Clinical Endoscopy

Ki Bae Kim

4 Articles

Esophageal Stricture Caused by the Ingestion of Undissolved Picosulfate Powder: Daehyun Kim, Byungha Cho, Jong Wook Choi, Ki Bae Kim, Seon Mee Park; Clin Endosc 2021;54(1):122-126. Published online March 16, 2020; DOI: https://doi.org/10.5946/ce.2019.206

Picosulfate solution is widely used as a small volume bowel cleansing agent and is considered to be effective and relatively safe. A case of a 75-year-old woman ingested picosulfate powder and drank a small volume of water, subsequently experienced severe burning pain in the chest. Endoscopy was performed and showed a submucosal hemorrhage and exudative ulcers at the mid to lower esophagus. At 2 weeks, her symptoms improved with conservative treatment. However, liquid food dysphagia developed 11 weeks after ingestion. A follow-up endoscopy revealed multiple esophageal strictures, which were treated with a fully covered metal stent and esophageal balloon dilation. Consequently, the esophageal strictures improved after one year. As this case demonstrates, detailed information about picosulfate powder ingestion after dissolving it in more than 200 mL of water should be presented to patients to avoid esophageal injury.

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Citric acid/magnesium oxide/sodium picosulfate

Reactions Weekly.2021; 1868(1): 140. CrossRef

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Diagnostic Accuracy of the Initial Endoscopy for Ampullary Tumors: Hee Seung Lee, Jong Soon Jang, Seungho Lee, Myeong Ho Yeon, Ki Bae Kim, Jae Geun Park, Joo Young Lee, Mi Jin Kim, Joung-Ho Han, Rohyun Sung, Seon Mee Park; Clin Endosc 2015;48(3):239-246. Published online May 29, 2015; DOI: https://doi.org/10.5946/ce.2015.48.3.239

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Background/Aims

Ampullary tumors come in a wide variety of malignant forms. We evaluated the diagnostic accuracy of endoscopy for ampullary tumors, and analyzed the causes of misdiagnosis.

Methods

We compared endoscopic imaging and biopsy results to final diagnoses. Types of endoscope, numbers of biopsy specimens taken, and final diagnoses were evaluated as possible factors influencing diagnostic accuracy.

Results

Final diagnoses were 19 adenocarcinomas, 18 normal or papillitis, 11 adenomas, two adenomyomas, one paraganglioma, and one neuroendocrine tumor. The diagnostic accuracy of endoscopic imaging or the initial biopsy was identical (67.3%). At least one test was concordant with the final diagnosis in all except two cases. Compared with the final diagnosis, endoscopic imaging tended to show more advanced tumors, whereas the initial biopsy revealed less advanced lesions. The diagnostic accuracy of the initial biopsy was influenced by the type of endoscope used and the final diagnosis, but not by the number of biopsies taken.

Conclusions

Endoscopy has limited accuracy in the diagnosis of ampullary tumors. However, most cases with concordant endoscopic imaging and biopsy results are identical to the final diagnosis. Therefore, in cases where both of these tests disagree, re-evaluation with a side-viewing endoscope after resolution of papillitis is required.

