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Quality indicators of endoscopic ultrasound in the pancreatobiliary system: a brief review of current guidelines
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Sung Yong Han, Hyung Ku Chon, Seong-Hun Kim, Sang Hyub Lee, The Research Group for Endoscopic Ultrasound in Korean Society of Gastrointestinal Endoscopy
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Clin Endosc 2024;57(2):158-163. Published online June 9, 2023
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DOI: https://doi.org/10.5946/ce.2023.064
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Abstract
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- Since its development, the use of endoscopic ultrasonography (EUS) in the pancreas and the biliary tract has become increasingly important. The accuracy of EUS varies depending on the experience of the endoscopist. Hence, quality control measures using appropriate indicators are required to reduce these variations. American Society for Gastrointestinal Endoscopy and European Society of Gastrointestinal Endoscopy have announced the EUS quality indicators. Here, we reviewed the quality indicators of the EUS procedure in the current published guidelines.
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Gwang Ha Kim, Dong Chan Joo Clinical Endoscopy.2024; 57(2): 268. CrossRef
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New sedatives and analgesic drugs for gastrointestinal endoscopic procedures
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Jae Min Lee, Yehyun Park, Jin Myung Park, Hong Jun Park, Jun Yong Bae, Seung Young Seo, Jee Hyun Lee, Hyung Ku Chon, Jun-Won Chung, Hyun Ho Choi, Jun Kyu Lee, Byung-Wook Kim, Endoscopic Sedation Committee of the Korean Society of Gastrointestinal Endoscopy
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Clin Endosc 2022;55(5):581-587. Published online August 29, 2022
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DOI: https://doi.org/10.5946/ce.2021.283
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Abstract
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- Procedural sedation has become increasingly common in endoscopy. Sedatives and analgesics induce anxiolysis and amnesia. In addition, an appropriate level of sedation is necessary for safe procedures including therapeutic endoscopy. Midazolam and propofol are the most commonly used drugs in sedative endoscopy. In recent years, the need to ascertain the safety and effectiveness of sedation has increased in practice. Therefore, new sedatives and analgesic drugs for optimal sedative endoscopy, have recently emerged. This article reviews the characteristics of sedatives and analgesics, and describes their clinical use in gastrointestinal endoscopy.
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Jiazheng Qi, Lingjing Zhang, Fanhua Meng, Xiaoyu Yang, Baoxuan Chen, Lingqi Gao, Xu Zhao, Mengqiang Luo Brazilian Journal of Anesthesiology (English Edition).2025; 75(2): 844578. CrossRef - Clinical Practice Guideline for Percutaneous Endoscopic Gastrostomy
Chung Hyun Tae, Ju Yup Lee, Moon Kyung Joo, Chan Hyuk Park, Eun Jeong Gong, Cheol Min Shin, Hyun Lim, Hyuk Soon Choi, Miyoung Choi, Sang Hoon Kim, Chul-Hyun Lim, Jeong-Sik Byeon, Ki-Nam Shim, Geun Am Song, Moon Sung Lee, Jong-Jae Park, Oh Young Lee Gut and Liver.2024; 18(1): 10. CrossRef - RETRACTED: Assessing wound complications in gastroscopy with Streptomyces protease enzyme combined with Shutai
