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Original Articles
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
Clin Endosc 2022;55(6):767-774.   Published online May 25, 2022
DOI: https://doi.org/10.5946/ce.2022.002
AbstractAbstract PDFPubReaderePub
Background
/Aims: Few studies have compared the performances of endoscopic knives. This study aimed to compare the therapeutic outcomes of a novel core knife and the conventional IT knife 2 for endoscopic submucosal dissection (ESD) of gastric mucosal lesions.
Methods
This prospective, non-inferiority trial included patients diagnosed with gastric adenoma or early-stage adenocarcinoma at Keimyung University Dongsan Hospital between June and November 2020. The patients were randomly assigned to either the core knife or the IT knife 2 group. The operators and assistants scored the knives’ grip convenience and cutting abilities.
Results
A total of 39 patients were enrolled (core knife group, 20 patients; IT knife 2 group, 19 patients). There were no significant between-group differences in operator-assessed grip convenience (9.600 vs. 9.526, p=0.753), cutting ability (9.600 vs. 9.105, p=0.158), or assistant-assessed grip convenience (9.500 vs. 9.368, p=0.574).
Conclusions
The core knife achieved therapeutic outcomes that were comparable to those of the IT knife 2 for ESD of gastric mucosal lesions.
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Value of Fecal Calprotectin Measurement During the Initial Period of Therapeutic Anti-Tubercular Trial
Hyeong Ho Jo, Eun Young Kim, Jin Tae Jung, Joong Goo Kwon, Eun Soo Kim, Hyun Seok Lee, Yoo Jin Lee, Kyeong Ok Kim, Byung Ik Jang, the Crohn’s and Colitis Association in Daegu-Gyeongbuk
Clin Endosc 2022;55(2):256-262.   Published online November 5, 2021
DOI: https://doi.org/10.5946/ce.2021.061
AbstractAbstract PDFPubReaderePub
Background
/Aims: The diagnosis of intestinal tuberculosis (ITB) is often challenging. Therapeutic anti-tubercular trial (TATT) is sometimes used for the diagnosis of ITB. We aimed to evaluate the changing pattern of fecal calprotectin (FC) levels during TATT in patients with ITB.
Methods
A retrospective review was performed on the data of 39 patients who underwent TATT between September 2015 and November 2018 in five university hospitals in Daegu, South Korea. The analysis was performed for 33 patients with serial FC measurement reports.
Results
The mean age of the participants was 48.8 years. The final diagnosis of ITB was confirmed in 30 patients based on complete mucosal healing on follow-up colonoscopy performed after 2 months of TATT. Before starting TATT, the mean FC level of the ITB patients was 170.2 μg/g (range, 11.5-646.5). It dropped to 25.4 μg/g (range, 11.5-75.3) and then 23.3 μg/g (range, 11.5-172.2) after one and two months of TATT, respectively. The difference in mean FC before and one month after TATT was statistically significant (p<0.001), and FC levels decreased to below 100 μg/g in all patients after one month of TATT.
Conclusions
All ITB patients showed FC decline after only 1 month of TATT, and this finding correlated with complete mucosal healing in the follow-up colonoscopy after 2 months of TATT.

Citations

Citations to this article as recorded by  
  • Primary Gastric Tuberculosis in an Immunocompetent Patient: The Truth Lying beneath the Surface
    Fábio Pereira Correia, Luísa Martins Figueiredo, Luís Carvalho Lourenço, Sofia Santos, Rita Theias Manso, David Horta
    GE - Portuguese Journal of Gastroenterology.2024; 31(3): 191.     CrossRef
  • New diagnostic strategies to distinguish Crohn's disease and gastrointestinal tuberculosis
    Himanshu Narang, Saurabh Kedia, Vineet Ahuja
    Current Opinion in Infectious Diseases.2024; 37(5): 392.     CrossRef
  • Evidence-based approach to diagnosis and management of abdominal tuberculosis
    Daya Krishna Jha, Mythili Menon Pathiyil, Vishal Sharma
    Indian Journal of Gastroenterology.2023; 42(1): 17.     CrossRef
  • Fecal Calprotectin as a Surrogate Marker for Mucosal Healing After Initiating the Therapeutic Anti-Tubercular Trial
    Satimai Aniwan
    Clinical Endoscopy.2022; 55(2): 210.     CrossRef
  • 3,763 View
  • 294 Download
  • 4 Web of Science
  • 4 Crossref
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Case Report
Acute Liver Failure Secondary to Hepatic Infiltration of Malignant Melanoma
Yujin Lee, Jaekwang Lee, Hyunsoo Kim, Changkeun Park, Jaekwon Jung, Daejin Kim, Yun Jin Chung, Hanjun Ryu
Clin Endosc 2022;55(2):287-291.   Published online April 1, 2021
DOI: https://doi.org/10.5946/ce.2020.272
AbstractAbstract PDFPubReaderePub
Acute liver failure due to malignant melanoma is uncommon. We presents a case of acute liver failure secondary to hepatic infiltration of a malignant melanoma. An 86-year-old man was admitted with elevated liver enzymes and an increased lactate dehydrogenase level. His condition progressed to acute liver failure, but the etiology of liver failure was unclear. Esophagogastroduodenoscopy was performed to evaluate dyspepsia, which showed signs indicative of malignant melanoma. Based on the endoscopy findings and elevated liver enzyme levels, liver biopsy was performed to confirm the presence of malignant melanoma. Hepatic infiltration of malignant melanoma was observed histologically. However, massive and diffuse liver metastasis is very rare and difficult to identify on imaging studies. If the etiology of liver failure is unclear, diffuse metastatic melanoma infiltration should be considered as differential diagnosis. Early liver biopsy can help to clarify the diagnosis.

