Clinical Endoscopy

Original Articles

Current status and clinical outcome of endoscopic hemostatic powder in gastrointestinal bleeding: a retrospective multicenter study: Zie Hae Lim, Seung In Seo, Dae-Seong Myung, Seung Han Kim, Han Hee Lee, Selen Kim, Bo-In Lee; Clin Endosc 2024;57(5):620-627. Published online March 8, 2024; DOI: https://doi.org/10.5946/ce.2023.179

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Background
/Aims: Few multicenter studies have investigated the efficacy of hemostatic powders in gastrointestinal (GI) bleeding. We aimed to investigate the clinical outcomes of hemostatic powder therapy and the independent factors affecting rebleeding rates.
Methods
We retrospectively recruited patients who underwent a new hemostatic adhesive powder (UI-EWD; Next-Biomedical) treatment for upper and lower GI bleeding between January 1, 2020 and March 1, 2023. We collected patients’ medical records and bleeding lesions. The primary outcomes were clinical and technical success rates, and the secondary outcomes were early, delayed, and refractory bleeding, mortality, and factors affecting early rebleeding rates.
Results
This study enrolled 135 patients (age: 67.7±13.6 years, male: 74.1%) from five hospitals. Indications for UI-EWD were peptic ulcers (51.1%), post-procedure-related bleeding (23.0%), and tumor bleeding (19.3%). The clinical and technical success rates were both 97%. The early, delayed, and refractory rebleeding rates were 19.3%, 11.1%, and 12.8%, respectively. Initially elevated blood urea nitrogen (BUN) levels (p=0.014) and Forrest classification IA or IB compared with IIA or IIB (p=0.036) were factors affecting early rebleeding.
Conclusions
UI-EWD showed high clinical and technical success rates; however, rebleeding after UI-EWD therapy in patients with initially high BUN levels and active bleeding, according to the Forrest classification, should be considered.

Citations

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Endoscopic hemostatic powder as a salvage treatment for acute gastrointestinal bleeding
Duc Trong Quach
Clinical Endoscopy.2024; 57(5): 606. CrossRef

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Clinicopathological Features of Small Bowel Tumors Diagnosed by Video Capsule Endoscopy and Balloon-Assisted Enteroscopy: A Single Center Experience: Ah Young Yoo, Beom Jae Lee, Won Shik Kim, Seong Min Kim, Seung Han Kim, Moon Kyung Joo, Hyo Jung Kim, Jong-Jae Park; Clin Endosc 2021;54(1):85-91. Published online August 31, 2020; DOI: https://doi.org/10.5946/ce.2020.047

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Background
/Aims: Small bowel malignancies often present a diagnostic challenge due to their relative rarity and nonspecific clinical symptoms. However, technical developments in endoscopic instruments, including video capsule endoscopy (VCE) and enteroscopy, have allowed for the visualization of the entire small bowel. This study aimed to investigate the clinicopathological features of small bowel malignant tumors diagnosed by VCE and double-balloon enteroscopy (DBE) in a single tertiary center.
Methods
We retrospectively analyzed VCE and DBE findings from Korea University Guro Hospital from January 2010 through September 2018.
Results
A total of 510 VCE and 126 DBE examinations were performed in 438 patients. Small bowel malignancies were diagnosed in 28 patients (15 males; mean age, 61.0 years; range, 42 to 81 years). Among them, 8 had lymphoma, 8 had primary adenocarcinoma, 7 had gastrointestinal stromal tumor (GIST) and 5 had metastatic cancer. Abdominal pain and obstructive symptoms were the most common findings in metastatic cancers (4/5, 80%). On the other hand, obscure gastrointestinal bleeding was the most common symptom of GIST (6/7, 85.7%) and adenocarcinoma (3/8, 37.5%).
Conclusions
Approximately 6% of the patients who underwent either VCE or DBE were diagnosed with small bowel malignancy. These findings demonstrated the different clinical characteristics among small bowel malignancies and merit further study.

