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Original Articles
- Accuracy of administrative claim data for gastric adenoma after endoscopic resection
- Ga-Yeong Shin, Hyun Ho Choi, Jae Myung Park, Sang Yoon Kim, Jun Young Park, Donghoon Kang, Yu Kyung Cho, Sung Soo Kim, Myung-Gyu Choi
- Clin Endosc 2023;56(3):325-332. Published online March 21, 2023
- DOI: https://doi.org/10.5946/ce.2022.147
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Graphical Abstract
Abstract
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PubReader
ePub - Background
/Aims: Administrative databases provide valuable information for large-cohort studies. This study aimed to evaluate the diagnostic accuracy of an administrative database for resected gastric adenomas.
Methods
Data of patients who underwent endoscopic resection for benign gastric lesions were collected from three hospitals. Gastric adenoma cases were identified in the hospital database using International Classification of Diseases (ICD) 10-codes. The non-adenoma group included patients without gastric adenoma codes. The diagnostic accuracy for gastric adenoma was analyzed based on the pathological reports of the resected specimen.
Results
Among 5,095 endoscopic resections with codes for benign gastric lesions, 3,909 patients were included in the analysis. Among them, 2,831 and 1,078 patients were allocated to the adenoma and non-adenoma groups, respectively. Regarding the overall diagnosis of gastric adenoma with ICD-10 codes, the sensitivity, specificity, positive predictive value, and negative predictive value were 98.7%, 88.5%, 95.2%, and 96.8%, respectively. There were no significant differences in these parameters between the tertiary and secondary centers.
Conclusions
Administrative codes of gastric adenoma, according to ICD-10 codes, showed good accuracy and can serve as a useful tool to study prognosis of these patients in real-world data studies in the future. -
Citations
Citations to this article as recorded by
- Gastric Cancer Incidence and Mortality After Endoscopic Resection of Gastric Adenoma: A Nationwide Cohort Study
Jae Myung Park, Songhee Cho, Ga-Yeong Shin, Jayoun Lee, Minjee Kim, Hyeon Woo Yim
American Journal of Gastroenterology.2023; 118(12): 2166. CrossRef
- Gastric Cancer Incidence and Mortality After Endoscopic Resection of Gastric Adenoma: A Nationwide Cohort Study
- 2,576 View
- 122 Download
- 1 Web of Science
- 1 Crossref
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Dedicated Cold Snare vs. Traditional Snare for Polypectomy of Diminutive and Small Lesions in a Porcine Model: A Research Group for Endoscopic Instruments and Stents (REIS) Study
- Han Hee Lee, Bo-In Lee, Jung-Wook Kim, Hyun Lim, Si Hyung Lee, Jun-Hyung Cho, Yunho Jung, Kyoung Oh Kim, Chan Gyoo Kim, Kee Myung Lee, Jong-Jae Park, Myung-Gyu Choi, Hoon Jai Chun, Ho Gak Kim
- Clin Endosc 2021;54(3):390-396. Published online September 10, 2020
- DOI: https://doi.org/10.5946/ce.2020.096
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Abstract
PDF
Supplementary MaterialPubReaderePub - Background
/Aims: The aim of this in vivo animal study was to evaluate the effectiveness and safety of dedicated cold snare (DCS) compared with those of traditional snare (TS) for cold snare polypectomy (CSP).
Methods
A total of 36 diminutive (5 mm) and 36 small (9 mm) pseudolesions were made by electrocoagulation in the colons of mini-pigs.
Results
For the diminutive lesions, there were no significant differences in technical success rate, procedure time, or complete resection rate between the DCS and TS groups; the rate of uneven resection margin in the DCS group was significantly lower than that of the TS group. For small lesions, technical success rate and complete resection rate were significantly higher in the DCS group than in the TS group (100% [18/18] vs. 55.6% [10/18], p=0.003; 94.4% [17/18] vs. 40% [4/10], p=0.006). In addition, the procedure duration was significantly shorter, and the rate of uneven resection margin was significantly lower in the DCS group (28.5 sec vs. 66.0 sec, p=0.006; 11.1% [2/18] vs. 100% [10/10], p<0.001). Two cases of perforation occurred in the DCS group. Multivariate analysis revealed that DCS use was independently associated with complete resection.
