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Predictive Factors for Differentiating Gastrointestinal Stromal Tumors from Leiomyomas Based on Endoscopic Ultrasonography Findings in Patients with Gastric Subepithelial Tumors: A Multicenter Retrospective Study
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Sun Moon Kim, Eun Young Kim, Jin Woong Cho, Seong Woo Jeon, Ji Hyun Kim, Tae Hyeon Kim, Jeong Seop Moon, Jin-Oh Kim, the Research Group for Endoscopic Ultrasound of the Korean Society of Gastrointestinal Endoscopy
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Clin Endosc 2021;54(6):872-880. Published online November 18, 2021
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DOI: https://doi.org/10.5946/ce.2021.251
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 Abstract
 PDF PubReader ePub
- Background
/Aims: The utility of endoscopic ultrasonography (EUS) for differentiating gastrointestinal stromal tumors (GISTs) and leiomyomas of the stomach is not well known. We aimed to evaluate the ability of EUS for differentiating gastric GISTs and leiomyomas.
Methods
We retrospectively reviewed the medical records of patients with histopathologically proven GISTs (n=274) and leiomyomas (n=87). In two consensus meetings, the inter-observer variability in the EUS image analysis was reduced. Using logistic regression analyses, we selected predictive factors and constructed a predictive model and nomogram for differentiating GISTs from leiomyomas. A receiver operating characteristic (ROC) curve analysis was performed to measure the discrimination performance in the development and internal validation sets.
Results
Multivariate analysis identified heterogeneity (odds ratio [OR], 9.48), non-cardia (OR, 19.11), and older age (OR, 1.06) as independent predictors of GISTs. The areas under the ROC curve of the predictive model using age, sex, and four EUS factors (homogeneity, location, anechoic spaces, and dimpling or ulcer) were 0.916 (sensitivity, 0.908; specificity, 0.793) and 0.904 (sensitivity, 0.908; specificity, 0.782) in the development and internal validation sets, respectively.
Conclusions
The predictive model and nomogram using age, sex and homogeneity, tumor location, presence of anechoic spaces, and presence of dimpling or ulcer on EUS may facilitate differentiation between GISTs and leiomyomas.
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Citations
Citations to this article as recorded by  - Results of the interim analysis of a prospective, multicenter, observational study of small subepithelial lesions in the stomach
Masaya Iwamuro, Toshiharu Mitsuhashi, Tomoki Inaba, Kazuhiro Matsueda, Teruya Nagahara, Yoji Takeuchi, Hisashi Doyama, Masakatsu Mizuno, Tomoyuki Yada, Yoshinari Kawai, Jun Nakamura, Minoru Matsubara, Hiroko Nebiki, Keiko Niimi, Tatsuya Toyokawa, Ryuta Ta
Digestive Endoscopy.2024; 36(3): 323. CrossRef - Diagnostic Endoscopic Ultrasound (EUS) of the Luminal Gastrointestinal Tract
Giovanna Impellizzeri, Giulio Donato, Claudio De Angelis, Nico Pagano
Diagnostics.2024; 14(10): 996. CrossRef - Differential diagnosis of gastrointestinal stromal tumors versus leiomyomas by special stains
Shiwei Zhang, Pan Qin, Hongliang Ji
BMC Gastroenterology.2024;[Epub] CrossRef - Endoscopic Ultrasound Advanced Techniques for Diagnosis of Gastrointestinal Stromal Tumours
Socrate Pallio, Stefano Francesco Crinò, Marcello Maida, Emanuele Sinagra, Vincenzo Francesco Tripodi, Antonio Facciorusso, Andrew Ofosu, Maria Cristina Conti Bellocchi, Endrit Shahini, Giuseppinella Melita
Cancers.2023; 15(4): 1285. CrossRef - Endoscopic ultrasound artificial intelligence-assisted for prediction of gastrointestinal stromal tumors diagnosis: A systematic review and meta-analysis
Rômulo Sérgio Araújo Gomes, Guilherme Henrique Peixoto de Oliveira, Diogo Turiani Hourneaux de Moura, Ana Paula Samy Tanaka Kotinda, Carolina Ogawa Matsubayashi, Bruno Salomão Hirsch, Matheus Oliveira Veras, João Guilherme Ribeiro Jordão Sasso, Roberto Pa
World Journal of Gastrointestinal Endoscopy.2023; 15(8): 528. CrossRef - Prevalence, natural progression, and clinical practices of upper gastrointestinal subepithelial lesions in Korea: a multicenter study
Younghee Choe, Yu Kyung Cho, Gwang Ha Kim, Jun-Ho Choi, Eun Soo Kim, Ji Hyun Kim, Eun Kwang Choi, Tae Hyeon Kim, Seong-Hun Kim, Do Hoon Kim
Clinical Endoscopy.2023; 56(6): 744. CrossRef - Significance of Ultrasound Endoscopy in the Differential Diagnosis of Cardiac Leiomyomas and Gastrointestinal Stromal Tumors
燊 苏
Advances in Clinical Medicine.2023; 13(11): 17185. CrossRef - The Diagnosis of Small Gastrointestinal Subepithelial Lesions by Endoscopic Ultrasound-Guided Fine Needle Aspiration and Biopsy
Masanari Sekine, Takeharu Asano, Hirosato Mashima
Diagnostics.2022; 12(4): 810. CrossRef - Diagnostic accuracy of endoscopic ultrasound with artificial intelligence for gastrointestinal stromal tumors: A meta‐analysis
Xiao Hua Ye, Lin Lin Zhao, Lei Wang
Journal of Digestive Diseases.2022; 23(5-6): 253. CrossRef
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4,504
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192
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9
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Revision of Quality Indicators for the Endoscopy Quality Improvement Program of the National Cancer Screening Program in Korea
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Jun Ki Min, Jae Myung Cha, Yu Kyung Cho, Jie-Hyun Kim, Soon Man Yoon, Jong Pil Im, Yunho Jung, Jeong Seop Moon, Jin-Oh Kim, Yoon Tae Jeen
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Clin Endosc 2018;51(3):239-252. Published online May 31, 2018
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DOI: https://doi.org/10.5946/ce.2018.075
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Abstract
PDFPubReaderePub
- Gastroscopy and colonoscopy are widely used for the early diagnosis of stomach and colorectal cancer. The present revision integrates recent data regarding previous quality indicators and novel indicators suggested for gastroscopy and colonoscopy procedures for the National Cancer Screening Program in Korea. The new indicators, developed by the Quality Improvement Committee of the Korean Society for Gastrointestinal Endoscopy, vary in the level of supporting evidence, and most are based solely on expert opinion. Updated indicators validated by clinical research were prioritized, but were chosen by expert consensus when such studies were absent. The resultant quality indicators were graded according to the levels of consensus and recommendations. The updated indicators will provide a relevant guideline for high-quality endoscopy. The future direction of quality indicator development should include relevant outcome measures and an evidence-based approach to support proposed performance targets.
