Editorial
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Revolutionizing gastrointestinal endoscopy: the emerging role of large language models
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Eun Jeong Gong, Chang Seok Bang
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Received February 17, 2024 Accepted March 11, 2024 Published online August 29, 2024
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DOI: https://doi.org/10.5946/ce.2024.039
[Epub ahead of print]
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Reviews
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Clinical practice guidelines for percutaneous endoscopic gastrostomy
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Chung Hyun Tae, Ju Yup Lee, Moon Kyung Joo, Chan Hyuk Park, Eun Jeong Gong, Cheol Min Shin, Hyun Lim, Hyuk Soon Choi, Miyoung Choi, Sang Hoon Kim, Chul-Hyun Lim, Jeong-Sik Byeon, Ki-Nam Shim, Geun Am Song, Moon Sung Lee, Jong-Jae Park, Oh Young Lee, Korean Society of Gastrointestinal Endoscopy Task Force on Clinical Practice Guidelines
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Clin Endosc 2023;56(4):391-408. Published online June 23, 2023
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DOI: https://doi.org/10.5946/ce.2023.062
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Abstract
PDFSupplementary MaterialPubReaderePub
- With an aging population, the number of patients with difficulty in swallowing due to medical conditions is gradually increasing. In such cases, enteral nutrition is administered through a temporary nasogastric tube. However, the long-term use of a nasogastric tube leads to various complications and a decreased quality of life. Percutaneous endoscopic gastrostomy (PEG) is the percutaneous placement of a tube into the stomach that is aided endoscopically and may be an alternative to a nasogastric tube when enteral nutritional is required for four weeks or more. This paper is the first Korean clinical guideline for PEG developed jointly by the Korean College of Helicobacter and Upper Gastrointestinal Research and led by the Korean Society of Gastrointestinal Endoscopy. These guidelines aimed to provide physicians, including endoscopists, with the indications, use of prophylactic antibiotics, timing of enteric nutrition, tube placement methods, complications, replacement, and tube removal for PEG based on the currently available clinical evidence.
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Citations
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- A Multicenter Survey of Percutaneous Endoscopic Gastrostomy in 2019 at Korean Medical Institutions
Jun Woo Park, Tae Gyun Kim, Kwang Bum Cho, Jeong Seok Kim, Jin Woong Cho, Jung Won Jeon, Sun Gyo Lim, Chan Gyoo Kim, Hong Jun Park, Tae Jun Kim, Eun Sun Kim, Su Jin Jeong, Yong Hwan Kwon
Gut and Liver.2024; 18(1): 77. CrossRef - Fast-track discharge following percutaneous endoscopic gastrostomy removal in head and neck cancer patients after remission: a feasibility and safety study
Daniel Conceição, Luís Correia Gomes, Fátima Francisco, Ivone Frade, Joana Gramacho, Sandra Faias, Isabel Claro
Journal of Gastrointestinal Surgery.2024; 28(6): 943. CrossRef - When to feed after percutaneous endoscopic gastrostomy: A systematic review and meta‐analysis of randomized controlled trials
Matthew L. Bechtold, Zahid Ijaz Tarar, Muhammad N. Yousaf, Ghady Moafa, Abdul M. Majzoub, Xheni Deda, Michelle L. Matteson‐Kome, Srinivas R. Puli
Nutrition in Clinical Practice.2024; 39(5): 1191. CrossRef - The Effect of Oral Diet Training in Indwelling Nasogastric Tube Patients with Prolonged Dysphagia
Byung-chan Choi, Sook Joung Lee, Eunseok Choi, Sangjee Lee, Jungsoo Lee