Citations

Citations to this article as recorded by  
  • HEPATOPATHY SECONDARY TO INFILTRATION BY MALIGNANT MELANOMA: DIAGNOSTIC VALUE OF LIVER BIOPSY
    Alejandro García Martínez, Álvaro Morales Prado, Jorge Martínez-Echevarría Gil-Delgado, Daniel Mateos Millán
    Revista Española de Enfermedades Digestivas.2024;[Epub]     CrossRef
  • Metastatic melanoma: an unexpected cause of acute liver failure
    Robert S. O’Neill, Phillip Leaver, Connor Ryan, Sharron Liang, Santosh Sanagapalli, Rasha Cosman
    Clinical Journal of Gastroenterology.2024; 17(6): 1125.     CrossRef
  • Tumor lysis syndrome with hepatic failure- A rare presentation of undiagnosed metastatic melanoma
    Nicholas Cochran-Caggiano, Brandon Zaffuto, Ryan Dean
    JEM Reports.2023; 2(1): 100009.     CrossRef
  • Acute liver failure secondary to malignant infiltration: A single center experience
    Rocío González Grande, Ana Bravo Aranda, Inmaculada Santaella Leiva, Susana López Ortega, Miguel Jiménez Pérez
    Seminars in Oncology.2023; 50(3-5): 71.     CrossRef
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  • 3 Web of Science
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Special Review: Korean Society of Gastrointestinal Endoscopy “Accreditation of Qualified Endoscopy Unit” Guideline: Update 2019
Updates on the Sedation for Gastrointestinal Endoscopy
Jun Kyu Lee, Yoo Jin Lee, Jun Hyung Cho, Jong Pil Im, Chang-Hwan Park, Jae-Young Jang, Byung Ik Jang, the Quality Management Committee and the Disinfection Management/Conscious Sedation Committee of Korean Society of Gastrointestinal Endoscopy (KSGE)
Clin Endosc 2019;52(5):451-457.   Published online September 30, 2019
DOI: https://doi.org/10.5946/ce.2019.172
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Sedation, defined as the depressed level of consciousness, induced by drug administration, is widely used for gastrointestinal endoscopy to relieve a patient’s anxiety and discomfort. In addition, successful procedure is anticipated with control of unintended movements. Endoscopic sedation, however, cannot be free from the risk of serious adverse events, e.g., cardiopulmonary compromise. Therefore, principles on personnel, facility and equipment, as well as performance itself, should be followed to prevent unfavorable incidents. In this article, sedation guidelines for the Accreditation of Qualified Endoscopy Units, issued by the Korean Society of Gastrointestinal Endoscopy, are presented.

Citations

Citations to this article as recorded by  
  • Nurse-Administered Propofol Sedation Training Curricula and Propofol Administration in Digestive Endoscopy Procedures
    Andrea Minciullo, Lucia Filomeno
    Gastroenterology Nursing.2024; 47(1): 33.     CrossRef
  • Sedation reversal trends at outpatient ambulatory endoscopic center vs in-hospital ambulatory procedure center using a triage protocol
    Saqib Walayat, Peter Stadmeyer, Azfar Hameed, Minahil Sarfaraz, Paul Estrada, Mark Benson, Anurag Soni, Patrick Pfau, Paul Hayes, Brittney Kile, Toni Cruz, Deepak Gopal
    World Journal of Gastrointestinal Endoscopy.2024; 16(7): 413.     CrossRef
  • Propofol Alone versus Propofol in Combination with Midazolam for Sedative Endoscopy in Patients with Paradoxical Reactions to Midazolam
    Ji Hyung Nam, Dong Kee Jang, Jun Kyu Lee, Hyoun Woo Kang, Byung-Wook Kim, Byung Ik Jang
    Clinical Endoscopy.2022; 55(2): 234.     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
  • Drugs used for sedation in gastrointestinal endoscopy
    Jun Kyu Lee
    Journal of the Korean Medical Association.2022; 65(11): 735.     CrossRef
  • Pain Intensity at Injection Site during Esophagogastroduodenoscopy Using Long- and Medium-Chain versus Long-Chain Triglyceride Propofol: A Randomized Controlled Double-Blind Study
    Joon Seop Lee, Eun Soo Kim, Kwang Bum Cho, Kyung Sik Park, Yoo Jin Lee, Ju Yup Lee
    Gut and Liver.2021; 15(4): 562.     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
  • Risk Factors for Prolonged Hospital Stay after Endoscopy
    Toshihiro Nishizawa, Shuntaro Yoshida, Osamu Toyoshima, Tatsuya Matsuno, Masataka Irokawa, Toru Arano, Hirotoshi Ebinuma, Hidekazu Suzuki, Takanori Kanai, Kazuhiko Koike
    Clinical Endoscopy.2021; 54(6): 851.     CrossRef
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  • 244 Download
  • 9 Web of Science
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Case Report
Ascending Colon Cancer with Pathologically Confirmed Tumor Thrombosis of Superior Mesenteric Vein: A Case Report
Sung Eun Kim, Sang Jin Lee, Jun Young Cha, Sang Won Yi, Tae Sun Kim, Il Leon Cho, Jae Young Kwak, Kwang Hoon Oh
Clin Endosc 2019;52(5):506-509.   Published online April 17, 2019
DOI: https://doi.org/10.5946/ce.2018.135
AbstractAbstract PDFPubReaderePub
Colon cancer is very rarely accompanied by tumor thrombosis of the superior mesenteric vein (SMV). A 46-year-old patient had been diagnosed with SMV tumor thrombosis related to colon cancer without hepatic metastasis and underwent right hemicolectomy with SMV tumor thrombectomy. Tumor thrombosis was pathologically confirmed as metastatic colon cancer. There has been no recurrence for 12 months with 12 cycles of adjuvant-chemotherapy.

Citations

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  • Superior mesenteric vein tumour thrombus in a patient with caecal adenocarcinoma: a rare and important finding
    Janki Trivedi, Heinrich Bouwer, Tom Sutherland
    BJR|case reports.2021; 7(2): 20200147.     CrossRef
  • Isolated Malignant Portal Vein Thrombus in Colon Carcinoma: A Rare Finding on 18F-FDG PET/CECT
    Tarun Kumar Jain, Ajay Yadav, Hemant Malhotra, Nitin Khunteta, Guman Singh
    Journal of Nuclear Medicine Technology.2021; 49(2): 190.     CrossRef
  • Ascending colon cancer accompanied by tumor thrombosis in the superior mesenteric vein: A case report
    Yoshiaki Fujii, Kenji Kobayashi, Sho Kimura, Shuhei Uehara, Shuji Takiguchi
    International Journal of Surgery Case Reports.2020; 73: 239.     CrossRef
  • Treatment of tumor thrombus in the superior mesenteric vein due to advanced colon cancer with complete surgical resection and chemotherapy: a case report
    Yoshitsugu Yanagida, Takahiro Amano, Ryuji Akai, Akira Toyoshima, Jotaro Kobayashi, Takuya Hashimoto, Eiji Sunami, Toshio Kumasaka, Shin Sasaki
    Surgical Case Reports.2020;[Epub]     CrossRef
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  • 121 Download
  • 4 Web of Science
  • 4 Crossref
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Original Article
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
Clin Endosc 2018;51(3):266-273.   Published online April 6, 2018
DOI: https://doi.org/10.5946/ce.2017.109
AbstractAbstract PDFPubReaderePub
Background
/Aims: Endoscopic submucosal dissection (ESD) has been widely accepted as a method of treatment of early gastric tumor. This study aimed to identify the incidence and characteristics of multiple gastric tumors after ESD.
Methods
Patients with early gastric tumors who were treated by ESD from January 2004 to June 2012 and followed up with endoscopic examination periodically for at least 1 year were enrolled. All multiple gastric lesions were subsequently treated with ESD and the medical records of the patients were retrospectively reviewed.
Results
In total, 643 patients were included. The mean duration of endoscopic follow-up was 45.27±27.59 (range, 12–148) months. Overall, 144 patients (22.4%) showed multiple gastric tumors during the follow-up period (44 synchronous [6.8%] and 100 metachronous [15.5%]). The cumulative incidence rate steadily increased during the follow-up period. More than 50% of the tumors that developed at the same longitudinal location of the stomach were of the same macroscopic and histological type as the primary lesions.
Conclusions
Because synchronous and/or metachronous gastric tumors are common, considerable attention should be paid to detect multiple gastric lesions after ESD of early gastric neoplasm.

