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Original Articles
Comparison of diagnostic performances of slow-pull suction and standard suction in endoscopic ultrasound-guided fine needle biopsy for gastrointestinal subepithelial tumors
Joon Seop Lee, Chang Min Cho, Yong Hwan Kwon, An Na Seo, Han Ik Bae, Man-Hoon Han
Clin Endosc 2022;55(5):637-644.   Published online August 17, 2022
DOI: https://doi.org/10.5946/ce.2021.257
AbstractAbstract PDFPubReaderePub
Background
/Aims: Endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB) is integral to the diagnosis of gastrointestinal (GI) subepithelial tumors (SETs). The impact of different EUS-FNB tissue sampling techniques on specimen adequacy and diagnostic accuracy in SETs has not been fully evaluated. This study aimed to compare the diagnostic outcomes of slow-pull (SP) and standard suction (SS) in patients with GI SETs.
Methods
In this retrospective comparative study, 54 patients were enrolled. Medical records were reviewed for location and size of the target lesion, FNB needle type/size, technical order, specimen adequacy, diagnostic yield, and adverse events. The acquisition rate of adequate specimens and diagnostic accuracy were compared according to EUS-FNB techniques.
Results
The mean lesion size was 42.6±36.4 mm, and most patients were diagnosed with GI stromal tumor (75.9%). The overall diagnostic accuracies of the SP and SS techniques were 83.3% and 81.5%, respectively (p=0.800). The rates of obtaining adequate core tissue were 79.6% and 75.9%, respectively (p=0.799). No significant clinical factors affected the rate of obtaining adequate core tissue, including lesion location and size, FNB needle size, and final diagnosis.
Conclusions
SP and SS had comparable diagnostic accuracies and adequate core tissue acquisition for GI SETs via EUS-FNB.

Citations

Citations to this article as recorded by  
  • Endoscopic ultrasound-guided fine-needle aspiration for gastrointestinal subepithelial lesions
    Takuto Hikichi, Minami Hashimoto, Takumi Yanagita, Tsunetaka Kato, Jun Nakamura
    Journal of Medical Ultrasonics.2024; 51(2): 195.     CrossRef
  • What method can we choose if rapid on-site evaluation is not available for the endoscopic ultrasound-guided tissue acquisition of upper gastrointestinal subepithelial lesions?
    Yu Kyung Cho
    Clinical Endoscopy.2024; 57(1): 53.     CrossRef
  • The Diagnostic Approach of Benign Esophageal Tumors: A Narrative Review
    Alex R. Jones, Preksha Vankawala, Tarek Sawas
    Current Treatment Options in Gastroenterology.2024; 22(2): 44.     CrossRef
  • Diagnostic yield of endoscopic and EUS-guided biopsy techniques in subepithelial lesions of the upper GI tract: a systematic review
    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
  • EUS‐guided tissue acquisition from gastric subepithelial lesions—The optimal technique still remains undecided
    Suprabhat Giri, Sridhar Sundaram
    Australasian Journal of Ultrasound in Medicine.2024;[Epub]     CrossRef
  • An Esophageal Leiomyoma with Cystic Degeneration Mimicking a Malignant Neoplasm
    Gwang Ha Kim, Dong Chan Joo, Moon Won Lee, Bong Eun Lee, Kyungbin Kim
    The Ewha Medical Journal.2023;[Epub]     CrossRef
  • Prevalence, natural progression, and clinical practices of upper gastrointestinal subepithelial lesions in Korea: a multicenter study
    Younghee Choe, Yu Kyung Cho, Gwang Ha Kim, Jun-Ho Choi, Eun Soo Kim, Ji Hyun Kim, Eun Kwang Choi, Tae Hyeon Kim, Seong-Hun Kim, Do Hoon Kim
    Clinical Endoscopy.2023; 56(6): 744.     CrossRef
  • 2,637 View
  • 128 Download
  • 5 Web of Science
  • 7 Crossref
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Comparative Study of Narrow-Band Imaging and i-scan for Predicting the Histology of Intermediate-to-Large Colorectal Polyps: A Prospective, Randomized Pilot Study
Joon Seop Lee, Seong Woo Jeon, Yong Hwan Kwon
Clin Endosc 2021;54(6):881-887.   Published online January 6, 2021
DOI: https://doi.org/10.5946/ce.2020.257
AbstractAbstract PDFPubReaderePub
Background
/Aims: To date, no reports have compared the diagnostic efficacy of narrow-band imaging (NBI) and i-scan for the histologic prediction of intermediate-to-large colorectal polyps. We aimed to compare the diagnostic accuracy of NBI and i-scan in predicting histology, and their inter-/intra-observer agreement.
