Clinical Endoscopy

Ja Seol Koo

7 Articles

Survey results from the participants of the Asian Young Endoscopist Award and International Young Endoscopist Award as part of the International Digestive Endoscopy Network: Tae-Geun Gweon, Sang Hoon Kim, Ki Bae Bang, Seung Wook Hong, Won Jae Yoon, Sung Noh Hong, Jae Jun Park, Jimin Han, Ja Seol Koo, Oh Young Lee, on behalf of the Public Affairs Committee of the Korean Society of Gastrointestinal Endoscopy; Clin Endosc 2023;56(5):674-676. Published online August 24, 2023; DOI: https://doi.org/10.5946/ce.2023.100

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Endoscopic Treatment of Jejunal Heterotopic Gastric Mucosa that Caused Recurrent Intussusception: Ke Ryun Ahn, Ja Seol Koo, Hwan Il Kim, Ji Hye Kim, Jee Hyun Lee, Seung Young Kim, Sung Woo Jung, Sang Woo Lee; Clin Endosc 2017;50(6):605-608. Published online October 18, 2017; DOI: https://doi.org/10.5946/ce.2017.026

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Heterotopic gastric mucosa (HGM) is a rare anomaly in the small bowel and may be the cause of intussusception when it gets a lead point in the jejunum. All cases of intussusception due to intestinal HGM have been treated with surgical resection. A 5-year-old girl presented with chief complaints of vomiting and abdominal pain for 2 weeks. A computed tomography scan of the abdomen showed intussusception at the proximal jejunal loops. Three air reductions and one saline reduction were attempted without success. She continued to be symptomatic, and endoscopic evaluation was performed. Enteroscopy revealed some variable-sized polypoid mucosal lesions with erosions on the proximal jejunum. Endoscopic mucosal resection was performed using a snare. The resected tissues histologically showed a hyperplastic polyp arising from the HGM. Her symptoms did not recur within 1 year after the treatment. Our case showed that enteroscopy could be useful for the diagnosis and management of jejunal intussusception caused by HGM.

Citations

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Endoscopic Mucosal Resection in Children
David S. Vitale, Kelly Wang, Laith H. Jamil, Kenneth H. Park, Quin Y. Liu
Journal of Pediatric Gastroenterology and Nutrition.2022; 74(1): 20. CrossRef
Life-threatening gastrointestinal bleeding caused by jejunal heterotopic gastric mucosa in an adult dog: a rare case report
Roxana Merca, Barbara Richter
BMC Veterinary Research.2022;[Epub] CrossRef
Rare polypoid gastric mucosa induced small bowel intussusception in a toddler
Brianna M. Bowman, Suy sen Hung Fong, Joel M. Prince, Subhasis Misra, Thomas Abbruzzese, Drew Rideout
Journal of Pediatric Surgery Case Reports.2022; 87: 102476. CrossRef
Intraoperative Endoscopy in Transient Adult Jejunojejunal Intussusception
Takeshi Okamoto, Hidekazu Suzuki, Katsuyuki Fukuda, Yoshihiro Moriwaki
Case Reports in Gastrointestinal Medicine.2021; 2021: 1. CrossRef
Heterotopic Gastric Mucosa in Adolescent Girl
Esra Polat, Rahşan Özcan, Nuray Kepil, Mine Güllüoğlu, Sevinç Kalin
Journal of Pediatric Gastroenterology and Nutrition.2020;[Epub] CrossRef
Jejunal Polyps out of Place: A Case of Gastric Heterotopia of the Jejunum
Siri A. Urquhart, Nayantara Coelho-Prabhu
Case Reports in Gastrointestinal Medicine.2020; 2020: 1. CrossRef
Heterotopic Gastric Mucosa Presenting as Lower Gastrointestinal Bleeding: An Unusual Case Report
Syed Muhammad Ali, Ayman Abdelhafiz Ahmed, Leena Amin Hussain Saaid, Gihan Mustafa Kamal Mohamed, Amjad Ali Shah, Mohannad Al-Tarakji, Zia Aftab, Inamulla, Sameera Rashid
Case Reports in Surgery.2019; 2019: 1. CrossRef

