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Focused Review Series: Future Perspectives of Fecal Microbiota Transplatation
Fecal Microbiota Transplantation beyond Clostridioides Difficile Infection
Chang Mo Moon, Sung Noh Hong
Clin Endosc 2021;54(2):149-151.   Published online March 26, 2021
DOI: https://doi.org/10.5946/ce.2021.068
AbstractAbstract PDFPubReaderePub
With advancing analytical methods for gut microbes, many studies have been conducted, revealing that gut microbes cause various diseases, including gastrointestinal and non-gastrointestinal diseases. Accordingly, studies have been actively conducted to analyze the effects on the prevention and treatment of these diseases through changes in intestinal microbes and control of dysbiosis. Fecal microbiota transplantation (FMT) is an effort and is currently being applied to Clostridioides difficile treatment in Korea. Many studies have demonstrated the application of FMT in inflammatory bowel disease, irritable bowel syndrome, non-alcoholic fatty liver disease, metabolic syndrome, obesity, and diabetes. With further studies and accumulation of evidence, FMT could help treat presently untreatable diseases in clinical practice.
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Original Articles
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
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
Clin Endosc 2020;53(6):719-726.   Published online November 6, 2020
DOI: https://doi.org/10.5946/ce.2019.149
AbstractAbstract PDFSupplementary 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.

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
  • 5,684 View
  • 117 Download
  • 4 Web of Science
  • 3 Crossref
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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
Clin Endosc 2019;52(6):565-573.   Published online July 17, 2019
DOI: https://doi.org/10.5946/ce.2019.019
AbstractAbstract PDFPubReaderePub
Background
/Aims: Endoscopic ultrasonography (EUS) is the most efficient imaging modality for gastric subepithelial tumors (SETs). However, abdominopelvic computed tomography (APCT) has other advantages in evaluating the characteristics, local extension, or invasion of SETs to adjacent organs. This study aimed to compare the diagnostic ability of EUS and APCT based on surgical histopathology results.
Methods
We retrospectively reviewed data from 53 patients who underwent both EUS and APCT before laparoscopic wedge resection for gastric SETs from January 2010 to December 2017 at a single institution. On the basis of histopathology results, we assessed the diagnostic ability of the 2 tests.
Results
The overall accuracy of EUS and APCT was 64.2% and 50.9%, respectively. In particular, the accuracy of EUS vs. APCT for the diagnosis of gastrointestinal stromal tumors (GISTs), leiomyomas, and ectopic pancreas was 83.9% vs. 74.2%, 37.5% vs. 0.0%, and 57.1% vs. 14.3%, respectively. Most of the incorrect diagnoses with EUS involved hypoechoic lesions originating in the fourth echolayer, with the most common misdiagnosed lesions being GISTs mistaken for leiomyomas and vice versa.
Conclusions
APCT showed a lower overall accuracy than EUS; however, APCT remains a useful modality for malignant/potentially malignant gastric SETs.

