Clinical Endoscopy

Hyun Yong Jeong

7 Articles

Ischemic Necrosis of the Gastric Remnant without Splenic Infarction Following Subtotal Gastrectomy: Hwan Hee Park, Hee Sung Lee, Ju Seok Kim, Sun Hyung Kang, Hee Seok Moon, Jae Kyu Sung, Hyun Yong Jeong, Ji Young Sul; Clin Endosc 2018;51(3):289-293. Published online August 24, 2017; DOI: https://doi.org/10.5946/ce.2017.099

Gastric remnant necrosis after a subtotal gastrectomy is an extremely uncommon complication due to the rich vascular supply of the stomach. Despite its rareness, it must be carefully addressed considering the significant mortality rate associated with this condition. Patients vulnerable to ischemic vascular disease in particular need closer attention and should be treated more cautiously. When gastric remnant necrosis is suspected, an urgent endoscopic examination must be performed. We report a case of gastric remnant necrosis following a subtotal gastrectomy and discuss possible risk factors associated with this complication.

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Gastric remnant necrosis secondary to cholesterol crystal embolization after distal gastrectomy in a gastric cancer patient: a case report
Jumpei Shibata, Motoi Yoshihara, Takehito Kato
BMC Surgery.2020;[Epub] CrossRef
Normal and Abnormal Postoperative Imaging Findings after Gastric Oncologic and Bariatric Surgery
Cheong-Il Shin, Se Hyung Kim
Korean Journal of Radiology.2020; 21(7): 793. CrossRef
Successful management of gastric remnant necrosis after proximal gastrectomy using a double elementary diet tube: a case report
Atsushi Gakuhara, Shuichi Fukuda, Tomoyuki Tsujimoto, Hideo Tomihara, Katsuya Ohta, Kotaro Kitani, Kazuhiko Hashimoto, Hajime Ishikawa, Jin-ichi Hida, Masao Yukawa
Surgical Case Reports.2020;[Epub] CrossRef
Necrosis of the Gastric Remnant after Distal Gastrectomy for Gastric Carcinoma—A Case Report—
Daisuke SHIRAI, Naoshi KUBO, Katsunobu SAKURAI, Yutaka TAMAMORI, Kiyoshi MAEDA
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association).2019; 80(8): 1487. CrossRef

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Asymptomatic Gastric Band Erosion Detected during Routine Gastroduodenoscopy: Gee Young Yun, Woo Sub Kim, Hye Jin Kim, Sun Hyung Kang, Hee Seok Moon, Jae Kyu Sung, Hyun Yong Jeong; Clin Endosc 2016;49(3):294-297. Published online February 11, 2016; DOI: https://doi.org/10.5946/ce.2016.001

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The incidence of gastric band erosion has decreased to 1%. Gastric band erosion can manifest with various clinical symptoms, although some patients remain asymptomatic. We present a case of a mostly asymptomatic patient who was diagnosed with gastric band erosion during a routine health check-up. A 32-year-old man without any underlying diseases except for non-alcoholic fatty liver underwent laparoscopic adjustable gastric band surgery in 2010. He had no significant complications postoperatively. He underwent routine health check-ups with near-normal gastroduodenoscopic findings through 2014. However, in 2015, routine gastroduodenoscopy showed that the gastric band had eroded into the stomach. His gastric band was removed laparoscopically, and the remaining gastric ulcer perforation was repaired using an omental patch. Due to the early diagnosis, the infection was not serious. The patient was discharged on postoperative day 3 with oral antibiotics. This patient was fortunately diagnosed early by virtue of a routine health check-up, thus eliminating the possibility of serious complications.

