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Preparation of image databases for artificial intelligence algorithm development in gastrointestinal endoscopy
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Chang Bong Yang, Sang Hoon Kim, Yun Jeong Lim
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Clin Endosc 2022;55(5):594-604. Published online May 31, 2022
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DOI: https://doi.org/10.5946/ce.2021.229
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 Abstract
 PDF PubReader ePub
- Over the past decade, technological advances in deep learning have led to the introduction of artificial intelligence (AI) in medical imaging. The most commonly used structure in image recognition is the convolutional neural network, which mimics the action of the human visual cortex. The applications of AI in gastrointestinal endoscopy are diverse. Computer-aided diagnosis has achieved remarkable outcomes with recent improvements in machine-learning techniques and advances in computer performance. Despite some hurdles, the implementation of AI-assisted clinical practice is expected to aid endoscopists in real-time decision-making. In this summary, we reviewed state-of-the-art AI in the field of gastrointestinal endoscopy and offered a practical guide for building a learning image dataset for algorithm development.
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Citations
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Eun Jeong Gong, Chang Seok Bang, Jae Jun Lee
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Hannah Williams, Hannah M. Thompson, Christina Lee, Aneesh Rangnekar, Jorge T. Gomez, Maria Widmar, Iris H. Wei, Emmanouil P. Pappou, Garrett M. Nash, Martin R. Weiser, Philip B. Paty, J. Joshua Smith, Harini Veeraraghavan, Julio Garcia-Aguilar
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Jean-Francois Rey
Clinical Endoscopy.2024; 57(3): 302. CrossRef - Next-Generation Endoscopy in Inflammatory Bowel Disease
Irene Zammarchi, Giovanni Santacroce, Marietta Iacucci
Diagnostics.2023; 13(15): 2547. CrossRef - Public Imaging Datasets of Gastrointestinal Endoscopy for Artificial Intelligence: a Review
Shiqi Zhu, Jingwen Gao, Lu Liu, Minyue Yin, Jiaxi Lin, Chang Xu, Chunfang Xu, Jinzhou Zhu
Journal of Digital Imaging.2023; 36(6): 2578. CrossRef - AI-powered medical devices for practical clinicians including the diagnosis of colorectal polyps
Donghwan Kim, Eunsun Kim
Journal of the Korean Medical Association.2023; 66(11): 658. CrossRef - Impact of the Volume and Distribution of Training Datasets in the Development of Deep-Learning Models for the Diagnosis of Colorectal Polyps in Endoscopy Images
Eun Jeong Gong, Chang Seok Bang, Jae Jun Lee, Young Joo Yang, Gwang Ho Baik
Journal of Personalized Medicine.2022; 12(9): 1361. CrossRef
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Positive Fecal Occult Blood Test is a Predictive Factor for Gastrointestinal Bleeding after Capsule Endoscopy in Patients with Unexplained Iron Deficiency Anemia: A Korean Multicenter CAPENTRY Study
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Ji Young Chang, Chang Mo Moon, Ki-Nam Shim, Dae Young Cheung, Hyun Seok Lee, Yun Jeong Lim, Seong Ran Jeon, Soo Jung Park, Kyeong Ok Kim, Hyun Joo Song, Hyun Joo Jang, Ji Hyun Kim
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Clin Endosc 2020;53(6):719-726. Published online November 6, 2020
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DOI: https://doi.org/10.5946/ce.2019.149
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Abstract
PDF
 Supplementary MaterialPubReaderePub
- Background
/Aims: Capsule endoscopy (CE) is recommended as the primary method for the evaluation of unexplained anemia. This study aimed to assess the diagnostic yield of CE in patients with unexplained iron deficiency anemia (IDA) without overt bleeding, and to evaluate their long-term outcomes and related clinical factors.
Methods
Data of patients who underwent CE for the evaluation of IDA were reviewed from a CE registry in Korea. Additional clinical data were collected by the involved investigators of each hospital through a review of medical records.
Results
Among a total of 144 patients, the diagnostic yield of CE was 34%. Gastrointestinal (GI) bleeding was found in 6.3% (n=9) of the patients (occult bleeding in four patients and overt bleeding in five patients) during a mean follow-up of 17.8 months. Patients with a positive fecal occult blood test (FOBT) result at the initial diagnosis had a higher rate of GI bleeding after CE (p=0.004). In addition, a positive FOBT result was the only independent predictive factor for GI bleeding (hazard ratio, 5.30; 95% confidence interval, 1.41–19.85; p=0.013).
Conclusions
Positive FOBT is a predictive factor for GI bleeding during follow-up after CE in patients with unexplained IDA without overt bleeding. Thus, patients with positive FOBT need to be more closely followed up.
