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Volume 49(3); May 2016
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Commentarys
Now, It Is Time to Consider Job Stress in the Field of Gastroenterology
Young Joo Yang, Gwang Ho Baik
Clin Endosc 2016;49(3):209-211.   Published online May 20, 2016
DOI: https://doi.org/10.5946/ce.2016.067
PDFPubReaderePub

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  • Burnout and work satisfaction are differentially associated in gastroenterologists in Germany
    Charles Christian Adarkwah, Joachim Labenz, Oliver Hirsch
    F1000Research.2022; 11: 368.     CrossRef
  • Burnout and work satisfaction are differentially associated in gastroenterologists in Germany
    Charles Christian Adarkwah, Joachim Labenz, Oliver Hirsch
    F1000Research.2022; 11: 368.     CrossRef
  • Burnout and work satisfaction are differentially associated in gastroenterologists in Germany
    Charles Christian Adarkwah, Joachim Labenz, Oliver Hirsch
    F1000Research.2022; 11: 368.     CrossRef
  • Does the precept of role and religious belief affect stress in Indian doctors?
    MS Bhatia
    Journal of Postgraduate Medicine.2019; 65(4): 197.     CrossRef
  • Insufficient Job Control among Gastroenterology Trainees: Time to Focus on the Science
    Neel Sharma
    Clinical Endoscopy.2016; 49(5): 492.     CrossRef
  • 6,236 View
  • 82 Download
  • 2 Web of Science
  • 5 Crossref
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Second-Look Endoscopy after Endoscopic Submucosal Dissection: Can We Obtain Valuable Information?
Hye Kyung Jeon, Gwang Ha Kim
Clin Endosc 2016;49(3):212-213.   Published online May 9, 2016
DOI: https://doi.org/10.5946/ce.2016.062
PDFPubReaderePub

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Citations to this article as recorded by  
  • Bleeding Risk Factors after Endoscopic Submucosal Dissection in Early Gastric Cancer and the Necessity of “Second-Look” Endoscopic Examination on the following Day
    Rika Kobayashi, Ken Kawaura, Tohru Ito, Sadafumi Azukisawa, Hiroaki Kunou, Junji Kamai, Kazu Hamada, Tsuyoshi Mukai, Hidekazu Kitakata, Yasuhito Ishigaki
    Journal of Clinical Medicine.2022; 11(4): 914.     CrossRef
  • 7,520 View
  • 67 Download
  • 1 Web of Science
  • 1 Crossref
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How Should We Manage Iatrogenic Perforation Caused by Colonoscopy?
Eun Sun Kim
Clin Endosc 2016;49(3):214-215.   Published online May 30, 2016
DOI: https://doi.org/10.5946/ce.2016.072
PDFPubReaderePub

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  • Efficacy of Laparoscopic Primary Repair in the Treatment of Colonic Perforation After Colonoscopy: A Review of 40,127 Patients
    Wu Zhong, Chongrong Qiu, Chuanyuan Liu, Chuanfa Fang, Laiyang Xia, Junlin Liang, Seng Zhang, Lisheng Chen
    Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2016; 26(6): e105.     CrossRef
  • 6,760 View
  • 103 Download
  • 1 Web of Science
  • 1 Crossref
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Focused Review Series: Advanceses in the management of upper GI SET
Advances in the Management of Upper Gastrointestinal Subepithelial Tumor: Pathologic Diagnosis Using Endoscopy without Endoscopic Ultrasound-Guided Biopsy
Hang Lak Lee
Clin Endosc 2016;49(3):216-219.   Published online May 30, 2016
DOI: https://doi.org/10.5946/ce.2016.064
AbstractAbstract PDFPubReaderePub
Until now, biopsy methods for subepithelial tumors (SETs) have focused on endoscopic ultrasound (EUS)-guided biopsy; however, these methods have several limitations. We devised a simple method for pathologic diagnosis of SETs. SETs are occasionally diagnosed during endoscopy, and lesions are generally small and asymptomatic. It can be challenging to decide on a management plan for large asymptomatic SETs. EUS imaging provides information regarding the size, layer, and echo pattern of the lesions. Patient management plans have traditionally been determined based on EUS images, whereby the endoscopist chooses to either monitor or remove the tumor. However, EUS alone cannot diagnose and evaluate upper gastrointestinal SETs with high accuracy. As sufficient tissue samples are required for the accurate diagnosis of SETs, EUS-guided biopsy techniques such as EUS fine-needle aspiration and trucut biopsy are currently used. However, these methods have a relatively low diagnostic accuracy and do not always provide information upon immunohistochemical staining. Endoscopists can easily detect a submucosal mass after creating an iatrogenic mucosal ulcer, after which tissue sampling is performed by using endoscopic biopsy. Furthermore, pathologic results can differentiate between benign and premalignant lesions. Here, we introduce a simple method for the pathologic diagnosis of SETs.