Conclusions
DCS is superior to TS in terms of technical success, complete resection, and reducing the duration of the procedure for CSP of small polyps. -
Citations
Citations to this article as recorded by- Comparison of complete resection rates in cold snare polypectomy using two different wire diameter snares: A randomized controlled study
Toshiki Horii, Sho Suzuki, Akihiro Sugita, Misa Yamauchi, Hisatomo Ikehara, Chika Kusano, Takuji Gotoda
Journal of Gastroenterology and Hepatology.2023; 38(5): 752. CrossRef - Comparison of the clinical efficacy of cold snare polypectomy using a thin-wire snare and thick-wire snare for small colorectal polyps
Hong Jin Yoon, Yunho Jung, Young Sin Cho, Il-Kwun Chung
International Journal of Gastrointestinal Intervention.2023; 12(4): 183. CrossRef - Big Issues on Small Polyps: An Ideal Device, But Is It for an Ideal Indication?
Yoji Takeuchi
Clinical Endoscopy.2021; 54(3): 297. CrossRef - Cold versus hot polypectomy/endoscopic mucosal resection–A review of current evidence
Raquel Ortigão, Jochen Weigt, Ahmed Afifi, Diogo Libânio
United European Gastroenterology Journal.2021; 9(8): 938. CrossRef
- Comparison of complete resection rates in cold snare polypectomy using two different wire diameter snares: A randomized controlled study
- 8,828 View
- 226 Download
- 4 Web of Science
- 4 Crossref
- Factors Affecting Endoscopic Curative Resection of Gastric Cancer in the Population-Based Screening Era
- Yoon Gwon Mun, Myung-Gyu Choi, Chul-Hyun Lim, Han Hee Lee, Dong Hoon Kang, Jae Myung Park, Kyo Young Song
- Clin Endosc 2018;51(5):478-484. Published online June 1, 2018
- DOI: https://doi.org/10.5946/ce.2018.006
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Abstract
PDFPubReaderePub
- Background
/Aims: Since population-based screening for gastric cancer in Korea was implemented, endoscopic treatment of early gastric cancer has become increasingly popular. This study investigates factors affecting endoscopic curative resection of early gastric cancer in population-based screening for gastric cancer.
Methods
We retrospectively reviewed data of patients with newly diagnosed gastric cancer who underwent treatment at Seoul St. Mary’s Hospital. All patients completed questionnaires about clinical information, including interval between surveillance tests for gastric cancer.
Results
Of 469 gastric cancer patients, 147 (31.3%) had undergone curative endoscopic resection, 260 (55.4%) had undergone curative surgical resection, and 62 (13.3%) underwent non-curative resection or were in an inoperable state. Patients with curative endoscopic resection had fewer alarm symptoms/signs than other groups. In multivariate analysis, regular surveillance endoscopy was the only factor predicting curative endoscopic resection (odds ratio [OR], 6.099; 95% confidence interval [CI], 2.532–14.933). In addition, patients undergoing gastric cancer screening had a significantly higher rate of endoscopic curative resection compared with subjects who had never been screened. (1-year interval: OR, 49.969; 95% CI, 6.340–393.827, 2-year interval: OR, 15.283; 95% CI, 1.833–127.406, over 2-year interval: OR, 10.651; 95% CI, 1.248–90.871). Shorter screening test intervals were associated with higher rates of endoscopic curative resection.
Conclusions
Regular surveillance testing was the independent factor predicting curative endoscopic resection of gastric cancer. -
Citations
Citations to this article as recorded by- A model established using marital status and other factors from the Surveillance, Epidemiology, and End Results database for early stage gastric cancer
Lixiang Zhang, Baichuan Zhou, Panquan Luo, Aman Xu, Wenxiu Han, Zhijian Wei
Journal of Investigative Medicine.2022; 70(6): 1373. CrossRef - Risk Factors and Clinical Outcomes of Non-Curative Resection in Patients with Early Gastric Cancer Treated with Endoscopic Submucosal Dissection: A Retrospective Multicenter Study in Korea
Si Hyung Lee, Min Cheol Kim, Seong Woo Jeon, Kang Nyeong Lee, Jong Jae Park, Su Jin Hong
Clinical Endoscopy.2020; 53(2): 196. CrossRef - The More, the Better: Is This True in Endoscopy for Gastric Cancer Screening?
