Clinical Endoscopy

Dong Kyung Chang

9 Articles

Management of Complications of Colorectal Submucosal Dissection: Eun Ran Kim, Dong Kyung Chang; Clin Endosc 2019;52(2):114-119. Published online March 29, 2019; DOI: https://doi.org/10.5946/ce.2019.063

Endoscopic submucosal dissection (ESD) is a useful procedure for the treatment of superficial gastrointestinal neoplasm. Compared with endoscopic mucosal resection (EMR), ESD has several benefits, which include resectability of various difficult lesion, accurate histologic assessment of specimen, and lower recurrence rate. However, the risk of procedure- related complications is higher with ESD than with EMR. Moreover, because the colon has a thin wall and limited endoscopic maneuverability, ESD is considered a more challenging and risky procedure when performed in the colon than in the stomach. ESD-related complications are more likely to occur. The significant complications associated with ESD are bleeding, perforation, coagulation syndrome and stenosis, most of which can be treated and prevented by endoscopic intervention and preparation. Therefore, it is important to know how to occur and manage the ESD related complication.

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DEN Open.2025;[Epub] CrossRef
Endoluminal photodynamic therapy with a photoreactive stent‐based catheter system to treat malignant colorectal obstruction
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Sunil Gupta, Tony He, Jeffrey D Mosko
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Endoscopic Mucosal Resection and Endoscopic Submucosal Dissection
Sumeyye Yilmaz, Emre Gorgun
Clinics in Colon and Rectal Surgery.2024; 37(05): 277. CrossRef
Feasibility and safety of 0.6% sodium alginate in endoscopic submucosal dissection for colorectal neoplastic lesion: A pilot study
Hajime Nakamura, Rie Morita, Ryo Ito, Akira Sakurada, Natsumi Tomita, Yuya Hirata, Yusuke Kanari, Yuya Komatsu, Kunihiro Takanashi, Tomonori Anbo, Shinichi Katsuki
DEN Open.2024;[Epub] CrossRef
Endoscopic Submucosal Dissection for Resections Larger than 10 cm: Outcomes from a Portuguese Center
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Anticoagulants Are a Risk Factor for Delayed Bleeding after Colorectal Endoscopic Submucosal Dissection: A HASID Multicenter Study
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Characteristics of factors contributing to follow-up for suspected delayed bleeding after colorectal endoscopic submucosal dissection
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Rhabdomyolysis following colorectal endoscopic submucosal dissection: A case report
Ying Chen, Wenxuan Zhang, Junqiang Cai, Min Zhong
Clinical Case Reports.2024;[Epub] CrossRef
Evaluation of the safety and feasibility of outpatient colorectal endoscopic submucosal dissection
Mike T. Wei, Shai Friedland
iGIE.2024; 3(3): 413. CrossRef
Endoscopic submucosal dissection for colorectal polyps: outcome determining factors
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Surgical Endoscopy.2023; 37(2): 1293. CrossRef
A novel strategy to perform endoscopic full-thickness resection at the ileocecal valve and securing the orifice with a double-pigtail catheter
Moritz Meiborg, Nicolae-Catalin Mechie, Tobias Blasberg, Marie Weber, Edris Wedi
Endoscopy.2023; 55(S 01): E375. CrossRef
A novel strategy to perform endoscopic full-thickness resection at the ileocecal valve and securing the orifice with a double-pigtail catheter
Moritz Meiborg, Nicolae-Catalin Mechie, Tobias Blasberg, Marie Weber, Edris Wedi
Endoscopy.2023; 55(06): 583. CrossRef
Experience of surgical treatment in a granular cell tumor in the qscending colon: a case report
In-Kyeong Kim, Young-Tae Ju, Han-Gil Kim, Jin-Kwon Lee, Dong-Chul Kim, Jae-Myung Kim, Jin Kyu Cho, Ji-Ho Park, Ju-Yeon Kim, Chi-Young Jeong, Soon-Chan Hong, Seung-Jin Kwag
Annals of Coloproctology.2023; 39(3): 275. CrossRef
Management of complications related to colorectal endoscopic submucosal dissection
Tae-Geun Gweon, Dong-Hoon Yang
Clinical Endoscopy.2023; 56(4): 423. CrossRef
Colorectal Endoscopic Submucosal Dissection: Performance of a Novel Hybrid-Technology Knife in an Animal Trial
Jérémie Jacques, Horst Neuhaus, Markus D. Enderle, Ulrich Biber, Walter Linzenbold, Martin Schenk, Kareem Khalaf, Alessandro Repici
Diagnostics.2023; 13(21): 3347. CrossRef
