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Case Reports
Esophageal Stricture Caused by the Ingestion of Undissolved Picosulfate Powder
Daehyun Kim, Byungha Cho, Jong Wook Choi, Ki Bae Kim, Seon Mee Park
Clin Endosc 2021;54(1):122-126.   Published online March 16, 2020
DOI: https://doi.org/10.5946/ce.2019.206
AbstractAbstract PDFPubReaderePub
Picosulfate solution is widely used as a small volume bowel cleansing agent and is considered to be effective and relatively safe. A case of a 75-year-old woman ingested picosulfate powder and drank a small volume of water, subsequently experienced severe burning pain in the chest. Endoscopy was performed and showed a submucosal hemorrhage and exudative ulcers at the mid to lower esophagus. At 2 weeks, her symptoms improved with conservative treatment. However, liquid food dysphagia developed 11 weeks after ingestion. A follow-up endoscopy revealed multiple esophageal strictures, which were treated with a fully covered metal stent and esophageal balloon dilation. Consequently, the esophageal strictures improved after one year. As this case demonstrates, detailed information about picosulfate powder ingestion after dissolving it in more than 200 mL of water should be presented to patients to avoid esophageal injury.

Citations

Citations to this article as recorded by  
  • Citric acid/magnesium oxide/sodium picosulfate

    Reactions Weekly.2021; 1868(1): 140.     CrossRef
  • 5,648 View
  • 141 Download
  • 1 Crossref
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Pneumoperitoneum after Endoscopic Duodenal Stent Insertion in a Patient with Percutaneous Transhepatic Biliary Drainage and Biliary Stent: A Case Report
Jinwoo Choi, Min Ji Lee, Hyodeok Lee, Yook Kim, Joung-Ho Han, Seon Mee Park
Clin Endosc 2019;52(3):288-292.   Published online August 29, 2018
DOI: https://doi.org/10.5946/ce.2018.128
AbstractAbstract PDFPubReaderePub
Early removal of a percutaneous transhepatic biliary drainage (PTBD) tube commonly causes pneumoperitoneum. However, we encountered a patient who developed pneumoperitoneum even with an indwelling PTBD tube. An 84-year-old man was admitted with type III combined duodenal and biliary obstruction secondary to metastatic bladder cancer. A biliary stent was placed using a percutaneous approach, and a duodenal stent was placed endoscopically. A large amount of subphrenic free air was detected after the procedures. Laboratory tests indicated intestinal perforation; however, peritoneal signs were absent. The patient was treated conservatively using an indwelling Levin tube. Seven days later, the massive amount of subphrenic free air disappeared. Follow-up tubography revealed unrestricted bile flow into the small intestine, and the PTBD tube was removed. Prolonged endoscopic procedures in patients with a PTBD tract communicating with the gastrointestinal tract can precipitate pneumoperitoneum. Clinicians should be careful to avoid misdiagnosing this condition as intestinal perforation.

Citations

Citations to this article as recorded by  
  • The characteristics of residual pneumoperitoneum after laparoscopic colorectal surgery
    Sotaro Fukuhara, Hiroyuki Egi, Masatoshi Kochi, Wataru Shimizu, Yuji Takakura, Kazuhiro Taguchi, Ikki Nakashima, Yusuke Sumi, Shintaro Akabane, Koki Sato, Hisaaki Yoshinaka, Yoshifumi Teraoka, Minoru Hattori, Hideki Ohdan
    Asian Journal of Endoscopic Surgery.2022; 15(2): 320.     CrossRef
  • 5,484 View
  • 122 Download
  • 1 Web of Science
  • 1 Crossref
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Papillary Cannulation Facilitated by Submucosal Saline Injection into an Intradiverticular Papilla
Kanglock Lee, Ji Wook Choi, Yunhyeong Lee, Joung-Ho Han, Seon Mee Park
Clin Endosc 2019;52(1):83-86.   Published online June 12, 2018
DOI: https://doi.org/10.5946/ce.2018.060
AbstractAbstract PDFPubReaderePub
Endoscopic retrograde cholangiopancreatography (ERCP) of the intradiverticular papilla with its invisible orifice remains challenging. Several techniques have been introduced to evert the papillary opening to facilitate cannulation. A 79-year-old woman with bile duct stones underwent ERCP, which revealed that the papilla was located inside a large diverticulum and tended to rotate inward with a trial of papillary cannulation. Submucosal papillary injection of 3 cc of normal saline was performed at 3 and 9 o’clock. Eversion and fixation of a papilla in the diverticulum with this technique allowed selective cannulation of the biliary tree. Stones were retrieved after endoscopic papillary balloon dilation without complications. She had an uneventful post-procedural course. Our findings suggest that submucosal saline injection technique is safe and effective for selective cannulation and can be recommended when cannulation is very difficult because of an intradiverticular papilla.