Seong Woo Jeon
Clinical Endoscopy.2018; 51(5): 402. CrossRef
- A model established using marital status and other factors from the Surveillance, Epidemiology, and End Results database for early stage gastric cancer
- 5,694 View
- 98 Download
- 4 Web of Science
- 3 Crossref
- Endoscopic Electrosurgery in Patients with Cardiac Implantable Electronic Devices
- Myong Ki Baeg, Sang-Woo Kim, Sun-Hye Ko, Yoon Bum Lee, Seawon Hwang, Bong-Woo Lee, Hye Jin Choi, Jae Myung Park, In-Seok Lee, Yong-Seog Oh, Myung-Gyu Choi
- Clin Endosc 2016;49(2):176-181. Published online February 11, 2016
- DOI: https://doi.org/10.5946/ce.2015.023
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Abstract
PDFPubReaderePub
- Background
/Aims: Patients with cardiac implantable electronic devices (CIEDs) undergoing endoscopic electrosurgery (EE) are at a risk of electromagnetic interference (EMI). We aimed to analyze the effects of EE in CIED patients.
Methods
Patients with CIED who underwent EE procedures such as snare polypectomy, endoscopic submucosal dissection (ESD), and endoscopic retrograde cholangiopancreatography (ERCP) with endoscopic sphincterotomy (EST) were retrospectively analyzed. Postprocedural symptoms as well as demographic and outpatient follow-up data were reviewed through medical records. Electrical data, including preprocedural and postprocedural arrhythmia records, were reviewed through pacemaker interrogation, 24-hour Holter monitoring, or electrocardiogram.
Results
Fifty-nine procedures in 49 patients were analyzed. Fifty procedures were performed in 43 patients with a pacemaker, and nine were performed in six patients with an implantable cardioverter-defibrillator. There were one gastric and 44 colon snare polypectomies, five gastric and one colon ESDs, and eight ERCPs with EST. Fifty-five cases of electrical follow-up were noted, with two postprocedural changes not caused by EE. Thirty-one pacemaker interrogations had procedure recordings, with two cases of asymptomatic tachycardia. All patients were asymptomatic with no adverse events.
Conclusions
Our study reports no adverse events from EE in patients with CIED, suggesting that this procedure is safe. However, because of the possibility of EMI, recommendations on EE should be followed. -
Citations
Citations to this article as recorded by- Electrosurgical unit in GI endoscopy: the proper settings for practice
Anuraag Jena, Shubham Jain, Sridhar Sundaram, Anupam Kumar Singh, Sanjay Chandnani, Pravin Rathi
Expert Review of Gastroenterology & Hepatology.2023; 17(8): 825. CrossRef - 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery
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EP Europace.2022; 24(9): 1512. CrossRef - Electromagnetic interference on cardiac pacemakers and implantable cardioverter defibrillators during endoscopy as reported to the US Federal Drug Administration
Jason M. Samuels, Douglas M. Overbey, Krzysztof J. Wikiel, Teresa S. Jones, Thomas N. Robinson, Edward L. Jones
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Basavana Goudra, PreetMohinder Singh
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Eun Young Kim
Clinical Endoscopy.2016; 49(2): 104. CrossRef
- Electrosurgical unit in GI endoscopy: the proper settings for practice
- 11,678 View
- 144 Download
- 9 Web of Science
- 9 Crossref
Focused Review Series: Current Issues and Future Directions of Small Bowel Endoscopic Evaluation
- The Usefulness of Capsule Endoscopy for Small Bowel Tumors
- Dae Young Cheung, Jin Su Kim, Ki-Nam Shim, Myung-Gyu Choi, Korean Gut Image Study Group
- Clin Endosc 2016;49(1):21-25. Published online January 28, 2016
- DOI: https://doi.org/10.5946/ce.2016.49.1.21
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Abstract
PDFPubReaderePub
- Video capsule endoscopy (VCE) has expanded the range of endoscopic examination of the small bowel. The clinical application of VCE is mainly for obscure gastrointestinal bleeding (OGIB) and small bowel tumor is one of the clinically significant diagnoses of VCE, often requiring subsequent invasive interventions. Small bowel tumors are detected with a frequency of around 4% with VCE in indications of OGIB, iron deficiency anemia, unexplained abdominal pain, and others. Protruding mass with bleeding, mucosal disruption, irregular surface, discolored area, and white villi are suggested as the VCE findings of small bowel tumor. Device assisted enteroscopy (DAE), computed tomography enteroclysis/enterography and magnetic resonance enteroclysis/enterography also have clinical value in small bowel examination and tumor detection, and they can be used with VCE, sequentially or complementarily. Familial adenomatous polyposis, Peutz-Jeghers syndrome, melanoma, lymphoma, and neuroendocrine tumor with hepatic metastasis are the high risk groups for small bowel tumors, and surveillance programs for small bowel tumors are needed. VCE and radiological imaging have value in screening, and in selected cases, DAE can provide more accurate diagnosis and endoscopic treatment. This review describes the usefulness and clinical impact of VCE on small bowel tumors.
