Clinical Endoscopy

Sun Hyung Kang

4 Articles

Ischemic Necrosis of the Gastric Remnant without Splenic Infarction Following Subtotal Gastrectomy: Hwan Hee Park, Hee Sung Lee, Ju Seok Kim, Sun Hyung Kang, Hee Seok Moon, Jae Kyu Sung, Hyun Yong Jeong, Ji Young Sul; Clin Endosc 2018;51(3):289-293. Published online August 24, 2017; DOI: https://doi.org/10.5946/ce.2017.099

Gastric remnant necrosis after a subtotal gastrectomy is an extremely uncommon complication due to the rich vascular supply of the stomach. Despite its rareness, it must be carefully addressed considering the significant mortality rate associated with this condition. Patients vulnerable to ischemic vascular disease in particular need closer attention and should be treated more cautiously. When gastric remnant necrosis is suspected, an urgent endoscopic examination must be performed. We report a case of gastric remnant necrosis following a subtotal gastrectomy and discuss possible risk factors associated with this complication.

Citations

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Gastric remnant necrosis secondary to cholesterol crystal embolization after distal gastrectomy in a gastric cancer patient: a case report
Jumpei Shibata, Motoi Yoshihara, Takehito Kato
BMC Surgery.2020;[Epub] CrossRef
Normal and Abnormal Postoperative Imaging Findings after Gastric Oncologic and Bariatric Surgery
Cheong-Il Shin, Se Hyung Kim
Korean Journal of Radiology.2020; 21(7): 793. CrossRef
Successful management of gastric remnant necrosis after proximal gastrectomy using a double elementary diet tube: a case report
Atsushi Gakuhara, Shuichi Fukuda, Tomoyuki Tsujimoto, Hideo Tomihara, Katsuya Ohta, Kotaro Kitani, Kazuhiko Hashimoto, Hajime Ishikawa, Jin-ichi Hida, Masao Yukawa
Surgical Case Reports.2020;[Epub] CrossRef
Necrosis of the Gastric Remnant after Distal Gastrectomy for Gastric Carcinoma—A Case Report—
Daisuke SHIRAI, Naoshi KUBO, Katsunobu SAKURAI, Yutaka TAMAMORI, Kiyoshi MAEDA
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association).2019; 80(8): 1487. CrossRef

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Asymptomatic Gastric Band Erosion Detected during Routine Gastroduodenoscopy: Gee Young Yun, Woo Sub Kim, Hye Jin Kim, Sun Hyung Kang, Hee Seok Moon, Jae Kyu Sung, Hyun Yong Jeong; Clin Endosc 2016;49(3):294-297. Published online February 11, 2016; DOI: https://doi.org/10.5946/ce.2016.001

Abstract PDF PubReader ePub

The incidence of gastric band erosion has decreased to 1%. Gastric band erosion can manifest with various clinical symptoms, although some patients remain asymptomatic. We present a case of a mostly asymptomatic patient who was diagnosed with gastric band erosion during a routine health check-up. A 32-year-old man without any underlying diseases except for non-alcoholic fatty liver underwent laparoscopic adjustable gastric band surgery in 2010. He had no significant complications postoperatively. He underwent routine health check-ups with near-normal gastroduodenoscopic findings through 2014. However, in 2015, routine gastroduodenoscopy showed that the gastric band had eroded into the stomach. His gastric band was removed laparoscopically, and the remaining gastric ulcer perforation was repaired using an omental patch. Due to the early diagnosis, the infection was not serious. The patient was discharged on postoperative day 3 with oral antibiotics. This patient was fortunately diagnosed early by virtue of a routine health check-up, thus eliminating the possibility of serious complications.

