Clinical Endoscopy

Eaum Seok Lee

2 Articles

A Case of Spontaneous Esophagopleural Fistula Successfully Treated by Endoscopic Stent Insertion: Gu Hyum Kang, Beom Yong Yoon, Beom Hee Kim, Hee Seok Moon, Hyun Yong Jeong, Jae Kyu Sung, Eaum Seok Lee; Clin Endosc 2013;46(1):91-94. Published online January 31, 2013; DOI: https://doi.org/10.5946/ce.2013.46.1.91

The most common cause of esophagorespiratory fistulas (ERFs) is associated with malignancy. The use of self-expandable metal stents is effective for the treatment of malignant ERFs, but benign ERF is rare, which is why its optimal treatment is not defined yet. There have been few reports describing benign esophagopleural fistula and its treatments in South Korea. Here, we report a rare case of spontaneous esophagopleural fistula, which was successfully treated by endoscopic placement of a membrane covered metal stent.

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Delayed esophagopleural fistula after endoscopic injection sclerotherapy for esophageal varices
Mingliang Sui, Weibing Tang, Changjiang Wu, Jinhu Yang, Huiping Liu, Chaofa Huang, Xianzhu Hu, Damei Xia, Yadi Yang
Medicine.2020; 99(3): e18806. CrossRef
Unusual Presentation of an Esophagopleural Fistula in a Patient With Severe Esophagitis: Blunt Trauma or Iatrogenic?
Yanting Wang, Oscar A. Rivas Chicas, Anupam Basu
ACG Case Reports Journal.2019; 6(10): e00240. CrossRef
Tubercular esophago-pleural fistula—a rare case report and review of literature
Manoj Kumar Pattnaik, Sameer Kumar Panigrahy, Sarada Prasanna Sahoo, Naba Kumar Pattnaik
Indian Journal of Thoracic and Cardiovascular Surgery.2015; 31(4): 316. CrossRef
Treatment of Esophagopleural Fistulas Using Covered Retrievable Expandable Metallic Stents
Tae-Hyung Kim, Ji Hoon Shin, Kyung Rae Kim, Jung-Hoon Park, Jin Hyoung Kim, Ho-Young Song
Journal of Vascular and Interventional Radiology.2014; 25(4): 623. CrossRef

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Clinical Outcomes of Endoscopic Submucosal Dissection for Undifferentiated or Submucosal Invasive Early Gastric Cancer: Pyung Gohn Goh, Hyun Yong Jeong, Min Jung Kim, Hyuk Soo Eun, Hye Jin Kim, Eui Sik Kim, Yun Jeung Kim, Soo Youn Lee, Hee Seok Moon, Eaum Seok Lee, Seok Hyun Kim, Jae Kyu Sung, Byung Seok Lee; Clin Endosc 2011;44(2):116-122. Published online December 31, 2011; DOI: https://doi.org/10.5946/ce.2011.44.2.116

Abstract PDF PubReader ePub

Background/Aims

Early gastric cancer (EGC) that is undifferentiated or shows submucosal invasion has not been generally accepted as an indication for endoscopic treatment. But recently, experiences with endoscopic submucosal dissection (ESD) for undifferentiated EGC or submucosal invasive (SM) EGC have increased. The aim of this study was to evaluate clinical outcomes of ESD for EGC with undifferentiation or submucosal invasion.

Methods

Between August 2005 and August 2009, among 210 EGCs treated using ESD at our hospital, 18 lesions were diagnosed as undifferentiated gastric cancer and 41 as SM gastric cancer. A retrospective analysis was done on the medical records of these patients.

Results

Mean follow-up periods were 19.39±11.2 months. During the follow-up period, local recurrence was noted in 4 lesions. Local recurrence rates of the EGC groups (group 1, mucosal cancer with undifferentiation; group 2, SM cancer with differentiation; group 3, SM cancer with undifferentiation) were 10%, 4.5%, and 50%, respectively. Groups 1 and 2 were not significantly different in local recurrence rates compared to the mucosal cancer with differentiation group (p=0.061, p=0.125, respectively). The undifferentiated EGC group was significantly lower in curability using ESD than the differentiated EGC group (55.6% vs. 89.6%, p=0.000). The curability of the SM EGC group was lower than the mucosal EGC group (36.6% vs. 98.9%).

