Case Report
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Esophageal Stricture Caused by the Ingestion of Undissolved Picosulfate Powder
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Daehyun Kim, Byungha Cho, Jong Wook Choi, Ki Bae Kim, Seon Mee Park
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Clin Endosc 2021;54(1):122-126. Published online March 16, 2020
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DOI: https://doi.org/10.5946/ce.2019.206
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Abstract
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- 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.
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- Citric acid/magnesium oxide/sodium picosulfate
Reactions Weekly.2021; 1868(1): 140. CrossRef
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Original Article
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Validation of a Novel Endoscopic Retrograde Cholangiopancreatography Cannulation Simulator
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Pichamol Jirapinyo, Andrew C. Thompson, Hiroyuki Aihara, Marvin Ryou, Christopher C. Thompson
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Clin Endosc 2020;53(3):346-354. Published online February 17, 2020
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DOI: https://doi.org/10.5946/ce.2019.105
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Abstract
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Supplementary Material
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- Background
/Aims: Endoscopic retrograde cholangiopancreatography (ERCP) requires a unique skill set. Currently, there is no objective methodology to assess and train a professional to perform ERCP. This study aimed to develop and validate a novel ERCP simulator.
Methods
The simulator consists of papillae presenting different anatomy and positioned in varied locations. Deep cannulation of the pancreatic duct, followed by the bile duct, was performed. The time allotted was 5 minutes. The content validity indexes (CVIs) for realism, relevance, and representativeness were calculated. Correlation between ERCP experience and simulator score was determined.
Results
Twenty-three participants completed the simulation. The CVIs for realism were orientation of duodenoscope to papilla (1.00), angulation of papillotome to achieve cannulation (0.71), and haptic feedback during cannulation (0.80). The CVIs for relevance were use of elevator (1.00), wheels to achieve en face orientation (1.00), and papillotome for selective cannulation (1.00). Regarding CVI for representativeness, the results were as follows: basic cannulation (0.83), papilla locations (0.83), and papilla anatomies (0.80). The novice, intermediate, and experienced groups scored 6.7±8.7, 30.0±16.3, and 74.4±43.9, respectively (p<0.0001). There was a strong correlation between the ERCP experience level and the individual’s simulator score (Pearson value of 0.77, R2 of 0.60).
Conclusions
This simulator appears to be realistic, relevant, and representative of ERCP cannulation techniques. Additionally, it is effective at objectively assessing basic ERCP skills by differentiating scores based on clinical experience.
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D.E. Benavides-Salgado, R.A. Jiménez-Castillo, J.E. Cuéllar-Monterrubio, J.O. Jáquez-Quintana, A. Garza-Galindo, C. Cortes-Hernández, H.J. Maldonado-Garza, D. García-Compeán, J.A. González-González
Revista de Gastroenterología de México.2024; 89(2): 237. CrossRef - Papilla of Vater morphology as an influencing factor in successful cannulation during resident training in advanced endoscopy. A prospective clinical study
D.E. Benavides-Salgado, R.A. Jiménez-Castillo, J.E. Cuéllar-Monterrubio, J.O. Jáquez-Quintana, A. Garza-Galindo, C. Cortes-Hernández, H.J. Maldonado-Garza, D. García-Compeán, J.A. González-González
Revista de Gastroenterología de México (English Edition).2024; 89(2): 237. CrossRef - Anatomical endoscopic retrograde cholangiopancreatography simulator using moulded meshed silicone: A novel simulator pilot study
Alen Maximillian Brodaric, Ngar Lok Joshua Wong, Jessica Falon, Jean Wong, Kai Cheng, Sarah Whereat, David Storey
ANZ Journal of Surgery.2023; 93(7-8): 1817. CrossRef - The use of simulators to acquire ERCP skills: a systematic review
Konstantinos Georgiou, Kiril T. Atliev, Ninos Oussi, Nikola Boyanov, Gabriel Sandblom, Lars Enochsson
Annals of Medicine & Surgery.2023; 85(6): 2924. CrossRef - There is no royal road: a shortcut for endoscopic submucosal dissection training
Seong Woo Jeon
Clinical Endoscopy.2023; 56(5): 590. CrossRef - Validity of a virtual reality endoscopic retrograde cholangiopancreatography simulator: can it distinguish experts from novices?