Nutrients.2024; 16(15): 2424. CrossRef - The Impact of Palliative Decompressive Gastrostomy Tube Placement on Patients and Their Caregivers: A Mixed Methods Analysis
Jeffrey L. Roberson, Julia A. Gasior, Sara P. Ginzberg, Emna Bakillah, Jesse Passman, Lauren Shreve, Catherine E. Sharoky, Gregory Nadolski, Katherine R. Courtright, Elinore J. Kaufman
Annals of Surgical Oncology.2024;[Epub] CrossRef - A systematic review and quality appraisal of guidelines and recommendations for home enteral tube feeding in adults
Andriana Korai, Isabella Thomson, Sharon Carey, Margaret Allman-Farinelli
European Journal of Clinical Nutrition.2024;[Epub] CrossRef
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Clinical Practice Guideline for the Management of Antithrombotic Agents in Patients Undergoing Gastrointestinal Endoscopy
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Hyun Lim, Eun Jeong Gong, Byung-Hoon Min, Seung Joo Kang, Cheol Min Shin, Jeong-Sik Byeon, Miyoung Choi, Chan Guk Park, Joo Young Cho, Soo Teik Lee, Ho Gak Kim, Hoon Jai Chun
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Clin Endosc 2020;53(6):663-677. Published online November 26, 2020
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DOI: https://doi.org/10.5946/ce.2020.192
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Abstract
PDFPubReaderePub
- Antithrombotic agents, including antiplatelet agents and anticoagulants, are increasingly used in South Korea. The management of patients using antithrombotic agents and requiring gastrointestinal endoscopy is an important clinical challenge. Although clinical practice guidelines (CPGs) for the management of patients receiving antithrombotic agents and undergoing gastrointestinal endoscopy have been developed in the Unites States, Europe, and Asia Pacific region, it is uncertain whether these guidelines can be adopted in South Korea. After reviewing current CPGs, we identified unmet needs and recognized significant discrepancies in the clinical practice among regions. This is the first CPG in Korea providing information that may assist endoscopists in the management of patients on antithrombotic agents who require diagnostic or elective therapeutic endoscopy. This guideline was developed through the adaptation process as an evidence-based method, with four guidelines retrieved by systematic review. Eligible guidelines were evaluated according to the Appraisal of Guidelines for Research and Evaluation II process, and 13 statements were established using a grading system. This guideline was reviewed by external experts before an official. It will be revised as necessary to cover changes in technology, evidence, or other aspects of clinical practice.
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Citations
Citations to this article as recorded by
- Clinical Practice Guideline for Percutaneous Endoscopic Gastrostomy
Chung Hyun Tae, Ju Yup Lee, Moon Kyung Joo, Chan Hyuk Park, Eun Jeong Gong, Cheol Min Shin, Hyun Lim, Hyuk Soon Choi, Miyoung Choi, Sang Hoon Kim, Chul-Hyun Lim, Jeong-Sik Byeon, Ki-Nam Shim, Geun Am Song, Moon Sung Lee, Jong-Jae Park, Oh Young Lee
Gut and Liver.2024; 18(1): 10. CrossRef - A systematic critical appraisal of clinical practice guidelines of antithrombotic agents in gastrointestinal endoscopy using the AGREE II tool
Denisse Camille Dayto, Wojciech Blonski, Tea Reljic, Farina Klocksieben, Jeffrey Gill, Rene D. Gomez‐Esquivel, Brijesh Patel, Pushpak Taunk, Andrew Sephien, Camille Thelin, Ambuj Kumar
Journal of Gastroenterology and Hepatology.2024; 39(5): 818. CrossRef - The Impact of Sedation on Cardio-Cerebrovascular Adverse Events after Surveillance Esophagogastroduodenoscopy in Patients with Gastric Cancer: A Nationwide Population-Based Cohort Study
