Clinical Endoscopy

Diode Laser—Can It Replace the Electrical Current Used in Endoscopic Submucosal Dissection?: Yunho Jung, Gwang Ho Baik, Weon Jin Ko, Bong Min Ko, Seong Hwan Kim, Jin Seok Jang, Jae-Young Jang, Wan-Sik Lee, Young Kwan Cho, Sun Gyo Lim, Hee Seok Moon, In Kyung Yoo, Joo Young Cho; Clin Endosc 2021;54(4):555-562. Published online January 13, 2021; DOI: https://doi.org/10.5946/ce.2020.229

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Background
/Aims: A new medical fiber-guided diode laser system (FDLS) is expected to offer high-precision cutting with simultaneous hemostasis. Thus, this study aimed to evaluate the feasibility of using the 1,940-nm FDLS to perform endoscopic submucosal dissection (ESD) in the gastrointestinal tract of an animal model.
Methods
In this prospective animal pilot study, gastric and colorectal ESD using the FDLS was performed in ex vivo and in vivo porcine models. The completeness of en bloc resection, the procedure time, intraprocedural bleeding, histological injuries to the muscularis propria (MP) layer, and perforation were assessed.
Results
The en bloc resection and perforation rates in the ex vivo study were 100% (10/10) and 10% (1/10), respectively; those in the in vivo study were 100% (4/4) and 0% for gastric ESD and 100% (4/4) and 25% (1/4) for rectal ESD, respectively. Deep MP layer injuries tended to occur more frequently in the rectal than in the gastric ESD cases, and no intraprocedural bleeding occurred in either group.
Conclusions
The 1,940-nm FDLS was capable of yielding high en bloc resection rates without intraprocedural bleeding during gastric and colorectal ESD in animal models.

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Use of Diode Laser in Hysteroscopy for the Management of Intrauterine Pathology: A Systematic Review
Andrea Etrusco, Giovanni Buzzaccarini, Antonio Simone Laganà, Vito Chiantera, Salvatore Giovanni Vitale, Stefano Angioni, Maurizio Nicola D’Alterio, Luigi Nappi, Felice Sorrentino, Amerigo Vitagliano, Tommaso Difonzo, Gaetano Riemma, Liliana Mereu, Alessa
Diagnostics.2024; 14(3): 327. CrossRef
Recent advances in endoscopic management of gastric neoplasms
Hira Imad Cheema, Benjamin Tharian, Sumant Inamdar, Mauricio Garcia-Saenz-de-Sicilia, Cem Cengiz
World Journal of Gastrointestinal Endoscopy.2023; 15(5): 319. CrossRef
Safety and efficacy of dual emission endoscopic laser treatment in patients with upper or lower gastrointestinal vascular lesions causing chronic anemia: results from the first multicenter cohort study
Gian Eugenio Tontini, Lorenzo Dioscoridi, Alessandro Rimondi, Paolo Cantù, Flaminia Cavallaro, Aurora Giannetti, Luca Elli, Luca Pastorelli, Francesco Pugliese, Massimiliano Mutignani, Maurizio Vecchi
Endoscopy International Open.2022; 10(04): E386. CrossRef

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Endoscopic Treatment for Gastrointestinal Stromal Tumors in the Upper Gastrointestinal Tract: In Kyung Yoo, Joo Young Cho; Clin Endosc 2020;53(4):383-384. Published online July 3, 2020; DOI: https://doi.org/10.5946/ce.2020.122

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Exploration of a new method for Photoshop-assisted endoscopic ultrasound to distinguish gastrointestinal stromal tumor and leiomyoma
Ying Zhao, Zeyu Wang, Jiageng Tian, Yadi Ren, Man Li
Scandinavian Journal of Gastroenterology.2023; 58(3): 291. CrossRef
On the Track of New Endoscopic Alternatives for the Treatment of Selected Gastric GISTs—A Pilot Study
Artur Raiter, Katarzyna M. Pawlak, Katarzyna Kozłowska-Petriczko, Jan Petriczko, Joanna Szełemej, Anna Wiechowska-Kozłowska
Medicina.2021; 57(6): 625. CrossRef

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Confocal Laser Endomicroscopic Findings of Refractory Erosive Reflux Disease versus Non-Erosive Reflux Disease with Anti-Reflux Mucosectomy: An in vivo and ex vivo Study: Eunju Jeong, In Kyung Yoo, Abdullah Özgür Yeniova, Dong Keon Yon, Joo Young Cho; Clin Endosc 2021;54(1):55-63. Published online May 7, 2020; DOI: https://doi.org/10.5946/ce.2020.040

