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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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- 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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Survey results from the participants of the Asian Young Endoscopist Award and International Young Endoscopist Award as part of the International Digestive Endoscopy Network
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Tae-Geun Gweon, Sang Hoon Kim, Ki Bae Bang, Seung Wook Hong, Won Jae Yoon, Sung Noh Hong, Jae Jun Park, Jimin Han, Ja Seol Koo, Oh Young Lee, on behalf of the Public Affairs Committee of the Korean Society of Gastrointestinal Endoscopy
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Clin Endosc 2023;56(5):674-676. Published online August 24, 2023
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DOI: https://doi.org/10.5946/ce.2023.100
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PDFPubReaderePub
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Management of complications related to colorectal endoscopic submucosal dissection
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Tae-Geun Gweon, Dong-Hoon Yang
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Clin Endosc 2023;56(4):423-432. Published online July 27, 2023
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DOI: https://doi.org/10.5946/ce.2023.104
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Abstract
PDFPubReaderePub
- Compared to endoscopic mucosal resection (EMR), colonoscopic endoscopic submucosal dissection (C-ESD) has the advantages of higher en bloc resection rates and lower recurrence rates of colorectal neoplasms. Therefore, C-ESD is considered an effective treatment method for laterally spread tumors and early colorectal cancer. However, C-ESD is technically more difficult and requires a longer procedure time than EMR. In addition to therapeutic efficacy and procedural difficulty, safety concerns should always be considered when performing C-ESD in clinical practice. Bleeding and perforation are the main adverse events associated with C-ESD and can occur during C-ESD or after the completion of the procedure. Most bleeding associated with C-ESD can be managed endoscopically, even if it occurs during or after the procedure. More recently, most perforations identified during C-ESD can also be managed endoscopically, unless the mural defect is too large to be sutured with endoscopic devices or the patient is hemodynamically unstable. Delayed perforations are quite rare, but they require surgical treatment more frequently than endoscopically identified intraprocedural perforations or radiologically identified immediate postprocedural perforations. Post-ESD coagulation syndrome is a relatively underestimated adverse event, which can mimic localized peritonitis from perforation. Here, we classify and characterize the complications associated with C-ESD and recommend management options for them.
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Citations
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- International Digestive Endoscopy Network consensus on the management of antithrombotic agents in patients undergoing gastrointestinal endoscopy
Seung Joo Kang, Chung Hyun Tae, Chang Seok Bang, Cheol Min Shin, Young-Hoon Jeong, Miyoung Choi, Joo Ha Hwang, Yutaka Saito, Philip Wai Yan Chiu, Rungsun Rerknimitr, Christopher Khor, Vu Van Khien, Kee Don Choi, Ki-Nam Shim, Geun Am Song, Oh Young Lee Clinical Endoscopy.2024; 57(2): 141. CrossRef - Is there a best choice of equipment for colorectal endoscopic submucosal dissection?
