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1. Detection Rate and Clinical Relevance of Ink Tattooing during Balloon-Assisted Enteroscopy

Author

C. Römmele, A. Ebigbo, M. Schrempf, H. Messmann, and S. K. Gölder

Subjects
Diseases of the digestive system. Gastroenterology, RC799-869
Abstract

Background and Aims. Balloon-assisted enteroscopy (BAE) is a well-established tool in the diagnosis and therapy of small bowel diseases. Ink tattooing of the small bowel is used to mark pathologic lesions or the depth of small bowel insertion. The purpose of this study was to determine the safety, the detection rate, and the clinical relevance of ink tattooing during BAE. Methods. We performed a retrospective analysis of all 81 patients who received an ink tattooing during BAE between 2010 and 2015. Results. In all patients, ink tattooing was performed with no complications. 26 patients received a capsule endoscopy after BAE. The tattoo could be detected via capsule endoscopy in 19 of these 26 patients. The tattoo of the previous BAE could be detected via opposite BAE in 2 of 11 patients. In 9 patients, ink tattooing influenced the choice of approach for reenteroscopy. In 7 patients, the tattoo was used for intraoperative localization and in 3 patients for intraoperative localization as well as for reenteroscopy. The intraoperative detection rate of the tattoo was 100%. Conclusion. Ink tattooing of the small intestine is a safe endoscopic procedure to mark the depth of scope insertion or a pathologic lesion during balloon-assisted enteroscopy.

Published
2017
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2. Endoskopische Diagnostik und Therapie des Magenkarzinoms

Author

H Messmann, Friederike Prinz, Alanna Ebigbo, and Andreas Probst

Subjects
0301 basic medicine, Gynecology, 03 medical and health sciences, medicine.medical_specialty, 030104 developmental biology, 0302 clinical medicine, Oncology, business.industry, 030220 oncology & carcinogenesis, Medicine, Hematology, business
Abstract

Goldstandard zur Diagnostik von Magenkarzinomen ist die Osophagogastroduodenoskopie (OGD). Subtile Unterschiede in der Oberflachenstruktur der Schleimhaut unterscheiden das Fruhkarzinom des Magens von gesunder Schleimhaut. Dies kann den Endoskopiker vor grose Herausforderungen stellen. Mithilfe der Paris-Klassifikation fur gastrointestinale Neoplasien kann eine erste Einschatzung anhand der Morphologie erfolgen. Strukturverstarkungstechniken der Endoskope und die Chromoendoskopie erleichtern Detektion und Aussagen bezuglich der lateralen Ausdehnung. Um exakte Eindringtiefe, Grading und lymphovaskulare Infiltration zu ermitteln, dient die endoskopische Resektion (ER). Hierbei soll eine R0-Resektion en bloc angestrebt werden. Bisher war die ER auf die „Leitlinienkriterien“ beschrankt. Die endoskopische Submukosadissektion (ESD) erlaubt auch die Resektion groserer Lasionen en bloc. Nachdem Subgruppen von Magenfruhkarzinomen definiert werden konnten, welche auserhalb der „Leitlinienkriterien“ kein erhohtes Lymphknotenmetastasenrisiko aufweisen, wurden die „erweiterten Kriterien“ in die deutsche Leitlinie integriert. Bei weiteren Risikofaktoren in Zusammenhang mit erhohtem Lymphknotenmetastasenrisiko wie Durchmesser >2 cm, Vernarbung, Einsenkungen, Submukosainvasion und Lymphgefasinvasion sollte eine operative Therapie der ESD vorgezogen werden. Mittlerweile hat sich die endoskopische Submukosadissektion als Mittel der Wahl zur Therapie von Magenfruhkarzinomen etabliert. Nach Resektion sind endoskopische und ggf. bildgebende Kontrollen notwendig. Bei R1-Resektion soll eine Nachresektion bzw. Operation erfolgen. Der Nachweis von Helicobacter pylori bei Vorliegen eines Magenfruhkarzinoms erfordert immer eine Eradikation.