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Citations
Citations to this article as recorded by- Post-Transplant Lymphoproliferative Disorder Presenting as a Gastrointestinal Fistulous Tract in a Heart Transplant Recipient: Case Report and Literature Review
Nour Hasan, Ramia Zakhour, Luz Helena Gutierrez Sanchez, Audrey R. Lloyd, Geling Li, Clara L. Ortiz, Cecelia Hutto
Transplantation Proceedings.2024;[Epub] CrossRef - The Role of Screening and Early Detection in Upper Gastrointestinal Cancers
Jin Woo Yoo, Monika Laszkowska, Robin B. Mendelsohn
Hematology/Oncology Clinics of North America.2024; 38(3): 693. CrossRef - The professional background of a referring physician predicts the diagnostic yield of small bowel capsule endoscopy in suspected small bowel bleeding
Debora Compare, Costantino Sgamato, Alba Rocco, Pietro Coccoli, Durante Donnarumma, Stefano Andrea Marchitto, Sofia Cinque, Pietro Palmieri, Gerardo Nardone
Endoscopy International Open.2024; 12(02): E282. CrossRef - Performance of capsule endoscopy for the detection of small intestinal neuroendocrine tumors in familial carcinoid: a prospective single-site study
Derek Tang, Ramona Lim, Louis Korman, Joanne Forbes, Kristen Ellsbury, Sungyoung Auh, Apurva Trivedi, Clara C. Chen, Marybeth Hughes, Stephen Wank
Gastrointestinal Endoscopy.2024; 99(2): 227. CrossRef - Could Capsule Endoscopy Be Useful in Detection of Suspected Small Bowel Bleeding and IBD-10 Years of Single Center Experience
Jelena Martinov Nestorov, Aleksandra Sokic-Milutinovic, Aleksandra Pavlovic Markovic, Miodrag Krstic
Diagnostics.2024; 14(9): 862. CrossRef - Videocapsular endoscopy in the diagnosis of gastrointestinal diseases
E. V. Usacheva, I. V. Druk, E. V. Nadey, N. A. Usachev
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Thomas Aparicio, Atanas Pachev, Pierre Laurent-Puig, Magali Svrcek
Cancers.2022; 14(9): 2268. CrossRef - Small bowel lymphoma: clinical update and challenges for the gastroenterologist
Priya Oka, Reena Sidhu
Current Opinion in Gastroenterology.2022; 38(3): 270. CrossRef - Capsule endoscopy - a non-invasive modality to investigate the GI tract: out with the old and in with the new?
Priya Oka, Mark McAlindon, Reena Sidhu
Expert Review of Gastroenterology & Hepatology.2022; 16(7): 591. CrossRef - Small Bowel Perforation Due to Rare Metastasis From Stage IV Lung Adenocarcinoma
Francesco Sautto, Sarah Tinsley, Vladimir Neychev
Cureus.2022;[Epub] CrossRef - Effect of Nonsteroidal Anti-inflammatory Agents on Small Intestinal Injuries as Evaluated by Capsule Endoscopy
Sang Pyo Lee, Jin Lee, Sea Hyub Kae, Hyun Joo Jang, Eun Suk Jung
Digestive Diseases and Sciences.2021; 66(8): 2724. CrossRef - Role of Video Capsule Endoscopy as a Prelude to Deep Enteroscopy
Dejan Micic, Carol E. Semrad
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Current Opinion in Gastroenterology.2021; 37(3): 234. CrossRef - Peutz-Jeghers syndrome
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- Post-Transplant Lymphoproliferative Disorder Presenting as a Gastrointestinal Fistulous Tract in a Heart Transplant Recipient: Case Report and Literature Review
- 8,120 View
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Original Article
- Indications for Detection, Completion, and Retention Rates of Small Bowel Capsule Endoscopy Based on the 10-Year Data from the Korean Capsule Endoscopy Registry
- Yun Jeong Lim, Oh Young Lee, Yoon Tae Jeen, Chi Yeon Lim, Dae Young Cheung, Jae Hee Cheon, Byong Duk Ye, Hyun Joo Song, Jin Su Kim, Jae Hyuk Do, Kwang Jae Lee, Ki-Nam Shim, Dong Kyung Chang, Cheol Hee Park, Byung Ik Jang, Jeong Seop Moon, Hoon Jai Chun, Myung-Gyu Choi, Jin Oh Kim, Korean Gut Image Study Group
- Clin Endosc 2015;48(5):399-404. Published online September 30, 2015
- DOI: https://doi.org/10.5946/ce.2015.48.5.399
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Abstract
PDFPubReaderePub
Background/Aims Capsule endoscopy (CE) is widely used. However, CE has limitations including incomplete examination, inadequate bowel preparation, and retention. The aim of this study was to estimate the indications for and detection, completion, and retention rates of small intestine CE based on the 10-year data from the Korean Capsule Endoscopy Registry.