Citations

Citations to this article as recorded by  
  • Two-devices-in-one-channel method: a challenging cannulation of intradiverticular major papilla
    Renato Medas, Eduardo Rodrigues-Pinto, Pedro Pereira, Guilherme Macedo
    VideoGIE.2024; 9(3): 141.     CrossRef
  • Periampullary submucosal saline injection to facilitate intradiverticular papillary biliary cannulation
    Jad P. AbiMansour, Ryan J. Law
    VideoGIE.2024;[Epub]     CrossRef
  • A “One Accessory and One Guidewire-in-One Channel” Technique in a Patient with Billroth II Anastomosis
    Kook Hyun Kim, Sung Bum Kim, Tae Nyeun Kim
    Clinical Endoscopy.2021; 54(1): 139.     CrossRef
  • Difficult Biliary Cannulation in Endoscopic Retrograde Cholangiopancreatography: An Overview of Advanced Techniques
    Brian M. Fung, Teodor C. Pitea, James H. Tabibian
    EMJ Hepatology.2021; : 73.     CrossRef
  • Make mission impossible successful: clip-with-line traction facilitates difficult pancreatic duct cannulation in a patient with duodenal duplication
    Wei-hui Liu, Zhao-shen Li, Dong Wang
    Endoscopy.2020; 52(09): E346.     CrossRef
  • 6,426 View
  • 214 Download
  • 2 Web of Science
  • 5 Crossref
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Two Cases of Plug or Stone in Remnant Intrapancreatic Choledochal Cysts Treated with Endoscopic Retrograde Cholangiopancreatography
Eunbee Kim, Min Ho Kang, Jisun Lee, Hanlim Choi, Jae-Woon Choi, Joung-Ho Han, Seon Mee Park
Clin Endosc 2017;50(5):504-507.   Published online February 16, 2017
DOI: https://doi.org/10.5946/ce.2017.012
AbstractAbstract PDFPubReaderePub
Incomplete resection of choledochal cysts (CCs) that extend deep into the pancreas can lead to protein plug or stone formation, pancreatitis, and cholangiocarcinoma. We encountered two cases of choledocholithiasis in remnant intrapancreatic CCs (IPCCs), in which the patients exhibited symptoms after 3 and 21 years of cyst excision. A 21-year-old woman who had undergone excision of a CC, as a neonate, presented with epigastric pain. Abdominal computed tomography (CT) revealed stones inside the remnant pancreatic cyst, which were removed by endoscopic retrograde cholangiopancreatography (ERCP), and her symptoms improved. A 33-year-old woman, who underwent cyst excision 3 years ago, presented with pancreatitis. Abdominal CT showed a radiolucent plug inside the remnant pancreatic cyst. The soft, whitish plug was removed by ERCP, and the pancreatitis improved. These cases indicate that plugs and stones in CCs have the same pathogenetic mechanism, and their form depends on the time since the incomplete excision surgery.

Citations

Citations to this article as recorded by  
  • Choledochal cysts – state of the art
    Thanh Liem Nguyen, V. S. Cheremnov, Yu. A. Kozlov
    Russian Journal of Pediatric Surgery.2021; 25(1): 37.     CrossRef
  • 6,945 View
  • 130 Download
  • 1 Crossref
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Repair of an Endoscopic Retrograde Cholangiopancreatography-Related Large Duodenal Perforation Using Double Endoscopic Band Ligation and Endoclipping
Keunmo Kim, Eun Bee Kim, Yong Hyeok Choi, Youngmin Oh, Joung-Ho Han, Seon Mee Park
Clin Endosc 2017;50(2):202-205.   Published online September 13, 2016
DOI: https://doi.org/10.5946/ce.2016.112
AbstractAbstract PDFPubReaderePub
Endoscopic closure techniques have been introduced for the repair of duodenal wall perforations that occur during endoscopic retrograde cholangiopancreatography (ERCP). We report a case of successful repair of a large duodenal wall perforation by using double endoscopic band ligation (EBL) and an endoclip. Lateral duodenal wall perforation occurred during ERCP in a 93-year-old woman with acute calculous cholangitis. We switched to a forward endoscope that had a transparent band apparatus. A 2.0-cm ovalshaped perforation was found at the lateral duodenal wall. We repaired the perforation by sequentially performing double EBL and endoclipping. The first EBL was performed at the proximal edge of the perforation orifice, and two-thirds of the perforation were repaired. The second EBL, which also included the contents covered under the first EBL, repaired the defect almost completely. Finally, to account for the possible presence of a residual perforation, an endoclip was applied at the distal end of the perforation. The detection and closure of the perforation were completed within 10 minutes. We suggest that double EBL is an effective method for closure.