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Jung Wan Choe, Jong Jin Hyun, Seong-Jin Son, Seung-Hak Lee Clinical Endoscopy.2024; 57(4): 476. CrossRef - Optimal Surveillance of Metachronous Gastric Lesion after Endoscopic Resection of Early Gastric Cancer
Dong Chan Joo, Gwang Ha Kim Gut and Liver.2024; 18(5): 781. CrossRef - Clinical practice guidelines for percutaneous endoscopic gastrostomy
Chung Hyun Tae, Ju Yup Lee, Moon Kyung Joo, Chan Hyuk Park, Eun Jeong Gong, Cheol Min Shin, Hyun Lim, Hyuk Soon Choi, Miyoung Choi, Sang Hoon Kim, Chul-Hyun Lim, Jeong-Sik Byeon, Ki-Nam Shim, Geun Am Song, Moon Sung Lee, Jong-Jae Park, Oh Young Lee Clinical Endoscopy.2023; 56(4): 391. CrossRef - Quality of recovery and pre-existing impaired cognition in patients undergoing advanced GI endoscopic procedures with patient-controlled sedation: a prospective observational cohort study
Sara Lyckner, Michelle S. Chew, Andreas Nilsson iGIE.2023; 2(3): 292. CrossRef - Clinical Practice Guideline for Percutaneous Endoscopic Gastrostomy
Chung Hyun Tae, Ju Yup Lee, Moon Kyung Joo, Chan Hyuk Park, Eun Jeong Gong, Cheol Min Shin, Hyun Lim, Hyuk Soon Choi, Miyoung Choi, Sang Hoon Kim, Chul-Hyun Lim, Jeong-Sik Byeon, Ki-Nam Shim, Geun Am Song, Moon Sung Lee, Jong-Jae Park, Oh Young Lee The Korean Journal of Gastroenterology.2023; 82(3): 107. CrossRef - Drugs used for sedation in gastrointestinal endoscopy
Jun Kyu Lee Journal of the Korean Medical Association.2022; 65(11): 735. CrossRef
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2021 Korean Society of Gastrointestinal Endoscopy Clinical Practice Guidelines for Endoscopic Sedation
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Hong Jun Park, Byung-Wook Kim, Jun Kyu Lee, Yehyun Park, Jin Myung Park, Jun Yong Bae, Seung Young Seo, Jae Min Lee, Jee Hyun Lee, Hyung Ku Chon, Jun-Won Chung, Hyun Ho Choi, Myung Ha Kim, Dong Ah Park, Jae Hung Jung, Joo Young Cho, Endoscopic Sedation Committee of Korean Society of Gastrointestinal Endoscopy
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Clin Endosc 2022;55(2):167-182. Published online February 22, 2022
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DOI: https://doi.org/10.5946/ce.2021.282
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Abstract
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- Sedation can resolve anxiety and fear in patients undergoing endoscopy. The use of sedatives has increased in Korea. Appropriate sedation is a state in which the patient feels subjectively comfortable while maintaining the airway reflex for stable spontaneous breathing. The patient should maintain a state of consciousness to the extent that he or she can cooperate with the needs of the medical staff. Despite its benefits, endoscopic sedation has been associated with cardiopulmonary complications. Cardiopulmonary complications are usually temporary. Most patients recover without sequelae. However, they may progress to serious complications, such as cardiovascular collapse. Therefore, it is essential to screen high-risk patients before sedation and reduce complications by meticulous monitoring. Additionally, physicians should be familiar with the management of emergencies. The first Korean clinical practice guideline for endoscopic sedation was developed based on previous worldwide guidelines for endoscopic sedation using an adaptation process. The guideline consists of nine recommendations based on a critical review of currently available data and expert consensus when the guideline was drafted. These guidelines should provide clinicians, nurses, medical school students, and policy makers with information on how to perform endoscopic sedation with minimal risk.
