Clinical Endoscopy

Sung-Kyu Choi

3 Articles

Predictors of Rebleeding in Upper Gastrointestinal Dieulafoy Lesions: Sang-Hun Park, Du-Hyeon Lee, Chang-Hwan Park, Jin Jeon, Ho-Jun Lee, Sung-Uk Lim, Seon-Young Park, Hyun-Soo Kim, Sung-Kyu Choi, Jong-Sun Rew; Clin Endosc 2015;48(5):385-391. Published online September 30, 2015; DOI: https://doi.org/10.5946/ce.2015.48.5.385

Background/Aims

Dieulafoy lesions (DLs) are a rare but significant cause of upper gastrointestinal bleeding. We aimed to define the clinical significance of rebleeding and identify the predictors of rebleeding and mortality in upper gastrointestinal Dieulafoy lesions (UGIDLs).

Methods

Patients diagnosed with UGIDLs between January 2004 and June 2013 were retrospectively evaluated. Multivariate logistic regression analyses were performed to define the predictors of rebleeding and mortality in patients with UGIDLs.

Results

The study group consisted of 81 male and 36 female patients. Primary hemostasis was achieved in 115 out of 117 patients (98.3%) with various endoscopic therapies. Rebleeding occurred in 10 patients (8.5%). The mortality rate was significantly higher in patients with rebleeding than in those without rebleeding (30.0% vs. 4.7%, p=0.020). Multivariate logistic regression analysis revealed that kidney disease (p=0.006) and infection (p=0.005) were significant predictors of rebleeding in UGIDLs and that kidney disease (p=0.004) and platelet count (p=0.013) were significant predictors of mortality.

Conclusions

Rebleeding has an important prognostic significance in patients with UGIDLs. Kidney disease and infection are major predictors of rebleeding and mortality in patients with UGIDLs.

Citations

Citations to this article as recorded by

Clinical outcomes of Dieulafoy's lesion compared with peptic ulcer in upper gastrointestinal bleeding
Sang Yong Jo, Jin Hee Noh, Boram Cha, Ji Yong Ahn, Seung‐pyo Oh, Jun‐young Seo, Hee Kyong Na, Jeong Hoon Lee, Kee Wook Jung, Do Hoon Kim, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon‐Yong Jung
Journal of Gastroenterology and Hepatology.2023; 38(6): 888. CrossRef
Intragastric Single-Port Surgery: An Innovative and Multipurpose Technique for the Therapy of Upper Digestive Tract Lesions
Renjie Li, Wilfried Veltzke-Schlieker, Andreas Adler, Mahmoud Ismail, Harun Badakhshi, Ricardo Zorron
Surgical Innovation.2022; 29(1): 56. CrossRef
Outcomes in Severe Upper GI Hemorrhage from Dieulafoy’s Lesion with Monitoring of Arterial Blood Flow
B. Nulsen, D. M. Jensen, T. O. G. Kovacs, K. A. Ghassemi, M. Kaneshiro, G. S. Dulai, R. Jutabha, J. A. Gornbein
Digestive Diseases and Sciences.2021; 66(10): 3495. CrossRef
Hybrid surgical technologies in the treatment of patients with Dieulafoy’s lesion complicated by recurrent gastrointestinal bleeding
S.E. Voskanyan, M.V. Shabalin, A.I. Artemyev, I.Yu. Kolyshev, Z. Bogoevich, A.N. Bashkov, E.V. Naidenov
Endoskopicheskaya khirurgiya.2020; 26(1): 40. CrossRef
Dieulafoy Lesion: Predictive Factors of Early Relapse and Long-Term Follow-Up
Paulo Massinha, Inês Cunha, Luís Tomé
GE - Portuguese Journal of Gastroenterology.2020; 27(4): 237. CrossRef
A Rare Cause of Gastrointestinal Bleeding in a 65-Year-Old Man with History of Polycythemia Vera
Najmeh Aletaha, Hoda Hamid, Niloofar Ayoobi Yazdi, Reza Taslimi, Bijan Shahbazkhani, Pardis Ketabi Moghadam
Middle East Journal of Digestive Diseases.2019; 11(4): 225. CrossRef
Lesión de Dieulafoy en estómago como causa de sangrado gastrointestinal alto: presentación de un caso
Jairo Alonso Sierra-Avendaño, Fabián Andrés Mejía-Casadiegos, María Paula Pérez-Barón, Gabriel Eduardo Pérez-García
Revista Médicas UIS.2019; 32(1): 27. CrossRef
Endoscopic Management of Nonvariceal, Nonulcer Upper Gastrointestinal Bleeding
Michael A. Chang, Thomas J. Savides
Gastrointestinal Endoscopy Clinics of North America.2018; 28(3): 291. CrossRef
Refractory Gastric Hemorrhage from Caliber Persistent Arteries of the Left Inferior Phrenic Artery
Takahiro Hosoi, Norihiro Yuasa, Eiji Takeuchi, Hideo Miyake, Hidemasa Nagai, Yuichiro Yoshioka, Masataka Okuno, Takayuki Minami, Kanji Miyata, Masahiko Fujino
The Japanese Journal of Gastroenterological Surgery.2017; 50(2): 112. CrossRef