Citations

Citations to this article as recorded by  
  • The correlation between the main and minor lesions of synchronous multiple gastric neoplasms assessed gastroscopically and microscopically
    Yudai Chen, Chaoying Fang, Jianmin Huang, Hui Pan, Liping He, Chenlin Zhuang, Xiaoling Zheng
    Surgical Endoscopy.2024; 38(3): 1211.     CrossRef
  • Analysis of Characteristics and Risk Factors of Patients with Single Gastric Cancer and Synchronous Multiple Gastric Cancer among 14,603 Patients
    Du Hyun Song, Nayoung Kim, Hyeong Ho Jo, Sangbin Kim, Yonghoon Choi, Hyeon Jeong Oh, Hye Seung Lee, Hyuk Yoon, Cheol Min Shin, Young Soo Park, Dong Ho Lee, So Hyun Kang, Young Suk Park, Sang-Hoon Ahn, Yun-Suhk Suh, Do Joong Park, Hyung Ho Kim, Ji-Won Kim,
    Gut and Liver.2024; 18(2): 231.     CrossRef
  • Importance of Early Surveillance Endoscopy in Patients at a High Risk of Gastric Cancer
    Sang Hoon Kim
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2023; 23(2): 151.     CrossRef
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    Yudai Chen, Liping He, Xiaoling Zheng
    Medicine.2023; 102(49): e36439.     CrossRef
  • Risk factors for gastric metachronous lesions after endoscopic or surgical resection: a systematic review and meta-analysis
    Raquel Ortigão, Gonçalo Figueirôa, Leonardo Frazzoni, Pedro Pimentel-Nunes, Cesare Hassan, Mário Dinis-Ribeiro, Lorenzo Fuccio, Diogo Libânio
    Endoscopy.2022; 54(09): 892.     CrossRef
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    Dong Chan Joo, Gwang Ha Kim
    Journal of the Korean Medical Association.2022; 65(5): 267.     CrossRef
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    Yeon-Ji Kim, Jaeyoung Kim, Woo Chul Chung
    The Korean Journal of Internal Medicine.2022; 37(4): 768.     CrossRef
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    Surgical Case Reports.2022;[Epub]     CrossRef
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    Xing Xu, Guoliang Zheng, Na Gao, Zhichao Zheng
    BMJ Open.2022; 12(12): e055406.     CrossRef
  • Editors' Choice of Noteworthy Clinical Endoscopy Publications in the First Decade
    Gwang Ha Kim, Kwang An Kwon, Do Hyun Park, Jimin Han
    Clinical Endoscopy.2021; 54(5): 633.     CrossRef
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    Journal of Digestive Diseases.2021; 22(11): 637.     CrossRef
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    Chinese Medical Journal.2021; 134(21): 2603.     CrossRef
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    Medicine.2020; 99(12): e19553.     CrossRef
  • Clinical Outcomes of Metachronous Gastric Cancer after Endoscopic Resection for Early Gastric Cancer
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    Gut and Liver.2020; 14(2): 190.     CrossRef
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    Hui Pan, Chaoying Fang, Liping He, Houqiang Li, Lanzai Liu, Chao Wang, Jiansu Chen
    Medicine.2019; 98(22): e15686.     CrossRef
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    Duc Trong Quach, Toru Hiyama
    Clinical Endoscopy.2019; 52(4): 321.     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
  • Risk Factors for Metachronous Recurrence after Endoscopic Submucosal Dissection of a Gastric Neoplasm
    A Reum Choe, Ki-Nam Shim, Tae Oh Kim, Sang Yoon Kim, Jiyoung Lim, Chung Hyun Tae, Chang Mo Moon, Seong-Eun Kim, Hye-Kyung Jung, Sung-Ae Jung
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2019; 19(3): 184.     CrossRef
  • Immunohistochemical Expression of Epithelial-Mesenchymal Transition Markers in Early Gastric Cancer: Cancer Tissue versus Noncancer Tissue
    Hee Jae Jung, Su Jin Hong, Shin Hee Kim
    Clinical Endoscopy.2019; 52(5): 464.     CrossRef
  • 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
    Clinical Endoscopy.2019; 52(5): 472.     CrossRef
  • Clinical Implications of Synchronous and Metachronous Multiple Gastric Tumors after Endoscopic Resection of Gastric Neoplasms
    Cheol Min Shin
    Clinical Endoscopy.2018; 51(3): 209.     CrossRef
  • Characteristics of overlooked synchronous gastric epithelial neoplasia after endoscopic submucosal dissection
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    Medicine.2018; 97(39): e12536.     CrossRef
  • 8,037 View
  • 220 Download
  • 21 Web of Science
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Commentary
Can Patient Education with a Smartphone Application Improve the Quality of Bowel Preparation for Colonoscopy?
Yoo Jin Lee, Kyung Sik Park
Clin Endosc 2017;50(5):412-414.   Published online September 29, 2017
DOI: https://doi.org/10.5946/ce.2017.139
PDFPubReaderePub

