Clinical Endoscopy

Hyun Jong Choi

6 Articles

Role of Image-Enhanced Endoscopy in Pancreatobiliary Diseases: Yun Nah Lee, Jong Ho Moon, Hyun Jong Choi; Clin Endosc 2018;51(6):541-546. Published online November 30, 2018; DOI: https://doi.org/10.5946/ce.2018.203

Recent advances in cholangiopancreatoscopy technology permit image-enhanced endoscopy (IEE) for pancreatobiliary diseases. There are limitations in endoscopy performance and in the study of the clinical role of IEE in bile duct or pancreatic duct diseases. However, currently available IEEs during cholangiopancreatoscopy including traditional dye-aided chromoendoscopy, autofluorescence imaging, narrow-band imaging, and i-Scan have been evaluated and reported previously. Although the clinical role of IEE in pancreatobiliary diseases should be verified in future studies, IEE is a useful promising tool in the evaluation of bile duct or pancreatic duct mucosal lesions.

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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
Efficacy of narrow-band imaging during peroral cholangioscopy for predicting malignancy of indeterminate biliary strictures (with videos)
Il Sang Shin, Jong Ho Moon, Yun Nah Lee, Hee Kyung Kim, Tae Hoon Lee, Jae Kook Yang, Sang-Woo Cha, Young Deok Cho, Sang-Heum Park
Gastrointestinal Endoscopy.2022; 96(3): 512. CrossRef
Choledochoscopy: An update
Tsinrong Lee, Thomas Zheng Jie Teng, Vishal G Shelat
World Journal of Gastrointestinal Endoscopy.2021; 13(12): 571. CrossRef

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Endoscopic Extraction of Biliary Fascioliasis Diagnosed Using Intraductal Ultrasonography in a Patient with Acute Cholangitis: Ji Su Ha, Hyun Jong Choi, Jong Ho Moon, Yun Nah Lee, Jae Woong Tae, Moon Han Choi, Tae Hoon Lee, Sang-Woo Cha; Clin Endosc 2015;48(6):579-582. Published online November 30, 2015; DOI: https://doi.org/10.5946/ce.2015.48.6.579

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Fasciola hepatica infection may result in biliary obstruction with or without cholangitis in the chronic biliary phase. Because clinical symptoms and signs of F. hepatica are similar to other biliary diseases that cause bile duct obstruction, such as stones or bile duct malignancies, that are, in fact, more common, this condition may not be suspected and diagnosis may be overlooked and delayed. Patients undergoing endoscopic retrograde cholangiopancreatography or endoscopic ultrasonography for the evaluation of bile duct obstruction may be incidentally detected with the worm, and diagnosis can be confirmed by extraction of the leaf-like trematode from the bile duct. Intraductal ultrasonography (IDUS) can provide high-resolution cross-sectional images of the bile duct, and is useful in evaluating indeterminate biliary diseases. We present a case of biliary fascioliasis that was diagnosed using IDUS and managed endoscopically in a patient with acute cholangitis.

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An Update on the Pathogenesis of Fascioliasis: What Do We Know?
Melinda Tanabe, Maria Caravedo, A White, Miguel Cabada
Research and Reports in Tropical Medicine.2024; Volume 15: 13. CrossRef
Fascioliasis: Image Findings, Diagnosis, and Treatment
Jae Seung Lee
Clinical Ultrasound.2024; 9(1): 18. CrossRef
Parasitic Diseases of Upper Gastrointestinal Tract
Heung Up Kim
The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2024; 24(2): 127. CrossRef
Endoscopic Diagnosis of Biliary Fascioliasis in Non-endemic Region
Shankar Roy, Abhishek Mewara, Rajesh Gupta, Surinder Singh Rana
Digestive Diseases and Sciences.2023; 68(9): 3476. CrossRef
Fasciola Hepatica Induced Hepatic Abscess Treated with Triclabendazole
Hyun Joon Park, Gil-Soon Choi, Minjung Jung, Sang Uk Lee
The Korean Journal of Gastroenterology.2021; 77(1): 39. CrossRef
Pancréas parasitaire
M. Wallon, F. Bailly, F. Peyron
EMC - Hépatologie.2021; 36(3): 1. CrossRef
Biliary Fascioliasis in Chronic Calcific Pancreatitis Presenting with Ascending Cholangitis and Biliary Stricture
Tanawat Pattarapuntakul, Bancha Ovartlarnporn, Worapot Rojsanga, Thanaidpon Yungyoo
Case Reports in Gastroenterology.2019; 13(3): 438. CrossRef
Obstructive jaundice of a parasitic etiology
M.� Antonia Remacha ., M� Pilar Goñi , Jesus Espinel
Revista Española de Enfermedades Digestivas.2018;[Epub] CrossRef

