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Jun-Ho Choi 5 Articles
A 66-year-old woman with a hypervascular pancreatic mass
Jun-Ho Choi
Clin Endosc 2023;56(6):827-828.   Published online May 18, 2023
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  • 99 Download
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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, The Research Group for Endoscopic Ultrasound in Korean Society of Gastrointestinal Endoscopy
Clin Endosc 2023;56(6):744-753.   Published online August 25, 2023
Graphical AbstractGraphical Abstract AbstractAbstract PDFPubReaderePub
/Aims: This study aimed to evaluate the prevalence and natural progression of subepithelial lesions (SELs) in the upper gastrointestinal (UGI) tract.
The medical records of patients with UGI SELs who underwent endoscopic screening at eight university hospitals between January and December 2010 were retrospectively investigated. The follow-up evaluations were performed until December 2016.
UGI SELs were found in 1,044 of the 65,233 participants screened (endoscopic prevalence, 1.60%; the total number of lesions, 1,062; mean age, 55.1±11.2 years; men, 53.6%). The median follow-up period was 48 (range, 8–74) months. SELs were most frequently found in the stomach (63.8%) and had a mean size of 9.9±6.1 mm. Endoscopic ultrasonography (EUS) was performed in 293 patients (28.1%). The most common lesions were leiomyomas, followed by gastrointestinal stromal tumors (GISTs), and ectopic pancreas. The proportions of SELs with malignant potential according to size were 3% (<1 cm), 22% (1–2 cm), 27% (2–3 cm), and 38% (≥3 cm). In gastric SELs larger than 1 cm, resections were performed in 20 patients because of an increase in size, of which 12 were found to be GISTs.
The prevalence of UGI SELs was 1.60%. Further, 23% of gastric SELs ≥1 cm were precancerous lesions, most followed by EUS and clinical decisions without initial pathological confirmation.


Citations to this article as recorded by  
  • A Case of Esophageal MALT Lymphoma Mimicking a Subepithelial Tumor
    Ha Eun Lee, Gwang Ha Kim, Min Ji Kim, Kyung Bin Kim, Dong Chan Joo, Hye Kyung Jeon, Moon Won Lee, Bong Eun Lee
    The Korean Journal of Gastroenterology.2024; 83(4): 157.     CrossRef
  • Small gastric subepithelial lesions: A sand in the eye
    Tanyaporn Chantarojanasiri, Nikhil Sonthalia, Rashid N. Lui
    Journal of Gastroenterology and Hepatology.2024;[Epub]     CrossRef
  • An Esophageal Leiomyoma with Cystic Degeneration Mimicking a Malignant Neoplasm
    Gwang Ha Kim, Dong Chan Joo, Moon Won Lee, Bong Eun Lee, Kyungbin Kim
    The Ewha Medical Journal.2023;[Epub]     CrossRef
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  • 167 Download
  • 5 Web of Science
  • 3 Crossref
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Clinical and Technical Guideline for Endoscopic Ultrasound (EUS)-Guided Tissue Acquisition of Pancreatic Solid Tumor: Korean Society of Gastrointestinal Endoscopy (KSGE)
Moon Jae Chung, Se Woo Park, Seong-Hun Kim, Chang Min Cho, Jun-Ho Choi, Eun Kwang Choi, Tae Hoon Lee, Eunae Cho, Jun Kyu Lee, Tae Jun Song, Jae Min Lee, Jun Hyuk Son, Jin Suk Park, Chi Hyuk Oh, Dong-Ah Park, Jeong-Sik Byeon, Soo Teik Lee, Ho Gak Kim, Hoon Jai Chun, Ho Soon Choi, Chan Guk Park, Joo Young Cho
Clin Endosc 2021;54(2):161-181.   Published online March 24, 2021
AbstractAbstract PDFPubReaderePub
Endoscopic ultrasound (EUS)-guided tissue acquisition of pancreatic solid tumor requires a strict recommendation for its proper use in clinical practice because of its technical difficulty and invasiveness. The Korean Society of Gastrointestinal Endoscopy (KSGE) appointed a Task Force to draft clinical practice guidelines for EUS-guided tissue acquisition of pancreatic solid tumor. The strength of recommendation and the level of evidence for each statement were graded according to the Minds Handbook for Clinical Practice Guideline Development 2014. The committee, comprising a development panel of 16 endosonographers and an expert on guideline development methodology, developed 12 evidence-based recommendations in 8 categories intended to help physicians make evidence-based clinical judgments with regard to the diagnosis of pancreatic solid tumor. This clinical practice guideline discusses EUS-guided sampling in pancreatic solid tumor and makes recommendations on circumstances that warrant its use, technical issues related to maximizing the diagnostic yield (e.g., needle type, needle diameter, adequate number of needle passes, sample obtaining techniques, and methods of specimen processing), adverse events of EUS-guided tissue acquisition, and learning-related issues. This guideline was reviewed by external experts and suggests best practices recommended based on the evidence available at the time of preparation. This guideline may not be applicable for all clinical situations and should be interpreted in light of specific situations and the availability of resources. It will be revised as necessary to cover progress and changes in technology and evidence from clinical practice.


