Clinical Endoscopy

Review

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, Korean Society of Gastrointestinal Endoscopy Task Force on Clinical Practice Guidelines; Clin Endosc 2023;56(4):391-408. Published online June 23, 2023; DOI: https://doi.org/10.5946/ce.2023.062

Abstract PDF Supplementary Material PubReader ePub

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.

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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Original Articles

Efficacy and safety of intragastric balloon for obesity in Korea: Kwang Gyun Lee, Seung-Joo Nam, Hyuk Soon Choi, Hang Lak Lee, Jai Hoon Yoon, Chan Hyuk Park, Kyoung Oh Kim, Do Hoon Kim, Jung-Wook Kim, Won Sohn, Sung Hoon Jung, Korean Research Group for Endoscopic Management of Metabolic Disorder and Obesity; Clin Endosc 2023;56(3):333-339. Published online December 13, 2022; DOI: https://doi.org/10.5946/ce.2022.143

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Background
/Aims: Intragastric balloon (IGB) is the only available endoscopic bariatric and metabolic therapy in Korea. End-ball (Endalis) has the longest history of clinical use among the IGBs available in Korea. However, little clinical data on this system have been reported. In this study, we aimed to evaluate the efficacy and safety of End-ball in Korea.
Methods
We performed a retrospective cohort study of patients who underwent IGB insertion (End-ball) from 2013 to 2019. Demographic and anthropometric data were collected. The efficacy and safety of IGB treatment were analyzed.
Results
In total, 80 patients were included. Mean age was 33.7 years and 83.8% were female. Initial body mass index was 34.48±4.69 kg/m2. Body mass index reduction was 3.72±2.63 kg/m2 at the time of IGB removal. Percent of total body weight loss (%TBWL) was 10.76%±6.76%. Percentage excess body weight loss was 43.67%±27.59%. Most adverse events were minor, and 71.4% of participants showed nausea, vomiting, or abdominal pain.
Conclusions
IGB treatment showed good efficacy and safety profile in Korean patients with obesity. In terms of %TBWL and percentage excess body weight loss, the efficacy was similar to that in the Western population.

Citations

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Intragastric Balloons
D.T.H. de Moura, Sergio A. Sánchez-Luna, Adriana Fernandes Silva, Alexandre Moraes Bestetti
Gastrointestinal Endoscopy Clinics of North America.2024;[Epub] CrossRef
Effectiveness and Safety of the Allurion Swallowable Intragastric Balloon for Short-term Weight Loss: A Systematic Review and Meta-analysis
Adriana Fernandes Silva, Alexandre Moraes Bestetti, Angelo So Taa Kum, Beanie Conceição Medeiros Nunes, Matheus de Oliveira Veras, Wanderley Marques Bernardo, Eduardo Guimarães Hourneaux de Moura
Obesity Surgery.2024;[Epub] CrossRef
How effective is intragastric balloon insertion as an obesity treatment in Korea?
Youngdae Kim
Clinical Endoscopy.2023; 56(3): 310. CrossRef
Laparoscopy-assisted trans-hiatal endoscopic removal of an intragastric balloon after placement-related esophageal perforation
Pablo Cortegoso Valdivia, Giorgio Dalmonte, Marina Valente, Lucia Ballabeni, Federica Gaiani, Gian Luigi de' Angelis, Federico Marchesi
Endoscopy.2023; 55(S 01): E1137. CrossRef

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Feasibility of Wearable Display Glasses for Medical Students in the Endoscopy Room: Kang Won Lee, Hyuk Soon Choi, Hoon Jai Chun, Jae Min Lee, Eun Sun Kim, Bora Keum, Yeon Seok Seo, Yoon Tae Jeen, Soon Ho Um, Hong Sik Lee; Clin Endosc 2021;54(5):694-700. Published online March 15, 2021; DOI: https://doi.org/10.5946/ce.2020.246