Sang Yoon Kim, Jun Kyu Lee, Kwang Hyuck Lee, Jae-Young Jang, Byung-Wook Kim
Gut and Liver.2024; 18(2): 245. CrossRef - International Digestive Endoscopy Network consensus on the management of antithrombotic agents in patients undergoing gastrointestinal endoscopy
Seung Joo Kang, Chung Hyun Tae, Chang Seok Bang, Cheol Min Shin, Young-Hoon Jeong, Miyoung Choi, Joo Ha Hwang, Yutaka Saito, Philip Wai Yan Chiu, Rungsun Rerknimitr, Christopher Khor, Vu Van Khien, Kee Don Choi, Ki-Nam Shim, Geun Am Song, Oh Young Lee
Clinical Endoscopy.2024; 57(2): 141. CrossRef - Top tips on the management of antithrombotic agents in the periendoscopic period
Alberto Tringali
Gastrointestinal Endoscopy.2024; 99(6): 1021. CrossRef - IDEN Consensus on Management of Antithrombotic Agents in Patients Undergoing Gastrointestinal Endoscopy
Seung Joo Kang, Chung Hyun Tae, Chang Seok Bang, Cheol Min Shin, Young-Hoon Jeong, Miyoung Choi, Joo Ha Hwang, Yutaka Saito, Philip Wai Yan Chiu, Rungsun Rerknimitr, Christopher Khor, Vu Van Khien, Kee Don Choi, Ki-Nam Shim, Geun Am Song, Oh Young Lee
The Korean Journal of Gastroenterology.2024; 83(6): 217. CrossRef - Anticoagulants Are a Risk Factor for Delayed Bleeding after Colorectal Endoscopic Submucosal Dissection: A HASID Multicenter Study
Seong-Jung Kim, Jun Lee, Hyo-Yeop Song, Geom Seog Seo, Byung Chul Jin, Sang-Wook Kim, Dong Hyun Kim, Hyun-Soo Kim, Hyung-Hoon Oh, Dae-Seong Myung, Young-Eun Joo
Digestion.2024; : 1. CrossRef - Local Ablation for Hepatocellular Carcinoma: 2024 Expert Consensus-Based Practical Recommendations of the Korean Liver Cancer Association
Seungchul Han, Pil Soo Sung, Soo Young Park, Jin Woong Kim, Hyun Pyo Hong, Jung-Hee Yoon, Dong Jin Chung, Joon Ho Kwon, Sanghyeok Lim, Jae Hyun Kim, Seung Kak Shin, Tae Hyung Kim, Dong Ho Lee, Jong Young Choi
Korean Journal of Radiology.2024; 25(9): 773. CrossRef - Reproducibility of the AGREE II Tool for Assessing the Methodological Quality of Clinical Practice Guidelines for the Management of Antithrombotic Agents in Patients Undergoing GI Endoscopy
Denisse Camille Dayto, Wojciech Blonski, Tea Reljic, Farina Klocksieben, Jeffrey Gill, Rene D. Gomez-Esquivel, Brijesh Patel, Pushpak Taunk, Andrew Sephien, Camille Thelin, Ambuj Kumar
Journal of Clinical Gastroenterology.2024;[Epub] CrossRef - Assessment of delayed bleeding after endoscopic submucosal dissection of early-stage gastrointestinal tumors in patients receiving direct oral anticoagulants
Mitsushige Sugimoto, Masaki Murata, Takashi Kawai
World Journal of Gastroenterology.2023; 29(19): 2916. CrossRef - Clinical practice guidelines for percutaneous endoscopic gastrostomy
Chung Hyun Tae, Ju Yup Lee, Moon Kyung Joo, Chan Hyuk Park, Eun Jeong Gong, Cheol Min Shin, Hyun Lim, Hyuk Soon Choi, Miyoung Choi, Sang Hoon Kim, Chul-Hyun Lim, Jeong-Sik Byeon, Ki-Nam Shim, Geun Am Song, Moon Sung Lee, Jong-Jae Park, Oh Young Lee
Clinical Endoscopy.2023; 56(4): 391. CrossRef - Clinical Practice Guideline for Percutaneous Endoscopic Gastrostomy
Chung Hyun Tae, Ju Yup Lee, Moon Kyung Joo, Chan Hyuk Park, Eun Jeong Gong, Cheol Min Shin, Hyun Lim, Hyuk Soon Choi, Miyoung Choi, Sang Hoon Kim, Chul-Hyun Lim, Jeong-Sik Byeon, Ki-Nam Shim, Geun Am Song, Moon Sung Lee, Jong-Jae Park, Oh Young Lee
The Korean Journal of Gastroenterology.2023; 82(3): 107. CrossRef - Predicting the Bleeding Risk for Patients on Anticoagulant Therapy Prior to Gastric Endoscopic Submucosal Dissection
Jie-Hyun Kim
Journal of Gastric Cancer.2022; 22(1): 1. CrossRef - Utility of a deep learning model and a clinical model for predicting bleeding after endoscopic submucosal dissection in patients with early gastric cancer