Citations

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  • Comparative efficacy of low volume versus traditional standard volume PEG on bowel preparation before colonoscopy
    Li-Juan Yi, Xu Tian, Yuan-Ping Pi, Ling Feng, Hui Chen, Xiao-Ling Liu, Wei-Qing Chen
    Medicine.2018; 97(17): e0599.     CrossRef
  • 6,489 View
  • 148 Download
  • 1 Crossref
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Original Articles
Mucosal Incision and Forceps Biopsy for Reliable Tissue Sampling of Gastric Subepithelial Tumors
Sa Young Shin, Sang Jin Lee, Jae Hyuck Jun, Jong Kyu Park, Hyun Il Seo, Koon Hee Han, Young Don Kim, Woo Jin Jeong, Gab Jin Cheon
Clin Endosc 2017;50(1):64-68.   Published online March 4, 2016
DOI: https://doi.org/10.5946/ce.2015.094
AbstractAbstract PDFPubReaderePub
Background
/Aims: The diagnostic efficacy of current tissue sampling techniques for gastric subepithelial tumors (SETs) is limited. Better tissue sampling techniques are needed to improve pathological diagnosis. The aim of this study was to evaluate the safety and efficacy of a new technique, mucosal incision and forceps biopsy, for reliable tissue sampling of gastric SETs.
Methods
This study enrolled 12 consecutive patients who underwent mucosal incision and forceps biopsy of gastric SETs between November 2011 and September 2014 at Gangneung Asan Hospital. The medical records of patients were reviewed retrospectively. The safety and diagnostic yield of this method were evaluated.
Results
By performing mucosal incision and forceps biopsy, we were able to provide a definitive histological diagnosis for 11 out of 12 cases. The pathological diagnoses were leiomyoma (3/11), gastrointestinal stromal tumor (GIST; 2/11), lipoma (2/11), schwannoma (1/11), and ectopic pancreas (3/11). In cases of leiomyoma (n=3) and GIST (n=2), tissue samples were of sufficient size to allow immunohistochemical staining. In addition, the mitotic index was evaluated in two cases of GIST. There were no procedure-related complications.
Conclusions
Mucosal incision and forceps biopsy can be used as one of several methods to obtain adequate tissue samples from gastric SETs.

Citations

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  • Natural history of gastric leiomyoma
    Kwangbeom Park, Ji Yong Ahn, Hee Kyong Na, Kee Wook Jung, Jeong Hoon Lee, Do Hoon Kim, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwwon-Yong Jung
    Surgical Endoscopy.2024; 38(5): 2726.     CrossRef
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    Cynthia A. Verloop, Jacqueline A.C. Goos, Marco J. Bruno, Rutger Quispel, Lydi M.J.W. van Driel, Lieke Hol
    Gastrointestinal Endoscopy.2024; 99(6): 895.     CrossRef
  • Diagnostic ability and adverse events of mucosal incision‐assisted biopsy for gastric subepithelial tumors: Systematic review and meta‐analysis
    Eriko Koizumi, Osamu Goto, Akihisa Matsuda, Toshiaki Otsuka, Yumiko Ishikawa, Shun Nakagome, Masahiro Niikawa, Tsugumi Habu, Keiichiro Yoshikata, Kumiko Kirita, Hiroto Noda, Kazutoshi Higuchi, Takeshi Onda, Jun Omori, Naohiko Akimoto, Hiroshi Yoshida, Kat
    Digestive Endoscopy.2024;[Epub]     CrossRef
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    Osamu Goto, Mitsuru Kaise, Katsuhiko Iwakiri
    Gut and Liver.2022; 16(3): 321.     CrossRef
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  • Comparison of the Diagnostic Ability of Endoscopic Ultrasonography and Abdominopelvic Computed Tomography in the Diagnosis of Gastric Subepithelial Tumors
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    Clinical Endoscopy.2019; 52(6): 519.     CrossRef
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    Eun Young Kim
    Clinical Endoscopy.2017; 50(1): 6.     CrossRef
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  • 9 Web of Science
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Usefulness of the Forrest Classification to Predict Artificial Ulcer Rebleeding during Second-Look Endoscopy after Endoscopic Submucosal Dissection
Duk Su Kim, Yunho Jung, Ho Sung Rhee, Su Jin Lee, Yeong Geol Jo, Jong Hwa Kim, Jae Man Park, Il-Kwun Chung, Young Sin Cho, Tae Hoon Lee, Sang-Heum Park, Sun-Joo Kim
Clin Endosc 2016;49(3):273-281.   Published online March 4, 2016
DOI: https://doi.org/10.5946/ce.2015.086
AbstractAbstract PDFPubReaderePub
Background
/Aims: Delayed post-endoscopic submucosal dissection (ESD) bleeding (DPEB) is difficult to predict and there is controversy regarding the usefulness of prophylactic hemostasis during second-look endoscopy. This study evaluated the risk factors related to DPEB, the relationship between clinical outcomes and the Forrest classification, and the results of prophylactic hemostasis during second-look endoscopy.
Methods
Second-look endoscopy was performed on the day after ESD to check for recent hemorrhage or potential bleeding and the presence of artificial ulcers in all patients.
Results
DPEB occurred in 42 of 581 patients (7.2%). Multivariate analysis determined that a specimen size ≥40 mm (odds ratio [OR], 3.03; p=0.003), and a high-risk Forrest classification (Forrest Ib+IIa+IIb; OR, 6.88; p<0.001) were risk factors for DPEB. DPEB was significantly more likely in patients classified with Forrest Ib (OR, 24.35; p<0.001), IIa (OR, 12.91; p<0.001), or IIb (OR, 8.31; p<0.001) ulcers compared with Forrest III ulcers. There was no statistically significant difference between the prophylactic hemostasis and non-hemostasis groups (Forrest Ib, p=0.938; IIa, p=0.438; IIb, p=0.397; IIc, p=0.773) during second-look endoscopy.
Conclusions
The Forrest classification of artificial gastric ulcers during second-look endoscopy seems to be a useful tool for predicting delayed bleeding. However, routine prophylactic hemostasis during second-look endoscopy seemed to not be useful for preventing DPEB.