Citations

Citations to this article as recorded by  
  • Risk factors for the failure of endoscopic resection of gastric submucosal tumors: a long-term retrospective case–control study
    Yuzhu Yuan, Lixin Sun, Xiaoying Zhou, Han Chen, Xinmin Si, Weifeng Zhang, Yun Wang, Bixing Ye, Nana Tang, Guoxin Zhang, Xueliang Li, Hongjie Zhang, Chunhua Jiao
    Gastric Cancer.2022; 25(5): 929.     CrossRef
  • Controversies in EUS: Do we need miniprobes?
    Hans Seifert, Pietro Fusaroli, PaoloGiorgio Arcidiacono, Barbara Braden, Felix Herth, Michael Hocke, Alberto Larghi, Bertrand Napoleon, Mihai Rimbas, BogdanSilvio Ungureanu, Adrian Sãftoiu, AnandV Sahai, ChristophF Dietrich
    Endoscopic Ultrasound.2021; 10(4): 246.     CrossRef
  • Overcoming the Challenge of Full-Thickness Resection of Gastric Lesions Using a Colonic Full-Thickness Resection Device
    Yazan Fahmawi, Patel Krutika, Manoj Kumar, Lindsey Merritt, Meir Mizrahi
    ACG Case Reports Journal.2020; 7(3): e00329.     CrossRef
  • Digital image analysis-based scoring system for endoscopic ultrasonography is useful in predicting gastrointestinal stromal tumors
    Moon Won Lee, Gwang Ha Kim, Kwang Baek Kim, Yoon Ho Kim, Do Youn Park, Chang In Choi, Dae Hwan Kim, Tae Yong Jeon
    Gastric Cancer.2019; 22(5): 980.     CrossRef
  • Endoscopic full‐thickness resection for gastrointestinal submucosal tumors
    Ming‐Yan Cai, Francisco Martin Carreras‐Presas, Ping‐Hong Zhou
    Digestive Endoscopy.2018; 30(S1): 17.     CrossRef
  • 7,454 View
  • 180 Download
  • 6 Web of Science
  • 5 Crossref
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Role of Endoscopic Ultrasonography in Guiding Treatment Plans for Upper Gastrointestinal Subepithelial Tumors
Jeong Seop Moon
Clin Endosc 2016;49(3):220-225.   Published online May 20, 2016
DOI: https://doi.org/10.5946/ce.2016.047
AbstractAbstract PDFPubReaderePub
Gastrointestinal (GI) subepithelial tumors (SETs) are usually observed incidentally by endoscopy and have diverse prognoses, varying from benign to potentially malignant. When a GI SET is suspected, endoscopic ultrasonography (EUS) is the most accurate diagnostic method to differentiate it from extraluminal compression. To determine the nature of GI SETs, EUS is also the most accurate diagnostic method, and reveals the precise sonographic nature of the lesion. There are some SETs with typical EUS findings of GI SETs, but most hypoechoic lesions are difficult to diagnose based on EUS images alone. EUS is also helpful to determine GI wall involvement in SETs and optimal treatment methods. For the diagnosis of GI SETs, obtaining a proper specimen is essential. EUS-guided cytology or biopsy methods such as fine-needle aspiration, Tru-Cut biopsy, and the newly introduced fine-needle biopsy (FNB) provide good results. To increase the diagnostic yield for GI SETs, cytology with immunocytochemical staining is used for cytological interpretation, resulting in good diagnostic yields. Recently, EUS-FNB using cheese slicer technology has been introduced, and has been reported to provide good diagnostic results for GI SETs.