Citations

Citations to this article as recorded by

Outcomes of endoscopic papillectomy of ampullary carcinoma and factors affecting additional surgery
Yoshihisa Takada, Takuya Ishikawa, Kentaro Yamao, Yasuyuki Mizutani, Tadashi Iida, Kota Uetsuki, Noriaki Gibo, Eizaburo Ohno, Hiroki Kawashima
Journal of Hepato-Biliary-Pancreatic Sciences.2024; 31(2): 110. CrossRef
When thoracic trauma does more good than harm: About an incidental finding of a gangliocytic paraganglioma of the ampulla of Vater
Guizani Rami, Mseddi Mohamed Ali, Hsairi Meriem, Saad Sarra, Zehani Alia, Ben Slima Mohamed
Clinical Case Reports.2024;[Epub] CrossRef
The Optimal Cutoff Value of Tumor Markers for Prognosis Prediction in Ampullary Cancer
Seungho Lee, Hongbeom Kim, Heeju Sohn, Mirang Lee, Hyesol Jung, Youngjae Jo, Youngmin Han, Wooil Kwon, Jin-Young Jang
Cancers.2023; 15(8): 2281. CrossRef
Obstrucción biliar por adenomioma de la ampolla de Vater
Francisco Ramos-Muñoz, Luis Carlos Hinojosa-Arco, Jorge Francisco Roldán-de la Rúa, Ana Isabel García-Salguero, Miguel Ángel Suárez-Muñoz
Gastroenterología y Hepatología.2022; 45: 69. CrossRef
Adenomatous neoplasia in the papilla of Vater endoscopic and/or surgical resection?
Erik Haraldsson, Asif Halimi, Elena Rangelova, Roberto Valente, J. Matthias Löhr, Urban Arnelo
Surgical Endoscopy.2022; 36(4): 2401. CrossRef
Endoscopic Papillectomy
Sara Teles de Campos, Marco J. Bruno
Gastrointestinal Endoscopy Clinics of North America.2022; 32(3): 545. CrossRef
Efficacy and Safety of Exploring Deeper Sections of the Infrapapillary Area of the Duodenum by Using Sedative Esophagogastroduodenoscopy
Ming-Tse Hsu, Chi-Yi Chen, Kai-Sheng Liao, Wei-Sheng Chung, Tatsuya Toyokawa
Gastroenterology Research and Practice.2022; 2022: 1. CrossRef
Ampullary Adenocarcinoma: a Mini-Review and a Case Report of a Clinically Stable Disease Patient Treated with Herbal Supplements
Khin Maung Lwin, Ye Htut Linn, Yamin Kyaw Swar Dee
Journal of Gastrointestinal Cancer.2021; 52(2): 750. CrossRef
Proposed nomogram predicting neoplastic ampullary obstruction in patients with a suspected ampulla of Vater lesion on CT
Soo Young Jang, Jin Sil Kim, Seung Yon Baek, Hye Ah Lee, Jeong Kyong Lee
Abdominal Radiology.2021; 46(7): 3128. CrossRef
Long‐term outcomes of endoscopic papillectomy for early‐stage cancer in duodenal ampullary adenoma: Comparison to surgical treatment
Jun Seong Hwang, Hoonsub So, Dongwook Oh, Tae Jun Song, Do Hyun Park, Dong‐Wan Seo, Sung Koo Lee, Myung‐Hwan Kim, Seung‐Mo Hong, Jungho Yang, Sang Soo Lee
Journal of Gastroenterology and Hepatology.2021; 36(8): 2315. CrossRef
Endoscopic management of ampullary tumors: European Society of Gastrointestinal Endoscopy (ESGE) Guideline
Geoffroy Vanbiervliet, Marin Strijker, Marianna Arvanitakis, Arthur Aelvoet, Urban Arnelo, Torsten Beyna, Olivier Busch, Pierre H. Deprez, Lumir Kunovsky, Alberto Larghi, Gianpiero Manes, Alan Moss, Bertrand Napoleon, Manu Nayar, Enrique Pérez-Cuadrado-Ro
Endoscopy.2021; 53(04): 429. CrossRef
Predictive factor of recurrence after endoscopic papillectomy for ampullary neoplasms
Kosuke Takahashi, Eisuke Ozawa, Ichiro Yasuda, Naohiro Komatsu, Hisamitsu Miyaaki, Ken Ohnita, Takuji Yamao, Kazuo Oba, Tatsuki Ichikawa, Kazuhiko Nakao
Journal of Hepato-Biliary-Pancreatic Sciences.2021; 28(7): 625. CrossRef
Surgical ampullectomy: A comprehensive review
Darren L Scroggie, Vasileios K Mavroeidis
World Journal of Gastrointestinal Surgery.2021; 13(11): 1338. CrossRef
Endoscopic treatment of benign ampullary tumors
I.Y. Nedoluzhko, E.I. Khon, K.V. Shishin, L.V. Shumkina, N.A. Kurushkina
Dokazatel'naya gastroenterologiya.2021; 10(4): 67. CrossRef
Methods and outcome of the endoscopic treatment of ampullary tumors
Jan-Werner Poley, Sara Campos
Therapeutic Advances in Gastrointestinal Endoscopy.2020; 13: 263177451989978. CrossRef
Signet-ring cell carcinoma of the ampulla of Vater: a case diagnosed via repeated biopsies
Chisaki Ikeda, Naohiko Makino, Akiko Matsuda, Yasuharu Kakizaki, Tetsuya Ishizawa, Toshikazu Kobayashi, Shinpei Sugahara, Mayo Nishiduka, Michihiko Tsunoda, Junichiroh Haga, Rikiya Tsunoda, Yoshiyuki Ueno
Clinical Journal of Gastroenterology.2020; 13(4): 607. CrossRef
New experience of endoscopic papillectomy for ampullary neoplasms
Shuling Li, Zikai Wang, Fengchun Cai, Enqiang Linghu, Gang Sun, Xiangdong Wang, Jiangyun Meng, Hong Du, Yunsheng Yang, Wen Li
Surgical Endoscopy.2019; 33(2): 612. CrossRef
Differentiation of benign and malignant ampullary obstruction by multi-row detector CT
Wirana Angthong, Kran Jiarakoop, Kaan Tangtiang
Japanese Journal of Radiology.2018; 36(8): 477. CrossRef
How to Improve Diagnostic Accuracy in Suspicious Ampullary Lesions?
Woo Hyun Paik, Jin-Hyeok Hwang
Clinical Endoscopy.2015; 48(3): 185. CrossRef
Papilla biyopsisinin tanısal değeri
Ali Rıza KÖKSAL, Hüseyin ALKIM, Salih BOĞA, İlker ŞEN, Mehmet BAYRAM, Özgür BOSTANCI, Banu YILMAZ ÖZGÜVEN, Canan ALKIM
Endoskopi Gastrointestinal.2015; 23(2): 35. CrossRef