Citations

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  • Response
    Thomas K.L. Lui
    Gastrointestinal Endoscopy.2024; 99(4): 664.     CrossRef
  • Outcome of Gastric Fundus and Pylorus Botulinum Toxin A Injection in Obese Patients Class I–II with Normal Pyloric Orifice Structure: A Retrospective Analysis
    Murat Ferhat Ferhatoglu, Abdulcabbar Kartal, Ali Ilker Filiz, Abut Kebudi
    Bariatric Surgical Practice and Patient Care.2022; 17(3): 148.     CrossRef
  • Forrest Classification for Bleeding Peptic Ulcer: A New Look at the Old Endoscopic Classification
    Hsu-Heng Yen, Ping-Yu Wu, Tung-Lung Wu, Siou-Ping Huang, Yang-Yuan Chen, Mei-Fen Chen, Wen-Chen Lin, Cheng-Lun Tsai, Kang-Ping Lin
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    Hsu-Heng Yen, Ping-Yu Wu, Pei-Yuan Su, Chia-Wei Yang, Yang-Yuan Chen, Mei-Fen Chen, Wen-Chen Lin, Cheng-Lun Tsai, Kang-Ping Lin
    Journal of Medical and Biological Engineering.2021; 41(4): 504.     CrossRef
  • Prevention of bleeding in the early postoperative period after intraluminal stomach resection: results of a prospective randomized study
    S.G. Shapovalyants, R.V. Plakhov, M.V. Bordikov, E.V. Gorbachev, I.V. Zhitareva, E.D. Fedorov
    Endoskopicheskaya khirurgiya.2020; 26(5): 5.     CrossRef
  • Risk factors for delayed bleeding by onset time after endoscopic submucosal dissection for gastric neoplasm
    Hyeong Seok Nam, Cheol Woong Choi, Su Jin Kim, Hyung Wook Kim, Dae Hwan Kang, Su Bum Park, Dae Gon Ryu
    Scientific Reports.2019;[Epub]     CrossRef
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    Eunju Jeong, In kyung Yoo, Ozlem Ozer Cakir, Hee Kyung Kim, Won Hee Kim, Sung Pyo Hong, Joo Young Cho
    Clinical Endoscopy.2019; 52(5): 472.     CrossRef
  • Bleeding in patients who underwent scheduled second-look endoscopy 5 days after endoscopic submucosal dissection for gastric lesions
    Koichi Izumikawa, Masaya Iwamuro, Tomoki Inaba, Shigenao Ishikawa, Kenji Kuwaki, Ichiro Sakakihara, Kumiko Yamamoto, Sakuma Takahashi, Shigetomi Tanaka, Masaki Wato, Hiroyuki Okada
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  • Continuous esomeprazole infusion versus bolus administration and second look endoscopy for the prevention of rebleeding in children with a peptic ulcer
    Oana Belei, Laura Olariu, Maria Puiu, Cristian Jinca, Cristina Dehelean, Tamara Marcovici, Otilia Marginean
    Revista Española de Enfermedades Digestivas.2018;[Epub]     CrossRef
  • Role of second‐look endoscopy and prophylactic hemostasis after gastric endoscopic submucosal dissection: A systematic review and meta‐analysis
    Eun Hye Kim, Se Woo Park, Eunwoo Nam, Chang Soo Eun, Dong Soo Han, Chan Hyuk Park
    Journal of Gastroenterology and Hepatology.2017; 32(4): 756.     CrossRef
  • Second-Look Endoscopy after Endoscopic Submucosal Dissection: Can We Obtain Valuable Information?
    Hye Kyung Jeon, Gwang Ha Kim
    Clinical Endoscopy.2016; 49(3): 212.     CrossRef
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Increased Detection of Colorectal Polyps in Screening Colonoscopy Using High Definition i-SCAN Compared with Standard White Light
Woo Jung Kim, Sang Young Park, Iksoo Park, Wook Jin Lee, Jaechan Park, Nuri Chon, Tak Geun Oh, Kwang Hyun Kim
Clin Endosc 2016;49(1):69-75.   Published online January 28, 2016
DOI: https://doi.org/10.5946/ce.2016.49.1.69
AbstractAbstract PDFPubReaderePub
Background
/Aims: The aim of this study was to evaluate the efficacy of high definition (HD) i-SCAN for colorectal polyp detection in screening colonoscopy.
Methods
We retrospectively analyzed the records of 501 patients who had undergone screening colonoscopy performed by three endoscopists with either HD i-SCAN (n=149) or standard white light (n=352) from January 2, 2014 through June 30, 2014. Patient information and inter-endoscopist variation as well as polyp number, endoscopic findings, and pathologic characteristics were reviewed.
Results
The detection rates of colorectal and neoplastic polyps were significantly higher using HD i-SCAN than standard white light colonoscopy (52% vs. 38.1%, p=0.004 for colorectal polyps; and 37.2% vs. 27.9%, p=0.041 for neoplastic polyps). Analysis of endoscopic findings revealed no difference in detected polyp size between HD i-SCAN and standard white light colonoscopy (4.59±2.35 mm vs. 4.82±2.81 mm, p=0.739), but non-protruding polyps were more commonly detected by i-SCAN than by standard white light colonoscopy (24.6% vs. 13.5%, p=0.007).
Conclusions
Colonoscopy using HD i-SCAN had a significantly higher detection rate of colorectal polyps, including neoplastic polyps, because of improved sensitivity for detecting non-protruding lesions.

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  • Mucosal imaging in colon polyps: New advances and what the future may hold
    Edward John Young, Arvinf Rajandran, Hamish Lachlan Philpott, Dharshan Sathananthan, Sophie Fenella Hoile, Rajvinder Singh
    World Journal of Gastroenterology.2022; 28(47): 6632.     CrossRef
  • Técnicas colonoscópicas para la detección de pólipos: un estudio egipcio
    M. Abdelbary, S. Hamdy, H. Shehab, N. ElGarhy, M. Menesy, R. Marzaban
    Revista de Gastroenterología de México.2021; 86(1): 36.     CrossRef
  • Colonoscopic techniques in polyp detection: An Egyptian study
    M. Abdelbary, S. Hamdy, H. Shehab, N. ElGarhy, M. Menesy, R. Marzaban
    Revista de Gastroenterología de México (English Edition).2021; 86(1): 36.     CrossRef
  • Effect of I-scan Electronic Chromoendoscopy on Detection of Adenomas During Colonoscopy
    Trilokesh D. Kidambi, Jonathan P. Terdiman, Najwa El-Nachef, Aparajita Singh, Michael G. Kattah, Jeffrey K. Lee
    Clinical Gastroenterology and Hepatology.2019; 17(4): 701.     CrossRef
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    Wee Sing Ngu, Colin Rees
    Therapeutic Advances in Gastroenterology.2018;[Epub]     CrossRef
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    Daniel Castaneda, Violeta B. Popov, Elijah Verheyen, Praneet Wander, Seth A. Gross
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    Yun Nah Lee, Jong Ho Moon, Hyun Jong Choi
    Clinical Endoscopy.2018; 51(6): 541.     CrossRef
  • Enhanced flat adenoma detection rate with high definition colonoscopy plus i-scan for average-risk colorectal cancer screening
    Antonio Rodríguez-D´Jesus, Esteban Saperas
    Revista Española de Enfermedades Digestivas.2016;[Epub]     CrossRef
  • 7,829 View
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Case Reports
Liver Metastasis of Early Gastric Cancer with Mixed Histology after Endoscopic Submucosal Dissection
Yang Hee Han, Jong Kyu Park, Jun Sung Kwon, Young Don Kim, Woo Jin Jeong, Sang Jin Lee, Koon Hee Han, Gab Jin Cheon
Clin Endosc 2015;48(3):247-250.   Published online May 29, 2015
DOI: https://doi.org/10.5946/ce.2015.48.3.247
AbstractAbstract PDFPubReaderePub

The Japanese Classification of Gastric Carcinoma histologically classifies endoscopically resected gastric cancer into differentiated and undifferentiated types according to the presence or absence of tubular structures on histology. The former includes papillary adenocarcinoma and tubular types, and the latter includes poorly differentiated adenocarcinoma, signet ring cell carcinoma and mucinous adenocarcinoma. However, gastric cancer sometimes contains a mixture of differentiated and undifferentiated components, and the clinical outcomes of the histological mixture are unknown, especially following endoscopic resection of early gastric cancer (EGC). This case was within the guideline indications for endoscopic submucosal resection (ESD), although it contained a partly signet ring cell carcinoma component; it recurred after 19 months with multiple lymph node and liver metastases. This case shows that additional surgical resection after ESD should be performed for patients with any mixed signet ring cell component, even in mild or moderately differentiated EGC.