Ji Eun Na, Yeong Chan Lee, Tae Jun Kim, Hyuk Lee, Hong-Hee Won, Yang Won Min, Byung-Hoon Min, Jun Haeng Lee, Poong-Lyul Rhee, Jae J Kim
World Journal of Gastroenterology.2022; 28(24): 2721. CrossRef
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Focused Review Series: Updates on endoscopic bariatric and metabolic therapies
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Small Bowel Endoscopic Bariatric Therapies
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Eun Jeong Gong, Do Hoon Kim
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Clin Endosc 2018;51(5):425-429. Published online September 27, 2018
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DOI: https://doi.org/10.5946/ce.2018.153
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Abstract
PDFPubReaderePub
- Endoscopic bariatric therapies that emulate some of the principles of bariatric surgery have been developed as a less invasive option for the treatment of obesity and related comorbidities. Small bowel endoscopic bariatric therapies include bypass sleeves, incisionless anastomosis systems, and duodenal mucosal resurfacing. Clinical experience with small bowel devices suggests that endoscopic bariatric procedures can be safely implemented and that these devices are effective for both weight loss and metabolic improvement. Although the mechanisms behind these effects should be further elucidated, endoscopic bariatric therapies may be more effective and safer adjunctive interventions than lifestyle modifications and pharmacological regimens for patients with obesity or obesity-related comorbidities.
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Citations
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- Overview on the endoscopic treatment for obesity: A review
Maheeba Abdulla, Nafeesa Mohammed, Jehad AlQamish
World Journal of Gastroenterology.2023; 29(40): 5526. CrossRef - Overview of bariatric and metabolic endoscopy interventions
Augustine Tawadros, Michael Makar, Michel Kahaleh, Avik Sarkar
Therapeutic Advances in Gastrointestinal Endoscopy.2020; 13: 263177452093523. CrossRef - Endoscopic bariatric treatments: new toolkit in the armamentarium against obesity
Laxmi N.R. Bondugulapati, Sandeep Ravi, Vamsi Kodumuri, Venkata C. Gourineni
Current Opinion in Lipidology.2019; 30(2): 151. CrossRef
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3
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3
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Commentarys
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Retention Esophagitis in Patients with Achalasia Requires Cancer Surveillance
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Eun Jeong Gong, Do Hoon Kim
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Clin Endosc 2018;51(2):111-112. Published online March 20, 2018
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DOI: https://doi.org/10.5946/ce.2018.037
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PDFPubReaderePub
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Citations
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- The patient characteristics of esophageal carcinoma following laparoscopic myotomy for esophageal achalasia
Kazuto Tsuboi, Nobuo Omura, Fumiaki Yano, Masato Hoshino, Se-Ryung Yamamoto, Shunsuke Akimoto, Takahiro Masuda, Yuki Sakashita, Naoko Fukushima, Hideyuki Kashiwagi
Langenbeck's Archives of Surgery.2021; 406(8): 2679. CrossRef - Achalasia and associated esophageal cancer risk: What lessons can we learn from the molecular analysis of Barrett's–associated adenocarcinoma?