Francesco Cocomazzi, Sonia Carparelli, Nunzia Labarile, Antonio Capogreco, Marco Gentile, Roberta Maselli, Jahnvi Dhar, Jayanta Samanta, Alessandro Repici, Cesare Hassan, Francesco Perri, Antonio Facciorusso Expert Review of Medical Devices.2024; 21(7): 561. CrossRef - IDEN Consensus on Management of Antithrombotic Agents in Patients Undergoing Gastrointestinal Endoscopy
Seung Joo Kang, Chung Hyun Tae, Chang Seok Bang, Cheol Min Shin, Young-Hoon Jeong, Miyoung Choi, Joo Ha Hwang, Yutaka Saito, Philip Wai Yan Chiu, Rungsun Rerknimitr, Christopher Khor, Vu Van Khien, Kee Don Choi, Ki-Nam Shim, Geun Am Song, Oh Young Lee The Korean Journal of Gastroenterology.2024; 83(6): 217. CrossRef - Approaches and considerations in the endoscopic treatment of T1 colorectal cancer
Yunho Jung The Korean Journal of Internal Medicine.2024; 39(4): 563. CrossRef - Clinical meaning of sarcopenia in patients undergoing endoscopic treatment
Hiroyuki Hisada, Yosuke Tsuji, Hikaru Kuribara, Ryohei Miyata, Kaori Oshio, Satoru Mizutani, Hideki Nakagawa, Rina Cho, Nobuyuki Sakuma, Yuko Miura, Hiroya Mizutani, Daisuke Ohki, Seiichi Yakabi, Yu Takahashi, Yoshiki Sakaguchi, Naomi Kakushima, Nobutake Clinical Endoscopy.2024; 57(4): 446. CrossRef - Endoscopic approaches for the management of giant colonic polyps
Yunho Jung Clinical Endoscopy.2024; 57(4): 468. CrossRef - Outcome and predictive factors for perforation in orthodontic rubber band-assisted endoscopic submucosal dissection of fibrotic colorectal lesions
Linfu Zheng, Binbin Xu, Fuqiang Wang, Longping Chen, Baoxiang Luo, Zhilin Liu, Xingjie Gao, Linxin Zhou, Rong Wang, Chuanshen Jiang, Dazhou Li, Wen Wang Scientific Reports.2024;[Epub] CrossRef - Rhabdomyolysis following colorectal endoscopic submucosal dissection: A case report
Ying Chen, Wenxuan Zhang, Junqiang Cai, Min Zhong Clinical Case Reports.2024;[Epub] CrossRef - International Digestive Endoscopy Network Consensus on the Management of Antithrombotic Agents in Patients Undergoing Gastrointestinal Endoscopy
Seung Joo Kang, Chung Hyun Tae, Chang Seok Bang, Cheol Min Shin, Young-Hoon Jeong, Miyoung Choi, Joo Ha Hwang, Yutaka Saito, Philip Wai Yan Chiu, Rungsun Rerknimitr, Christopher Khor, Vu Van Khien, Kee Don Choi, Ki-Nam Shim, Geun Am Song, Oh Young Lee Gut and Liver.2024; 18(5): 764. CrossRef
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2,334
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Next Generation Fecal Microbiota Transplantation
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Tae-Geun Gweon, Soo-Young Na
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Clin Endosc 2021;54(2):152-156. Published online March 24, 2021
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DOI: https://doi.org/10.5946/ce.2021.053
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Abstract
PDFPubReaderePub
- Fecal microbiota transplantation (FMT) is considered as an effective treatment for Clostridioides difficile infection. However, the precise mechanism of FMT is yet to be determined. Human stool consists of the gut microbiota, bacterial debris, and metabolic products. Of these, the intestinal microbiota is the most important factor that exerts therapeutic efficacy in FMT. Fresh donor stool, blended with normal saline, has been employed for traditional FMT. Nevertheless, stool processing is a major impediment in FMT. Frozen stool and capsule formulations have similar efficacy to that of fresh stool. In addition, several novel stool products have been identified. A stool bank that provides stool products with pre-screened donor stool has been established to help physicians and thereby facilitate FMT. Recent next-generation sequencing techniques have been key in facilitating the detailed analysis of the microbiota and gut environment of individual donors and recipients.
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Citations
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- Gut microbiota: the indispensable player in neurodegenerative diseases
Sen Li, Yuwei Cai, Shuo Wang, Lei Luo, Yu Zhang, Kai Huang, Xiao Guan Journal of the Science of Food and Agriculture.2024; 104(12): 7096. CrossRef - Recognition and attitudes of Korean physicians toward fecal microbiota transplantation: a survey study
Tae-Geun Gweon, Yoo Jin Lee, Sung Kyun Yim, Seung Yong Kim, Chang Hwan Choi, Young-Seok Cho The Korean Journal of Internal Medicine.2023; 38(1): 48. CrossRef - Is there a role for microbiome-based approach in common variable immunodeficiency?