Methods
We performed a prospective, randomized study that included 66 patients (NBI, n=33 vs. i-scan, n=33) with colorectal polyps (size >10 mm but <50 mm) who underwent colonoscopic resection. During the procedure, three endoscopists documented their prediction using the Japan NBI Expert Team (JNET) classification. Two months after study completion, the endoscopists reviewed still images and video clips for analysis.
Results
The overall diagnostic accuracies in the NBI and i-scan groups were 73.7% (73/99) and 75.8% (75/99), respectively, and there was no statistical significance between the two groups (p=0.744). The JNET classification as applied to NBI and i-scan showed substantial inter-observer agreement (NBI κ-value 0.612, p=0.001 vs. i-scan κ-value 0.662, p=0.002). Additionally, the κ-values of intra-observer agreement were in the range of 0.385–0.660 with NBI and 0.364–0.741 with i-scan.
Conclusions
NBI and i-scan have similar diagnostic accuracies for the histologic prediction of intermediate-to-large colorectal polyps. Furthermore, the inter-/intra-observer agreement was acceptable for both modalities when the JNET classification was applied.

Citations

Citations to this article as recorded by  
  • Ultra-minimally invasive endoscopic techniques and colorectal diseases: Current status and its future
    Nalini Kanta Ghosh, Ashok Kumar
    Artificial Intelligence in Gastrointestinal Endoscopy.2024;[Epub]     CrossRef
  • The Utility of Narrow-Band Imaging International Colorectal Endoscopic Classification in Predicting the Histologies of Diminutive Colorectal Polyps Using I-Scan Optical Enhancement: A Prospective Study
    Yeo Wool Kang, Jong Hoon Lee, Jong Yoon Lee
    Diagnostics.2023; 13(16): 2720.     CrossRef
  • Detecting colorectal lesions with image-enhanced endoscopy: an updated review from clinical trials
    Mizuki Nagai, Sho Suzuki, Yohei Minato, Fumiaki Ishibashi, Kentaro Mochida, Ken Ohata, Tetsuo Morishita
    Clinical Endoscopy.2023; 56(5): 553.     CrossRef
  • Classification and endoscopic diagnosis of colorectal polyps
    Ji Hyun Kim, Sung Chul Park
    Journal of the Korean Medical Association.2023; 66(11): 633.     CrossRef
  • Usefulness of optical enhancement endoscopy combined with magnification to improve detection of intestinal metaplasia in the stomach
    Sergio Sobrino-Cossío, Oscar Teramoto-Matsubara, Fabian Emura, Raúl Araya, Vítor Arantes, Elymir S. Galvis-García, Marisi Meza-Caballero, Blanca Sinahi García-Aguilar, Arturo Reding-Bernal, Noriya Uedo
    Endoscopy International Open.2022; 10(04): E441.     CrossRef
  • Interventions to improve adenoma detection rates for colonoscopy
    Aasma Shaukat, Anne Tuskey, Vijaya L. Rao, Jason A. Dominitz, M. Hassan Murad, Rajesh N. Keswani, Fateh Bazerbachi, Lukejohn W. Day
    Gastrointestinal Endoscopy.2022; 96(2): 171.     CrossRef
  • A modified fujinon intelligent color enhancement (FICE) in the diagnostics of superficial epithelial neoplasms of the colon
    V. A. Duvanskiy, A. V. Belkov
    Experimental and Clinical Gastroenterology.2022; (5): 154.     CrossRef
  • 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
  • Commentary on “Comparative Study of Narrow-Band Imaging and i-scan for Predicting the Histology of Intermediate-to-Large Colorectal Polyps: A Prospective, Randomized Pilot Study”
    Yunho Jung, Masayuki Kato
    Clinical Endoscopy.2021; 54(6): 781.     CrossRef
  • 4,545 View
  • 149 Download
  • 8 Web of Science
  • 9 Crossref
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Case Report
Pyogenic Liver Abscess Caused by Endoscopic Submucosal Dissection for Early Colon Cancer
Joon Seop Lee, Yong Hwan Kwon
Clin Endosc 2019;52(6):620-623.   Published online July 30, 2019
DOI: https://doi.org/10.5946/ce.2018.185
AbstractAbstract PDFPubReaderePub
Endoscopic submucosal dissection (ESD) is widely used for the treatment of colorectal neoplasia in patients who are candidates for endoscopic resection. In particular, pyogenic liver abscess (PLA), although rare, can occur. To our knowledge, there are no reports of PLA cases after ESD. Therefore, we report a rare case of PLA caused by ESD. A 76-year-old man was referred from a local clinic and admitted to our hospital for colonic ESD for a large polypoid mass. During colonoscopy, a 5-cm mass was seen in the cecum. ESD was performed. Four days after the procedure, he complained of myalgia and abdominal discomfort. Computed tomography revealed a 5.4- cm PLA in the medial segments of the liver. He was treated with antibiotics, and a percutaneous drainage catheter was inserted. Here, we report a very rare complication (PLA) after ESD. In conclusion, comprehensive awareness of the development of PLA is needed in ESD cases.