K. Nesteruk, M.C.W. Spaander, I. Leeuwenburgh, M.P. Peppelenbosch, G.M. Fuhler
Biochimica et Biophysica Acta (BBA) - Reviews on Cancer.2019; 1872(2): 188291. CrossRef
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Review
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Endoscopic Ultrasonography in the Diagnosis of Gastric Subepithelial Lesions
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Eun Jeong Gong, Do Hoon Kim
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Clin Endosc 2016;49(5):425-433. Published online September 5, 2016
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DOI: https://doi.org/10.5946/ce.2016.065
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Abstract
PDFPubReaderePub
- Subepithelial lesions occasionally found in the stomach of patients undergoing endoscopy may be either benign lesions or tumors with malignant potential. They may also appear due to extrinsic compression. Discrimination of gastric subepithelial lesions begins with meticulous endoscopic examination for size, shape, color, mobility, consistency, and appearance of the overlying mucosa. Accurate diagnosis can be achieved with endoscopic ultrasonography, which provides useful information on the exact size, layer-of-origin, and characteristic morphologic features to support a definitive diagnosis. Endoscopic ultrasonography also aids in the prediction of malignant potential, especially in gastrointestinal stromal tumors. Features of subepithelial lesions identified on endoscopic ultrasonography can be used to determine whether further diagnostic procedures such as endoscopic resection, fine needle aspiration, or core biopsy are required. Endoscopic ultrasonography is a valuable tool for diagnosis and clinical decision making during follow-up of gastric subepithelial lesions.
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Citations
Citations to this article as recorded by
- Clinical features can distinguish gastrointestinal stromal tumor from other subepithelial gastric tumors
Richard J. Straker, Amr K. El Jack, Giorgos C. Karakousis, Cimarron E. Sharon, Nuzhat A. Ahmad, Ronald P. DeMatteo, Robert E. Roses
Journal of Gastrointestinal Surgery.2024; 28(3): 276. CrossRef - Endoscopically resected duodenal lipoma as an uncommon cause of upper gastrointestinal bleeding: a case report
Dong Chan Joo, Gwang Ha Kim, Bong Eun Lee, Moon Won Lee, Cheolung Kim
The Ewha Medical Journal.2024;[Epub] CrossRef - Compression from a retroperitoneal schwannoma presenting as a subepithelial lesion of the gastric fundus
Xue-Mei Lin, Juan Liu, Chun-Hui Xi, Jun Wang, Guo-Dong Yang, Xian-Fei Wang, Cong Yuan
Endoscopy.2024; 56(S 01): E236. CrossRef - Use of Endoscopic Ultrasound Elastography to Differentiate between Gastrointestinal Stromal Tumor and Leiomyoma Localized in the Upper Gastrointestinal Tract
Er Ramazan Erdem, Mehmet Bektaş, Zeynep M Ellik, Koray Ceyhan
Euroasian journal of hepato-gastroenterology.2024; 14(1): 20. CrossRef - Gastrointestinal Glomus Tumors: A Single Institution, 20-Year Retrospective Study
Andrea Zironda, Travis E. Grotz, Andrew L. Folpe, Cornelius A. Thiels
Journal of Surgical Research.2023; 283: 982. CrossRef - Diagnostic Obscurity of Gastrointestinal Subepithelial Tumors: An Organizing Gastric Hematoma Requiring En Bloc Resection
Clive Jude Miranda, William Schertzing, Anushi Shah, Paul Anthony Reyes Del Prado
ACG Case Reports Journal.2023; 10(4): e01024. CrossRef - Coexistence of early gastric cancer and benign submucosal lesions mimic invasive cancer: a retrospective multicenter experience
Huawei Yang, Zhen Li, Zhi Wei, Guodong Li, Yi Li, Shanbin Wu, Rui Ji
BMC Gastroenterology.2023;[Epub] CrossRef - Spontaneous hemoperitoneum as a rare presentation of gastric lesions: Two case reports
Joana Isabel Almeida, Catarina Lima, Paula Pinto, Isabel Armas, Tatiana Santos, Carla Freitas
International Journal of Surgery Case Reports.2022; 91: 106769. CrossRef - Usefulness of endoscopic ultrasound in children with pancreatobiliary and gastrointestinal symptoms
Ankit Dalal, Nagesh Kamat, Gaurav Patil, Rajen Daftary, Amit Maydeo