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  • Clinical significance of computed tomography-detected ascites in gastric cancer patients with peritoneal metastases
    Su Hwan Kim, Young Ho Choi, Ji Won Kim, Sohee Oh, Seohui Lee, Byeong Gwan Kim, Kook Lae Lee
    Medicine.2018; 97(8): e9343.     CrossRef
  • A primary tumor of mixed histological type is a novel poor prognostic factor for patients undergoing resection of liver metastasis from gastric cancer
    Naoki Ikari, Kiyoaki Taniguchi, Akiko Serizawa, Takuji Yamada, Masakazu Yamamoto, Toru Furukawa
    Journal of Hepato-Biliary-Pancreatic Sciences.2017; 24(5): 281.     CrossRef
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  • 3 Web of Science
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Peripheral Facial Nerve Palsy after Therapeutic Endoscopy
Eun Jeong Kim, Jun Lee, Ji Woon Lee, Jun Hyung Lee, Chol Jin Park, Young Dae Kim, Hyun Jin Lee
Clin Endosc 2015;48(2):171-173.   Published online March 27, 2015
DOI: https://doi.org/10.5946/ce.2015.48.2.171
AbstractAbstract PDFPubReaderePub

Peripheral facial nerve palsy (FNP) is a mononeuropathy that affects the peripheral part of the facial nerve. Primary causes of peripheral FNP remain largely unknown, but detectable causes include systemic infections (viral and others), trauma, ischemia, tumor, and extrinsic compression. Peripheral FNP in relation to extrinsic compression has rarely been described in case reports. Here, we report a case of a 71-year-old man who was diagnosed with peripheral FNP following endoscopic submucosal dissection. This case is the first report of the development of peripheral FNP in a patient undergoing therapeutic endoscopy. We emphasize the fact that physicians should be attentive to the development of peripheral FNP following therapeutic endoscopy.

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    Yixi Tu, Christopher Shin, Katie Schroeder
    ACG Case Reports Journal.2022; 9(1): e00687.     CrossRef
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    Hyo-won Jin, Sol Jeong, Jeong-rim Bak, Ji-hyun Hwang, Jong-min Yun, Byung-soon Moon
    The Journal of Internal Korean Medicine.2022; 43(5): 989.     CrossRef
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    Serdar Demiröz, Ismail E. Ketenci, Hakan S. Yanik, Sevki Erdem
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    Farid Alzhrani, Thomas Lenarz, Magnus Teschner
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Original Article
Comparison between the Effectiveness of Oral Phloroglucin and Cimetropium Bromide as Premedication for Diagnostic Esophagogastroduodenoscopy: An Open-Label, Randomized, Comparative Study
Hye-Won Yun, Ki-Nam Shim, Sun-Kyung Na, Jae-In Ryu, Min-Jin Lee, Eun-Mi Song, Seong-Eun Kim, Hye-Kyoung Jung, Sung-Ae Jung
Clin Endosc 2015;48(1):48-51.   Published online January 31, 2015
DOI: https://doi.org/10.5946/ce.2015.48.1.48
AbstractAbstract PDFPubReaderePub
Background/Aims

Suppression of gastrointestinal (GI) peristalsis during GI endoscopy commonly requires antispasmodic agents such as hyoscine butylbromide, atropine, glucagon, and cimetropium bromide. This study examined the efficacy of oral phloroglucin for the suppression of peristalsis, its impact on patient compliance, and any associated complications, and compared it with intravenous or intramuscular cimetropium bromide administration.

Methods

This was a randomized, investigator-blind, prospective comparative study. A total of 172 patients were randomized into two groups according to the following medications administered prior to upper endoscopy: oral phloroglucin (group A, n=86), and cimetropium bromide (group B, n=86). The numbers and the degrees of peristalsis events at the antrum and second duodenal portion were assessed for 30 seconds.

Results

A significantly higher number of gastric peristalsis events was observed in group A (0.49 vs. 0.08, p<0.001), but the difference was not clinically significant. No significant difference between both groups was found in the occurrence of duodenal peristalsis events (1.79 vs. 1.63, p=0.569). The incidence of dry mouth was significantly higher with cimetropium bromide than with phloroglucin (50% vs. 15.1%, p<0.001).

Conclusions

Oral phloroglucin can be used as an antispasmodic agent during upper endoscopy, and shows antispasmodic efficacy and adverse effects similar to those of cimetropium bromide.

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  • Effectiveness of oral phloroglucinol as a premedication for unsedated esophagogastroduodenoscopy: A prospective, double-blinded, placebo-controlled, randomized trial
    HyeIn Jung, Hyun Jung Kim, Eun Sung Choi, Ju Yup Lee, Kyung Sik Park, Kwang Bum Cho, Yoo Jin Lee, Lise Lotte Gluud
    PLOS ONE.2021; 16(8): e0255016.     CrossRef
  • Cimetropium bromide does not improve polyp and adenoma detection during colonoscope withdrawal
    Peel Jung, Su B. Park, Hyung W. Kim, Dae H. Kang, Cheol W. Choi, Su J. Kim, Hyeong S. Nam, Dae G. Ryu, Joung B. Hong, Dong J. Kim
    Medicine.2018; 97(25): e11253.     CrossRef
  • 6,943 View
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Case Reports
Intralesional Steroid Injection to Prevent Stricture after Near-Circumferential Endosopic Submucosal Dissection for Superficial Esophageal Cancer
Wook Jin Lee, Hwoon-Yong Jung, Do Hoon Kim, Jeong Hoon Lee, Kee Don Choi, Ho June Song, Gin Hyug Lee, Jin-Ho Kim
Clin Endosc 2013;46(6):643-646.   Published online November 19, 2013
DOI: https://doi.org/10.5946/ce.2013.46.6.643
AbstractAbstract PDFPubReaderePub

Stricture frequently occurs after endoscopic submucosal dissection (ESD) for superficial esophageal carcinoma with near- or whole-circumferential mucosal defects, and post-ESD stricture is difficult to treat and usually requires multiple sessions of endoscopic balloon dilatation. Intralesional steroid injection has previously been used to prevent stricture; however, there have been few experiences with this method after near- or whole-circumferential ESD. We present a case of a single session of intralesional steroid injection performed immediately after near-circumferential ESD to prevent post-ESD stricture. After a follow-up period of 6 months, the patient showed good outcome without dysphagia.