Delayed Perforation of Colorectal Endoscopic Submucosal Dissection Treated by Endoscopic Ultrasound-Guided Drainage
Koichi Hamada, Yoshiki Shiwa, Akira Kurita, Yukitoshi Todate, Yoshinori Horikawa, Kae Techigawara, Masafumi Ishikawa, Takayuki Nagahashi, Yuki Takeda, Daizo Fukushima, Noriyuki Nishino, Hideo Sakuma, Michitaka Honda
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Colonoscopic‐assisted laparoscopic wedge resection versus segmental colon resection for benign colonic polyps: a comparative cost analysis
Julia Hanevelt, Laura W. Leicher, Leon M. G. Moons, Frank P. Vleggaar, Jelle F. Huisman, Henderik L. van Westreenen, Wouter H. de Vos tot Nederveen Cappel
Colorectal Disease.2023; 25(11): 2147. CrossRef
A Phase II Clinical Trial to Study the Safety of Triamcinolone after Endoscopic Radial Incision and Cutting Dilatation for Benign Stenosis of the Lower Gastrointestinal Tract: A Study Protocol
RINTARO MOROI, HISASHI SHIGA, KOTARO NOCHIOKA, HIROFUMI CHIBA, YUSUKE SHIMOYAMA, MOTOYUKI ONODERA, TAKEO NAITO, MASAKI TOSA, YOICHI KAKUTA, YUICHIRO SATO, SHOICHI KAYABA, SEICHI TAKAHASHI, SATOSHI MIYATA, YOSHITAKA KINOUCHI, ATSUSHI MASAMUNE
The Kurume Medical Journal.2023; 70(1.2): 53. CrossRef
Temperature profile and residual heat of monopolar laparoscopic and endoscopic dissection instruments
Franz Brinkmann, Ronny Hüttner, Philipp J. Mehner, Konrad Henkel, Georgi Paschew, Moritz Herzog, Nora Martens, Andreas Richter, Sebastian Hinz, Justus Groß, Clemens Schafmayer, Jochen Hampe, Alexander Hendricks, Frank Schwandner
Surgical Endoscopy.2022; 36(6): 4507. CrossRef
A pilot study investigating the safety and feasibility of endoscopic dilation using a radial incision and cutting technique for benign strictures of the small intestine: a study protocol
Rintaro Moroi, Hisashi Shiga, Kotaro Nochioka, Yusuke Shimoyama, Masatake Kuroha, Yoichi Kakuta, Yoshitaka Kinouchi, Atsushi Masamune
Pilot and Feasibility Studies.2022;[Epub] CrossRef
Applicability of endoscopic submucosal dissection after unsuccessful endoscopic mucosal resection in colorectal laterally spreading tumors: a single center experience
Abdullah Murat BUYRUK, Ayten LİVAOĞLU, Aydın AKTAŞ
Ege Tıp Dergisi.2022; 61(2): 151. CrossRef
One thousand endoscopic submucosal dissections. Experience of the national center
S.I. Achkasov, Yu.A. Shelygin, A.A. Likutov, D.A. Mtvralashvili, V.V. Veselov, O.A. Mainovskaya, M.A. Nagudov, S.V. Chernyshov
Khirurgiya. Zhurnal im. N.I. Pirogova.2022; (8): 5. CrossRef
Post-polypectomy syndrome—a rare complication in colonoscopy procedures: a case report
Julián A Romo, Jorge David Peña, Laura A López, Carlos Figueroa, Horacio Garzon, Andrea Recamán
Journal of Surgical Case Reports.2022;[Epub] CrossRef
Clinical outcomes of endoscopic submucosal dissection for colorectal neoplasms: A single-center experience in Southern Taiwan
Chen-Yu Ko, Chih-Chien Yao, Yu-Chi Li, Lung-Sheng Lu, Yeh-Pin Chou, Ming-Luen Hu, Yi-Chun Chiu, Seng-Kee Chuah, Wei-Chen Tai, Hsu-Heng Yen
PLOS ONE.2022; 17(10): e0275723. CrossRef
Safety and feasibility of same-day discharge after esophageal endoscopic submucosal dissection
Yuri Hanada, Kenneth K. Wang
Gastrointestinal Endoscopy.2021; 93(4): 853. CrossRef
Evaluations on laser ablation of ex vivo porcine stomach tissue for development of Ho:YAG-assisted endoscopic submucosal dissection (ESD)
Hanjae Pyo, Hyeonsoo Kim, Hyun Wook Kang
Lasers in Medical Science.2021; 36(7): 1437. CrossRef
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Benjamin Walter, Yannick S. Krieger, Dirk Wilhelm, Hubertus Feussner, Tim C. Lueth, Alexander Meining
Endoscopy International Open.2021; 09(06): E881. CrossRef
A patient-like swine model of gastrointestinal fibrotic strictures for advancing therapeutics
Ling Li, Mohamad I. Itani, Kevan J. Salimian, Yue Li, Olaya Brewer Gutierrez, Haijie Hu, George Fayad, Jean A. Donet, Min Kyung Joo, Laura M. Ensign, Vivek Kumbhari, Florin M. Selaru
Scientific Reports.2021;[Epub] CrossRef
Review on colorectal endoscopic submucosal dissection focusing on the technical aspect
Tak Lit Derek Fung, Chi Woo Samuel Chow, Pak Tat Chan, Kam Hung Kwok
Surgical Endoscopy.2020; 34(9): 3766. CrossRef
Endovascular hemostasis for endoscopic procedure-related gastrointestinal bleeding
Minho Park, Jong Woo Kim, Ji Hoon Shin
International Journal of Gastrointestinal Intervention.2019; 8(3): 134. CrossRef