Konstantinos Georgiou, Nikola Boyanov, Pantelis Antonakis, Dimitrios Thanasas, Gabriel Sandblom, Lars Enochsson
Frontiers in Surgery.2023;[Epub] CrossRef - Training in endoscopic retrograde cholangio-pancreatography: a critical assessment of the broad scenario of training programs and models
Camilla Gallo, Ivo Boškoski, Maria Valeria Matteo, Beatrice Orlandini, Guido Costamagna
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Special Review: Korean Society of Gastrointestinal Endoscopy “Accreditation of Qualified Endoscopy Unit” Guideline: Update 2019
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Updates on the Disinfection and Infection Control Process of the Accredited Endoscopy Unit
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Jeong Eun Shin, Yunho Jung, Jeong Hoon Lee, Byoung Kwan Son, Jae-Young Jang, Hyung-Keun Kim, Byung Ik Jang, The Quality Management Committee and the Disinfection Management Committee of Korean Society of Gastrointestinal Endoscopy
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Clin Endosc 2019;52(5):443-450. Published online September 30, 2019
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DOI: https://doi.org/10.5946/ce.2019.173
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Abstract
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- A thorough disinfection and infection control process associated with gastrointestinal endoscopy is highly important for the health and safety of the examinee and the medical staff involved in the procedure. Endoscopic reprocessing and disinfection are two of the most important steps in quality control of endoscopy. In 2019, the Korean Society of Gastrointestinal Endoscopy updated the Accreditation of Qualified Endoscopy Unit assessment items for these quality indicators. Assessment of disinfection and infection control comprises 28 mandatory items in the categories of disinfection education, pre-cleaning, cleaning, disinfection, rinsing, drying, reprocessing, storage, endoscopic accessories, water bottle and connectors, space/facilities, personal protective equipment, disinfection ledger, and regulations regarding infection control and disinfection.
The updated Accreditation of Qualified Endoscopy Unit assessment items are useful for improving the quality of endoscopy by ensuring thorough inspection of endoscopic disinfection and infection control.
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Original Article
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Effect of Sending Educational Video Clips via Smartphone Mobile Messenger on Bowel Preparation before Colonoscopy
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Sung Chan Jeon, Jae Hyun Kim, Sun Jung Kim, Hye Jung Kwon, Youn Jung Choi, Kyoungwon Jung, Sung Eun Kim, Won Moon, Moo In Park, Seun Ja Park
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Clin Endosc 2019;52(1):53-58. Published online August 29, 2018
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DOI: https://doi.org/10.5946/ce.2018.072
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Abstract
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- Background
/Aim: We aimed to evaluate the efficacy of sending educational video clips via smartphone mobile messenger (SMM) on enhancing bowel preparation before colonoscopy.
Methods
This was a prospective, endoscopist-blinded, randomized controlled study. Patients in the SMM group received two video clips sent via SMM that explained the diet and regimen for bowel preparation, whereas those in the control group did not receive any video clips. We compared the quality of bowel preparation between the two groups, which was assessed by an endoscopist using the Ottawa scale.
Results
Between August and November 2014, 140 patients in the SMM group and 141 patients in the control group underwent colonoscopic examination. The total Ottawa score of the SMM group was significantly lower than that of the control group (5.47±1.74 vs. 5.97±1.78, p=0.018). These results were particularly prominent in the younger age group; the total Ottawa score of patents in the SMM group aged <40 years was significantly lower than that of patients in the control group aged <40 years (5.10±1.55 vs. 6.22±2.33, p=0.034).
Conclusions
We demonstrated that sending educational video clips via SMM could result in better bowel preparation, especially in the younger age group.