Citations

Citations to this article as recorded by  
  • Endoscopic treatment of ERCP-related duodenal perforation
    Nicole Evans, James L. Buxbaum
    Techniques in Gastrointestinal Endoscopy.2019; 21(2): 83.     CrossRef
  • 8,853 View
  • 183 Download
  • 2 Web of Science
  • 1 Crossref
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Review
Recent Advanced Endoscopic Management of Endoscopic Retrograde Cholangiopancreatography Related Duodenal Perforations
Seon Mee Park
Clin Endosc 2016;49(4):376-382.   Published online July 29, 2016
DOI: https://doi.org/10.5946/ce.2016.088
AbstractAbstract PDFPubReaderePub
The management strategy for endoscopic retrograde cholangiopancreatography-related duodenal perforation can be determined based on the site and extent of injury, the patient’s condition, and time to diagnosis. Most cases of perivaterian or bile duct perforation can be managed with a biliary stent or nasobiliary drainage. Duodenal wall perforations had been treated with immediate surgical repair. However, with the development of endoscopic devices and techniques, endoscopic closure has been reported to be a safe and effective treatment that uses through-the-scope clips, ligation band, fibrin glue, endoclips and endoloops, an over-the-scope clipping device, suturing devices, covering luminal stents, and open-pore film drainage. Endoscopic therapy could be instituted in selected patients in whom perforation was identified early or during the procedure. Early diagnosis, proper conservative management, and effective endoscopic closure are required for favorable outcomes of non-surgical management. If endoscopic treatment fails, or in the cases of clinical deterioration, prompt surgical management should be considered.

Citations

Citations to this article as recorded by  
  • ERCP-induced perforation: review and revisit after half a century
    Abdel Rahman A. A. Al Manasra, Zaid Mesmar, Tarek Manasreh, Hanan M . Hammouri, Anas Husein, Khaled Jadallah, Mohammed Bani hani, Niazy Abu Farsakh, Shatha K. Shahwan, Doaa Al-qaoud, Jehad Fataftah
    F1000Research.2024; 12: 612.     CrossRef
  • ERCP-induced perforation: review and revisit after half a century
    Abdel Rahman A. A. Al Manasra, Zaid Mesmar, Tarek Manasreh, Hanan M . Hammouri, Anas Husein, Khaled Jadallah, Mohammed Bani hani, Niazy Abu Farsakh, Shatha K. Shahwan, Doaa Al-qaoud, Jehad Fataftah
    F1000Research.2023; 12: 612.     CrossRef
  • Fully covered self-expandable metal stent for intraprocedural or late-diagnosed Type-II endoscopic retrograde cholangiopancreatography-related perforations
    Osman Bozbiyik, Bartu Cetin, Tufan Gumus, Fatih Tekin, Alper Uguz
    BMC Gastroenterology.2022;[Epub]     CrossRef
  • Clinical analysis of 45 cases of perforation were identified during endoscopic retrograde cholangiopancreatography procedure
    Yin-Shui Miao, Yuan-Yuan Li, Bo-Wen Cheng, Yan-Fang Zhan, Sheng Zeng, Xiao-Jiang Zhou, You-Xiang Chen, Nong-Hua Lv, Guo-Hua Li
    Frontiers in Medicine.2022;[Epub]     CrossRef
  • AGA Clinical Practice Update on Endoscopic Management of Perforations in Gastrointestinal Tract: Expert Review
    Jeffrey H. Lee, Prashant Kedia, Stavros N. Stavropoulos, David Carr-Locke
    Clinical Gastroenterology and Hepatology.2021; 19(11): 2252.     CrossRef
  • Evaluation of complications after endoscopic retrograde cholangiopancreatography using a short type double balloon endoscope in patients with altered gastrointestinal anatomy: a single‐center retrospective study of 1,576 procedures
    Mitsuo Tokuhara, Masaaki Shimatani, Toshiyuki Mitsuyama, Masataka Masuda, Takashi Ito, Sachi Miyamoto, Norimasa Fukata, Hideaki Miyoshi, Tsukasa Ikeura, Makoto Takaoka, Katsuyasu Kouda, Kazuichi Okazaki
    Journal of Gastroenterology and Hepatology.2020; 35(8): 1387.     CrossRef
  • Retracted: Endoscopic Treatment of Endoscopic Retrograde Cholangiopancreatography-Related Duodenal Perforations
    Ding Shi, Jian feng Yang, Yong pan Liu
    Journal of Laparoendoscopic & Advanced Surgical Techniques.2019; 29(3): 385.     CrossRef
  • Duodenal perforation after the cutting an ENPD tube in a patient with pancreatic cancer and acute suppurative pancreatic ductitis
    Akihisa OHNO, Nao FUJIMORI, Kazuhide MATSUMOTO, Katsuhito TERAMATSU, Yu TAKAMATSU, Masami MIKI, Takehiro TAKAOKA, Takamasa OONO
    Suizo.2019; 34(1): 30.     CrossRef
  • Endoscopic treatment of ERCP-related duodenal perforation
    Nicole Evans, James L. Buxbaum
    Techniques in Gastrointestinal Endoscopy.2019; 21(2): 83.     CrossRef
  • Endoscopic management of iatrogenic gastrointestinal perforations
    Kan Wang, Jihao Shi, Linna Ye
    Laparoscopic, Endoscopic and Robotic Surgery.2019; 2(2): 41.     CrossRef
  • The Management of Duodenal Perforation: Change Over Time. A Case Series and Literature Review
    Amit Nehra, Rajesh Godara
    Hellenic Journal of Surgery.2019; 91(5-6): 159.     CrossRef
  • A Case of Unresolved and Worsening Retroperitoneal Abscess
    Raghav Bansal, Mohamed Barakat, Soohwan Chun, Sonam Rosberger, Joel Baum, Melik Tiba
    Case Reports in Gastrointestinal Medicine.2018; 2018: 1.     CrossRef
  • On the feasibility of the computational modelling of the endoluminal vacuum-assisted closure of an oesophageal anastomotic leakage
    Ester Comellas, Facundo J. Bellomo, Iván Rosales, Luis F. del Castillo, Ricardo Sánchez, Pau Turon, Sergio Oller
    Royal Society Open Science.2018; 5(2): 171289.     CrossRef
  • Endoscopic retrograde cholangiopancreatography complications: Techniques to reduce risk and management strategies
    Paul R. Tarnasky, Prashant Kedia
    International Journal of Gastrointestinal Intervention.2017; 6(1): 37.     CrossRef
  • A systematic review of the management and outcome of ERCP related duodenal perforations using a standardized classification system
    Roberto Cirocchi, Michael Denis Kelly, Ewen A. Griffiths, Renata Tabola, Massimo Sartelli, Luigi Carlini, Stefania Ghersi, Salomone Di Saverio
    The Surgeon.2017; 15(6): 379.     CrossRef
  • 11,750 View
  • 297 Download
  • 14 Web of Science
  • 15 Crossref
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Original Articles
Endoluminal Closure of Colon Perforation with Endoscopic Band Ligation: Technical Feasibility and Safety in an In Vivo Canine Model
Joung-Ho Han, Myounghwan Kim, Tae Hoon Lee, Hyun Kim, Yunho Jung, Seon Mee Park, Heebok Chae, Seijin Youn, Ji Yun Shin, In-Kwang Lee, Tae Soo Lee, Seok Hwa Choi
Clin Endosc 2015;48(6):534-541.   Published online November 30, 2015
DOI: https://doi.org/10.5946/ce.2015.48.6.534
AbstractAbstract PDFPubReaderePub
Background
/Aims: Endoscopic band ligation (EBL) is an accepted method in the management of variceal bleeding; however, there is little evidence on the safety and feasibility of EBL for the closure of bowel perforation. In this study, we aimed to evaluate the technical feasibility and efficacy of EBL in iatrogenic colon perforation by using a canine model.
Methods
We established an iatrogenic colon perforation model by using seven beagle dogs. Longitudinal 1.5- to 1.7-cm colon perforations were created with a needle knife and an insulated-tip knife, and the perforation was subsequently closed with EBL. During a 2-week follow-up period, the animals were carefully monitored and then euthanized for pathologic examination.
Results
The EBL of iatrogenic colon perforations was successful in all dogs. The mean procedure time for EBL closure with one to three bands was 191.7 seconds, and there were no immediate complications. One animal was euthanized after 3 days because of peritonitis. There were no clinical and laboratory features of sepsis or peritonitis in the remaining six animals. On necropsy, we did not find any fecal peritonitis, pericolonic abscess formation, or transmural dehiscence at the perforation site. Histopathology demonstrated inflamed granulation tissue and scar lesions replaced by fibrosis.
Conclusions
EBL might be a feasible and safe method for the management of iatrogenic colon perforations in an in vivo model.