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How to Detect Sessile Serrated Adenoma/Polyps: Eun Ran Kim, Dong Kyung Chang; Clin Endosc 2018;51(4):313-314. Published online July 31, 2018; DOI: https://doi.org/10.5946/ce.2018.108

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Clinicopathological features and expression of regulatory mechanism of the Wnt signaling pathway in colorectal sessile serrated adenomas/polyps with different syndrome types
Dan Qiao, Xiao-Yan Liu, Lie Zheng, Ya-Li Zhang, Ren-Ye Que, Bing-Jing Ge, Hong-Yan Cao, Yan-Cheng Dai
World Journal of Clinical Cases.2023; 11(9): 1963. CrossRef

5,553 View
138 Download
1 Web of Science
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The Role of Capsule Endoscopy in Patients with Obscure Gastrointestinal Bleeding: Yang Won Min, Dong Kyung Chang; Clin Endosc 2016;49(1):16-20. Published online January 28, 2016; DOI: https://doi.org/10.5946/ce.2016.49.1.16

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Obscure gastrointestinal bleeding (OGIB) accounts for 5% of all gastrointestinal (GI) bleeding cases and is often caused by small bowel lesions. Capsule endoscopy (CE), which allows non-invasive visualization of the small bowel mucosa, has revolutionized the evaluation of OGIB. CE is preferred by both patients and physicians mainly because of its non-invasiveness, and is widely used as the first-line diagnostic modality for OGIB. The diagnostic yield of CE in OGIB has been reported to be in the range of 32% to 83%. Although no direct comparison has been made, a meta-analysis showed similar diagnostic yields between CE and double-balloon enteroscopy (DBE) for OGIB. However, CE could enhance the yield of subsequent DBE and serve as a guide for optimizing the insertion route for DBE. Even after negative CE, selected patients could benefit from second-look CE for OGIB. In terms of outcomes, a favorable clinical impact after CE has been reported in several studies. However, observations indicate that CE might not influence clinical outcomes directly, but rather play a role in selecting patients with OGIB who are likely to benefit from subsequent evaluation and intervention.