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Citations
Citations to this article as recorded by - Current status of quality control in screening esophagogastroduodenoscopy and the emerging role of artificial intelligence
Lihui Zhang, Liwen Yao, Zihua Lu, Honggang Yu
Digestive Endoscopy.2024; 36(1): 5. CrossRef - Performance of the National Cancer Screening Program for Gastric Cancer in Korea
Young-Il Kim
The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2024; 24(3): 231. CrossRef - Association between Endoscopist Volume and Interval Cancers after Colonoscopy: Results from the National Colorectal Cancer Screening Program in Korea
Dong Jun Kim, Nan-He Yoon, Jae Kwan Jun, Mina Suh, Sunhwa Lee, Seongju Kim, Ji Eun Kim, Hooyeon Lee
Cancer Research and Treatment.2024; 56(4): 1164. CrossRef - Interval Advanced Gastric Cancer After Negative Endoscopy
Tae Jun Kim, Jeung Hui Pyo, Young Hye Byun, Sung Chul Choi, Jin Pyo Hong, Yang Won Min, Hyuk Lee, Byung-Hoon Min, Poong-Lyul Rhee, Jae J. Kim, Jun Haeng Lee
Clinical Gastroenterology and Hepatology.2023; 21(5): 1205. CrossRef - Simulator-based training method in gastrointestinal endoscopy training and currently available simulators
Yuri Kim, Jeong Hoon Lee, Gin Hyug Lee, Ga Hee Kim, Gunn Huh, Seung Wook Hong, Hwoon-Yong Jung
Clinical Endoscopy.2023; 56(1): 1. CrossRef - Korean Guidelines for Postpolypectomy Colonoscopic Surveillance: 2022 revised edition
Su Young Kim, Min Seob Kwak, Soon Man Yoon, Yunho Jung, Jong Wook Kim, Sun-Jin Boo, Eun Hye Oh, Seong Ran Jeon, Seung-Joo Nam, Seon-Young Park, Soo-Kyung Park, Jaeyoung Chun, Dong Hoon Baek, Mi-Young Choi, Suyeon Park, Jeong-Sik Byeon, Hyung Kil Kim, Joo
Intestinal Research.2023; 21(1): 20. CrossRef - Quality indicators in the endoscopic detection of gastric cancer
Vikneswaran Namasivayam, Noriya Uedo
DEN Open.2023;[Epub] CrossRef - The Influence of Face Shields on the Quality of Colonoscopy in the Era of the COVID-19 Pandemic
Jin Wook Lee, Hyo Jeong Lee, Dae Sung Kim, Jiyoung Yoon, Seung Wook Hong, Ha Won Hwang, Jong-Soo Lee, Gwang-Un Kim, Sinwon Lee, Jaewon Choe, Jin Hwa Park, Dong-Hoon Yang, Jeong-Sik Byeon
Gut and Liver.2022; 16(3): 404. CrossRef - Quality indicators in esophagogastroduodenoscopy
Sang Yoon Kim, Jae Myung Park
Clinical Endoscopy.2022; 55(3): 319. CrossRef - Utilization and quality assessment of digestive endoscopy in China: results from 5-year consecutive nationwide surveys
Lei Xin, Ye Gao, Zhiyuan Cheng, Tianjiao Wang, Han Lin, Yanan Pang, Chang Sun, Zengjun Fu, Zhaoshen Li, Xudong Ma, Luowei Wang
Chinese Medical Journal.2022;[Epub] CrossRef - Reduced detection rate of artificial intelligence in images obtained from untrained endoscope models and improvement using domain adaptation algorithm
Junseok Park, Youngbae Hwang, Hyun Gun Kim, Joon Seong Lee, Jin-Oh Kim, Tae Hee Lee, Seong Ran Jeon, Su Jin Hong, Bong Min Ko, Seokmin Kim
Frontiers in Medicine.2022;[Epub] CrossRef - A scoping review on population-centered indicators for cancer care continuum
Vasuki Rajaguru, Jieun Jang, Jeoung A. Kwon, Jae Hyun Kim, Jaeyong Shin, Mison Chun
Frontiers in Public Health.2022;[Epub] CrossRef - Korean Guidelines for Postpolypectomy Colonoscopic Surveillance: 2022 Revised Edition
Su Young Kim, Min Seob Kwak, Soon Man Yoon, Yunho Jung, Jong Wook Kim, Sun-Jin Boo, Eun Hye Oh, Seong Ran Jeon, Seung-Joo Nam, Seon-Young Park, Soo-Kyung Park, Jaeyoung Chun, Dong Hoon Baek, Mi-Young Choi, Suyeon Park, Jeong-Sik Byeon, Hyung Kil Kim, Joo
The Korean Journal of Gastroenterology.2022; 80(3): 115. CrossRef - Antispasmodic Agent Administration Improves Gastric Neoplasm Detection Rates during Esophagogastroduodenoscopy
Sang Yoon Kim, Jae Myung Park