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Review
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Education and Training Guidelines for the Board of the Korean Society of Gastrointestinal Endoscopy
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Hee Seok Moon, Eun Kwang Choi, Ji Hyun Seo, Jeong Seop Moon, Ho June Song, Kyoung Oh Kim, Jong Jin Hyun, Sung Kwan Shin, Beom Jae Lee, Sang Heon Lee
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Clin Endosc 2017;50(4):345-356. Published online July 31, 2017
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DOI: https://doi.org/10.5946/ce.2017.106
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Abstract
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- The Korean Society of Gastrointestinal Endoscopy (KSGE) developed a gastrointestinal (GI) endoscopy board in 1995 and related regulations. Although the KSGE has acquired many specialists since then, the education and training aims and guidelines were insufficient. During GI fellowship training, obtaining sufficient exposure to some types of endoscopic procedures is difficult. Fellows should acquire endoscopic skills through supervised endoscopic procedures during GI fellowship training. Thus, the KSGE requires training guidelines for fellowships that allow fellows to perform independent endoscopic procedures without supervision. This document is intended to provide principles that the Committee of Education and Training of the KSGE can use to develop practical guidelines for granting privileges to perform accurate GI endoscopy safely. The KSGE will improve the quality of GI endoscopy by providing guidelines for fellowships and supervisors.
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Focused Review Series: Trainings in Endoscopy
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Training in Endoscopy: Esophagogastroduodenoscopy
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Joon Sung Kim, Byung-Wook Kim
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Clin Endosc 2017;50(4):318-321. Published online July 31, 2017
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DOI: https://doi.org/10.5946/ce.2017.096
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Abstract
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- Gastrointestinal endoscopy is important in diagnosis, treatment, and prevention of many diseases of the digestive tract. The ability to perform esophagogastroduodenoscopy (EGD) safely, effectively, and efficiently has become the mainstay of gastroenterology practice. In Korea, EGD education is usually imparted as a component of gastroenterology training programs during fellowship. In this review, we discuss the general principles of EGD training. Formal curriculum development with devising clear goals and effective training methods should be developed in the future.
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Luca Scarallo, Giusy Russo, Sara Renzo, Paolo Lionetti, Salvatore Oliva
Frontiers in Pediatrics.2023;[Epub] CrossRef - Identification of gaze pattern and blind spots by upper gastrointestinal endoscopy using an eye-tracking technique
Ayoung Lee, Hyunsoo Chung, Yejin Cho, Jue Lie Kim, Jinju Choi, Eunwoo Lee, Bokyung Kim, Soo-Jeong Cho, Sang Gyun Kim
Surgical Endoscopy.2022; 36(4): 2574. CrossRef - Simulation-based mastery learning in gastrointestinal endoscopy training
Hasan Maulahela, Nagita Gianty Annisa, Tiffany Konstantin, Ari Fahrial Syam, Roy Soetikno
World Journal of Gastrointestinal Endoscopy.2022; 14(9): 512. CrossRef - Endoscopy training in Korea
Joon Sung Kim, Byung-Wook Kim
The Korean Journal of Internal Medicine.2019; 34(2): 237. CrossRef - Virtual reality simulation in endoscopy training: Current evidence and future directions
Tahrin Mahmood, Michael Anthony Scaffidi, Rishad Khan, Samir Chandra Grover
World Journal of Gastroenterology.2018; 24(48): 5439. CrossRef
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Training in Endoscopy: Colonoscopy
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Hyun Joo Jang
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Clin Endosc 2017;50(4):322-327. Published online July 31, 2017
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DOI: https://doi.org/10.5946/ce.2017.077
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Abstract
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- Colonoscopy is effective in reducing the morbidity and mortality associated with colorectal cancer (CRC). Interval cancers or post-colonoscopy CRCs, are cancers detected within the surveillance interval, or between 6–36 months after a clearing colonoscopy. The incidence of interval cancers is 3.4%–9.2% of all detected CRCs, as reported in population-based studies. Colonoscopy is a technically difficult procedure that is challenging to learn, and needs time and effort to gain competency. Therefore, trainee competence is a critical component of CRC screening and surveillance. Herein, we review the colonoscopy training methods and quality assessment metrics for colonoscopy competency.