Citations

Citations to this article as recorded by  
  • Endoscopic Management of Iatrogenic Colon Perforation
    Yunho Jung
    Clinical Endoscopy.2020; 53(1): 29.     CrossRef
  • Endoluminal closure of an unrecognized penetrating stab wound of the duodenum with endoscopic band ligation: A case report
    Dae Hoon Kim, Hanlim Choi, Ki Bae Kim, Hyo Yung Yun, Joung-Ho Han
    World Journal of Clinical Cases.2019; 7(20): 3271.     CrossRef
  • Endoscopic management of iatrogenic gastrointestinal perforations
    Kan Wang, Jihao Shi, Linna Ye
    Laparoscopic, Endoscopic and Robotic Surgery.2019; 2(2): 41.     CrossRef
  • Endoscopic Band Ligation Is Able to Close Perforations Caused by Colonoscopy: A Porcine Model Study
    Yidong Yang, Xianyi Lin, Siwei Tan, Xiaoli Huang, Zijun Xie, Xuan Xu, Yiming Lei, Bin Wu
    Gastroenterology Research and Practice.2018; 2018: 1.     CrossRef
  • 10,385 View
  • 79 Download
  • 3 Web of Science
  • 4 Crossref
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Efficacy and Safety of Endoscopic Papillary Balloon Dilation Using Cap-Fitted Forward-Viewing Endoscope in Patients Who Underwent Billroth II Gastrectomy
Jong Soon Jang, Seungho Lee, Hee Seung Lee, Myeong Ho Yeon, Joung-Ho Han, Soon Man Yoon, Hee Bok Chae, Sei Jin Youn, Seon Mee Park
Clin Endosc 2015;48(5):421-427.   Published online September 30, 2015
DOI: https://doi.org/10.5946/ce.2015.48.5.421
AbstractAbstract PDFPubReaderePub
Background/Aims

Endoscopic exploration of the common bile duct (CBD) is difficult and dangerous in patients with Billroth II gastrectomy (B-II). Endoscopic papillary balloon dilation (EPBD) via a cap-fitted forward-viewing endoscope has been reported to be an effective and safe procedure. We analyzed the technical success and complications of EPBD in patients who underwent B-II.

