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Kyoungwon Jung 5 Articles
Efficacy and Safety of Etomidate in Comparison with Propofol or Midazolam as Sedative for Upper Gastrointestinal Endoscopy
Jae Hyun Kim, Sanghwan Byun, Youn Jung Choi, Hye Jung Kwon, Kyoungwon Jung, Sung Eun Kim, Moo In Park, Won Moon, Seun Ja Park
Clin Endosc 2020;53(5):555-561.   Published online March 31, 2020
AbstractAbstract PDFPubReaderePub
/Aims: In this study, we compared the efficacy and safety of etomidate with those of propofol or midazolam for the maintenance of sedation during endoscopy.
The study enrolled patients who underwent sedative endoscopy in our hospital and divided them into three groups. Patients in each group were administered midazolam as induction therapy and were subsequently administered either midazolam (M + M group), propofol (M + P group), or etomidate (M + E group) as maintenance medication. The primary outcome was overall cardiovascular and respiratory adverse events.
In total, 105 patients who underwent sedative endoscopic examination were enrolled. The outcomes related to the procedure and sedation were not significantly different among the groups. Overall cardiovascular and respiratory adverse events were observed in 9 patients (25.7%) in the M + M group, 8 patients (23.5%) in the M + P group, and 10 patients (27.8%) in the M + E group. The logistic regression analysis revealed that etomidate use was not an independent risk factor for overall cardiovascular and respiratory adverse events.
The outcomes following the use of etomidate for maintenance after induction with midazolam for sedation in upper gastrointestinal endoscopy were not inferior to those following midazolam or propofol use from the perspectives of safety and efficacy.


Citations to this article as recorded by  
  • Comparison of ciprofol–alfentanil and propofol–alfentanil sedation during bidirectional endoscopy: A prospective, double-blind, randomised, controlled trial
    Jiqiang Zhang, Ruijuan Liu, Ruirui Bi, Xia Li, Mengjun Xu, Lijuan Li, Yuxi su, Wenjun Yan
    Digestive and Liver Disease.2024; 56(4): 663.     CrossRef
  • Effects of Earmuffs and Eye Masks on Propofol Sedation during Spinal Anesthesia for Orthopedic Surgery: A Randomized Controlled Trial
    Jin-Woo Park, Sung Il Bae, Jungyul Ryu, Seung Hyun Chung, Sang-Hwan Do
    Journal of Clinical Medicine.2023; 12(3): 899.     CrossRef
  • Effect of intravenous anesthesia by etomidate in combination with propofol on gastrointestinal endoscopy
    Bo CHEN, Ke ZHANG, Mingshuai YU
    Minerva Surgery.2023;[Epub]     CrossRef
  • New sedatives and analgesic drugs for gastrointestinal endoscopic procedures
    Jae Min Lee, Yehyun Park, Jin Myung Park, Hong Jun Park, Jun Yong Bae, Seung Young Seo, Jee Hyun Lee, Hyung Ku Chon, Jun-Won Chung, Hyun Ho Choi, Jun Kyu Lee, Byung-Wook Kim
    Clinical Endoscopy.2022; 55(5): 581.     CrossRef
  • Drugs used for sedation in gastrointestinal endoscopy
    Jun Kyu Lee
    Journal of the Korean Medical Association.2022; 65(11): 735.     CrossRef
  • Comparative Safety Profiles of Sedatives Commonly Used in Clinical Practice: A 10-Year Nationwide Pharmacovigilance Study in Korea
    Yeo-Jin Choi, Seung-Won Yang, Won-Gun Kwack, Jun-Kyu Lee, Tae-Hee Lee, Jae-Yong Jang, Eun-Kyoung Chung
    Pharmaceuticals.2021; 14(8): 783.     CrossRef
  • Physical and Chemical Compatibility of Etomidate and Propofol Injectable Emulsions
    Chunling Wang, Shengnan Wang, Cuishuan Wu, Li Lei, Dong-Xin Wang, Qiang Zhang
    Pharmacology.2021; 106(11-12): 644.     CrossRef
  • 4,906 View
  • 199 Download
  • 9 Web of Science
  • 7 Crossref
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Effect of Sending Educational Video Clips via Smartphone Mobile Messenger on Bowel Preparation before Colonoscopy
Sung Chan Jeon, Jae Hyun Kim, Sun Jung Kim, Hye Jung Kwon, Youn Jung Choi, Kyoungwon Jung, Sung Eun Kim, Won Moon, Moo In Park, Seun Ja Park
Clin Endosc 2019;52(1):53-58.   Published online August 29, 2018
AbstractAbstract PDFPubReaderePub
/Aim: We aimed to evaluate the efficacy of sending educational video clips via smartphone mobile messenger (SMM) on enhancing bowel preparation before colonoscopy.