10,079 View
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Advanced Imaging Technology in Biliary Tract Diseases:Narrow-Band Imaging of the Bile Duct: Hyun Jong Choi, Jong Ho Moon, Yun Nah Lee; Clin Endosc 2015;48(6):498-502. Published online November 30, 2015; DOI: https://doi.org/10.5946/ce.2015.48.6.498

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Newly introduced direct peroral cholangioscopy and the development of video choledochoscopes have enabled more defined observation of bile duct mucosal lesions with clearer images. Narrow-band imaging (NBI) is a unique endoscopic imaging technology that provides enhanced endoscopic images of surface mucosal structures and its superficial microvessels. Advanced cholangioscopy and NBI are expected to be useful for precise evaluation and correct diagnosis of biliary tract diseases. However, the diagnostic value of advanced bile duct imaging with cholangioscopy requires further evaluation.

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Comparison of disposable digital single-operator cholangioscopy versus direct peroral cholangioscopy for the diagnosis of intraductal superficial lesions of the bile duct
Il Sang Shin, Jong Ho Moon, Yun Nah Lee, Hee Kyung Kim, Jun Chul Chung, Tae Hoon Lee, Jae Kook Yang, Young Deok Cho, Sang-Heum Park
Endoscopy.2024; 56(10): 749. CrossRef
Detection and endoscopic classification of intraductal neoplasms of the bile duct by peroral cholangioscopy with narrow-band imaging (with videos)
Il Sang Shin, Jong Ho Moon, Yun Nah Lee, Hee Kyung Kim, Jun Chul Chung, Tae Hoon Lee, Jae Kook Yang, Sang-Woo Cha, Young Deok Cho, Sang-Heum Park
Gastrointestinal Endoscopy.2023; 97(5): 898. CrossRef
Biliary Tree Diagnostics: Advances in Endoscopic Imaging and Tissue Sampling
Matteo Ghisa, Angelo Bellumat, Manuela De Bona, Flavio Valiante, Marco Tollardo, Gaia Riguccio, Angelo Iacobellis, Edoardo Savarino, Andrea Buda
Medicina.2022; 58(1): 135. CrossRef
Association between bile area in the duodenal bulb and abdominal symptoms: Quantitative analysis using blue laser imaging
Daiki Abe, Tsutomu Takeda, Daisuke Asaoka, Tomoyo Iwano, Ryota Uchida, Hisanori Utsunomiya, Shotaro Oki, Nobuyuki Suzuki, Atsushi Ikeda, Noboru Yatagai, Yoichi Akazawa, Kohei Matsumoto, Kumiko Ueda, Hiroya Ueyama, Mariko Hojo, Yuko Kojima, Shinji Nakamura
Biomedical Reports.2022;[Epub] CrossRef
NBI utility in oncologic surgery: An organ by organ review
Francesca Boscolo Nata, Giancarlo Tirelli, Vincenzo Capriotti, Alberto Vito Marcuzzo, Erica Sacchet, Azzurra Nicole Šuran-Brunelli, Nicolò de Manzini
Surgical Oncology.2021; 36: 65. CrossRef
Biliary Strictures and Cholangiocarcinoma – Untangling a Diagnostic Conundrum
Alexander Ney, Andres Garcia-Sampedro, George Goodchild, Pilar Acedo, Giuseppe Fusai, Stephen P. Pereira
Frontiers in Oncology.2021;[Epub] CrossRef
The endoscopist and malignant and non-malignant biliary obstruction
S.P. Pereira, G. Goodchild, G.J.M. Webster
Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease.2018; 1864(4): 1478. CrossRef
Dilation of Strictures in Patients with Inflammatory Bowel Disease
Nayantara Coelho-Prabhu, John A. Martin
Gastrointestinal Endoscopy Clinics of North America.2016; 26(4): 739. CrossRef