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Citations
Citations to this article as recorded by - Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Update 2022
Marco Pennazio, Emanuele Rondonotti, Edward J. Despott, Xavier Dray, Martin Keuchel, Tom Moreels, David S. Sanders, Cristiano Spada, Cristina Carretero, Pablo Cortegoso Valdivia, Luca Elli, Lorenzo Fuccio, Begona Gonzalez Suarez, Anastasios Koulaouzidis,
Endoscopy.2023; 55(01): 58. CrossRef - Predictive Model for Positive Video Capsule Endoscopy in Iron Deficiency Anemia
Shadi Hamdeh, Jihan Fathallah, Hui Zhang, Amber Charoen, Barakat Aburajab Altamimi, Florence-Damilola Odufalu, Devashree Dave, Amer El Sayed, Laura R. Glick, Scott Grisolano, Christine Hachem, Muhammad Bader Hammami, Khaldoun Haj Mahmoud, Alexander N. Lev
Digestive Diseases and Sciences.2023; 68(7): 3083. CrossRef - Predictors of Positive Video Capsule Endoscopy Findings for Chronic Unexplained Abdominal Pain: Single-Center Retrospective Study and Meta-Analysis
Wonshik Kim, Beomjae Lee, Ahyoung Yoo, Seunghan Kim, Moonkyung Joo, Jong-Jae Park
Diagnostics.2021; 11(11): 2123. CrossRef
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Comparison of Oral Sulfate Solution and Polyethylene Glycol Plus Ascorbic Acid on the Efficacy of Bowel Preparation
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Ji Hyung Nam, Seok Bo Hong, Yun Jeong Lim, Seongju Lee, Hyoun Woo Kang, Jae Hak Kim, Jin Ho Lee
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Clin Endosc 2020;53(5):568-574. Published online April 24, 2020
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DOI: https://doi.org/10.5946/ce.2019.209
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Abstract
PDFPubReaderePub
- Background
/Aims: The quality of bowel preparation is one of the quality indicators for colonoscopy. The aim of this study was to compare the efficacy of oral sulfate solution (OSS) and polyethylene glycol plus ascorbic acid (PEG-AA) for bowel preparation.
Methods
The study involved 167 patients who underwent diagnostic colonoscopies. Inadequate bowel preparation was defined as any score of ≤1 in each colon section based on the Boston Bowel Preparation Scale. Multivariate logistic regression was used to compare the efficacy of OSS and PEG-AA. Subgroup analyses were performed based on patient characteristics.
Results
Overall, 106 (63.5%) patients received OSS, and 61 (36.5%) patients received PEG-AA. The rate of inadequate bowel preparation was 12.3% in patients receiving OSS and 32.8% in patients receiving PEG-AA (p=0.001). OSS (odds ratio [OR] = 0.26; p=0.003) and morning examination (OR=0.11; p=0.038) were significantly associated with efficient bowel preparation. The efficacy of OSS compared with PEG-AA was only significant in patients ≥50 years of age vs. <50 years of age (OR=0.13; p=0.001 vs. OR=0.96; p=0.959) and female vs. male patients (OR=0.06; p=0.002 vs. OR=0.58; p=0.339).
Conclusions
OSS was significantly more efficient for bowel preparation than PEG-AA, especially in patients ≥50 years of age and female patients. Morning examination led to a good quality of bowel preparation, irrespective of the preparation regimen.
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Citations
Citations to this article as recorded by - Efficacy of Oral Sulfate Tablet and 2 L-Polyethylene Glycol with Ascorbic Acid for Bowel Preparation: A Prospective Randomized KASID Multicenter Trial
Yunho Jung, Hyun Gun Kim, Dong-Hoon Yang, Hyoun Woo Kang, Jae Jun Park, Dong Hoon Baek, Jaeyoung Chun, Tae-Geun Gweon, Hyeon Jeong Goong, Min Seob Kwak, Hyun Jung Lee, Soo-Kyung Park, Jong Hoon Lee
Journal of Korean Medical Science.2024;[Epub] CrossRef - Observation of the application effect of low-volume polyethylene glycol electrolyte lavage solution (PEG-ELS) combined with ascorbic acid tablets in bowel preparation for colonoscopy in hospitalized patients
Le-Can Wu, En-Dian Zheng, Hao-Yue Sun, Xi-Zhou Lin, Ju-Yi Pan, Xiao-Xiao Lin