Remo Poto, Gianluca laniro, Amato de Paulis, Giuseppe Spadaro, Gianni Marone, Antonio Gasbarrini, Gilda Varricchi Clinical and Experimental Medicine.2023; 23(6): 1981. CrossRef - Antimicrobial Resistance and Recent Alternatives to Antibiotics for the Control of Bacterial Pathogens with an Emphasis on Foodborne Pathogens
Yosra A. Helmy, Khaled Taha-Abdelaziz, Hanan Abd El-Halim Hawwas, Soumya Ghosh, Samar Sami AlKafaas, Mohamed M. M. Moawad, Essa M. Saied, Issmat I. Kassem, Asmaa M. M. Mawad Antibiotics.2023; 12(2): 274. CrossRef - Therapeutic Perspectives for Microbiota Transplantation in Digestive Diseases and Neoplasia—A Literature Review
Adrian Boicean, Dan Bratu, Ciprian Bacila, Ciprian Tanasescu, Radu Sorin Fleacă, Calin Ilie Mohor, Andra Comaniciu, Teodora Băluță, Mihai Dan Roman, Radu Chicea, Adrian Nicolae Cristian, Adrian Hasegan, Sabrina Birsan, Horațiu Dura, Cosmin Ioan Mohor Pathogens.2023; 12(6): 766. CrossRef - Ischemic colitis complicated by Clostridioides difficile infection treated with fecal microbiota transplantation
Seok Hyung Kang, Tae-Geun Gweon, Hyunjung Hwang, Myong Ki Baeg Clinical Endoscopy.2023; 56(5): 666. CrossRef - Development of a Protocol for Anaerobic Preparation and Banking of Fecal Microbiota Transplantation Material: Evaluation of Bacterial Richness in the Cultivated Fraction
Berta Bosch, Anna Hartikainen, Aki Ronkainen, Filip Scheperjans, Perttu Arkkila, Reetta Satokari Microorganisms.2023; 11(12): 2901. CrossRef - Clinical Practice Guidelines for Fecal Microbiota Transplantation in Korea
Tae-Geun Gweon, Yoo Jin Lee, Kyeong Ok Kim, Sung Kyun Yim, Jae Seung Soh, Seung Young Kim, Jae Jun Park, Seung Yong Shin, Tae Hee Lee, Chang Hwan Choi, Young-Seok Cho, Dongeun Yong, Jin-Won Chung, Kwang Jae Lee, Oh Young Lee, Myung-Gyu Choi, Miyoung Choi Journal of Neurogastroenterology and Motility.2022; 28(1): 28. CrossRef - Modulating the Gut Microbiota as a Therapeutic Intervention for Alzheimer’s Disease
Mingli Liu, Ping Zhong Indian Journal of Microbiology.2022; 62(4): 494. CrossRef - Young fecal transplantation mitigates the toxicity of perfluorobutanesulfonate and potently refreshes the reproductive endocrine system in aged recipients
Chenyan Hu, Mengyuan Liu, Baili Sun, Lizhu Tang, Xiangzhen Zhou, Lianguo Chen Environment International.2022; 167: 107418. CrossRef - Design and manufacture of a lyophilised faecal microbiota capsule formulation to GMP standards
Nur Masirah M. Zain, Daniëlle ter Linden, Andrew K. Lilley, Paul G. Royall, Sophia Tsoka, Kenneth D. Bruce, A. James Mason, Grace B. Hatton, Elizabeth Allen, Simon D. Goldenberg, Ben Forbes Journal of Controlled Release.2022; 350: 324. CrossRef - Current Trends and Challenges of Fecal Microbiota Transplantation—An Easy Method That Works for All?