Published
2020
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3. Double-endoscope assisted endoscopic submucosal dissection for treating tumors in rectum and distal colon by expert endoscopists: a feasibility study

Author

H Messmann, Stefan Gölder, Alanna Ebigbo, G Tziatzios, and Andreas Probst

Subjects
medicine.medical_specialty, Endoscope, Endoscopic Mucosal Resection, Colon, Rectum, Endoscopic mucosal resection, Double, Multimedia Article, 03 medical and health sciences, 0302 clinical medicine, Medicine, Humans, ddc:610, Intestinal Mucosa, Aged, Retrospective Studies, Endoscopes, Tumor, business.industry, Dissection, Gastroenterology, Sigmoid colon, Submucosal, Endoscopic submucosal dissection, Middle Aged, Colorectal surgery, Surgery, medicine.anatomical_structure, Treatment Outcome, Endoscopic, 030220 oncology & carcinogenesis, Feasibility Studies, 030211 gastroenterology & hepatology, Distal colon, Neoplasm Recurrence, Local, business, Colorectal Neoplasms, Abdominal surgery
Abstract

Background Colorectal endoscopic submucosal dissection (ESD) is an effective but challenging procedure. To facilitate ESD, several methods that apply traction are available; however, the optimal one remains to be established. The aim of this study was to evaluate the feasibility and safety of the double-endoscope assisted ESD (DEA-ESD) by improving traction to treat complex colorectal lesions. Methods Naïve or previously treated lesions in the rectum and sigmoid colon were included. A grasping forceps advanced through a small-caliber endoscope (GIF-XP190N, Olympus Medical Systems, Tokyo, Japan, 5.4 mm outer diameter) was used to apply traction to the mucosal flap. Lesions were deemed complex when they exceeded a total of nine points on the SMSA scoring system (size, morphology, site, and access) and recurrent when they were previously treated with endoscopic mucosal resection (EMR). Outcome measures included procedural success, total procedure time, complications, and recurrence rate at 3-month follow-up. Results Nine patients (mean age 62.3 ± 14.5 years) were included; five had rectal and four had tumors in the sigmoid colon. The median SMSA score was 14 (SMSA Level IV—complex polyp), while three patients were pre-treated with EMR. DEA-ESD was technically feasible in all cases. En bloc resection and R0 resection rates were 100%, respectively, with a mean procedure time of 128.4 ± 54.1 min. No immediate or delayed complications occurred. Conclusions DEA-ESD is a feasible and safe method for treating complex or recurrent tumors in the rectum and distal colon.

Published
2020

17. Wide Area Transepithelial Sample Esophageal Biopsy Combined with Computer Assisted 3-Dimensional Tissue Analysis (Wats3d) for the Detection of Flat High Grade Dysplasia and Adenocarcinoma in Barrett: A Multi-Center, Prospective, Randomized, Tandem Study

Author

Sanne van Munster, Ph. Leclercq, Rehan Haidry, H. Messmann, A Probst, K Ragunath, P. Bhandari, A. Repici, M. Munoz-Navas, Stefan Seewald, A. Lemmers, G. Fernández-Esparrach, O. Pech, Erik Schoon, R. Kariv, H. Neuhaus, B. Weusten, P.D. Siersema, L. Correale, S.L. Meijer, G. De Hertogh, Jacques Bergman, Hassan Cesare, and Raf Bisschops

Published
2022
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18. Clinical Experience with the PillCam Patency Capsule prior to Video Capsule Endoscopy: A Real-World Experience

Author

C. Römmele, J. Brueckner, H. Messmann, and S. K. Gölder

Subjects
Diseases of the digestive system. Gastroenterology, RC799-869
Abstract

Background. In patients with known or suspected risk factors for gastrointestinal stenosis, the PillCam patency capsule (PC) is given before a video capsule endoscopy (VCE) in order to minimize the risk of capsule retention (CR). CR is considered unlikely upon excretion of the PC within 30 hours, excretion in an undamaged state after 30 hours, or radiological projection to the colon. Methods. We performed a retrospective analysis of 38 patients with risk factors for CR, who received a PC from 02/2013 to 04/2015 at Klinikum Augsburg. Results. Sixteen of our 38 patients observed a natural excretion after a mean time of 34 hours past ingestion. However, only 8 patients observed excretion within 30 hours, as recommended by the company. In 20 patients passage of the PC into the colon was shown via RFID-scan or radiological imaging (after 33 and 45 hours, resp.). Only 2 patients showed a pathologic PC result. In consequence, 32 patients received the VCE; no CR was observed. Conclusion. Our data indicates that a VCE could safely be performed even if the PC excretion time is longer than 30 hours and the excreted PC was not screened for damage.