The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2022; 22(3): 246. CrossRef - Korean guidelines for postpolypectomy colonoscopic surveillance: 2022 revised edition
Su Young Kim, Min Seob Kwak, Soon Man Yoon, Yunho Jung, Jong Wook Kim, Sun-Jin Boo, Eun Hye Oh, Seong Ran Jeon, Seung-Joo Nam, Seon-Young Park, Soo-Kyung Park, Jaeyoung Chun, Dong Hoon Baek, Mi-Young Choi, Suyeon Park, Jeong-Sik Byeon, Hyung Kil Kim, Joo
Clinical Endoscopy.2022; 55(6): 703. CrossRef - Current Endoscopy Training in Korea and Future Aspects
Young-Eun Joo
The Korean Journal of Gastroenterology.2022; 80(5): 207. CrossRef - Colonoscopy quality in community hospitals and nonhospital facilities in Korea
Jae Gon Lee, Dong Soo Han, Young-Eun Joo, Dae-Seong Myung, Dong Il Park, Seul Ki Kim, Yunho Jung, Won Hyun Lee, Eun Soo Kim, Joon Seok Yoon, Chang Soo Eun
The Korean Journal of Internal Medicine.2021; 36(Suppl 1): S35. CrossRef - Association of Regular Endoscopic Screening with Interval Gastric Cancer Incidence in the National Cancer Screening Program
Choong-Kyun Noh, Eunyoung Lee, Gil Ho Lee, Sun Gyo Lim, Bumhee Park, Sung Jae Shin, Jae Youn Cheong, Kee Myung Lee
Journal of Clinical Medicine.2021; 11(1): 230. CrossRef - Impacts of age and sedation on cardiocerebrovascular adverse events after diagnostic GI endoscopy: a nationwide population-based study
Sang Yoon Kim, Chang Mo Moon, Min Ho Kim, Seong-Eun Kim, Hye-Kyung Jung, Ki-Nam Shim, Sung-Ae Jung
Gastrointestinal Endoscopy.2020; 92(3): 591. 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 - Endoscopy training in Korea
Joon Sung Kim, Byung-Wook Kim
The Korean Journal of Internal Medicine.2019; 34(2): 237. CrossRef - Updates on the Facilities, Procedures, and Performance of the Accredited Endoscopy Unit
Tae Hee Lee, Jin Young Yoon, Chang Nyol Paik, Hyuk Soon Choi, Jae-Young Jang
Clinical Endoscopy.2019; 52(5): 431. CrossRef - Quality Indicators and Outcome Measures of Endoscopy in the National Cancer Screening Program
Jun Ki Min, Jae Myung Cha, Min Seob Kwak, Jin Young Yoon, Yunho Jung, Jeong Eun Shin, Hyo-Joon Yang
Yonsei Medical Journal.2019; 60(11): 1054. CrossRef
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6,963
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185
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22
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23
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Education and Training Guidelines for the Board of the Korean Society of Gastrointestinal Endoscopy
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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
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Clin Endosc 2017;50(4):345-356. Published online July 31, 2017
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DOI: https://doi.org/10.5946/ce.2017.106
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Abstract
PDFPubReaderePub
- The Korean Society of Gastrointestinal Endoscopy (KSGE) developed a gastrointestinal (GI) endoscopy board in 1995 and related regulations. Although the KSGE has acquired many specialists since then, the education and training aims and guidelines were insufficient. During GI fellowship training, obtaining sufficient exposure to some types of endoscopic procedures is difficult. Fellows should acquire endoscopic skills through supervised endoscopic procedures during GI fellowship training. Thus, the KSGE requires training guidelines for fellowships that allow fellows to perform independent endoscopic procedures without supervision. This document is intended to provide principles that the Committee of Education and Training of the KSGE can use to develop practical guidelines for granting privileges to perform accurate GI endoscopy safely. The KSGE will improve the quality of GI endoscopy by providing guidelines for fellowships and supervisors.