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Background
/Aims: Several attempts have been made to incorporate smart glasses in the medical field. We applied wearable display glasses to show the position of an observer during endoscopy and compared students’ responses between the conventional and new methods.
Methods
We surveyed 28 medical students regarding the use of wearable display devices. The students used wearable display glasses to observe an endoscopic procedure and answered the prepared questionnaire. Their collected responses were analyzed for statistical correlations between each variable.
Results
The survey of medical students revealed disadvantages including dizziness (dissatisfied and very dissatisfied: 21.5%) and eye fatigue (25% dissatisfied) and advantages including concentration (satisfied and very satisfied: 57.2%) and securing patient rights (71.4%). The students showed more positive than negative reviews regarding the new devices (32.1% vs. 21.5%).
Conclusions
We investigated the advantages and disadvantages of viewing the endoscope image with new wearable display glasses compared to the conventional method using the survey to record user experience. The results revealed relatively positive responses from the medical students in the survey. If the new device compensates for some shortcomings, its use in the endoscopy room will be feasible.

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A remote clinical clerkship program for severe COVID-19 in ICU using smart glasses: questionnaire survey
Nobuyuki Nosaka, Hideo Yamanouch, Kazuki Takada, Kenji Wakabayashi
Journal of the Japanese Society of Intensive Care Medicine.2023; 30(4): 261. CrossRef
Smart Glasses to Facilitate Ultrasound Guided Peripheral Intravenous Access in the Simulation Setting for Thai Emergency Medical Service Providers
Kamonwon Ienghong, Lap Woon Cheung, Pornpawit Wongwan, Korakot Apiratwarakul
Journal of Multidisciplinary Healthcare.2023; Volume 16: 2201. CrossRef

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Novel Ablation Therapy Using Endoscopic Irreversible Electroporation in the Bile Duct: A Pilot Animal Study: Kang Won Lee, Jae Min Lee, Hyuk Soon Choi, Eun Sun Kim, Bora Keum, Yeon Seok Seo, Yoon Tae Jeen, Soon Ho Um, Hong Sik Lee, Hoon Jai Chun, Chang Duck Kim, Chi Hyuk Oh, Hong Bae Kim; Clin Endosc 2021;54(3):413-419. Published online October 20, 2020; DOI: https://doi.org/10.5946/ce.2020.126

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Background
/Aims: Irreversible electroporation (IRE) is a relatively new ablation method. However, the application of IRE ablation in the treatment of biliary disease has not been attempted. A minimally invasive approach using endoscopic retrograde cholangiopancreatography (ERCP) can be a novel therapeutic modality for IRE ablation. In this study, we aimed to investigate the feasibility of endoscopic IRE for the biliary tract using an animal model.
Methods
A new catheter-type electrode was developed for endoscopic IRE ablation of the biliary tract. We performed ERCP and endoscopic IRE ablations in the normal common bile duct of Yorkshire pigs. The experimental setting of IRE was 500 V/cm (50 pulses, 100-µs length). The animals were sacrificed after 24 hr, and the ablated bile duct was examined.
Results
Well-demarcated focal color changes were observed on the mucosa of the common bile duct. The depth of change after IRE was confined to the mucosal and submucosal layers. Apoptotic changes in the bile duct were observed only around the IRE ablation area. Immunohistochemistry assay showed cell death in the bile duct along the electrode.
Conclusions
Endoscopic IRE ablation using ERCP was successfully performed in the common bile duct. It can be a potential option for the treatment of biliary tumors.

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Balloon‐assisted laser application for endoscopic treatment of biliary stricture
Seonghee Lim, Van Gia Truong, Seok Jeong, Jiho Lee, Byeong‐il Lee, Hyun Wook Kang
Lasers in Surgery and Medicine.2023; 55(10): 912. CrossRef
Biliary complications and efficacy after ablation of peribiliary tumors using irreversible electroporation (IRE) or radiofrequency ablation (RFA)
Somrach Thamtorawat, Rujira Patanawanitkul, Satit Rojwatcharapibarn, Walailak Chaiyasoot, Trongtum Tongdee, Jirawadee Yodying, Sukrit Sorotpinya
International Journal of Hyperthermia.2022; 39(1): 751. CrossRef
Large Animal Models in Pancreas and Biliary Disease
Seok Jeong, Jin-Seok Park, Don Haeng Lee
The Korean Journal of Gastroenterology.2021; 77(3): 99. CrossRef
Comparison of four endoluminal radiofrequency ablation devices and four power generators in an ex vivo bovine liver model
Stephan Rheinheimer, Anna Jacobsen, Philipp Mayer, Hans-Ulrich Kauczor, Andreas Mahnken
World Academy of Sciences Journal.2021;[Epub] CrossRef