Published
2016
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19. ENDOSCOPIC FOLLOW-UP OF RADICALLY RESECTED SUBMUCOSAL ADENOCARCINOMA IN BARRETT’S ESOPHAGUS: EARLY RESULTS OF AN ONGOING PROSPECTIVE, INTERNATIONAL, MULTICENTER COHORT REGISTRY (PREFER TRIAL)

Author

M.W. Chan, E.A. Nieuwenhuis, M. Jansen, K. Belghazi, W.B. Nagengast, J. Westerhof, A.D. Koch, M.D.W. Spaander, R. Bisschops, G. De Hertogh, M.J. Bourke, H. Neuhaus, B.L.A.M. Weusten, A. Alkhalaf, O. Pech, C. Schlag, S. Seewald, M.H.M.G. Houben, E.J. Schoon, E. Coron, R. Haidry, H. Messmann, S.L. Meijer, J.J.G.H.M. Bergman, R.E. Pouw, and Guided Treatment in Optimal Selected Cancer Patients (GUTS)

Subjects
Gastroenterology, Radiology, Nuclear Medicine and imaging
Published
2022
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24. SARS-CoV-2-Infektionsrisiko und Seroprävalenz bei Mitarbeitern des Gesundheitswesens in aerosolerzeugenden Tätigkeiten in Deutschland

Author

Christina C. Bartenschlager, Johannes Zenk, Lutz P Breitling, Maria Kahn, Albert Beyer, Juergen Hoffmann, C Ahrens, Frank Lammert, R Frankenberger, Alanna Ebigbo, Claudia Traidl-Hoffmann, G Hammel, Christoph Römmele, Anna Muzalyova, B Al-Nawas, Stephan Zellmer, Tilo Schlittenbauer, H Messmann, and J Rosendahl

Subjects
ddc:610
Published
2021
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26. Case Report: Duodenal Perforation In A Critically Ill Patient With Covid-19

Author

H Messmann, Friederike Prinz, Georg Braun, and Alanna Ebigbo

Subjects
medicine.medical_specialty, business.industry, Perforation (oil well), Ischemia, Disease, medicine.disease, Intensive care unit, Surgery, law.invention, medicine.anatomical_structure, Respiratory failure, law, Melena, Duodenal bulb, medicine, medicine.symptom, business, Duodenal Perforation
Abstract

Aims We report the case of a 54-year old male who was admitted to our intensive care unit due to respiratory failure andCOVID-19 disease. The patients' comorbidities were allergic asthma and obesity;he was on no regular medication. On day15 after admission to the ICU, invasive ventilation was started, and on day 19, melena, with a drop in hemoglobin levelfrom 12.9 g/dl to 8.5 g/dl, was observed. Methods In the emergency gastroscopy, three ulcerations were seen in the duodenal bulb. Two ulcerations showed visiblevessels (Forrest IIa), and were treated with a standard hemoclip as well as an “Over-the-Scope-Clip” (OTSC, Ovesco). Thethird ulceration was covered by a large clot (F IIb). After mobilization of the clot, the ulceration was seen to have perforatedinto the retroperitoneum. Results The patient underwent emergency surgery in which the perforation was sutured. Conclusions Studies have shown a high risk for gastrointestinal complications, such as gastrointestinal ischemia and ileusin critically ill patients with COVID-19 disease. In this case, we postulate that critically ill patients with COVID-19 may havea higher risk of GI bleeding and ulcer perforation. However, it is unclear whether these complications can be specificallyattributed to the underlying COVID-19 disease or the therapeutic anticoagulation, which all critically ill patients with COVID-19 recieve as standard of care. Further studies are needed to confirm or rule out these assumptions. Nevertheless, specialattention should be paid to gastrointestinal complications in critically ill COVID-19 patients.

Published
2021
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27. Underwater Versus Conventional Endoscopic Mucosal Resection for Treating Colorectal Polyps: A Systematic Review and Meta-Analysis of Randomized Controlled Studies

Author

Georgios Tziatzios, Cesare Hassan, H Messmann, Paraskevas Gkolfakis, Maria Pellise, Ioannis S. Papanikolaou, Alanna Ebigbo, Konstantinos Triantafyllou, Giulio Antonelli, S Nagl, Antonio Facciorusso, Lorenzo Fuccio, and Andreas Probst

Subjects
medicine.medical_specialty, business.industry, Meta-analysis, medicine, Endoscopic mucosal resection, Radiology, Controlled studies, business
Published
2021
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32. Underwater- Versus Conventional Endoscopic Mucosal Resection of Large Sessile or Flat Colonic Polyps: Results of a Prospective Randomized Controlled Trial

Author

H Messmann, Andreas Probst, Georg Braun, Stefan Goelder, Elisabeth Schnoy, T Weber, L Neuhaus, Christoph Roemmele, S Nagl, and Alanna Ebigbo

Subjects
medicine.medical_specialty, Randomized controlled trial, law, business.industry, medicine, Endoscopic mucosal resection, business, law.invention, Surgery
Published
2021
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34. OC.04.5 TEXTURE AND COLOR ENHANCING IMAGING (TXI) INCREASES ADENOMA DETECTION RATE IN COLONOSCOPY: INTERIM ANALYSIS OF A RANDOMIZED CONTROLLED TRIAL