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    Yu Qiu, Ruihua Shi
    Canadian Journal of Gastroenterology and Hepatology.2019; 2019: 1.     CrossRef
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    Farzan F. Bahin, Mahesh Jayanna, Luke F. Hourigan, Reginald V. Lord, David Whiteman, Stephen J. Williams, Eric Y.T. Lee, Michael J. Bourke
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    Wen‐Hsin Hsu, Meng‐Shun Sun, Hoi‐Wan Lo, Ching‐Yang Tsai, Yu‐Jou Tsai
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    Eun Jeong Gong, Hwoon-Yong Jung
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    Deepanshu Jain, Shashideep Singhal
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    Hyung Chul Park, Do Hoon Kim, Eun Jeong Gong, Hee Kyong Na, Ji Yong Ahn, Jeong Hoon Lee, Kee Wook Jung, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung, Jin-Ho Kim
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    M. Barret, B. Beye, S. Leblanc, F. Beuvon, S. Chaussade, F. Batteux, F. Prat
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    Masanori Maeda, Nobuo Kanai, Shinichiro Kobayashi, Takahiro Hosoi, Ryo Takagi, Takashi Ohki, Yoshihiro Muragaki, Masayuki Yamato, Susumu Eguchi, Fumio Fukai, Teruo Okano
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A Case of Gastric Inverted Hyperplastic Polyp Found with Gastritis Cystica Profunda and Early Gastric Cancer
Sang Jin Lee, Jong Kyu Park, Hyun Il Seo, Koon Hee Han, Young Don Kim, Woo Jin Jeong, Gab Jin Cheon, Dae-Woon Eom
Clin Endosc 2013;46(5):568-571.   Published online September 30, 2013
DOI: https://doi.org/10.5946/ce.2013.46.5.568
AbstractAbstract PDFPubReaderePub

A gastric inverted hyperplastic polyp is a rare type of gastric polyp and is characterized by downward growth of a variety of mucosal components into the submucosa. The polyp consists of columnar cells resembling foveolar epithelium and pyloric gland epithelium and can coexist with gastritis cystica profunda. Frequently, adenocarcinoma can coexist, but the relation is not clear. A 77-year-old male underwent endoscopic submucosal dissection due to early gastric cancer. A gastric inverted hyperplastic polyp was found in the removed specimen and gastric cystica profunda was also found. We report a case of gastric inverted hyperplastic polyp coexisting with gastric cystica profunda and gastric adenocarcinoma.

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    Ji-Ye Kim, Soomin Ahn, Kyoung-Mee Kim, Sun Hee Chang, Han Seong Kim, Jun Haeng Lee, Jae J. Kim, Tae Sung Sohn, Hye Ju Kang, Mee Joo
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Commentary
Endoscopic Ultrasound Elastography for Pancreatic Cancer Diagnosis: A Step Forward?
Woo Jin Lee
Clin Endosc 2013;46(2):116-117.   Published online March 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.2.116
PDFPubReaderePub

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    Nadan Rustemović, Mirjana Kalauz, Katja Grubelić Ravić, Hrvoje Iveković, Branko Bilić, Zvonimir Ostojić, Dalibor Opačić, Iva Ledinsky, Matea Majerović, Ana Višnjić
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Case Reports
Giant Brunner's Gland Adenoma of the Proximal Jejunum Presenting as Iron Deficiency Anemia and Mimicking Intussusceptions
Chan Soo So, Hyun Joo Jang, Yun Sun Choi, Dong Hee Koh, Min Ho Choi, Sea Hyub Kae, Sun Jung Min, Jin Lee
Clin Endosc 2013;46(1):102-105.   Published online January 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.1.102
AbstractAbstract PDFPubReaderePub

Brunner's gland adenoma is a rare benign proliferative lesion developing most commonly in the posterior wall of the duodenum. It is usually small in size and asymptomatic. Depending on its size or location, however, the clinical manifestations of this tumor may be variable from nonspecific symptoms to gastrointestinal bleeding or obstruction. Brunner's gland adenoma in the proximal jejunum is extremely rare. We report a very rare case of giant Brunner's gland adenoma developing in the proximal jejunum which presented as iron deficiency anemia and mimicked intussusceptions on radiologic studies.

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    Michael Vieth, Elizabeth Anne Montgomery
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    Yunho Jung, Il Kwun Chung, Tae Hoon Lee, Young Sin Cho, Yeong Geol Jo, Sang Heum Park, Hyundeuk Cho, Sun Joo Kim
    Case Reports in Gastroenterology.2013; 7(2): 304.     CrossRef
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Two Cases of Russell Body Gastritis Treated by Helicobacter pylori Eradication
Jung Bin Yoon, Tae Yeong Lee, Jin Sook Lee, Jong Min Yoon, Se Won Jang, Min Jung Kim, Su Jin Lee, Tae Oh Kim
Clin Endosc 2012;45(4):412-416.   Published online November 30, 2012
DOI: https://doi.org/10.5946/ce.2012.45.4.412
AbstractAbstract PDFPubReaderePub

Russell body gastritis was first defined in 1998, but not many cases have been reported since then. The exact causes and process of this condition are unknown yet; however, considering the reported cases, it has been highly suggested to have correlation with Helicobacter pylori infection. Russell body gastritis has a non-specific clinical presentation of gastritis such as gastric mucosal edema in the macroscopic view. It can be mistaken as xanthoma, signet ring cell carcinoma, or a malignant lymphoma including mucosa-associated lymphoid tissue lymphoma and plasmocytoma. Russell body gastritis features polyclonal immunoglobulin and is differentiated from Mott cancer, of which immune globulin has monoclonal aspect. Authors report here two cases of Russell body gastritis with examined endoscopic findings as well as a review of related literature on the association of all reported cases of Russell body gastritis with H. pylori infection.