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Retrieval of Gastric Band Eroding Into the Stomach: A Gastrointestinal Fistula Case Managed Through a Combined Laparoscopic and Colonoscopic Approach
Ahmed Binjaloud , Ahad Alotaibi, Samar Alsubhi , Anfal Altamimi, Osamah Nafea, Zeyad Al Yousef
Cureus.2024;[Epub] CrossRef
Late-Onset Gastric Band Erosion Following Heavy Nonsteroidal Anti-inflammatory Drug Use
Zachary Makovich, Brijesh Patel
ACG Case Reports Journal.2024; 11(4): e01343. CrossRef
Foregut Erosion Related to Biomedical Implants: A Scoping Review
Alberto Aiolfi, Andrea Sozzi, Gianluca Bonitta, Davide Bona, Luigi Bonavina
Journal of Laparoendoscopic & Advanced Surgical Techniques.2024; 34(8): 691. CrossRef
The Silent Band: Laparoscopic Adjustable Gastric Band Erosion as an Incidental Finding During Endoscopy
Lefika Bathobakae, Tiffany Varadi, Rammy Bashir, Atang Koodirile, Ruhin Yuridullah, Kamal Amer, Yana Cavanagh
Journal of Investigative Medicine High Impact Case Reports.2024;[Epub] CrossRef
Management of Laparoscopic Adjustable Gastric Band Erosion: A Case Report
Taylor F Faust, Emma Schnittka, Michael B Steadman, Garrett M Cail, Bradley S Rice
Cureus.2023;[Epub] CrossRef
Complications from Laparoscopic Adjustable Gastric Banding: 364 Cases Experience
GV Ramiro
Global Journal of Obesity, Diabetes and Metabolic Syndrome.2017; 4(1): 001. CrossRef

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The AIMS65 Score Is a Useful Predictor of Mortality in Patients with Nonvariceal Upper Gastrointestinal Bleeding: Urgent Endoscopy in Patients with High AIMS65 Scores: Sun Wook Park, Young Wook Song, Dae Hyun Tak, Byung Moo Ahn, Sun Hyung Kang, Hee Seok Moon, Jae Kyu Sung, Hyun Yong Jeong; Clin Endosc 2015;48(6):522-527. Published online November 30, 2015; DOI: https://doi.org/10.5946/ce.2015.48.6.522

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Background
/Aims: To validate the AIMS65 score for predicting mortality of patients with nonvariceal upper gastrointestinal bleeding and to evaluate the effectiveness of urgent (<8 hours) endoscopic procedures in patients with high AIMS65 scores.
Methods
This was a 5-year single-center, retrospective study. Nonvariceal, upper gastrointestinal bleeding was assessed by using the AIM65 and Rockall scores. Scores for mortality were assessed by calculating the area under the receiver-operating characteristic curve (AUROC). Patients with high AIMS65 scores (≥2) were allocated to either the urgent or non-urgent endoscopic procedure group. In-hospital mortality, success of endoscopic procedure, recurrence of bleeding, admission period, and dose of transfusion were compared between groups.
Results
A total of 634 patients were analyzed. The AIMS65 score successfully predicted mortality (AUROC=0.943; 95% confidence interval [CI], 0.876 to 0.99) and was superior to the Rockall score (AUROC=0.856; 95% CI, 0.743 to 0.969) in predicting mortality. The group with high AIMS65 score included 200 patients. The urgent endoscopic procedure group had reduced hospitalization periods (p<0.05)
Conclusions
AIMS65 score may be useful in predicting mortality in patients with nonvariceal upper gastrointestinal bleeding. Urgent endoscopic procedures in patients with high scores may be related to reduced hospitalization periods.