6,369 View
141 Download
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Predictors of Inadequate Bowel Preparation and Salvage Options on Colonoscopy: Ju Sung Sim, Ja Seol Koo; Clin Endosc 2016;49(4):346-349. Published online July 29, 2016; DOI: https://doi.org/10.5946/ce.2016.094

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Inadequate bowel preparation is observed in more than 25% of all colonoscopies. Identification of predictive factors for inadequate colon cleaning is helpful and more detailed preparation methods should be used for patients at high risk. Age, male sex, inpatient status, and comorbidities were identified as independent risk factors in several previous studies. In patients with insufficient colon preparation, colon irrigation with endoscopic pumps or next-day colonoscopy following further bowel cleaning should be performed. In order to improve the efficacy and safety of both bowel preparation and colonoscopy, the endoscopic team should identify the patient’s medical conditions and choose the optimal bowel preparation agent and regimen.

Citations

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Incidence and predicting factors of inadequate bowel preparation for colonoscopy: A cross‐sectional study
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Comparison of Objectively Assessed Versus Patient-Reported Clarity of Last Rectal Effluent for the Prediction of Quality of Bowel Preparation for Colonoscopy: A Prospective, Case-Control Study
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Evaluation of bowel preparation regimens for colonoscopy including a novel low volume regimen (Plenvu): CLEANSE study
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BMJ Open Gastroenterology.2023; 10(1): e001070. CrossRef
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Digestive Endoscopy.2023; 35(7): 822. CrossRef
Two Centers Affiliated to Shiraz University of Medical Sciences
M Alizadeh Nayini, A Molvi, M Ghorbani, F Banaei
Armaghane Danesh.2023; 28(3): 371. CrossRef
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Comparison of 2 L Polyethylene Glycol Plus Ascorbic Acid and 4 L Polyethylene Glycol in Elderly Patients Aged 60–79: A Prospective Randomized Study
Sung Hoon Jung, Chul-Hyun Lim, Tae-Geun Gweon, Jinsu Kim, Jung Hwan Oh, Kyu-Tae Yoon, Jee Young An, Jeong‑Seon Ji, Hwang Choi
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Bowel cleansing efficacy of 1 L NER1006versus macrogol and 3 L polyethylene glycol using split‐dose administration
Priya Sinh, Katherine Dunn, Sneha John
JGH Open.2022; 6(12): 824. CrossRef
Detection of Postcolonoscopy Colorectal Neoplasia by Multi-target Stool DNA
Derek W. Ebner, Jason D. Eckmann, Kelli N. Burger, Douglas W. Mahoney, Jamie Bering, Allon Kahn, Eduardo A. Rodriguez, David O. Prichard, Michael B. Wallace, Sunanda V. Kane, Lila J. Finney Rutten, Suryakanth R. Gurudu, John B. Kisiel
Clinical and Translational Gastroenterology.2021; 12(6): e00375. CrossRef
Polyethylene Glycol Versus Senna for Bowel Preparation for Colonoscopy in Children: Updated Evidence by a Systematic Review and Meta-Analysis
Jun Watanabe, Kazuhiko Kotani
Cureus.2021;[Epub] CrossRef
Efectividad y tolerabilidad de tres tipos de productos de preparación para colonoscopia
Luis Fernando Roldán Molina, Lina María Roldán Delfino, Sandra Milena León Ramírez, Edilberto Elías Nuñez Cabarcas, Hilda María Pérez Useche, Antonio José Restrepo Peláez, María Adelaida Saffón Abad, Julio Eduardo Zuleta Muñoz, Juan Nicolás Zuluaga Aguila
Revista colombiana de Gastroenterología.2021; 36(3): 334. CrossRef
Split dose bowel preparation before colonoscopy of PEG (Nulytely) in comparison to routine single dose bowel preparation
Said Al Alawi, Hisham Al Dhahab, Issa Al Salmi
Saudi Journal of Gastroenterology.2021; 27(4): 234. CrossRef
Factors affecting bowel preparation adequacy and procedural time