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Twenty-Second versus Sixty-Second Dilation Duration in Endoscopic Papillary Balloon Dilation for the Treatment of Small Common Bile Duct Stones: A Prospective Randomized Controlled Multicenter Trial: Byoung Wook Bang, Tae Hoon Lee, Tae Jun Song, Joung-Ho Han, Hyun Jong Choi, Jong Ho Moon, Chang-Il Kwon, Seok Jeong; Clin Endosc 2015;48(1):59-65. Published online January 31, 2015; DOI: https://doi.org/10.5946/ce.2015.48.1.59

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Background/Aims

Endoscopic papillary balloon dilation (EPBD) has been advocated as an alternative therapy to endoscopic sphincterotomy for the treatment of common bile duct (CBD) stones. However, there is no established consensus on the optimal balloon dilation duration (BDD). We prospectively evaluated the efficacy and post-endoscopic retrograde cholangiopancreatography (ERCP) complications between the 20- and 60-second EPBD groups.

Methods

A total of 228 patients with small CBD stones (≤12 mm) were randomly assigned to undergo EPBD with a 20- or 60-second duration at six institutions. We evaluated baseline patient characteristics, endoscopic data, clinical outcomes, and procedure-related complications. In addition, we analyzed risk factors for postprocedural pancreatitis.

Results

CBD stones were removed successfully in 107 of 109 patients (98.1%) in the 20-second group and in 112 of 119 patients (94.1%) in the 60-second group (p=0.146). Post-ERCP pancreatitis developed in seven patients (6.4%) in the 20-second group and nine patients (7.5%) in the 60-second group (p=0.408). In multivariate analysis, contrast dye injection into the pancreatic duct is a significant risk factor for post-EPBD pancreatitis.

Conclusions

Based on the data showing that there were no significant differences in safety and efficacy between the two BDD groups, 20 seconds of BDD may be adequate for treatment of small CBD stones with EPBD.

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The therapeutic effect of balloon dilatation with different duration for biliary duct calculi
Zhi Yuan Yu, Chen Liang, Shi Yu Yang, Xu Zhang, Yan Sun
Journal of Minimal Access Surgery.2022; 18(3): 327. CrossRef
The ballooning time in endoscopic papillary balloon dilation for removal of bile duct stones
Qiang Wang, Luyao Fu, Tao Wu, Xiong Ding
Medicine.2021; 100(11): e24735. CrossRef
Nouveautés dans la prise en charge des calculs biliaires à l’UEGW 2015
E. Bories, C. Lefort
Acta Endoscopica.2016; 46(1-2): 20. CrossRef
Is endoscopic papillary balloon dilatation really a risk factor for post-ERCP pancreatitis?
Toshio Fujisawa, Koichi Kagawa, Kantaro Hisatomi, Kensuke Kubota, Atsushi Nakajima, Nobuyuki Matsuhashi
World Journal of Gastroenterology.2016; 22(26): 5909. CrossRef
Is the Balloon Dilation Duration in Endoscopic Papillary Balloon Dilation (EPBD) Related to the Occurrence of Post-EPBD Pancreatitis?
Dong Uk Kim
Clinical Endoscopy.2015; 48(1): 6. CrossRef