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Management of gastrointestinal bleed in the intensive care setting, an updated literature review
Vignesh K Nagesh, Sai Priyanka Pulipaka, Ruchi Bhuju, Emelyn Martinez, Shruthi Badam, Gomathy Aarthy Nageswaran, Hadrian Hoang-Vu Tran, Daniel Elias, Charlene Mansour, Jaber Musalli, Sanket Bhattarai, Lokeash Subramani Shobana, Tannishtha Sethi, Ritvik Se
World Journal of Critical Care Medicine.2025;[Epub] CrossRef
ASSESSMENT OF PATIENTS WITH NON-VARICEAL UPPER GASTROINTESTINAL BLEEDING USING AIMS65 SCORE
Farahnaz Joukar, Raheleh Sadat Hosseini Basti, Fakhrieh Sadat Hosseini Basti, Fatemeh Mosafer, Hoorieh Sadat Hosseini Basti, Zahra Hedayatzadeh, Afshin Shafaghi
Studies in Medical Sciences.2024; 35(1): 51. CrossRef
Prediction of 30-day in-hospital mortality in older UGIB patients using a simplified risk score and comparison with AIMS65 score
Zaiyao Xue, Hebin Che, Deyou Xie, Jiefeng Ren, Quanjin Si
BMC Geriatrics.2024;[Epub] CrossRef
Turn over the new leaf of the treatment in peptic ulcer bleeding: a review of the literature
Meng-Hsuan Lu, Hsueh-Chien Chiang
Therapeutic Advances in Gastroenterology.2024;[Epub] CrossRef
Performance of Six Clinical Physiological Scoring Systems in Predicting In-Hospital Mortality in Elderly and Very Elderly Patients with Acute Upper Gastrointestinal Bleeding in Emergency Department
Po-Han Wu, Shang-Kai Hung, Chien-An Ko, Chia-Peng Chang, Cheng-Ting Hsiao, Jui-Yuan Chung, Hao-Wei Kou, Wan-Hsuan Chen, Chiao-Hsuan Hsieh, Kai-Hsiang Ku, Kai-Hsiang Wu
Medicina.2023; 59(3): 556. CrossRef
Outcomes in Patients Admitted for Upper Gastrointestinal Bleeding and COVID-19 Infection: A Study of Two Years of the Pandemic
Sergiu Cazacu, Daniela Burtea, Vlad Iovănescu, Dan Florescu, Sevastița Iordache, Adina Turcu-Stiolica, Victor Sacerdotianu, Bogdan Ungureanu
Life.2023; 13(4): 890. CrossRef
Pre-Endoscopic Scores Predicting Low-Risk Patients with Upper Gastrointestinal Bleeding: A Systematic Review and Meta-Analysis
Antoine Boustany, Ali A. Alali, Majid Almadi, Myriam Martel, Alan N. Barkun
Journal of Clinical Medicine.2023; 12(16): 5194. CrossRef
A nomogram to predict in-hospital mortality of gastrointestinal bleeding patients in the intensive care unit
Xueyan Zhang, Jianfang Ni, Hongwei Zhang, Mengyuan Diao
Frontiers in Medicine.2023;[Epub] CrossRef
Scoring systems for predicting clinical outcomes in peptic ulcer bleeding
Jin Hee Noh, Boram Cha, Ji Yong Ahn, Hee Kyong Na, Jeong Hoon Lee, Kee Wook Jung, Do Hoon Kim, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung
Medicine.2022; 101(36): e30410. CrossRef
ABC score: a new risk score that accurately predicts mortality in acute upper and lower gastrointestinal bleeding: an international multicentre study
Stig Borbjerg Laursen, Kathryn Oakland, Loren Laine, Vered Bieber, Riccardo Marmo, Eduardo Redondo-Cerezo, Harry R Dalton, Jeffrey Ngu, Michael Schultz, Marco Soncini, Ian Gralnek, Vipul Jairath, Iain A Murray, Adrian J Stanley
Gut.2021; 70(4): 707. CrossRef
AIMS65 scoring system is comparable to Glasgow-Blatchford score or Rockall score for prediction of clinical outcomes for non-variceal upper gastrointestinal bleeding
Min Seong Kim, Jeongmin Choi, Won Chang Shin
BMC Gastroenterology.2019;[Epub] CrossRef
Comparison of three risk scores to predict outcomes in upper gastrointestinal bleeding; modifying Glasgow-Blatchford with albumin
Afshin Shafaghi, Faeze Gharibpoor, Zahra Mahdipour, Ali Akbar Samadani
Romanian Journal of Internal Medicine.2019; 57(4): 322. CrossRef
Comparison of AIMS65, Glasgow–Blatchford and Rockall scoring approaches in predicting the risk of in-hospital death among emergency hospitalized patients with upper gastrointestinal bleeding: a retrospective observational study in Nanjing, China
Lei Gu, Fei Xu, Jie Yuan
BMC Gastroenterology.2018;[Epub] CrossRef
How to Use Scoring Systems for Upper Gastrointestinal Bleeding?
Heung Up Kim
The Korean Journal of Gastroenterology.2016; 67(1): 1. CrossRef
Risk Strategy in Non-Variceal Upper Gastrointestinal Bleeding
Joon Sung Kim, Byung-Wook Kim
The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2016; 16(4): 173. CrossRef
Comparison of three scoring systems in predicting clinical outcomes in patients with acute upper gastrointestinal bleeding: a prospective observational study
Min Zhong, Wan Jun Chen, Xiao Ye Lu, Jie Qian, Chang Qing Zhu
Journal of Digestive Diseases.2016; 17(12): 820. CrossRef
Can AIMS65 Save the Endoscopists from Midnight Calls?
Joon Sung Kim, Byung-Wook Kim
Clinical Endoscopy.2015; 48(6): 459. CrossRef

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Risk Factors for Dieulafoy Lesions in the Upper Gastrointestinal Tract: Hae Jin Shin, Jong Seok Ju, Ki Dae Kim, Seok Won Kim, Sung Hoon Kang, Sun Hyung Kang, Hee Seok Moon, Jae Kyu Sung, Hyun Yong Jeong; Clin Endosc 2015;48(3):228-233. Published online May 29, 2015; DOI: https://doi.org/10.5946/ce.2015.48.3.228

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Background/Aims

The purpose of this study is to verify the risk factors associated with Dieulafoy lesion formation in the upper gastrointestinal tract.