Mohammadali Zad, Cuong N Do, Aaron Heffernan, Lucy Johnston, Mohammed Al‐Ansari
JGH Open.2020; 4(2): 206. CrossRef
Impact of carotid atherosclerosis in CHA₂DS₂-VASc-based risk score on predicting ischemic stroke in patients with atrial fibrillation
Dong-Hyuk Cho, Jong-Il Choi, Jimi Choi, Yun Gi Kim, Suk-Kyu Oh, Hyungdon Kook, Kwang No Lee, Jaemin Shim, Seong-Mi Park, Wan Joo Shim, Young-Hoon Kim
The Korean Journal of Internal Medicine.2020;[Epub] CrossRef
Adenoma miss rate of polypectomy-referring hospitals is high in Korea
Ju Hyun Seo, Bo-In Lee, Kyungjin Lee, Jae Myung Park, Jin Soo Kim, Young-Seok Cho, Kang-Moon Lee, Sang Woo Kim, Hwang Choi, Myung-Gyu Choi
The Korean Journal of Internal Medicine.2020; 35(4): 881. CrossRef
Efficacy and Tolerability of Prucalopride in Bowel Preparation for Colonoscopy: A Systematic Review and Meta-Analysis
Sung-Wook Park, Seok-Pyo Shin, Ji Taek Hong
Advances in Therapy.2020; 37(5): 2507. CrossRef
Quality of same-day CT colonography following incomplete optical colonoscopy
Aileen O’Shea, Ann T. Foran, Timothy E. Murray, Eavan Thornton, Ruth Dunne, Michael J. Lee, Martina M. Morrin
European Radiology.2020; 30(12): 6508. CrossRef
Comparison of Oral Sulfate Solution and Polyethylene Glycol Plus Ascorbic Acid on the Efficacy of Bowel Preparation
Ji Hyung Nam, Seok Bo Hong, Yun Jeong Lim, Seongju Lee, Hyoun Woo Kang, Jae Hak Kim, Jin Ho Lee
Clinical Endoscopy.2020; 53(5): 568. CrossRef
Efficacy and Patient Tolerability Profiles of Probiotic Solution with Bisacodyl Versus Conventional Cleansing Solution for Bowel Preparation: A Prospective, Randomized, Controlled Trial
Youn I Choi, Jong-Joon Lee, Jun-Won Chung, Kyoung Oh Kim, Yoon Jae Kim, Jung Ho Kim, Dong Kyun Park, Kwang An Kwon
Journal of Clinical Medicine.2020; 9(10): 3286. CrossRef
Whole-colon investigation vs. flexible sigmoidoscopy for suspected colorectal cancer based on presenting symptoms and signs: a multicentre cohort study
Amanda J. Cross, Kate Wooldrage, Emma C. Robbins, Kevin Pack, Jeremy P. Brown, William Hamilton, Michael R. Thompson, Karen G. Flashman, Steve Halligan, Siwan Thomas-Gibson, Margaret Vance, Brian P. Saunders, Wendy Atkin
British Journal of Cancer.2019; 120(2): 154. CrossRef
Factors Affecting Proximal Colon Cleansing Based on Bowel Movement Kinetics: A Prospective Observational Study
Dae Bum Kim, Kang-Moon Lee, Sung-Goo Kang, Sung Hoon Jung
Gastroenterology Research and Practice.2019; 2019: 1. CrossRef
Predictive factors for inadequate bowel preparation using low-volume polyethylene glycol (PEG) plus ascorbic acid for an outpatient colonoscopy
Seung Yong Shin, Kyeong Seon Ga, In Young Kim, Yoo Mi Park, Da Hyun Jung, Jie-Hyun Kim, Young Hoon Youn, Hyojin Park, Jae Jun Park
Scientific Reports.2019;[Epub] CrossRef
Straight-to-test faecal tagging CT colonography for exclusion of colon cancer in symptomatic patients under the English 2-week-wait cancer investigation pathway: a service review
J.A. Stephenson, J. Pancholi, C.V. Ivan, J.H. Mullineux, H. Patel, R. Verma, M. Elabassy
Clinical Radiology.2018; 73(9): 836.e1. CrossRef
Impact of diet restriction on bowel preparation for colonoscopy
Seung-Joo Nam, Young Jin Kim, Bora Keum, Jae Min Lee, Seung Han Kim, Hyuk Soon Choi, Eun Sun Kim, Yeon Seok Seo, Yoon Tae Jeen, Hong Sik Lee, Hoon Jai Chun, Soon Ho Um, Chang Duck Kim
Medicine.2018; 97(41): e12645. CrossRef
A randomized controlled trial comparing the efficacy of 1-L polyethylene glycol solution with ascorbic acid plus prucalopride versus 2-L polyethylene glycol solution with ascorbic acid for bowel preparation
Seong Ji Choi, Eun Sun Kim, Byeong Kwang Choi, Geeho Min, Woojung Kim, Jung Min Lee, Jae Min Lee, Seung Han Kim, Hyuk Soon Choi, Bora Keum, Yoon Tae Jeen, Hong Sik Lee, Hoon Jai Chun, Chang Duck Kim
Scandinavian Journal of Gastroenterology.2018; 53(12): 1619. CrossRef