This was a prospective, endoscopist-blinded, randomized controlled study. Patients in the SMM group received two video clips sent via SMM that explained the diet and regimen for bowel preparation, whereas those in the control group did not receive any video clips. We compared the quality of bowel preparation between the two groups, which was assessed by an endoscopist using the Ottawa scale.
Between August and November 2014, 140 patients in the SMM group and 141 patients in the control group underwent colonoscopic examination. The total Ottawa score of the SMM group was significantly lower than that of the control group (5.47±1.74 vs. 5.97±1.78, p=0.018). These results were particularly prominent in the younger age group; the total Ottawa score of patents in the SMM group aged <40 years was significantly lower than that of patients in the control group aged <40 years (5.10±1.55 vs. 6.22±2.33, p=0.034).
We demonstrated that sending educational video clips via SMM could result in better bowel preparation, especially in the younger age group.


Citations to this article as recorded by  
  • Evaluation of the effect of reinforced education on the satisfaction of patients undergoing colonoscopy: A randomized controlled trial
    Negin Farid, Shakila Sharifian, Raziyeh Ghafouri, Antonio Brillantino
    PLOS ONE.2024; 19(1): e0296126.     CrossRef
  • Can an educational video improve the adequacy of bowel preparation for patients undergoing their first colonoscopy? Results of the EBOPS RCT
    Thomas Archer, Bernard Corfe, Keith Dear, Andy Cole, Stephen Foley, H Jervoise N Andreyev, Waleed Fateen, Andrew Baxter, Stuart Riley, Adolfo Parra-Blanco, Mo Thoufeeq
    Endoscopy International Open.2024; 12(03): E402.     CrossRef
  • Improving Colonoscopy Preparation Using Information and Communication Technologies (ICT), Randomized Clinical Trial
    Diego Mauricio Aponte Martín, Claudia Liliana Corso Bernal, María Valentina Aponte Aparicio, Luis Carlos Sabbagh Sanvicente
    Revista colombiana de Gastroenterología.2024; 39(1): 51.     CrossRef
  • A smartphone application to enhance bowel preparation for first-time colonoscopy: a randomized controlled study
    Tanawat Pattarapuntakul, Thanyaporn Kanchanasuwan, Apichat Kaewdech, Thanawin Wong, Nisa Netinatsunton, Nalerdon Chalermsuksant, Pimsiri Sripongpun
    Frontiers in Medicine.2024;[Epub]     CrossRef
  • Edukacinio 3D virtualiosios realybės vaizdo metodo įtaka ruošiant žarnyną kolonoskopijai: pirmieji rezultatai
    Edvinas Kildušis, Gintautas Brimas
    Lietuvos chirurgija.2024; 23(2): 108.     CrossRef
  • Effectiveness of bowel preparation innovative technology instructions (BPITIs) on clinical outcomes among patients undergoing colonoscopy: a systematic review and meta-analysis
    Parichat Wonggom, Siwanon Rattanakanokchai, Orathai Suebkinorn
    Scientific Reports.2023;[Epub]     CrossRef
  • Impact of WeChat guidance on bowel preparation for colonoscopy: a quasi-experiment study
    Yifang Guan, Yanjun Song, Xiaona Li, Aijun Zhang, Ruyuan Li
    Scientific Reports.2023;[Epub]     CrossRef
  • Correlation between prescribing doctor attributes and intestinal cleanliness in colonoscopy: a study of 22522 patients
    Haibin Zhou, Hayat Khizar, Xiaofeng Zhang, Jianfeng Yang
    Annals of Medicine.2023;[Epub]     CrossRef
