Clinical Endoscopy

Sang-Woo Cha

3 Articles

Endoscopic Extraction of Biliary Fascioliasis Diagnosed Using Intraductal Ultrasonography in a Patient with Acute Cholangitis: Ji Su Ha, Hyun Jong Choi, Jong Ho Moon, Yun Nah Lee, Jae Woong Tae, Moon Han Choi, Tae Hoon Lee, Sang-Woo Cha; Clin Endosc 2015;48(6):579-582. Published online November 30, 2015; DOI: https://doi.org/10.5946/ce.2015.48.6.579

Fasciola hepatica infection may result in biliary obstruction with or without cholangitis in the chronic biliary phase. Because clinical symptoms and signs of F. hepatica are similar to other biliary diseases that cause bile duct obstruction, such as stones or bile duct malignancies, that are, in fact, more common, this condition may not be suspected and diagnosis may be overlooked and delayed. Patients undergoing endoscopic retrograde cholangiopancreatography or endoscopic ultrasonography for the evaluation of bile duct obstruction may be incidentally detected with the worm, and diagnosis can be confirmed by extraction of the leaf-like trematode from the bile duct. Intraductal ultrasonography (IDUS) can provide high-resolution cross-sectional images of the bile duct, and is useful in evaluating indeterminate biliary diseases. We present a case of biliary fascioliasis that was diagnosed using IDUS and managed endoscopically in a patient with acute cholangitis.

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Citations to this article as recorded by

An Update on the Pathogenesis of Fascioliasis: What Do We Know?
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Parasitic Diseases of Upper Gastrointestinal Tract
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The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2024; 24(2): 127. CrossRef
Endoscopic Diagnosis of Biliary Fascioliasis in Non-endemic Region
Shankar Roy, Abhishek Mewara, Rajesh Gupta, Surinder Singh Rana
Digestive Diseases and Sciences.2023; 68(9): 3476. CrossRef
Fasciola Hepatica Induced Hepatic Abscess Treated with Triclabendazole
Hyun Joon Park, Gil-Soon Choi, Minjung Jung, Sang Uk Lee
The Korean Journal of Gastroenterology.2021; 77(1): 39. CrossRef
Pancréas parasitaire
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Biliary Fascioliasis in Chronic Calcific Pancreatitis Presenting with Ascending Cholangitis and Biliary Stricture
Tanawat Pattarapuntakul, Bancha Ovartlarnporn, Worapot Rojsanga, Thanaidpon Yungyoo
Case Reports in Gastroenterology.2019; 13(3): 438. CrossRef
Obstructive jaundice of a parasitic etiology
M.� Antonia Remacha ., M� Pilar Goñi , Jesus Espinel
Revista Española de Enfermedades Digestivas.2018;[Epub] CrossRef

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Hepatic and Splenic Infarction and Bowel Ischemia Following Endoscopic Ultrasound-Guided Celiac Plexus Neurolysis: Hee Yoon Jang, Sang-Woo Cha, Byung Hoo Lee, Ho Eun Jung, Jin Woo Choo, Yun-Ju Cho, Hye Young Ju, Young Deok Cho; Clin Endosc 2013;46(3):306-309. Published online May 31, 2013; DOI: https://doi.org/10.5946/ce.2013.46.3.306

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Endoscopic ultrasound-guided celiac plexus neurolysis (EUS-CPN) is a well-established intervention to palliate malignant pain. We report a patient who developed hepatic and splenic infarction and bowel ischemia following EUS-CPN. A 69-year-old man with known lung cancer and pancreatic metastasis was transferred for debilitating, significant epigastric pain for several months. The patient underwent EUS-CPN to palliate the pain. After the procedure, the patient complained continuously of abdominal pain, nausea, and vomiting; hematemesis and hematochezia were newly developed. Abdominal computed tomography revealed infarction of the liver and spleen and ischemia of the stomach and proximal small bowel. On esophagogastroduodenoscopy, hemorrhagic gastroduodenitis, and multiple gastric ulcers were noted without active bleeding. The patient expired on postoperative day 27 despite the best supportive care.

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Endoscopic Ultrasound Elastography for the Pancreas in Korea: A Preliminary Single Center Study: Tae Hee Lee, Young Deok Cho, Sang-Woo Cha, Joo Young Cho, Jae Young Jang, Soung Won Jeong, Hyun Jong Choi, Jong Ho Moon; Clin Endosc 2013;46(2):172-177. Published online March 31, 2013; DOI: https://doi.org/10.5946/ce.2013.46.2.172

Abstract PDF PubReader ePub

Background/Aims

Endoscopic ultrasound elastography (EUS-EG) has been widely used for the evaluation of pancreatic cancer in the Western world. To date, there is very little experience with EUS-EG in Korea. We described the results of comparison between normal pancreas and pancreatic cancer in Korea.

Methods

The present study was performed at a tertiary hospital on 35 subjects comprising 20 with normal pancreas (control group) and 15 with pancreatic cancer (disease group). We compared the EUS-EG performance of the two groups.

Results

The pancreas in the control group showed a mean elasticity value of 0.53% (95% confidence interval [CI], 0.45 to 0.61). The elasticity value was higher than that previously reported from Western country (0.47%; 95% CI, 0.38 to 0.57). In the disease group, the mean elasticity value of pancreatic lesions was 0.02% (95% CI, 0.01 to 0.02). The mean elasticity value of the disease group was significantly lower than that of the control group (p<0.0001).

Conclusions

EUS-EG could be a highly sensitive diagnostic modality for pancreatic cancer in Korea with little EUS-EG experience. We also provided the reference range of elasticity value of normal pancreas, which might be valuable in the interpretation of pancreatic elasticity data for Korean adults.

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