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Special Review: Korean Society of Gastrointestinal Endoscopy “Accreditation of Qualified Endoscopy Unit” Guideline: Update 2019

Updates on the Facilities, Procedures, and Performance of the Accredited Endoscopy Unit: Tae Hee Lee, Jin Young Yoon, Chang Nyol Paik, Hyuk Soon Choi, Jae-Young Jang, The Quality Management Committee of The Korean Society of Gastrointestinal Endoscopy; Clin Endosc 2019;52(5):431-442. Published online September 30, 2019; DOI: https://doi.org/10.5946/ce.2019.164

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Endoscopic quality indicators can be classified into three categories, namely facilities and equipment, endoscopic procedures, and outcome measures. In 2019, the Korean Society of Gastrointestinal Endoscopy updated the accreditation of qualified endoscopy unit assessment items for these quality indicators to establish competence and define areas of continuous quality improvement. Here, we presented the updated program guidelines on the facilities, procedures, and performance of the accredited endoscopy unit. Many of these items have not yet been validated. However, the updated program will help in establishing competence and defining areas of continuous quality improvement in Korean endoscopic practice.

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Safety of Gastrointestinal Endoscopy in Korea: A Nationwide Survey and Population-Based Study
Yunho Jung, Jung-Wook Kim, Jong Pil Im, Yu Kyung Cho, Tae Hee Lee, Jae-Young Jang
Journal of Korean Medical Science.2022;[Epub] CrossRef
Efficacy of sigmoidoscopy for evaluating disease activity in patients with ulcerative colitis
Su Bum Park, Seong-Jung Kim, Jun Lee, Yoo Jin Lee, Dong Hoon Baek, Geom Seog Seo, Eun Soo Kim, Sang-Wook Kim, So Yeong Kim
BMC Gastroenterology.2022;[Epub] CrossRef
Endoscopist-Driven Sedation Practices in South Korea: Re-evaluation Considering the Nationwide Survey in 2019
Seon-Young Park, Jun Kyu Lee, Chang-Hwan Park, Byung-Wook Kim, Chang Kyun Lee, Hong Jun Park, Byung Ik Jang, Dong Uk Kim, Jin Myung Park, Jae Min Lee, Young Sin Cho, Hyung Ku Chon, Seung Young Seo, Woo Hyun Paik
Gut and Liver.2022; 16(6): 899. CrossRef
Guidelines for accreditation of endoscopy units: quality measures from the Korean Society of Coloproctology
Rumi Shin, Seongdae Lee, Kyung-Su Han, Dae Kyung Sohn, Sang Hui Moon, Dong Hyun Choi, Bong-Hyeon Kye, Hae-Jung Son, Sun Il Lee, Sumin Si, Won-Kyung Kang
Annals of Surgical Treatment and Research.2021; 100(3): 154. CrossRef
A Nationwide Survey on the Facilities and Personnel for Endoscopic Sedation: Results from 50 Qualified Endoscopy Units of Teaching Hospitals Accredited by the Korean Society of Gastrointestinal Endoscopy (KSGE)
Seon-Young Park, Jun Kyu Lee, Jung-Wook Kim, Tae Hee Lee, Chang-Hwan Park, Jae-Yong Jang, Byung-Wook Kim, Byung Ik Jang
Clinical Endoscopy.2021; 54(6): 843. CrossRef
SAFETY IN THE GASTROENTEROLOGY SETTING