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Austin Milton, Bradley Cox, Michael Charles, Zhamak Khorgami
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Xiaomeng Jiang, Runqing Wang, Haibo Sun, Faming Zhang
Therapeutic Advances in Gastrointestinal Endoscopy.2024;[Epub] CrossRef - A multi-modal training environment for colonoscopy with pressure feedback
Anirudh Vajpeyi, Anish S. Naidu, Jeffrey D. Hawel, Christopher M. Schlachta, Rajni V. Patel
Surgical Endoscopy.2024;[Epub] CrossRef - Outcome of Water Exchange and Air Insufflation Colonoscopy Performed by Supervised Trainee and Their Assessment of the Training Experience
Felix W. Leung
Journal of Clinical Gastroenterology.2023; 57(8): 810. CrossRef - Effects of using an abdominal simulator to develop palpatory competencies in 3rd year medical students
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BMC Medical Education.2022;[Epub] CrossRef - Visual gaze patterns in trainee endoscopists – a novel assessment tool
Urvi Karamchandani, Simon Erridge, Keane Evans-Harvey, Ara Darzi, Jonathan Hoare, Mikael Hans Sodergren
Scandinavian Journal of Gastroenterology.2022; 57(9): 1138. CrossRef - Current Endoscopy Training in Korea and Future Aspects
Young-Eun Joo
The Korean Journal of Gastroenterology.2022; 80(5): 207. CrossRef - Colonoscopy Trainers Experience Greater Stress During Insertion than Withdrawal: Implications for Endoscopic Curricula
Madeline Lemke, Alison Banwell, Natalie Rubinger, Michelle Wiepjes, Mark Ropeleski, Stephen Vanner, Lawrence Hookey
Journal of the Canadian Association of Gastroenterology.2021; 4(1): 15. CrossRef - Screening colonoscopy: The present and the future
Chelsea V Hayman, Dinesh Vyas
World Journal of Gastroenterology.2021; 27(3): 233. CrossRef - Endoscopy training in Korea
Joon Sung Kim, Byung-Wook Kim
The Korean Journal of Internal Medicine.2019; 34(2): 237. CrossRef - (Technically) Difficult colonoscope insertion – Tips and tricks
Eduardo Rodrigues‐Pinto, Joel Ferreira‐Silva, Guilherme Macedo, Douglas K. Rex
Digestive Endoscopy.2019; 31(5): 583. CrossRef - A Soft Pneumatic Inchworm Double balloon (SPID) for colonoscopy
Luigi Manfredi, Elisabetta Capoccia, Gastone Ciuti, Alfred Cuschieri
Scientific Reports.2019;[Epub] CrossRef
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Original Article
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External Validation of the Endoscopic Features of Sessile Serrated Adenomas in Expert and Trainee Colonoscopists
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Hyo-Joon Yang, Jeong In Lee, Soo-Kyung Park, Yoon Suk Jung, Jin Hee Sohn, Kyu Yong Choi, Dong Il Park
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Clin Endosc 2017;50(3):279-286. Published online September 13, 2016
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DOI: https://doi.org/10.5946/ce.2016.107
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Abstract
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Supplementary Material
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- Background
/Aims: It is unclear whether the endoscopic features of sessile serrated adenomas (SSAs) would be useful to trainee colonoscopists to predict SSA. Therefore, the present study aimed to identify features that expert and trainee colonoscopists can use to independently and reliably predict SSA by using high-resolution white-light endoscopy.
Methods
Endoscopic images of 81 polyps (39 SSAs, 22 hyperplastic polyps, and 20 tubular adenomas) from 43 patients were retrospectively evaluated by 10 colonoscopists (four experts and six trainees). Eight endoscopic features of SSAs were assessed for each polyp.
Results
According to multivariable analysis, a mucous cap (odds ratio [OR], 10.44; 95% confidence interval [CI], 5.72 to 19.07), indistinctive borders (OR, 4.21; 95% CI, 2.74 to 7.16), dark spots (OR, 3.64; 95% CI, 1.89 to 7.00), and cloud-like surface (OR, 2.43; 95% CI, 1.27 to 4.668) were independent predictors of SSAs. Among these, a mucous cap, indistinctive borders, and cloud-like surface showed moderate interobserver agreement (mean κ >0.40) among experts and trainees. When ≥1 of the three predictors was observed, the sensitivity and specificity for diagnosing SSAs were 79.0% and 81.4%, respectively.
Conclusions
Colonoscopy trainees and experts can use several specific endoscopic features to independently and reliably predict SSAs.