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Retrieval of Gastric Band Eroding Into the Stomach: A Gastrointestinal Fistula Case Managed Through a Combined Laparoscopic and Colonoscopic Approach
Ahmed Binjaloud , Ahad Alotaibi, Samar Alsubhi , Anfal Altamimi, Osamah Nafea, Zeyad Al Yousef
Cureus.2024;[Epub] CrossRef
Late-Onset Gastric Band Erosion Following Heavy Nonsteroidal Anti-inflammatory Drug Use
Zachary Makovich, Brijesh Patel
ACG Case Reports Journal.2024; 11(4): e01343. CrossRef
Foregut Erosion Related to Biomedical Implants: A Scoping Review
Alberto Aiolfi, Andrea Sozzi, Gianluca Bonitta, Davide Bona, Luigi Bonavina
Journal of Laparoendoscopic & Advanced Surgical Techniques.2024; 34(8): 691. CrossRef
The Silent Band: Laparoscopic Adjustable Gastric Band Erosion as an Incidental Finding During Endoscopy
Lefika Bathobakae, Tiffany Varadi, Rammy Bashir, Atang Koodirile, Ruhin Yuridullah, Kamal Amer, Yana Cavanagh
Journal of Investigative Medicine High Impact Case Reports.2024;[Epub] CrossRef
Management of Laparoscopic Adjustable Gastric Band Erosion: A Case Report
Taylor F Faust, Emma Schnittka, Michael B Steadman, Garrett M Cail, Bradley S Rice
Cureus.2023;[Epub] CrossRef
Complications from Laparoscopic Adjustable Gastric Banding: 364 Cases Experience
GV Ramiro
Global Journal of Obesity, Diabetes and Metabolic Syndrome.2017; 4(1): 001. CrossRef

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5 Web of Science
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The AIMS65 Score Is a Useful Predictor of Mortality in Patients with Nonvariceal Upper Gastrointestinal Bleeding: Urgent Endoscopy in Patients with High AIMS65 Scores: Sun Wook Park, Young Wook Song, Dae Hyun Tak, Byung Moo Ahn, Sun Hyung Kang, Hee Seok Moon, Jae Kyu Sung, Hyun Yong Jeong; Clin Endosc 2015;48(6):522-527. Published online November 30, 2015; DOI: https://doi.org/10.5946/ce.2015.48.6.522

Abstract PDF PubReader ePub

Background
/Aims: To validate the AIMS65 score for predicting mortality of patients with nonvariceal upper gastrointestinal bleeding and to evaluate the effectiveness of urgent (<8 hours) endoscopic procedures in patients with high AIMS65 scores.
Methods
This was a 5-year single-center, retrospective study. Nonvariceal, upper gastrointestinal bleeding was assessed by using the AIM65 and Rockall scores. Scores for mortality were assessed by calculating the area under the receiver-operating characteristic curve (AUROC). Patients with high AIMS65 scores (≥2) were allocated to either the urgent or non-urgent endoscopic procedure group. In-hospital mortality, success of endoscopic procedure, recurrence of bleeding, admission period, and dose of transfusion were compared between groups.
Results
A total of 634 patients were analyzed. The AIMS65 score successfully predicted mortality (AUROC=0.943; 95% confidence interval [CI], 0.876 to 0.99) and was superior to the Rockall score (AUROC=0.856; 95% CI, 0.743 to 0.969) in predicting mortality. The group with high AIMS65 score included 200 patients. The urgent endoscopic procedure group had reduced hospitalization periods (p<0.05)
Conclusions
AIMS65 score may be useful in predicting mortality in patients with nonvariceal upper gastrointestinal bleeding. Urgent endoscopic procedures in patients with high scores may be related to reduced hospitalization periods.