Frontiers in Oncology.2023;[Epub] CrossRef - Comparison of the efficacy and safety of an oral sulfate solution and 3-L polyethylene glycol on bowel preparation before colonoscopy: a phase III multicenter randomized controlled trial
Peng Pan, Shengbing Zhao, Shuling Wang, Yihang Song, Lun Gu, Youxiang Chen, Jiangrong Zhao, Lungen Lu, Xiuling Li, Hongzhi Xu, Gaifang Liu, Yanqing Li, Le Xu, Jiangbin Wang, Zhaoshen Li, Yu Bai
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Seung‐Joo Nam, Sung Chul Park, Sung Joon Lee, Sang Hoon Lee, Ji Hyun Kim, Chang Seok Bang, Hyun Il Seo
Journal of Gastroenterology and Hepatology.2022; 37(2): 319. CrossRef - Comparison of 2 L Polyethylene Glycol Plus Ascorbic Acid and 4 L Polyethylene Glycol in Elderly Patients Aged 60–79: A Prospective Randomized Study
Sung Hoon Jung, Chul-Hyun Lim, Tae-Geun Gweon, Jinsu Kim, Jung Hwan Oh, Kyu-Tae Yoon, Jee Young An, Jeong‑Seon Ji, Hwang Choi
Digestive Diseases and Sciences.2022; 67(10): 4841. CrossRef - Oral sulfate solution benefits polyp and adenoma detection during colonoscopy: Meta‐analysis of randomized controlled trials
Cheng Chen, Mengyang Shi, Zhongli Liao, Weiqing Chen, Yongzhong Wu, Xu Tian
Digestive Endoscopy.2022; 34(6): 1121. CrossRef - Efficacy, safety and tolerability of oral sulphate tablet for bowel preparation in patients with inflammatory bowel disease: A multicentre randomized controlled study
Kyeong Ok Kim, Eun Young Kim, Yoo Jin Lee, Hyun Seok Lee, Eun Soo Kim, Yun Jin Chung, Byung Ik Jang, Sung Kook Kim, Chang Heon Yang
Journal of Crohn's and Colitis.2022; 16(11): 1706. CrossRef - How to Choose the Optimal Bowel Preparation Regimen for Colonoscopy
Ji Eun Na, Eun Ran Kim
The Ewha Medical Journal.2021; 44(4): 122. CrossRef - Oral Sulfate Solution is as Effective as 2 L Polyethylene Glycol Plus Ascorbic Acid
Sung Hyun Shin, Kwang An Kwon
Clinical Endoscopy.2020; 53(5): 503. CrossRef
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Comparison of Fentanyl versus Meperidine in Combination with Midazolam for Sedative Colonoscopy in Korea
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Gwan Woo Hong, Jun Kyu Lee, Jung Hyeon Lee, Ji Hun Bong, Sung Hun Choi, Hyeki Cho, Ji Hyung Nam, Dong Kee Jang, Hyoun Woo Kang, Jae Hak Kim, Yun Jeong Lim, Moon Soo Koh, Jin Ho Lee
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Clin Endosc 2020;53(5):562-567. Published online July 3, 2020
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DOI: https://doi.org/10.5946/ce.2020.022
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Abstract
PDFPubReaderePub
- Background
/Aims: Combination of midazolam and opioids is used widely for endoscopic sedation. Compared with meperidine, fentanyl is reportedly associated with rapid recovery, turnover rate of endoscopy room, and quality of endoscopy. We compared fentanyl with meperidine when combined with midazolam for sedative colonoscopy.
Methods
A retrospective, cross-sectional, 1:2 matching study was conducted. Induction and recovery time were compared as the primary outcomes. Moreover, cecal intubation time, withdrawal time, total procedure time of colonoscopy, paradoxical reaction, adenoma detection rate, and adverse effect of midazolam or opioids were assessed as the secondary outcomes.
Results
A total of 129 subjects (43 fentanyl vs. 86 meperidine) were included in the analysis. The fentanyl group showed significantly more rapid induction time (4.5±2.7 min vs. 7.5±4.7 min, p<0.001), but longer recovery time (59.5±25.6 min vs. 50.3±10.9 min, p=0.030) than the meperidine group. In multivariate analysis, the induction time of the fentanyl group was 3.40 min faster (p<0.001), but the recovery time was 6.38 min longer (p=0.046) than that of the meperidine group. There was no difference in withdrawal time and adenoma detection rate between the two groups.
Conclusions
The fentanyl group had more rapid sedation induction time but longer recovery time than the meperidine group.