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Citations
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- Analysis of clinical characteristics and risk factors on serrated polyps with synchronous advanced adenoma in elderly and non-elderly people: a retrospective cohort study
Tianyu Chi, Ying Liu, Cuicui Yang, Qing Jia, Quchuan Zhao
BMJ Open.2024; 14(11): e083930. CrossRef - Accuracy and Inter-observer Agreement Among Endoscopists for Visual Identification of Colorectal Polyps Using Endoscopy Images
Thi Khuc, Amol Agarwal, Feng Li, Sergey Kantsevoy, Bryan Curtin, Matilda Hagan, Mary Harris, Anurag Maheshwari, Amit Raina, Elinor Zhou, Paul Thuluvath
Digestive Diseases and Sciences.2023; 68(2): 616. CrossRef - Polyp Fact or Polyp Fiction: Endoscopic Identification of Polyps Using Established Criteria to Improve the Quality of Endoscopic Evaluation and Cost Effectiveness
Ihsan Al Bayati, Sarah Al Obaidi, Mohammed Bashashati
Digestive Diseases and Sciences.2023; 68(2): 344. CrossRef - Risk factors for sessile serrated lesions among Chinese patients undergoing colonoscopy
Ru Zhang, Yunbi Ni, Cosmos LT Guo, Rashid NS Lui, William KK Wu, Joseph JY Sung, Vincent WS Wong, Sunny H Wong
Journal of Gastroenterology and Hepatology.2023; 38(9): 1468. CrossRef - Risk factors of traditional serrated adenoma and clinicopathologic characteristics of synchronous conventional adenoma
Jeongseok Kim, Ji Young Lee, Sung Wook Hwang, Sang Hyoung Park, Dong-Hoon Yang, Byong Duk Ye, Seung-Jae Myung, Suk-Kyun Yang, Ja Eun Koo, Hyo Jeong Lee, Jaewon Choe, Jeong-Sik Byeon
Gastrointestinal Endoscopy.2019; 90(4): 636. CrossRef - Identification of risk factors for sessile and traditional serrated adenomas of the colon by using big data analysis
Jeung Hui Pyo, Sang Yun Ha, Sung Noh Hong, Dong Kyung Chang, Hee Jung Son, Kyoung‐Mee Kim, Hyeseung Kim, Kyunga Kim, Jee Eun Kim, Yoon‐Ho Choi, Young‐Ho Kim
Journal of Gastroenterology and Hepatology.2018; 33(5): 1039. CrossRef - Sessile Serrated Adenoma; the Hard-to-Catch Culprit of Interval Cancer
Suk Pyo Shin
Clinical Endoscopy.2017; 50(3): 215. CrossRef - Proximal Sessile Serrated Adenomas Are More Prevalent in Caucasians, and Gastroenterologists Are Better Than Nongastroenterologists at Their Detection
Malav P. Parikh, Sujit Muthukuru, Yash Jobanputra, Kushal Naha, Niyati M. Gupta, Vaibhav Wadhwa, Rocio Lopez, Prashanthi N. Thota, Madhusudhan R. Sanaka
Gastroenterology Research and Practice.2017; 2017: 1. CrossRef
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Focused Review Series: Endoscopic Sedation Revisited: Principles and Practice
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Endoscopic Sedation: From Training to Performance
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Tae Hoon Lee, Chang Kyun Lee
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Clin Endosc 2014;47(2):141-150. Published online March 31, 2014
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DOI: https://doi.org/10.5946/ce.2014.47.2.141
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Abstract
PDF
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Adequate sedation and analgesia are considered essential requirements to relieve patient discomfort and pain and ultimately to improve the outcomes of modern gastrointestinal endoscopic procedures. The willingness of patients to undergo sedation during endoscopy has increased steadily in recent years and standard sedation practices are needed for both patient safety and successful procedural outcomes. Therefore, regular training and education of healthcare providers is warranted. However, training curricula and guidelines for endoscopic sedation may have conflicts according to varying legal frameworks and/or social security systems of each country, and well-recognized endoscopic sedation training systems are not currently available in all endoscopy units. Although European and American curricula for endoscopic sedation have been extensively developed, general curricula and guidelines for each country and institution are also needed. In this review, an overview of recent curricula and guidelines for training and basic performance of endoscopic sedation is presented based on the current literature.