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The Role of Direct Peroral Cholangioscopy Using an Ultraslim Endoscope for Biliary Lesions: Indications, Limitations, and Complications: Jong Ho Moon, Hyun Jong Choi; Clin Endosc 2013;46(5):537-539. Published online September 30, 2013; DOI: https://doi.org/10.5946/ce.2013.46.5.537

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Advantages of direct peroral cholangioscopy (POC) using an ultraslim endoscope include use of conventional endoscopy equipment, operation by a single endoscopist, and superior image quality of the biliary tree with easy application of enhanced endoscopy and a large working channel. The major diagnostic indications of this system are an evaluation of biliary strictures, filling defects, or unclear findings on cholangiogram or other imaging studies. Therapeutic application using a direct POC system can be broadened by a larger working channel. However, direct POC is difficult to apply in patients with a narrow diameter bile duct, far distal common bile duct lesion, or failed anchoring of the scope with accessories. An air embolism is a rare complication of direct POC but can be a fatal problem. Cholangitis can also occur during or after the procedure. Use of a CO₂ system instead of room air during the POC procedure and administration of antibiotics before and after the procedure are strongly recommended. Continuous development of specialized endoscopes and accessories is expected to facilitate the diagnostic and therapeutic roles of direct POC.

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Direct peroral cholangioscopy with conventional upper gastrointestinal endoscope
Muhammad Ismail, Carlos v Ferreira, Luís Carrilho Ribeiro, Rui Tato Marinho
Revista Española de Enfermedades Digestivas.2023;[Epub] CrossRef
Advanced endoscopy meets molecular diagnosis of cholangiocarcinoma
Massimiliano Cadamuro, Ahmad Al-Taee, Tamas A. Gonda
Journal of Hepatology.2023; 78(5): 1063. CrossRef
Peroral cholangioscopy: Update on the state-of-the-art
Amith Subhash, James L Buxbaum, James H Tabibian
World Journal of Gastrointestinal Endoscopy.2022; 14(2): 63. CrossRef
Utility of Direct Peroral Cholangioscopy Using a Multibending Ultraslim Endoscope for Difficult Common Bile Duct Stones
Won Myung Lee, Jong Ho Moon, Yun Nah Lee, Il Sang Shin, Tae Hoon Lee, Jae Kook Yang, Sang-Woo Cha, Young Deok Cho, Sang-Heum Park
Gut and Liver.2022; 16(4): 599. CrossRef
Efficacy and safety of direct peroral cholangioscopy using a new multibending ultra‐slim endoscope for the management of biliary diseases
Yun Nah Lee, Jong Ho Moon, Tae Hoon Lee, Hae Won Yoo, Jae Kook Yang, Sang‐Woo Cha, Young Deok Cho, Sang‐Heum Park
Journal of Hepato-Biliary-Pancreatic Sciences.2022; 29(12): 1292. CrossRef
Optimal tissue sampling during ERCP and emerging molecular techniques for the differentiation of benign and malignant biliary strictures
Eline J. C. A. Kamp, Winand N. M. Dinjens, Michail Doukas, Marco J. Bruno, Pieter Jan F. de Jonge, Maikel P. Peppelenbosch, Annemarie C. de Vries
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Efficacy of digital single-operator cholangioscopy and factors affecting its accuracy in the evaluation of indeterminate biliary stricture
Sunguk Jang, Tyler Stevens, Lei Kou, John J. Vargo, Mansour A. Parsi
Gastrointestinal Endoscopy.2020; 91(2): 385. CrossRef
Peroral Cholangioscopy: How Technology and Imaging Have Changed ERCP
Margherita Pizzicannella, Ivo Boskoski, Silvana Perretta
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Confocal laser endomicroscopy in the diagnosis of extrahepatic bile duct diseases