  • An Interactive Video Educational Tool Does Not Improve the Quality of Bowel Preparation for Colonoscopy: A Randomized Controlled Study
    Ted B. Walker, Tricia A. Hengehold, Kevin Garza, Benjamin D. Rogers, Dayna Early
    Digestive Diseases and Sciences.2022; 67(6): 2347.     CrossRef
  • 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
    Digestive Diseases and Sciences.2022; 67(10): 4841.     CrossRef
  • Patient education by smartphones for bowel preparation before colonoscopy
    Peng Li, Xueqian He, Xufang Yang, Jing Du, Weiquan Wu, Jiangfeng Tu
    Journal of Gastroenterology and Hepatology.2022; 37(7): 1349.     CrossRef
  • Los efectos de la educación perfeccionada, realizada por enfermeros en la calidad de la preparación intestinal para colonoscopia
    Gamze Arslanca, Mahmure Aygün
    Revista Latino-Americana de Enfermagem.2022;[Epub]     CrossRef
  • Effect of nurse-performed enhanced patient education on colonoscopy bowel preparation quality
    Gamze Arslanca, Mahmure Aygün
    Revista Latino-Americana de Enfermagem.2022;[Epub]     CrossRef
  • Os efeitos da educação aprimorada, realizada por enfermeiros na qualidade do preparo intestinal para colonoscopia
    Gamze Arslanca, Mahmure Aygün
    Revista Latino-Americana de Enfermagem.2022;[Epub]     CrossRef
  • Comparison of Two Types of 1-L Polyethylene Glycol-ascorbic Acid as Colonoscopic Bowel Preparation: A Prospective Randomized Study
    Suh Hyun Choi, Won Eui Yoon, Seung Hyuk Kim, Hee Jun Myung, Seo Hyun Kim, Soon Oh So, Se Hun Kim, Hyun Mi Lee, Yeoun Jung Oh, Jeong Seop Moon, Tae Yeong Park, You Sun Kim
    The Korean Journal of Gastroenterology.2022; 80(2): 85.     CrossRef
  • Multimedia based education on bowel preparation improves adenoma detection rate: Systematic review & meta‐analysis of randomized controlled trials
    Saurabh Chandan, Sumant Arora, Babu P. Mohan, Shahab R. Khan, Ojasvini C. Chandan, Lena L. Kassab, Arvind R. Murali
    Digestive Endoscopy.2021; 33(5): 730.     CrossRef
  • Mobile health technologies supporting colonoscopy preparation: A systematic review and meta-analysis of randomized controlled trials
    Maria El Bizri, Mariam El Sheikh, Ga Eun Lee, Maida J. Sewitch, Tim Mathes
    PLOS ONE.2021; 16(3): e0248679.     CrossRef
  • Effects of mobile messenger counseling on case management success for individuals engaging in self-harm or suicide attempts who were discharged from emergency departments
    Ji Min Seong, Youngsuk Cho, Gyu Chong Cho, Jongshill Lee, In Young Kim, Hongtaek Seo, Jungmi Kim
    Clinical and Experimental Emergency Medicine.2021; 8(1): 48.     CrossRef
  • Quality Improvement of Bowel Preparation for Screening Colonoscopies: A Study of Hospital Team Resource Management in Taiwan
    Chen-Shuan Chung, Chih-Ming Lin, Ming-Shu Chen
    Quality Management in Health Care.2021; 30(2): 127.     CrossRef
  • Effects of a Personalized Smartphone App on Bowel Preparation Quality: Randomized Controlled Trial
    Quirine E W van der Zander, Ankie Reumkens, Bas van de Valk, Bjorn Winkens, Ad A M Masclee, Rogier J J de Ridder
    JMIR mHealth and uHealth.2021; 9(8): e26703.     CrossRef
  • Safe and appropriate use of laxatives for colonoscopy
    Won Shik Kim, Beom Jae Lee
    Journal of the Korean Medical Association.2021; 64(8): 561.     CrossRef