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Endoscopy for Nonvariceal Upper Gastrointestinal Bleeding: Ki Bae Kim, Soon Man Yoon, Sei Jin Youn; Clin Endosc 2014;47(4):315-319. Published online July 28, 2014; DOI: https://doi.org/10.5946/ce.2014.47.4.315

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Endoscopy for acute nonvariceal upper gastrointestinal bleeding plays an important role in primary diagnosis and management, particularly with respect to identification of high-risk stigmata lesions and to providing endoscopic hemostasis to reduce the risk of rebleeding and mortality. Early endoscopy, defined as endoscopy within the first 24 hours after presentation, improves patient outcome and reduces the length of hospitalization when compared with delayed endoscopy. Various endoscopic hemostatic methods are available, including injection therapy, mechanical therapy, and thermal coagulation. Either single treatment with mechanical or thermal therapy or a treatment that combines more than one type of therapy are effective and safe for peptic ulcer bleeding. Newly developed methods, such as Hemospray powder and over-the-scope clips, may provide additional options. Appropriate decisions and specific treatment are needed depending upon the conditions.

Citations

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Place for arteriae embolization in patients with recurrent gastrointestinal bleeding in case of ulcer
A.G. Khitaryan, I.V. Bondarenko, E.V. Andreev, V.A. Bondarenko, V.A. Khitaryan, R.A. Nazikyan
Operativnaya khirurgiya i klinicheskaya anatomiya (Pirogovskii nauchnyi zhurnal).2023; 7(1): 23. CrossRef
Influence of the incidence of ulcerative gastroduodenal bleeding on the effectiveness of treatment. Statistical surveillance
V.P. Sazhin, A.G. Beburishvili, S.I. Panin, I.V. Sazhin, M.P. Postolov
Khirurgiya. Zhurnal im. N.I. Pirogova.2021; (1): 27. CrossRef
Method of diagnosis and treatment of profusional bleeding from stenosing postbulbar ulcers of the duodenum
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EUREKA: Health Sciences.2021; (2): 37. CrossRef
Study on the preventive effect of intravenous esomeprazole in the management of nonvarices upper gastrointestinal bleeding
Xing-cheng Sun, Wei-feng Yuan, Wen-jie Ma, Wen-jun Zhang, Shuo-gui Xu
Medicine.2021; 100(20): e25420. CrossRef
Modern management of acute non-variceal upper gastrointestinal bleeding
V. V. Darvin, A. Ya. Ilkanich, M. G. Ryzhikov, A. V. Oganian, A. V. Satinov
Сибирский научный медицинский журнал.2021; 41(6): 4. CrossRef
Giant complicated duodenal ulcer in patient with diabetes mellitus
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New endoscopic techniques in treating gastrointestinal bleeding
Young Sin Cho
International Journal of Gastrointestinal Intervention.2018; 7(3): 131. CrossRef
Acute gastrointestinal bleeding cases presenting to the emergency department are associated with age, sex and seasonal and circadian factors
Henrike Lenzen, Eliane Musmann, Martina Kottas, Bastian Schönemeier, Thomas Köhnlein, Michael P. Manns, Tim O. Lankisch
European Journal of Gastroenterology & Hepatology.2017; 29(1): 78. CrossRef
Volume of hospital is important for the prognosis of high-risk patients with nonvariceal upper gastrointestinal bleeding (NVUGIB)
Jin Woo Choi, Seong Woo Jeon, Jung Gu Kwon, Dong Wook Lee, Chang Yoon Ha, Kwang Bum Cho, Byung Ik Jang, Jung Bae Park, Youn Sun Park
Surgical Endoscopy.2017; 31(8): 3339. CrossRef
A Rare Case of Pancreas Divisum Accompanied by Acute Pancreatitis Following Endoscopic Hemostasis for Duodenal Ulcer Bleeding
Yong Hyeok Choi, Soon Man Yoon, Eun Bee Kim, Youngmin Oh, Keunmo Kim, Jisun Lee, Seon Mee Park, Sei Jin Youn
The Korean Journal of Gastroenterology.2017; 69(4): 248. CrossRef
