Clinical Endoscopy

Kyunghwan Oh

2 Articles

Bronchoesophageal fistula in a patient with Crohn’s disease receiving anti-tumor necrosis factor therapy: Kyunghwan Oh, Kee Don Choi, Hyeong Ryul Kim, Tae Sun Shim, Byong Duk Ye, Suk-Kyun Yang, Sang Hyoung Park; Clin Endosc 2023;56(2):239-244. Published online December 21, 2021; DOI: https://doi.org/10.5946/ce.2021.215

Tuberculosis is an adverse event in patients with Crohn’s disease receiving anti-tumor necrosis factor (TNF) therapy. However, tuberculosis presenting as a bronchoesophageal fistula (BEF) is rare. We report a case of tuberculosis and BEF in a patient with Crohn’s disease who received anti-TNF therapy. A 33-year-old Korean woman developed fever and cough 2 months after initiation of anti-TNF therapy. And the symptoms persisted for 1 months, so she visited the emergency room. Chest computed tomography was performed upon visiting the emergency room, which showed BEF with aspiration pneumonia. Esophagogastroduodenoscopy with biopsy and endobronchial ultrasound with transbronchial needle aspiration confirmed that the cause of BEF was tuberculosis. Anti-tuberculosis medications were administered, and esophageal stent insertion through endoscopy was performed to manage the BEF. However, the patient’s condition did not improve; therefore, fistulectomy with primary closure was performed. After fistulectomy, the anastomosis site healing was delayed due to severe inflammation, a second esophageal stent and gastrostomy tube were inserted. Nine months after the diagnosis, the fistula disappeared without recurrence, and the esophageal stent and gastrostomy tube were removed.

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(Re-)introduction of TNF antagonists and JAK inhibitors in patients with previous tuberculosis: a systematic review
Thomas Theo Brehm, Maja Reimann, Niklas Köhler, Christoph Lange
Clinical Microbiology and Infection.2024; 30(8): 989. CrossRef
Azathioprine/infliximab/methylprednisolone

Reactions Weekly.2023; 1963(1): 114. CrossRef

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Fluoroscopy-Guided Endoscopic Removal of Foreign Bodies: Junhwan Kim, Ji Yong Ahn, Seol So, Mingee Lee, Kyunghwan Oh, Hwoon-Yong Jung; Clin Endosc 2017;50(2):197-201. Published online December 23, 2016; DOI: https://doi.org/10.5946/ce.2016.085

Abstract PDF PubReader ePub

In most cases of ingested foreign bodies, endoscopy is the first treatment of choice. Moreover, emergency endoscopic removal is required for sharp and pointed foreign bodies such as animal or fish bones, food boluses, and button batteries due to the increased risks of perforation, obstruction, and bleeding. Here, we presented two cases that needed emergency endoscopic removal of foreign bodies without sufficient fasting time. Foreign bodies could not be visualized by endoscopy due to food residue; therefore, fluoroscopic imaging was utilized for endoscopic removal of foreign bodies in both cases.

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Fluoroscopic‐Guided Removal of Jejunal Sharp Foreign Body: An Alternative Approach to Surgery
Abdulrahman Qatomah, Simon McQueen, Wafa Qatomah, Aishah Qatomah, Ali Bessissow, Yoshifumi Nakayama
Case Reports in Gastrointestinal Medicine.2024;[Epub] CrossRef
A Gastric Magnetic Foreign Body Incidentally Detected Several Years after Ingestion
Dong Chan Joo, Moon Won Lee, Seung Min Hong, Dong Hoon Baek, Bong Eun Lee, Gwang Ha Kim, Geun Am Song
The Korean Journal of Gastroenterology.2023; 82(4): 198. CrossRef
Endoscopic Removal of an Embedded Foreign Body Using Fluoroscopy
Yujin Lee, Yong Hwan Kwon
The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2022; 22(3): 231. CrossRef
Gastrointestinal perforation secondary to accidental ingestion of toothpicks
Zifeng Yang, Deqing Wu, Dailan Xiong, Yong Li
Medicine.2017; 96(50): e9066. CrossRef

9,030 View
163 Download
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