Citations

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ASSESSMENT OF PATIENTS WITH NON-VARICEAL UPPER GASTROINTESTINAL BLEEDING USING AIMS65 SCORE
Farahnaz Joukar, Raheleh Sadat Hosseini Basti, Fakhrieh Sadat Hosseini Basti, Fatemeh Mosafer, Hoorieh Sadat Hosseini Basti, Zahra Hedayatzadeh, Afshin Shafaghi
Studies in Medical Sciences.2024; 35(1): 51. CrossRef
Prediction of 30-day in-hospital mortality in older UGIB patients using a simplified risk score and comparison with AIMS65 score
Zaiyao Xue, Hebin Che, Deyou Xie, Jiefeng Ren, Quanjin Si
BMC Geriatrics.2024;[Epub] CrossRef
Turn over the new leaf of the treatment in peptic ulcer bleeding: a review of the literature
Meng-Hsuan Lu, Hsueh-Chien Chiang
Therapeutic Advances in Gastroenterology.2024;[Epub] CrossRef
Performance of Six Clinical Physiological Scoring Systems in Predicting In-Hospital Mortality in Elderly and Very Elderly Patients with Acute Upper Gastrointestinal Bleeding in Emergency Department
Po-Han Wu, Shang-Kai Hung, Chien-An Ko, Chia-Peng Chang, Cheng-Ting Hsiao, Jui-Yuan Chung, Hao-Wei Kou, Wan-Hsuan Chen, Chiao-Hsuan Hsieh, Kai-Hsiang Ku, Kai-Hsiang Wu
Medicina.2023; 59(3): 556. CrossRef
Outcomes in Patients Admitted for Upper Gastrointestinal Bleeding and COVID-19 Infection: A Study of Two Years of the Pandemic
Sergiu Cazacu, Daniela Burtea, Vlad Iovănescu, Dan Florescu, Sevastița Iordache, Adina Turcu-Stiolica, Victor Sacerdotianu, Bogdan Ungureanu
Life.2023; 13(4): 890. CrossRef
Pre-Endoscopic Scores Predicting Low-Risk Patients with Upper Gastrointestinal Bleeding: A Systematic Review and Meta-Analysis
Antoine Boustany, Ali A. Alali, Majid Almadi, Myriam Martel, Alan N. Barkun
Journal of Clinical Medicine.2023; 12(16): 5194. CrossRef
A nomogram to predict in-hospital mortality of gastrointestinal bleeding patients in the intensive care unit
Xueyan Zhang, Jianfang Ni, Hongwei Zhang, Mengyuan Diao
Frontiers in Medicine.2023;[Epub] CrossRef
Scoring systems for predicting clinical outcomes in peptic ulcer bleeding
Jin Hee Noh, Boram Cha, Ji Yong Ahn, Hee Kyong Na, Jeong Hoon Lee, Kee Wook Jung, Do Hoon Kim, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung
Medicine.2022; 101(36): e30410. CrossRef
ABC score: a new risk score that accurately predicts mortality in acute upper and lower gastrointestinal bleeding: an international multicentre study
Stig Borbjerg Laursen, Kathryn Oakland, Loren Laine, Vered Bieber, Riccardo Marmo, Eduardo Redondo-Cerezo, Harry R Dalton, Jeffrey Ngu, Michael Schultz, Marco Soncini, Ian Gralnek, Vipul Jairath, Iain A Murray, Adrian J Stanley
Gut.2021; 70(4): 707. CrossRef
AIMS65 scoring system is comparable to Glasgow-Blatchford score or Rockall score for prediction of clinical outcomes for non-variceal upper gastrointestinal bleeding
Min Seong Kim, Jeongmin Choi, Won Chang Shin
BMC Gastroenterology.2019;[Epub] CrossRef
Comparison of three risk scores to predict outcomes in upper gastrointestinal bleeding; modifying Glasgow-Blatchford with albumin
Afshin Shafaghi, Faeze Gharibpoor, Zahra Mahdipour, Ali Akbar Samadani
Romanian Journal of Internal Medicine.2019; 57(4): 322. CrossRef
Comparison of AIMS65, Glasgow–Blatchford and Rockall scoring approaches in predicting the risk of in-hospital death among emergency hospitalized patients with upper gastrointestinal bleeding: a retrospective observational study in Nanjing, China
Lei Gu, Fei Xu, Jie Yuan
BMC Gastroenterology.2018;[Epub] CrossRef
How to Use Scoring Systems for Upper Gastrointestinal Bleeding?
Heung Up Kim
The Korean Journal of Gastroenterology.2016; 67(1): 1. CrossRef
Risk Strategy in Non-Variceal Upper Gastrointestinal Bleeding
Joon Sung Kim, Byung-Wook Kim
The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2016; 16(4): 173. CrossRef
Comparison of three scoring systems in predicting clinical outcomes in patients with acute upper gastrointestinal bleeding: a prospective observational study
Min Zhong, Wan Jun Chen, Xiao Ye Lu, Jie Qian, Chang Qing Zhu
Journal of Digestive Diseases.2016; 17(12): 820. CrossRef
Can AIMS65 Save the Endoscopists from Midnight Calls?
Joon Sung Kim, Byung-Wook Kim
Clinical Endoscopy.2015; 48(6): 459. CrossRef