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Citations
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Roberto Piro, Eleonora Casalini, Matteo Fontana, Carla Galeone, Patrizia Ruggiero, Sofia Taddei, Giulia Ghidoni, Giulia Patricelli, Nicola Facciolongo
Thoracic Cancer.2022; 13(4): 533. CrossRef - Propofol Alone versus Propofol in Combination with Midazolam for Sedative Endoscopy in Patients with Paradoxical Reactions to Midazolam
Ji Hyung Nam, Dong Kee Jang, Jun Kyu Lee, Hyoun Woo Kang, Byung-Wook Kim, Byung Ik Jang
Clinical Endoscopy.2022; 55(2): 234. CrossRef - Efficacy of Analgesic Propofol/Esketamine and Propofol/Fentanyl for Painless Induced Abortion: A Randomized Clinical Trial
Naixing Xin, Wei Yan, Shuangfen Jin, Min Tang
BioMed Research International.2022; 2022: 1. CrossRef - Endoscopist-Driven Sedation Practices in South Korea: Re-evaluation Considering the Nationwide Survey in 2019
Seon-Young Park, Jun Kyu Lee, Chang-Hwan Park, Byung-Wook Kim, Chang Kyun Lee, Hong Jun Park, Byung Ik Jang, Dong Uk Kim, Jin Myung Park, Jae Min Lee, Young Sin Cho, Hyung Ku Chon, Seung Young Seo, Woo Hyun Paik
Gut and Liver.2022; 16(6): 899. CrossRef - Drugs used for sedation in gastrointestinal endoscopy
Jun Kyu Lee
Journal of the Korean Medical Association.2022; 65(11): 735. CrossRef - Risk Factors for Prolonged Hospital Stay after Endoscopy
Toshihiro Nishizawa, Shuntaro Yoshida, Osamu Toyoshima, Tatsuya Matsuno, Masataka Irokawa, Toru Arano, Hirotoshi Ebinuma, Hidekazu Suzuki, Takanori Kanai, Kazuhiko Koike
Clinical Endoscopy.2021; 54(6): 851. CrossRef
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A New Active Locomotion Capsule Endoscopy under Magnetic Control and Automated Reading Program
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Dong Jun Oh, Kwang Seop Kim, Yun Jeong Lim
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Clin Endosc 2020;53(4):395-401. Published online July 30, 2020
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DOI: https://doi.org/10.5946/ce.2020.127
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Abstract
PDFSupplementary MaterialPubReaderePub
- Capsule endoscopy (CE) is the first-line diagnostic modality for detecting small bowel lesions. CE is non-invasive and does not require sedation, but its movements cannot be controlled, it requires a long time for interpretation, and it has lower image quality compared to wired endoscopy. With the rapid advancement of technology, several methods to solve these problems have been developed. This article describes the ongoing developments regarding external CE locomotion using magnetic force, artificial intelligence-based interpretation, and image-enhancing technologies with the CE system.
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Sara Fontana, Simona D’Agostino, Alessandra Paffi, Paolo Marracino, Marco Balucani, Giancarlo Ruocco, Salvatore Maria Aglioti, Francesca Apollonio, Micaela Liberti
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Chang Bong Yang, Sang Hoon Kim, Yun Jeong Lim
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Dong Jun Oh, Youngbae Hwang, Yun Jeong Lim
Diagnostics.2021; 11(7): 1183. CrossRef - Role of Artificial Intelligence in Video Capsule Endoscopy
Ioannis Tziortziotis, Faidon-Marios Laskaratos, Sergio Coda
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Ji Hyung Nam, Kwang Hoon Lee, Yun Jeong Lim
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Minglu Chi, Huadong Zheng, Rongsheng Liu, Cheng Chang, Yuanli Wang, Xiaoyan Qian, Ruihua Ren
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5,581
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Recent Development of Computer Vision Technology to Improve Capsule Endoscopy
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Junseok Park, Youngbae Hwang, Ju-Hong Yoon, Min-Gyu Park, Jungho Kim, Yun Jeong Lim, Hoon Jai Chun
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Clin Endosc 2019;52(4):328-333. Published online February 21, 2019
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DOI: https://doi.org/10.5946/ce.2018.172
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Abstract
PDFPubReaderePub
- Capsule endoscopy (CE) is a preferred diagnostic method for analyzing small bowel diseases. However, capsule endoscopes capture a sparse number of images because of their mechanical limitations. Post-procedural management using computational methods can enhance image quality. Additional information, including depth, can be obtained by using recently developed computer vision techniques. It is possible to measure the size of lesions and track the trajectory of capsule endoscopes using the computer vision technology, without requiring additional equipment. Moreover, the computational analysis of CE images can help detect lesions more accurately within a shorter time. Newly introduced deep leaning-based methods have shown more remarkable results over traditional computerized approaches. A large-scale standard dataset should be prepared to develop an optimal algorithms for improving the diagnostic yield of CE. The close collaboration between information technology and medical professionals is needed.
