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Original Article
Usefulness of the Forrest Classification to Predict Artificial Ulcer Rebleeding during Second-Look Endoscopy after Endoscopic Submucosal Dissection
Duk Su Kim, Yunho Jung, Ho Sung Rhee, Su Jin Lee, Yeong Geol Jo, Jong Hwa Kim, Jae Man Park, Il-Kwun Chung, Young Sin Cho, Tae Hoon Lee, Sang-Heum Park, Sun-Joo Kim
Clin Endosc 2016;49(3):273-281.   Published online March 4, 2016
DOI: https://doi.org/10.5946/ce.2015.086
AbstractAbstract PDFPubReaderePub
Background
/Aims: Delayed post-endoscopic submucosal dissection (ESD) bleeding (DPEB) is difficult to predict and there is controversy regarding the usefulness of prophylactic hemostasis during second-look endoscopy. This study evaluated the risk factors related to DPEB, the relationship between clinical outcomes and the Forrest classification, and the results of prophylactic hemostasis during second-look endoscopy.
Methods
Second-look endoscopy was performed on the day after ESD to check for recent hemorrhage or potential bleeding and the presence of artificial ulcers in all patients.
Results
DPEB occurred in 42 of 581 patients (7.2%). Multivariate analysis determined that a specimen size ≥40 mm (odds ratio [OR], 3.03; p=0.003), and a high-risk Forrest classification (Forrest Ib+IIa+IIb; OR, 6.88; p<0.001) were risk factors for DPEB. DPEB was significantly more likely in patients classified with Forrest Ib (OR, 24.35; p<0.001), IIa (OR, 12.91; p<0.001), or IIb (OR, 8.31; p<0.001) ulcers compared with Forrest III ulcers. There was no statistically significant difference between the prophylactic hemostasis and non-hemostasis groups (Forrest Ib, p=0.938; IIa, p=0.438; IIb, p=0.397; IIc, p=0.773) during second-look endoscopy.
Conclusions
The Forrest classification of artificial gastric ulcers during second-look endoscopy seems to be a useful tool for predicting delayed bleeding. However, routine prophylactic hemostasis during second-look endoscopy seemed to not be useful for preventing DPEB.

Citations

Citations to this article as recorded by  
  • Response
    Thomas K.L. Lui
    Gastrointestinal Endoscopy.2024; 99(4): 664.     CrossRef
  • Outcome of Gastric Fundus and Pylorus Botulinum Toxin A Injection in Obese Patients Class I–II with Normal Pyloric Orifice Structure: A Retrospective Analysis
    Murat Ferhat Ferhatoglu, Abdulcabbar Kartal, Ali Ilker Filiz, Abut Kebudi
    Bariatric Surgical Practice and Patient Care.2022; 17(3): 148.     CrossRef
  • Forrest Classification for Bleeding Peptic Ulcer: A New Look at the Old Endoscopic Classification
    Hsu-Heng Yen, Ping-Yu Wu, Tung-Lung Wu, Siou-Ping Huang, Yang-Yuan Chen, Mei-Fen Chen, Wen-Chen Lin, Cheng-Lun Tsai, Kang-Ping Lin
    Diagnostics.2022; 12(5): 1066.     CrossRef
  • Performance Comparison of the Deep Learning and the Human Endoscopist for Bleeding Peptic Ulcer Disease
    Hsu-Heng Yen, Ping-Yu Wu, Pei-Yuan Su, Chia-Wei Yang, Yang-Yuan Chen, Mei-Fen Chen, Wen-Chen Lin, Cheng-Lun Tsai, Kang-Ping Lin
    Journal of Medical and Biological Engineering.2021; 41(4): 504.     CrossRef
  • Prevention of bleeding in the early postoperative period after intraluminal stomach resection: results of a prospective randomized study
    S.G. Shapovalyants, R.V. Plakhov, M.V. Bordikov, E.V. Gorbachev, I.V. Zhitareva, E.D. Fedorov
    Endoskopicheskaya khirurgiya.2020; 26(5): 5.     CrossRef
  • Risk factors for delayed bleeding by onset time after endoscopic submucosal dissection for gastric neoplasm
    Hyeong Seok Nam, Cheol Woong Choi, Su Jin Kim, Hyung Wook Kim, Dae Hwan Kang, Su Bum Park, Dae Gon Ryu
    Scientific Reports.2019;[Epub]     CrossRef
  • Effectiveness of Autologous Platelet-Rich Plasma for the Healing of Ulcers after Endoscopic Submucosal Dissection
    Eunju Jeong, In kyung Yoo, Ozlem Ozer Cakir, Hee Kyung Kim, Won Hee Kim, Sung Pyo Hong, Joo Young Cho
    Clinical Endoscopy.2019; 52(5): 472.     CrossRef
  • Bleeding in patients who underwent scheduled second-look endoscopy 5 days after endoscopic submucosal dissection for gastric lesions
    Koichi Izumikawa, Masaya Iwamuro, Tomoki Inaba, Shigenao Ishikawa, Kenji Kuwaki, Ichiro Sakakihara, Kumiko Yamamoto, Sakuma Takahashi, Shigetomi Tanaka, Masaki Wato, Hiroyuki Okada
    BMC Gastroenterology.2018;[Epub]     CrossRef
  • Continuous esomeprazole infusion versus bolus administration and second look endoscopy for the prevention of rebleeding in children with a peptic ulcer
    Oana Belei, Laura Olariu, Maria Puiu, Cristian Jinca, Cristina Dehelean, Tamara Marcovici, Otilia Marginean
    Revista Española de Enfermedades Digestivas.2018;[Epub]     CrossRef
  • Role of second‐look endoscopy and prophylactic hemostasis after gastric endoscopic submucosal dissection: A systematic review and meta‐analysis
    Eun Hye Kim, Se Woo Park, Eunwoo Nam, Chang Soo Eun, Dong Soo Han, Chan Hyuk Park
    Journal of Gastroenterology and Hepatology.2017; 32(4): 756.     CrossRef
  • Second-Look Endoscopy after Endoscopic Submucosal Dissection: Can We Obtain Valuable Information?
    Hye Kyung Jeon, Gwang Ha Kim
    Clinical Endoscopy.2016; 49(3): 212.     CrossRef
  • 13,380 View
  • 134 Download
  • 15 Web of Science
  • 11 Crossref
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Case Report
Two Cases of Russell Body Gastritis Treated by Helicobacter pylori Eradication
Jung Bin Yoon, Tae Yeong Lee, Jin Sook Lee, Jong Min Yoon, Se Won Jang, Min Jung Kim, Su Jin Lee, Tae Oh Kim
Clin Endosc 2012;45(4):412-416.   Published online November 30, 2012
DOI: https://doi.org/10.5946/ce.2012.45.4.412
AbstractAbstract PDFPubReaderePub