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Current Status and Future Perspective in Cholangiopancreatoscopy
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Current Treatment Options in Gastroenterology.2019; 17(3): 327. CrossRef
Uncomplicated common bile duct stone removal guided by cholangioscopy versus conventional endoscopic retrograde cholangiopancreatography
Wiriyaporn Ridtitid, Thanawat Luangsukrerk, Phonthep Angsuwatcharakon, Panida Piyachaturawat, Prapimphan Aumpansub, Cameron Hurst, Roongruedee Chaiteerakij, Pradermchai Kongkam, Rungsun Rerknimitr
Surgical Endoscopy.2018; 32(6): 2704. CrossRef
Recent Advances of Peroral Cholangioscopy
Jong Ho Moon, Hyun Jong Choi, Yun Nah Lee
The Korean Journal of Medicine.2018; 93(2): 188. CrossRef
Review article: Asia‐Pacific consensus recommendations on endoscopic tissue acquisition for biliary strictures
B. Sun, J. H. Moon, Q. Cai, R. Rerknimitr, S. Ma, S. Lakhtakia, S. Ryozawa, H. Kutsumi, I. Yasuda, H. Shiomi, X. Li, W. Li, X. Zhang, T. Itoi, H.‐P. Wang, D. Qian, J. Y. Wong Lau, Z. Yang, M. Ji, B. Hu
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Fatal outcome due to CO2 emboli during direct cholangioscopy
Alexander Hann, Eugen Zizer, Klaus Egger, Hans-Dieter Allescher, Alexander Meining
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Effects of carbon dioxide insufflation during direct cholangioscopy on biliary pressures and vital parameters: a pilot study in porcine models
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Gastrointestinal Endoscopy.2017; 85(1): 238. CrossRef
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Therapeutic Advances in Gastroenterology.2017; 10(11): 853. CrossRef
A newly modified access balloon catheter for direct peroral cholangioscopy by using an ultraslim upper endoscope (with videos)
Yun Nah Lee, Jong Ho Moon, Hyun Jong Choi, Hyun Su Kim, Moon Han Choi, Dong Choon Kim, Tae Hoon Lee, Sang-Woo Cha, Young Deok Cho, Sang-Heum Park
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Endoscopic Ultrasound Elastography for the Pancreas in Korea: A Preliminary Single Center Study: Tae Hee Lee, Young Deok Cho, Sang-Woo Cha, Joo Young Cho, Jae Young Jang, Soung Won Jeong, Hyun Jong Choi, Jong Ho Moon; Clin Endosc 2013;46(2):172-177. Published online March 31, 2013; DOI: https://doi.org/10.5946/ce.2013.46.2.172

Abstract PDF PubReader ePub

Background/Aims

Endoscopic ultrasound elastography (EUS-EG) has been widely used for the evaluation of pancreatic cancer in the Western world. To date, there is very little experience with EUS-EG in Korea. We described the results of comparison between normal pancreas and pancreatic cancer in Korea.

Methods

The present study was performed at a tertiary hospital on 35 subjects comprising 20 with normal pancreas (control group) and 15 with pancreatic cancer (disease group). We compared the EUS-EG performance of the two groups.

Results

The pancreas in the control group showed a mean elasticity value of 0.53% (95% confidence interval [CI], 0.45 to 0.61). The elasticity value was higher than that previously reported from Western country (0.47%; 95% CI, 0.38 to 0.57). In the disease group, the mean elasticity value of pancreatic lesions was 0.02% (95% CI, 0.01 to 0.02). The mean elasticity value of the disease group was significantly lower than that of the control group (p<0.0001).

Conclusions

EUS-EG could be a highly sensitive diagnostic modality for pancreatic cancer in Korea with little EUS-EG experience. We also provided the reference range of elasticity value of normal pancreas, which might be valuable in the interpretation of pancreatic elasticity data for Korean adults.

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