Citations

Citations to this article as recorded by

Balloon-assisted enteroscopy in the management of adult small-bowel intussusception: a comparative analysis of with and without double-balloon enteroscopy
Won Shik Kim, Beom Jae Lee, Moon Kyung Joo, Seung Han Kim, Jong-Jae Park
Surgical Endoscopy.2025; 39(3): 2044. CrossRef
Small Bowel Tumors: A 7-Year Study in a Tertiary Care Hospital
Sergiu Marian Cazacu, Dan Cârțu, Mihai Popescu, Liliana Streba, Bogdan Silviu Ungureanu, Vlad Florin Iovănescu, Mihai Cimpoeru, Cecil Sorin Mirea, Valeriu Marian Surlin, Stelian Mogoantă, Mirela Marinela Florescu
Cancers.2025; 17(9): 1465. CrossRef
Prognostic factors for liver metastasis in patients with small intestinal stromal tumor: A retrospective analysis of surveillance, epidemiology, and end results
Luojie Liu, Rufa Zhang, Zhenguo Qiao, Ye Ye, Kaijian Xia, Yunfu Feng, Xiaodan Xu
World Journal of Surgery.2024; 48(3): 598. CrossRef
Primitive Resectable Small Bowel Cancer Clinical–Pathological Analysis: A 10-Year Retrospective Study in a General Surgery Unit
Cosmin Vasile Obleagă, Costin Teodor Streba, Cecil Sorin Mirea, Ionică Daniel Vîlcea, Dan Nicolae Florescu, Mihai Călin Ciorbagiu, Tudor Turcu, Mirela Marinela Florescu, Mircea Sebastian Șerbănescu, Alina-Maria Mehedințeanu, Cristin Constantin Vere
Cancers.2024; 16(21): 3713. CrossRef
A practical approach for small bowel bleeding
Sung Eun Kim, Hyun Jin Kim, Myeongseok Koh, Min Cheol Kim, Joon Sung Kim, Ji Hyung Nam, Young Kwan Cho, A Reum Choe
Clinical Endoscopy.2023; 56(3): 283. CrossRef
Clinicopathological characteristics and prognostic factors of small bowel lymphomas: a retrospective single-center study
Emanuel Dias, Renato Medas, Margarida Marques, Patrícia Andrade, Hélder Cardoso, Guilherme Macedo
Porto Biomedical Journal.2023;[Epub] CrossRef
Small Bowel Capsule Endoscopy and Enteroscopy: A Shoulder-to-Shoulder Race
Ana-Maria Singeap, Catalin Sfarti, Horia Minea, Stefan Chiriac, Tudor Cuciureanu, Robert Nastasa, Carol Stanciu, Anca Trifan
Journal of Clinical Medicine.2023; 12(23): 7328. CrossRef
Symptoms Contributing to the Diagnosis of Small Bowel Tumors
Kozo Tsuruta, Hidetoshi Takedatsu, Shinichiro Yoshioka, Masahiro Yoshikai, Kensuke Tomiyasu, Masaru Morita, Kotaro Kuwaki, Keiichi Mitsuyama, Takumi Kawaguchi
Digestion.2023; 104(6): 430. CrossRef
Small bowel lymphoma: clinical update and challenges for the gastroenterologist
Priya Oka, Reena Sidhu
Current Opinion in Gastroenterology.2022; 38(3): 270. CrossRef
Indication, Location of the Lesion, Diagnostic Yield, and Therapeutic Yield of Double-Balloon Enteroscopy: Seventeen Years of Experience
Sang Pyo Lee, Hyun Joo Jang, Sea Hyub Kae, Jae Gon Lee, Ji Hye Kwon
Diagnostics.2022; 12(9): 2224. CrossRef
Minimally invasive surgery with adenocarcinoma of jejunum diagnosed pathologically before surgery: A case report
Sung Chul Lee
International Journal of Surgery Case Reports.2021; 79: 354. CrossRef
Predictors of Positive Video Capsule Endoscopy Findings for Chronic Unexplained Abdominal Pain: Single-Center Retrospective Study and Meta-Analysis
Wonshik Kim, Beomjae Lee, Ahyoung Yoo, Seunghan Kim, Moonkyung Joo, Jong-Jae Park
Diagnostics.2021; 11(11): 2123. CrossRef
Small Bowel Malignancies in Patients Undergoing Capsule Endoscopy for Iron Deficiency Anemia
Su Hwan Kim, Ji Won Kim
Diagnostics.2021; 12(1): 91. CrossRef

