Clinical Endoscopy

Young Sin Cho

3 Articles

Usefulness of the Forrest Classification to Predict Artificial Ulcer Rebleeding during Second-Look Endoscopy after Endoscopic Submucosal Dissection: Duk Su Kim, Yunho Jung, Ho Sung Rhee, Su Jin Lee, Yeong Geol Jo, Jong Hwa Kim, Jae Man Park, Il-Kwun Chung, Young Sin Cho, Tae Hoon Lee, Sang-Heum Park, Sun-Joo Kim; Clin Endosc 2016;49(3):273-281. Published online March 4, 2016; DOI: https://doi.org/10.5946/ce.2015.086

Background
/Aims: Delayed post-endoscopic submucosal dissection (ESD) bleeding (DPEB) is difficult to predict and there is controversy regarding the usefulness of prophylactic hemostasis during second-look endoscopy. This study evaluated the risk factors related to DPEB, the relationship between clinical outcomes and the Forrest classification, and the results of prophylactic hemostasis during second-look endoscopy.
Methods
Second-look endoscopy was performed on the day after ESD to check for recent hemorrhage or potential bleeding and the presence of artificial ulcers in all patients.
Results
DPEB occurred in 42 of 581 patients (7.2%). Multivariate analysis determined that a specimen size ≥40 mm (odds ratio [OR], 3.03; p=0.003), and a high-risk Forrest classification (Forrest Ib+IIa+IIb; OR, 6.88; p<0.001) were risk factors for DPEB. DPEB was significantly more likely in patients classified with Forrest Ib (OR, 24.35; p<0.001), IIa (OR, 12.91; p<0.001), or IIb (OR, 8.31; p<0.001) ulcers compared with Forrest III ulcers. There was no statistically significant difference between the prophylactic hemostasis and non-hemostasis groups (Forrest Ib, p=0.938; IIa, p=0.438; IIb, p=0.397; IIc, p=0.773) during second-look endoscopy.
Conclusions
The Forrest classification of artificial gastric ulcers during second-look endoscopy seems to be a useful tool for predicting delayed bleeding. However, routine prophylactic hemostasis during second-look endoscopy seemed to not be useful for preventing DPEB.

Citations

Citations to this article as recorded by

Response
Thomas K.L. Lui
Gastrointestinal Endoscopy.2024; 99(4): 664. CrossRef
Outcome of Gastric Fundus and Pylorus Botulinum Toxin A Injection in Obese Patients Class I–II with Normal Pyloric Orifice Structure: A Retrospective Analysis
Murat Ferhat Ferhatoglu, Abdulcabbar Kartal, Ali Ilker Filiz, Abut Kebudi
Bariatric Surgical Practice and Patient Care.2022; 17(3): 148. CrossRef
Forrest Classification for Bleeding Peptic Ulcer: A New Look at the Old Endoscopic Classification
Hsu-Heng Yen, Ping-Yu Wu, Tung-Lung Wu, Siou-Ping Huang, Yang-Yuan Chen, Mei-Fen Chen, Wen-Chen Lin, Cheng-Lun Tsai, Kang-Ping Lin
Diagnostics.2022; 12(5): 1066. CrossRef
Performance Comparison of the Deep Learning and the Human Endoscopist for Bleeding Peptic Ulcer Disease
Hsu-Heng Yen, Ping-Yu Wu, Pei-Yuan Su, Chia-Wei Yang, Yang-Yuan Chen, Mei-Fen Chen, Wen-Chen Lin, Cheng-Lun Tsai, Kang-Ping Lin
Journal of Medical and Biological Engineering.2021; 41(4): 504. CrossRef
Prevention of bleeding in the early postoperative period after intraluminal stomach resection: results of a prospective randomized study
S.G. Shapovalyants, R.V. Plakhov, M.V. Bordikov, E.V. Gorbachev, I.V. Zhitareva, E.D. Fedorov
Endoskopicheskaya khirurgiya.2020; 26(5): 5. CrossRef
Risk factors for delayed bleeding by onset time after endoscopic submucosal dissection for gastric neoplasm
Hyeong Seok Nam, Cheol Woong Choi, Su Jin Kim, Hyung Wook Kim, Dae Hwan Kang, Su Bum Park, Dae Gon Ryu
Scientific Reports.2019;[Epub] CrossRef
Effectiveness of Autologous Platelet-Rich Plasma for the Healing of Ulcers after Endoscopic Submucosal Dissection
Eunju Jeong, In kyung Yoo, Ozlem Ozer Cakir, Hee Kyung Kim, Won Hee Kim, Sung Pyo Hong, Joo Young Cho
Clinical Endoscopy.2019; 52(5): 472. CrossRef
Bleeding in patients who underwent scheduled second-look endoscopy 5 days after endoscopic submucosal dissection for gastric lesions
Koichi Izumikawa, Masaya Iwamuro, Tomoki Inaba, Shigenao Ishikawa, Kenji Kuwaki, Ichiro Sakakihara, Kumiko Yamamoto, Sakuma Takahashi, Shigetomi Tanaka, Masaki Wato, Hiroyuki Okada
BMC Gastroenterology.2018;[Epub] CrossRef
Continuous esomeprazole infusion versus bolus administration and second look endoscopy for the prevention of rebleeding in children with a peptic ulcer
Oana Belei, Laura Olariu, Maria Puiu, Cristian Jinca, Cristina Dehelean, Tamara Marcovici, Otilia Marginean
Revista Española de Enfermedades Digestivas.2018;[Epub] CrossRef
Role of second‐look endoscopy and prophylactic hemostasis after gastric endoscopic submucosal dissection: A systematic review and meta‐analysis
Eun Hye Kim, Se Woo Park, Eunwoo Nam, Chang Soo Eun, Dong Soo Han, Chan Hyuk Park
Journal of Gastroenterology and Hepatology.2017; 32(4): 756. CrossRef
Second-Look Endoscopy after Endoscopic Submucosal Dissection: Can We Obtain Valuable Information?
Hye Kyung Jeon, Gwang Ha Kim
Clinical Endoscopy.2016; 49(3): 212. CrossRef