Citations to this article as recorded by  
  • Role of Endoscopic Ultrasound in the Management of Pancreatic Cancer
    Balaji Musunuri, Shiran Shetty
    Indian Journal of Surgical Oncology.2024; 15(S2): 269.     CrossRef
  • Endoscopic ultrasound-guided tissue acquisition for personalized treatment in pancreatic adenocarcinoma
    Sang Myung Woo
    Clinical Endoscopy.2023; 56(2): 183.     CrossRef
  • Pancreatic duct lavage cytology combined with a cell-block method for patients with possible pancreatic ductal adenocarcinomas, including pancreatic carcinoma in situ
    Hiroaki Kusunose, Shinsuke Koshita, Yoshihide Kanno, Takahisa Ogawa, Toshitaka Sakai, Keisuke Yonamine, Kazuaki Miyamoto, Fumisato Kozakai, Hideyuki Anan, Kazuki Endo, Haruka Okano, Masaya Oikawa, Takashi Tsuchiya, Takashi Sawai, Yutaka Noda, Kei Ito
    Clinical Endoscopy.2023; 56(3): 353.     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
  • Endoscopic ultrasound-guided tissue acquisition and gene panel testing for pancreatic cancer
    Kentaro SUDO, Emiri KITA, Akiko TSUJIMOTO, Kazuyoshi NAKAMURA, Akiko ODAKA, Makiko ITAMI, Sana YOKOI, Hiroshi ISHII
    Suizo.2022; 37(1): 8.     CrossRef
  • Impact of rapid on-site evaluation on diagnostic accuracy of EUS-guided fine-needle aspiration of solid pancreatic lesions: experience from a single center
    Irem Guvendir, Itir Ebru Zemheri, Kamil Ozdil
    BMC Gastroenterology.2022;[Epub]     CrossRef
  • Endoscopic Ultrasound Guided Fine Needle Aspiration and Biopsy for Pancreatic Disease
    Kwang Hyuck Lee
    The Korean Journal of Pancreas and Biliary Tract.2021; 26(4): 241.     CrossRef
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  • 279 Download
  • 4 Web of Science
  • 7 Crossref
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Conversion of Percutaneous Cholecystostomy to Endoscopic Gallbladder Stenting by Using the Rendezvous Technique
Kwangwoo Nam, Jun-Ho Choi
Clin Endosc 2017;50(3):301-304.   Published online November 7, 2016
AbstractAbstract PDFPubReaderePub
We report the successful conversion of percutaneous cholecystostomy (PC) to endoscopic transpapillary gallbladder stenting (ETGS) with insertion of an antegrade guidewire into the duodenum. An 84-year-old man presented with severe acute cholecystitis and septic shock. He had significant comorbidities, and emergent PC was successfully performed. Subsequent ETGS was attempted but unsuccessful owing to difficulties with cystic duct cannulation. However, via the PC tract, the guidewire was passed antegradely into the duodenum, and ETGS with a double-pigtail plastic stent was successfully performed with the rendezvous technique. The PC tube was removed, and no recurrence was reported during the 17-month follow-up period. Conversion of PC to ETGS is a viable option in patients with acute cholecystitis who are not candidates for surgery. Antegrade guidewire insertion via the PC tract may increase the success rate of conversion and decrease the risk of procedure-related complications.
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Endoscopic Ultrasonography-Guided Ethanol Ablation for Small Pancreatic Neuroendocrine Tumors: Results of a Pilot Study
Do Hyun Park, Jun-Ho Choi, Dongwook Oh, Sang Soo Lee, Dong-Wan Seo, Sung Koo Lee, Myung-Hwan Kim
Clin Endosc 2015;48(2):158-164.   Published online March 27, 2015
AbstractAbstract PDFPubReaderePub

Endoscopic ultrasonography (EUS)-guided ethanol ablation is gaining popularity for the treatment of focal pancreatic lesions. The aim of this study was to evaluate the safety, feasibility, and treatment response after EUS-guided ethanol injection for small pancreatic neuroendocrine tumors (p-NETs).


This was a retrospective analysis of a prospectively collected database including 11 consecutive patients with p-NETs who underwent EUS-guided ethanol injection.