Methods

Thirty-six consecutive patients with B-II were enrolled from among 2,378 patients who had undergone endoscopic retrograde cholangiopancreatography in a single institute in the last 4 years. The EPBD procedure was carried out using a cap-fitted forward-viewing endoscope with 8-mm balloon catheters for 60 seconds. We analyzed the rates of CBD exploration, technical success, and complications.

Results

Afferent loop intubation was performed in all patients and selective cannulation of the bile duct was performed in 32 patients (88.9%). Complications such as transient hypoxia were observed in two patients (5.6%) and perforation, in three patients (9.7%). The perforation sites were ductal injury in two patients and one patient showed retroperitoneal air alone without symptoms. Three patients manifested different clinical courses of severe acute pancreatitis and peritonitis, transient abdominal pain, and retroperitoneal air alone. The condition of one patient improved with surgery and that of the other two patients, with conservative management.

Conclusions

Patients with perforation during EPBD in B-II showed different clinical courses. Tailored treatment strategies are necessary for improving the clinical outcomes.

Citations

Citations to this article as recorded by  
  • A “One Accessory and One Guidewire-in-One Channel” Technique in a Patient with Billroth II Anastomosis
    Kook Hyun Kim, Sung Bum Kim, Tae Nyeun Kim
    Clinical Endoscopy.2021; 54(1): 139.     CrossRef
  • Which scope is appropriate for endoscopic retrograde cholangiopancreatography after Billroth II reconstruction: An esophagogastroduodenoscope or a colonoscope?
    Mitsuru Sugimoto, Tadayuki Takagi, Rei Suzuki, Naoki Konno, Hiroyuki Asama, Yuki Sato, Hiroki Irie, Ko Watanabe, Jun Nakamura, Hitomi Kikuchi, Mika Takasumi, Minami Hashimoto, Tsunetaka Kato, Takuto Hikichi, Hiromasa Ohira
    World Journal of Gastrointestinal Endoscopy.2020; 12(8): 220.     CrossRef
  • Recent advances in endoscopic retrograde cholangiopancreatography in Billroth II gastrectomy patients: A systematic review
    Tae Young Park, Tae Jun Song
    World Journal of Gastroenterology.2019; 25(24): 3091.     CrossRef
  • Challenges of endoscopic retrograde cholangiopancreatography in patients with Billroth II gastrointestinal anatomy: A review article
    Rabbinu Rangga Pribadi, Abdul Aziz Rani, Murdani Abdullah
    Journal of Digestive Diseases.2019; 20(12): 631.     CrossRef
  • Endoscopic retrograde cholangiopancreatography in Billroth II gastrectomy patients: Outcomes and potential factors affecting technical failure
    Jia-Su Li, Duo-Wu Zou, Zhen-Dong Jin, Jie Chen, Xin-Gang Shi, Zhao-Shen Li, Feng Liu
    Saudi Journal of Gastroenterology.2019; 25(6): 355.     CrossRef
  • Endoscopic Management of Difficult Bile Duct Stones
    Murad Aburajab, Kulwinder Dua
    Current Gastroenterology Reports.2018;[Epub]     CrossRef
  • Forward-viewing endoscope for ERCP in patients with Billroth II gastrectomy: a systematic review and meta-analysis
    Tae Young Park, Chang Seok Bang, Sang Hyeon Choi, Young Joo Yang, Suk Pyo Shin, Ki Tae Suk, Gwang Ho Baik, Dong Joon Kim, Jai Hoon Yoon
    Surgical Endoscopy.2018; 32(11): 4598.     CrossRef
  • Self-expandable metal stents for choledocholithiasis in Billroth II gastrectomy patients
    Min-Gui Han, Eunae Cho, Chang-Hwan Park, Chung-Hwan Jun, Seon-Young Park
    Hepatobiliary & Pancreatic Diseases International.2018; 17(6): 546.     CrossRef
  • Recent Advanced Endoscopic Management of Endoscopic Retrograde Cholangiopancreatography Related Duodenal Perforations
    Seon Mee Park
    Clinical Endoscopy.2016; 49(4): 376.     CrossRef
  • 8,969 View
  • 77 Download
  • 10 Web of Science
  • 9 Crossref
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Diagnostic Accuracy of the Initial Endoscopy for Ampullary Tumors
Hee Seung Lee, Jong Soon Jang, Seungho Lee, Myeong Ho Yeon, Ki Bae Kim, Jae Geun Park, Joo Young Lee, Mi Jin Kim, Joung-Ho Han, Rohyun Sung, Seon Mee Park
Clin Endosc 2015;48(3):239-246.   Published online May 29, 2015
DOI: https://doi.org/10.5946/ce.2015.48.3.239
AbstractAbstract PDFPubReaderePub
Background/Aims

Ampullary tumors come in a wide variety of malignant forms. We evaluated the diagnostic accuracy of endoscopy for ampullary tumors, and analyzed the causes of misdiagnosis.