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Citations
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Felix Tettey, Santosh Kumar Parupelli, Salil Desai
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Vahid Sadeghi, Alireza Mehridehnavi, Yasaman Sanahmadi, Sajed Rakhshani, Mina Omrani, Mohsen Sharifi
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Chia-Pei Tang, Hong-Yi Chang, Wei-Chun Wang, Wei-Xuan Hu
Diagnostics.2023; 13(2): 170. CrossRef - Revealing the Boundaries of Selected Gastro-Intestinal (GI) Organs by Implementing CNNs in Endoscopic Capsule Images
Sofia A. Athanasiou, Eleftheria S. Sergaki, Andreas A. Polydorou, Alexios A. Polydorou, George S. Stavrakakis, Nikolaos M. Afentakis, Ioannis O. Vardiambasis, Michail E. Zervakis
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Həbib Həsənzadə, Amalya Həsənova Həbib Həsənzadə, Amalya Həsənova
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Writaja Halder, Faidon-Marios Laskaratos, Hanan El-Mileik, Sergio Coda, Stevan Fox, Saswata Banerjee, Owen Epstein
Diagnostics.2022; 12(1): 149. CrossRef - Small Bowel Detection for Wireless Capsule Endoscopy Using Convolutional Neural Networks with Temporal Filtering
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Wenting Chen, Yifan Liu, Jiancong Hu, Yixuan Yuan
IEEE Journal of Biomedical and Health Informatics.2022; 26(10): 5189. CrossRef - X-ray Imaging for Gastrointestinal Tracking of Microscale Oral Drug Delivery Devices
Rolf Bech Kjeldsen, Maja Nørgaard Kristensen, Carsten Gundlach, Lasse Højlund Eklund Thamdrup, Anette Müllertz, Thomas Rades, Line Hagner Nielsen, Kinga Zór, Anja Boisen
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Kağan İncetan, Ibrahim Omer Celik, Abdulhamid Obeid, Guliz Irem Gokceler, Kutsev Bengisu Ozyoruk, Yasin Almalioglu, Richard J. Chen, Faisal Mahmood, Hunter Gilbert, Nicholas J. Durr, Mehmet Turan
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Ji Hyung Nam, Dong Jun Oh, Sumin Lee, Hyun Joo Song, Yun Jeong Lim
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Ioannis Tziortziotis, Faidon-Marios Laskaratos, Sergio Coda
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Shan Wu, Hubin Liu, Qi Xu, Yulong Liu, Sang-Bing Tsai
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Junseok Park, Youngbae Hwang, Ji Hyung Nam, Dong Jun Oh, Ki Bae Kim, Hyun Joo Song, Su Hwan Kim, Sun Hyung Kang, Min Kyu Jung, Yun Jeong Lim, Sudipta Roy
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Yasin Almalioglu, Kutsev Bengisu Ozyoruk, Abdulkadir Gokce, Kagan Incetan, Guliz Irem Gokceler, Muhammed Ali Simsek, Kivanc Ararat, Richard J. Chen, Nicholas J. Durr, Faisal Mahmood, Mehmet Turan
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Application of Artificial Intelligence in Capsule Endoscopy: Where Are We Now?
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Youngbae Hwang, Junseok Park, Yun Jeong Lim, Hoon Jai Chun
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Clin Endosc 2018;51(6):547-551. Published online November 30, 2018
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DOI: https://doi.org/10.5946/ce.2018.173
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Abstract
PDFPubReaderePub
- Unlike wired endoscopy, capsule endoscopy requires additional time for a clinical specialist to review the operation and examine the lesions. To reduce the tedious review time and increase the accuracy of medical examinations, various approaches have been reported based on artificial intelligence for computer-aided diagnosis. Recently, deep learning–based approaches have been applied to many possible areas, showing greatly improved performance, especially for image-based recognition and classification. By reviewing recent deep learning–based approaches for clinical applications, we present the current status and future direction of artificial intelligence for capsule endoscopy.
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Citations
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Ahmmad Musha, Rehnuma Hasnat, Abdullah Al Mamun, Em Poh Ping, Tonmoy Ghosh
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Evaluation of Gastric Disease with Capsule Endoscopy
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Seung-Joo Nam, Hyun Seok Lee, Yun Jeong Lim
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Clin Endosc 2018;51(4):323-328. Published online July 31, 2018
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DOI: https://doi.org/10.5946/ce.2018.092
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Abstract
PDFPubReaderePub
- The clinical indication for capsule endoscopy has expanded from small bowel evaluation to include esophagus or colon evaluation.Nevertheless, the role of capsule endoscopy in evaluation of the stomach is very limited because of the large volume and surface.However, efforts to develop an active locomotion system for capsule manipulation in detailed gastric evaluation are ongoing, becausethe technique is non-invasive, convenient, and safe, and requires no sedation. Studies have successfully reported gastric evaluation usinga magnetic-controlled capsule endoscopy system. Advances in technology suggest that capsule endoscopy will have a major role notonly in the evaluation of gastric disorders but also in the pathologic diagnosis, intervention, and treatment of any gastrointestinal tractdisorder.
