Clinical Endoscopy

Sang-Woo Kim

4 Articles

Endoscopic Electrosurgery in Patients with Cardiac Implantable Electronic Devices: 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; Clin Endosc 2016;49(2):176-181. Published online February 11, 2016; DOI: https://doi.org/10.5946/ce.2015.023

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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Electrosurgical unit in GI endoscopy: the proper settings for practice
Anuraag Jena, Shubham Jain, Sridhar Sundaram, Anupam Kumar Singh, Sanjay Chandnani, Pravin Rathi
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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
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Gastroenterology Nursing.2021; 44(6): 467. CrossRef
Practice Advisory for the Perioperative Management of Patients with Cardiac Implantable Electronic Devices: Pacemakers and Implantable Cardioverter–Defibrillators 2020

Anesthesiology.2020; 132(2): 225. CrossRef
Safety and outcomes of noncardiac surgery in patients with cardiac implantable electronic devices
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Basavana Goudra, PreetMohinder Singh
Anesthesia: Essays and Researches.2019; 13(4): 601. CrossRef
Is It Safe to Perform Therapeutic Endoscopic Procedures in Patients with Implanted Electronic Cardiac Devices?
Eun Young Kim
Clinical Endoscopy.2016; 49(2): 104. CrossRef

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Survey of Endoscope Reprocessing in Korea: Jeong Bae Park, Jae Nam Yang, Yun Jeong Lim, Ja Seol Koo, Jae Young Jang, Sang Hoon Park, Su Jin Hong, Sang-Woo Kim, Hoon Jai Chun, Disinfection Management Committee of the Korean Society of Gastrointestinal Endoscopy; Clin Endosc 2015;48(1):39-47. Published online January 31, 2015; DOI: https://doi.org/10.5946/ce.2015.48.1.39

Abstract PDF PubReader ePub

Background/Aims

There is a growing emphasis on quality management in endoscope reprocessing. Previous surveys conducted in 2002 and 2004 were not practitioner-oriented. Therefore, this survey is significant for being the first to target actual participants in endoscope reprocessing in Korea.

Methods

This survey comprised 33 self-filled questions, and was personally delivered to nurses and nursing auxiliaries in the endoscopy departments of eight hospitals belonging to the society. The anonymous responses were collected after 1 week either by post or in person by committee members.

Results

The survey included 100 participants. In the questionnaire addressing compliance rates with the reprocessing guideline, the majority (98.9%) had a high compliance rate compared to 27% of respondents in 2002 and 50% in 2004. The lowest rate of compliance with a reprocessing procedure was reported for transporting the contaminated endoscope in a sealed container. Automated endoscope reprocessors were available in all hospitals. Regarding reprocessing time, more than half of the subjects replied that reprocessing took more than 15 minutes (63.2%).

Conclusions

The quality management of endoscope reprocessing has improved as since the previous survey. A national survey expanded to include primary clinics is required to determine the true current status of endoscope reprocessing.

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Advances in Digestive Medicine.2022; 9(2): 103. CrossRef
A nationwide survey on the effectiveness of training on endoscope reprocessing within the national cancer screening program in Korea
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American Journal of Infection Control.2021; 49(8): 1031. CrossRef
Accreditation program for gastrointestinal endoscopes reprocessing in Italy: An on-site survey
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Endoscopy International Open.2021; 09(11): E1627. CrossRef
Education and Training Guidelines for the Board of the Korean Society of Gastrointestinal Endoscopy
Hee Seok Moon, Eun Kwang Choi, Ji Hyun Seo, Jeong Seop Moon, Ho June Song, Kyoung Oh Kim, Jong Jin Hyun, Sung Kwan Shin, Beom Jae Lee, Sang Heon Lee
Clinical Endoscopy.2017; 50(4): 345. CrossRef
Feedback Survey of the Effect, Burden, and Cost of the National Endoscopic Quality Assessment Program during the Past 5 Years in Korea
Yu Kyung Cho, Jeong Seop Moon, Dong Su Han, Yong Chan Lee, Yeol Kim, Bo Young Park, Il-Kwun Chung, Jin-Oh Kim, Jong Pil Im, Jae Myung Cha, Hyun Gun Kim, Sang Kil Lee, Hang Lak Lee, Jae Young Jang, Eun Sun Kim, Yunho Jung, Chang Mo Moon
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Adequacy of Reprocessing Gastrointestinal Endoscopes in Korea Hospitals
YoungOk Kim, Jae Sim Jeong
Journal of Korean Biological Nursing Science.2016; 18(4): 288. CrossRef
Role of Clinical Endoscopy in Emphasizing Endoscope Disinfection
Ji Kon Ryu, Eun Young Kim, Kwang An Kwon, Il Ju Choi, Ki Baik Hahm
Clinical Endoscopy.2015; 48(5): 351. CrossRef
Current Status of Endoscope Reprocessing in Korea
Young-Seok Cho
Clinical Endoscopy.2015; 48(1): 1. CrossRef