Methods

A case-control study was performed by reviewing the electronic medical records of 42 patients who were admitted to a tertiary medical center in the Daejeon region for Dieulafoy lesions from September 2008 to October 2013, and the records of 132 patients who were admitted during the same period and who underwent endoscopic examination for reasons other than bleeding. We analyzed clinical and endoscopic findings retrospectively, and searched for risk factors associated with Dieulafoy lesion formation.

Results

All 42 patients diagnosed with Dieulafoy lesion had accompanying bleeding, and the location of the bleeding was proximal in 25 patients (59.5%), the middle portion in seven patients (16.7%), and distal in 10 patients (23.8%). Antiplatelet agents (p=0.022) and alcohol (p=0.001) use showed statistically significant differences between the two groups. The odds ratios (95% confidence intervals) of the two factors were 2.802 (1.263 to 6.217) and 3.938 (1.629 to 9.521), respectively.

Conclusions

This study showed that antiplatelet agents and alcohol consumption were risk factors associated with Dieulafoy lesion formation in the upper gastrointestinal tract.

Citations

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Can Segmental Branch Embolization of the Left Gastric Artery Be an Alternative in the Treatment of Recurrent Dieulafoy Lesion Bleeding? A Case report
Gamze Sönmez, Serez İleri, Ferdi Çay, Bora Peynircioğlu, Onur Keskin
Akademik Gastroenteroloji Dergisi.2024; 23(2): 67. CrossRef
Usage of Padlock Over-the-Scope-Clip in Difficult-to-Control Recurrent Gastrointestinal Bleeding Due to a Gastric Dieulafoy Lesion
John Joyce, Vishnu Kumar, Dayana Nasr, Ganesh Aswath, Hafiz M. Khan, Savio John
Journal of Investigative Medicine High Impact Case Reports.2024;[Epub] CrossRef
Fatal exulceratio simplex (dieulafoy lesion) – a case report and review
Luzern Tan, John D. Gilbert, Roger W. Byard
Forensic Science, Medicine and Pathology.2024;[Epub] CrossRef
Sustained Hemostasis With the Padlock™ Over-the-scope Clip for Gastric Fundus Dieulafoy’s Lesion in the Setting of Anticoagulation Following Hemorrhagic Shock From Two Dieulafoy’s Lesions
Jonathan J Cho, Chelsea M Forbes, Benjamin D Fiore, Joshua D McCarron, Leybelis Padilla
Military Medicine.2023; 188(9-10): e3265. CrossRef
Multiple Gastric Dieulafoy Lesions
Vikas Pemmada, Ganesh Bhat, Athish Shetty, Bharath Kumar Bhat, Megha Murali, Geetha Vasudevan
ACG Case Reports Journal.2023; 10(6): e01053. CrossRef
Retrospective analysis of patients with Dieulafoy’s lesions
Bünyamin SARITAŞ, Şehmus ÖLMEZ, Adnan TAŞ, Nevin AKÇAER ÖZTÜRK, Banu KARA
Akademik Gastroenteroloji Dergisi.2023; 22(3): 136. CrossRef
Gastrointestinal Bleeding From a Transverse Colon Dieulafoy Lesion
Xinyu Xie, Jian Qin, Xiaojua Ma, Shanshan Liu
Cureus.2023;[Epub] CrossRef
Cliniccal Analysis of 5 Cases of Upper Gastrointestinal Bleeding Caused by Duodenal Dieulafoy’s Disease
金明张
Advances in Clinical Medicine.2023; 13(10): 15268. CrossRef
Case report: The first description of a Dieulafoy's lesion in the gastric mucosa of a dog
Daniel Felipe Barrantes Murillo, Michael Tillson, Jennifer W. Koehler, Maninder Sandey
Frontiers in Veterinary Science.2022;[Epub] CrossRef
Diagnosis and Treatment of a Recurrent Bleeding Dieulafoy’s Lesion: A Case Report
Amanda R Levy, Sierra Broad, James R Loomis III, Julie A Thomas
Cureus.2022;[Epub] CrossRef