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Survey of Endoscope Reprocessing in Korea: Jeong Bae Park, Jae Nam Yang, Yun Jeong Lim, Ja Seol Koo, Jae Young Jang, Sang Hoon Park, Su Jin Hong, Sang-Woo Kim, Hoon Jai Chun, Disinfection Management Committee of the Korean Society of Gastrointestinal Endoscopy; Clin Endosc 2015;48(1):39-47. Published online January 31, 2015; DOI: https://doi.org/10.5946/ce.2015.48.1.39

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Background/Aims

There is a growing emphasis on quality management in endoscope reprocessing. Previous surveys conducted in 2002 and 2004 were not practitioner-oriented. Therefore, this survey is significant for being the first to target actual participants in endoscope reprocessing in Korea.

Methods

This survey comprised 33 self-filled questions, and was personally delivered to nurses and nursing auxiliaries in the endoscopy departments of eight hospitals belonging to the society. The anonymous responses were collected after 1 week either by post or in person by committee members.

Results

The survey included 100 participants. In the questionnaire addressing compliance rates with the reprocessing guideline, the majority (98.9%) had a high compliance rate compared to 27% of respondents in 2002 and 50% in 2004. The lowest rate of compliance with a reprocessing procedure was reported for transporting the contaminated endoscope in a sealed container. Automated endoscope reprocessors were available in all hospitals. Regarding reprocessing time, more than half of the subjects replied that reprocessing took more than 15 minutes (63.2%).

Conclusions

The quality management of endoscope reprocessing has improved as since the previous survey. A national survey expanded to include primary clinics is required to determine the true current status of endoscope reprocessing.