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Inpatient Small Bowel Capsule Endoscopy: Not Associated With Bleeding Site Identification or 30-Day Readmission Prevention
Ismail Ghafary, Talal Seoud, Michael Jorgensen, Jade Marhaba, William M Briggs, Daniel S Jamorabo
Cureus.2024;[Epub] CrossRef
Experiencia con el uso de videocápsula endoscópica en pacientes con anemia ferropénica inexplicada
Rosangela Ramirez Barranco, Valeria Atenea Costa Barney, Reinaldo Andres Rincón
Revista colombiana de Gastroenterología.2022; 37(1): 33. CrossRef
Concordancia diagnóstica entre la videocápsula endoscópica y enteroscopia mono y de doble balón en la hemorragia de intestino delgado en un hospital de alta complejidad en Bogotá, Colombia
R. Cañadas Garrido, R.A. Rincón Sánchez, V.A. Costa Barney, P.A. Roa Ballestas, C.A. Espinosa Martínez, D.F. Pinzón Arenas, R. Ramirez Barranco
Revista de Gastroenterología de México.2021; 86(1): 51. CrossRef
Effect of Nonsteroidal Anti-inflammatory Agents on Small Intestinal Injuries as Evaluated by Capsule Endoscopy
Sang Pyo Lee, Jin Lee, Sea Hyub Kae, Hyun Joo Jang, Eun Suk Jung
Digestive Diseases and Sciences.2021; 66(8): 2724. CrossRef
Diagnostic agreement between video capsule endoscopy and single and double balloon enteroscopy for small bowel bleeding at a tertiary care hospital in Bogota, Colombia
R. Cañadas Garrido, R.A. Rincón Sánchez, V.A. Costa Barney, P.A. Roa Ballestas, C.A. Espinosa Martínez, D.F. Pinzón Arenas, R. Ramírez Barranco
Revista de Gastroenterología de México (English Edition).2021; 86(1): 51. CrossRef
CapsoCam SV-1 Versus PillCam SB 3 in the Detection of Obscure Gastrointestinal Bleeding
Lilli L. Zwinger, Britta Siegmund, Andrea Stroux, Andreas Adler, Winfried Veltzke-Schlieker, Robert Wentrup, Christian Jürgensen, Bertram Wiedenmann, Felix Wiedbrauck, Stephan Hollerbach, Thomas Liceni, Christian Bojarski
Journal of Clinical Gastroenterology.2019; 53(3): e101. CrossRef
Clinical Utility of Emergency Capsule Endoscopy for Diagnosing the Source and Nature of Ongoing Overt Obscure Gastrointestinal Bleeding
Sumio Iio, Shiro Oka, Shinji Tanaka, Akiyoshi Tsuboi, Ichiro Otani, Sayoko Kunihara, Kazuaki Chayama
Gastroenterology Research and Practice.2019; 2019: 1. CrossRef
Diagnostic Benefit of Simultaneous Capsule Endoscopy Using Two Different Systems
Seung Han Kim, Hyuk Soon Choi, Hoon Jai Chun, Eun Sun Kim, Bora Keum, Yeon Seok Seo, Yoon Tae Jeen, Hong Sik Lee, Soon Ho Um, Chang Duck Kim
Gastroenterology Research and Practice.2018; 2018: 1. CrossRef
Management of occult obscure gastrointestinal bleeding patients based on long-term outcomes
Sayoko Kunihara, Shiro Oka, Shinji Tanaka, Akiyoshi Tsuboi, Ichiro Otani, Kazuaki Chayama
Therapeutic Advances in Gastroenterology.2018;[Epub] CrossRef
Magnetic-Guided Capsule Endoscopy in the Diagnosis of Gastrointestinal Diseases in Minors
Yuting Qian, Tingting Bai, Juanjuan Li, Yi Zang, Tong Li, Mingping Xie, Qi Wang, Lifu Wang, Ruizhe Shen
Gastroenterology Research and Practice.2018; 2018: 1. CrossRef
What is the Role of Double-Balloon Endoscopy in Patients Presenting with Obscure Gastrointestinal Bleeding?
Jung Ho Kim, Kwang An Kwon
Clinical Endoscopy.2017; 50(1): 8. CrossRef
Intérêt de l’exploration de l’intestin grêle dans les hémorragies digestives
Chloé Leandri, Benoit Bordacahar, Sophie Ribiere, Ammar Oudjit, Marie-Anne Guillaumot, Bertrand Brieau, Frédéric Prat, Vered Abitbol, Stanislas Chaussade, Romain Coriat
La Presse Médicale.2017; 46(10): 903. CrossRef
Development and validation of a new scoring system to determine the necessity of small-bowel endoscopy in obscure gastrointestinal bleeding
Genta Uchida, Masanao Nakamura, Osamu Watanabe, Takeshi Yamamura, Takuya Ishikawa, Kazuhiro Furukawa, Kohei Funasaka, Eizaburo Ohno, Hiroki Kawashima, Ryoji Miyahara, Hidemi Goto, Yoshiki Hirooka
Digestive and Liver Disease.2017; 49(11): 1218. CrossRef

