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Ischemic colitis complicated by Clostridioides difficile infection treated with fecal microbiota transplantation
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Seok Hyung Kang, Tae-Geun Gweon, Hyunjung Hwang, Myong Ki Baeg
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Clin Endosc 2023;56(5):666-670. Published online January 20, 2022
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DOI: https://doi.org/10.5946/ce.2021.199
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Abstract
PDFPubReaderePub
- Ischemic colitis is an inflammatory condition of the colon that results from insufficient blood supply commonly caused by enterocolitis, vessel occlusion, or shock. In contrast, pseudomembranous colitis is a clinical manifestation of Clostridioides difficile infection (CDI). Ischemic colitis caused by CDI has rarely been reported. Fecal microbiota transplantation (FMT) is an efficient treatment for refractory or fulminant CDI, and the indications for its use have recently expanded. However, performing FMT in patients with ischemic colitis is challenging because of the risk of perforation. Here, we have presented a case of ischemic colitis caused by CDI that was successfully treated with FMT via sigmoidoscopy.
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Citations
Citations to this article as recorded by
- Case of Pseudomembranous Colitis Caused by a Clostridioides difficile Infection Concomitant with Cytomegalovirus colitis Mimicking Ischemic Colitis
Hyo Suk Kim, Hye Min Kim, Tae-Geun Gweon The Korean Journal of Gastroenterology.2023; 81(3): 133. CrossRef - Fecal microbiota transplantation in non-communicable diseases: Recent advances and protocols
Sevag Hamamah, Roxana Gheorghita, Andrei Lobiuc, Ioan-Ovidiu Sirbu, Mihai Covasa Frontiers in Medicine.2022;[Epub] CrossRef
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Endoscopic Electrosurgery in Patients with Cardiac Implantable Electronic Devices
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Myong Ki Baeg, Sang-Woo Kim, Sun-Hye Ko, Yoon Bum Lee, Seawon Hwang, Bong-Woo Lee, Hye Jin Choi, Jae Myung Park, In-Seok Lee, Yong-Seog Oh, Myung-Gyu Choi
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Clin Endosc 2016;49(2):176-181. Published online February 11, 2016
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DOI: https://doi.org/10.5946/ce.2015.023
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Abstract
PDFPubReaderePub
- Background
/Aims: Patients with cardiac implantable electronic devices (CIEDs) undergoing endoscopic electrosurgery (EE) are at a risk of electromagnetic interference (EMI). We aimed to analyze the effects of EE in CIED patients.
Methods Patients with CIED who underwent EE procedures such as snare polypectomy, endoscopic submucosal dissection (ESD), and endoscopic retrograde cholangiopancreatography (ERCP) with endoscopic sphincterotomy (EST) were retrospectively analyzed. Postprocedural symptoms as well as demographic and outpatient follow-up data were reviewed through medical records. Electrical data, including preprocedural and postprocedural arrhythmia records, were reviewed through pacemaker interrogation, 24-hour Holter monitoring, or electrocardiogram.
Results Fifty-nine procedures in 49 patients were analyzed. Fifty procedures were performed in 43 patients with a pacemaker, and nine were performed in six patients with an implantable cardioverter-defibrillator. There were one gastric and 44 colon snare polypectomies, five gastric and one colon ESDs, and eight ERCPs with EST. Fifty-five cases of electrical follow-up were noted, with two postprocedural changes not caused by EE. Thirty-one pacemaker interrogations had procedure recordings, with two cases of asymptomatic tachycardia. All patients were asymptomatic with no adverse events.
Conclusions Our study reports no adverse events from EE in patients with CIED, suggesting that this procedure is safe. However, because of the possibility of EMI, recommendations on EE should be followed.
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Citations
Citations to this article as recorded by
- Electrosurgical unit in GI endoscopy: the proper settings for practice
Anuraag Jena, Shubham Jain, Sridhar Sundaram, Anupam Kumar Singh, Sanjay Chandnani, Pravin Rathi Expert Review of Gastroenterology & Hepatology.2023; 17(8): 825. CrossRef - 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery
Sigrun Halvorsen, Julinda Mehilli, Salvatore Cassese, Trygve S Hall, Magdy Abdelhamid, Emanuele Barbato, Stefan De Hert, Ingrid de Laval, Tobias Geisler, Lynne Hinterbuchner, Borja Ibanez, Radosław Lenarczyk, Ulrich R Mansmann, Paul McGreavy, Christian Mu European Heart Journal.2022; 43(39): 3826. CrossRef - EHRA consensus on prevention and management of interference due to medical procedures in patients with cardiac implantable electronic devices
Markus Stühlinger, Haran Burri, Kevin Vernooy, Rodrigue Garcia, Radoslaw Lenarczyk, Arian Sultan, Michael Brunner, Avi Sabbag, Emin Evren Özcan, Jorge Toquero Ramos, Giuseppe Di Stolfo, Mahmoud Suleiman, Florian Tinhofer, Julian Miguel Aristizabal, Ivan C EP Europace.2022; 24(9): 1512. CrossRef - Electromagnetic interference on cardiac pacemakers and implantable cardioverter defibrillators during endoscopy as reported to the US Federal Drug Administration
Jason M. Samuels, Douglas M. Overbey, Krzysztof J. Wikiel, Teresa S. Jones, Thomas N. Robinson, Edward L. Jones Surgical Endoscopy.2021; 35(7): 3796. CrossRef - SAFETY IN THE GASTROENTEROLOGY SETTING
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Bahman Akhondi, Mohammadmostafa Ansari-Ramandi, Mona Heidarali, Farzad Kamali, Majid Haghjoo Research in Cardiovascular Medicine.2019; 8(3): 76. CrossRef - Critical analysis of guidelines for providing sedation to patients undergoing gastrointestinal endoscopy procedures
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Eun Young Kim Clinical Endoscopy.2016; 49(2): 104. CrossRef
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