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

Citations

Citations to this article as recorded by  
  • Duodenitis con cuerpos de Russell. Revisión de la entidad y posibles asociaciones más allá del H. pylori
    Juan José Domínguez Cañete, Irene Platas Moreno
    Revista Española de Patología.2024; 57(3): 190.     CrossRef
  • Surveillance of Russell body inflammation of the digestive tract: a case report and review of literature
    Shuai Luo, Xiang Huang, Yao Li, Jinjing Wang
    Diagnostic Pathology.2022;[Epub]     CrossRef
  • Gastric Xanthoma Associated with Gastric Cancer Development: An Updated Review
    Faycal Awaleh Moumin, Abdimajid Ahmed Mohamed, Abdirahman Ahmed Osman, Jianting Cai
    Canadian Journal of Gastroenterology and Hepatology.2020; 2020: 1.     CrossRef
  • Analysis of clinical and histopathological findings in Russell body gastritis and duodenitis
    Sultan Deniz Altindag, Ebru Cakir, Nese Ekinci, Arzu Avci, Fatma Husniye Dilek
    Annals of Diagnostic Pathology.2019; 40: 66.     CrossRef
  • Kappa restricted Russell body gastroenteritis in two pediatric patients
    Nahir Cortes-Santiago, Deborah A. Schady
    Human Pathology: Case Reports.2018; 11: 65.     CrossRef
  • Russell Bodies and Russell Body Inflammatory Polyp in the Colorectum: A Review of Clinicopathologic Features
    Heidi Reinhard, Dipti M. Karamchandani
    BioMed Research International.2018; 2018: 1.     CrossRef
  • Russell Body Inflammatory Polyp
    Ryan F. Coates, Nicholas Ferrentino, Michelle X. Yang
    International Journal of Surgical Pathology.2017; 25(1): 94.     CrossRef
  • Russell Body Gastritis Disappeared afterHelicobacter pyloriEradication
    Key Jo Lee, Won Lim, Gwang Ha Kim, Yeo Su Jang, Jae Hyung Lee, Geun Am Song
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2017; 17(2): 98.     CrossRef
  • Rare Gastric Lesions Associated with Helicobacter pylori Infection: A Histopathological Review
    Mee Joo
    Journal of Pathology and Translational Medicine.2017; 51(4): 341.     CrossRef
  • Russell body gastritis in an Hp-negative patient
    Artur Gião Antunes, Jesus Cadillá, Francisco Velasco
    BMJ Case Reports.2016; : bcr2016216717.     CrossRef
  • Gastric Xanthoma: A Review of the Literature
    Sebahat Basyigit, Ayse Kefeli, Zeliha Asilturk, Ferda Sapmaz, Bora Aktas
    Shiraz E-Medical Journal.2015;[Epub]     CrossRef
  • “Russell Body Gastroenterocolitis” in a Posttransplant Patient
    Vidarshi Muthukumarana, Sheila Segura, Miechelle O’Brien, Rina Siddiqui, Hani El-Fanek
    International Journal of Surgical Pathology.2015; 23(8): 667.     CrossRef
  • Nodal involvement of extranodal marginal zone lymphoma with extreme plasmacytic differentiation (Mott cell formation) simulating plasma cell neoplasm and lymphoplasmacytic lymphoma
    Yosep Chong, Chang Suk Kang, Woo Jin Oh, Tae-Jung Kim, Eun Jung Lee
    Blood Research.2014; 49(4): 275.     CrossRef
  • Russell body gastritis/duodenitis: A case series and description of immunoglobulin light chain restriction
    Hejun Zhang, Zhu Jin, Rongli Cui
    Clinics and Research in Hepatology and Gastroenterology.2014; 38(5): e89.     CrossRef
  • Regression of Russell Body Gastritis afterHelicobacter pyloriEradication
    Jin Seo Lee, Eun Ju Kim, Se Jeong Park, Kwang Woo Nam, Seung Hyeon Bae, Eun Jin Kim, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung, Jin-Ho Kim
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2013; 13(3): 189.     CrossRef
  • Russell Body Gastroenteritis: An Aberrant Manifestation of Chronic Inflammation in Gastrointestinal Mucosa
    Feriyl Bhaijee, Keith A. Brown, Billy W. Long, Alexandra S. Brown
    Case Reports in Medicine.2013; 2013: 1.     CrossRef
  • 9,068 View
  • 84 Download
  • 16 Crossref
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