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Risk Factors for Dieulafoy Lesions in the Upper Gastrointestinal Tract: Hae Jin Shin, Jong Seok Ju, Ki Dae Kim, Seok Won Kim, Sung Hoon Kang, Sun Hyung Kang, Hee Seok Moon, Jae Kyu Sung, Hyun Yong Jeong; Clin Endosc 2015;48(3):228-233. Published online May 29, 2015; DOI: https://doi.org/10.5946/ce.2015.48.3.228

Abstract PDF PubReader ePub

Background/Aims

The purpose of this study is to verify the risk factors associated with Dieulafoy lesion formation in the upper gastrointestinal tract.

Methods

A case-control study was performed by reviewing the electronic medical records of 42 patients who were admitted to a tertiary medical center in the Daejeon region for Dieulafoy lesions from September 2008 to October 2013, and the records of 132 patients who were admitted during the same period and who underwent endoscopic examination for reasons other than bleeding. We analyzed clinical and endoscopic findings retrospectively, and searched for risk factors associated with Dieulafoy lesion formation.

Results

All 42 patients diagnosed with Dieulafoy lesion had accompanying bleeding, and the location of the bleeding was proximal in 25 patients (59.5%), the middle portion in seven patients (16.7%), and distal in 10 patients (23.8%). Antiplatelet agents (p=0.022) and alcohol (p=0.001) use showed statistically significant differences between the two groups. The odds ratios (95% confidence intervals) of the two factors were 2.802 (1.263 to 6.217) and 3.938 (1.629 to 9.521), respectively.

Conclusions

This study showed that antiplatelet agents and alcohol consumption were risk factors associated with Dieulafoy lesion formation in the upper gastrointestinal tract.