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14 Web of Science
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Commentary

Usefulness of an Overtube Device in Gastrointestinal Endoscopy: Seung Han Kim; Clin Endosc 2019;52(3):203-204. Published online May 30, 2019; DOI: https://doi.org/10.5946/ce.2019.085

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Citations

Citations to this article as recorded by

Prospective feasibility study of a novel rigidizing stabilizing overtube in the resection of complex gastrointestinal polyps
Salmaan Jawaid, Ahmed F. Aboelezz, Gehad Daba, Mai Khalaf, Fares Ayoub, Noor Zabad, Michael Mercado, Tara Keihanian, Mohamed Othman
Endoscopy.2025; 57(01): 68. CrossRef
Endoscopic Management of a Long-Duration Esophageal Food Impaction: A Case Report
Santiago Philibert-Rosas, Israel Podolsky Rapoport
Cureus.2024;[Epub] CrossRef
Usefulness of cricoid pressure in patients with poor gastric wall extension as a result of eructation in upper gastrointestinal endoscopy
Toshiki Horii, Hisatomo Ikehara, Chika Kusano
Digestive Endoscopy.2019;[Epub] CrossRef

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Original Articles

Is There a Change in Patient Preference for a Female Colonoscopist during the Last Decade in Korea?: Jung Min Lee, Eun Sun Kim, Hoon Jai Chun, In Kyung Yoo, Jae Min Lee, Seung Han Kim, Hyuk Soon Choi, Bora Keum, Yeon Seok Seo, Hong Sik Lee, Yoon Tae Jeen, Jong-Jae Park, Sang Woo Lee, Soon Ho Um, Chang Duck Kim; Clin Endosc 2018;51(1):72-79. Published online October 10, 2017; DOI: https://doi.org/10.5946/ce.2017.057

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Background
/Aims: Patients may feel embarrassed during colonoscopy. Our study aimed to assess changes in patient preference, over the past decade, for the sex of their colonoscopist.
Methods
Prospective studies were performed at a single health center from July to September 2008, and from July to September 2016. Subjects included colonoscopy patients (2008: 354, 2016: 304) who were asked to complete a questionnaire before colonoscopy.
Results
In 2016, 69 patients (24.9%) expressed a sex preference, compared with 46 patients (14.6%) in 2008. By 2016, female patient preference for a female colonoscopist had significantly increased to 95% (odds ratio [OR], 2.678; 95% confidence interval [CI], 1.418– 5.057; P=0.002). In multivariate analysis, patient sex (OR, 4.404; P=0.000), patient age (OR, 0.977; 95% CI, 0.961–0.992; P=0.004), and year of procedure (OR, 1.674; 95% CI, 1.028–2.752) were statistically significant factors in sex preference. Between 2008 and 2016, female patients preferred a female colonoscopist because of embarrassment. Male patients also preferred a male colonoscopist, and the primary reason shifted from expertise to patient embarrassment (2008: 29%, 2016: 63%).
Conclusions
Patients have an increased gender preference for the colonoscopist because of embarrassment. Taking this into account can increase patient satisfaction during colonoscopy.