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Citations
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Apostolis Papaefthymiou, Apostolos Koffas, Faidon-Marios Laskaratos, Owen Epstein
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Milán Szalai, Krisztina Helle, Barbara Dorottya Lovász, Ádám Finta, András Rosztóczy, László Oczella, László Madácsy
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Dong Jun Oh, Ji Hyung Nam, Junseok Park, Youngbae Hwang, Yun Jeong Lim, Edoardo Sinibaldi
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Quality Indicators for Small Bowel Capsule Endoscopy
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Ki-Nam Shim, Seong Ran Jeon, Hyun Joo Jang, Jinsu Kim, Yun Jeong Lim, Kyeong Ok Kim, Hyun Joo Song, Hyun Seok Lee, Jae Jun Park, Ji Hyun Kim, Jaeyoung Chun, Soo Jung Park, Dong-Hoon Yang, Yang Won Min, Bora Keum, Bo-In Lee, Korean Gut Image Study Group
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Clin Endosc 2017;50(2):148-160. Published online March 30, 2017
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DOI: https://doi.org/10.5946/ce.2017.030
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Abstract
PDFSupplementary MaterialPubReaderePub
- Capsule endoscopy (CE) enables evaluation of the entire mucosal surface of the small bowel (SB), which is one of the most important steps for evaluating obscure gastrointestinal bleeding. Although the diagnostic yield of SB CE depends on many clinical factors, there are no reports on quality indicators. Thus, the Korean Gut Image Study Group (KGISG) publishes an article titled, “Quality Indicators for Small Bowel Capsule Endoscopy” under approval from the Korean Society of Gastrointestinal Endoscopy (KSGE). Herein, we initially identified process quality indicators, while the structural and outcome indicators are reserved until sufficient clinical data are accumulated. We believe that outcomes of SB CE can be improved by trying to meet our proposed quality indicators.
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Current Status and Research into Overcoming Limitations of Capsule Endoscopy
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Won Gun Kwack, Yun Jeong Lim
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Clin Endosc 2016;49(1):8-15. Published online January 28, 2016
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DOI: https://doi.org/10.5946/ce.2016.49.1.8
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Abstract
PDFPubReaderePub
- Endoscopic investigation has a critical role in the diagnosis and treatment of gastrointestinal (GI) diseases. Since 2001, capsule endoscopy (CE) has been available for small-bowel exploration and is under continuous development. During the past decade, CE has achieved impressive improvements in areas such as miniaturization, resolution, and battery life. As a result, CE is currently a first-line tool for the investigation of the small bowel in obscure gastrointestinal bleeding and is a useful alternative to wired enteroscopy. Nevertheless, CE still has several limitations, such as incomplete examination and limited diagnostic and therapeutic capabilities. To resolve these problems, many groups have suggested several models (e.g., controlled CO2 insufflation system, magnetic navigation system, mobile robotic platform, tagging and biopsy equipment, and targeted drug-delivery system), which are in development. In the near future, new technological advances will improve the capabilities of CE and broaden its spectrum of applications not only for the small bowel but also for the colon, stomach, and esophagus. The purpose of this review is to introduce the current status of CE and to review the ongoing development of solutions to address its limitations.
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Su Hwan Kim, Yun Jeong Lim, Junseok Park, Ki-Nam Shim, Dong-Hoon Yang, Jaeyoung Chun, Jin Su Kim, Hyun Seok Lee, Hoon Jai Chun
The Korean Journal of Internal Medicine.2020; 35(4): 889. CrossRef - A New Active Locomotion Capsule Endoscopy under Magnetic Control and Automated Reading Program
Dong Jun Oh, Kwang Seop Kim, Yun Jeong Lim
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Ding Han, Guozheng Yan, Zhiwu Wang, Pingping Jiang, Dasheng Liu, Kai Zhao, Jin Ma
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Amira S. Ashour, Nilanjan Dey, Waleed S. Mohamed, Jolanda G. Tromp, R. Simon Sherratt, Fuqian Shi, Luminița Moraru
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Seung-Joo Nam, Hyun Seok Lee, Yun Jeong Lim
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Ana Ponte, Rolando Pinho, Adélia Rodrigues, Joana Silva, Jaime Rodrigues, Mafalda Sousa, Jo�o Carvalho
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Alberto Murino, Edward J Despott
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Indications for Detection, Completion, and Retention Rates of Small Bowel Capsule Endoscopy Based on the 10-Year Data from the Korean Capsule Endoscopy Registry
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Yun Jeong Lim, Oh Young Lee, Yoon Tae Jeen, Chi Yeon Lim, Dae Young Cheung, Jae Hee Cheon, Byong Duk Ye, Hyun Joo Song, Jin Su Kim, Jae Hyuk Do, Kwang Jae Lee, Ki-Nam Shim, Dong Kyung Chang, Cheol Hee Park, Byung Ik Jang, Jeong Seop Moon, Hoon Jai Chun, Myung-Gyu Choi, Jin Oh Kim, Korean Gut Image Study Group
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Clin Endosc 2015;48(5):399-404. Published online September 30, 2015
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DOI: https://doi.org/10.5946/ce.2015.48.5.399
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Abstract
PDFPubReaderePub
- Background/Aims
Capsule endoscopy (CE) is widely used. However, CE has limitations including incomplete examination, inadequate bowel preparation, and retention. The aim of this study was to estimate the indications for and detection, completion, and retention rates of small intestine CE based on the 10-year data from the Korean Capsule Endoscopy Registry. MethodsTwenty-four hospitals participated in this study. Clinical information, such as reasons for CE, method and quality of bowel preparation, and incomplete examination and capsule retention rates, was collected and analyzed. ResultsA total of 2,914 CEs were registered. The most common reason for CE was obscure gastrointestinal bleeding (59%). Significant lesions were detected in 66% of cases. Positive CE diagnosis occurred in 63% of cases. The preparation method did not significantly affect the quality of bowel preparation for CE. The overall incomplete rate was 33%, and was high in the elderly and those with poor bowel preparation. Capsule retention was 3% and high in patients with small bowel tumors and Crohn's disease and in children under 10 years of age. ConclusionsCE is a valuable technique; while the overall detection rate is high, incompletion and retention rates are also relatively high. CE should be carefully considered in the elderly and children less than 10 years of age, as well as in patients with small bowel tumors and Crohn's disease.