Citations

Citations to this article as recorded by  
  • Orthodontic rubber band traction to facilitate endoscopic resection of gastric submucosal tumor
    Linfu Zheng, Dazhou Li, Linxin Zhou, Xiaoyu Zhang, Zewen Zhang, Donggui Hong, Meiyan Liu, Jianxiao Huang, Wen Wang
    Arab Journal of Gastroenterology.2024; 25(3): 263.     CrossRef
  • The value of contrast-enhanced harmonic endoscopic ultrasound in differential diagnosis and evaluation of malignant risk of gastrointestinal stromal tumors (<50mm)
    Jiali Wu, Mengqi Zhuang, Yubao Zhou, Xiang Zhan, Weiwei Xie
    Scandinavian Journal of Gastroenterology.2023; 58(5): 542.     CrossRef
  • Prevalence, natural progression, and clinical practices of upper gastrointestinal subepithelial lesions in Korea: a multicenter study
    Younghee Choe, Yu Kyung Cho, Gwang Ha Kim, Jun-Ho Choi, Eun Soo Kim, Ji Hyun Kim, Eun Kwang Choi, Tae Hyeon Kim, Seong-Hun Kim, Do Hoon Kim
    Clinical Endoscopy.2023; 56(6): 744.     CrossRef
  • Nomogram to predict gas-related complications during transoral endoscopic resection of upper gastrointestinal submucosal lesions
    Jia Yang, Zhi-Guo Chen, Xing-Lin Yi, Jing Chen, Lei Chen
    World Journal of Gastrointestinal Endoscopy.2023; 15(11): 649.     CrossRef
  • Clinical study of submucosal tunneling endoscopic resection and endoscopic submucosal dissection in the treatment of submucosal tumor originating from the muscularis propria layer of the esophagus
    Yue Zhang, Jing Wen, Shuxian Zhang, Xuyang Liang, Ling Ren, Lu Wang, Yunliang Sun, Shouying Li, Kun Wang, Shengxiang Lv, Xiao Qiao
    Medicine.2022; 101(51): e32380.     CrossRef
  • Efficacy and safety of submucosal tunneling endoscopic resection for gastric submucosal tumors: a systematic review and meta-analysis.
    bendaxin cao, JiaXi Lu, YuYong Tan, DeLiang Liu
    Revista Española de Enfermedades Digestivas.2020;[Epub]     CrossRef
  • Efficacy and safety of submucosal tunneling endoscopic resection for upper gastrointestinal submucosal tumors with more than 1-year' follow-up: a systematic review and meta-analysis
    Wei Peng, Shali Tan, Shu Huang, Yutang Ren, Huan Li, Yan Peng, Xiangsheng Fu, Xiaowei Tang
    Scandinavian Journal of Gastroenterology.2019; 54(4): 397.     CrossRef
  • Predicting Malignancy Risk in Gastrointestinal Subepithelial Tumors with Contrast-Enhanced Harmonic Endoscopic Ultrasonography Using Perfusion Analysis Software
    Hyun Seok Lee, Chang Min Cho, Yong Hwan Kwon, Su Youn Nam
    Gut and Liver.2019; 13(2): 161.     CrossRef
  • Current Status of Endoscopic Ultrasonography in Gastrointestinal Subepithelial Tumors
    Sang Gyun Kim, Ji Hyun Song, Joo Ha Hwang
    Clinical Endoscopy.2019; 52(4): 301.     CrossRef
  • Comparison of the Diagnostic Ability of Endoscopic Ultrasonography and Abdominopelvic Computed Tomography in the Diagnosis of Gastric Subepithelial Tumors
    Sang Yoon Kim, Ki-Nam Shim, Joo-Ho Lee, Ji Young Lim, Tae Oh Kim, A. Reum Choe, Chung Hyun Tae, Hye-Kyung Jung, Chang Mo Moon, Seong-Eun Kim, Sung-Ae Jung
    Clinical Endoscopy.2019; 52(6): 565.     CrossRef
  • An Esophageal Squamous Cell Carcinoma with Lymph Node Metastasis Presenting as a Small Subepithelial Tumor
    Jang Won Park, Eun Jeong Gong, Myeongsook Seo, Baek Gyu Jun, Hyun Il Seo, Jong Kyu Park, Koon Hee Han, Sang Jin Lee, Young Don Kim, Woo Jin Jeong, Gab Jin Cheon
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2019; 19(4): 272.     CrossRef
  • Diagnosis of Gastric Subepithelial Tumors Using Endoscopic Ultrasonography or Abdominopelvic Computed Tomography: Which is Better?
    Eun Young Park, Gwang Ha Kim
    Clinical Endoscopy.2019; 52(6): 519.     CrossRef
  • ENDOSCOPIC ULTRASOUND IN DIAGNOSIS OF GASTROINTESTINAL AND PANCREATICOBILIARY DISEASES
    Van Huy Tran, Khanh Vinh
    Journal of Medicine and Pharmacy.2019; : 87.     CrossRef
  • Feasibility of a 20-gauge ProCore needle in EUS-guided subepithelial tumor sampling: a prospective multicenter study
    Do Hoon Kim, Gwang Ha Kim, Chang Min Cho, Chang Hwan Park, Soo-Young Na, Tae Hyeon Kim, Yu Kyung Cho, Ji Hyun Kim, Dong-Wan Seo
    BMC Gastroenterology.2018;[Epub]     CrossRef
  • Is Endoscopic Ultrasonography Adequate for the Diagnosis of Gastric Schwannomas?
    Eun Jeong Gong, Kee Don Choi
    Clinical Endoscopy.2016; 49(6): 498.     CrossRef
  • 7,563 View
  • 176 Download
  • 13 Web of Science
  • 15 Crossref
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Current Techniques for Treating Gastrointestinal Stromal Tumors in the Upper Gastrointestinal Tract
Weon Jin Ko, Joo Young Cho
Clin Endosc 2016;49(3):226-228.   Published online May 23, 2016
DOI: https://doi.org/10.5946/ce.2016.061
AbstractAbstract PDFPubReaderePub
Most gastrointestinal stromal tumors (GISTs) arise from the proper muscle layer of the upper gastrointestinal (GI) tract and have a low malignant potential. They are sometimes accompanied by symptoms, but in most cases are detected by chance. Endoscopic surgery of subepithelial tumors in the upper GI tract has been actively performed, and its merits include the need for fewer medical devices compared with other surgical procedures and post-resection organ preservation. However, because endoscopic procedures are still limited to small or pilot studies, a multidisciplinary approach combining laparoscopy and endoscopy is needed for more effective and pathologically acceptable management of GISTs. Many new endoscopic surgeries have been developed, and this review describes the current status of and the new approaches for endoscopic surgery of GISTs in the upper GI tract.