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- Core curriculum for sedation in gastrointestinal endoscopy with a focus on practice: a proposal from the Korean Society of Gastrointestinal Endoscopy
Hong Sub Lee, Yun Jeong Lim, Jong-Jae Park Clinical Endoscopy.2025; 58(2): 218. CrossRef - Using Clinical-based Discharge Criteria to Discharge Patients After Endoscopy Procedures Under Drug-induced Intravenous Sedation in the Outpatient Care Unit: An Observational Study
Liangyu Fang, Lina Chen, Bingbing Wu, Yinchuan Xu, Laijuan Chen Journal of PeriAnesthesia Nursing.2024; 39(5): 859. CrossRef - Development and Effectiveness Evaluation of 360-Degree Virtual Reality-Based Educational Intervention for Adult Patients Undergoing Colonoscopy
Minju Gwag, Jaeyong Yoo Healthcare.2024; 12(14): 1448. CrossRef - Development of a predictive model for hypoxia due to sedatives in gastrointestinal endoscopy: a prospective clinical study in Korea
Jung Wan Choe, Jong Jin Hyun, Seong-Jin Son, Seung-Hak Lee Clinical Endoscopy.2024; 57(4): 476. CrossRef - Comparison of Synergistic Sedation with Midazolam and Propofol Versus Midazolam and Pethidine in Colonoscopies: A Prospective, Randomized Controlled Study
Jae Woong Lim, Min Jae Kim, Gang Han Lee, Dae Sol Kim, Sang Hyuk Jung, Yu Yeon Kim, Jin Won Kim, Yohan Lee, Hyun Soo Kim, Seon Young Park, Dong Hyun Kim Chonnam Medical Journal.2024; 60(3): 192. CrossRef - Nasal mask versus conventional oxygen supply for endoscopy under intravenous sedation: protocol for a systematic review and meta-analysis
Wentao Ji, Yu Deng, Min Zheng, Xiaoting Zhang, Jun Lu, Jinhai Liu, Bo Li, Lulong Bo BMJ Open.2024; 14(12): e092868. CrossRef - Experience of organizing outpatient anesthetic care at Endoscopy centre of Multidisciplinary city clinic
O. V. Makarov, S. A. Osipov, E. P. Rodionov, A. A. Malyshev, I. Yu. Korzheva, L. M. Avramenko, Z. Z. Loseva, I. V. Balykov, L. A. Baichorova, E. I. Alikhanova, A. V. Vlasenko, E. A. Evdokimov, V. I. Makovey, V. V. Erofeev Medical alphabet.2023; (6): 50. CrossRef - Anesthesia care provider sedation versus conscious sedation for endoscopic ultrasound–guided tissue acquisition: a retrospective cohort study
Sneha Shaha, Yinglin Gao, Jiahao Peng, Kendrick Che, John J. Kim, Wasseem Skef Clinical Endoscopy.2023; 56(5): 658. CrossRef - Current status of the gastric cancer screening program in Korea
Young-Il Kim, Il Ju Choi Journal of the Korean Medical Association.2022; 65(5): 250. CrossRef - In pursuit of the right plan for airway management in gastrointestinal endoscopic procedures…the battle half won?
Upender Gowd, Sukhminder Jit Singh Bajwa, Madhuri Kurdi, Gaurav Sindwani Indian Journal of Anaesthesia.2022; 66(10): 683. CrossRef - Drugs used for sedation in gastrointestinal endoscopy
Jun Kyu Lee Journal of the Korean Medical Association.2022; 65(11): 735. CrossRef
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Minimally Invasive Approach Using Digital Single-Operator Peroral Cholangioscopy-Guided Electrohydraulic Lithotripsy and Endoscopic Nasogallbladder Drainage for the Management of High-Grade Mirizzi Syndrome
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Hyung Ku Chon, Chan Park, Tae Hyeon Kim
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Clin Endosc 2021;54(6):930-934. Published online February 18, 2021
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DOI: https://doi.org/10.5946/ce.2021.015
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Abstract
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- Mirizzi syndrome is a rare complication of gallbladder disease that can be difficult to treat. In particular, endoscopic treatment often fails because of the inability to access or to capture the impacted cystic duct stone. We report a case of Mirizzi syndrome grade III that was successfully managed by digital single-operator peroral cholangioscopy-guided electrohydraulic lithotripsy with endoscopic nasogallbladder drainage and interval laparoscopic cholecystectomy. Based on our experience, digital single-operator peroral cholangioscopy-guided electrohydraulic lithotripsy with endoscopic nasogallbladder drainage is a feasible minimally invasive approach for the management of high-grade Mirizzi syndrome.
