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Rare cause of granulomatous enteritis
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Seung Min Hong, Byeong Kyu Park, Dong Hoon Baek
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Clin Endosc 2023;56(4):534-536. Published online May 9, 2023
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DOI: https://doi.org/10.5946/ce.2023.014
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Korean guidelines for postpolypectomy colonoscopic surveillance: 2022 revised edition
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Su Young Kim, Min Seob Kwak, Soon Man Yoon, Yunho Jung, Jong Wook Kim, Sun-Jin Boo, Eun Hye Oh, Seong Ran Jeon, Seung-Joo Nam, Seon-Young Park, Soo-Kyung Park, Jaeyoung Chun, Dong Hoon Baek, Mi-Young Choi, Suyeon Park, Jeong-Sik Byeon, Hyung Kil Kim, Joo Young Cho, Moon Sung Lee, Oh Young Lee, Korean Society of Gastrointestinal Endoscopy, Korean Society of Gastroenterology, Korean Association for the Study of Intestinal Diseases
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Clin Endosc 2022;55(6):703-725. Published online October 13, 2022
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DOI: https://doi.org/10.5946/ce.2022.136
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Abstract
PDFSupplementary MaterialPubReaderePub
- Colonoscopic polypectomy is effective in decreasing the incidence and mortality of colorectal cancer (CRC). Premalignant polyps discovered during colonoscopy are associated with the risk of metachronous advanced neoplasia. Postpolypectomy surveillance is the most important method for the management of advanced metachronous neoplasia. A more efficient and evidence-based guideline for postpolypectomy surveillance is required because of limited medical resources and concerns regarding colonoscopy complications. In these consensus guidelines, an analytic approach was used to address all reliable evidence to interpret the predictors of CRC or advanced neoplasia during surveillance colonoscopy. The key recommendations state that the high-risk findings for metachronous CRC following polypectomy are as follows: (1) adenoma ≥10 mm in size; (2) 3 to 5 (or more) adenomas; (3) tubulovillous or villous adenoma; (4) adenoma containing high-grade dysplasia; (5) traditional serrated adenoma; (6) sessile serrated lesion (SSL) containing any grade of dysplasia; (7) serrated polyp of at least 10 mm in size; and (8) 3 to 5 (or more) SSLs. More studies are needed to fully comprehend the patients most likely to benefit from surveillance colonoscopy and the ideal surveillance interval to prevent metachronous CRC.
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Citations
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- Association between Atherosclerosis and High-Risk Colorectal Adenomas based on Cardio-Ankle Vascular Index and Ankle-Brachial Index
Jung Ho Lee, Hyunseok Cho, Sang Hoon Lee, Sung Joon Lee, Chang Don Kang, Dae Hee Choi, Jin Myung Park, Seung-Joo Nam, Tae Suk Kim, Ji Hyun Kim, Sung Chul Park The Korean Journal of Gastroenterology.2024; 83(4): 143. CrossRef - A survey of current practices in post-polypectomy surveillance in Korea
Jeongseok Kim, Tae-Geun Gweon, Min Seob Kwak, Su Young Kim, Seong Jung Kim, Hyun Gun Kim, Eun Ran Kim, Sung Noh Hong, Eun Sun Kim, Chang Mo Moon, Dae Seong Myung, Dong Hoon Baek, Shin Ju Oh, Hyun Jung Lee, Ji Young Lee, Yunho Jung, Jaeyoung Chun, Dong-Hoo Intestinal Research.2024; 22(2): 186. CrossRef - Approaches and considerations in the endoscopic treatment of T1 colorectal cancer
Yunho Jung The Korean Journal of Internal Medicine.2024; 39(4): 563. CrossRef - Korean Guidelines for Postpolypectomy Colonoscopic Surveillance: 2022 Revision
Su Young Kim The Korean Journal of Medicine.2023; 98(3): 102. CrossRef - Detecting colorectal lesions with image-enhanced endoscopy: an updated review from clinical trials
Mizuki Nagai, Sho Suzuki, Yohei Minato, Fumiaki Ishibashi, Kentaro Mochida, Ken Ohata, Tetsuo Morishita Clinical Endoscopy.2023; 56(5): 553. CrossRef - Understanding colorectal polyps to prevent colorectal cancer
Dong-Hoon Yang Journal of the Korean Medical Association.2023; 66(11): 626. CrossRef - Classification and endoscopic diagnosis of colorectal polyps
Ji Hyun Kim, Sung Chul Park Journal of the Korean Medical Association.2023; 66(11): 633. CrossRef - Endoscopic treatment of colorectal polyps and early colorectal cancer
Yunho Jung Journal of the Korean Medical Association.2023; 66(11): 642. CrossRef - Strategy for post-polypectomy colonoscopy surveillance: focus on the revised Korean guidelines
Yong Soo Kwon, Su Young Kim Journal of the Korean Medical Association.2023; 66(11): 652. CrossRef
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Endoscopic treatment for rectal neuroendocrine tumor: which method is better?