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Usefulness of Ready-to-Use 0.4% Sodium Hyaluronate (Endo-Ease) in the Endoscopic Resection of Gastrointestinal Neoplasms: Eun Ran Kim, Yun Gyoung Park, Byung-Hoon Min, Jun Haeng Lee, Poong-Lyul Rhee, Jae J. Kim, Jung Ho Park, Dong Il Park, Dong Kyung Chang; Clin Endosc 2015;48(5):392-398. Published online September 30, 2015; DOI: https://doi.org/10.5946/ce.2015.48.5.392

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Background/Aims

Commercially available sodium hyaluronate solutions are usually too thick to inject through catheters and need dilution with normal saline (NS) before use, which increases the risk of contamination. We evaluated the usefulness of ready-to-use 0.4% sodium hyaluronate, Endo-Ease (EE; UNIMED Pharm. Inc., Seoul, Korea).

Methods

We performed a prospective multicenter randomized study from May 2011 to September 2012. Patients requiring endoscopic resection (ER) for gastric or colorectal neoplasm at two referral hospitals were enrolled.

Results

One hundred fifty-four patients (72 with a gastric neoplasm and 82 with a colorectal neoplasm) were included in intention-to-treat analysis. Thirty-seven gastric neoplasms and 43 colorectal neoplasms were enrolled in the EE group. The usefulness rate was significantly higher in the EE group than in the NS group (89.2% vs. 60.0% for gastric neoplasms and 95.3% vs. 67.7% for colorectal neoplasms, p<0.001). In the EE group, the ease of mucosal resection was significantly higher than in the NS group (p<0.001). The injected volume was smaller in the EE group than in the NS group (p<0.05).

Conclusions

The use of EE reduced the need for additional injections and improved the ease of ER. A submucosal injection of EE is useful for the ER of both gastric and colorectal neoplasms.

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Hypertonic solution as an optimal submucosal injection solution for endoscopic resection of gastrointestinal mucosal lesions: Systematic review and network meta‐analysis
Li Gao, Jiawei Bai, Kai Liu, Lulu Wang, Shaohua Zhu, Xin Zhao, Ying Han, Zhiguo Liu
Digestive Endoscopy.2024; 36(6): 657. CrossRef
Efficacy and safety of a submucosal injection solution of sodium alginate for endoscopic resection in a porcine model
Kyung Uk Jung, Yeon Jae Lee, Jae-Young Jang, Joo Young Cho
Scientific Reports.2024;[Epub] CrossRef
Injectable temperature-sensitive hydrogel facilitating endoscopic submucosal dissection
Ruifen Xu, Xiaoyu Yang, Tong Yi, Tao Tan, Zhongqi Li, Xuyang Feng, Jing Rao, Pinghong Zhou, Hao Hu, Yonghua Zhan
Frontiers in Bioengineering and Biotechnology.2024;[Epub] CrossRef
Injectable Thermosensitive Chitosan Solution with β-Glycerophosphate as an Optimal Submucosal Fluid Cushion for Endoscopic Submucosal Dissection
Seung Jeong, Han Jo Jeon, Kyoung-Je Jang, Sangbae Park, Hyuk Soon Choi, Jong Hoon Chung
Polymers.2021; 13(11): 1696. CrossRef