EUS-guided ethanol injection was successfully performed in 11 patients with 14 tumors. The final diagnosis was based on histology and clinical signs as follows: 10 non-functioning neuroendocrine tumors and four insulinomas. During follow-up (median, 370 days; range, 152 to 730 days), 10 patients underwent clinical follow-up after treatment, and one patient was excluded because of loss to follow-up. A single treatment session with an injection of 0.5 to 3.8 mL of ethanol resulted in complete responses (CRs) at the 3-month radiologic imaging for seven of 13 tumors (response rate, 53.8%). Multiple treatment sessions performed in three tumors with residual viable enhancing tissue increased the number of tumors with CRs to eight of 13 (response rate, 61.5%). Mild pancreatitis occurred in three of 11 patients.


EUS-guided ethanol injection appears to be a safe, feasible, and potentially effective method for treating small p-NETs in patients who are poor surgical candidates.


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    Hoonsub So, Sung Woo Ko, Seung Hwan Shin, Eun Ha Kim, Jimin Son, SuHyun Ha, Ki Byung Song, Hwa Jung Kim, Myung-Hwan Kim, Do Hyun Park
    Gastrointestinal Endoscopy.2023; 97(4): 741.     CrossRef
  • Efficacy and predictive factors of endoscopic ultrasound-guided ethanol ablation in benign solid pancreatic tumors
    Jin Ho Choi, Woo Hyun Paik, Sang Hyub Lee, Min Woo Lee, In Rae Cho, Ji Kon Ryu, Yong-Tae Kim
    Surgical Endoscopy.2023; 37(8): 5960.     CrossRef
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    Indian Journal of Gastroenterology.2023; 42(2): 158.     CrossRef
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    YongYan Cui, Richard A. Kozarek
    Gastrointestinal Endoscopy Clinics of North America.2023; 33(4): 679.     CrossRef
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    Osama O. Elkelany, Fred G. Karaisz, Benjamin Davies, Somashekar G. Krishna
    Current Oncology.2023; 30(8): 7566.     CrossRef
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    Hironari KATO, Kazuyuki MATSUMOTO
    Suizo.2023; 38(4): 229.     CrossRef
  • Portuguese Pancreatic Club Perspectives on Endoscopic Ultrasound-Guided and Surgical Treatment of Pancreatic Neuroendocrine Tumors
    Tiago Ribeiro, Sara Castanheira-Rodrigues, Pedro Bastos, Humberto Cristino, Alexandra Fernandes, Eduardo Rodrigues-Pinto, Miguel Bispo, Ricardo Rio-Tinto, Filipe Vilas-Boas
    GE - Portuguese Journal of Gastroenterology.2023; : 1.     CrossRef
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    Grigoris Effraimidis, Ulrich Knigge, Maria Rossing, Peter Oturai, Åse Krogh Rasmussen, Ulla Feldt-Rasmussen
    Seminars in Cancer Biology.2022; 79: 141.     CrossRef
  • Safety and efficacy of EUS-guided ablation of pancreatic lesions with ethanol versus ethanol with paclitaxel: A systematic review and meta-analysis
    SyedMohsin Saghir, BanreetSingh Dhindsa, SaravGunjit Singh Daid, Yassin Naga, Amaninder Dhaliwal, HarmeetS Mashiana, Neil Bhogal, Harlan Sayles, Daryl Ramai, Shailender Singh, Ishfaq Bhat, Rajani Rangray, Stephanie McDonough, DouglasG Adler
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    Kazuyuki Matsumoto, Hironari Kato, Hiroyuki Okada
    Digestive Endoscopy.2022;[Epub]     CrossRef
  • Endotherapy in Pancreatic Diseases
    Vaneet Jearth, Surinder S. Rana
    Journal of Digestive Endoscopy.2022; 13(01): 019.     CrossRef
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    Rajat Garg, Abdul Mohammed, Amandeep Singh, MaryP Harnegie, Tarun Rustagi, Tyler Stevens, Prabhleen Chahal
    Endoscopic Ultrasound.2022; 11(3): 170.     CrossRef
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    Mihai RIMBAȘ, Gianenrico RIZZATTI, Alberto LARGHI
    Minerva Gastroenterology.2022;[Epub]     CrossRef
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    Roberta Elisa Rossi, Alessandra Elvevi, Camilla Gallo, Andrea Palermo, Pietro Invernizzi, Sara Massironi
    World Journal of Gastroenterology.2022; 28(26): 3258.     CrossRef
  • The global research status and trends of the application of endoscopic ultrasonography in pancreatic tumors over the last decades: A bibliometric study
    Chuanchao Xia, Hua Yin, Kecheng Zhang, Zhenhuan Wang, Xiaoli Yang, Haojie Huang