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- Oral Breathing Facilitates Endoscopic Operability Compared With Nasal Breathing in Peroral Endoscopy: A Randomized Controlled Trial
Keitaro Takahashi, Takuya Iwama, Momotaro Muto, Kazuyuki Tanaka, Yu Kobayashi, Katsuyoshi Ando, Shin Kashima, Nobuhiro Ueno, Kentaro Moriichi, Hiroki Tanabe, Kazumichi Harada, Takashi Teramoto, Mikihiro Fujiya
American Journal of Gastroenterology.2024;[Epub] CrossRef - Training and Resources Related to the Administration of Sedation by Nurses During Digestive Endoscopy: A Cross-Sectional Study
Miriam Hidalgo-Cabanillas, José Alberto Laredo-Aguilera, Ángel López-Fernández-Roldán, Rosa María Molina-Madueño, Pedro Manuel Rodriguez-Muñoz, Carlos Navarrete-Tejero, Ángel López-González, Joseba Rabanales-Sotos, Juan Manuel Carmona-Torres
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non-anaesthesiologists during gastrointestinal endoscopy in the hospital setting
Tiing Leong Ang, Edwin Seet, Yaw Chong Goh, Wee Khoon Ng, Calvin Jianyi Koh, Hock Foong Lui, James Weiquan Li, Aung Myint Oo, Kieron Boon Leng Lim, Kok Sun Ho, Min Hoe Chew, Wai Leong Quan, Damien Meng Yew Tan, Kheng Hong Ng, Hak Su Goh, Wai Kit Cheong, P
Annals of the Academy of Medicine, Singapore.2022; 51(1): 24. CrossRef - Differential dosing of oxycodone in combination with propofol in diagnostic painless gastroscopy in elderly patients: A prospective randomized controlled trial
Yan-Ping Li, Ying Zhou
Medicine.2022; 101(51): e32427. CrossRef - Letter to the Editor: Optimal Method for Sedation of Pediatric Upper Gastrointestinal Endoscopy
Soon Chul Kim
Journal of Korean Medical Science.2021;[Epub] CrossRef - Efficacy of an Oxycodone-Propofol Combination versus a Fentanyl-Propofol Combination in Conscious Sedation during Therapeutic Endoscopic Retrograde Cholangiopancreatography in Elderly Patients
Peipei Guo, Huisheng Wu, Lan Liu, Qiu Zhao, Zhao Jin
Gerontology.2021; 67(1): 9. CrossRef - Comparison of Fentanyl versus Meperidine in Combination with Midazolam for Sedative Colonoscopy in Korea
Gwan Woo Hong, Jun Kyu Lee, Jung Hyeon Lee, Ji Hun Bong, Sung Hun Choi, Hyeki Cho, Ji Hyung Nam, Dong Kee Jang, Hyoun Woo Kang, Jae Hak Kim, Yun Jeong Lim, Moon Soo Koh, Jin Ho Lee
Clinical Endoscopy.2020; 53(5): 562. CrossRef - Innovation in sedation and analgesia training
Wei-Nung Teng, Bai-Chuan Su, Hung-Wei Cheng
Current Opinion in Anaesthesiology.2019; 32(4): 472. CrossRef - Dexmedetomidine vs propofol as sedation for implantation of neurostimulators: A single‐center single‐blinded randomized controlled trial
Feline F. J. A. ter Bruggen, Charlotte Ceuppens, Leo Leliveld, Dirk L. Stronks, Frank J. P. M. Huygen
Acta Anaesthesiologica Scandinavica.2019; 63(10): 1321. CrossRef - Propofol for gastrointestinal endoscopy
Toshihiro Nishizawa, Hidekazu Suzuki
United European Gastroenterology Journal.2018; 6(6): 801. CrossRef - Efficacy of midazolam‐ versus propofol‐based sedations by non‐anesthesiologists during therapeutic endoscopic retrograde cholangiopancreatography in patients aged over 80 years
Su Jung Han, Tae Hoon Lee, Sang‐Heum Park, Young Sin Cho, Yun Nah Lee, Yunho Jung, Hyun Jong Choi, Il‐Kwun Chung, Sang‐Woo Cha, Jong Ho Moon, Young Deok Cho, Sun‐Joo Kim
Digestive Endoscopy.2017; 29(3): 369. CrossRef - Education and Training Guidelines for the Board of the Korean Society of Gastrointestinal Endoscopy
Hee Seok Moon, Eun Kwang Choi, Ji Hyun Seo, Jeong Seop Moon, Ho June Song, Kyoung Oh Kim, Jong Jin Hyun, Sung Kwan Shin, Beom Jae Lee, Sang Heon Lee
Clinical Endoscopy.2017; 50(4): 345. CrossRef - A phase II study on the efficacy and safety of procedural analgesia with fentanyl buccal tablet in cancer patients for the placement of indwelling central venous access systems
R Bortolussi, P Zotti, M Matovic, A Morabito, C Bertuzzi, M Caserta, F Fabiani, A Fracasso, C Santantonio, C Zanier, A Roscetti, J Polesel, D Gussetti, S Bedin, AM Colussi, D Fantin