Gastroenterology Nursing.2021; 44(6): 467. CrossRef
Duodenal Hyperplastic Polyp Masquerading as Tumor of the Ampulla of Vater
Jin Myung Park, Chang Don Kang
The Korean Journal of Pancreas and Biliary Tract.2020; 25(2): 135. CrossRef
Efficacy and Patient Tolerability Profiles of Probiotic Solution with Bisacodyl Versus Conventional Cleansing Solution for Bowel Preparation: A Prospective, Randomized, Controlled Trial
Youn I Choi, Jong-Joon Lee, Jun-Won Chung, Kyoung Oh Kim, Yoon Jae Kim, Jung Ho Kim, Dong Kyun Park, Kwang An Kwon
Journal of Clinical Medicine.2020; 9(10): 3286. CrossRef

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Focused Review Series: Updates on endoscopic bariatric and metabolic therapies

Various Intragastric Balloons Under Clinical Investigation: Seong Ji Choi, Hyuk Soon Choi; Clin Endosc 2018;51(5):407-415. Published online September 27, 2018; DOI: https://doi.org/10.5946/ce.2018.140

Abstract PDF PubReader ePub

Obesity is a chronic disease with an exponentially increasing incidence rate, and its negative effects are well documented in numerous studies. As a result, the importance of bariatric therapy cannot be overemphasized, and many bariatric treatment methods with varying mechanisms have been developed. Of the available treatment methods, intragastric balloons, introduced in the 1980s, have been shown to be a safe and effective treatment modality; various intragastric balloon products have been developed and are currently being widely used in clinical settings. However, the disadvantages of intragastric balloons, such as unclear long-term weight loss benefits and complications experienced during insertion and removal, preclude their wider use. In this review, we discuss different intragastric balloon products, focusing on those under clinical investigation, and suggest future research directions.

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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
Mechanisms of Linggui Zhugan Decoction in the Treatment of Obesity Based on Network Pharmacology
Chunmei Liu, Li Zhang, Yubin Yang
Science of Advanced Materials.2023; 15(9): 1265. CrossRef
A vibrating ingestible bioelectronic stimulator modulates gastric stretch receptors for illusory satiety
Shriya S. Srinivasan, Amro Alshareef, Alexandria Hwang, Ceara Byrne, Johannes Kuosmanen, Keiko Ishida, Joshua Jenkins, Sabrina Liu, Wiam Abdalla Mohammed Madani, Alison M. Hayward, Niora Fabian, Giovanni Traverso
Science Advances.2023;[Epub] CrossRef
Impact of Intragastric Balloon Placement on the Stomach Wall: A Prospective Cohort Study
Anna Rzepa, Michał Wysocki, Jerzy Hankus, Joanna Szpor, Jadwiga Dworak, Mateusz Wierdak, Piotr Małczak, Tomasz Stefura, Edyta Korbut, Marcin Surmiak, Marcin Magierowski, Michał Pędziwiatr, Piotr Major
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Adherence to Healthy Lifestyle Habits Is a Determinant of the Effectiveness of Weight Loss among Patients Undergoing Endoscopic Bariatric Therapies
Gemma Miranda-Peñarroya, María Fernanda Zerón-Rugerio, Marta Vallejo-Gracia, Ricardo Sorio-Fuentes, Fernando Saenger-Ruiz, Maria Izquierdo-Pulido
Nutrients.2022; 14(11): 2261. CrossRef
Small Bowel Obstruction due to Migrated Intragastric Balloon: A Case Report and Literature Review
Min Yien Tan, Kar Yin Fok, Huong Nguyen, Senarath Edirimanne, Michael Devadas, Muthukumaran Rangarajan
Case Reports in Surgery.2022; 2022: 1. CrossRef
Endoscopic intragastric balloon therapy for 15 years in Japan: Results of nationwide surveys
Masayuki Ohta, Satoshi Maekawa, Hiroki Imazu, Fumihiko Hatao, Yoshiaki Okumura, Hidetoshi Kiyonaga, Yukio Sawada, Masahiko Inamori, Yasuyuki Seto, Takayuki Masaki, Tetsuya Kakuma, Kazunori Kasama, Masafumi Inomata, Yuko Kitagawa, Michio Kaminishi, Seigo K
Asian Journal of Endoscopic Surgery.2021; 14(3): 401. CrossRef
A Randomized, Controlled Trial Comparing the Impact of a Low-Calorie Ketogenic vs a Standard Low-Calorie Diet on Fat-Free Mass in Patients Receiving an Elipse™ Intragastric Balloon Treatment
Luigi Schiavo, Giovanni De Stefano, Francesco Persico, Stefano Gargiulo, Federica Di Spirito, Giulia Griguolo, Niccolò Petrucciani, Eric Fontas, Antonio Iannelli, Vincenzo Pilone
Obesity Surgery.2021; 31(4): 1514. CrossRef
Endobariatric procedures for obesity: clinical indications and available options
Hemant Goyal, Jonathan Kopel, Abhilash Perisetti, Rupinder Mann, Aman Ali, Benjamin Tharian, Shreyas Saligram, Sumant Inamdar
Therapeutic Advances in Gastrointestinal Endoscopy.2021; 14: 263177452098462. CrossRef
The Clinical and Metabolic Effects of Intragastric Balloon on Morbid Obesity and Its Related Comorbidities
Joon Hyun Cho, Mohammad Bilal, Min Cheol Kim, Jonah Cohen
Clinical Endoscopy.2021; 54(1): 9. CrossRef
The Effect of Endoscopic Bariatric and Metabolic Therapies on Gastroesophageal Reflux Disease
Su-Young Kim
Medicina.2021; 57(8): 737. CrossRef
Effects of intragastric balloon on obesity in obese Korean women for 6 months post removal
Hyeon-Ju Pak, Ha-Neul Choi, Hong-Chan Lee, Jung-Eun Yim
Nutrition Research and Practice.2021; 15(4): 456. CrossRef
Six intragastric balloons: Which to choose?
George Stavrou, Anne Shrewsbury, Katerina Kotzampassi
World Journal of Gastrointestinal Endoscopy.2021; 13(8): 238. CrossRef
Ingestible Sensors and Sensing Systems for Minimally Invasive Diagnosis and Monitoring: The Next Frontier in Minimally Invasive Screening
Luke A. Beardslee, George E. Banis, Sangwook Chu, Sanwei Liu, Ashley A. Chapin, Justin M. Stine, Pankaj Jay Pasricha, Reza Ghodssi
ACS Sensors.2020; 5(4): 891. CrossRef
The Efficacy and Safety of a Procedureless Gastric Balloon for Weight Loss: a Systematic Review and Meta-Analysis
Kornpong Vantanasiri, Reem Matar, Azizullah Beran, Veeravich Jaruvongvanich
Obesity Surgery.2020; 30(9): 3341. CrossRef
Endoscopic Bariatric Therapy: A Guide to the Intragastric Balloon
Fateh Bazerbachi, Eric J. Vargas, Barham K. Abu Dayyeh
American Journal of Gastroenterology.2019; 114(9): 1421. CrossRef