Citations

Citations to this article as recorded by  
  • Endoscopic resection of gastric gastrointestinal stromal tumor using clip-and-cut endoscopic full-thickness resection: a single-center, retrospective cohort in Korea
    Yuri Kim, Ji Yong Ahn, Hwoon-Yong Jung, Seokin Kang, Ho June Song, Kee Don Choi, Do Hoon Kim, Jeong Hoon Lee, Hee Kyong Na, Young Soo Park
    Clinical Endoscopy.2024; 57(3): 350.     CrossRef
  • New data on the types of sulfide copper-nickel ores of the Kharaelakh trough and the main patterns of their distribution
    I. O. Krylov, I. I. Nikulin
    Moscow University Bulletin. Series 4. Geology.2023; (3): 98.     CrossRef
  • Advances in endoscopic resection techniques of small gastric tumors originating from the muscularis propria
    Suliman Khan, Xiaona Cui, Safyan Nasir, Shoaib Mohammad Rafiq, Bo Qin, Qian Bai
    Frontiers in Oncology.2022;[Epub]     CrossRef
  • New data on the composition of plagioclase on the western flank of the Oktyabrsky deposit according to infrared spectroscopy
    I. O. Krylov, I. I. Nikulin, A. A. Samsonov, D. M. Korshunov, D. I. Vildanov
    Moscow University Bulletin. Series 4. Geology.2022; (2): 27.     CrossRef
  • A modified endoscopic full thickness resection for gastric subepithelial tumors from muscularis propria layer: Novel method
    Jung Min Lee, In Kyung Yoo, Sung Pyo Hong, Joo Young Cho, Young Kwan Cho
    Journal of Gastroenterology and Hepatology.2021; 36(9): 2558.     CrossRef
  • Endoskopische Vollwandresektion im oberen Gastrointestinaltrakt – erste Erfahrungen
    T. Heuer, C. D. Gerharz, M. Banysch, G. M. Kaiser, M. Hornstein, E. Kasim
    Der Gastroenterologe.2020; 15(5): 403.     CrossRef
  • Endoscopic full‐thickness resection for gastrointestinal submucosal tumors
    Ming‐Yan Cai, Francisco Martin Carreras‐Presas, Ping‐Hong Zhou
    Digestive Endoscopy.2018; 30(S1): 17.     CrossRef
  • The fourth space surgery: endoscopic subserosal dissection for upper gastrointestinal subepithelial tumors originating from the muscularis propria layer
    Fei Liu, Song Zhang, Wei Ren, Tian Yang, Ying Lv, Tingsheng Ling, Xiaoping Zou, Lei Wang
    Surgical Endoscopy.2018; 32(5): 2575.     CrossRef
  • Tumor rupture of gastric gastrointestinal stromal tumors during endoscopic resection: a risk factor for peritoneal metastasis?
    Shiyi Song, Wei Ren, Yi Wang, Shu Zhang, Song Zhang, Fei Liu, Qiang Cai, Guifang Xu, Xiaoping Zou, Lei Wang
    Endoscopy International Open.2018; 06(08): E950.     CrossRef
  • 6,638 View
  • 108 Download
  • 10 Web of Science
  • 9 Crossref
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Interpretation of Pathologic Margin after Endoscopic Resection of Gastrointestinal Stromal Tumor
Sang Gyun Kim
Clin Endosc 2016;49(3):229-231.   Published online April 7, 2016
DOI: https://doi.org/10.5946/ce.2016.035
AbstractAbstract PDFPubReaderePub
Interpretation of the pathologic margin of a specimen from a resected tumor is important because local recurrence can be predicted by the presence of tumor cells in the resection margin. Although a sufficient resection margin is recommended in the resection of gastrointestinal adenocarcinoma, it is not usually regarded strictly in cases of mesenchymal tumor, especially gastrointestinal stromal tumor (GIST), because the tumor is usually encapsulated or well demarcated, and not infiltrative. Therefore, margin positivity is not rare in the pathological evaluation of surgically or endoscopically resected GIST, and does not always indicate incomplete resection. Although a GIST may have a tumor-positive pathologic margin, complete resection may be achieved if no residual tumor is visible, and long-term survival can be predicted as in the cases with a negative pathologic margin.

Citations

Citations to this article as recorded by  
  • Efficiency of an endoscopic resection strategy for management of submucosal tumors < 20 mm in the upper gastrointestinal tract
    Fabrice Caillol, Elise Meunier, Christophe Zemmour, Jean-Philippe Ratone, Jerome Guiramand, Solene Hoibian, Yanis Dahel, Flora Poizat, Marc Giovannini
    Endoscopy International Open.2022; 10(04): E347.     CrossRef
  • Comparison of the treatment outcomes of endoscopic and surgical resection of GI stromal tumors in the stomach: a propensity score–matched case-control study
    Ga Hee Kim, Kee Don Choi, Chung Sik Gong, In-Seob Lee, Young Soo Park, Minkyu Han, Hee Kyong Na, Ji Yong Ahn, Jeong Hoon Lee, Kee Wook Jung, Do Hoon Kim, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung
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    Piotr Rutkowski, Jacek Skoczylas, Piotr Wisniewski
    Visceral Medicine.2018; 34(5): 347.     CrossRef
  • 7,688 View
  • 83 Download
  • 3 Web of Science
  • 3 Crossref
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Long-Term Outcomes after Endoscopic Treatment of Gastric Gastrointestinal Stromal Tumor
Jong-Jae Park
Clin Endosc 2016;49(3):232-234.   Published online May 19, 2016
DOI: https://doi.org/10.5946/ce.2016.052
AbstractAbstract PDFPubReaderePub
Endoscopic resection of gastric subepithelial tumors (SETs) has several advantages over biopsy techniques, such as superior diagnostic yield and definite diagnosis. Removal of gastric SETs and histopathologic confirmation should be considered whenever gastric SETs are highly suspected to have malignant potential such as gastrointestinal stromal tumor (GIST) or neuroendocrine tumor. According to our clinical experience, we suggest that endoscopic resection of gastric SETs is feasible for GISTs less than 3.0 cm without positive endoscopic ultrasonography findings or for hypoechoic SETs less than 3.0 cm. However, serious complications such as macroperforation may occur during endoscopic resection, and this procedure is highly dependent on endoscopists’ skills. We recently reported the long-term clinical outcomes of endoscopic resection of gastric GIST, which showed a relatively low recurrence rate (2.2%) during long-term follow-up (46.0±28.5 months) despite the low R0 resection rate (25.0%). We suggest that endoscopic surveillance might be possible without additional surgical resection in completely resected GISTs without residual tumor confirmed to be lower risk, even if they show an R1 resection margin.