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Background
/Aims: To date, there is no standard tool to diagnose gastroesophageal reflux disease (GERD). Typically, GERD is a non-erosive reflux disease (NERD) that does not present endoscopic abnormalities. Confocal laser endomicroscopy (CLE) has been shown to be an effective tool to identify and diagnose GERD. We aimed to investigate the cellular and vascular changes in vivo and ex vivo through CLE in patients with GERD.
Methods
Patients with refractory GERD who underwent mucosectomy were recruited. The distal esophagus was observed in vivo using CLE. Mucosectomy tissue was stained with acriflavine and CLE image was obtained ex vivo. We compared cellular and vascular changes in CLE between erosive reflux disease (ERD), NERD, and a control group.
Results
Eleven patients who underwent anti-reflux mucosectomy and five control patients were enrolled in the study. Patients with ERD and NERD presented greater dilated intercellular space than patients in the control group on CLE image. The diameter, number, and cross-sectional area of the intra-papillary capillary loops (IPCLs) were significantly larger in the ERD group than in the NERD group. The irregular shape of the IPCLs were observed in both patients with ERD and NERD.
Conclusions
The irregular shape of the IPCLs were significantly correlated with a positive diagnosis of GERD. CLE may diagnose NERD with high sensitivity and accuracy.

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Outcomes of Endoscopic Antireflux Mucosectomy for the Treatment of Gastroesophageal Reflux Disease
Martin Galvarini, Cristian A. Angeramo, Javier Kerman, Rubén Balmaceda, Ignacio Debes, Fernando A.M. Herbella, Francisco Schlottmann
Journal of Clinical Gastroenterology.2024; 58(9): 851. CrossRef
Gastroesophageal reflux disease: indications for antireflux surgery, outcomes, and side effects
Francisco Schlottmann, Sofia Bertona, Fernando A.M. Herbella, Marco G. Patti
Expert Review of Gastroenterology & Hepatology.2024; 18(11): 693. CrossRef
Efficacy and safety of antireflux mucosectomy versus radiofrequency ablation of the lower esophageal sphincter for the treatment of GERD: a systematic review and meta-analysis
Cristian A. Angeramo, Mateo Lendoire, Fernando A.M. Herbella, Francisco Schlottmann
Gastrointestinal Endoscopy.2024;[Epub] CrossRef
Anti-reflux mucosal resection for treatment of refractory gastro-oesophageal reflux disease: Efficacy and impact on perioperative indicators
Xing-Feng Ge, Xian Zhu, Fei Min, Jian-Wei Shen
World Chinese Journal of Digestology.2023; 31(4): 157. CrossRef

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Hybrid Peroral Endoscopic Myotomy for Achalasia with Prior Treatment Failure: In Kyung Yoo, Abdullah OzgurYeniova, Joo Young Cho; Clin Endosc 2021;54(1):127-130. Published online April 2, 2020; DOI: https://doi.org/10.5946/ce.2020.013

Abstract PDF Supplementary Material PubReader ePub: Achalasia is a neurodegenerative motility disorder caused by enteric neuron damage in the lower esophageal sphincter. Peroral endoscopic myotomy (POEM) is a standard treatment method for achalasia. Previous treatment modalities may affect the outcome of POEM as they cause submucosal fibrosis. We report a new technique called “hybrid POEM” for the treatment of patients with achalasia who had been previously treated with pneumatic balloon dilatation. We performed two techniques of POEM simultaneously, the standard POEM for the upper part of the submucosal tunnel and open POEM for the stenotic part of the esophagogastric junction. We dissected the mucosa and submucosa, and performed myotomy simultaneously. We overcame submucosal fibrosis of the esophagogastric junction, which was caused by the previous hybrid POEM treatment. The risks of mucosal incision and technical challenge of submucosal tunneling for the fibrotic area may be reduced by hybrid POEM.

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The Role of Dual Red Imaging in Gastric Endoscopic Submucosal Dissection: In Kyung Yoo, Joo Young Cho; Clin Endosc 2020;53(1):1-2. Published online January 30, 2020; DOI: https://doi.org/10.5946/ce.2020.018

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Near infrared imaging system for preventing blood vision obstruction in endoscopy
Meng-Huang Wu, Jason C. Hsu, Jin-Sung Kim, Tsung-Jen Huang, Yi-Hung Huang, Hon Pan Yiu, Ching-Yu Lee, Jowy Tani, Cheng-Chun Chang
Optics Express.2023; 31(26): 43877. CrossRef
Clinically Available Optical Imaging Technologies in Endoscopic Lesion Detection: Current Status and Future Perspective
Zhongyu He, Peng Wang, Yuelong Liang, Zuoming Fu, Xuesong Ye, Aiping Liu
Journal of Healthcare Engineering.2021; 2021: 1. CrossRef