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Original Article

Is There a Change in Patient Preference for a Female Colonoscopist during the Last Decade in Korea?: Jung Min Lee, Eun Sun Kim, Hoon Jai Chun, In Kyung Yoo, Jae Min Lee, Seung Han Kim, Hyuk Soon Choi, Bora Keum, Yeon Seok Seo, Hong Sik Lee, Yoon Tae Jeen, Jong-Jae Park, Sang Woo Lee, Soon Ho Um, Chang Duck Kim; Clin Endosc 2018;51(1):72-79. Published online October 10, 2017; DOI: https://doi.org/10.5946/ce.2017.057

Abstract PDF PubReader ePub

Background
/Aims: Patients may feel embarrassed during colonoscopy. Our study aimed to assess changes in patient preference, over the past decade, for the sex of their colonoscopist.
Methods
Prospective studies were performed at a single health center from July to September 2008, and from July to September 2016. Subjects included colonoscopy patients (2008: 354, 2016: 304) who were asked to complete a questionnaire before colonoscopy.
Results
In 2016, 69 patients (24.9%) expressed a sex preference, compared with 46 patients (14.6%) in 2008. By 2016, female patient preference for a female colonoscopist had significantly increased to 95% (odds ratio [OR], 2.678; 95% confidence interval [CI], 1.418– 5.057; P=0.002). In multivariate analysis, patient sex (OR, 4.404; P=0.000), patient age (OR, 0.977; 95% CI, 0.961–0.992; P=0.004), and year of procedure (OR, 1.674; 95% CI, 1.028–2.752) were statistically significant factors in sex preference. Between 2008 and 2016, female patients preferred a female colonoscopist because of embarrassment. Male patients also preferred a male colonoscopist, and the primary reason shifted from expertise to patient embarrassment (2008: 29%, 2016: 63%).
Conclusions
Patients have an increased gender preference for the colonoscopist because of embarrassment. Taking this into account can increase patient satisfaction during colonoscopy.