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Ben Da, James Buxbaum
Gastrointestinal Endoscopy Clinics of North America.2016; 26(3): 443. CrossRef - International Digestive Endoscopy Network 2014: Turnpike to the Future
Eun Young Kim, Kwang An Kwon, Il Ju Choi, Ji Kon Ryu, Ki Baik Hahm
Clinical Endoscopy.2014; 47(5): 371. CrossRef
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Original Article
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International Live Endoscopic Multichannel Demonstration Using Superfast Broadband Internet Connections
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Sang Pyo Lee, Hang Lak Lee, Joon Soo Hahm, Ho Soon Choi, Inwhee Joe, Shuji Shimizu
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Clin Endosc 2012;45(1):73-77. Published online March 31, 2012
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DOI: https://doi.org/10.5946/ce.2012.45.1.73
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Abstract
PDF
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- Background/Aims
Telemedicine is a convenient and efficient tool for remote education in various fields. The telemedicine system can also be used to educate doctors and medical students. The aim of our study was to establish the effectiveness of the telemedical system for use in a live endoscopic multichannel demonstration conference and to test the effectiveness and usefulness of a multicenter-based live endoscopic demonstration through live, interactive, high resolution video transmission using advanced networks and the digital video transport system (DVTS).
MethodsThis study is a prospective multicenter pilot study. A live demonstration of an endoscopic submucosal dissection (ESD) and an endoscopic retrograde cholangiopancreatography (ERCP) using advanced network technology was performed.
ResultsThe DVTS successfully transmitted uncompressed, high-resolution, digital lectures with endoscopy video during a multichannel endoscopic live demonstration of ESD and ERCP over multiple advanced networks. The overall satisfaction rating when the endoscopic lecture demonstration was performed by combining DVTS was generally good.
ConclusionsWe believe that a multicenter-based live endoscopic demonstration is a very effective conferencing method when using advanced networks and DVTS.
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Citations
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Hon Chi Yip, Noriya Uedo, Louis Ho‐Shing Lau, Daizen Hirata, Yasushi Sano, Philip Wai‐yan Chiu
Digestive Endoscopy.2023; 35(1): 140. CrossRef - Current Applications of Telemedicine in Gastroenterology
Brian M. Fung, Eric Markarian, Marina Serper, James H. Tabibian
American Journal of Gastroenterology.2022; 117(7): 1072. CrossRef - Telemedicine for Remote Surgical Guidance in Endoscopic Retrograde Cholangiopancreatography: Mixed Methods Study of Practitioner Attitudes
Hedvig Aminoff, Sebastiaan Meijer, Urban Arnelo, Susanne Frennert
JMIR Formative Research.2021; 5(1): e20692. CrossRef - Live surgery of colorectal endometriosis broadcasted from a surgeon’s routine operating theater is not associated with higher complications rate
Horace Roman, Maria Prosszer, Jamil Marabha, Benjamin Merlot, Damien Forestier, Myriam Noailles, Loïc Marpeau, Jean‐Jacques Tuech
Acta Obstetricia et Gynecologica Scandinavica.2021; 100(12): 2176. CrossRef - Current state of education and training for endoscopic submucosal dissection: Translating strategy and success to the USA
Thomas R. McCarty, Hiroyuki Aihara
Digestive Endoscopy.2020; 32(6): 851. CrossRef - Remote transmission of live endoscopy over the Internet: Report from the 87th Congress of the Japan Gastroenterological Endoscopy Society
Shuji Shimizu, Takao Ohtsuka, Shunichi Takahata, Eishi Nagai, Naoki Nakashima, Masao Tanaka
Digestive Endoscopy.2016; 28(1): 92. CrossRef - Evaluation of Videoconferencing Systems for Remote Medical Education