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Seung Min Hong, Dong Hoon Baek
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Clin Endosc 2022;55(4):496-506. Published online July 11, 2022
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DOI: https://doi.org/10.5946/ce.2022.115
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Abstract
PDFPubReaderePub
- Recently, research on rectal neuroendocrine tumors (NETs) has increased during the last few decades. Rectal NETs measuring <10 mm without atypical features and confined to the submucosal layer have only 1% risk of metastasis, and the long-term survival probability of patients without metastasis at the time of diagnosis is approximately 100%. Therefore, the current guidelines suggest endoscopic resection of rectal NETs of <10 mm is regarded as a safe therapeutic option. However, there are currently no clear recommendations for technique selection for endoscopic resection. The choice of treatment modality for rectal NETs should be based on the lesion size, endoscopic characteristics, grade of differentiation, depth of vertical involvement, lymphovascular invasion, and risk of metastasis. Moreover, the complete resection rate, complications, and experience at the center should be considered. Modified endoscopic mucosal resection is the most suitable resection method for rectal NETs of <10 mm, because it is an effective and safe technique that is relatively simple and less time-consuming compared with endoscopic submucosal dissection. Endoscopic submucosal dissection should be considered when the tumor size is >10 mm, suctioning is not possible due to fibrosis in the lesion, or when the snaring for modified endoscopic mucosal resection does not work well.
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Citations
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- Establishment of a swine model of delayed bleeding after endoscopic procedure
Shohei Uehara, Fumisato Sasaki, Hisashi Sahara, Akihito Tanaka, Makoto Hinokuchi, Hidehito Maeda, Shiho Arima, Shinichi Hashimoto, Shuji Kanmura, Akio Ido DEN Open.2025;[Epub] CrossRef - Treatment strategy and post‐treatment management of colorectal neuroendocrine tumor
Masau Sekiguchi, Takahisa Matsuda, Yutaka Saito DEN Open.2024;[Epub] CrossRef - Comparison of endoscopic resection therapies for rectal neuroendocrine tumors
Meijiao Lu, Hongxia Cui, Mingjie Qian, Yating Shen, Jianhong Zhu Minimally Invasive Therapy & Allied Technologies.2024; 33(4): 207. CrossRef - Effective utilization of polypectomy in endoscopic salvage treatment of rectal neuroendocrine tumors: a retrospective cohort study
Yeonuk Ju, Jun woo Bong, Chinock Cheong, Sanghee Kang, Byung wook Min, Sun il Lee Annals of Surgical Treatment and Research.2024; 107(3): 151. CrossRef - A Review of Colonoscopy in Intestinal Diseases
Seung Hong, Dong Baek Diagnostics.2023; 13(7): 1262. CrossRef - Treatment of localized well-differentiated rectal neuroendocrine tumors: A focused review
Shigenobu Emoto, Hiroaki Nozawa, Kazuhito Sasaki, Koji Murono, Hiroyuki Matsuzaki, Yuichiro Yokoyama, Shinya Abe, Yuzo Nagai, Yuichiro Yoshioka, Takahide Shinagawa, Hirofumi Sonoda, Soichiro Ishihara Formosan Journal of Surgery.2023; 56(3): 73. CrossRef - Clinical application of endoscopic ultrasonography in the management of rectal neuroendocrine tumors
Soo-Young Na, Seong Jung Kim, Hyoun Woo Kang International Journal of Gastrointestinal Intervention.2023; 12(3): 105. CrossRef - Endoscopic submucosal dissection coupled with �modified clip coupled with elastic ring� traction removing rectal neuroendocrine tumor
Jing Zhou, Li-Sheng Wang, De-Feng Li, Rui-Yue Shi Revista Española de Enfermedades Digestivas.2023;[Epub] CrossRef
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4,988
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Unusual Rectal Foreign Body: A Golf Ball
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Young Joo Park, Dong Hoon Baek, Eun Young Park, Gwang Ha Kim, Geun Am Song
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Clin Endosc 2021;54(2):291-292. Published online May 25, 2020
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DOI: https://doi.org/10.5946/ce.2020.097
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PDFPubReaderePub
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Citations
Citations to this article as recorded by
- Successful Expulsion of a Golf Ball from the Sigmoid Colon Using Volume Laxatives
James P. Grantham, Amanda Hii, Tim Bright, David Liu, Neil Donald Merrett Case Reports in Surgery.2023; 2023: 1. CrossRef
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A Rare Case of Early Gastric Cancer Combined with Underlying Heterotopic Pancreas
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Jung Bin Yoon, Bong Eun Lee, Dae Hwan Kim, Do Youn Park, Hye Kyung Jeon, Dong Hoon Baek, Gwang Ha Kim, Geun Am Song
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Clin Endosc 2018;51(2):192-195. Published online August 31, 2017
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DOI: https://doi.org/10.5946/ce.2017.055
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Abstract
PDFPubReaderePub
- Heterotopic pancreas in the stomach is usually asymptomatic and benign. Here, we presented a rare case of an early gastric cancer overlying a heterotopic pancreas. A 48-year-old woman underwent esophagogastroduodenoscopy, which revealed a subepithelial mass measuring 2.0×1.5 cm on the gastric antrum with a 1-cm erosive erythematous discoloration on the surface. A biopsy specimen showed moderately differentiated tubular adenocarcinoma. Endosonography showed a heterogeneous hypoechoic mass measuring 1.3×0.6 cm, with indistinct margins in the second and third layers of the gastric wall; anechoic tubular structures within the mass were suggestive of heterotopic pancreas. Distal gastrectomy was performed, which confirmed an early gastric cancer confined to the mucosa, and a separate underlying heterotopic pancreas. Although heterotopic pancreas is most likely benign, careful endoscopic observation of the mucosal surface is necessary to avoid overlooking a coincident early gastric cancer.