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A Review of Current Disinfectants for Gastrointestinal Endoscopic Reprocessing: Sanghoon Park, Jae Young Jang, Ja Seol Koo, Jeong Bae Park, Yun Jeong Lim, Su Jin Hong, Sang-Woo Kim, Hoon Jai Chun, Disinfection Management Committee, The Korean Society of Gastrointestinal Endoscopy; Clin Endosc 2013;46(4):337-341. Published online July 31, 2013; DOI: https://doi.org/10.5946/ce.2013.46.4.337

Abstract PDF PubReader ePub

Gastrointestinal endoscopy is gaining popularity for diagnostic and therapeutic purposes. However, concerns over endoscope-related nosocomial infections are increasing, together with interest by the general public in safe and efficient endoscopy. For this reason, reprocessing the gastrointestinal endoscope is an important step for effective performance of endoscopy. Disinfectants are essential to the endoscope reprocessing procedure. Before selecting an appropriate disinfectant, their characteristics, limitations and means of use must be fully understood. Herein, we review the characteristics of several currently available disinfectants, including their uses, potency, advantages, and disadvantages. Most disinfectants can be used to reprocess gastrointestinal endoscopes if the manufacturer's guidelines are followed. The selection and use of a suitable disinfectant depends on the individual circumstances of each endoscopy suite.

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Antibacterial activity of Staphylococcus aureus biofilm under combined exposure of glutaraldehyde, near-infrared light, and 405-nm laser
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Education and Training Guidelines for the Board of the Korean Society of Gastrointestinal Endoscopy
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Role of Clinical Endoscopy in Emphasizing Endoscope Disinfection
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Clinical Endoscopy.2015; 48(5): 351. CrossRef
Removal of pathogenic bacterial biofilms by combinations of oxidizing compounds
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Clinical Endoscopy.2015; 48(1): 39. CrossRef

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Diagnostic Accuracy and Interobserver Agreement in Predicting the Submucosal Invasion of Colorectal Tumors Using Gross Findings, Pit Patterns, and Microvasculatures: Hye Jung Choi, Bo-In Lee, Hwang Choi, Kyu Yong Choi, Sang-Woo Kim, Joo Yong Song, Jeong Seon Ji, Byung-Wook Kim; Clin Endosc 2013;46(2):168-171. Published online March 31, 2013; DOI: https://doi.org/10.5946/ce.2013.46.2.168

Abstract PDF PubReader ePub

Background/Aims

Depth of invasion is one of the most important factors for establishing treatment strategy for colorectal tumors.

Methods

Three blinded experts reviewed electronic photos and video clips of 33 early colorectal cancer-like lesions. They estimated the depth of invasion based on conventional white light endoscopy (CWE), magnifying chromoendoscopy (MCE), and magnifying narrow band imaging endoscopy (MNE).

Results

The lesions included nine mucosal low-grade neoplasias, 16 mucosal high grade neoplasias, and eight carcinomas with invasion to the submucosal layer or beyond. The diagnostic accuracy for submucosal invasion by CWE ranged from 67% to 82%, while those by MCE and MNE ranged from 85% to 88% and 85% to 88%, respectively. The diagnostic accuracy significantly differed between CWE and MCE (p=0.034) and between CWE and MNE (p=0.039). The kappa values for CWE, MCE, and MNE among the endoscopists were 0.564, 0.673, and 0.673, respectively.

Conclusions

The estimation of submucosal invasion for early colorectal cancer-like lesions based on MCE or MNE is more accurate than CWE. MCE and MNE were demonstrated to have substantial agreement for predicting submucosal invasion.

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