    Frontiers in Oncology.2022;[Epub]     CrossRef
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    Indian Journal of Surgery.2022;[Epub]     CrossRef
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    Seminars in Oncology.2021; 48(1): 95.     CrossRef
  • Role of Radiofrequency Ablation in the Management of Unresectable Pancreatic Cancer
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    Frontiers in Medicine.2021;[Epub]     CrossRef
  • Insulinoma: A Recurrent Pancreatic Tumor Amendable to Computed Tomography–Guided Ethanol-Lipiodol Injection
    Himesh B. Zaver, Khaled I. Alnahhal, Hassan Ghoz, Ricardo Paz-Fumagalli, Massimo Raimondo, Frank J. Lukens
    ACG Case Reports Journal.2021; 8(2): e00539.     CrossRef
  • Diagnostic Role and Therapeutic Perspectives of Endoscopic Ultrasound for Pancreatic Neuroendocrine Tumor
    Jun-Ho Choi
    The Korean Journal of Pancreas and Biliary Tract.2021; 26(1): 1.     CrossRef
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    Maria Luisa Brandi, Sunita K Agarwal, Nancy D Perrier, Kate E Lines, Gerlof D Valk, Rajesh V Thakker
    Endocrine Reviews.2021; 42(2): 133.     CrossRef
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    Jun Seong Hwang, Sung Woo Ko
    Journal of Digestive Cancer Reports.2021; 9(1): 25.     CrossRef
  • It's not a mystery, it's in the history: Multidisciplinary management of multiple endocrine neoplasia type 1
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    Journal of Clinical Medicine.2021; 10(12): 2638.     CrossRef
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    Alessandra Zilli, Paolo Giorgio Arcidiacono, Dario Conte, Sara Massironi
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    Lingaku Lee, Tetsuhide Ito, Robert T. Jensen
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    Hee Sang Hwang, YunJae Kim, Soyeon An, Sung Joo Kim, Joo Young Kim, Sang-Yeob Kim, Dae Wook Hwang, Do Hyun Park, Sang Soo Lee, Song Cheol Kim, Dong-Wan Seo, Seung-Mo Hong
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    Jimin Han, Kenneth J. Chang
    Clinical Endoscopy.2017; 50(2): 126.     CrossRef
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    Francesc Bas‐Cutrina, Domingo Bargalló, Joan B. Gornals
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    Woo Hyun Paik, Dong Wan Seo
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    Saurabh Mukewar, Venkataraman Raman Muthusamy
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    Seyfettin Koklu, Omer Basar, William R. Brugge
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    Sundeep Lakhtakia
    Clinical Endoscopy.2017; 50(6): 546.     CrossRef
  • Diagnosis of Pancreatic Neuroendocrine Tumors
    Dong Wook Lee, Michelle Kang Kim, Ho Gak Kim
    Clinical Endoscopy.2017; 50(6): 537.     CrossRef
  • Minimally Invasive Techniques for Resection of Pancreatic Neuroendocrine Tumors
    Gustavo G. Fernandez Ranvier, Daniel Shouhed, William B. Inabnet
    Surgical Oncology Clinics of North America.2016; 25(1): 195.     CrossRef
  • Irreversible electroporation for the treatment of pancreatic neuroendocrine tumors
    Michail Papamichail, Amir Ali, Michail Pizanias, Praveen Peddu, John Karani, Nigel Heaton
    Korean Journal of Hepato-Biliary-Pancreatic Surgery.2016; 20(3): 116.     CrossRef
  • Treatment of symptomatic neuroendocrine tumor syndromes: recent advances and controversies
    Tetsuhide Ito, Lingaku Lee, Robert T. Jensen
    Expert Opinion on Pharmacotherapy.2016; 17(16): 2191.     CrossRef
  • Endoscopic Ultrasonography-Guided Ethanol Injection for a Pancreatic Neuroendocrine Tumor with Multiple Endocrine Neoplasia Type 1
    Sujong An, Jae Yong Lee, Sung-ha Hwang, Do Hyun Park, Sung-Koo Lee
    Korean Journal of Pancreas and Biliary Tract.2016; 21(4): 202.     CrossRef
  • Interventional Therapy for Pancreatic Cancer
    Jianwei Zhu, Zhendong Jin
    Gastrointestinal Tumors.2016; 3(2): 81.     CrossRef
  • The Expanding Role of Contrast-Enhanced Endoscopic Ultrasound in Pancreatobiliary Disease
    Jun-Ho Choi, Dong Wan Seo
    Gut and Liver.2015; 9(6): 707.     CrossRef
  • 7,585 View
  • 116 Download
  • 67 Web of Science
  • 64 Crossref
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