Methods Twenty-four hospitals participated in this study. Clinical information, such as reasons for CE, method and quality of bowel preparation, and incomplete examination and capsule retention rates, was collected and analyzed.
Results A total of 2,914 CEs were registered. The most common reason for CE was obscure gastrointestinal bleeding (59%). Significant lesions were detected in 66% of cases. Positive CE diagnosis occurred in 63% of cases. The preparation method did not significantly affect the quality of bowel preparation for CE. The overall incomplete rate was 33%, and was high in the elderly and those with poor bowel preparation. Capsule retention was 3% and high in patients with small bowel tumors and Crohn's disease and in children under 10 years of age.
Conclusions CE is a valuable technique; while the overall detection rate is high, incompletion and retention rates are also relatively high. CE should be carefully considered in the elderly and children less than 10 years of age, as well as in patients with small bowel tumors and Crohn's disease.
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Citations
Citations to this article as recorded by- The Role of Capsule Endoscopy in the Diagnosis and Management of Small Bowel Tumors: A Narrative Review
Stefano Fantasia, Pablo Cortegoso Valdivia, Stefano Kayali, George Koulaouzidis, Marco Pennazio, Anastasios Koulaouzidis
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Hui-Ning Fan, Pei Zhu, Jing Zhang, Jin-Shui Zhu
Microbial Pathogenesis.2021; 150: 104711. CrossRef - Role of Video Capsule Endoscopy as a Prelude to Deep Enteroscopy
Dejan Micic, Carol E. Semrad
Gastrointestinal Endoscopy Clinics of North America.2021; 31(2): 331. CrossRef - Effectiveness of Improved Use of Chewing Gum During Capsule Endoscopy in Decreasing Gastric Transit Time: A Prospective Randomized Controlled Study
Liang Huang, Yue Hu, Fang Chen, Shan Liu, Bin Lu
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Review
- Guidelines for Video Capsule Endoscopy: Emphasis on Crohn's Disease
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- Clin Endosc 2015;48(2):128-135. Published online March 27, 2015
- DOI: https://doi.org/10.5946/ce.2015.48.2.128
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Abstract
PDFPubReaderePub
Video capsule endoscopy (VCE) is an ingestible video camera that transmits high-quality images of the small intestinal mucosa. This makes the small intestine more readily accessible to physicians investigating the presence of small bowel disorders, such as Crohn's disease (CD). Although VCE is frequently performed in Korea, there are no evidence-based guidelines on the appropriate use of VCE in the diagnosis of CD. To provide accurate information and suggest correct testing approaches for small bowel diseases, the Korean Gut Image Study Group, part of the Korean Society of Gastrointestinal Endoscopy, developed guidelines on VCE. Teams were set up to develop guidelines on VCE. Four areas were selected: diagnosis of obscure gastrointestinal bleeding, small bowel preparation for VCE, diagnosis of CD, and diagnosis of small bowel tumors. Three key questions were selected regarding the role of VCE in CD. In preparing these guidelines, a systematic literature search, evaluation, selection, and meta-analysis were performed. After writing a draft of the guidelines, the opinions of various experts were solicited before producing the final document. These guidelines are expected to play a role in the diagnosis of CD. They will need to be updated as new data and evidence become available.
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Citations
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Dario Sorrentino
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Original Articles
- Learning Curve of Capsule Endoscopy
- Korean Gut Image Study Group, Yun Jeong Lim, Young Sung Joo, Dae Young Jung, Byong Duk Ye, Ji Hyun Kim, Jae Hee Cheon, Seong Eun Kim, Jae Hyuk Do, Byung Ik Jang, Jeong Seop Moon, Jin Oh Kim, Hoon Jae Chun, Myung-Gyu Choi
- Clin Endosc 2013;46(6):633-636. Published online November 19, 2013
- DOI: https://doi.org/10.5946/ce.2013.46.6.633
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Abstract
PDFPubReaderePub
Background/Aims Capsule endoscopy (CE) has become an important tool for the diagnosis of small bowel disease. Although CE does not require the skill of endoscope insertion, the images should be interpreted by a person with experience in assessing images of the gastrointestinal mucosa. This investigation aimed to document the number of cases needed by trainees to gain the necessary experience for CE competency.