Citations

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Screening Perspectives: The Role of Colorectal Cancer Awareness in Shaping Attitudes Toward Colonoscopy in Palestine
Mohamedraed Elshami, Maram Albandak, Mohammed Alser, Ibrahim Al-Slaibi, Mohammed Ayyad, Mohammad F. Dwikat, Shoruq A. Naji, Balqees M. Mohamad, Wejdan S. Isleem, Adela Shurrab, Bashar Yaghi, Yahya Ayyash Qabaja, Fatma K. Hamdan, Raneen R. Sweity, Remah T.
JCO Global Oncology.2024;[Epub] CrossRef
Gender of endoscopist and endoscopy staff: Patient preference
Mayank Jain
Indian Journal of Gastroenterology.2023; 42(1): 143. CrossRef
Sex/gender differences in gastrointestinal endoscopy from the perspective of patients and gastroenterologists
Nayoung Kim
Clinical Endoscopy.2023; 56(3): 268. CrossRef
Canadian Gastroenterology Career Pathway Experiences: Exploring the Gender Divide
Noor Jawaid, Monica Boctor, Jordan LoMonaco, Natasha Bollegala
Journal of the Canadian Association of Gastroenterology.2022; 5(4): 177. CrossRef
Intentions to undergo primary screening with colonoscopy under the National Cancer Screening Program in Korea
Kyeongmin Lee, Haejoo Seo, Sunho Choe, Seung-Yong Jeong, Ji Won Park, Mina Suh, Aesun Shin, Kui Son Choi, Filipe Prazeres
PLOS ONE.2021; 16(2): e0247252. CrossRef
Does provider gender matter in endoscopy? An international perspective
Pascale Anglade, Halah Ibrahim, Sawsan Abdel-Razig
Gastrointestinal Endoscopy.2021; 93(5): 1160. CrossRef
Identifying Gender Barriers for Colorectal Cancer Screening and Assessing the Need for a Multigender Endoscopy Team: A Prospective Multicenter Study
Harshit S. Khara, Darshan Suthar, Marika Bergenstock, Andrea Berger, Jessica L. McKee, Dana Stewart, Samuel R. Theis, Michael Komar, Amitpal S. Johal, Diego R. Valencia Chavez, William B. Hale, Rakhee Mangla
American Journal of Gastroenterology.2021; 116(8): 1646. CrossRef
Unique perspective of Muslim patients on gender preference for GI endoscopists: a multicenter survey
Lubna Kamani, Nazish Butt, Farheen Taufiq, Ana Garcia de Paredes, Elizabeth Rajan
Gastrointestinal Endoscopy.2021; 94(6): 1110. CrossRef
Using Etomidate and Midazolam for Screening Colonoscopies Results in More Stable Hemodynamic Responses in Patients of All Ages
Jung Min Lee, Geeho Min, Bora Keum, Jae Min Lee, Seung Han Kim, Hyuk Soon Choi, Eun Sun Kim, Yeon Seok Seo, Yoon Tae Jeen, Hoon Jai Chun, Hong Sik Lee, Soon Ho Um, Chang Duck Kim
Gut and Liver.2019; 13(6): 649. CrossRef

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Focused Review Series: Endoscopic Accessories Used for ESD

Accessory Devices Frequently Used for Endoscopic Submucosal Dissection: Hyuk Soon Choi, Hoon Jai Chun; Clin Endosc 2017;50(3):224-233. Published online May 31, 2017; DOI: https://doi.org/10.5946/ce.2017.070

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Endoscopic submucosal dissection (ESD) is increasingly being considered an essential component of treatment for early gastrointestinal cancers and subepithelial tumors. The ESD technique owes its popularity to the development of sophisticated instruments used for ESD. With an increase in the number of ESD procedures performed, there is rapid development in the number and types of endoscopic accessory devices used for such procedures. Despite the large numbers of new devices developed and marketed, the use of ESD instruments and accessory devices is largely determined by individual preferences and experiences. Accessory devices frequently used during ESD are important tools for ESD techniques. Each instrument possesses characteristic advantages and disadvantages associated with its use, and no one instrument is superior in all respects to others. In this article, we review the characteristics of endoscopic electrical knives, cap and hood, and hemostatic devices commonly used in ESD.