Citations

Citations to this article as recorded by  
  • Efficacy and Safety of Endoscopic Resection for Gastric Gastrointestinal Stromal Tumors Originating from the Muscularis Propria
    Ji Li, Dong Xu, Wei-Feng Huang, Shao-Kun Hong, Jin-Yan Zhang
    Digestive Diseases and Sciences.2024; 69(6): 2184.     CrossRef
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    Enpan Xu, Qiang Shi, Zhipeng Qi, Bing Li, Huihui Sun, Zhong Ren, Shilun Cai, Dongli He, Zhengtao Lv, Zhanghan Chen, Liang Zhong, Leiming Xu, Xiaobo Li, Shuchang Xu, Pinghong Zhou, Yunshi Zhong
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    Jing-wen Zhang, Chang-qing Guo, Shan-shan Zhu, Nan Dai, Ping Liu, Fang-bin Zhang, Hai-ning Zhou, Jian-feng Wang, Si-su Zhou, Xin-Guang Cao
    Digestive and Liver Disease.2024;[Epub]     CrossRef
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    Jin Woong Cho
    Clinical Endoscopy.2024; 57(3): 329.     CrossRef
  • Follow-up analysis and research of very low-risk and low-risk gastrointestinal stromal tumors after endoscopic resection
    Jiaxin Gao, Zide Liu, Xingxing Liu, Xu Shu, Yin Zhu, Youxiang Chen, Chunyan Zeng
    Scientific Reports.2024;[Epub]     CrossRef
  • Gastric Inverted Hyperplastic Polyp Removed Using Endoscopic Submucosal Dissection
    Jee Won Boo, Joon Sung Kim, Byung-Wook Kim
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2023; 23(1): 63.     CrossRef
  • Clinical Efficacy and Safety of Endoscopic Treatment of Gastrointestinal Stromal Tumors in the Stomach
    Moon Kyung Joo, Jong-Jae Park, Yeon Ho Lee, Beom Jae Lee, Seong Min Kim, Won Shik Kim, Ah Young Yoo, Hoon Jai Chun, Sang Woo Lee
    Gut and Liver.2023; 17(2): 217.     CrossRef
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    Wei Su, Min Wang, Danfeng Zhang, Yan Zhu, Minzhi Lv, Liang Zhu, Jie He, Hao Hu, Pinghong Zhou
    Journal of Gastroenterology and Hepatology.2022; 37(1): 48.     CrossRef
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    Jinping Yang, Muhan Ni, Jingwei Jiang, Ximei Ren, Tingting Zhu, Shouli Cao, Shahzeb Hassan, Ying Lv, Xiaoqi Zhang, Yongyue Wei, Lei Wang, Guifang Xu
    Gastrointestinal Endoscopy.2022; 95(4): 660.     CrossRef
  • Endoscopic subserosal dissection for gastric tumors: 18 cases in a single center
    Jihyun Han, Jinwoong Cho, Jaesun Song, Mina Yang, Youngjae Lee, Myoungjin Ju
    Surgical Endoscopy.2022; 36(11): 8039.     CrossRef
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    Hyunchul Lim
    Journal of Digestive Cancer Research.2022; 10(1): 16.     CrossRef
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    Yu-Ping Wang, Hong Xu, Jia-Xin Shen, Wen-Ming Liu, Yuan Chu, Ben-Song Duan, Jing-Jing Lian, Hai-Bin Zhang, Li Zhang, Mei-Dong Xu, Jia Cao
    World Journal of Gastrointestinal Surgery.2022; 14(9): 918.     CrossRef
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    Qiang Zhang, Jian-Qun Cai, Zhen Wang
    Gastroenterology Report.2021; 9(2): 125.     CrossRef
  • Endoscopic Resection of Gastrointestinal Stromal Tumor: Is It Safe?
    Moon Kyung Joo
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2021; 21(3): 180.     CrossRef
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    Yan Zhu, Mei-Dong Xu, Chen Xu, Xiao-Cen Zhang, Shi-Yao Chen, Yun-Shi Zhong, Yi-Qun Zhang, Wei-Feng Chen, Tian-Yin Chen, Jia-Xin Xu, Li-Qing Yao, Quan-Lin Li, Ping-Hong Zhou
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    Lian Yong Li, Bai Wen Li, Parit Mekaroonkamol, Hui Min Chen, Shan Shan Shen, Hui Luo, Sunil Dacha, Yue Xue, Sarah Cristofaro, Steven Keilin, Field Willingham, Qiang Cai
    Journal of Digestive Diseases.2020; 21(4): 215.     CrossRef
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    Sufang Tu, Silin Huang, Guohua Li, Xiaowei Tang, Haitao Qing, Qiaoping Gao, Jingwen Fu, Guoping Du, Wei Gong
    Gastroenterology Research and Practice.2018; 2018: 1.     CrossRef
  • Comparison between submucosal tunneling endoscopic resection and endoscopic full-thickness resection for gastric stromal tumors originating from the muscularis propria layer
    Yuyong Tan, Xiaoyu Tang, Ting Guo, Dongzi Peng, Yao Tang, Tianying Duan, Xuehong Wang, Liang Lv, Jirong Huo, Deliang Liu
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  • Subepithelial rectal gastrointestinal stromal tumor – the use of endoscopic ultrasound-guided fine needle aspiration to establish a definitive cytological diagnosis: a case report
    Vitor Ottoboni Brunaldi, Martin Coronel, Danielle Azevedo Chacon, Eduardo Turiani Hourneaux De Moura, Sérgio E. Matuguma, Eduardo Guimarães Hourneaux De Moura, Diogo Turiani Hourneaux De Moura
    Journal of Medical Case Reports.2017;[Epub]     CrossRef
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    Emily Z. Keung, Chandrajit P. Raut
    Surgical Clinics of North America.2017; 97(2): 437.     CrossRef
  • Gastroduodenal Intussusception with a Gastric Gastrointestinal Stromal Tumor Treated by Endoscopic Submucosal Dissection
    Kenji Yamauchi, Masaya Iwamuro, Eiji Ishii, Makoto Narita, Nobuto Hirata, Hiroyuki Okada
    Internal Medicine.2017; 56(12): 1515.     CrossRef
  • 7,898 View
  • 149 Download
  • 19 Web of Science
  • 21 Crossref
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Current Guidelines in the Management of Upper Gastrointestinal Subepithelial Tumors
Jin Woong Cho, the Korean ESD Study Group
Clin Endosc 2016;49(3):235-240.   Published online February 22, 2016
DOI: https://doi.org/10.5946/ce.2015.096
AbstractAbstract PDFPubReaderePub
Subepithelial tumors are frequently found in asymptomatic patients in Japan and Korea where cancer screening tests routinely include endoscopy. Most lesions are asymptomatic and clinically insignificant. However, carcinoid tumors, lymphomas, glomus tumor and gastrointestinal stromal tumors (GISTs) are malignant or have the potential to become malignant. Inflammation due to parasitic infestation by Anisakis and poorly differentiated adenocarcinomas in the stomach rarely present as subepithelial lesions. In contrast to the frequency of gastric GIST in the gastrointestinal system, they are uncommon in the duodenum and very rare in the esophagus. The prognosis of patients with GISTs in the stomach is relatively good compared with GISTs in other organs. Along with the location of the tumor, its size and mitotic count are major factors that determine the malignant potential of GIST. Small (<2 cm) asymptomatic GISTs usually have benign clinical course. GIST is the most common subepithelial tumor to occur in the stomach. Although various methods are employed to diagnose GISTs, the risk of GIST metastasis cannot be accurately predicted before lesions are completely resected. Recently, new endoscopic diagnostic methods and treatment techniques have been developed that allow the diagnosis and resection of lesions located in the muscularis propria, without any complications. These endoscopic methods have different indications depending on regions where they are performed.