Citations

Citations to this article as recorded by

Screening Perspectives: The Role of Colorectal Cancer Awareness in Shaping Attitudes Toward Colonoscopy in Palestine
Mohamedraed Elshami, Maram Albandak, Mohammed Alser, Ibrahim Al-Slaibi, Mohammed Ayyad, Mohammad F. Dwikat, Shoruq A. Naji, Balqees M. Mohamad, Wejdan S. Isleem, Adela Shurrab, Bashar Yaghi, Yahya Ayyash Qabaja, Fatma K. Hamdan, Raneen R. Sweity, Remah T.
JCO Global Oncology.2024;[Epub] CrossRef
Female Endoscopists in Gastroenterology
Yeon Ji Kim
The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2024; 24(4): 385. CrossRef
Gender of endoscopist and endoscopy staff: Patient preference
Mayank Jain
Indian Journal of Gastroenterology.2023; 42(1): 143. CrossRef
Sex/gender differences in gastrointestinal endoscopy from the perspective of patients and gastroenterologists
Nayoung Kim
Clinical Endoscopy.2023; 56(3): 268. CrossRef
Canadian Gastroenterology Career Pathway Experiences: Exploring the Gender Divide
Noor Jawaid, Monica Boctor, Jordan LoMonaco, Natasha Bollegala
Journal of the Canadian Association of Gastroenterology.2022; 5(4): 177. CrossRef
Intentions to undergo primary screening with colonoscopy under the National Cancer Screening Program in Korea
Kyeongmin Lee, Haejoo Seo, Sunho Choe, Seung-Yong Jeong, Ji Won Park, Mina Suh, Aesun Shin, Kui Son Choi, Filipe Prazeres
PLOS ONE.2021; 16(2): e0247252. CrossRef
Does provider gender matter in endoscopy? An international perspective
Pascale Anglade, Halah Ibrahim, Sawsan Abdel-Razig
Gastrointestinal Endoscopy.2021; 93(5): 1160. CrossRef
Identifying Gender Barriers for Colorectal Cancer Screening and Assessing the Need for a Multigender Endoscopy Team: A Prospective Multicenter Study
Harshit S. Khara, Darshan Suthar, Marika Bergenstock, Andrea Berger, Jessica L. McKee, Dana Stewart, Samuel R. Theis, Michael Komar, Amitpal S. Johal, Diego R. Valencia Chavez, William B. Hale, Rakhee Mangla
American Journal of Gastroenterology.2021; 116(8): 1646. CrossRef
Unique perspective of Muslim patients on gender preference for GI endoscopists: a multicenter survey
Lubna Kamani, Nazish Butt, Farheen Taufiq, Ana Garcia de Paredes, Elizabeth Rajan
Gastrointestinal Endoscopy.2021; 94(6): 1110. CrossRef
Using Etomidate and Midazolam for Screening Colonoscopies Results in More Stable Hemodynamic Responses in Patients of All Ages
Jung Min Lee, Geeho Min, Bora Keum, Jae Min Lee, Seung Han Kim, Hyuk Soon Choi, Eun Sun Kim, Yeon Seok Seo, Yoon Tae Jeen, Hoon Jai Chun, Hong Sik Lee, Soon Ho Um, Chang Duck Kim
Gut and Liver.2019; 13(6): 649. CrossRef

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Job Stress and Job Satisfaction among Health-Care Workers of Endoscopy Units in Korea: Seung-Joo Nam, Hoon Jai Chun, Jeong Seop Moon, Sung Chul Park, Young-Jae Hwang, In Kyung Yoo, Jae Min Lee, Seung Han Kim, Hyuk Soon Choi, Eun Sun Kim, Bora Keum, Yoon Tae Jeen, Hong Sik Lee, Chang Duck Kim; Clin Endosc 2016;49(3):266-272. Published online February 22, 2016; DOI: https://doi.org/10.5946/ce.2015.085

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Background
/Aims: The management of job-related stress among health-care workers is critical for the improvement of healthcare services; however, there is no existing research on endoscopy unit workers as a team. Korea has a unique health-care system for endoscopy unit workers. In this study, we aimed to estimate job stress and job satisfaction among health-care providers in endoscopy units in Korea.
Methods
We performed a cross-sectional survey of health-care providers in the endoscopy units of three university-affiliated hospitals in Korea. We analyzed the job stress levels by using the Korean occupational stress scale, contributing factors, and job satisfaction.
Results
Fifty-nine workers completed the self-administered questionnaires. The job stress scores for the endoscopy unit workers (46.39±7.81) were relatively lower compared to those of the national sample of Korean workers (51.23±8.83). Job stress differed across job positions, with nurses showing significantly higher levels of stress (48.92±7.97) compared to doctors (42.59±6.37). Job stress and job satisfaction were negatively correlated with each other (R² =0.340, p<0.001).
Conclusions
An endoscopy unit is composed of a heterogeneous group of health-care professionals (i.e., nurses, fellows, and professors), and job stress and job satisfaction significantly differ according to job positions. Job demand, insufficient job control, and job insecurity are the most important stressors in the endoscopy unit.