Conclusions

Complete resection using ESD is difficult in undifferentiated and SM gastric cancers. SM cancer with undifferentiation should be treated immediately by salvage operation. For mucosal cancer with undifferentiation or SM cancer with differentiation, one should consider careful short-term follow-up.

Citations

Citations to this article as recorded by

Prognostic factors for ESD of early gastric cancers: a systematic review and meta-analysis
Michele Oliveira De Marco, Francisco Tustumi, Vitor Ottoboni Brunaldi, Ricardo Hannum Resende, Carolina Ogawa Matsubayashi, Elisa Ryoka Baba, Dalton Marques Chaves, Wanderley Marques Bernardo, Eduardo Guimarães Hourneaux de Moura
Endoscopy International Open.2020; 08(09): E1144. CrossRef
Long-term clinical outcomes of endoscopic vs. surgical resection for early gastric cancer with undifferentiated histology
Joo Hyun Lim, Jung Kim, Sang Gyun Kim, Hyunsoo Chung
Surgical Endoscopy.2019; 33(11): 3589. CrossRef
Gastric endoscopic submucosal dissection: a systematic review and meta-analysis on risk factors for poor short-term outcomes
Gonçalo Figueirôa, Pedro Pimentel-Nunes, Mário Dinis-Ribeiro, Diogo Libânio
European Journal of Gastroenterology & Hepatology.2019; 31(10): 1234. CrossRef
Relevant risk factors for positive lateral margin after en bloc endoscopic submucosal dissection for early gastric adenocarcinoma
Qing Yan Fu, Yun Cui, Xiao Bo Li, Ping Chen, Xiao Yu Chen
Journal of Digestive Diseases.2016; 17(4): 244. CrossRef
Endoscopic submucosal dissection for early gastric cancer with undifferentiated-type histology: A meta-analysis
Chang Seok Bang, Gwang Ho Baik, In Soo Shin, Jing Bong Kim, Ki Tae Suk, Jai Hoon Yoon, Yeon Soo Kim, Dong Joon Kim, Woon Geon Shin, Kyung Ho Kim, Hak Yang Kim, Hyun Lim, Ho Seok Kang, Jong Hyeok Kim, Jin Bae Kim, Sung Won Jung, Sea Hyub Kae, Hyun Joo Jang
World Journal of Gastroenterology.2015; 21(19): 6032. CrossRef
ESD Around the World
Mi-Young Kim, Jun-Hyung Cho, Pankaj Jain, Joo Young Cho
Gastrointestinal Endoscopy Clinics of North America.2014; 24(2): 283. CrossRef
Observable Laryngopharyngeal Lesions during the Upper Gastrointestinal Endoscopy
Kyung Sik Park
Clinical Endoscopy.2013; 46(3): 224. CrossRef
Early Gastric Cancer and Dysplasia
Wataru Tamura, Norio Fukami
Gastrointestinal Endoscopy Clinics of North America.2013; 23(1): 77. CrossRef
The Clinical Significance and Management of Noncurative Endoscopic Resection in Early Gastric Cancer
Jun Heo, Seong Woo Jeon
Clinical Endoscopy.2013; 46(3): 235. CrossRef
Endoscopic submucosal dissection for early gastric cancer in cases preoperatively contraindicated for endoscopic treatment
Naomi Kakushima, Tomoko Hagiwara, Masaki Tanaka, Hiroaki Sawai, Noboru Kawata, Kohei Takizawa, Kenichiro Imai, Toshitatsu Takao, Kinichi Hotta, Yuichiro Yamaguchi, Hiroyuki Matsubayashi, Hiroyuki Ono
United European Gastroenterology Journal.2013; 1(6): 453. CrossRef

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