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Liang Huang, Yue Hu, Fang Chen, Shan Liu, Bin Lu
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Frontiers in Bioengineering and Biotechnology.2020;[Epub] CrossRef - Changes in performance of small bowel capsule endoscopy based on nationwide data from a Korean Capsule Endoscopy Registry
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Dong Jun Oh, Kwang Seop Kim, Yun Jeong Lim
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Junseok Park, Youngbae Hwang, Ji Hyung Nam, Dong Jun Oh, Ki Bae Kim, Hyun Joo Song, Su Hwan Kim, Sun Hyung Kang, Min Kyu Jung, Yun Jeong Lim, Sudipta Roy
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Yuan-Yuan Luo, Jun Pan, Yi-Zhi Chen, Xi Jiang, Wen-Bin Zou, Yang-Yang Qian, Wei Zhou, Xiao Liu, Zhao-Shen Li, Zhuan Liao
Digestive Diseases and Sciences.2019; 64(7): 1908. CrossRef - The role of small bowel endoscopy for Crohn's disease
Stefania Chetcuti Zammit, Pierre Ellul, Reena Sidhu
Current Opinion in Gastroenterology.2019; 35(3): 223. CrossRef - Performance measures for small‐bowel endoscopy: A European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative
Cristiano Spada, Deirdre McNamara, Edward J Despott, Samuel Adler, Brooks D Cash, Ignacio Fernández-Urién, Hrvoje Ivekovic, Martin Keuchel, Mark McAlindon, Jean-Christophe Saurin, Simon Panter, Cristina Bellisario, Silvia Minozzi, Carlo Senore, Cathy Benn
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Ana Ponte, Rolando Pinho, Adélia Rodrigues, Joana Silva, Jaime Rodrigues, Mafalda Sousa, Jo�o Carvalho
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8,390
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Survey of Endoscope Reprocessing in Korea
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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
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Clin Endosc 2015;48(1):39-47. Published online January 31, 2015
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DOI: https://doi.org/10.5946/ce.2015.48.1.39
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Abstract
PDFPubReaderePub
- 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. MethodsThis 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. ResultsThe 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%). ConclusionsThe 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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Citations
Citations to this article as recorded by - Recommendations and guidelines for endoscope reprocessing: Current position statement of digestive endoscopic society of Taiwan
Wei-Kuo Chang, Chen-Ling Peng, Yen-Wei Chen, Cheuk-Kay Sun, Chieh-Chang Chen, Tao-Chieh Liu, Yin-Yi Chu, I-Fang Tsai, Chen-Shuan Chung, Hsiao-Fen Lin, Fang-Yu Hsu, Wei-Chen Tai, Hsi-Chang Lee, Hsu-Heng Yen, E-Ming Wang, Shu-Hui Chen, Cheng-Hsin Chu, Ming-
Journal of Microbiology, Immunology and Infection.2024; 57(2): 211. CrossRef - Monthly endoscopy surveillance culture facilitates detection of breaches in the scope reprocessing procedure: 5‐year experience in an endoscopy center
Shu‐Hui Chen, Theophile Liu, Huei‐Wen Lai, Hui‐Lan Chang, Hsu‐Heng Yen
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
Hye Young Shin, Da Hun Jang, Jae Kwan Jun
American Journal of Infection Control.2021; 49(8): 1031. CrossRef - Accreditation program for gastrointestinal endoscopes reprocessing in Italy: An on-site survey
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 - 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
Clinical Endoscopy.2016; 49(6): 542. CrossRef - Adequacy of Reprocessing Gastrointestinal Endoscopes in Korea Hospitals
YoungOk Kim, Jae Sim Jeong
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Ji Kon Ryu, Eun Young Kim, Kwang An Kwon, Il Ju Choi, Ki Baik Hahm
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Young-Seok Cho
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8,681
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Prerequisites of Colonoscopy
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Kyong Hee Hong, Yun Jeong Lim
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Clin Endosc 2014;47(4):324-329. Published online July 28, 2014
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DOI: https://doi.org/10.5946/ce.2014.47.4.324
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Abstract
PDFPubReaderePub
Colonoscopy is a widely accepted method for the evaluation of the colon and terminal ileum. Its diagnostic accuracy and therapeutic safety are influenced by prerequisites, including modulation of medication and bowel cleansing. Appropriate choices of sedative medication and bowel-cleansing regimen, together with diet modification, should be made based on the patient's underlying disease, age, and medication intake. Moreover, effective methods for patient education regarding bowel preparation should be considered. -
Citations
Citations to this article as recorded by - Randomized Controlled Trial of Sodium Phosphate Tablets versus 2 L Polyethylene Glycol Solution for Bowel Cleansing prior to Colonoscopy
Yun Ho Lee, Seong Yeon Jeong, You Sun Kim, Hye Jin Jung, Min Jung Kwon, Cheol Hun Kwak, Song I Bae, Jeong Seop Moon, Ji Won Kim, Su Hwan Kim, Kook Lae Lee