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Citations
Citations to this article as recorded by - Endoscopic retrograde cholangiopancreatography training and education
Jiann‐Hwa Chen, Hsiu‐Po Wang
Digestive Endoscopy.2024; 36(1): 74. CrossRef - Training in basic gastrointestinal endoscopic procedures: a European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement
Giulio Antonelli, Andrei M. Voiosu, Katarzyna M. Pawlak, Tiago Cúrdia Gonçalves, Nha Le, Michiel Bronswijk, Marcus Hollenbach, Omar Elshaarawy, Ulrike Beilenhoff, Pietro Mascagni, Theodor Voiosu, Maria Pellisé, Mário Dinis-Ribeiro, Konstantinos Triantafyl
Endoscopy.2024; 56(02): 131. CrossRef - Training in Advanced Endoscopy: Current Status and Future Directions
Sachin Wani, Rishad Khan, Peter V. Draganov, Catharine M. Walsh
Gastroenterology.2024; 167(5): 834. CrossRef - Interval Advanced Gastric Cancer After Negative Endoscopy
Tae Jun Kim, Jeung Hui Pyo, Young Hye Byun, Sung Chul Choi, Jin Pyo Hong, Yang Won Min, Hyuk Lee, Byung-Hoon Min, Poong-Lyul Rhee, Jae J. Kim, Jun Haeng Lee
Clinical Gastroenterology and Hepatology.2023; 21(5): 1205. CrossRef - Global trends in training and credentialing guidelines for gastrointestinal endoscopy: a systematic review
Nasruddin Sabrie, Rishad Khan, Samir Seleq, Hoomam Homsi, Nikko Gimpaya, Rishi Bansal, Michael A. Scaffidi, David Lightfoot, Samir C. Grover
Endoscopy International Open.2023; 11(02): E193. CrossRef - Needs assessment of basic gastrointestinal endoscopy training: A qualitative study in Indonesia
Hasan Maulahela, Nagita G Annisa, Marcellus Simadibrata, Ari F Syam, Ardi Findyartini, Wresti Indriatmi, Roy Soetikno
JGH Open.2023; 7(12): 928. CrossRef - A feasibility study of bending technology of motorized flexible gastroscope
Sukgyu Koh, Sungwan Kim
Journal of Innovative Medical Technology.2023; 1(1): 24. CrossRef - Gastrointestinal and non-gastrointestinal complication rates associated with diagnostic esophagogastroduodenoscopy under sedation
Ji Min Jang, Su Bee Park, Jin Young Yoon, Min Seob Kwak, Jae Myung Cha
Medicine.2022; 101(19): e29266. CrossRef - The First Systematic Gastroscopy Training Program for Surgeons in Korea
Ho Seok Seo, So Jung Kim, Chul Hyo Jeon, Kyo Young Song, Han Hong Lee
Journal of Korean Medical Science.2022;[Epub] CrossRef - Implementation effect of institutional policy of EGD observation time on neoplasm detection
Jae Myung Park, Sang Yoon Kim, Ga-Yeong Shin, Younghee Choe, Hyun Sun Cho, Chul-Hyun Lim, Yu Kyung Cho, Myung-Gyu Choi
Gastrointestinal Endoscopy.2021; 93(5): 1152. CrossRef - Training in endoscopic retrograde cholangio-pancreatography: a critical assessment of the broad scenario of training programs and models
Camilla Gallo, Ivo Boškoski, Maria Valeria Matteo, Beatrice Orlandini, Guido Costamagna
Expert Review of Gastroenterology & Hepatology.2021; 15(6): 675. CrossRef - Colonoscopy quality in community hospitals and nonhospital facilities in Korea
Jae Gon Lee, Dong Soo Han, Young-Eun Joo, Dae-Seong Myung, Dong Il Park, Seul Ki Kim, Yunho Jung, Won Hyun Lee, Eun Soo Kim, Joon Seok Yoon, Chang Soo Eun
The Korean Journal of Internal Medicine.2021; 36(Suppl 1): S35. CrossRef - Guidelines for accreditation of endoscopy units: quality measures from the Korean Society of Coloproctology
Rumi Shin, Seongdae Lee, Kyung-Su Han, Dae Kyung Sohn, Sang Hui Moon, Dong Hyun Choi, Bong-Hyeon Kye, Hae-Jung Son, Sun Il Lee, Sumin Si, Won-Kyung Kang
Annals of Surgical Treatment and Research.2021; 100(3): 154. CrossRef - Why Should We Implement a System of Endoscopic Retrograde Cholangiopancreatography Certification?
Kwang Bum Cho
The Korean Journal of Pancreas and Biliary Tract.2021; 26(4): 211. CrossRef - Process and Renewal of Pancreatobiliary Cerification System
Dong Wook Lee, Byoung Kwan Son
The Korean Journal of Pancreas and Biliary Tract.2020; 25(1): 1. CrossRef - Impact of Hospital Volume and the Experience of Endoscopist on Adverse Events Related to Endoscopic Retrograde Cholangiopancreatography: A Prospective Observational Study
Hyun Jik Lee, Chang Min Cho, Jun Heo, Min Kyu Jung, Tae Nyeun Kim, Kook Hyun Kim, Hyunsoo Kim, Kwang Bum Cho, Ho Gak Kim, Jimin Han, Dong Wook Lee, Yoon Suk Lee
Gut and Liver.2020; 14(2): 257. CrossRef - Quality indicators in diagnostic upper gastrointestinal endoscopy
Wladyslaw Januszewicz, Michal F. Kaminski
Therapeutic Advances in Gastroenterology.2020;[Epub] CrossRef - Optimized diagnosis ofHelicobacter pyloriand tailored eradication therapy for preventing gastric cancer: a proposal for SHAKE strategy
Jun-Hyung Cho, So-Young Jin
Expert Review of Gastroenterology & Hepatology.2020; 14(7): 553. CrossRef - Endoscopy training in Korea
Joon Sung Kim, Byung-Wook Kim
The Korean Journal of Internal Medicine.2019; 34(2): 237. CrossRef - Current Korean Medical Specialty and Subspecialty System for Preparation of Privileging and Credentialing of ERCP Subspecialty
Eun Kwang Choi
The Korean Journal of Pancreas and Biliary Tract.2019; 24(2): 47. CrossRef - Accredited Endoscopy Unit Program of Korea: Overview and Qualification
Jung-Wook Kim, Yu Kyung Cho, Jin-Oh Kim, Jae-Young Jang
Clinical Endoscopy.2019; 52(5): 426. CrossRef - ERCP practice beyond the training period – bridging the gap between guidelines and real-life practice: a single operator experience of 679 procedures
Theodor Voiosu, Andrei Voiosu, Andreea Benguş, Bogdan Mateescu
Romanian Journal of Internal Medicine.2019; 57(2): 151. CrossRef - Basic training in digestive endoscopy for resident physicians in gastroenterology. Recommendations by the Sociedad Española de Endoscopia Digestiva (SEED)
Álvaro Brotons, Angels Vilella, Cristina Sánchez-Montes, Catalina Garau, Albert Vila, Vicente Pons Beltrán, Carlos Dolz Abadía
Revista Española de Enfermedades Digestivas.2018;[Epub] CrossRef
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Feedback Survey of the Effect, Burden, and Cost of the National Endoscopic Quality Assessment Program during the Past 5 Years in Korea
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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, Ethics and Quality Control Committee of Korean Society of Gastrointestinal Endoscopy
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Clin Endosc 2016;49(6):542-547. Published online March 2, 2016
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DOI: https://doi.org/10.5946/ce.2015.113
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Abstract
PDFPubReaderePub
- Background
/Aims: In Korea, the nationwide gastric cancer screening program recommends biennial screening for individuals aged 40 years or older by way of either an upper gastrointestinal series or endoscopy. The national endoscopic quality assessment (QA) program began recommending endoscopy in medical institutions in 2009. We aimed to assess the effect, burden, and cost of the QA program from the viewpoint of medical institutions.