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Bleeding after Endoscopic Resection in Patients with End-Stage Renal Disease on Dialysis: A Multicenter Propensity Score-Matched Analysis: In Kyung Yoo, Chan Gyoo Kim, Young Ju Suh, Younkyung Oh, Gwang Ho Baik, Sun Moon Kim, Young Dae Kim, Chul-Hyun Lim, Jung Won Jeon, Su Jin Hong, Byoung Wook Bang, Joon Sung Kim, Jun-Won Chung; Clin Endosc 2020;53(4):452-457. Published online October 25, 2019; DOI: https://doi.org/10.5946/ce.2019.107

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Background
/Aims: Frequent bleeding after endoscopic resection (ER) has been reported in patients with end-stage renal disease (ESRD). We aimed to evaluate the association and clinical significance of bleeding with ER in ESRD patients on dialysis.
Methods
Between February 2008 and December 2018, 7,571 patients, including 47 ESRD patients on dialysis who underwent ER for gastric neoplasia, were enrolled. A total of 47 ESRDpatients on dialysis were propensity score-matched 1:10 to 470 non-ESRD patients, to adjust for between-group differences in variables such as age, sex, comorbidities, anticoagulation use, tumor characteristics, and ER method. Matching was performed using an optimal matching algorithm. For the matched data, clustered comparisons were performed using the generalized estimating equation method. Medical records were retrospectively reviewed. Frequency and outcomes of post-ER bleeding were evaluated.
Results
Bleeding was more frequent in the ESRD with dialysis group than in the non-ESRD group. ESRD with dialysis conferred a significant risk of post-ER bleeding (odds ratio, 6.1; 95% confidence interval, 2.7–13.6; p<0.0001). All post-ER bleeding events were controlled using endoscopic hemostasis except in 1 non-ESRD case that needed surgery.
Conclusions
ESRD with dialysis confers a bleeding risk after ER. However, all bleeding events could be managed endoscopically without sequelae. Concern about bleeding should not stop endoscopists from performing ER in ESRD patients on dialysis.

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The Outcomes of Colorectal Endoscopic Submucosal Dissection in Patients with Chronic Kidney Disease: A Honam Association for the Study of Intestinal Disease (HASID) Multicenter Study
Byung Chul Jin, Dong Hyun Kim, Geom-Seog Seo, Sang-Wook Kim, Hyung-Hoon Oh, Hyo-Yeop Song, Seong-Jung Kim, Young-Eun Joo, Jun Lee, Hyun-Soo Kim
Diagnostics.2024; 14(13): 1459. CrossRef
Characteristics of factors contributing to follow-up for suspected delayed bleeding after colorectal endoscopic submucosal dissection
Satsuki Takahashi, Kenichiro Okimoto, Tomoaki Matsumura, Yuhei Oyama, Hayato Nakazawa, Yukiyo Mamiya, Chihiro Goto, Ryosuke Horio, Akane Kurosugi, Michiko Sonoda, Tatsuya Kaneko, Naoki Akizue, Yuki Ohta, Takashi Taida, Keiko Saito, Jun Kato, Naoya Kato
Gastrointestinal Endoscopy.2024; 100(4): 718. CrossRef
Effect of renal insufficiency on the short‐ and long‐term outcomes of endoscopic submucosal dissection for early gastric cancer: Propensity score‐matched analysis
Tae‐Se Kim, Byung‐Hoon Min, Sun‐Young Baek, Kyunga Kim, Yang Won Min, Hyuk Lee, Poong‐Lyul Rhee, Jae J. Kim, Jun Haeng Lee
Digestive Endoscopy.2023; 35(7): 869. CrossRef
Safeness of Endoscopic Resection in Patients with End-Stage Renal Disease on Dialysis
Sun-Jin Boo
Clinical Endoscopy.2020; 53(4): 381. CrossRef

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Effectiveness of Autologous Platelet-Rich Plasma for the Healing of Ulcers after Endoscopic Submucosal Dissection: Eunju Jeong, In kyung Yoo, Ozlem Ozer Cakir, Hee Kyung Kim, Won Hee Kim, Sung Pyo Hong, Joo Young Cho; Clin Endosc 2019;52(5):472-478. Published online May 17, 2019; DOI: https://doi.org/10.5946/ce.2018.152