Citations

Citations to this article as recorded by  
  • Guidelines in Practice: The Diagnosis and Management of Gastrointestinal Subepithelial Lesions
    Brian C. Jacobson, Vanessa M. Shami
    American Journal of Gastroenterology.2024; 119(3): 397.     CrossRef
  • Advances in Endoscopic Diagnosis and Treatment of Gastric Neuroendocrine Neoplasms
    Xinrui Guo, Xiaohan Zhao, Gang Huang, Yanbo Yu
    Digestive Diseases and Sciences.2024; 69(1): 27.     CrossRef
  • Diagnostic Endoscopic Ultrasound (EUS) of the Luminal Gastrointestinal Tract
    Giovanna Impellizzeri, Giulio Donato, Claudio De Angelis, Nico Pagano
    Diagnostics.2024; 14(10): 996.     CrossRef
  • Current Practice in the Diagnosis and Treatment of Localized Gastric Gastrointestinal Stromal Tumors
    Zachary Lee, Divya Mohanraj, Abraham Sachs, Madhavi Kambam, Sandra DiBrito
    International Journal of Translational Medicine.2024; 4(3): 387.     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
  • ACG Clinical Guideline: Diagnosis and Management of Gastrointestinal Subepithelial Lesions
    Brian C. Jacobson, Amit Bhatt, Katarina B. Greer, Linda S. Lee, Walter G. Park, Bryan G. Sauer, Vanessa M. Shami
    American Journal of Gastroenterology.2023; 118(1): 46.     CrossRef
  • Approach to Small Gastric Subepithelial Lesions
    Moon Won Lee, Bong Eun Lee
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2023; 23(1): 28.     CrossRef
  • Computed tomography features of gastric leiomyoma versus gastric stromal tumor: a case–control study with propensity score matching
    Qi Wang, Lijia Wang, Xiaohui Qi, Xiang Liu, Qiao Xie, Yifeng Wang, Gaofeng Shi
    Journal of International Medical Research.2023; 51(5): 030006052311710.     CrossRef
  • EUS-Guided Diagnosis of Gastric Subepithelial Lesions, What Is New?
    Thomas Vasilakis, Dimitrios Ziogas, Georgios Tziatzios, Paraskevas Gkolfakis, Eleni Koukoulioti, Christina Kapizioni, Konstantinos Triantafyllou, Antonio Facciorusso, Ioannis S. Papanikolaou
    Diagnostics.2023; 13(13): 2176.     CrossRef
  • The effect of endoscopic ultrasound on the precise selection of endoscopic treatment for submucosal tumors in the upper gastrointestinal tract
    Jian-Hua Li, Shu-Min Qin, Tian-Wen Liu, Jun-Qian Chen, Ying-Ting Li
    BMC Surgery.2023;[Epub]     CrossRef
  • Systematic Endoscopic Approach for Diagnosing Gastric Subepithelial Tumors
    Gwang Ha Kim
    Gut and Liver.2022; 16(1): 19.     CrossRef
  • Endoscopic management of subepithelial lesions including neuroendocrine neoplasms: European Society of Gastrointestinal Endoscopy (ESGE) Guideline
    Pierre H. Deprez, Leon M.G. Moons, Dermot OʼToole, Rodica Gincul, Andrada Seicean, Pedro Pimentel-Nunes, Gloria Fernández-Esparrach, Marcin Polkowski, Michael Vieth, Ivan Borbath, Tom G. Moreels, Els Nieveen van Dijkum, Jean-Yves Blay, Jeanin E. van Hooft
    Endoscopy.2022; 54(04): 412.     CrossRef
  • Prediction of Gastric Gastrointestinal Stromal Tumors before Operation: A Retrospective Analysis of Gastric Subepithelial Tumors
    Yu-Ning Lin, Ming-Yan Chen, Chun-Yi Tsai, Wen-Chi Chou, Jun-Te Hsu, Chun-Nan Yeh, Ta-Sen Yeh, Keng-Hao Liu
    Journal of Personalized Medicine.2022; 12(2): 297.     CrossRef
  • Advancements in the Diagnosis of Gastric Subepithelial Tumors
    Osamu Goto, Mitsuru Kaise, Katsuhiko Iwakiri
    Gut and Liver.2022; 16(3): 321.     CrossRef
  • DIAGNOSTIC AND THERAPEUTIC MANAGEMENT FOR LEIOMYOMA OF THE UPPER GASTROINTESTINAL TRACT
    V. O. Shaprynskyi, Yu. V. Babii
    Kharkiv Surgical School.2022; (4-5): 46.     CrossRef
  • A scoring model for radiologic diagnosis of gastric leiomyomas (GLMs) with contrast-enhanced computed tomography (CE-CT): Differential diagnosis from gastrointestinal stromal tumors (GISTs)
    Jian-Xia Xu, Qiao-Ling Ding, Yuan-Fei Lu, Shu-Feng Fan, Qin-Pan Rao, Ri-Sheng Yu
    European Journal of Radiology.2021; 134: 109395.     CrossRef