6,668 View
87 Download
5 Web of Science
9 Crossref

Eosinophilic Gastroenteritis Due to Rhus Ingestion Presenting with Gastrointestinal Hemorrhage: Wonsuk Choi, Seon-Young Park, Chan Choi, Kyuman Cho, Chang-Hwan Park, Hyun-Soo Kim, Sung-Kyu Choi, Jong-Sun Rew; Clin Endosc 2015;48(2):174-177. Published online March 27, 2015; DOI: https://doi.org/10.5946/ce.2015.48.2.174

Abstract PDF PubReader ePub

Rhus-related illnesses in Korea are mostly caused by ingestion of parts of the Rhus tree. Contact dermatitis occurrence after ingestion of Rhus-related food is very common in Korea. However, Rhus-related gastrointestinal disease is very rare. Herein, we present a case of eosinophilic gastroenteritis caused by Rhus ingestion. A 75-year-old woman was admitted with hematemesis and hematochezia after Rhus extract ingestion. Routine laboratory tests revealed leukocytosis without eosinophilia. Endoscopy showed friable and granular mucosal changes with touch bleeding in the second portion of the duodenum. Abdominal computed tomography revealed edematous wall thickening of the duodenum and proximal jejunal loops. Patch testing with Rhus extracts showed a strong positive reaction, suggesting Rhus as the allergen. Her symptoms improved after avoidance of the allergen.

Citations

Citations to this article as recorded by

Systemic contact dermatitis induced by Rhus allergens in Korea: exercising caution in the consumption of this nutritious food
S. J. Park, J. W. Park, K. Y. Park, K. Li, S. J. Seo, B. J. Kim, K. H. Yoo
Clinical and Experimental Dermatology.2021; 46(2): 324. CrossRef
Upper Gastrointestinal Bleeding as the First Presentation of Eosinophilic Gastrointestinal Disease
Elif Ozdogan, Latife Doganay Caglayan, Ozlem Mizikoglu, Cigdem Arikan
JPGN Reports.2020; 1(2): e017. CrossRef
Severe upper gastrointestinal bleeding due to eosinophilic gastritis
Valentín Gonzalez-Canalizo, Nerea Segues, Andrea Medina, Silvia Torrente, Vanessa Aguilar-Gama, Paula Ortega, Luis Bujanda
Gastroenterología y Hepatología.2019; 42(5): 307. CrossRef
Severe upper gastrointestinal bleeding due to eosinophilic gastritis
Valentín Gonzalez-Canalizo, Nerea Segues, Andrea Medina, Silvia Torrente, Vanessa Aguilar-Gama, Paula Ortega, Luis Bujanda
Gastroenterología y Hepatología (English Edition).2019; 42(5): 307. CrossRef