  • 4,944 View
  • 84 Download
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Review
Chronological Review of Endoscopic Indices in Inflammatory Bowel Disease
Joon Seop Lee, Eun Soo Kim, Won Moon
Clin Endosc 2019;52(2):129-136.   Published online August 21, 2018
DOI: https://doi.org/10.5946/ce.2018.042
AbstractAbstract PDFPubReaderePub
Inflammatory bowel disease (IBD) is considered a chronic condition characterized by mucosal or transmural inflammation in the gastrointestinal tract. Endoscopic diagnosis and surveillance in patients with IBD have become crucial. In addition, endoscopy is a useful modality in estimation and evaluation of the disease, treatment results, and efficacy of treatment delivery and surveillance. In relation to these aspects, endoscopic disease activity has been commonly estimated in clinical practices and trials.
At present, many endoscopic indices of ulcerative colitis have been introduced, including the Truelove and Witts Endoscopy Index, Baron Index, Powell-Tuck Index, Sutherland Index, Mayo Clinic Endoscopic Sub-Score, Rachmilewitz Index, Modified Baron Index, Endoscopic Activity Index, Ulcerative Colitis Endoscopic Index of Severity, Ulcerative Colitis Colonoscopic Index of Severity, and Modified Mayo Endoscopic Score. Endoscopic indices have been also suggested for Crohn’s disease, such as the Crohn’s Disease Endoscopic Index of Severity, Simple Endoscopic Score for Crohn’s Disease, and Rutgeerts Postoperative Endoscopic Index. However, most endoscopic indices have not been validated owing to the complexity of their parameters and inter-observer variations. Therefore, a chronological approach for understanding the various endoscopic indices relating to IBD is needed to improve the management.

Citations

Citations to this article as recorded by  
  • The assessment of segmental healing by the Modified Mayo Endoscopic Score (MMES) complements the prediction of long‐term clinical outcomes in patients with ulcerative colitis
    Matthias Lenfant, Bram Verstockt, João Sabino, Séverine Vermeire, Marc Ferrante
    Alimentary Pharmacology & Therapeutics.2024; 59(1): 64.     CrossRef
  • Recent Trends in Non-Invasive Methods of Diagnosis and Evaluation of Inflammatory Bowel Disease: A Short Review
    Dan Vălean, Roxana Zaharie, Roman Țaulean, Lia Usatiuc, Florin Zaharie
    International Journal of Molecular Sciences.2024; 25(4): 2077.     CrossRef
  • Accuracy of the Pancolonic Modified Mayo Score in predicting the long-term outcomes of ulcerative colitis: a promising scoring system
    Péter Bacsur, Panu Wetwittayakhlang, Tamás Resál, Emese Földi, Béla Vasas, Bernadett Farkas, Mariann Rutka, Talat Bessissow, Waqqas Afif, Anita Bálint, Anna Fábián, Renáta Bor, Zoltán Szepes, Klaudia Farkas, Peter L Lakatos, Tamás Molnár
    Therapeutic Advances in Gastroenterology.2024;[Epub]     CrossRef
  • Consenso de endoscopia en enfermedad inflamatoria intestinal de la Organización Panamericana de Crohn y Colitis (PANCCO) y la Sociedad Interamericana de endoscopia (SIED)
    Viviana Parra-Izquierdo, Fabio Leonel Gil-Parada, Fabian Juliao-Baños, Carolina Pavez-Ovalle, William Otero-Regino, Juan Sebastian Frías-Ordoñez, Asadur Tchekmedyian, Juan Eloy Paredes Mendez, Rodrigo Dorelo, Kenneth Ernest-Suarez, Marcos Leites Madera, M
    Revista de Gastroenterología del Perú.2024;[Epub]     CrossRef
  • Disease clearance in ulcerative colitis: Setting the therapeutic goals for future in the treatment of ulcerative colitis
    Laura Ramos, Jeny Teo-Loy, Manuel Barreiro-de Acosta
    Frontiers in Medicine.2023;[Epub]     CrossRef
  • Use of Standardized Inflammatory Bowel Disease Endoscopy Scores in Clinical Practice
    Jill K J Gaidos, Badr Al Bawardy, Francis A Farraye, Miguel Regueiro
    Crohn's & Colitis 360.2023;[Epub]     CrossRef
  • Systematic Literature Review and Meta-analysis: Real-World Mucosal Healing in Vedolizumab-Treated Patients with Crohn’s Disease
    Silvio Danese, Pravin Kamble, Jin Yang, Jean-Gabriel Le Moine, Shahnaz Khan, Emma Hawe, Christian Agboton, Song Wang, Peter M. Irving, Than Than Aye
    GastroHep.2022; 2022: 1.     CrossRef
  • Assessment of Endoscopic Disease Activity in Ulcerative Colitis: Is Simplicity the Ultimate Sophistication?