Methods Fifteen cases were distributed to 12 trainees with no previous experience of CE during their gastroenterology training as clinical fellows. Twelve trainees and an expert were asked to read CE images from one patient each week for 15 weeks. The diagnosis was reported using five categories (no abnormalities detected, small bowel erosion or ulcer, small bowel tumor, Crohn disease, and active small bowel bleeding with no identifiable source). We then examined, using the κ coefficient, how the degree of mean agreements between the trainees and the expert changed as the training progressed each week.
Results The agreement rate of CE diagnosis increased as the frequencies of interpretation increased. Most of the mean κ coefficients were >0.60 and >0.80 after week 9 and 11, respectively.
Conclusions Experience with approximately 10 cases of CE is appropriate for trainees to attain CE competency.
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Citations
Citations to this article as recorded by- Road map to small bowel endoscopy quality indicators
Mohamed G. Shiha, David S. Sanders, Reena Sidhu
Current Opinion in Gastroenterology.2024; 40(3): 183. CrossRef - More than 20 procedures are necessary to learn small bowel capsule endoscopy: Learning curve pilot study of 535 trainee cases
Anders Bo Nielsen, Michael Dam Jensen, Jacob Broder Brodersen, Jens Kjeldsen, Christian B. Laursen, Lars Konge, Stig Borbjerg Laursen
Endoscopy International Open.2024; 12(05): E697. CrossRef - Pediatric Web-based Video Capsule Endoscopy Curriculum: A Pilot Study to Determine the Ability to Implement a Standardized Educational Curriculum
Uma Padhye Phatak, Corey Scherer, Nan Du, Joel A. Friedlander
JPGN Reports.2022; 3(1): e130. CrossRef - Colon capsule endoscopy in colorectal cancer screening: a systematic review
Fanny E. R. Vuik, Stella A. V. Nieuwenburg, Sarah Moen, Cristiano Spada, Carlo Senore, Cesare Hassan, Marco Pennazio, Emanuele Rondonotti, Silvia Pecere, Ernst J. Kuipers, Manon C. W. Spaander
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Ariosto Hernandez-Lara, Elizabeth Rajan
Gastrointestinal Endoscopy Clinics of North America.2021; 31(2): 237. CrossRef - The impact of reader fatigue on the accuracy of capsule endoscopy interpretation
Sabina Beg, Tim Card, Reena Sidhu, Ewa Wronska, Krish Ragunath, Hey-Long Ching, Anastasios Koulaouzidis, Diana Yung, Simon Panter, Mark Mcalindon, Matthew Johnson, Arun Kurup, Anthony Shonde, Miliedis San-Juan Acosta, Stefano Sansone, Ebby Simmon, Victori
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Apostolos Koffas, Faidon-Marios Laskaratos, Owen Epstein
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Sabina Beg, Adolfo Parra-Blanco, Krish Ragunath
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Benito Velayos Jiménez, Noelia Alcaide Suárez, Guillermo González Redondo, Luis Fernández Salazar, Rocío Aller de la Fuente, Lourdes del Olmo Martínez, Lourdes Ruiz Rebollo, José Manuel González Hernández
Gastroenterología y Hepatología (English Edition).2017; 40(1): 10. CrossRef - Colon capsule endoscopy: toward the future
Naoki Muguruma, Kumiko Tanaka, Satoshi Teramae, Tetsuji Takayama
Clinical Journal of Gastroenterology.2017; 10(1): 1. CrossRef - NASPGHAN Capsule Endoscopy Clinical Report
Joel A. Friedlander, Quin Y. Liu, Benjamin Sahn, Koorosh Kooros, Catharine M. Walsh, Robert E. Kramer, Jenifer R. Lightdale, Julie Khlevner, Mark McOmber, Jacob Kurowski, Matthew J. Giefer, Harpreet Pall, David M. Troendle, Elizabeth C. Utterson, Herbert
Journal of Pediatric Gastroenterology and Nutrition.2017; 64(3): 485. CrossRef - A 13-year time trend analysis of 3724 small bowel video capsule endoscopies and a forecast model during the financial crisis in Greece
Konstantinos Triantafyllou, Paraskevas Gkolfakis, Nikos Viazis, Panagiotis Tsibouris, Athanasios Tsigaridas, Periklis Apostolopoulos, John Anastasiou, Eleni Hounda, Ioannis Skianis, Konstantina Katopodi, Xhoela Ndini, George Alexandrakis, Demetrios G. Kar
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Ramón Alfredo Castañeda-Ortiz, Plácido Espinosa-Rosas, Rodrigo Alejandro Rodriguez-Izaguirre, Anahi Anzo-Osorio, Enory Almanza-Miranda, Luis Ariel Waller-Gónzalez, Guillermina Gómez-Navarro, Pedro Salvador Jimenez-Urueta
Endoscopia.2016; 28(3): 96. CrossRef - Optimizing lesion detection in small-bowel capsule endoscopy: from present problems to future solutions