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Background
/Aims: Platelet-rich plasma (PRP) has been used for wound healing in various medical fields. The aim of this study was to evaluate the clinical efficacy and safety of local PRP injections after endoscopic submucosal dissection (ESD).
Methods
Patients were non-randomly divided into the following two groups: (1) control group in which patients were administered only an intravenous proton pump inhibitor (PPI), and (2) a study group in which patients were administered an intravenous PPI and a topical PRP injection. We assessed the reduction in the ulcer area and stage of the ulcer after the procedure (24 hours, 48 hours, and 28 days after endoscopic surgery).
Results
We enrolled 7 study and 7 control patients. In the study group, the rate of ulcer reduction was 59% compared to 52% in the control group (p=0.372), 28 days after ESD. There were 5 patients in the S stage and 2 patients in the H stage in the study group compared to no patient in the S stage and 7 patients in the H stage in the control group (p=0.05), 28 days after ESD. There were no serious complications in either group.
Conclusions
The local injection of PRP is a safe and effective procedure for ulcer healing after ESD.

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Clinical efficacy of blood derivatives on wound healing: A systematic review and network meta‐analysis
Yanhong Wu, Guang Peng, Yuzhi Wang, Jianwu Chen, Bin Zhang, Jianbing Tang, Biao Cheng
International Wound Journal.2024;[Epub] CrossRef
Endoscopic Shielding With Platelet-rich Plasma After Resection Of Large Colorectal Lesions
Vicente Lorenzo-Zúñiga, Vicente Moreno de Vega, Ramón Bartolí
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2021; 31(3): 376. CrossRef
The Additive Effect of Platelet-Rich Plasma in the Treatment of Actively Bleeding Peptic Ulcer
Waseem M. Seleem, Amr Shaaban Hanafy
Clinical Endoscopy.2021; 54(6): 864. CrossRef
Endless Challenges in Overcoming Complications Associated with Endoscopic Submucosal Dissection
Satoshi Ono, Shun Ito, Kenji Ogata
Clinical Endoscopy.2019; 52(5): 395. CrossRef

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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

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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.

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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
Female Endoscopists in Gastroenterology
Yeon Ji Kim
The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2024; 24(4): 385. 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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Gastric Perforation Caused by an Intragastric Balloon: Endoscopic Findings: In Kyung Yoo, Hoon Jai Chun, Yoon Tae Jeen; Clin Endosc 2017;50(6):602-604. Published online May 18, 2017; DOI: https://doi.org/10.5946/ce.2017.015

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Intragastric balloon (IGB) insertion has been most frequently used in the West as an effective endoscopic treatment for morbid obesity, in practice. Recently, there is a growing number of cases requiring IGB deployment for obesity treatment in Korea. One of the reported complications of IGB use is gastric perforation. A 47-year-old woman was admitted to the hospital with mild symptoms, 7 weeks after having an IGB placed. Esophagogastroduodenoscopy was performed and gastric ulcer perforation was observed in the ulcer base, where food particles were impacted. Laparoscopic primary repair was done successfully. This was a case of gastric perforation, secondary to poor compliance with a proton-pump inhibitor (PPI). PPI and Helicobacter pylori eradication are important for ulcer prevention following IGB deployment.

