Peroral cholangioscopy–guided probe-based confocal laser endomicroscopy for preoperative diagnosis of pancreatic cancer

Post written by Yuki Tanisaka, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 79-year-old man was referred to our hospital because of jaundice. He had previously undergone Billroth-II gastrectomy for gastric cancer. ERCP was performed. At first, we used a SIF-H290S (Olympus Medical Systems, Tokyo, Japan) with …

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Successful ex-vivo probe-based confocal laser endomicroscopy of a superficial nonampullary duodenal epithelial tumor

Post written by Tomoaki Tashima, MD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 65-year-old woman was found to have a flat-elevated tumor measuring approximately 55 mm in diameter in the second part of the duodenum by endoscopy. The preoperative histological diagnosis by biopsy sampling was high-grade intraepithelial neoplasia. …

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Confocal laser endomicroscopic finding of lymphoma of the duodenal papilla

Post written by Yuki Tanisaka, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. We report our experience with confocal laser endomicroscopy (CLE) imaging of lymphoma of the duodenal papilla with the corresponding histopathologic images. Our patient was an 83-year-old man with an endoscopic finding of a depressed lesion …

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Diagnostic accuracy of probe-based confocal laser endomicroscopy

Post written by Adriana Vaz Safatle-Ribeiro from the Cancer Institute, Department of Gastroenterology, University of São Paulo, Brazil. The focus was to evaluate the accuracy of probe-based confocal laser endomicroscopy (pCLE) for the diagnostic differentiation of non-neoplastic and neoplastic Lugol-unstained esophageal lesions in patients with head and neck cancer (HNC) under surveillance for a second …

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pCLE and solitary rectal ulcer syndrome

Post written by Yunlu Feng, MD,  and Aiming Yang, MD, from the Department of Gastroenterology, Peking Union Medical College Hospital, in Beijing, China Our article reported a 34-year-old male Chinese patient who presented with feeling of incomplete defecation and abdominal pain for more than 10 years. Colonoscopy showed a single rectal ulcer. Magnetic resonance imagine showed localized rectal …

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Needle-based confocal endomicroscopy for pancreatic cysts

Kunal Karia, MD from the Division of Gastroenterology and Hepatology at Weill Cornell Medical College in New York, New York discusses "Needle-based confocal endomicroscopy for pancreatic cysts: the current agreement in interpretation." With the increasing use of abdominal cross-sectional imaging, more and more pancreatic cystic lesions (PCLs) are being identified.  Accurate diagnosis and understanding the …

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Confocal laser endomicroscopy

Shailendra Chauhan MD, AGAF, FASGE from the University of Florida College of Medicine in Gainesville, Florida, USA discusses the latest Status Evaluation Report from the ASGE Technology committee titled "Confocal laser endomicroscopy." This report is a comprehensive review of confocal laser endomicroscopy (CLE) written by the ASGE Technology Committee. It describes the technology, its current …

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