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Endoscopic Resection of Early Luminal Cancer
Hyuk Soon Choi, Joo Ha Hwang
Gastrointestinal Endoscopy Clinics of North America.2024; 34(1): 51. CrossRef
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Lu Zhongsheng, Dou Yan, Reem Ezzat, Mu Chen, Yuan Jing, Mohamed El-Kassas, Ahmed Tawheed, Ahmad Madkour
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2024; 34(2): 124. CrossRef
Improved hydration property of tissue adhesive/hemostatic microparticle based on hydrophobically-modified Alaska pollock gelatin
Shima Ito, Kazuhiro Nagasaka, Hiyori Komatsu, Debabrata Palai, Akihiro Nishiguchi, Tetsushi Taguchi
Biomaterials Advances.2024; 159: 213834. CrossRef
Is there a best choice of equipment for colorectal endoscopic submucosal dissection?
Francesco Cocomazzi, Sonia Carparelli, Nunzia Labarile, Antonio Capogreco, Marco Gentile, Roberta Maselli, Jahnvi Dhar, Jayanta Samanta, Alessandro Repici, Cesare Hassan, Francesco Perri, Antonio Facciorusso
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Endoscopic Management of Complex Colorectal Polyps: Current Insights and Future Trends
Rupinder Mann, Mahesh Gajendran, Chandraprakash Umapathy, Abhilash Perisetti, Hemant Goyal, Shreyas Saligram, Juan Echavarria
Frontiers in Medicine.2022;[Epub] CrossRef
How to Incorporate Advanced Tissue Resection Techniques in Your Institution
Alessandro Repici, Roberta Maselli, Cesare Hassan
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Comparison between a novel core knife and the conventional IT knife 2 for endoscopic submucosal dissection of gastric mucosal lesions
Myeongsoon Park, Jin Wook Lee, Dong Woo Shin, Jungseok Kim, Yoo Jin Lee, Ju Yup Lee, Kwang Bum Cho
Clinical Endoscopy.2022; 55(6): 767. CrossRef
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Mike T. Wei, George Triadafilopoulos, Shai Friedland
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Clinical Endoscopy.2021; 54(5): 759. CrossRef
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Focused Review Series: Roles of Bariatric Endoscopy in Obesity Treatment

Recent Trends in Endoscopic Bariatric Therapies: Hyuk Soon Choi, Hoon Jai Chun; Clin Endosc 2017;50(1):11-16. Published online January 30, 2017; DOI: https://doi.org/10.5946/ce.2017.007

Abstract PDF PubReader ePub

Obesity and its associated metabolic diseases including diabetes mellitus are severe medical problems that are increasing in prevalence worldwide and result in significant healthcare expenses. While behavioral and pharmacological treatment approaches are partly effective in the short term, their effects are not long-lasting. Although previous studies have described bariatric surgery as the most effective treatment for obesity, it is associated with morbidity, mortality, and economic burden. Endoluminal interventions performed entirely using gastrointestinal flexible endoscopy offer alternative approaches to the treatment of obesity that are safer and more cost-effective than current surgical approaches. The use of endoluminal techniques in the field of metabolic obesity disease has diverse promising applications including endoscopic gastroplasty, intragastric balloon, endoluminal malabsorptive bariatric procedures, and gastric electrical stimulation (GES) for the modulation of gastric emptying. This review discusses recent trends and roles in endoscopic bariatric therapies using the currently available endoluminal and transgastric technologies.

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Original Article

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

Abstract PDF Supplementary Material PubReader ePub

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.

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