Methods
We surveyed the staff of institutional endoscopic units via e-mail.
Results
Staff members from 67 institutions replied. Most doctors were endoscopic specialists. They responded as to whether the QA program raised awareness for endoscopic quality (93%) or improved endoscopic practice (40%). The percentages of responders who reported improvements in the diagnosis of gastric cancer, the qualifications of endoscopists, the quality of facilities and equipment, endoscopic procedure, and endoscopic reprocessing were 69%, 60%, 66%, 82%, and 75%, respectively. Regarding reprocessing, many staff members reported that they had bought new automated endoscopic preprocessors (3%), used more disinfectants (34%), washed endoscopes longer (28%), reduced the number of endoscopies performed to adhere to reprocessing guidelines (9%), and created their own quality education programs (59%). Many responders said they felt that QA was associated with some degree of burden (48%), especially financial burden caused by purchasing new equipment. Reasonable quality standards (45%) and incentives (38%) were considered important to the success of the QA program.
Conclusions
Endoscopic quality has improved after 5 years of the mandatory endoscopic QA program.
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Citations
Citations to this article as recorded by - 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 - Polyp missing rate and its associated risk factors of referring hospitals for endoscopic resection of advanced colorectal neoplasia
Jae Gyu Shin, Hyung Wook Kim, Su Bum Park, Cheol Woong Choi, Dae Hwan Kang, Su Jin Kim, Hyeong Seok Nam, Dae Gon Ryu
Medicine.2017; 96(19): e6742. 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 - How to Improve the Quality of Screening Endoscopy in Korea: National Endoscopy Quality Improvement Program
Yu Kyung Cho
Clinical Endoscopy.2016; 49(4): 312. CrossRef - How Can We Propagate the National Endoscopy Quality Improvement Program and Improve the Quality of Endoscopic Screening?
Dong-Hoon Yang
Gut and Liver.2016; 10(5): 657. CrossRef - The Importance of an Endoscopic Quality Assessment Program Reflecting Real Practice
In Kyung Yoo, Yoon Tae Jeen
Clinical Endoscopy.2016; 49(6): 495. CrossRef
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Job Stress and Job Satisfaction among Health-Care Workers of Endoscopy Units in Korea
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Seung-Joo Nam, Hoon Jai Chun, Jeong Seop Moon, Sung Chul Park, Young-Jae Hwang, In Kyung Yoo, Jae Min Lee, Seung Han Kim, Hyuk Soon Choi, Eun Sun Kim, Bora Keum, Yoon Tae Jeen, Hong Sik Lee, Chang Duck Kim
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Clin Endosc 2016;49(3):266-272. Published online February 22, 2016
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DOI: https://doi.org/10.5946/ce.2015.085
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Abstract
PDF
 Supplementary MaterialPubReaderePub
- Background
/Aims: The management of job-related stress among health-care workers is critical for the improvement of healthcare services; however, there is no existing research on endoscopy unit workers as a team. Korea has a unique health-care system for endoscopy unit workers. In this study, we aimed to estimate job stress and job satisfaction among health-care providers in endoscopy units in Korea.
Methods
We performed a cross-sectional survey of health-care providers in the endoscopy units of three university-affiliated hospitals in Korea. We analyzed the job stress levels by using the Korean occupational stress scale, contributing factors, and job satisfaction.
Results
Fifty-nine workers completed the self-administered questionnaires. The job stress scores for the endoscopy unit workers (46.39±7.81) were relatively lower compared to those of the national sample of Korean workers (51.23±8.83). Job stress differed across job positions, with nurses showing significantly higher levels of stress (48.92±7.97) compared to doctors (42.59±6.37). Job stress and job satisfaction were negatively correlated with each other (R2 =0.340, p<0.001).
Conclusions
An endoscopy unit is composed of a heterogeneous group of health-care professionals (i.e., nurses, fellows, and professors), and job stress and job satisfaction significantly differ according to job positions. Job demand, insufficient job control, and job insecurity are the most important stressors in the endoscopy unit.