  • A Nomogram for Predicting Laparoscopic and Endoscopic Cooperative Surgery during the Endoscopic Resection of Subepithelial Tumors of the Upper Gastrointestinal Tract
    Shun-Wen Hsiao, Mei-Wen Chen, Chia-Wei Yang, Kuo-Hua Lin, Yang-Yuan Chen, Chew-Teng Kor, Siou-Ping Huang, Hsu-Heng Yen
    Diagnostics.2021; 11(11): 2160.     CrossRef
  • Ultrasonido endoscópico, aplicaciones actuales en tumores sólidos gastrointestinales
    Gabriel Alonso Mosquera-Klinger, Jhon Jaime Carvajal Gutiérrez, Alavaro Andrés Gómez Venegas, Sebastián Niño Ramírez, Raúl Cañadas Garrido
    Revista Colombiana de Gastroenterología.2020; 35(4): 506.     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
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  • 187 Download
  • 15 Web of Science
  • 19 Crossref
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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, Ethics and Quality Control Committee of Korean Society of Gastrointestinal Endoscopy
Clin Endosc 2016;49(6):542-547.   Published online March 2, 2016
DOI: https://doi.org/10.5946/ce.2015.113
AbstractAbstract PDFPubReaderePub
Background
/Aims: In Korea, the nationwide gastric cancer screening program recommends biennial screening for individuals aged 40 years or older by way of either an upper gastrointestinal series or endoscopy. The national endoscopic quality assessment (QA) program began recommending endoscopy in medical institutions in 2009. We aimed to assess the effect, burden, and cost of the QA program from the viewpoint of medical institutions.
Methods
We surveyed the staff of institutional endoscopic units via e-mail.
Results
Staff members from 67 institutions replied. Most doctors were endoscopic specialists. They responded as to whether the QA program raised awareness for endoscopic quality (93%) or improved endoscopic practice (40%). The percentages of responders who reported improvements in the diagnosis of gastric cancer, the qualifications of endoscopists, the quality of facilities and equipment, endoscopic procedure, and endoscopic reprocessing were 69%, 60%, 66%, 82%, and 75%, respectively. Regarding reprocessing, many staff members reported that they had bought new automated endoscopic preprocessors (3%), used more disinfectants (34%), washed endoscopes longer (28%), reduced the number of endoscopies performed to adhere to reprocessing guidelines (9%), and created their own quality education programs (59%). Many responders said they felt that QA was associated with some degree of burden (48%), especially financial burden caused by purchasing new equipment. Reasonable quality standards (45%) and incentives (38%) were considered important to the success of the QA program.
Conclusions
Endoscopic quality has improved after 5 years of the mandatory endoscopic QA program.

Citations

Citations to this article as recorded by  
  • 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
  • Polyp missing rate and its associated risk factors of referring hospitals for endoscopic resection of advanced colorectal neoplasia
    Jae Gyu Shin, Hyung Wook Kim, Su Bum Park, Cheol Woong Choi, Dae Hwan Kang, Su Jin Kim, Hyeong Seok Nam, Dae Gon Ryu
    Medicine.2017; 96(19): e6742.     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
  • How to Improve the Quality of Screening Endoscopy in Korea: National Endoscopy Quality Improvement Program
    Yu Kyung Cho
    Clinical Endoscopy.2016; 49(4): 312.     CrossRef
  • How Can We Propagate the National Endoscopy Quality Improvement Program and Improve the Quality of Endoscopic Screening?
    Dong-Hoon Yang
    Gut and Liver.2016; 10(5): 657.     CrossRef
  • The Importance of an Endoscopic Quality Assessment Program Reflecting Real Practice
    In Kyung Yoo, Yoon Tae Jeen
    Clinical Endoscopy.2016; 49(6): 495.     CrossRef
  • 9,736 View
  • 125 Download
  • 5 Web of Science
  • 7 Crossref
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