Citations

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Marie Hino, Yasuhiko Ebina, Rika Yano
Japan Journal of Nursing Science.2025;[Epub] CrossRef
Exploring Work-Related Experiences of Newly Hired Hospital Nurses in Ghana: A Qualitative Study
Ernest Darkwah, Francis Annor, Seth Oppong, Sylvia Hagan
SAGE Open Nursing.2024;[Epub] CrossRef
Assessing the Impact of Job Demand, Surface Acting, and Workplace Social Support on Social workers’ Job Satisfaction
Yoewon Yoon, Soomin Shin, Seonwoo Lee
Human Service Organizations: Management, Leadership & Governance.2024; : 1. CrossRef
Stress Is Associated with Quality of Life Reduction among Health Professionals in Vietnam: A Multisite Survey
Le Thi Kieu Hanh, Ngo Van Toan, Vu Minh Hai, Gianluca Rosso
Mental Illness.2023; 2023: 1. CrossRef
The Relationship Between Occupational Stress and Turnover Intention Among Emergency Physicians: A Mediation Analysis
Nan Jiang, Hongling Zhang, Zhen Tan, Yanhong Gong, Mengge Tian, Yafei Wu, Jiali Zhang, Jing Wang, Zhenyuan Chen, Jianxiong Wu, Chuanzhu Lv, Xuan Zhou, Fengjie Yang, Xiaoxv Yin
Frontiers in Public Health.2022;[Epub] CrossRef
Assessing the organizational commitment, subjective vitality and burnout effects on turnover intention in private universities
Vishnu Parmar, Zahid Ali Channar, Rizwan Raheem Ahmed, Dalia Streimikiene, Munwar Hussain Pahi, Justas Streimikis
Oeconomia Copernicana.2022; 13(1): 251. CrossRef
The relationship between job stress and job burnout: the mediating effects of perceived social support and job satisfaction
Fangyuan Wu, Zheng Ren, Qi Wang, Minfu He, Wenjing Xiong, Guodong Ma, Xinwen Fan, Xia Guo, Hongjian Liu, Xiumin Zhang
Psychology, Health & Medicine.2021; 26(2): 204. CrossRef
Unique expatriate factors associated with job dissatisfaction among nurses
S.M.B. Billah, N. Saquib, M.S. Zaghloul, A.M. Rajab, S.M.T. Aljundi, A. Almazrou, J. Saquib
International Nursing Review.2021; 68(3): 358. CrossRef
Development of a Nurse-Led Competency-Based Program for Therapeutic Endoscopy
Anne Embertson, Neysa Ernst, Janet Yoder, Libbie Monroe, MaryRose Hess
Gastroenterology Nursing.2020; 43(6): E217. CrossRef
Organizational Commitment and Job Burnout Effect on Turnover Intention Among Private Hospitals in Karachi
Fouzia Nasir, Rizwan Raheem Ahmed
JISR management and social sciences & economics.2019; 17(2): 204. CrossRef
Suriyeli Sığınmacı Kamplarının Bulunduğu İlçelerde Çalışan Sağlık Personelinin İş Stres Seviyesi: Şanlıurfa Örneği
Hüseyin ERİŞ, Suzan HAVLİOĞLU
Harran Üniversitesi Tıp Fakültesi Dergisi.2019; 16(3): 435. CrossRef
Needs assessment survey for simulation‐based training for gastrointestinal endoscopy nurses
Sol Yu, Young Sook Roh
Nursing & Health Sciences.2018; 20(2): 247. CrossRef
Now, It Is Time to Consider Job Stress in the Field of Gastroenterology
Young Joo Yang, Gwang Ho Baik
Clinical Endoscopy.2016; 49(3): 209. CrossRef
Insufficient Job Control among Gastroenterology Trainees: Time to Focus on the Science
Neel Sharma
Clinical Endoscopy.2016; 49(5): 492. CrossRef

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