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Citations
Citations to this article as recorded by - Exploring Work-Related Experiences of Newly Hired Hospital Nurses in Ghana: A Qualitative Study
Ernest Darkwah, Francis Annor, Seth Oppong, Sylvia Hagan
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Fangyuan Wu, Zheng Ren, Qi Wang, Minfu He, Wenjing Xiong, Guodong Ma, Xinwen Fan, Xia Guo, Hongjian Liu, Xiumin Zhang
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S.M.B. Billah, N. Saquib, M.S. Zaghloul, A.M. Rajab, S.M.T. Aljundi, A. Almazrou, J. Saquib
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Hüseyin ERİŞ, Suzan HAVLİOĞLU
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Sol Yu, Young Sook Roh
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Young Joo Yang, Gwang Ho Baik
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Role of Endoscopic Ultrasonography in Guiding Treatment Plans for Upper Gastrointestinal Subepithelial Tumors
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Jeong Seop Moon
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Clin Endosc 2016;49(3):220-225. Published online May 20, 2016
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DOI: https://doi.org/10.5946/ce.2016.047
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Abstract
PDFPubReaderePub
- Gastrointestinal (GI) subepithelial tumors (SETs) are usually observed incidentally by endoscopy and have diverse prognoses, varying from benign to potentially malignant. When a GI SET is suspected, endoscopic ultrasonography (EUS) is the most accurate diagnostic method to differentiate it from extraluminal compression. To determine the nature of GI SETs, EUS is also the most accurate diagnostic method, and reveals the precise sonographic nature of the lesion. There are some SETs with typical EUS findings of GI SETs, but most hypoechoic lesions are difficult to diagnose based on EUS images alone. EUS is also helpful to determine GI wall involvement in SETs and optimal treatment methods. For the diagnosis of GI SETs, obtaining a proper specimen is essential. EUS-guided cytology or biopsy methods such as fine-needle aspiration, Tru-Cut biopsy, and the newly introduced fine-needle biopsy (FNB) provide good results. To increase the diagnostic yield for GI SETs, cytology with immunocytochemical staining is used for cytological interpretation, resulting in good diagnostic yields. Recently, EUS-FNB using cheese slicer technology has been introduced, and has been reported to provide good diagnostic results for GI SETs.
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Citations
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Indications for Detection, Completion, and Retention Rates of Small Bowel Capsule Endoscopy Based on the 10-Year Data from the Korean Capsule Endoscopy Registry
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Yun Jeong Lim, Oh Young Lee, Yoon Tae Jeen, Chi Yeon Lim, Dae Young Cheung, Jae Hee Cheon, Byong Duk Ye, Hyun Joo Song, Jin Su Kim, Jae Hyuk Do, Kwang Jae Lee, Ki-Nam Shim, Dong Kyung Chang, Cheol Hee Park, Byung Ik Jang, Jeong Seop Moon, Hoon Jai Chun, Myung-Gyu Choi, Jin Oh Kim, Korean Gut Image Study Group
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Clin Endosc 2015;48(5):399-404. Published online September 30, 2015
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DOI: https://doi.org/10.5946/ce.2015.48.5.399
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Abstract
PDFPubReaderePub
- Background/Aims
Capsule endoscopy (CE) is widely used. However, CE has limitations including incomplete examination, inadequate bowel preparation, and retention. The aim of this study was to estimate the indications for and detection, completion, and retention rates of small intestine CE based on the 10-year data from the Korean Capsule Endoscopy Registry. MethodsTwenty-four hospitals participated in this study. Clinical information, such as reasons for CE, method and quality of bowel preparation, and incomplete examination and capsule retention rates, was collected and analyzed. ResultsA total of 2,914 CEs were registered. The most common reason for CE was obscure gastrointestinal bleeding (59%). Significant lesions were detected in 66% of cases. Positive CE diagnosis occurred in 63% of cases. The preparation method did not significantly affect the quality of bowel preparation for CE. The overall incomplete rate was 33%, and was high in the elderly and those with poor bowel preparation. Capsule retention was 3% and high in patients with small bowel tumors and Crohn's disease and in children under 10 years of age. ConclusionsCE is a valuable technique; while the overall detection rate is high, incompletion and retention rates are also relatively high. CE should be carefully considered in the elderly and children less than 10 years of age, as well as in patients with small bowel tumors and Crohn's disease.
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Citations
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139
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43
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39
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Learning Curve of Capsule Endoscopy
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Korean Gut Image Study Group, Yun Jeong Lim, Young Sung Joo, Dae Young Jung, Byong Duk Ye, Ji Hyun Kim, Jae Hee Cheon, Seong Eun Kim, Jae Hyuk Do, Byung Ik Jang, Jeong Seop Moon, Jin Oh Kim, Hoon Jae Chun, Myung-Gyu Choi
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Clin Endosc 2013;46(6):633-636. Published online November 19, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.6.633
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Abstract
PDFPubReaderePub
- Background/Aims
Capsule endoscopy (CE) has become an important tool for the diagnosis of small bowel disease. Although CE does not require the skill of endoscope insertion, the images should be interpreted by a person with experience in assessing images of the gastrointestinal mucosa. This investigation aimed to document the number of cases needed by trainees to gain the necessary experience for CE competency. MethodsFifteen cases were distributed to 12 trainees with no previous experience of CE during their gastroenterology training as clinical fellows. Twelve trainees and an expert were asked to read CE images from one patient each week for 15 weeks. The diagnosis was reported using five categories (no abnormalities detected, small bowel erosion or ulcer, small bowel tumor, Crohn disease, and active small bowel bleeding with no identifiable source). We then examined, using the κ coefficient, how the degree of mean agreements between the trainees and the expert changed as the training progressed each week. ResultsThe agreement rate of CE diagnosis increased as the frequencies of interpretation increased. Most of the mean κ coefficients were >0.60 and >0.80 after week 9 and 11, respectively. ConclusionsExperience with approximately 10 cases of CE is appropriate for trainees to attain CE competency.