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Indications for Detection, Completion, and Retention Rates of Small Bowel Capsule Endoscopy Based on the 10-Year Data from the Korean Capsule Endoscopy Registry: Yun Jeong Lim, Oh Young Lee, Yoon Tae Jeen, Chi Yeon Lim, Dae Young Cheung, Jae Hee Cheon, Byong Duk Ye, Hyun Joo Song, Jin Su Kim, Jae Hyuk Do, Kwang Jae Lee, Ki-Nam Shim, Dong Kyung Chang, Cheol Hee Park, Byung Ik Jang, Jeong Seop Moon, Hoon Jai Chun, Myung-Gyu Choi, Jin Oh Kim, Korean Gut Image Study Group; Clin Endosc 2015;48(5):399-404. Published online September 30, 2015; DOI: https://doi.org/10.5946/ce.2015.48.5.399

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Background/Aims

Capsule endoscopy (CE) is widely used. However, CE has limitations including incomplete examination, inadequate bowel preparation, and retention. The aim of this study was to estimate the indications for and detection, completion, and retention rates of small intestine CE based on the 10-year data from the Korean Capsule Endoscopy Registry.

Methods

Twenty-four hospitals participated in this study. Clinical information, such as reasons for CE, method and quality of bowel preparation, and incomplete examination and capsule retention rates, was collected and analyzed.

Results

A total of 2,914 CEs were registered. The most common reason for CE was obscure gastrointestinal bleeding (59%). Significant lesions were detected in 66% of cases. Positive CE diagnosis occurred in 63% of cases. The preparation method did not significantly affect the quality of bowel preparation for CE. The overall incomplete rate was 33%, and was high in the elderly and those with poor bowel preparation. Capsule retention was 3% and high in patients with small bowel tumors and Crohn's disease and in children under 10 years of age.

Conclusions

CE is a valuable technique; while the overall detection rate is high, incompletion and retention rates are also relatively high. CE should be carefully considered in the elderly and children less than 10 years of age, as well as in patients with small bowel tumors and Crohn's disease.

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Artificial Intelligence–Assisted Capsule Endoscopy Versus Conventional Capsule Endoscopy for Detection of Small Bowel Lesions: A Systematic Review and Meta‐Analysis
Arkadeep Dhali, Vincent Kipkorir, Rick Maity, Bahadar S. Srichawla, Jyotirmoy Biswas, Roger B. Rathna, Hareesha Rishab Bharadwaj, Ibsen Ongidi, Talha Chaudhry, Gisore Morara, Maryann Waithaka, Clinton Rugut, Miheso Lemashon, Isaac Cheruiyot, Daniel Ojuka,
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A composite electro-permanent magnetic actuator for microrobot manipulation
Kim Tien Nguyen, Han-Sol Lee, Jayoung Kim, Eunpyo Choi, Jong-Oh Park, Chang-Sei Kim
International Journal of Mechanical Sciences.2022; 229: 107516. CrossRef
Faecal calprotectin increases the diagnostic yield in patients with suspected small bowel disease – a multicenter retrospective cohort study
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Halim Awadie, Amir Klein, David Tate, Bilel Jideh, Iddo Bar-Yishai, Kathleen Goodrick, Golo Ahlenstiel, Michael J. Bourke
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Dejan Micic, Carol E. Semrad
Gastrointestinal Endoscopy Clinics of North America.2021; 31(2): 331. CrossRef
Effectiveness of Improved Use of Chewing Gum During Capsule Endoscopy in Decreasing Gastric Transit Time: A Prospective Randomized Controlled Study
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Many Options to Manage Laterally Spreading Tumors: Dong Kyung Chang; Clin Endosc 2015;48(1):4-5. Published online January 31, 2015; DOI: https://doi.org/10.5946/ce.2015.48.1.4