Dieulafoy lesions as cause of upper gastrointestinal bleeding in a patient with portal hypertension
Fahad Malik, Omar Al Salman, Marwah Alchalabi, Shobhana Chaudhari, Ali Tariq Khan
Journal of Community Hospital Internal Medicine Perspectives.2021; 11(1): 94. CrossRef
Jejunal Dieulafoy’s Lesion: A Systematic Review of Evaluation, Diagnosis, and Management
Adnan Malik, Faisal Inayat, Muhammad Hassan Naeem Goraya, Talal Almas, Rizwan Ishtiaq, Sohira Malik, Zahid Ijaz Tarar
Journal of Investigative Medicine High Impact Case Reports.2021;[Epub] CrossRef
Dieulafoy Lesion as a Source of Bleeding: A Report of Two Clinical Cases
Goran Sarafiloski, Mimi R. Marinova, Pencho T. Tonchev
Journal of Biomedical and Clinical Research.2021; 14(2): 186. CrossRef
Incidental massive lower gastrointestinal hemorrhage caused by a rectal Dieulafoy’s lesion
Genesis Perez Del Nogal, Rangesh Modi, Ivania Salinas, Kalyan Chakrala
BMJ Case Reports.2021; 14(9): e244264. CrossRef
Gastrointestinal Bleeding at CT Angiography and CT Enterography: Imaging Atlas and Glossary of Terms
Flavius F. Guglielmo, Michael L. Wells, David H. Bruining, Lisa L. Strate, Álvaro Huete, Avneesh Gupta, Jorge A. Soto, Brian C. Allen, Mark A. Anderson, Olga R. Brook, Michael S. Gee, David J. Grand, Martin L. Gunn, Ashish Khandelwal, Seong Ho Park, Vijay
RadioGraphics.2021; 41(6): 1632. CrossRef
A case of the lower gastrointestinal bleeding due to Dieulafoy’s ulcer in the cecum
Keisuke Kinoshita, Osamu Matsunari, Akira Sonoda, Kensuke Fukuda, Kazuhisa Okamoto, Ryo Ogawa, Kazuhiro Mizukami, Tadayoshi Okimoto, Masaaki Kodama, Kazunari Murakami
Clinical Journal of Gastroenterology.2020; 13(4): 564. CrossRef
Dieulafoy's Lesion: Decade-Long Trends in Hospitalizations, Demographic Disparity, and Outcomes
Raja Chandra Chakinala, Shantanu Solanki, Khwaja F Haq, Jagmeet Singh, Harshil Shah, Dhanshree Solanki, Asim Kichloo, Khwaja S Haq, Azam H Burney, Shanza Waqar, Manasee Vyas, Savneek Chugh, Christopher Nabors
Cureus.2020;[Epub] CrossRef
Lesión de Dieulafoy rectal: una causa rara, pero potencialmente mortal de hemorragia del tubo digestivo bajo
Benjamín Gallo Arriaga, José Raúl Nieto Saucedo, Benjamín Gallo Chico, J Jesús Ibarra Rodríguez, Karla Edith Santibáñez Bedolla, Carlos Hidalgo Valadez
Acta Médica Grupo Ángeles.2020; 18(3): 302. CrossRef
Gastric vascular abnormalities: diagnosis and management
Mohanad Awadalla, Mohamed Mahmoud, Philip McNamara, Wahid Wassef
Current Opinion in Gastroenterology.2020; 36(6): 538. CrossRef
Dieulafoy Lesion: Predictive Factors of Early Relapse and Long-Term Follow-Up
Paulo Massinha, Inês Cunha, Luís Tomé
GE - Portuguese Journal of Gastroenterology.2020; 27(4): 237. CrossRef
Lesión de Dieulafoy en estómago como causa de sangrado gastrointestinal alto: presentación de un caso
Jairo Alonso Sierra-Avendaño, Fabián Andrés Mejía-Casadiegos, María Paula Pérez-Barón, Gabriel Eduardo Pérez-García
Revista Médicas UIS.2019; 32(1): 27. CrossRef
Massive Gastrointestinal Bleeding from a Jejunal Dieulafoy Lesion: An Extraordinary Presentation
Majdi Saada, Shay Perek, Mohammad Agbaria, Ayelet Raz-Pasteur
Case Reports in Gastroenterology.2019; 13(3): 508. CrossRef
Postural Syncope and Constipation: An Unusual Presentation of a Duodenal Dieulafoy’s Lesion
Ahmed Dirweesh, Alvarez Chikezie, Muhammad Yasir Khan, Sana Zia, Muhammad Tahir
Case Reports in Gastrointestinal Medicine.2017; 2017: 1. CrossRef