Endoscopy International Open.2022; 10(02): E192. CrossRef - 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
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Shotaro Okanoue, Masaya Iwamuro, Takehiro Tanaka, Takuya Satomi, Kenta Hamada, Hiroyuki Sakae, Makoto Abe, Yoshiyasu Kono, Hiromitsu Kanzaki, Seiji Kawano, Yoshiro Kawahara, Hiroyuki Okada
Medicine.2021; 100(40): e27520. CrossRef - Role of endoscopic ultrasonography for differential diagnosis of upper gastrointestinal submucosal lesions
Qian Su, Jin Peng, Xiong Chen, Zhiming Xiao, Rui Liu, Fen Wang
BMC Gastroenterology.2021;[Epub] CrossRef - More than Just a Hole in the Wall: Evolving Management and Treatment Paradigms of Suppurative Gastritis
Michael Coles, Victoria Madray, Kayla Cox, Pearl Uy, Amol Sharma
Digestive Diseases and Sciences.2020; 65(8): 2203. CrossRef - Accessory spleen originating from the intrinsic muscularis of the stomach misdiagnosed as gastrointestinal stromal tumor: a case report
Jing Zhang, Jin-Wei Zhong, Guang-Rong Lu, Yu-Hui Zhou, Zhan-Xiong Xue, Meng-Si Ye
Journal of International Medical Research.2020; 48(8): 030006052093530. CrossRef - Immunoglobulin G4-related gastric pseudotumor – An impostor: Case report
Manuel Santiago Mosquera, Andrea Suarez Gómez, Hugo Herrera, Karen Moreno-Medina, Alejandro González-Orozco, Carlos J-Perez Rivera
International Journal of Surgery Case Reports.2020; 75: 333. CrossRef - Prepyloric gastric inflammatory fibroid polyp presenting as chronic epigastric discomfort in a 5th decade aged female: A case report
Jad J. Terro, Etienne El-Helou, Alaa Kansoun, Alaa Taha, Jocelyne Karaki, Jessica Naccour, Nahed Damaj, Houssam Khodor Abtar
International Journal of Surgery Case Reports.2020; 76: 49. CrossRef - Endoscopic diagnosis and management of gastric subepithelial lesions
Thomas R. McCarty, Marvin Ryou
Current Opinion in Gastroenterology.2020; 36(6): 530. 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 - 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 - Gastric subepitelyal lezyonlar: Endoskopik Ultrasonografi’nin yeri ve etkinliği
Nurettin TUNÇ, Mehmet YALNIZ, İbrahim BAHÇECİOĞLU, Ulvi DEMİREL
Endoskopi Gastrointestinal.2019; 27(3): 69. CrossRef - Diagnostic Endoscopic Ultrasound: Technique, Current Status and Future Directions
Tiing Leong Ang, Andrew Boon Eu Kwek, Lai Mun Wang
Gut and Liver.2018; 12(5): 483. CrossRef - Accessory Spleen Presenting as a Submucosal Lesion on Stomach Wall after Splenectomy
Ya-Ting Shen, Chun-Hua Zhou, Wen Tang, Wei Wu, Guang-Qiang Chen, Duan-Min Hu
Chinese Medical Journal.2018; 131(7): 869. CrossRef - Identification of significant biomarkers and pathways associated with gastric carcinogenesis by whole genome-wide expression profiling analysis
Hong-Jun Fei, Song-Chang Chen, Jun-Yu Zhang, Shu-Yuan Li, Lan-Lan Zhang, Yi-Yao Chen, Chun-Xin Chang, Chen-Ming Xu
International Journal of Oncology.2018;[Epub] CrossRef - Spontaneous peeled ileal giant lipoma caused by lower gastrointestinal bleeding
Jung Ho Kim, Hyun Hwa Yoon, Seok Hoo Jeong, Hyun Sun Woo, Won-Suk Lee, Seung Joon Choi, Seog Gyun Kim, Seung Yeon Ha, Kwang An Kwon
Medicine.2017; 96(51): e9253. CrossRef
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Original Article
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Characteristics of Missed Simultaneous Gastric Lesions Based on Double-Check Analysis of the Endoscopic Image
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Eun Jeong Gong, Jeong Hoon Lee, Kyoungwon Jung, Charles J. Cho, Hee Kyong Na, Ji Yong Ahn, Kee Wook Jung, Do Hoon Kim, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung, Jin-Ho Kim
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Clin Endosc 2017;50(3):261-269. Published online August 22, 2016
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DOI: https://doi.org/10.5946/ce.2016.056
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Abstract
PDFPubReaderePub
- Background
/Aims: The detection of multifocal lesions is important for the successful management of gastric neoplasms. We investigated the characteristics of missed simultaneous lesions and the reason for the missed diagnoses.