Citations

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Recommendations and guidelines for endoscope reprocessing: Current position statement of digestive endoscopic society of Taiwan
Wei-Kuo Chang, Chen-Ling Peng, Yen-Wei Chen, Cheuk-Kay Sun, Chieh-Chang Chen, Tao-Chieh Liu, Yin-Yi Chu, I-Fang Tsai, Chen-Shuan Chung, Hsiao-Fen Lin, Fang-Yu Hsu, Wei-Chen Tai, Hsi-Chang Lee, Hsu-Heng Yen, E-Ming Wang, Shu-Hui Chen, Cheng-Hsin Chu, Ming-
Journal of Microbiology, Immunology and Infection.2024; 57(2): 211. CrossRef
Monthly endoscopy surveillance culture facilitates detection of breaches in the scope reprocessing procedure: 5‐year experience in an endoscopy center
Shu‐Hui Chen, Theophile Liu, Huei‐Wen Lai, Hui‐Lan Chang, Hsu‐Heng Yen
Advances in Digestive Medicine.2022; 9(2): 103. CrossRef
A nationwide survey on the effectiveness of training on endoscope reprocessing within the national cancer screening program in Korea
Hye Young Shin, Da Hun Jang, Jae Kwan Jun
American Journal of Infection Control.2021; 49(8): 1031. CrossRef
Accreditation program for gastrointestinal endoscopes reprocessing in Italy: An on-site survey
Giancarlo Spinzi, Angelo Milano, Piero Brosolo, Paola Da Massa Carrara, Maurizio Labardi, Alberto Merighi, Luisa Riccardi, Francesco Torresan, Maurizio Capelli
Endoscopy International Open.2021; 09(11): E1627. CrossRef
Education and Training Guidelines for the Board of the Korean Society of Gastrointestinal Endoscopy
Hee Seok Moon, Eun Kwang Choi, Ji Hyun Seo, Jeong Seop Moon, Ho June Song, Kyoung Oh Kim, Jong Jin Hyun, Sung Kwan Shin, Beom Jae Lee, Sang Heon Lee
Clinical Endoscopy.2017; 50(4): 345. CrossRef
Feedback Survey of the Effect, Burden, and Cost of the National Endoscopic Quality Assessment Program during the Past 5 Years in Korea
Yu Kyung Cho, Jeong Seop Moon, Dong Su Han, Yong Chan Lee, Yeol Kim, Bo Young Park, Il-Kwun Chung, Jin-Oh Kim, Jong Pil Im, Jae Myung Cha, Hyun Gun Kim, Sang Kil Lee, Hang Lak Lee, Jae Young Jang, Eun Sun Kim, Yunho Jung, Chang Mo Moon
Clinical Endoscopy.2016; 49(6): 542. CrossRef
Adequacy of Reprocessing Gastrointestinal Endoscopes in Korea Hospitals
YoungOk Kim, Jae Sim Jeong
Journal of Korean Biological Nursing Science.2016; 18(4): 288. CrossRef
Role of Clinical Endoscopy in Emphasizing Endoscope Disinfection
Ji Kon Ryu, Eun Young Kim, Kwang An Kwon, Il Ju Choi, Ki Baik Hahm
Clinical Endoscopy.2015; 48(5): 351. CrossRef
Current Status of Endoscope Reprocessing in Korea
Young-Seok Cho
Clinical Endoscopy.2015; 48(1): 1. CrossRef

8,686 View
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Equipment-Based Image-Enhanced Endoscopy for Differentiating Colorectal Polyps: Ja Seol Koo; Clin Endosc 2014;47(4):330-333. Published online July 28, 2014; DOI: https://doi.org/10.5946/ce.2014.47.4.330

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The use of colonoscopy for the screening and surveillance of colorectal cancer has increased. However, the miss rate of advanced colorectal neoplasm is known to be 2% to 6%, which could be affected by the image intensity of colorectal lesions. Image-enhanced endoscopy (IEE) is capable of highlighting lesions, which can improve the colorectal adenoma detection rate and diagnostic accuracy. Equipment-based IEE methods, such as narrow band imaging (NBI), Fujinon intelligent color enhancement (FICE), and i-Scan, are used to observe the mucosal epithelium of the microstructure and capillaries of the lesion, and are helpful in the detection and differential diagnosis of colorectal tumors. Although NBI is similar to chromoendoscopy in terms of adenoma detection rates, NBI can be used to differentiate colorectal polyps and to predict the submucosal invasion of malignant tumors. It is also known that FICE and i-Scan are similar to NBI in their detection rates of colorectal lesions. Through more effective and advanced endoscopic equipment, diagnostic accuracy could be improved and new treatment paradigms developed.