Citations

Citations to this article as recorded by  
  • Single-port intragastric wedge resection using the tunnel method: a novel surgical approach for treating endophytic gastric subepithelial tumors
    Eunju Lee, Donghyun Lim, So Hyun Kang, Duyeong Hwang, Mira Yoo, Young Suk Park, Sang-Hoon Ahn, Yun-Suhk Suh, Hyung-Ho Kim
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Reviews
Esophageal Stricture Prevention after Endoscopic Submucosal Dissection
Deepanshu Jain, Shashideep Singhal
Clin Endosc 2016;49(3):241-256.   Published online March 7, 2016
DOI: https://doi.org/10.5946/ce.2015.099
AbstractAbstract PDFPubReaderePub
Advances in diagnostic modalities and improvement in surveillance programs for Barrett esophagus has resulted in an increase in the incidence of superficial esophageal cancers (SECs). SEC, due to their limited metastatic potential, are amenable to non-invasive treatment modalities. Endoscopic ultrasound, endoscopic mucosal resection, and endoscopic submucosal dissection (ESD) are some of the new modalities that gastroenterologists have used over the last decade to diagnose and treat SEC. However, esophageal stricture (ES) is a very common complication and a major cause of morbidity post-ESD. In the past few years, there has been a tremendous effort to reduce the incidence of ES among patients undergoing ESD. Steroids have shown the most consistent results over time with minimal complications although the preferred mode of delivery is debatable, with both systemic and local therapy having pros and cons for specific subgroups of patients. Newer modalities such as esophageal stents, autologous cell sheet transplantation, polyglycolic acid, and tranilast have shown promising results but the depth of experience with these methods is still limited. We have summarized case reports, prospective single center studies, and randomized controlled trials describing the various methods intended to reduce the incidence of ES after ESD. Indications, techniques, outcomes, limitations, and reported complications are discussed.

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Fecal Microbiota Transplantation: Current Applications, Effectiveness, and Future Perspectives
Hyun Ho Choi, Young-Seok Cho
Clin Endosc 2016;49(3):257-265.   Published online March 9, 2016
DOI: https://doi.org/10.5946/ce.2015.117
AbstractAbstract PDFPubReaderePub
Fecal microbiota transplantation (FMT) is the infusion of liquid filtrate feces from a healthy donor into the gut of a recipient to cure a specific disease. A fecal suspension can be administered by nasogastric or nasoduodenal tube, colonoscope, enema, or capsule. The high success rate and safety in the short term reported for recurrent Clostridium difficile infection has elevated FMT as an emerging treatment for a wide range of disorders, including Parkinson’s disease, fibromyalgia, chronic fatigue syndrome, myoclonus dystopia, multiple sclerosis, obesity, insulin resistance, metabolic syndrome, and autism. There are many unanswered questions regarding FMT, including donor selection and screening, standardized protocols, long-term safety, and regulatory issues. This article reviews the efficacy and safety of FMT used in treating a variety of diseases, methodology, criteria for donor selection and screening, and various concerns regarding FMT.

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Original Articles
Job Stress and Job Satisfaction among Health-Care Workers of Endoscopy Units in Korea
Seung-Joo Nam, Hoon Jai Chun, Jeong Seop Moon, Sung Chul Park, Young-Jae Hwang, In Kyung Yoo, Jae Min Lee, Seung Han Kim, Hyuk Soon Choi, Eun Sun Kim, Bora Keum, Yoon Tae Jeen, Hong Sik Lee, Chang Duck Kim
Clin Endosc 2016;49(3):266-272.   Published online February 22, 2016
DOI: https://doi.org/10.5946/ce.2015.085
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background
/Aims: The management of job-related stress among health-care workers is critical for the improvement of healthcare services; however, there is no existing research on endoscopy unit workers as a team. Korea has a unique health-care system for endoscopy unit workers. In this study, we aimed to estimate job stress and job satisfaction among health-care providers in endoscopy units in Korea.
Methods
We performed a cross-sectional survey of health-care providers in the endoscopy units of three university-affiliated hospitals in Korea. We analyzed the job stress levels by using the Korean occupational stress scale, contributing factors, and job satisfaction.
Results
Fifty-nine workers completed the self-administered questionnaires. The job stress scores for the endoscopy unit workers (46.39±7.81) were relatively lower compared to those of the national sample of Korean workers (51.23±8.83). Job stress differed across job positions, with nurses showing significantly higher levels of stress (48.92±7.97) compared to doctors (42.59±6.37). Job stress and job satisfaction were negatively correlated with each other (R2 =0.340, p<0.001).
Conclusions
An endoscopy unit is composed of a heterogeneous group of health-care professionals (i.e., nurses, fellows, and professors), and job stress and job satisfaction significantly differ according to job positions. Job demand, insufficient job control, and job insecurity are the most important stressors in the endoscopy unit.