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Citations
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Guidelines for Bowel Preparation before Video Capsule Endoscopy
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Hyun Joo Song, Jeong Seop Moon, Jae Hyuk Do, In Hye Cha, Chang Hun Yang, Myung-Gyu Choi, Yoon Tae Jeen, Hyun Jung Kim
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Clin Endosc 2013;46(2):147-154. Published online March 31, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.2.147
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Abstract
PDFPubReaderePub
The preparation for video capsule endoscopy (VCE) of the bowel suggested by manufacturers of capsule endoscopy systems consists only of a clear liquid diet and an 8-hour fast. While there is evidence for a benefit from bowel preparation for VCE, so far there is no domestic consensus on the preparation regimen in Korea. Therefore, we performed this study to recommend guidelines for bowel preparation before VCE. The guidelines on VCE were developed by the Korean Gut Image Study Group, part of the Korean Society of Gastrointestinal Endoscopy. Four key questions were selected. According to our guidelines, bowel preparation with polyethylene glycol (PEG) solution enhances small bowel visualization quality (SBVQ) and diagnostic yield (DY), but it has no effect on cecal completion rate (CR). Bowel preparation with 2 L of PEG solution is similar to that with 4 L of PEG in terms of the SBVQ, DY, and CR of VCE. Bowel preparation with fasting or PEG solution combined with simethicone enhances the SBVQ, but it does not affect the CR of VCE. Bowel preparation with prokinetics does not enhance the SBVQ, DY, or CR of VCE. -
Citations
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Guideline for Capsule Endoscopy: Obscure Gastrointestinal Bleeding
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Ki-Nam Shim, Jeong Seop Moon, Dong Kyung Chang, Jae Hyuk Do, Ji Hyun Kim, Byung Hoon Min, Seong Ran Jeon, Jin-Oh Kim, Myung-Gyu Choi, Korean Gut Image Study Group
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Clin Endosc 2013;46(1):45-53. Published online January 31, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.1.45
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Abstract
PDFPubReaderePub
Capsule endoscopy (CE) is considered as a noninvasive and reliable diagnostic tool of examining the entire small bowel. CE has been performed frequently at many medical centers in South Korea; however, there is no evidence-based CE guideline for adequate diagnostic approaches. To provide accurate information and suggest correct testing approaches for small bowel disease, the guideline on CE was developed by the Korean Gut Image Study Group, a part of the Korean Society of Gastrointestinal Endoscopy. Operation teams for developing the guideline were organized into four areas: obscure gastrointestinal bleeding, small bowel preparation, Crohn's disease, and small bowel tumor. A total of 20 key questions were selected. In preparing this guideline, MEDLINE, Cochrane library, KMbase, KISS, and KoreaMed literature searches were performed. After writing a draft of the guideline, opinions from various experts were reflected before approving the final document. The guideline should be regarded as recommendations only to gastroenterologists in providing care to their patients. These are not absolute rules and should not be construed as establishing a legal standard of care. Although further revision may be necessary as new data appear, this guideline is expected to play a role for adequate diagnostic approaches of various small bowel diseases. -
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Endoscopic Ultrasound-Guided Fine Needle Aspiration in Submucosal Lesion
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Jeong Seop Moon
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Clin Endosc 2012;45(2):117-123. Published online June 30, 2012
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DOI: https://doi.org/10.5946/ce.2012.45.2.117
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Abstract
PDFPubReaderePub
A submucosal lesion, more appropriately a subepithelial lesion, is hard to diagnose. Endoscopic ultrasonography is good to differentiate the nature of submucosal lesion. For definite diagnosis, tissue acquisition from submucosal lesion is necessary, and many methods have been introduced for this purpose mainly by endoscopic ultrasonography, such as endoscopic ultrasound-guided fine needle aspiration (EUS-FNA), EUS-guided Trucut Biopsy (TCB), and EUS-guided fine needle biopsy (FNB). For EUS-FNA, adequate processing of specimen is important, and for proper diagnosis of EUS-FNA specimen, both cytologic and histologic examinations, including immunohistochemical stains, are important. All gastrointestinal stromal tumors have some degree of malignant potential, so there have been a lot of efforts and methods to increase diagnostic yields of submucosal lesion. We herein review the current hot topics on EUS-FNA for submucosal tumor, such as needles, on-site cytopathologists, immunohistochemical stains, EUS-TCB, EUS-FNB, Ki-67 labelling index, DOG1, and combining EUS-FNA and EUS-TCB. -
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World Journal of Gastroenterology.2022; 28(11): 1123. CrossRef - Efficacy, Feasibility, and Safety of Endoscopic Ultrasound-guided Fine-needle Biopsy for the Diagnosis of Gastrointestinal Subepithelial Lesions
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Journal of Clinical Gastroenterology.2022; 56(6): e283. CrossRef - AGA Clinical Practice Update on Management of Subepithelial Lesions Encountered During Routine Endoscopy: Expert Review