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A Review of Current Disinfectants for Gastrointestinal Endoscopic Reprocessing: Sanghoon Park, Jae Young Jang, Ja Seol Koo, Jeong Bae Park, Yun Jeong Lim, Su Jin Hong, Sang-Woo Kim, Hoon Jai Chun, Disinfection Management Committee, The Korean Society of Gastrointestinal Endoscopy; Clin Endosc 2013;46(4):337-341. Published online July 31, 2013; DOI: https://doi.org/10.5946/ce.2013.46.4.337

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Gastrointestinal endoscopy is gaining popularity for diagnostic and therapeutic purposes. However, concerns over endoscope-related nosocomial infections are increasing, together with interest by the general public in safe and efficient endoscopy. For this reason, reprocessing the gastrointestinal endoscope is an important step for effective performance of endoscopy. Disinfectants are essential to the endoscope reprocessing procedure. Before selecting an appropriate disinfectant, their characteristics, limitations and means of use must be fully understood. Herein, we review the characteristics of several currently available disinfectants, including their uses, potency, advantages, and disadvantages. Most disinfectants can be used to reprocess gastrointestinal endoscopes if the manufacturer's guidelines are followed. The selection and use of a suitable disinfectant depends on the individual circumstances of each endoscopy suite.

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Van Nam Tran, Suhyun Park, Fazlurrahman Khan, Van Gia Truong, Seok Jeong, Don Haeng Lee, Young-Mog Kim, Hyun Wook Kang
Journal of Photochemistry and Photobiology B: Biology.2022; 226: 112367. CrossRef
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Education and Training Guidelines for the Board of the Korean Society of Gastrointestinal Endoscopy
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Clinical Endoscopy.2017; 50(4): 345. CrossRef
Acute Phlegmonous Gastritis Developing after Endoscopic Submucosal Dissection That Was Successfully Treated by Antibiotics Alone
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National Endoscopy Quality Improvement Program Remains Suboptimal in Korea
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Role of Clinical Endoscopy in Emphasizing Endoscope Disinfection
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Canadian Journal of Microbiology.2015; 61(5): 351. CrossRef
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Survey of Endoscope Reprocessing in Korea
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Clinical Endoscopy.2015; 48(1): 39. CrossRef

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Rifampin-induced Pseudomembranous Colitis with Rectosigmoid Sparing: Sun Young Yim, Ja Seol Koo, Ye Ji Kim, Sang Jung Park, Jin Nam Kim, Sung Woo Jung, Hyung Joon Yim, Sang Woo Lee, Jai Hyun Choi, Chang Duck Kim; Clin Endosc 2011;44(2):137-139. Published online December 31, 2011; DOI: https://doi.org/10.5946/ce.2011.44.2.137

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Pseudomembranous colitis (PMC) is known to be associated with antibiotic treatment, but is not commonly related to antitubercular (anti-TB) agent, rifampin. PMC is frequently localized to rectum and sigmoid colon, which can be diagnosed with sigmoidoscopy. We report a case of rifampin-induced PMC with rectosigmoid sparing in a pulmonary tuberculosis patient. An 81-year-old man using anti-TB agents was admitted with a 30-day history of severe diarrhea and general weakness. On colonoscopy, nonspecific findings such as mucosal edema and erosion were found in sigmoid colon, whereas multiple yellowish plaques were confined to cecal mucosa only. Biopsy specimen of the cecum was compatible with PMC. Metronidazole was started orally, and the anti-TB medications excluding rifampin were readministerred. His symptoms remarkably improved within a few days without recurrence. Awareness of rectosigmoid sparing PMC in patients who develop diarrhea during anti-TB treatment should encourage early total colonoscopy.

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