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- Difficult Biliary Stones: A Comprehensive Review of New and Old Lithotripsy Techniques
Edoardo Troncone, Michelangela Mossa, Pasquale De Vico, Giovanni Monteleone, Giovanna Del Vecchio Blanco Medicina.2022; 58(1): 120. CrossRef - Endoscopic management of cystic duct stones and Mirizzi’s syndrome: experience at an academic medical center
Rishi Pawa, Robert Dorrell, Swati Pawa Endoscopy International Open.2022; 10(01): E135. CrossRef - Mirizzi Syndrome Type IV Successfully Treated with Peroral Single-operator Cholangioscopy-guided Electrohydraulic Lithotripsy: A Case Report with Literature Review
Hirokazu Kawai, Toshifumi Sato, Masaaki Natsui, Kotaro Watanabe, Ryosuke Inoue, Mayuki Kimura, Kazumi Yoko, Syun-ya Sasaki, Masashi Watanabe, Taku Ohashi, Akihiro Tsukahara, Norio Tanaka, Yoshihisa Tsukada Internal Medicine.2022; 61(23): 3513. CrossRef - Quality of life of treated patients with Mirizi syndrome
F. M. Pavuk Klinicheskaia khirurgiia.2021; 88(1-2): 69. CrossRef - A Stone in Remnant Cystic Duct Causing Mirizzi Syndrome Following Laparoscopic Cholecystectomy
Min Jae Yang, Do Hyun Park Clinical Endoscopy.2021; 54(5): 777. CrossRef
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Successful Endoscopic Ultrasound-Guided Treatment of a Spontaneous Rupture of a Hemorrhagic Pancreatic Pseudocyst
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Chan Park, Tae Hyeon Kim, Hyung Ku Chon
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Clin Endosc 2021;54(5):763-766. Published online March 3, 2021
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DOI: https://doi.org/10.5946/ce.2020.279
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Abstract
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- Spontaneous rupture of a hemorrhagic pancreatic pseudocyst may be life-threatening. Endoscopic ultrasound (EUS)-guided drainage has been reported to be a valuable treatment option for pancreatic pseudocysts. However, its usefulness in the management of a ruptured pancreatic pseudocyst is limited. We report a rare case of a spontaneous rupture of a hemorrhagic pancreatic pseudocyst in a patient with chronic pancreatitis, which was successfully treated with EUS-guided gastrocystostomy with a fully covered self-expandable metallic stent.
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- Perforation of pancreatic pseudocyst diagnosed with endoscopy and treated with percutaneous drainage
Mako Koseki, Yusuke Hashimoto DEN Open.2024;[Epub] CrossRef - Spontaneous rupture of an infected pseudocyst of the pancreas: A case report
Mohamed Fadhel Chtourou, Hazem Beji, Slim Zribi, Yassine Kallel, Mahdi Bouassida, Hassen Touinsi International Journal of Surgery Case Reports.2023; 105: 107987. CrossRef - A ruptured pancreatic pseudocyst causes acute peritonitis with clinical characteristics of a gastrointestinal tract perforation
Tran Que Son, Tran Hieu Hoc, Tran Thu Huong, Ngo Quang Dinh, Pham Van Tuyen Journal of Surgical Case Reports.2022;[Epub] CrossRef
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An Unusual Presentation of a Solid Pseudopapillary Tumor of the Pancreas Mimicking Adenocarcinoma
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Hyung Ku Chon, Keum Ha Choi, Tae Hyeon Kim
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Clin Endosc 2020;53(5):615-619. Published online November 22, 2019
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DOI: https://doi.org/10.5946/ce.2019.158
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Abstract
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- Solid pseudopapillary tumors of the pancreas are rare and typically occur in young women. Compared with pancreatic adenocarcinoma, solid pseudopapillary tumors are characterized by notable indolent biological behavior associated with a favorable prognosis. Despite their large size, these tumors rarely metastasize. Even in cases of hepatic metastasis, most lesions are usually solitary in distribution and are amenable to resection. We report a case of a 55-year-old man with a small solid pseudopapillary tumor (≤3-cm diameter) mimicking a pancreatic adenocarcinoma, with multiple hepatic metastases. The diagnosis was confirmed by endoscopic ultrasound-guided fine-needle biopsy using a 22-G core needle. Unfortunately, rapid tumor progression led to patient mortality 5 months after diagnosis. To our knowledge, this is the first case report that describes a small solid pseudopapillary tumor of the pancreas with multiple hepatic metastasis and poor prognosis in a patient who was diagnosed with this condition at the time of initial diagnosis.