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Successful Treatment of a Gastric Plasmacytoma Using a Combination of Endoscopic Submucosal Dissection and Oral Thalidomide: Se Young Park, Hee Seok Moon, Jae Kyu Seong, Hyun Yong Jeong, Beum Yong Yoon, Se Woong Hwang, Kyu Sang Song; Clin Endosc 2014;47(6):564-567. Published online November 30, 2014; DOI: https://doi.org/10.5946/ce.2014.47.6.564

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We report a rare case of a gastric plasmacytoma treated with endoscopic resection and oral thalidomide therapy. A 70-year-old man was admitted to our hospital with indigestion. He had no specific medical history and unremarkable laboratory results. Gastroendoscopic findings revealed a focal, erythematous, flat elevated lesion in the anterior wall of the stomach antrum. A biopsy revealed atypical lymphocytes. Endoscopic submucosal dissection (ESD) with an insulation-tipped knife was performed 45 days after diagnosis. Radiological and hematological evaluations, including a bone marrow biopsy, were performed and showed no involvement of other organs. The patient was diagnosed with extramedullary gastric plasmacytoma. Follow-up gastroendoscopy was performed three times during a 2-year period and showed nonspecific ESD scarring. The patient's condition was found to be stable.

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Solitary Giant Primary Gastric Plasmacytoma Mimicking Gastric Adenocarcinoma In Situ
Sergio A Bolivar, Patricia Medina, Maria Cynthia Fuentes, Humberto Martinez-Cordero, German Salguedo
Cureus.2024;[Epub] CrossRef
Endoscopic submucosal dissection of a solitary gastric plasmacytoma: “third space oddity”
Gertjan Rasschaert, Paraskevas Gkolfakis, Pierre Eisendrath, Laurine Verset, Jacques Devière, Arnaud Lemmers
Endoscopy.2022; 54(12): E732. CrossRef
Intestinal perforation with abdominal abscess caused by extramedullary plasmacytoma of small intestine: A case report and literature review
Ke-Wei Wang, Nan Xiao
World Journal of Gastrointestinal Surgery.2022; 14(6): 611. CrossRef
Gastrointestinal manifestations of extramedullary plasmacytoma: a narrative review and illustrative case reports
JC Glasbey, F Arshad, LM Almond, B Vydianath, A Desai, D Gourevitch, SJ Ford
The Annals of The Royal College of Surgeons of England.2018; 100(5): 371. CrossRef
Long-term complete remission of primary gastric plasmacytoma following endoscopic resection
João Tadeu Damian Souto Filho, Lara Vianna de Barros Lemos, Manoel Carlos Vieira Junior, Kassia Piraciaba Barboza, Bárbara Mendes Castelar, Aldmilla Espindola Leite Ribeiro, Fernanda Cordeiro da Silva
Annals of Hematology.2017; 96(6): 1053. CrossRef
Early Gastric Cancer: Trends in Incidence, Management, and Survival in a Well-Defined French Population
Nicolas Chapelle, Anne-Marie Bouvier, Sylvain Manfredi, Antoine Drouillard, Come Lepage, Jean Faivre, Valerie Jooste
Annals of Surgical Oncology.2016; 23(11): 3677. CrossRef
Successful treatment of primary advanced gastric plasmacytoma using a combination of surgical resection and chemotherapy with bortezomib: A case report
Sotaro Fukuhara, Hirofumi Tazawa, Hideharu Okanobu, Michiko Kida, Miki Kido, Toshiro Takafuta, Toshihiro Nishida, Hideki Ohdan, Hideto Sakimoto
International Journal of Surgery Case Reports.2016; 27: 133. CrossRef

6,139 View
51 Download
7 Web of Science
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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

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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

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Disección submucosa endoscópica en cáncer gástrico temprano indiferenciado: evaluación de los primeros casos y análisis de su aplicación como indicación absoluta en Perú
Fernando Palacios-Salas, Luis Marin-Calderón, Juan Chirinos-Vega, Paulo Bardalez-Cruz, Patricia Valera-Luján, Dacio Cabrera-Hinojosa, Harold Benites-Goñi
Revista de Gastroenterología del Perú.2024; 44(4): 333. CrossRef
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
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