  • Editors' Choice of Noteworthy Clinical Endoscopy Publications in the First Decade
    Gwang Ha Kim, Kwang An Kwon, Do Hyun Park, Jimin Han
    Clinical Endoscopy.2021; 54(5): 633.     CrossRef
  • Comparative Effectiveness of Enhanced Patient Instructions for Bowel Preparation Before Colonoscopy: Network Meta-analysis of 23 Randomized Controlled Trials
    Xu Tian, Li-Juan Yi, Yang Han, Hui Chen, Xiao-Ling Liu, Wei-Qing Chen, Maria F Jiménez-Herrera
    Journal of Medical Internet Research.2021; 23(10): e19915.     CrossRef
  • Influence of Educational Methods on Bowel Preparation for Coloncopy: Systematic Literature Review
    Edvinas Kildušis, Gintautas Brimas
    Lietuvos chirurgija.2021; 20(3-4): 135.     CrossRef
  • Educating Patients by Providing Timely Information Using Smartphone and Tablet Apps: Systematic Review
    Thomas Timmers, Loes Janssen, Rudolf B Kool, Jan AM Kremer
    Journal of Medical Internet Research.2020; 22(4): e17342.     CrossRef
  • How Can We Achieve Good Compliance for Bowel Preparation?
    Jongha Park, Tae Oh Kim
    Clinical Endoscopy.2019; 52(1): 3.     CrossRef
  • 6,239 View
  • 213 Download
  • 27 Web of Science
  • 26 Crossref
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When Should We Perform Endoscopy for Patients with Upper Gastrointestinal Bleeding?
Kyoungwon Jung, Moo In Park
Clin Endosc 2019;52(1):1-2.   Published online January 17, 2019
  • 4,860 View
  • 208 Download
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Characteristics of Missed Simultaneous Gastric Lesions Based on Double-Check Analysis of the Endoscopic Image
Eun Jeong Gong, Jeong Hoon Lee, Kyoungwon Jung, Charles J. Cho, Hee Kyong Na, Ji Yong Ahn, Kee Wook Jung, Do Hoon Kim, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung, Jin-Ho Kim
Clin Endosc 2017;50(3):261-269.   Published online August 22, 2016
AbstractAbstract PDFPubReaderePub
/Aims: The detection of multifocal lesions is important for the successful management of gastric neoplasms. We investigated the characteristics of missed simultaneous lesions and the reason for the missed diagnoses.
A total of 140 patients who underwent repeat endoscopy before endoscopic resection between June 2013 and June 2014 were retrospectively reviewed. We classified simultaneous lesions into three groups based on a review of earlier images: group 1, no images of the location of simultaneous lesions were taken; group 2, no corresponding lesion was evident in the previous images; and group 3, simultaneous lesions were visible in the earlier images but a biopsy was not performed.
Simultaneous lesions were found in 12 patients (8.6%) with 13 lesions, comprising 10 dysplasia (76.9%) and three adenocarcinoma (23.1%). Regarding the reasons for missed diagnoses, seven lesions (53.8%) were classified as group 3, five (38.5%) as group 1, and the remaining lesion (7.7%) as group 2. There were no significant differences in the characteristics of the patients with and without simultaneous lesions.
Lesions disregarded or unnoticed during endoscopic examination were the main reason for missed diagnosis of simultaneous lesions. Endoscopists should consider the possibility of simultaneous lesions and attempt to meticulously evaluate the entire gastric mucosa.