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- Solid pseudopapillary neoplasm of the pancreas in an adolescent: A case report and review of the literature
Aakriti Sapkota, Rajesh Paudel, Sandip Pandey, Navin Bhatt World Journal of Gastrointestinal Oncology.2025;[Epub] CrossRef - Rare case of solid pseudopapillary neoplasm of the pancreas with liver and splenic metastasis in a 19-year-old girl
Chi-Chi Chen, Ting-Yuan Feng, Hsiang-Chun Jan, Shaw-Jiun Chou, Tzu-Hung Chen, Sheng-Chun Wang International Journal of Surgery Case Reports.2024; 120: 109867. CrossRef - Large Solid Pseudopapillary Tumor Pancreas with Extensive Splenoportal Thrombosis and Malignant Transformation—A Rare Entity
Thara Pratap, Dhanya Jacob, Abhishek Yadav, Muhammed Jasim Abdul Jalal, Iona Leekha Mathew Journal of Gastrointestinal and Abdominal Radiology.2022; 05(03): 196. CrossRef - Aggressive solid pseudopapillary tumor of the pancreas. (Literature review and case report)
D.V. Sidorov, N.A. Grishin, M.V. Lozhkin, N.N. Volchenko, Kh.S. Kosumova, A.A. Troitskii, I.V. Stepanyuk, S.A. Bykasov, R.I. Moshurov Onkologiya. Zhurnal imeni P.A.Gertsena.2022; 11(2): 52. CrossRef
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Endoscopic Ultrasound-Guided Liver Biopsy Using a Core Needle for Hepatic Solid Mass
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Hyung Ku Chon, Hee Chan Yang, Keum Ha Choi, Tae Hyeon Kim
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Clin Endosc 2019;52(4):340-346. Published online July 15, 2019
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DOI: https://doi.org/10.5946/ce.2018.175
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Abstract
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- Background
/Aims: This study aimed to evaluate the feasibility and efficacy of endoscopic ultrasound-guided fine needle biopsy (EUSFNB) using a core needle for hepatic solid masses (HSMs). Additionally, the study aimed to assess factors that influence the diagnostic accuracy of EUS-FNB for HSMs.
Methods A retrospective analysis of patients who underwent EUS-FNB for the pathological diagnosis of HSMs was conducted between January 2013 and July 2017. The procedure had been performed using core needles of different calibers. The assessed variables were mass size, puncture route, needle type, and the number of needle passes.
Results Fifty-eight patients underwent EUS-FNB for the pathologic evaluation of HSMs with a mean mass size of 21.4±9.2 mm. EUSFNB was performed with either a 20-G (n=14), 22-G (n=29) or a 25-G core needle (n=15). The diagnostic accuracy for this procedure was 89.7%, but both specimen adequacy for histology and available immunohistochemistry stain were 91.4%. The sensitivity and specificity of EUS-FNB were 89.7% and 100%, respectively. There was one case involving bleeding as a complication, which was controlled with endoscopic hemostasis. According to the multivariate analysis, no variable was independently associated with a correct final diagnosis.
Conclusions EUS-FNB with core biopsy needle is a safe and highly accurate diagnostic option for assessing HSMs. There were no variable factors associated with diagnostic accuracy.
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