Transcatheter embolization in prevention of recurrent bleeding from stomach ulcers
N. V. Lebedev, G. E. Belozerov, A. E. Klimov, P. Yu. Sokolova, A. A. Spasskiy, A. A. Barkhudarov
Khirurgiya. Zhurnal im. N.I. Pirogova.2017; (5): 31. CrossRef
Value in palliative cancer surgery: A critical assessment
Ian W. Folkert, Robert E. Roses
Journal of Surgical Oncology.2016; 114(3): 311. CrossRef
Risk Strategy in Non-Variceal Upper Gastrointestinal Bleeding
Joon Sung Kim, Byung-Wook Kim
The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2016; 16(4): 173. CrossRef
Endoscopic Management of Peptic Ulcer Bleeding
Joon Sung Kim, Sung Min Park, Byung-Wook Kim
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Endoscopic Management of Nonvariceal Upper Gastrointestinal Bleeding: State of the Art
Naoki Muguruma, Shinji Kitamura, Tetsuo Kimura, Hiroshi Miyamoto, Tetsuji Takayama
Clinical Endoscopy.2015; 48(2): 96. CrossRef
Endoscopic Management of Dieulafoy's Lesion
Hye Kyung Jeon, Gwang Ha Kim
Clinical Endoscopy.2015; 48(2): 112. CrossRef
Endoscopic Management of Tumor Bleeding from Inoperable Gastric Cancer
Young-Il Kim, Il Ju Choi
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Laboratory test variables useful for distinguishing upper from lower gastrointestinal bleeding
Minoru Tomizawa
World Journal of Gastroenterology.2015; 21(20): 6246. CrossRef
Highlights from the 50th Seminar of the Korean Society of Gastrointestinal Endoscopy
Eun Young Kim, Il Ju Choi, Kwang An Kwon, Ji Kon Ryu, Seok Ho Dong, Ki Baik Hahm
Clinical Endoscopy.2014; 47(4): 285. CrossRef

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A Case of Choledocholithiasis and Intestinal Malrotation in an Adolescent with Repaired Gastroschisis: Byung Chul Kim, Ki Bae Kim, Eui Joong Kim, Soonyoung Park, Dong-Hwa Lee, Eun Bee Kim, Hee Bok Chae, Seon Mee Park; Clin Endosc 2014;47(2):201-204. Published online March 31, 2014; DOI: https://doi.org/10.5946/ce.2014.47.2.201

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Most infants with repaired gastroschisis develop normally and remain in good health. About 10% of patients with gastroschisis have other malformations. We report a case of choledocholithiasis and intestinal malrotation in an adolescent with repaired gastroschisis. A 17-year-old girl presented with fever, jaundice, and abdominal pain. She had undergone an operation to repair gastroschisis at birth. Physical examination revealed icteric sclera, a tight abdominal wall, and a longitudinal surgical scar at the midline. An abdominal computed tomography scan revealed a round calcifying lesion near the pancreas and a midline-positioned liver and gallbladder. Absence of the retroperitoneal duodenum and the anterior and left-sided position of the superior mesenteric vein compared with the superior mesenteric artery were observed. Results of abarium examination revealed intestinal malrotation. Endoscopic retrograde cholangiopancreatography revealed diffuse dilatation of the biliary trees and a malpositioned gallbladder. A single stone was removed by using a basket. The clinical symptoms improved after the patient underwent endoscopic retrograde cholangiopancreatography.

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Delayed Presentation of Malrotation after Infancy: A Systematic Review Based on Clinical Presentations, Associated Anomalies, Diagnosis, and Management
Charu Sharma, Nitinkumar Bhajandas Borkar, C. Ashwin, Chandrasen Sinha
Journal of Indian Association of Pediatric Surgeons.2024; 29(5): 417. CrossRef
Unusual Aspect of a Choledocholithiasis
Matthias Breidert, Markus Weber, Stefan Wildi
Gastroenterology.2020; 159(5): 1660. CrossRef

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