Author

G. Antonelli, G. Bevivino, S. Pecere, F. Cereatti, A. Ebigbo, N. Akizue, M. Di Fonzo, M. Coppola, F. Barbaro, A. Caruso, K. Okimoto, C. Antenucci, T. Matsumura, G. Zerboni, C. Grossi, M. Meinikheim, G. Papparella, G. Costamagna, C. Spada, H. Messmann, C. Hassan, and F. Iacopini

Subjects
Hepatology, Gastroenterology
Published
2022
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35. OC.07.5 NON-CURATIVE ENDOSCOPIC SUBMUCOSAL DISSECTION (ESD) FOR COLORECTAL CANCER: CLINICAL OUTCOMES AND PREDICTORS OF RECURRENCE

Author

Neal Shahidi, Jérôme Rivory, E Albeniz, S. Sferrazza, Michal F. Kaminski, Cesare Hassan, H. Ejaz, Andrea Iannone, Sophie Geyl, B. Pekarek, A. Repici, Edoardo Vespa, Jérémie Jacques, Asma Alkandari, H Messmann, Marco Spadaccini, Amyn Haji, Dennis Yang, C Fleischmann, Pradeep Bhandari, Shraddha Gulati, Michael J. Bourke, A. Herreros De Tejada, Roberta Maselli, Peter V. Draganov, and Mathieu Pioche

Subjects
medicine.medical_specialty, Hepatology, business.industry, Colorectal cancer, Gastroenterology, Medicine, Endoscopic submucosal dissection, Radiology, business, medicine.disease
Published
2021
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36. Metastatic Colorectal Cancer in two Young Patients with Inflammatory Bowel Disease – Relevance of Tight Endoscopic Surveillance Especially in Early-Onset IBD and Review of the Literature

Author

Elisabeth Schnoy, Alanna Ebigbo, H Messmann, Nagl S, Hüttemann E, and C Fleischmann

Subjects
Oncology, medicine.medical_specialty, business.industry, Colorectal cancer, Internal medicine, Medicine, business, medicine.disease, Inflammatory bowel disease, Early onset
Published
2021
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39. NEEDLE TRACT SEEDING (NTS) OF THE STOMACH AFTER EUS-GUIDED-BIOPSY OF A RENAL CANCER METASTASIS OF THE PANCREAS – ARTERIAL BLEEDING AFTER BIOPSY MANAGED BY OTSC

Author

Stefan Gölder, Matthias Anthuber, Claus Schöler, VF Mouris, H Messmann, Simone Freund, and Alanna Ebigbo

Subjects
medicine.medical_specialty, medicine.anatomical_structure, medicine.diagnostic_test, business.industry, Stomach, Biopsy, Medicine, Cancer metastasis, Radiology, Needle Tract Seeding, business, Pancreas
Published
2020
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40. WATS3D FOR THE DETECTION OF HIGH GRADE DYSPLASIA AND ADENOCARCINOMA IN BARRETT: EUROPEAN MULTI-CENTER, PROSPECTIVE, RANDOMIZED, TANDEM STUDY

Author

Rehan Haidry, Miguel Muñoz-Navas, A Lemmers, A. Repici, C Hassan, F Fromowitz, Krish Ragunath, P Siersema, Raf Bisschops, Bas L. Weusten, S Seewald, J Bergman, L Correale, Gert De Hertogh, H Messmann, Revital Kariv, Pradeep Bhandari, H Neuhaus, O Pech, A Castells, and EJ Schoon

Subjects
medicine.medical_specialty, business.industry, High grade dysplasia, Medicine, Adenocarcinoma, Center (algebra and category theory), Radiology, business, medicine.disease
Published
2020
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43. UNDERWATER- VERSUS CONVENTIONAL ENDOSCOPIC MUCOSAL RESECTION OF LARGE SESSILE OR FLAT COLONIC POLYPS: PRELIMINARY RESULTS OF A PROSPECTIVE RANDOMIZED CONTROLLED TRIAL

Author

Christoph Römmele, Stefan Gölder, S Nagl, Alanna Ebigbo, H Messmann, T Weber, Elisabeth Schnoy, Georg Braun, Annette Schneider, L Neuhaus, and Andreas Probst

Subjects
medicine.medical_specialty, Randomized controlled trial, law, business.industry, Medicine, Endoscopic mucosal resection, business, law.invention, Surgery
Published
2020
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