been described in the medical literature. (Source: Digestive Endoscopy)
Source: Digestive Endoscopy - March 12, 2009 Category: Gastroenterology Authors: Stuart R. Gordon, John M. Levenick, Daniel L. Rath, Timothy B. Gardner Tags: CASE REPORTS Source Type: journals

Superficially elevated-type serrated hyperplastic lesion of the stomach with minute adenocarcinomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of gastric serrated hyperplastic lesion with minute adenocarcinoma. A 65-year-old Japanese man underwent endoscopic submucosal dissection to the superficially elevated-type (0-IIa) lesion located at the lesser curvature of the gastric angle. Histological observation revealed hyperplastic change of foveolar epithelium with serrated glandular structure as well as a minute tubular adenocarcinoma component. Immunohistochemically, the lesion demonstrated gastrointestinal, predominantly gastric, phenotype (MUC5AC++, MUC6+, MUC2+, CD10[minus]). Positive p53 immunoreactivity was detected in the carcinoma component...
Source: Digestive Endoscopy - March 12, 2009 Category: Gastroenterology Authors: Tadateru Hasuo, Shuho Semba, Shinya Satake, Daisuke Shirasaka, Nobuo Aoyama, Hiroshi Yokozaki Tags: CASE REPORTS Source Type: journals

Case of inflammatory fibroid polyp of the esophagogastric junctionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Upper gastrointestinal endoscopy of a 25-year-old man with heartburn revealed an elevated lesion in the esophagogastric junction (EGJ). Piecemeal endoscopic mucosal resection (EMR) followed by histopathological examination led to a diagnosis of inflammatory fibroid polyp (IFP). After EMR, the heartburn persisted despite giving a proton pump inhibitor (PPI), and the residual lesion gradually enlarged and a transverse mucosal break developed on the esophageal side of it. However, the combined administration of the PPI and an H2 receptor antagonist reduced the heartburn, and led to endoscopic regression of the lesion and disa...
Source: Digestive Endoscopy - March 12, 2009 Category: Gastroenterology Authors: Tateki Yamane, Kan Uchiyama, Takayuki Ishii, Hironori Ishii, Reo Takizawa, Mitsuhiro Omura, Kiyotaka Fujise, Hisao Tajiri Tags: CASE REPORTS Source Type: journals

Clinical results of endoscopic hemostasis using a short transparent hood and short hemoclips for non-variceal upper gastrointestinal bleedingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Endoscopic hemostasis with a short transparent hood and short clips is useful for non-variceal upper gastrointestinal bleeding. (Source: Digestive Endoscopy)
Source: Digestive Endoscopy - March 12, 2009 Category: Gastroenterology Authors: Naoki Hosoe, Hiroyuki Imaeda, Kazuhiro Kashiwagi, Makoto Naganuma, Nagamu Inoue, Hidekazu Suzuki, Kazuhiro Suganuma, Yosuke Ida, Hiromasa Nakamizo, Koichi Aiura, Haruhiko Ogata, Yasushi Iwao, Koichiro Kumai, Toshifumi Hibi Tags: ORIGINAL ARTICLES Source Type: journals

Urgent capsule endoscopy is useful in severe obscure-overt gastrointestinal bleedingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: CE is useful in patients with severe OOGIB by providing positive findings in the majority of patients, with subsequent impact on therapeutic procedures. (Source: Digestive Endoscopy)
Source: Digestive Endoscopy - March 12, 2009 Category: Gastroenterology Authors: Nuno Almeida, Pedro Figueiredo, Sandra Lopes, Paulo Freire, Clotilde Lérias, Hermano Gouveia, Maximino C. Leitão Tags: ORIGINAL ARTICLES Source Type: journals