Citations

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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
AbstractAbstract PDFPubReaderePub
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

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  • 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
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    Eun Hye Kim, Se Woo Park, Eunwoo Nam, Chang Soo Eun, Dong Soo Han, Chan Hyuk Park
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    Hye Kyung Jeon, Gwang Ha Kim
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Optimal Methods for the Management of Iatrogenic Colonoscopic Perforation
Dae Kyu Shin, Sun Young Shin, Chi Young Park, Sun Mi Jin, Yang Hyun Cho, Won Hee Kim, Chang-Il Kwon, Kwang Hyun Ko, Ki Baik Hahm, Pil Won Park, Jong Woo Kim, Sung Pyo Hong
Clin Endosc 2016;49(3):282-288.   Published online February 18, 2016
DOI: https://doi.org/10.5946/ce.2015.046
AbstractAbstract PDFPubReaderePub
Background
/Aims: Colonoscopic perforations have been managed with exploratory laparotomy, and have resulted in some morbidity and mortality. Recently, laparoscopic surgery is commonly performed for this purpose. The aim of this study was to compare the outcomes of several management strategies for iatrogenic colonoscopic perforations.
Methods
We retrospectively reviewed the medical records of patients who had been treated for colonoscopic perforation between January 2004 and April 2013 at CHA Bundang Medical Center in Korea.
Results
A total of 41 patients with colonoscopic perforation were enrolled. Twenty patients underwent conservative management with a success rate of 90%. Surgical management was performed in 23 patients including two patients who were converted to surgical management after the failure of the initial conservative management. Among 14 patients who underwent surgery at 8 hours after the perforation, there was no considerable difference in adverse outcomes between the laparotomy group and the laparoscopic surgery group. The medical costs and claim rate were 1.45 and 1.87 times greater in the exploratory laparotomy group, respectively.
Conclusions
Conservative management of colonoscopic perforation could be an option for patients without overt symptoms of peritonitis or with a small defect size. If surgical management is required, laparoscopic surgery may be considered as the initial procedure even with a delayed diagnosis.

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    Mircea Gabriel Mureșan, Ioan Alexandru Balmoș, Iudita Badea, Ario Santini
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Case Reports
Gastrointestinal Endoscopy-Assisted Minimally Invasive Surgery for Superficial Cancer of the Uvula
Hiroyuki Odagiri, Toshiro Iizuka, Daisuke Kikuchi, Mitsuru Kaise, Hidehiko Takeda, Kenichi Ohashi, Hideo Yasunaga
Clin Endosc 2016;49(3):289-293.   Published online April 4, 2016
DOI: https://doi.org/10.5946/ce.2015.092
AbstractAbstract PDFPubReaderePub
Previous studies reported that endoscopic resection is effective for the treatment of superficial pharyngeal cancers, as for digestive tract cancers. However, the optimal treatment for superficial cancer of the uvula has not been established because of the rarity of this condition. We present two male patients in their 70s with superficial cancer of the uvula, detected with upper gastrointestinal endoscopy. Both patients underwent surgical resection of the uvula under general anesthesia. The extent of the lesions was determined by means of gastrointestinal endoscopy by using magnifying observation with narrow-band imaging, enabling the performance of minimally invasive surgery. Endoscopic submucosal dissection was performed to achieve en bloc resection of the intramucosal carcinoma that had infiltrated the area adjacent to the uvula. Gastrointestinal endoscopists should carefully examine the laryngopharynx to avoid missing superficial cancers. Our minimally invasive treatment for superficial cancer of the uvula had favorable postoperative outcomes, and prevented postoperative loss of breathing, swallowing, and articulation functions.

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  • Endoscopic submucosal dissection for pharyngeal cancer: removal of supra-oropharyngeal cancer
    Ryogo Minami, Ayu Tachibana, Yoshiaki Moriguchi, Eriko Noma, Takeo Arakawa, Tomoko Oonishi, Shinichiro Horiguchi, Toshiro Iizuka
    VideoGIE.2023; 8(7): 253.     CrossRef
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    Yasuhiko Hamada, Kyosuke Tanaka, Noriyuki Horiki, Hayato Nakagawa
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    Toshiro Iizuka, Daisuke Kikuchi, Yugo Suzuki, Masami Tanaka, Hidehiko Takeda
    Gastrointestinal Endoscopy.2021; 93(4): 818.     CrossRef
  • Tailored resections in oral and oropharyngeal cancer using narrow band imaging
    Giancarlo Tirelli, Marco Piovesana, Alberto Vito Marcuzzo, Annalisa Gatto, Matteo Biasotto, Rossana Bussani, Lorenzo Zandonà, Fabiola Giudici, Francesca Boscolo Nata
    American Journal of Otolaryngology.2018; 39(2): 197.     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
AbstractAbstract PDFPubReaderePub
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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    Ahmed Binjaloud , Ahad Alotaibi, Samar Alsubhi , Anfal Altamimi, Osamah Nafea, Zeyad Al Yousef
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    Zachary Makovich, Brijesh Patel
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    Alberto Aiolfi, Andrea Sozzi, Gianluca Bonitta, Davide Bona, Luigi Bonavina
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    Taylor F Faust, Emma Schnittka, Michael B Steadman, Garrett M Cail, Bradley S Rice
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    GV Ramiro
    Global Journal of Obesity, Diabetes and Metabolic Syndrome.2017; 4(1): 001.     CrossRef
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  • 4 Web of Science
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Hybrid Natural Orifice Transluminal Endoscopic Surgery with Sentinel Lymph Node Navigation for Deep Early Gastric Cancer in the Fundic Region
Yoon Suk Park, Seong Hwan Kim, Hee Yun Ryu, Young Kwan Cho, Yun Ju Jo, Tae il Son, Young Ok Hong
Clin Endosc 2016;49(3):298-302.   Published online March 29, 2016
DOI: https://doi.org/10.5946/ce.2015.114
AbstractAbstract PDFPubReaderePub
For patients refusing surgical treatment for deep early gastric cancer, hybrid natural orifice transluminal endoscopic surgery with sentinel lymph node navigation is a potential treatment option, particularly when the anatomic location of the cancer has low probability of lymph node metastasis. We report a case of deep early gastric cancer of the fundus beyond the endoscopic submucosal dissection indication that was treated by hybrid natural orifice transluminal endoscopic surgery with sentinel lymph node navigation. In a conventional approach, a total gastrectomy would have been needed; however, the patient refused surgical intervention. In this case, since the patient showed no positivity of the sentinel lymph node on intraoperative navigation, laparoscopic basin lymph node dissection was not performed. Hybrid natural orifice transluminal endoscopic surgery might be considered for specific regions such as the safety zone where lymph node metastases are less likely to occur.