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    Ana Isabel Ferreira, Tiago Lima Capela, Vítor Macedo Silva, Sofia Xavier, Pedro Boal Carvalho, Joana Magalhães, José Cotter
    Scandinavian Journal of Gastroenterology.2024; 59(2): 125.     CrossRef
  • Protocolo de evaluación de las lesiones premalignas gástricas
    A. Cerpa Arencibia, M. Tavecchia Castro, A. Burgos García, M.D. Martín-Arranz
    Medicine - Programa de Formación Médica Continuada Acreditado.2024; 14(2): 104.     CrossRef
  • Editorial: PPIs and gastric cancer – Are we dealing with a carcinogen? Authors' reply
    Eun Jeong Gong, Hye‐Kyung Jung
    Alimentary Pharmacology & Therapeutics.2023; 58(10): 1101.     CrossRef
  • Development and evaluation of a double-check support system using artificial intelligence in endoscopic screening for gastric cancer
    Hirotaka Oura, Tomoaki Matsumura, Mai Fujie, Tsubasa Ishikawa, Ariki Nagashima, Wataru Shiratori, Mamoru Tokunaga, Tatsuya Kaneko, Yushi Imai, Tsubasa Oike, Yuya Yokoyama, Naoki Akizue, Yuki Ota, Kenichiro Okimoto, Makoto Arai, Yuki Nakagawa, Mari Inada,
    Gastric Cancer.2022; 25(2): 392.     CrossRef
  • High Expression of Claudin-4 Is Associated with Synchronous Tumors in Patients with Early Gastric Cancer
    Won Shik Kim, Hayeon Kim, Moon Kyung Joo, Byung Il Choi, Ah Young Yoo, Jong-Jae Park, Beom Jae Lee, Seung Han Kim, Hoon Jai Chun
    Journal of Clinical Medicine.2022; 11(12): 3550.     CrossRef
  • Assessment of Outcomes From 1-Year Surveillance After Detection of Early Gastric Cancer Among Patients at High Risk in Japan
    Yoshinobu Yamamoto, Naohiro Yoshida, Tomonori Yano, Takahiro Horimatsu, Noriya Uedo, Noboru Kawata, Hiromitsu Kanzaki, Shinichiro Hori, Kenshi Yao, Seiichiro Abe, Chikatoshi Katada, Chizu Yokoi, Ken Ohata, Hisashi Doyama, Kenichi Yoshimura, Hideki Ishikaw
    JAMA Network Open.2022; 5(8): e2227667.     CrossRef
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    Chang Bong Yang, Sang Hoon Kim, Yun Jeong Lim
    Clinical Endoscopy.2022; 55(5): 594.     CrossRef
  • Accuracy of artificial intelligence–assisted detection of upper GI lesions: a systematic review and meta-analysis
    Thomas K.L. Lui, Vivien W.M. Tsui, Wai K. Leung
    Gastrointestinal Endoscopy.2020; 92(4): 821.     CrossRef
  • Common Locations of Gastric Cancer: Review of Research from the Endoscopic Submucosal Dissection Era
    Su Jin Kim, Cheol Woong Choi
    Journal of Korean Medical Science.2019;[Epub]     CrossRef
  • Characteristics of Synchronous and Metachronous Multiple Gastric Tumors after Endoscopic Submucosal Dissection of Early Gastric Neoplasm
    Hyun Jik Lee, Yoo Jin Lee, Ju Yup Lee, Eun Soo Kim, Woo Jin Chung, Byoung Kuk Jang, Kyung Sik Park, Jae Seok Hwang, Kwang Bum Cho
    Clinical Endoscopy.2018; 51(3): 266.     CrossRef
  • Cost Effectiveness of Gastric Cancer Screening According to Race and Ethnicity
    Monica Saumoy, Yecheskel Schneider, Nicole Shen, Michel Kahaleh, Reem Z. Sharaiha, Shailja C. Shah
    Gastroenterology.2018; 155(3): 648.     CrossRef
  • Characteristics of Missed Synchronous Gastric Epithelial Neoplasms
    Bong Eun Lee
    Clinical Endoscopy.2017; 50(3): 211.     CrossRef
  • 8,028 View
  • 164 Download
  • 13 Web of Science
  • 12 Crossref
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Borrmann Type 4 Advanced Gastric Cancer: Focus on the Development of Scirrhous Gastric Cancer