9,021 View
87 Download
3 Web of Science
4 Crossref

A Comparison of Clinical Characteristics between Medically-treated Patients and Surgically-treated Patients with Ischemic Colitis: Nam-Chul Jin, Hyun-Soo Kim, Dae-Hyun Kim, Young-A Song, Yeon-Ju Kim, Tae-Jin Seo, Sun-Young Park, Chang-Hwan Park, Young-Eun Joo, Sung-Kyu Choi, Jong-Sun Rew; Clin Endosc 2011;44(1):38-43. Published online September 30, 2011; DOI: https://doi.org/10.5946/ce.2011.44.1.38

Abstract PDF PubReader ePub

Background/Aims

Ischemic colitis (IC) is usually a self-limiting disease. But, it can cause necrosis that requires urgent surgical treatment. We sought to evaluate clinical difference in IC patients between medical and surgical treatment groups, and to identify prognostic factors for adverse outcomes.

Methods

We conducted a retrospective analysis of clinical characteristics in patients with IC treated in Chonnam National University Hospital between May 2001 and April 2010. A total of 81 patients with IC were enrolled. We classified the patients into two groups-a medical treatment group and a surgical treatment group-and evaluated their clinical features, treatment outcomes and mortality.

Results

Absence of hematochezia, vomiting, abdominal tenderness, abdominal rebound tenderness, heart rate over 90 beats/min, systolic blood pressure less than 100 mm Hg, hyponatremia and increased LDH or serum creatinine level were observed more frequently in surgically-treated patients (p<0.05). Most cases in the medically-treated group resolved without complications (98.3%). But, about half of the cases (52.4%) of the surgically-treated group resolved and the mortality rate was 47.6%.

Conclusions

In patients with ischemic colitis, several clinical factors are associated with surgical treatment. Although IC is often selflimited, our data suggests that special attention and aggressive therapy is warranted in treating these patients.