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Citations
Citations to this article as recorded by
- Duodenal Heterotopic Pancreas with a Large Retention Cyst: A Case Report and Literature Review
Shinya Kawaguchi, Akinori Murakami, Masato Nishida Internal Medicine.2023; 62(5): 723. CrossRef - Gastric ectopic pancreas combined with synchronous multiple early gastric cancer: A rare case report
Zhen-Ya Zhao, Yue-Xing Lai, Ping Xu World Journal of Clinical Cases.2023; 11(7): 1569. CrossRef - A rare case of enlarged gastric heterotopic pancreas with retention cysts: A case report and literature review
Keiso Matsubara, Michihiro Ishida, Toshiaki Morito, Tetsushi Kubota, Yasuhiro Choda, Masao Harano, Hiroyoshi Matsukawa, Hitoshi Idani, Shigehiro Shiozaki, Masazumi Okajima International Journal of Surgery Case Reports.2020; 74: 284. CrossRef - A case of gastric heterotopic pancreas with gastroduodenal invagination
Shoko Iwahashi, Masaaki Nishi, Toshiaki Yoshimoto, Hideya Kashihara, Chie Takasu, Takuya Tokunaga, Tomohiko Miyatani, Jun Higashijima, Kozo Yoshikawa, Yuma Wada, Yoshimi Bando, Mitsuo Shimada Surgical Case Reports.2019;[Epub] CrossRef
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Bile Duct Patency Maintained after Intraductal Radiofrequency Ablation in a Case of Hepatocellular Cholangiocarcinoma with Bile Duct Invasion
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Sung Yong Han, Geun Am Song, Dong Uk Kim, Dong Hoon Baek, Moon Won Lee, Gwang Ha Kim
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Clin Endosc 2018;51(2):201-205. Published online August 31, 2017
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DOI: https://doi.org/10.5946/ce.2017.097
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Abstract
PDFPubReaderePub
- Combined hepatocellular-cholangiocarcinoma (HCC-CC) with bile duct invasion (BDI) is rare. In unresectable cases, biliary stent placement and photodynamic therapy (PDT) are used for resolving obstructive jaundice. However, stent occlusion remains problematic, and PDT is expensive and time-consuming. Intraductal radiofrequency ablation (RFA) is an emerging procedure for palliation in these patients. It has potential benefits including less expense, lower rates of severe complication, longer maintenance of ductal patency, and easier technique compared with PDT or stenting alone. We report a 67-year-old man who underwent repeated intraductal RFA for HCC-CC and HCC with BDI (HCC-BDI), for whom bile duct patency was maintained without additional biliary procedures.
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Citations
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- Clinical and cost effectiveness of endoscopic bipolar radiofrequency ablation for the treatment of malignant biliary obstruction: a systematic review
Fiona Beyer, Stephen Rice, Giovany Orozco-Leal, Madeleine Still, Hannah O’Keefe, Nicole O’Connor, Akvile Stoniute, Dawn Craig, Stephen Pereira, Louise Carr, John Leeds Health Technology Assessment.2023; : 1. CrossRef - Improving biliary stent patency for malignant obstructive jaundice using endobiliary radiofrequency ablation: experience in 150 patients
Ya-Lin Kong, Hong-Yi Zhang, Cheng-Li Liu, Xiao-Jun He, Gang Zhao, Cheng Wang, Ling-Hong Kong, Jing Zhao Surgical Endoscopy.2022; 36(3): 1789. CrossRef
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