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    Ying Xiong, Qian-Qian Chen, Ning-Li Chai, Shun-Chang Jiao, En-Qiang Ling Hu
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  • Hysterectomy and salpingo-oophorectomy by transvaginal natural orifice transluminal endoscopic surgery (V-NOTES) assisted by an umbilical camera: Case report and new hybrid technique in gynecology
    Hasan Terzi, Unal Turkay, Navdar Dogus Uzun, Mehmet Salıcı
    International Journal of Surgery Case Reports.2018; 51: 349.     CrossRef
  • Current Status of Endoscopic Resection of Early Gastric Cancer in Korea
    Hwoon-Yong Jung
    The Korean Journal of Gastroenterology.2017; 70(3): 121.     CrossRef
  • 7,039 View
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Delayed Severe Hemobilia after Endoscopic Biliary Plastic Stent Insertion
Sung Hak Lee, Seung Goun Hong, Kyoung yong Lee, Pyung Kang Park, Sung Du Kim, Mahn Lee, Dong Wook Yu, Man Yong Hong
Clin Endosc 2016;49(3):303-307.   Published online March 25, 2016
DOI: https://doi.org/10.5946/ce.2015.081
AbstractAbstract PDFPubReaderePub
Hemobilia is a rare gastrointestinal bleeding, usually caused by injury to the bile duct. Hemobilia after endoscopic retrograde cholangiopancreatography (ERCP) is generally self-limiting and patients will spontaneously recover, but some severe and fatal hemorrhages have been reported. ERCP-related bowel or bile duct perforation should be managed promptly, according to the type of injury and the status of the patient. We recently experienced a case of late-onset severe hemobilia in which the patient recovered after endoscopic biliary stent insertion. The problem was attributable to ERCP-related bile duct perforation during stone removal, approximately 5 weeks prior to the hemorrhagic episode. The removal of the stent was performed 10 days before the onset of hemobilia. The bleeding was successfully treated by two sessions of transarterial coil embolization.

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    Ruchira Mukherji, Manoj Gopinath
    Indian Journal of Radiology and Imaging.2024; 34(03): 422.     CrossRef
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    Jinhyong Kang, Yang Tae Park, Hyo Jung Kim, Jae Seon Kim
    The Korean Journal of Pancreas and Biliary Tract.2022; 27(3): 135.     CrossRef
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    Dinesh Manoharan, Deep Narayan Srivastava, Arun Kumar Gupta, Kumble Seetharama Madhusudhan
    Abdominal Radiology.2019; 44(6): 2205.     CrossRef
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    Kenji Yamauchi, Daisuke Uchida, Hironari Kato, Hiroyuki Okada
    Internal Medicine.2018; 57(1): 49.     CrossRef
  • Transcatheter arterial embolization for iatrogenic bleeding after endoscopic ultrasound-guided pancreaticobiliary drainage
    N.J. Lee, J.H. Shin, S.S. Lee, D.H. Park, S.K. Lee, H.-K. Yoon
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  • Hemobilia due to arteriobiliary fistula complicating ERCP for residual bile duct stone in a case of Mirizzi syndrome
    Surendrakumar Mathur, Vinaykumar Thapar, Vasudev Chowda
    Annals of Hepato-Biliary-Pancreatic Surgery.2017; 21(2): 88.     CrossRef
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  • 8 Web of Science
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Letter to the Editor
Bradycardia, Hypotension, and Midventricular Takotsubo Syndrome during Esophagogastroduodenoscopy
John E. Madias
Clin Endosc 2016;49(3):308-309.   Published online May 30, 2016
DOI: https://doi.org/10.5946/ce.2016.034
PDFPubReaderePub

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  • A case of esophagogastroduodenoscopy induced Takotsubo cardiomyopathy with complete heart block
    Allison Naiquan Zhang, Terrence Sacchi, Rebecca Altschul, Debra Guss, Smruti Ranjan Mohanty, Vincent Notar-Francesco
    Clinical Journal of Gastroenterology.2019; 12(4): 296.     CrossRef
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Erratum
Tracheal Involvement in Crohn Disease: the First Case in Korea
Seunghyun Park, Jongha Park, Hyun-Kuk Kim, Ji Yeon Kim, So Chong Hur, Ju Hyoung Lee, Jae Won Jung, Juwon Lee
Clin Endosc 2016;49(3):310-310.   Published online May 24, 2016
DOI: https://doi.org/10.5946/ce.2015.059.e1
Corrects: Clin Endosc 2016;49(2):202
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