Anastasios Koulaouzidis, Dimitris K Iakovidis, Alexandros Karargyris, John N Plevris
Expert Review of Gastroenterology & Hepatology.2015; 9(2): 217. CrossRef - A Simple Evaluation Tool (ET-CET) Indicates Increase of Diagnostic Skills From Small Bowel Capsule Endoscopy Training Courses
J.G. Albert, O. Humbla, M.E. McAlindon, C. Davison, U. Seitz, C. Fraser, F. Hagenmüller, E. Noetzel, C. Spada, M.E. Riccioni, J. Barnert, N. Filmann, M. Keuchel
Medicine.2015; 94(43): e1941. CrossRef - Training in Video Capsule Endoscopy
Cary G. Sauer, Steven H. Erdman
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Jae Hee Cheon, Ki Baik Hahm
Clinical Endoscopy.2013; 46(6): 599. CrossRef
- Road map to small bowel endoscopy quality indicators
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- Performance and Clinical Role of Endoscopic Ultrasound Fine Needle Aspiration for Diagnosing Gastrointestinal Intramural Lesions
- Hea Jung Sung, Yu Kyung Cho, Eun Young Park, Sung Jin Moon, Chul Hyun Lim, Jin Su Kim, Jae Myung Park, In Seok Lee, Sang Woo Kim, Myung-Gyu Choi, Kyu Yong Choi
- Clin Endosc 2013;46(6):627-632. Published online November 19, 2013
- DOI: https://doi.org/10.5946/ce.2013.46.6.627
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Abstract
PDFPubReaderePub
Background/Aims We evaluated the performance, clinical role, and diagnostic accuracy of endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) in gastrointestinal intramural lesions.
Methods Procedural and pathologic data were reviewed from consecutive patients undergoing EUS-FNA for intramural lesions. Final diagnoses were determined by surgical histopathologic conformation and the diagnosis of malignancy, including clinical follow-up with repeat imaging.
Results Forty-six patients (mean age, 47 years; 24 males) underwent EUS-FNA. Lesions were located in the stomach (
n =31), esophagus (n =5), and duodenum (n =10). The median lesion size was 2 cm (range, 1 to 20.6). Final diagnoses were obtained in 22 patients (48%). EUS-FNA was diagnostic in 40 patients (87%). The diagnostic accuracy of cytology for differentiating between benign and malignant lesions was 82%; diagnostic error occurred in three patients (6%). The cytologic results influenced clinical judgment in 78% cases. The primary reasons for negative or no clinical impact were false-negative results, misdirected patient management, and inconclusive cytology.Conclusions EUS-FNA exhibited an 87% diagnostic yield for gastrointestinal intramural lesions; the accuracy of cytology for differentiating malignancy was 82%. The limitations of EUS-FNA were primarily because of nondiagnostic sampling (9%) and probable diagnostic error (6%); these factors may influence the clinical role of EUS-FNA.
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Citations
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Reviews
- Guidelines for Bowel Preparation before Video Capsule Endoscopy
- Hyun Joo Song, Jeong Seop Moon, Jae Hyuk Do, In Hye Cha, Chang Hun Yang, Myung-Gyu Choi, Yoon Tae Jeen, Hyun Jung Kim
- Clin Endosc 2013;46(2):147-154. Published online March 31, 2013
- DOI: https://doi.org/10.5946/ce.2013.46.2.147
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Abstract
PDFPubReaderePub
The preparation for video capsule endoscopy (VCE) of the bowel suggested by manufacturers of capsule endoscopy systems consists only of a clear liquid diet and an 8-hour fast. While there is evidence for a benefit from bowel preparation for VCE, so far there is no domestic consensus on the preparation regimen in Korea. Therefore, we performed this study to recommend guidelines for bowel preparation before VCE. The guidelines on VCE were developed by the Korean Gut Image Study Group, part of the Korean Society of Gastrointestinal Endoscopy. Four key questions were selected. According to our guidelines, bowel preparation with polyethylene glycol (PEG) solution enhances small bowel visualization quality (SBVQ) and diagnostic yield (DY), but it has no effect on cecal completion rate (CR). Bowel preparation with 2 L of PEG solution is similar to that with 4 L of PEG in terms of the SBVQ, DY, and CR of VCE. Bowel preparation with fasting or PEG solution combined with simethicone enhances the SBVQ, but it does not affect the CR of VCE. Bowel preparation with prokinetics does not enhance the SBVQ, DY, or CR of VCE.