Methods

We compared endoscopic imaging and biopsy results to final diagnoses. Types of endoscope, numbers of biopsy specimens taken, and final diagnoses were evaluated as possible factors influencing diagnostic accuracy.

Results

Final diagnoses were 19 adenocarcinomas, 18 normal or papillitis, 11 adenomas, two adenomyomas, one paraganglioma, and one neuroendocrine tumor. The diagnostic accuracy of endoscopic imaging or the initial biopsy was identical (67.3%). At least one test was concordant with the final diagnosis in all except two cases. Compared with the final diagnosis, endoscopic imaging tended to show more advanced tumors, whereas the initial biopsy revealed less advanced lesions. The diagnostic accuracy of the initial biopsy was influenced by the type of endoscope used and the final diagnosis, but not by the number of biopsies taken.

Conclusions

Endoscopy has limited accuracy in the diagnosis of ampullary tumors. However, most cases with concordant endoscopic imaging and biopsy results are identical to the final diagnosis. Therefore, in cases where both of these tests disagree, re-evaluation with a side-viewing endoscope after resolution of papillitis is required.

Citations

Citations to this article as recorded by  
  • The Optimal Cutoff Value of Tumor Markers for Prognosis Prediction in Ampullary Cancer
    Seungho Lee, Hongbeom Kim, Heeju Sohn, Mirang Lee, Hyesol Jung, Youngjae Jo, Youngmin Han, Wooil Kwon, Jin-Young Jang
    Cancers.2023; 15(8): 2281.     CrossRef
  • Outcomes of endoscopic papillectomy of ampullary carcinoma and factors affecting additional surgery
    Yoshihisa Takada, Takuya Ishikawa, Kentaro Yamao, Yasuyuki Mizutani, Tadashi Iida, Kota Uetsuki, Noriaki Gibo, Eizaburo Ohno, Hiroki Kawashima
    Journal of Hepato-Biliary-Pancreatic Sciences.2023;[Epub]     CrossRef
  • Obstrucción biliar por adenomioma de la ampolla de Vater
    Francisco Ramos-Muñoz, Luis Carlos Hinojosa-Arco, Jorge Francisco Roldán-de la Rúa, Ana Isabel García-Salguero, Miguel Ángel Suárez-Muñoz
    Gastroenterología y Hepatología.2022; 45: 69.     CrossRef
  • Adenomatous neoplasia in the papilla of Vater endoscopic and/or surgical resection?
    Erik Haraldsson, Asif Halimi, Elena Rangelova, Roberto Valente, J. Matthias Löhr, Urban Arnelo
    Surgical Endoscopy.2022; 36(4): 2401.     CrossRef
  • Endoscopic Papillectomy
    Sara Teles de Campos, Marco J. Bruno
    Gastrointestinal Endoscopy Clinics of North America.2022; 32(3): 545.     CrossRef
  • Efficacy and Safety of Exploring Deeper Sections of the Infrapapillary Area of the Duodenum by Using Sedative Esophagogastroduodenoscopy
    Ming-Tse Hsu, Chi-Yi Chen, Kai-Sheng Liao, Wei-Sheng Chung, Tatsuya Toyokawa
    Gastroenterology Research and Practice.2022; 2022: 1.     CrossRef
  • Ampullary Adenocarcinoma: a Mini-Review and a Case Report of a Clinically Stable Disease Patient Treated with Herbal Supplements
    Khin Maung Lwin, Ye Htut Linn, Yamin Kyaw Swar Dee
    Journal of Gastrointestinal Cancer.2021; 52(2): 750.     CrossRef
  • Proposed nomogram predicting neoplastic ampullary obstruction in patients with a suspected ampulla of Vater lesion on CT
    Soo Young Jang, Jin Sil Kim, Seung Yon Baek, Hye Ah Lee, Jeong Kyong Lee
    Abdominal Radiology.2021; 46(7): 3128.     CrossRef
  • Long‐term outcomes of endoscopic papillectomy for early‐stage cancer in duodenal ampullary adenoma: Comparison to surgical treatment
    Jun Seong Hwang, Hoonsub So, Dongwook Oh, Tae Jun Song, Do Hyun Park, Dong‐Wan Seo, Sung Koo Lee, Myung‐Hwan Kim, Seung‐Mo Hong, Jungho Yang, Sang Soo Lee
    Journal of Gastroenterology and Hepatology.2021; 36(8): 2315.     CrossRef
  • Endoscopic management of ampullary tumors: European Society of Gastrointestinal Endoscopy (ESGE) Guideline
    Geoffroy Vanbiervliet, Marin Strijker, Marianna Arvanitakis, Arthur Aelvoet, Urban Arnelo, Torsten Beyna, Olivier Busch, Pierre H. Deprez, Lumir Kunovsky, Alberto Larghi, Gianpiero Manes, Alan Moss, Bertrand Napoleon, Manu Nayar, Enrique Pérez-Cuadrado-Ro
    Endoscopy.2021; 53(04): 429.     CrossRef
  • Predictive factor of recurrence after endoscopic papillectomy for ampullary neoplasms
    Kosuke Takahashi, Eisuke Ozawa, Ichiro Yasuda, Naohiro Komatsu, Hisamitsu Miyaaki, Ken Ohnita, Takuji Yamao, Kazuo Oba, Tatsuki Ichikawa, Kazuhiko Nakao
    Journal of Hepato-Biliary-Pancreatic Sciences.2021; 28(7): 625.     CrossRef
  • Surgical ampullectomy: A comprehensive review
    Darren L Scroggie, Vasileios K Mavroeidis
    World Journal of Gastrointestinal Surgery.2021; 13(11): 1338.     CrossRef
  • Endoscopic treatment of benign ampullary tumors
    I.Y. Nedoluzhko, E.I. Khon, K.V. Shishin, L.V. Shumkina, N.A. Kurushkina
    Dokazatel'naya gastroenterologiya.2021; 10(4): 67.     CrossRef
  • Methods and outcome of the endoscopic treatment of ampullary tumors
    Jan-Werner Poley, Sara Campos
    Therapeutic Advances in Gastrointestinal Endoscopy.2020; 13: 263177451989978.     CrossRef
  • Signet-ring cell carcinoma of the ampulla of Vater: a case diagnosed via repeated biopsies
    Chisaki Ikeda, Naohiko Makino, Akiko Matsuda, Yasuharu Kakizaki, Tetsuya Ishizawa, Toshikazu Kobayashi, Shinpei Sugahara, Mayo Nishiduka, Michihiko Tsunoda, Junichiroh Haga, Rikiya Tsunoda, Yoshiyuki Ueno
    Clinical Journal of Gastroenterology.2020; 13(4): 607.     CrossRef
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    Woo Hyun Paik, Jin-Hyeok Hwang
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    Ali Rıza KÖKSAL, Hüseyin ALKIM, Salih BOĞA, İlker ŞEN, Mehmet BAYRAM, Özgür BOSTANCI, Banu YILMAZ ÖZGÜVEN, Canan ALKIM
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Case Reports
Abdominal Compartment Syndrome in Severe Acute Pancreatitis Treated with Percutaneous Catheter Drainage
Soonyoung Park, Seungho Lee, Hyo Deok Lee, Min Kim, Kyeongmin Kim, Yusook Jeong, Seon Mee Park
Clin Endosc 2014;47(5):469-472.   Published online September 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.5.469
AbstractAbstract PDFPubReaderePub