Cátia Almeida, Rita Oliveira, Pilar Baylina, Rúben Fernandes, Fábio G. Teixeira, Pedro Barata Biomedicines.2022; 10(11): 2742. CrossRef
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Multidisciplinary and Multisociety Practice Guideline on Reprocessing Flexible Gastrointestinal Endoscopes and Endoscopic Accessories
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Dae Young Cheung, Byung Ik Jang, Sang Wook Kim, Jie-Hyun Kim, Hyung Keun Kim, Jeong Eun Shin, Won Jae Yoon, Yong Kang Lee, Kwang Hyun Chung, Soo-Jeong Cho, Hyun Phil Shin, Sun Young Cho, Woon Geon Shin, Kee Don Choi, Byung-Wook Kim, Joong Goo Kwon, Hee Chan Yang, Tae-Geun Gweon, Hyun Gun Kim, Dong-Won Ahn, Kwang Bum Cho, Sun Hee Kim, Kyong Hwa Hwang, Hee Hyuk Im
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Clin Endosc 2020;53(3):276-285. Published online May 29, 2020
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DOI: https://doi.org/10.5946/ce.2020.106
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Abstract
PDFPubReaderePub
- The area of endoscopic application has been continuously expanded since its introduction in the last century and the frequency of its use also increased stiffly in the last decades. Because gastrointestinal endoscopy is naturally exposed to diseased internal organs and contact with pathogenic materials, endoscopy mediated infection or disease transmission becomes a major concern in this field. Gastrointestinal endoscopy is not for single use and the proper reprocessing process is a critical factor for safe and reliable endoscopy procedures. What needed in these circumstances is a practical guideline for reprocessing the endoscope and its accessories which is feasible in the real clinical field to guarantee acceptable prevention of pathogen transmission. This guideline contains principles and instructions of the reprocessing procedure according to the step by step. And it newly includes general information and updated knowledge about endoscopy-mediated infection and disinfection. Multiple societies and working groups participated to revise; Korean Association for the Study of the Liver, the Korean Society of Infectious Diseases, Korean College of Helicobacter and Upper Gastrointestinal Research, the Korean Society of Gastroenterology, Korean Society of Gastrointestinal Cancer, Korean Association for the Study of Intestinal Diseases, Korean Pancreatobiliary Association, the Korean Society of Gastrointestinal Endoscopy Nurses and Associates and Korean Society of Gastrointestinal Endoscopy. Through this cooperation, we enhanced communication and established a better concordance. We still need more researches in this field and fill up the unproven area. And our guidelines will be renewed accordingly.
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Sahib Singh, Saurabh Chandan, Sumant Inamdar, Kambiz S. Kadkhodayan, Jahnvi Dhar, Jayanta Samanta, Antonio Facciorusso Journal of Clinical Medicine.2024; 13(16): 4835. CrossRef - Current status of the gastric cancer screening program in Korea
Young-Il Kim, Il Ju Choi Journal of the Korean Medical Association.2022; 65(5): 250. CrossRef - Reducing the environmental footprint of gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement
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Young-Il Kim, Il Ju Choi Journal of Gastric Cancer.2022; 22(3): 169. CrossRef - General guideline in the endoscopy room to avoid air-borne infection during the COVID-19 pandemic
Kwang Hyun Chung, Soo-Jeong Cho Clinical Endoscopy.2022; 55(5): 688. CrossRef - Efficacy of a novel channel-cleaning ball brush for endoscope reprocessing: a randomized controlled trial
Kwang Hyun Chung, Jeong Don Chae, Wonho Choe, Hyo Young Lee, Il Hwan Oh, Byoung Kwan Son Clinical Endoscopy.2022; 55(5): 674. CrossRef - Endoscopes that Complete Pre-Cleaning may be Stored Overnight until Next Morning for the Subsequent Reprocessing
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Giancarlo Spinzi, Angelo Milano, Piero Brosolo, Paola Da Massa Carrara, Maurizio Labardi, Alberto Merighi, Luisa Riccardi, Francesco Torresan, Maurizio Capelli Endoscopy International Open.2021; 09(11): E1627. CrossRef - Sans Standardization: Effective Endoscope Reprocessing
Sameer K. Avasarala, Lawrence F. Muscarella, Atul C. Mehta Respiration.2021; 100(12): 1208. CrossRef
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