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Clinical Gastroenterology and Hepatology.2022; 20(11): 2435. CrossRef - Comparison of 22G Fork-Tip and Franseen Needles and Usefulness of Contrast-Enhanced Endoscopic Ultrasound for Diagnosis of Upper Gastrointestinal Subepithelial Lesions
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Diagnostics.2022; 12(12): 3122. CrossRef - What About Gastric Schwannoma? A Review Article
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Ga Hee Kim, Ji Yong Ahn, Chung Sik Gong, Mimi Kim, Hee Kyong Na, Jeong Hoon Lee, Kee Wook Jung, Do Hoon Kim, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung
Digestive Diseases and Sciences.2020; 65(2): 583. CrossRef - Traction method for endoscopic subserosal dissection
Bianca Maria Quarta Colosso, Mary Raina Angeli Abad, Haruhiro Inoue
VideoGIE.2020; 5(4): 148. CrossRef - EUS and EUS-guided FNA/core biopsies in the evaluation of subepithelial lesions of the lower gastrointestinal tract: 10-year experience
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Endoscopic Ultrasound.2020; 9(5): 329. CrossRef - Large leiomyoma of lower esophagus diagnosed by endoscopic ultrasonography–fine needle aspiration: A case report
Min Rao, Qing-Qing Meng, Pu-Jun Gao
World Journal of Clinical Cases.2020; 8(22): 5809. CrossRef - Predicting Malignancy Risk in Gastrointestinal Subepithelial Tumors with Contrast-Enhanced Harmonic Endoscopic Ultrasonography Using Perfusion Analysis Software
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Gut and Liver.2019; 13(2): 161. CrossRef - Gastric Schwannoma: A Case Report and Review of the Literature for Gastric Submucosal Masses Distinction
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Case Reports in Medicine.2018; 2018: 1. CrossRef - Subepithelial rectal gastrointestinal stromal tumor – the use of endoscopic ultrasound-guided fine needle aspiration to establish a definitive cytological diagnosis: a case report
Vitor Ottoboni Brunaldi, Martin Coronel, Danielle Azevedo Chacon, Eduardo Turiani Hourneaux De Moura, Sérgio E. Matuguma, Eduardo Guimarães Hourneaux De Moura, Diogo Turiani Hourneaux De Moura
Journal of Medical Case Reports.2017;[Epub] CrossRef - Is a Cytopathologist Always Needed during Endoscopic Ultrasonography-Guided Tissue Acquisition?
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Clinical Endoscopy.2017; 50(4): 311. CrossRef - Role of Endoscopic Ultrasonography in Guiding Treatment Plans for Upper Gastrointestinal Subepithelial Tumors
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Clinical Endoscopy.2016; 49(3): 220. CrossRef - Primary Esophageal Intramural Squamous Cell Carcinoma Masquerading as a Submucosal Tumor: A Rare Presentation of a Common Disease
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Clinical Medicine Insights: Gastroenterology.2016; 9: CGast.S40605. CrossRef - Yields and Utility of Endoscopic Ultrasonography-Guided 19-Gauge Trucut Biopsy versus 22-Gauge Fine Needle Aspiration for Diagnosing Gastric Subepithelial Tumors
Hee Kyong Na, Jeong Hoon Lee, Young Soo Park, Ji Yong Ahn, Kwi-Sook Choi, Do Hoon Kim, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung, Jin-Ho Kim
Clinical Endoscopy.2015; 48(2): 152. CrossRef - Which Needle Is Better for Diagnosing Subepithelial Lesions?
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Clinical Endoscopy.2015; 48(2): 91. CrossRef - Diagnosis of Gastric Subepithelial Tumor: Focusing on Endoscopic Ultrasonography
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The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2015; 15(1): 9. CrossRef - Utility of DOG1 Immunomarker in Fine Needle Aspirates of Gastrointestinal Stromal Tumor
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Acta Cytologica.2015; 59(1): 61. CrossRef - Prognostic Significance of Ki-67 Expression in Patients Undergoing Surgical Resection for Gastrointestinal Stromal Tumor
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The Korean Journal of Gastroenterology.2014; 64(2): 87. CrossRef - A case of anastomotic recurrence after surgery for gastric cancer diagnosed by endoscopic ultrasound-guided fine needle aspiration
Kouta Murohashi, Haruo Miwa, Kazuya Sugimori, Yuichiro Tozuka, Yuniba Ishii, Eri Kameta, Tomohiro Ishii, Takashi Kaneko, Takashi Oshima, Atsushi Kokawa, Kazushi Numata, Chikara Kunisaki, Katsuaki Tanaka, Shin Maeda
Progress of Digestive Endoscopy.2014; 85(1): 88. CrossRef - Endoscopic submucosal dissection of large gastrointestinal stromal tumors in the esophagus and stomach
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Journal of Gastroenterology and Hepatology.2013; 28(2): 262. CrossRef - Prevalence and Predictive Factors of Malignant Potential in Resected Gastric Subepithelial Tumors
Seung Kak Shin, Jun-Won Chung, Jung Hyun Lee, Yoon Jae Kim, Kwang Ahn Kwon, Dong Kyun Park, Woon Kee Lee
The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2013; 13(2): 104. CrossRef - Diagnosis of Subepithelial Lesion: Still "Tissue Is the Issue"
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Clinical Endoscopy.2013; 46(4): 313. CrossRef - Endoscopic Submucosal Dissection for Gastrointestinal Mesenchymal Tumors Adjacent to the Esophagogastric Junction: We Need to Do More
Chao Sun, Zhankun He, Zhongqing Zheng, Qingxiang Yu, Tao Wang, Wentian Liu, Bangmao Wang
Journal of Laparoendoscopic & Advanced Surgical Techniques.2013; 23(7): 570. CrossRef - Endoscopic Ultrasound, Where Are We Now in 2012?
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Clinical Endoscopy.2012; 45(3): 321. CrossRef - Metastatic Breast Cancer to the Gastrointestinal Tract: Report of Five Cases and Review of the Literature
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International Journal of Breast Cancer.2012; 2012: 1. CrossRef
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