Acute pancreatitis is one of the main causes of intra-abdominal hypertension (IAH). IAH contributes to multiple physiologic alterations and leads to the development of abdominal compartment syndrome (ACS) that induces multiorgan failure. We report a case of ACS in a patient with severe acute pancreatitis. A 44-year-old man who was admitted in a drunk state was found to have severe acute pancreatitis. During management with fluid resuscitation in an intensive care unit, drowsy mentality, respiratory acidosis, shock requiring inotropes, and oliguria developed in the patient, with his abdomen tensely distended. With a presumptive diagnosis of ACS, abdominal decompression through percutaneous catheter drainage was performed immediately. The intraperitoneal pressure measured with a drainage catheter was 31 mm Hg. After abdominal decompression, the multiorgan failure was reversed. We present a case of ACS managed with percutaneous catheter decompression.

Citations

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    Rita Jacobs, Robert D. Wise, Ivan Myatchin, Domien Vanhonacker, Andrea Minini, Michael Mekeirele, Andrew W. Kirkpatrick, Bruno M. Pereira, Michael Sugrue, Bart De Keulenaer, Zsolt Bodnar, Stefan Acosta, Janeth Ejike, Salar Tayebi, Johan Stiens, Colin Cord
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    Elizabeth Chabot, Ram Nirula
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    Liye Liu, Hongtao Yan, Weihui Liu, Jianfeng Cui, Tao Wang, Ruiwu Dai, Hongyin Liang, Hao Luo, Lijun Tang
    Journal of Clinical Gastroenterology.2015; 49(9): 757.     CrossRef
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A Case of Choledocholithiasis and Intestinal Malrotation in an Adolescent with Repaired Gastroschisis
Byung Chul Kim, Ki Bae Kim, Eui Joong Kim, Soonyoung Park, Dong-Hwa Lee, Eun Bee Kim, Hee Bok Chae, Seon Mee Park
Clin Endosc 2014;47(2):201-204.   Published online March 31, 2014
DOI: https://doi.org/10.5946/ce.2014.47.2.201
AbstractAbstract PDFPubReaderePub

Most infants with repaired gastroschisis develop normally and remain in good health. About 10% of patients with gastroschisis have other malformations. We report a case of choledocholithiasis and intestinal malrotation in an adolescent with repaired gastroschisis. A 17-year-old girl presented with fever, jaundice, and abdominal pain. She had undergone an operation to repair gastroschisis at birth. Physical examination revealed icteric sclera, a tight abdominal wall, and a longitudinal surgical scar at the midline. An abdominal computed tomography scan revealed a round calcifying lesion near the pancreas and a midline-positioned liver and gallbladder. Absence of the retroperitoneal duodenum and the anterior and left-sided position of the superior mesenteric vein compared with the superior mesenteric artery were observed. Results of abarium examination revealed intestinal malrotation. Endoscopic retrograde cholangiopancreatography revealed diffuse dilatation of the biliary trees and a malpositioned gallbladder. A single stone was removed by using a basket. The clinical symptoms improved after the patient underwent endoscopic retrograde cholangiopancreatography.