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Stricture Occurring after Endoscopic Submucosal Dissection for Esophageal and Gastric Tumors: Gwang Ha Kim, Sam Ryong Jee, Jae Young Jang, Sung Kwan Shin, Kee Don Choi, Jun Haeng Lee, Sang Gyun Kim, Jae Kyu Sung, Suck Chei Choi, Seong Woo Jeon, Byung Ik Jang, Kyu Chan Huh, Dong Kyung Chang, Sung-Ae Jung, Bora Keum, Jin Woong Cho, Il Ju Choi, Hwoon-Yong Jung, Korean ESD Study Group; Clin Endosc 2014;47(6):516-522. Published online November 30, 2014; DOI: https://doi.org/10.5946/ce.2014.47.6.516

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Endoscopic submucosal dissection (ESD) is a widely accepted treatment for early gastric and esophageal cancer. Compared to endoscopic mucosal resection, ESD has the advantage of enabling en bloc removal of tumors regardless of their size. However, ESD can result in a large artificial ulcer, which may lead to a considerable deformity. Circumferential mucosal defects of more than three-fourths the esophageal circumference, long longitudinal mucosal defects (>30 mm), and lesions in the upper esophagus are significant risk factors for the development of post-ESD strictures of the esophagus. In the stomach, a circumferential mucosal defects more than three-fourths in extent and longitudinal mucosal defects >5 cm are risk factors of post-ESD stricture. If scheduled early, regular endoscopic balloon dilation is effective in controlling and preventing post-ESD stricture. Moreover, intralesional steroid injections or oral steroids can achieve remission of dysphagia or reduce the need for repeated endoscopic balloon dilation. However, further study is needed to improve the prevention of stricture formation.

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Long-term Outcomes of Endoscopic Radiofrequency Ablation versus Endoscopic Submucosal Dissection for Widespread Superficial Esophageal Squamous Cell Neoplasia
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Guideline for Capsule Endoscopy: Obscure Gastrointestinal Bleeding: Ki-Nam Shim, Jeong Seop Moon, Dong Kyung Chang, Jae Hyuk Do, Ji Hyun Kim, Byung Hoon Min, Seong Ran Jeon, Jin-Oh Kim, Myung-Gyu Choi, Korean Gut Image Study Group; Clin Endosc 2013;46(1):45-53. Published online January 31, 2013; DOI: https://doi.org/10.5946/ce.2013.46.1.45

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Capsule endoscopy (CE) is considered as a noninvasive and reliable diagnostic tool of examining the entire small bowel. CE has been performed frequently at many medical centers in South Korea; however, there is no evidence-based CE guideline for adequate diagnostic approaches. To provide accurate information and suggest correct testing approaches for small bowel disease, the guideline on CE was developed by the Korean Gut Image Study Group, a part of the Korean Society of Gastrointestinal Endoscopy. Operation teams for developing the guideline were organized into four areas: obscure gastrointestinal bleeding, small bowel preparation, Crohn's disease, and small bowel tumor. A total of 20 key questions were selected. In preparing this guideline, MEDLINE, Cochrane library, KMbase, KISS, and KoreaMed literature searches were performed. After writing a draft of the guideline, opinions from various experts were reflected before approving the final document. The guideline should be regarded as recommendations only to gastroenterologists in providing care to their patients. These are not absolute rules and should not be construed as establishing a legal standard of care. Although further revision may be necessary as new data appear, this guideline is expected to play a role for adequate diagnostic approaches of various small bowel diseases.

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Current Status of Colorectal Endoscopic Submucosal Dissection in Korea: Dong Kyung Chang; Clin Endosc 2012;45(3):288-289. Published online August 22, 2012; DOI: https://doi.org/10.5946/ce.2012.45.3.288

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Colorectal endoscopic submucosal dissection (ESD) is not yet fully popularized in Korea, but is increasing steadily. The outcomes of colorectal ESD in Korea are comparable to those in Japan and other countries. ESD-related complication rates are decreasing as experiences accumulate. Particularly for rectal laterally spreading tumors, ESD is becoming more prevalent than transanal endoscopic microsurgery. Standard indication, qualified training system, and full medical insurance coverage should be established for the procedure to become popular in the long run.

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