Kyoungwon Jung, Moo In Park, Sung Eun Kim, Seun Ja Park
Clin Endosc 2016;49(4):336-345.   Published online July 25, 2016
AbstractAbstract PDFPubReaderePub
Early diagnosis of Borrmann type 4 advanced gastric cancer (AGC) is very important for improving the prognosis of AGC patients. Because there is no definite mass in most cases of Borrmann type 4 AGC, its accurate diagnosis via endoscopy requires an understanding of its pathogenesis and developmental process. Moreover, many people confuse linitis plastica (LP) type gastric cancer (GC), scirrhous GC, and Borrmann type 4 AGC. To distinguish each of these cancers, knowledge of their endoscopic and pathological differences is necessary, especially for LP type GCs in the developmental stage. In conclusion, diagnosis of pre-stage or latent LP type GC before progression to typical LP type GC requires the detection of IIc-like lesions in the fundic gland area. It is also crucial to identify any abnormalities such as sclerosis of the gastric wall and hypertrophy of the mucosal folds during endoscopy.


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    Clinical Endoscopy.2024; 57(1): 131.     CrossRef
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    World Journal of Clinical Cases.2024; 12(18): 3360.     CrossRef
  • Borrmann Type Predicts Response to Preoperative Therapy in Advanced Gastric Cancer
    Yuki Hirata, Annamaria Agnes, Laura R. Prakash, Paul Mansfield, Brian D. Badgwell, Naruhiko Ikoma
    Journal of Gastrointestinal Cancer.2023; 54(3): 882.     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
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    P E Bonnot, A Lintis, F Mercier, N Benzerdjeb, G Passot, M Pocard, B Meunier, J M Bereder, K Abboud, F Marchal, F Quenet, D Goere, S Msika, C Arvieux, N Pirro, R Wernert, P Rat, J Gagnière, J H Lefevre, T Courvoisier, R Kianmanesh, D Vaudoyer, M Rivoire,
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  • Limited Clinical Significance of Splenectomy and Splenic Hilar Lymph Node Dissection for Type 4 Gastric Cancer
    Aina Kunitomo, Kazunari Misawa, Yuichi Ito, Seiji Ito, Eiji Higaki, Seiji Natsume, Takashi Kinoshita, Tetsuya Abe, Koji Komori, Yasuhiro Shimizu
    Journal of Gastric Cancer.2021; 21(4): 392.     CrossRef
  • Development and internal validation of a diagnostic score for gastric linitis plastica
    J. Vivier-Chicoteau, J. Lambert, R. Coriat, P. E. Bonnot, D. Goere, B. Roche, M. Dior, G. Goujon, S. Morgant, M. Pocard, O. Glehen, T. Aparicio, Jean-Marc Gornet
    Gastric Cancer.2020; 23(4): 639.     CrossRef
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    Sadaaki Nishimura, Masakazu Yashiro, Tomohiro Sera, Yurie Yamamoto, Yukako Kushitani, Atsushi Sugimoto, Shuhei Kushiyama, Shingo Togano, Kenji Kuroda, Tomohisa Okuno, Yoshiki Murakami, Masaichi Ohira
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    Tomohisa Okuno, Masakazu Yashiro, Go Masuda, Shingo Togano, Kenji Kuroda, Yuichiro Miki, Kosei Hirakawa, Masahiko Ohsawa, Hideki Wanibuchi, Masaichi Ohira
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  • IgM‐ Kappa type multiple myeloma with simultaneous gastro‐esophageal involvement simulating linitis plastica
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