Citations

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    Matthias Breidert, Markus Weber, Stefan Wildi
    Gastroenterology.2020; 159(5): 1660.     CrossRef
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  • 48 Download
  • 1 Web of Science
  • 1 Crossref
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Erratum
Erratum: Extended Spectrum-β-Lactamase or Carbapenemase Producing Bacteria Isolated from Patients with Acute Cholangitis
Ja Chung Goo, Mun Hyuk Seong, Young Kwang Shim, Hee Seung Lee, Jung-Ho Han, Kyeong Seob Shin, Jae-Woon Choi, Sei Jin Youn, Seon Mee Park
Clin Endosc 2012;45(4):453-453.   Published online November 30, 2012
DOI: https://doi.org/10.5946/ce.2012.45.4.453
Corrects: Clin Endosc 2012;45(2):155
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Original Article
Extended Spectrum-β-Lactamase or Carbapenemase Producing Bacteria Isolated from Patients with Acute Cholangitis
Ja Chung Goo, Mun Hyuk Seong, Young Kwang Shim, Hee Seung Lee, Jung-Ho Han, Kyeong Seob Shin, Jae-Woon Choi, Sei Jin Youn, Seon Mee Park
Clin Endosc 2012;45(2):155-160.   Published online June 30, 2012
DOI: https://doi.org/10.5946/ce.2012.45.2.155
Correction in: Clin Endosc 2012;45(4):453
AbstractAbstract PDFPubReaderePub
Background/Aims

This study assessed the antibiotic resistance organisms isolated from the blood and bile of acute cholangitis and evaluated risk factors associated with them and their impact on clinical outcomes.

Methods

The identities and antibiotic resistance profiles of bacteria isolated from 433 cases of acute cholangitis from 346 patients were analyzed. Risk factors and the outcomes of patients infected with them were assessed.

Results

Microorganisms were isolated from 266 of 419 blood cultures and 256 of 260 bile cultures. Isolates from bile and blood were identical in 71% of the cases. A total of 20 extended spectrum-β-lactamase (ESBL)-producers and 4 carbapenemase-producing organisms were isolated from blood, and 34 ESBL-producers and 13 carbapenemase-producers were isolated from bile. Sixty-four (14.8%) cases were infected with any one of these bacteria isolated from blood or bile. Risk factors associated with them in blood were nosocomial infection and prior biliary intervention. In bile, indwelling biliary device was a risk factor associated with them. Antibiotic-resistant bacteria were associated with mortality, independent of other prognostic factors.

Conclusions

ESBL or carbapenemase-producing bacteria were frequently isolated in acute cholangitis patients especially with prior biliary intervention and nosocomial infection. Isolation of antibiotic-resistant bacteria was an independent risk factor of mortality.

Citations

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    Patrick W. Chang, Aileen Bui, Selena Zhou, Ara B. Sahakian, James L. Buxbaum, Jennifer Phan
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    Han Taek Jeong, Jeong Eun Song, Ho Gak Kim, Jimin Han
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    Marina Simeonova, Nick Daneman, Philip W Lam, Marion Elligsen
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    Sang-Heum Park
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Noticement
Noticement: Comparison of Midazolam Alone versus Midazolam Plus Propofol during Endoscopic Submucosal Dissection
Young Shim Cho, Euikeun Seo, Jung-Ho Han, Soon Man Yoon, Hee Bok Chae, Seon Mee Park, Sei Jin Youn
Clin Endosc 2012;45(1):108-108.   Published online March 31, 2012
DOI: https://doi.org/10.5946/ce.2012.45.1.108
Retracts: Clin Endosc 2011;44(1):22
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Citations

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  • Conscious sedation using propofol versus midazolam in cirrhotic patients during upper GI endoscopy: A comparative study
    Essam A Wahab, Emad F Hamed, Hanan S Ahmad, Sameh M Abdel Monem, Talaat Fathy
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  • 4,843 View
  • 35 Download
  • 1 Crossref
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Original Article
Comparison of Midazolam Alone versus Midazolam Plus Propofol during Endoscopic Submucosal Dissection
Young Shim Cho, Euikeun Seo, Jung-Ho Han, Soon Man Yoon, Hee Bok Chae, Seon Mee Park, Sei Jin Youn
Clin Endosc 2011;44(1):22-26.   Published online September 30, 2011
DOI: https://doi.org/10.5946/ce.2011.44.1.22
Retraction in: Clin Endosc 2012;45(1):108
  • 5,115 View
  • 36 Download
  • 3 Crossref
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