    Ala I. Sharara, Maher Malaeb, Matthias Lenfant, Marc Ferrante
    Inflammatory Intestinal Diseases.2022; 7(1): 7.     CrossRef
  • Endoscopic activity in inflammatory bowel disease: clinical significance and application in practice
    Kyeong Ok Kim
    Clinical Endoscopy.2022; 55(4): 480.     CrossRef
  • Predicting Mucosal Healing in Crohn’s Disease: A Nomogram Model Developed from a Retrospective Cohort
    Nana Tang, Han Chen, Ruidong Chen, Wen Tang, Hongjie Zhang
    Journal of Inflammation Research.2022; Volume 15: 5515.     CrossRef
  • Micronutrient deficiency among patients with ulcerative colitis
    Amany Hussien, Sawsan Abd El-Moniem, Ziyad Tawhid, Ahmed Altonbary
    The Egyptian Journal of Internal Medicine.2022;[Epub]     CrossRef
  • State-of-the-art surgery for ulcerative colitis
    Shanglei Liu, Samuel Eisenstein
    Langenbeck's Archives of Surgery.2021; 406(6): 1751.     CrossRef
  • Magnetic beads in gastrointestinal tract
    Eva Karásková, Miloš Geryk, Radek Vrba, Tomáš Malý FEBPS, Jakub Čivrný, Dagmar Pospíšilová
    Pediatrie pro praxi.2021; 22(5): 346.     CrossRef
  • Can red blood cell distribution width (RDW) predict clinical and endoscopic activity in ulcerative colitis patients?
    Hüseyin PÜLAT, Serkan YALAKİ
    Journal of Surgery and Medicine.2020;[Epub]     CrossRef
  • Case Report on Ulcerative Colitis in 16 year girl
    MD.Salma MD.Salma, Y.Siva Y.Siva , , J.Bhargava Narendra , J.Bhargava Narendra
    World Journal of Current Medical and Pharmaceutical Research.2020; : 287.     CrossRef
  • Characterization of γδ T Cells in Intestinal Mucosa From Patients With Early-Onset or Long-Standing Inflammatory Bowel Disease and Their Correlation With Clinical Status
    Elena Lo Presti, Roberto Di Mitri, Filippo Mocciaro, Anna Barbara Di Stefano, Nunzia Scibetta, Elettra Unti, Giuseppe Cicero, Giulia Pecoraro, Elisabetta Conte, Francesco Dieli, Serena Meraviglia
    Journal of Crohn's and Colitis.2019; 13(7): 873.     CrossRef
  • Endoscopic scoring systems for the evaluation and monitoring of disease activity in Crohn's disease
    Lara Hart, Talat Bessissow
    Best Practice & Research Clinical Gastroenterology.2019; 38-39: 101616.     CrossRef
  • British Society of Gastroenterology consensus guidelines on the management of inflammatory bowel disease in adults
    Christopher Andrew Lamb, Nicholas A Kennedy, Tim Raine, Philip Anthony Hendy, Philip J Smith, Jimmy K Limdi, Bu’Hussain Hayee, Miranda C E Lomer, Gareth C Parkes, Christian Selinger, Kevin J Barrett, R Justin Davies, Cathy Bennett, Stuart Gittens, Malcolm
    Gut.2019; 68(Suppl 3): s1.     CrossRef
  • Novel oral-targeted therapies for mucosal healing in ulcerative colitis
    Elisabetta Antonelli, Vincenzo Villanacci, Gabrio Bassotti
    World Journal of Gastroenterology.2018; 24(47): 5322.     CrossRef
  • 11,948 View
  • 476 Download
  • 15 Web of Science
  • 19 Crossref
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