Methods
A total of 140 patients who underwent repeat endoscopy before endoscopic resection between June 2013 and June 2014 were retrospectively reviewed. We classified simultaneous lesions into three groups based on a review of earlier images: group 1, no images of the location of simultaneous lesions were taken; group 2, no corresponding lesion was evident in the previous images; and group 3, simultaneous lesions were visible in the earlier images but a biopsy was not performed.
Results
Simultaneous lesions were found in 12 patients (8.6%) with 13 lesions, comprising 10 dysplasia (76.9%) and three adenocarcinoma (23.1%). Regarding the reasons for missed diagnoses, seven lesions (53.8%) were classified as group 3, five (38.5%) as group 1, and the remaining lesion (7.7%) as group 2. There were no significant differences in the characteristics of the patients with and without simultaneous lesions.
Conclusions
Lesions disregarded or unnoticed during endoscopic examination were the main reason for missed diagnosis of simultaneous lesions. Endoscopists should consider the possibility of simultaneous lesions and attempt to meticulously evaluate the entire gastric mucosa.
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Citations
Citations to this article as recorded by
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Gastric dysplasia in random biopsies: the influence of
Helicobacter pylori
infection and alcohol consumption in the presence of a lesion
Ana Isabel Ferreira, Tiago Lima Capela, Vítor Macedo Silva, Sofia Xavier, Pedro Boal Carvalho, Joana Magalhães, José Cotter
Scandinavian Journal of Gastroenterology.2024; 59(2): 125. CrossRef - Protocolo de evaluación de las lesiones premalignas gástricas
A. Cerpa Arencibia, M. Tavecchia Castro, A. Burgos García, M.D. Martín-Arranz
Medicine - Programa de Formación Médica Continuada Acreditado.2024; 14(2): 104. CrossRef - Editorial: PPIs and gastric cancer – Are we dealing with a carcinogen? Authors' reply
Eun Jeong Gong, Hye‐Kyung Jung
Alimentary Pharmacology & Therapeutics.2023; 58(10): 1101. CrossRef - Development and evaluation of a double-check support system using artificial intelligence in endoscopic screening for gastric cancer
Hirotaka Oura, Tomoaki Matsumura, Mai Fujie, Tsubasa Ishikawa, Ariki Nagashima, Wataru Shiratori, Mamoru Tokunaga, Tatsuya Kaneko, Yushi Imai, Tsubasa Oike, Yuya Yokoyama, Naoki Akizue, Yuki Ota, Kenichiro Okimoto, Makoto Arai, Yuki Nakagawa, Mari Inada,
Gastric Cancer.2022; 25(2): 392. CrossRef - High Expression of Claudin-4 Is Associated with Synchronous Tumors in Patients with Early Gastric Cancer
Won Shik Kim, Hayeon Kim, Moon Kyung Joo, Byung Il Choi, Ah Young Yoo, Jong-Jae Park, Beom Jae Lee, Seung Han Kim, Hoon Jai Chun
Journal of Clinical Medicine.2022; 11(12): 3550. CrossRef - Assessment of Outcomes From 1-Year Surveillance After Detection of Early Gastric Cancer Among Patients at High Risk in Japan
Yoshinobu Yamamoto, Naohiro Yoshida, Tomonori Yano, Takahiro Horimatsu, Noriya Uedo, Noboru Kawata, Hiromitsu Kanzaki, Shinichiro Hori, Kenshi Yao, Seiichiro Abe, Chikatoshi Katada, Chizu Yokoi, Ken Ohata, Hisashi Doyama, Kenichi Yoshimura, Hideki Ishikaw