The Korean Journal of Gastroenterology.2015; 65(1): 27. CrossRef - Highlights from the 50th Seminar of the Korean Society of Gastrointestinal Endoscopy
Eun Young Kim, Il Ju Choi, Kwang An Kwon, Ji Kon Ryu, Seok Ho Dong, Ki Baik Hahm
Clinical Endoscopy.2014; 47(4): 285. CrossRef
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Learning Curve of Capsule Endoscopy
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Korean Gut Image Study Group, Yun Jeong Lim, Young Sung Joo, Dae Young Jung, Byong Duk Ye, Ji Hyun Kim, Jae Hee Cheon, Seong Eun Kim, Jae Hyuk Do, Byung Ik Jang, Jeong Seop Moon, Jin Oh Kim, Hoon Jae Chun, Myung-Gyu Choi
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Clin Endosc 2013;46(6):633-636. Published online November 19, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.6.633
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Abstract
PDFPubReaderePub
- Background/Aims
Capsule endoscopy (CE) has become an important tool for the diagnosis of small bowel disease. Although CE does not require the skill of endoscope insertion, the images should be interpreted by a person with experience in assessing images of the gastrointestinal mucosa. This investigation aimed to document the number of cases needed by trainees to gain the necessary experience for CE competency. MethodsFifteen cases were distributed to 12 trainees with no previous experience of CE during their gastroenterology training as clinical fellows. Twelve trainees and an expert were asked to read CE images from one patient each week for 15 weeks. The diagnosis was reported using five categories (no abnormalities detected, small bowel erosion or ulcer, small bowel tumor, Crohn disease, and active small bowel bleeding with no identifiable source). We then examined, using the κ coefficient, how the degree of mean agreements between the trainees and the expert changed as the training progressed each week. ResultsThe agreement rate of CE diagnosis increased as the frequencies of interpretation increased. Most of the mean κ coefficients were >0.60 and >0.80 after week 9 and 11, respectively. ConclusionsExperience with approximately 10 cases of CE is appropriate for trainees to attain CE competency.
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A Review of Current Disinfectants for Gastrointestinal Endoscopic Reprocessing
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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
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Clin Endosc 2013;46(4):337-341. Published online July 31, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.4.337
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Abstract
PDFPubReaderePub
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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Recent Update of Gastrointestinal Endoscope Reprocessing
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Kyong Hee Hong, Yun Jeong Lim
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Clin Endosc 2013;46(3):267-273. Published online May 31, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.3.267
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Abstract
PDFPubReaderePub
As infection-related issues have become one of the most important concerns in endoscopy centers, proper reprocessing of endoscopes has attracted great interest. Compliance with established guidelines for reprocessing is critical to prevent pathogen transmission. However, hospital compliance with guidelines has not been satisfactory. To increase compliance, efforts have focused on developing new and more innovative disinfectants and an automated endoscope reprocessor. Reprocessing must be performed by appropriately trained personnel and regular monitoring of reprocessing is essential for quality assurance to improve compliance. -
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Non-Steroidal Anti-Inflammatory Drug-Induced Enteropathy
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Yun Jeong Lim, Chang-Hun Yang
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Clin Endosc 2012;45(2):138-144. Published online June 30, 2012
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DOI: https://doi.org/10.5946/ce.2012.45.2.138
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Abstract
PDFPubReaderePub
Non-steroidal anti-inflammatory drugs (NSAIDs) are one of the most commonly prescribed drugs in the world. NSAID-induced lower gastrointestinal (GI) complications are increasing while upper GI complications are decreasing. Lower GI events accounted for 40% of all serious GI events in patients on NSAIDs. Capsule endoscopy and device assisted enteroscopy are available for detection of small intestinal lesions. Capsule endoscopy studies have demonstrated that NSAIDs use in healthy volunteers raised the incidence (55% to 75%) of intestinal damage. It appears that selective cyclooxygenase-2 inhibitors (coxibs) improved upper and lower GI safety based on results of clinical trials. Selective coxibs are still capable of triggering GI adverse events and cardiovascular toxicity issues were the main focus of concerns. Unfortunately, definite strategies are not available to prevent or heal NSAID-induced intestinal injuries. Thus, there is still a strong clinical need for effective drugs with improved safety profiles than the existing NSAIDs. -
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