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- Guideline for Capsule Endoscopy: Obscure Gastrointestinal Bleeding
- Ki-Nam Shim, Jeong Seop Moon, Dong Kyung Chang, Jae Hyuk Do, Ji Hyun Kim, Byung Hoon Min, Seong Ran Jeon, Jin-Oh Kim, Myung-Gyu Choi, Korean Gut Image Study Group
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Abstract
PDFPubReaderePub
Capsule endoscopy (CE) is considered as a noninvasive and reliable diagnostic tool of examining the entire small bowel. CE has been performed frequently at many medical centers in South Korea; however, there is no evidence-based CE guideline for adequate diagnostic approaches. To provide accurate information and suggest correct testing approaches for small bowel disease, the guideline on CE was developed by the Korean Gut Image Study Group, a part of the Korean Society of Gastrointestinal Endoscopy. Operation teams for developing the guideline were organized into four areas: obscure gastrointestinal bleeding, small bowel preparation, Crohn's disease, and small bowel tumor. A total of 20 key questions were selected. In preparing this guideline, MEDLINE, Cochrane library, KMbase, KISS, and KoreaMed literature searches were performed. After writing a draft of the guideline, opinions from various experts were reflected before approving the final document. The guideline should be regarded as recommendations only to gastroenterologists in providing care to their patients. These are not absolute rules and should not be construed as establishing a legal standard of care. Although further revision may be necessary as new data appear, this guideline is expected to play a role for adequate diagnostic approaches of various small bowel diseases.
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Original Article
- Performance and Cost of Disposable Biopsy Forceps in Upper Gastrointestinal Endoscopy: Comparison with Reusable Biopsy Forceps
- Chul-Hyun Lim, Myung-Gyu Choi, Won Chul Kim, Jin Soo Kim, Yu Kyung Cho, Jae Myung Park, In Seok Lee, Sang Woo Kim, Kyu Yong Choi, In-Sik Chung
- Clin Endosc 2012;45(1):62-66. Published online March 31, 2012
- DOI: https://doi.org/10.5946/ce.2012.45.1.62
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Abstract
PDFPubReaderePub
Background/Aims It is believed that disposable biopsy forceps are more costly than reusable biopsy forceps. In this study, we evaluated performance and cost of disposable forceps versus reusable forceps in esophagogastroduodenoscopic biopsy.
Methods Between October 2009 and July 2010, we enrolled 200 patients undergoing esophagogastroduodenoscopic biopsy at Seoul St. Mary's Hospital. Biopsies were performed with 100 disposable or 5 reusable forceps by random assignment. Seventy-five additional patients were studied to estimate durability of reusable forceps. The assisting nurses estimated the performance of the forceps. The evaluation of costs included purchase prices and reprocessing costs. The adequacy of the sample was estimated according to the diameter of the obtained tissue.
Results Performance of disposable forceps was estimated as excellent in 97.0%, good in 2.0% and adequate in 1.0%. Reusable forceps were estimated as excellent in 36.0%, good in 36.0%, adequate in 25.1% and inadequate in 2.9%. The performance of reusable forceps declined with the number of uses. The reprocessing cost of reusable forceps for one biopsy session was calculated as ₩8,021. The adequacy of the sample was excellent for both forceps.
Conclusions Disposable forceps showed excellent performance. Considering the reprocessing costs of reusable forceps, usage of disposable forceps with a low price should be considered.
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Review
- Current Advance in Small Bowel Tumors
- Dae Young Cheung, Myung-Gyu Choi
- Clin Endosc 2011;44(1):13-21. Published online September 30, 2011
- DOI: https://doi.org/10.5946/ce.2011.44.1.13
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Abstract
PDFPubReaderePub
Small intestinal tumors are difficult challenge to gastroenterologists. The difficulty in making a diagnosis of small intestinal tumor lies in the relative inaccessibility and absence of typical presentation. New endoscopic and radiologic technologies provide clear and fine anatomical visualization of the small bowel and are approved to improve the diagnostic sensitivity and accuracy. Patients at risk of small intestinal tumors might gain a benefit from proper surveillance with this new technology. Minimally invasive therapy is now available with advance of balloon assisted enteroscopy. This review describes the general aspect of the small intestinal tumors, focusing on the new modalities for diagnosis.
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Citations
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