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A Case of Giant Lipoma Causing Chronic Recurrent Intussusception of the Colon
Chang Seob Lee, Mi Jin Lee, Kyoung Lee Kim, Yeon Soo Kim, Gwang Ho Baik, Jin Bong Kim, Dong Joon Kim, Sang Hak Han
Clin Endosc 2012;45(2):165-168.   Published online June 30, 2012
DOI: https://doi.org/10.5946/ce.2012.45.2.165
AbstractAbstract PDFPubReaderePub

Colonic lipomas, which often occur in elderly women, usually have small size and occur mainly in the cecum and ascending colon. Most colonic lipomas are asymptomatic and identified incidentally at the time of endoscopy or surgery. However, they may cause symptoms such as bleeding, obstruction or intussusception as their size increases. Intermittent episodes of intussusception are uncommon but may be caused by large pedunculated lipoma. In a 68-year-old woman suffering intermittent abdominal pain, 5.5×4.5×3.8-cm huge mass was found by colonoscopy at proximal ascending colon, which was intussuscepted to proximal transverse colon on abdominal computed tomography. Segmental right colonic resection was conducted. We report a case of symptomatic giant pedunculated colonic lipoma causing intussusception requiring surgical intervention, with a successful recovery after surgery.

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Original Articles
Effectiveness of Premedication with Pronase for Visualization of the Mucosa during Endoscopy: A Randomized, Controlled Trial
Gyu Jin Lee, Seun Ja Park, Sun Jung Kim, Hyung Hun Kim, Moo In Park, Won Moon
Clin Endosc 2012;45(2):161-164.   Published online June 30, 2012
DOI: https://doi.org/10.5946/ce.2012.45.2.161
AbstractAbstract PDFPubReaderePub
Background/Aims

Gastric mucus should be removed before endoscopic examination to increase visibility. In this study, the effectiveness of premedication with pronase for improving visibility during endoscopy was investigated.

Methods

From April 2010 to February 2011, 400 outpatients were randomly assigned to receive endoscopy with one of four premedications as follows: dimethylpolysiloxane (DMPS), pronase and sodium bicarbonate with 10 minutes premedication time (group A, n=100), DMPS and sodium bicarbonate with 10 minutes premedication time (group B, n=100), DMPS, pronase and sodium bicarbonate with 20 minutes premedication time (group C, n=100), and DMPS and sodium bicarbonate with 20 minute premedication time (group D, n=100). One endoscopist, who was unaware of the premedication types, calculated the visibility scores (range, 1 to 3) of the antrum, lower gastric body, upper gastric body and fundus. The sum of the scores from the four locations was defined as the total visibility score.

Results

Group C showed significantly lower scores than other groups (p=0.002). Group C also had the lowest frequency of flushing, which was significantly lower than that of group D. Groups C and D had significantly shorter durations of examination than groups A and B.

Conclusions

Using pronase 20 minutes before endoscopy significantly improved endoscopic visualization and decreased the frequency of water flushing.

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The Clinical Meaning of Benign Colon Uptake in 18F-FDG PET: Comparison with Colonoscopic Findings
Sun Hee Roh, Sung-Ae Jung, Seong-Eun Kim, Hye-In Kim, Min Jin Lee, Chung Hyun Tae, Ju Young Choi, Ki-Nam Shim, Hye-Kyung Jung, Tae Hun Kim, Kwon Yoo, Il Hwan Moon, Bom Sahn Kim
Clin Endosc 2012;45(2):145-150.   Published online June 30, 2012
DOI: https://doi.org/10.5946/ce.2012.45.2.145
AbstractAbstract PDFPubReaderePub
Background/Aims

Benign colon 18F-fluorodeoxyglucose (FDG) uptake is frequently observed in asymptomatic individuals. Aims of this study were to investigate the benign colon uptake by whole body FDG-positron emission tomography (PET) in asymptomatic adults and to correlate those results with colonoscopic and histologic findings.

Methods

Among 3,540 subjects who had undergone FDG-PET, 43 subjects who were diagnosed to have benign colon uptake in FDG-PET and underwent colonoscopy were retrospectively reviewed. Subjects were classified as diffuse or focal groups based on their FDG uptake patterns. PET results were analyzed together with colonoscopic and histologic findings.

Results

Forty-three subjects showed benign colon uptake in FDG-PET; 28 of them were shown as the diffuse group, while other 15 subjects were classified as the focal group. Five subjects among those showed diffuse uptake were diagnosed as adenoma. Seven among 15 subjects who showed focal uptake were diagnosed as adenocarcinoma (n=2), adenoma (n=3), or non-neoplastic polyp (n=2). Positive predictive values were 25% in the diffuse group and 47% in the focal group.

Conclusions

We recommend that patients showing benign FDG uptake in the colon should be further evaluated by colonoscopy, especially for patients with focal FDG uptake.

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Short-term Clinical Outcomes Based on Risk Factors of Recurrence after Removing Common Bile Duct Stones with Endoscopic Papillary Large Balloon Dilatation
Jung Ho Kim, Yeon Suk Kim, Dong Kyu Kim, Min Su Ha, Young Jun Lee, Jong Joon Lee, Sang Jin Lee, In Sik Won, Yang Suh Ku, Yun Soo Kim, Ju Hyun Kim
Clin Endosc 2011;44(2):123-128.   Published online December 31, 2011
DOI: https://doi.org/10.5946/ce.2011.44.2.123
AbstractAbstract PDFPubReaderePub
Background/Aims

Recurrence is an important late complication of endotherapy of bile duct stones. Endoscopic papillary large balloon dilation (EPLBD) can be used as an alternative method of removing difficult bile duct stones. The aim of this study was to evaluate short term clinical outcomes after removing common bile duct (CBD) stones using EPLBD.

Methods

A retrospective review was performed based on the medical records of 141 patients who received EPLBD, with or without endoscopic sphincterotomy, between September 2008 and February 2010. Of these, 50 patients, were enrolled in the study. Clinical and endoscopic parameters were analyzed to identify risk factors for CBD stones recurrence.

Results

Male:Female ratio was 22:28 (mean age, 67.4±14.4 years). Recurrence rate was 24.0% (12/50). Mean follow-up period was 10.8±4.5 months. Nineteen (38.0%) had a history of surgery and 20 (40.0%) were comorbid with periampullary diverticula. Mean diameters of the stones and CBD were 13.8±4.3 mm and 20.1±7.2 mm, respectively. In univariate analysis, large CBD stones (≥12 mm) and angulated CBD (angle ≤145°) were identified as the significant predictors of recurrence. In multivariate analysis, angulated CBD (angle ≤145°) was the significant independent risk factor for recurrence.

Conclusions

Close follow-up seems necessary in patients with angulated CBD (angle ≤145°).

Citations

Citations to this article as recorded by  
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