14,166 View
137 Download
15 Web of Science
11 Crossref

Electrohydraulic Lithotripsy of an Impacted Enterolith Causing Acute Afferent Loop Syndrome: Young Sin Cho, Tae Hoon Lee, Soon Oh Hwang, Sunhyo Lee, Yunho Jung, Il-Kwun Chung, Sang-Heum Park, Sun-Joo Kim; Clin Endosc 2014;47(4):367-370. Published online July 28, 2014; DOI: https://doi.org/10.5946/ce.2014.47.4.367

Abstract PDF PubReader ePub

Afferent loop syndrome caused by an impacted enterolith is very rare, and endoscopic removal of the enterolith may be difficult if a stricture is present or the normal anatomy has been altered. Electrohydraulic lithotripsy is commonly used for endoscopic fragmentation of biliary and pancreatic duct stones. A 64-year-old man who had undergone subtotal gastrectomy and gastrojejunostomy presented with acute, severe abdominal pain for a duration of 2 hours. Initially, he was diagnosed with acute pancreatitis because of an elevated amylase level and pain, but was finally diagnosed with acute afferent loop syndrome when an impacted enterolith was identified by computed tomography. We successfully removed the enterolith using direct electrohydraulic lithotripsy conducted using a transparent cap-fitted endoscope without complications. We found that this procedure was therapeutically beneficial.

Citations

Citations to this article as recorded by

Migrated Pancreaticojejunal Stent Forming a Stent–Stone Complex in the Jejunum with Resultant Small Bowel Obstruction: A Case Report
Jiwon Kim, Young Han Kim, Byung-Hee Lee
Journal of the Korean Society of Radiology.2023; 84(2): 512. CrossRef
Use of a pneumatic device for intraluminal enterolith fragmentation in horses
Bruna Machado Amaral Rosa, Peterson Triches Dornbusch, Juan Carlos Duque Moreno, Jackson Schade
Equine Veterinary Education.2023;[Epub] CrossRef
Clinical characteristics and indications for surgery for bezoar-induced small bowel obstruction
Shuai Wang, Xiaohui Yang, Yixiong Zheng, Yulian Wu
Journal of International Medical Research.2021;[Epub] CrossRef
Diagnosis and treatment of the afferent loop syndrome
Panotpol Termsinsuk, Tanyaporn Chantarojanasiri, Nonthalee Pausawasdi
Clinical Journal of Gastroenterology.2020; 13(5): 660. CrossRef
Cola Dissolution Therapy via Ileus Tube Was Effective for Ileus Secondary to Small Bowel Obstruction Induced by an Enterolith
Yuga Komaki, Shuji Kanmura, Akihito Tanaka, Mari Nakashima, Fukiko Komaki, Hiromichi Iwaya, Shiho Arima, Fumisato Sasaki, Yuichiro Nasu, Shiroh Tanoue, Shinichi Hashimoto, Akio Ido
Internal Medicine.2019; 58(17): 2473. CrossRef
Intestinal stones: A rare cause of bowel obstruction
Emilio de León Castorena, Miriam Daniela de León Castorena
SAGE Open Medical Case Reports.2019;[Epub] CrossRef
Afferent loop obstruction with obstructive jaundice and ileus due to an enterolith after distal gastrectomy: A case report
Koki Sato, Masataka Banshodani, Masahiro Nishihara, Junko Nambu, Yasuo Kawaguchi, Fumio Shimamoto, Keizo Sugino, Hideki Ohdan
International Journal of Surgery Case Reports.2018; 50: 9. CrossRef
Afferent Loop Syndrome after Roux-en-Y Total Gastrectomy Caused by Volvulus of the Roux-Limb
Hideki Katagiri, Kana Tahara, Kentaro Yoshikawa, Alan Kawarai Lefor, Tadao Kubota, Ken Mizokami
Case Reports in Surgery.2016; 2016: 1. CrossRef

6,986 View
70 Download
10 Web of Science
8 Crossref

Current status and trends of green endoscopy: Kihyun Ryu, Won Jae Yoon, Sang Hoon Kim, Da Hee Park, Jin Hwa Park, Ki Bae Bang, Tae Joo Jeon, Da Hyun Jung, Young Sin Cho; Received December 16, 2024 Accepted January 21, 2025 Published online May 21, 2025; DOI: https://doi.org/10.5946/ce.2024.332 [Epub ahead of print]

Abstract PDF Supplementary Material PubReader ePub: The increasing global emphasis on sustainability has extended its influence to the field of medicine, including endoscopy. Green endoscopy aims to minimize the environmental footprint of endoscopic practices while maintaining high standards of patient care. This review examines the current status of green endoscopy, focusing on its environmental impact, strategies for waste reduction, and adoption of sustainable practices. The key topics include the environmental challenges posed by single-use devices, the role of sterilization and recycling, and innovations in energy-efficient endoscopic equipment. Furthermore, we highlight policy recommendations and actionable strategies for healthcare systems to transition toward green practices. By integrating these approaches, the field of endoscopy can meaningfully contribute to global sustainability efforts without compromising clinical outcomes.

137 View
10 Download

Author index