Citations

Citations to this article as recorded by

Congestive ischemic colitis successfully treated with anti-inflammatory therapy: A case report
Geon Woo Lee, Su Bum Park
World Journal of Clinical Cases.2024; 12(1): 142. CrossRef
Colitis isquémica. ¿La localización en el colon derecho tiene peor pronóstico?
Vincenzo Vigorita, Marta Paniagua García-Señoráns, Gianluca Pellino, Paula Troncoso Pereira, Alberto de San Ildefonso Pereira, Enrique Moncada Iribarren, Raquel Sánchez-Santos, Jose Enrique Casal Núñez
Cirugía Española.2022; 100(2): 74. CrossRef
Ischemic colitis. Does right colon location mean worst prognosis?
Vincenzo Vigorita, Marta Paniagua García-Señoráns, Gianluca Pellino, Paula Troncoso Pereira, Alberto de San Ildefonso Pereira, Enrique Moncada Iribarren, Raquel Sánchez-Santos, Jose Enrique Casal Núñez
Cirugía Española (English Edition).2022; 100(2): 74. CrossRef
Clinical characteristics and long-term outcomes of hospitalised patients with ischemic colitis with different degrees of haematochezia: a retrospective study
Qin An, Baisi- Yuan, Zhen Guo, Lin Wu, Miaofang- Yang, Shaopei- Shi, Guoxing- Tang, Fangyu- Wang
European Journal of Gastroenterology & Hepatology.2022; 34(8): 823. CrossRef
Clinical features and risk factors for ischemic colitis in young and middle-aged patients
W Cai, J Zhu, D Hu
Acta Gastro Enterologica Belgica.2022; 85(2): 283. CrossRef
Clinical impact of inferior mesenteric vein preservation during left hemicolectomy with low ligation of the inferior mesenteric artery for distal transverse and descending colon cancers: A comparative study based on computed tomography
Jung Wook Suh, Jihoon Park, Jeehye Lee, In Jun Yang, Hong-Min Ahn, Heung-Kwon Oh, Duck-Woo Kim, Sung-Bum Kang
Frontiers in Oncology.2022;[Epub] CrossRef
Development and Validation of a Risk Scoring Model for Early Prediction of Severe Colon Ischemia
Min Young Shin, Hee Seok Moon, In Sun Kwon, Jae Ho Park, Ju Seok Kim, Sun Hyung Kang, Eaum Seok Lee, Seok Hyun Kim, Jae Kyu Sung, Byung Seok Lee, Hyun Yong Jeong
Digestive Diseases and Sciences.2021; 66(11): 3993. CrossRef
Colon ischemia: A comprehensive review
Antonella Maimone, Antonella De Ceglie, Peter D. Siersema, Todd H. Baron, Massimo Conio
Clinics and Research in Hepatology and Gastroenterology.2021; 45(6): 101592. CrossRef
The Pathophysiology, Presentation and Management of Ischaemic Colitis: A Systematic Review
George Demetriou, Ahmed Nassar, Sriram Subramonia
World Journal of Surgery.2020; 44(3): 927. CrossRef
Congestive ischemic colitis occurring after resection of left colon cancer: 4 case series
Takatsugu Fujii, Shigeo Toda, Yuki Nishihara, Yusuke Maeda, Kosuke Hiramatsu, Yutaka Hanaoka, Rikiya Sato, Shuichiro Matoba, Masashi Ueno, Hiroya Kuroyanagi
Surgical Case Reports.2020;[Epub] CrossRef
Ischaemic colitis: uncertainty in diagnosis, pathophysiology and management
Amanda L. Nikolic, James O. Keck
ANZ Journal of Surgery.2018; 88(4): 278. CrossRef
Predisposing Factors of Ischemic Colitis: Data from 14 Years of Experience in a Single Center
Hyun Il Seo, Kyoo-ho Choi, Koon Hee Han, Sang Jin Lee, Jong Kyu Park, Young Don Kim, Gab Jin Cheon
Gastroenterology Research and Practice.2017; 2017: 1. CrossRef
Advents in the Diagnosis and Management of Ischemic Colitis
Evangelos P. Misiakos, Dimitrios Tsapralis, Theodore Karatzas, Irene Lidoriki, Dimitrios Schizas, George S. Sfyroeras, Konstantinos G. Moulakakis, Chrysostomos Konstantos, Anastasios Machairas
Frontiers in Surgery.2017;[Epub] CrossRef
The predictors of the severity of ischaemic colitis: a systematic review of 2823 patients from 22 studies
D. Sun, C. Wang, L. Yang, M. Liu, F. Chen
Colorectal Disease.2016; 18(10): 949. CrossRef
Laparoscopy rather than colonoscopy for the diagnosis and treatment of fulminant ischemic colitis
Mahmoud Othman, Nadim El-Majzoub, Ghattas Khoury, Kassem Barada
International Journal of Colorectal Disease.2014; 29(11): 1443. CrossRef
Efficacy of Pentoxifylline and Tadalafil in Rat Model of Ischemic ColITIS
Enver Reyhan, Oktay Irkorucu, Ali Surmelioglu, Selvinaz Ozkara, Kamuran Cumhur Deger, Mehmet Aziret, Hasan Erdem, Suleyman Cetinkunar, Pelin Demirturk, Ahmet Ozer Sehirli
Journal of Investigative Surgery.2014; 27(6): 349. CrossRef
Ischemic colitis: A forgotten entity. Results of a retrospective study in 118 patients
Muhammed Sherid, Humberto Sifuentes, Salih Samo, Samian Sulaiman, Husein Husein, Ruth Tupper, Sankara N Sethuraman, Charles Spurr, John A Vainder, Subbaramiah Sridhar
Journal of Digestive Diseases.2014; 15(11): 606. CrossRef
Stenotic ischemic colitis treated with laparoscopy-assisted surgery
Tomoya Tsukada
World Journal of Gastrointestinal Surgery.2012; 4(8): 203. CrossRef

5,226 View
46 Download
18 Crossref

Author index