Citations

Citations to this article as recorded by

Can Segmental Branch Embolization of the Left Gastric Artery Be an Alternative in the Treatment of Recurrent Dieulafoy Lesion Bleeding? A Case report
Gamze Sönmez, Serez İleri, Ferdi Çay, Bora Peynircioğlu, Onur Keskin
Akademik Gastroenteroloji Dergisi.2024; 23(2): 67. CrossRef
Usage of Padlock Over-the-Scope-Clip in Difficult-to-Control Recurrent Gastrointestinal Bleeding Due to a Gastric Dieulafoy Lesion
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Fatal exulceratio simplex (dieulafoy lesion) – a case report and review
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Forensic Science, Medicine and Pathology.2024;[Epub] CrossRef
Sustained Hemostasis With the Padlock™ Over-the-scope Clip for Gastric Fundus Dieulafoy’s Lesion in the Setting of Anticoagulation Following Hemorrhagic Shock From Two Dieulafoy’s Lesions
Jonathan J Cho, Chelsea M Forbes, Benjamin D Fiore, Joshua D McCarron, Leybelis Padilla
Military Medicine.2023; 188(9-10): e3265. CrossRef
Multiple Gastric Dieulafoy Lesions
Vikas Pemmada, Ganesh Bhat, Athish Shetty, Bharath Kumar Bhat, Megha Murali, Geetha Vasudevan
ACG Case Reports Journal.2023; 10(6): e01053. CrossRef
Retrospective analysis of patients with Dieulafoy’s lesions
Bünyamin SARITAŞ, Şehmus ÖLMEZ, Adnan TAŞ, Nevin AKÇAER ÖZTÜRK, Banu KARA
Akademik Gastroenteroloji Dergisi.2023; 22(3): 136. CrossRef
Gastrointestinal Bleeding From a Transverse Colon Dieulafoy Lesion
Xinyu Xie, Jian Qin, Xiaojua Ma, Shanshan Liu
Cureus.2023;[Epub] CrossRef
Cliniccal Analysis of 5 Cases of Upper Gastrointestinal Bleeding Caused by Duodenal Dieulafoy’s Disease
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Advances in Clinical Medicine.2023; 13(10): 15268. CrossRef
Case report: The first description of a Dieulafoy's lesion in the gastric mucosa of a dog
Daniel Felipe Barrantes Murillo, Michael Tillson, Jennifer W. Koehler, Maninder Sandey
Frontiers in Veterinary Science.2022;[Epub] CrossRef
Diagnosis and Treatment of a Recurrent Bleeding Dieulafoy’s Lesion: A Case Report
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Cureus.2022;[Epub] CrossRef
Dieulafoy lesions as cause of upper gastrointestinal bleeding in a patient with portal hypertension
Fahad Malik, Omar Al Salman, Marwah Alchalabi, Shobhana Chaudhari, Ali Tariq Khan
Journal of Community Hospital Internal Medicine Perspectives.2021; 11(1): 94. CrossRef
Jejunal Dieulafoy’s Lesion: A Systematic Review of Evaluation, Diagnosis, and Management
Adnan Malik, Faisal Inayat, Muhammad Hassan Naeem Goraya, Talal Almas, Rizwan Ishtiaq, Sohira Malik, Zahid Ijaz Tarar
Journal of Investigative Medicine High Impact Case Reports.2021;[Epub] CrossRef
Dieulafoy Lesion as a Source of Bleeding: A Report of Two Clinical Cases
Goran Sarafiloski, Mimi R. Marinova, Pencho T. Tonchev
Journal of Biomedical and Clinical Research.2021; 14(2): 186. CrossRef
Incidental massive lower gastrointestinal hemorrhage caused by a rectal Dieulafoy’s lesion
Genesis Perez Del Nogal, Rangesh Modi, Ivania Salinas, Kalyan Chakrala
BMJ Case Reports.2021; 14(9): e244264. CrossRef
Gastrointestinal Bleeding at CT Angiography and CT Enterography: Imaging Atlas and Glossary of Terms
Flavius F. Guglielmo, Michael L. Wells, David H. Bruining, Lisa L. Strate, Álvaro Huete, Avneesh Gupta, Jorge A. Soto, Brian C. Allen, Mark A. Anderson, Olga R. Brook, Michael S. Gee, David J. Grand, Martin L. Gunn, Ashish Khandelwal, Seong Ho Park, Vijay
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A case of the lower gastrointestinal bleeding due to Dieulafoy’s ulcer in the cecum
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Raja Chandra Chakinala, Shantanu Solanki, Khwaja F Haq, Jagmeet Singh, Harshil Shah, Dhanshree Solanki, Asim Kichloo, Khwaja S Haq, Azam H Burney, Shanza Waqar, Manasee Vyas, Savneek Chugh, Christopher Nabors
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Acta Médica Grupo Ángeles.2020; 18(3): 302. CrossRef
Gastric vascular abnormalities: diagnosis and management
Mohanad Awadalla, Mohamed Mahmoud, Philip McNamara, Wahid Wassef
Current Opinion in Gastroenterology.2020; 36(6): 538. CrossRef
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Case Reports in Gastroenterology.2019; 13(3): 508. CrossRef
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