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Gastric Perforation Secondary to a Hyperinflated Intragastric Balloon: A Case Report and Management Approach
Solomon Raj Vasudayan, Guo Hou Loo, Guhan Muthkumaran, Nik Ritza Kosai
Cureus.2025;[Epub] CrossRef
Common, Less Common, and Unexpected Complications after Bariatric Surgery: A Pictorial Essay
Francesca Iacobellis, Giuseppina Dell’Aversano Orabona, Antonio Brillantino, Marco Di Serafino, Alessandro Rengo, Paola Crivelli, Luigia Romano, Mariano Scaglione
Diagnostics.2022; 12(11): 2637. CrossRef
Endoscopic bariatric therapies for obesity: a review
Dominic A Staudenmann, Zhixian Sui, Payal Saxena, Arthur J Kaffes, George Marinos, Vivek Kumbhari, Patrick Aepli, Adrian Sartoretto
Medical Journal of Australia.2021; 215(4): 183. CrossRef
Stomach Volume Assessment Using Three-dimensional Computed Tomography Gastrography for Bariatric Treatment
Seung Han Kim, Bora Keum, Hyuk Soon Choi, Eun Sun Kim, Yeon Seok Seo, Yoon Tae Jeen, Hong Sik Lee, Hoon Jai Chun, Soon Ho Um, Chang Duck Kim
Obesity Surgery.2020; 30(2): 401. CrossRef
COMBINED ENDOSCOPY AND LAPAROSCOPIC APPROACH OF A GASTRIC PERFORATION DUE TO INTRAGASTRIC BALLOON INSERTION
Guillermo Perez Aguado, José Carlos Cabrera Marrero, Lucía Jiménez-Ruano
Revista Española de Enfermedades Digestivas.2020;[Epub] CrossRef
The role of silent helicobacter pylori infection in intragastric ulcers induced by balloon insertion used for management of obesity
Tamer Haydara, Ahmed M. Kabel, Ayman M. Elsaka
Diabetes & Metabolic Syndrome: Clinical Research & Reviews.2019; 13(1): 116. CrossRef
Review article: Postoperative bariatric patients in the emergency department: Review of surgical complications for the emergency physician
Ryan Windish, Jason Wong
Emergency Medicine Australasia.2019; 31(3): 309. CrossRef
Currently Available Non-Balloon Devices
Hang Lak Lee
Clinical Endoscopy.2018; 51(5): 416. CrossRef
Gastric Ulceration and Bleeding with Hemodynamic Instability Caused by an Intragastric Balloon for Weight Loss
Larrite Reed, Hawa Edriss, Kenneth Nugent
Clinical Endoscopy.2018; 51(6): 584. CrossRef
Exclusively endoscopic approach to treating gastric perforation caused by an intragastric balloon: case series and literature review
Sérgio Alexandre Barrichello Junior, Igor Braga Ribeiro, Ricardo José Fittipaldi-Fernandez, Ana Carolina Hoff, Diogo Turiani Hourneaux de Moura, Mauricio Kazuyoshi Minata, Thiago Ferreira de Souza, Manoel dos Passos Galvão Neto, Eduardo Guimarães Hourneau
Endoscopy International Open.2018; 06(11): E1322. CrossRef

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The Importance of an Endoscopic Quality Assessment Program Reflecting Real Practice: In Kyung Yoo, Yoon Tae Jeen; Clin Endosc 2016;49(6):495-497. Published online November 15, 2016; DOI: https://doi.org/10.5946/ce.2016.137

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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

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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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Pregnant nurses' occupational stress and associated factors: A comparative cross‐sectional study with other healthcare workers, physical workers, and desk workers
Marie Hino, Yasuhiko Ebina, Rika Yano
Japan Journal of Nursing Science.2025;[Epub] CrossRef
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Ernest Darkwah, Francis Annor, Seth Oppong, Sylvia Hagan
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Vishnu Parmar, Zahid Ali Channar, Rizwan Raheem Ahmed, Dalia Streimikiene, Munwar Hussain Pahi, Justas Streimikis
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Fangyuan Wu, Zheng Ren, Qi Wang, Minfu He, Wenjing Xiong, Guodong Ma, Xinwen Fan, Xia Guo, Hongjian Liu, Xiumin Zhang
Psychology, Health & Medicine.2021; 26(2): 204. CrossRef
Unique expatriate factors associated with job dissatisfaction among nurses
S.M.B. Billah, N. Saquib, M.S. Zaghloul, A.M. Rajab, S.M.T. Aljundi, A. Almazrou, J. Saquib
International Nursing Review.2021; 68(3): 358. CrossRef
Development of a Nurse-Led Competency-Based Program for Therapeutic Endoscopy
Anne Embertson, Neysa Ernst, Janet Yoder, Libbie Monroe, MaryRose Hess
Gastroenterology Nursing.2020; 43(6): E217. CrossRef
Organizational Commitment and Job Burnout Effect on Turnover Intention Among Private Hospitals in Karachi
Fouzia Nasir, Rizwan Raheem Ahmed
JISR management and social sciences & economics.2019; 17(2): 204. CrossRef
Suriyeli Sığınmacı Kamplarının Bulunduğu İlçelerde Çalışan Sağlık Personelinin İş Stres Seviyesi: Şanlıurfa Örneği
Hüseyin ERİŞ, Suzan HAVLİOĞLU
Harran Üniversitesi Tıp Fakültesi Dergisi.2019; 16(3): 435. CrossRef
Needs assessment survey for simulation‐based training for gastrointestinal endoscopy nurses
Sol Yu, Young Sook Roh
Nursing & Health Sciences.2018; 20(2): 247. CrossRef
Now, It Is Time to Consider Job Stress in the Field of Gastroenterology
Young Joo Yang, Gwang Ho Baik
Clinical Endoscopy.2016; 49(3): 209. CrossRef
Insufficient Job Control among Gastroenterology Trainees: Time to Focus on the Science
Neel Sharma
Clinical Endoscopy.2016; 49(5): 492. CrossRef

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