JAMA Network Open.2022; 5(8): e2227667. CrossRef - Preparation of image databases for artificial intelligence algorithm development in gastrointestinal endoscopy
Chang Bong Yang, Sang Hoon Kim, Yun Jeong Lim
Clinical Endoscopy.2022; 55(5): 594. CrossRef - Accuracy of artificial intelligence–assisted detection of upper GI lesions: a systematic review and meta-analysis
Thomas K.L. Lui, Vivien W.M. Tsui, Wai K. Leung
Gastrointestinal Endoscopy.2020; 92(4): 821. CrossRef - Common Locations of Gastric Cancer: Review of Research from the Endoscopic Submucosal Dissection Era
Su Jin Kim, Cheol Woong Choi
Journal of Korean Medical Science.2019;[Epub] CrossRef - Characteristics of Synchronous and Metachronous Multiple Gastric Tumors after Endoscopic Submucosal Dissection of Early Gastric Neoplasm
Hyun Jik Lee, Yoo Jin Lee, Ju Yup Lee, Eun Soo Kim, Woo Jin Chung, Byoung Kuk Jang, Kyung Sik Park, Jae Seok Hwang, Kwang Bum Cho
Clinical Endoscopy.2018; 51(3): 266. CrossRef - Cost Effectiveness of Gastric Cancer Screening According to Race and Ethnicity
Monica Saumoy, Yecheskel Schneider, Nicole Shen, Michel Kahaleh, Reem Z. Sharaiha, Shailja C. Shah
Gastroenterology.2018; 155(3): 648. CrossRef - Characteristics of Missed Synchronous Gastric Epithelial Neoplasms
Bong Eun Lee
Clinical Endoscopy.2017; 50(3): 211. CrossRef
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Commentary
Case Report
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Superficial Esophageal Neoplasms Overlying Leiomyomas Removed by Endoscopic Submucosal Dissection: Case Reports and Review of the Literature
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Myeongsook Seo, Do Hoon Kim, Young-Whan Cho, Eun Jeong Gong, Sunpyo Lee, Eunji Choi, Hwoon-Yong Jung, Jin-Ho Kim
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Clin Endosc 2015;48(4):322-327. Published online July 24, 2015
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DOI: https://doi.org/10.5946/ce.2015.48.4.322
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Abstract
PDFPubReaderePub
The coexistence of an epithelial lesion and a subepithelial lesion is uncommon. In almost all such cases, the coexistence of these lesions appears to be incidental. It is also extremely rare to encounter a neoplasm in the surface epithelium that overlies a benign mesenchymal tumor in the esophagus. Several cases of a coexisting esophageal neoplasm overlying a leiomyoma that is treated endoscopically or surgically have been reported previously. Here, three cases of a superficial esophageal neoplasm that developed over an esophageal leiomyoma and was then successfully removed by endoscopic submucosal dissection are described.
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Citations
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- Leiomyomatosis of the esophagus and rectum in a 16-year-old patient
A. Yu. Razumovsky, A. N. Smirnov, M. A. Chundokova, Z. B. Mitupov, Yu. E. Fateev, N. S. Korchagina, A. A. Kislenko, A. A. Bebenina
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