Kuriko Kudo, Shuji Shimizu, Ti-Chuang Chiang, Yasuaki Antoku, Min Hu, Yoshiko Houkabe, Naoki Nakashima
Creative Education.2014; 05(12): 1064. CrossRef - Image management systems
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Gastrointestinal Endoscopy.2014; 79(1): 15. CrossRef - Application of International Videoconferences for Continuing Medical Education Programs Related to Laparoscopic Surgery
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Kwang An Kwon, Il Ju Choi, Eun Young Kim, Seok Ho Dong, Ki Baik Hahm
Clinical Endoscopy.2013; 46(3): 203. CrossRef - International Digestive Endoscopy Network 2012: A Patchwork of Networks for the Future
Kwang An Kwon, Il Ju Choi, Eun Young Kim, Seok Ho Dong, Ki Baik Hahm
Clinical Endoscopy.2012; 45(3): 209. CrossRef - Live Endoscopy Demonstration Using Superfast Broadband Internet Connections: The Future of Medical Education and Conferences
Jimin Han
Clinical Endoscopy.2012; 45(1): 1. CrossRef - Sketch of International Digestive Endoscopy Network 2012 Meeting: Overview
Ho Gak Kim
Clinical Endoscopy.2012; 45(3): 211. CrossRef
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Education and Training Guidelines for the Board of the Korean Society of Gastrointestinal Endoscopy
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Kee Myung Lee, M.D., Seok Reyol Choi, M.D.*, Byung Ik Jang, M.D.†, Seong Hwan Kim, M.D.‡, Chang Don Kang, M.D.§, Young Dae Kim, M.D.∥, Jeong Youp Park, M.D.¶ and Il-Kwun Ch
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Korean J Gastrointest Endosc 2011;42(4):207-214. Published online April 28, 2011
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Abstract
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- The Korean Society of Gastrointestinal Endoscopy (KSGE) developed regulations and a gastrointestinal endoscopy board in 1995. Although the KSGE has acquired many specialists since then, the education and training aims and guidelines were insufficient. Although endoscopic examinations are supervised by a specialist during a GI fellowship, some types of GI endoscopic examinations and treatments are difficult to obtain exposure. Fellows should acquire endoscopic skills through repeated independent endoscopic examinations after a GI fellowship. Thus, the KSGE requires training guidelines for fellowships that allow fellows to perform endoscopic examinations without a supervisor. This document is intended to provide the principles that the Committee of Education and Training of KSGE can use to develop practical guidelines for granting privileges to perform accurate GI endoscopy safely. KSGE will contribute to improving the quality of GI endoscopy by providing guidelines for fellowships and supervisors. (Korean J Gastrointest Endosc 2011;42:207-214)
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Is Endoscopic Resection Currently Available in Non-tertiary or Non-academic Hospitals?
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Seong Woo Jeon, M.D., Min Kyu Jung, M.D., Sung Kook Kim, M.D., Tae Nyeun Kim, M.D.*, Byung Ik Jang, M.D.*, Si Hyung Lee, M.D.*, Kyeong Ok Kim, M.D.*, Eun Soo Kim, M.D.†, Kwang Bum Cho, M.D.†, Kyung Sik Park, M.D.†
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Korean J Gastrointest Endosc 2010;41(6):338-343. Published online December 30, 2010
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Abstract
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- Background
/Aims: Endoscopic mucosal resection (EMR) has been gaining popularity with the advances in the technique and the accumulating experience. The objectives of this study are to assess the current situation of endoscopic resection (ER) in primary clinics and community-based hospitals and to suggest an affordable training program.
Methods
A questionnaire about the indications to perform ER for gastric or colonic lesions was sent to the doctors working in the non-tertiary hospitals by mail. Results: The responders who were performing EMR or polypectomy for gastric lesions accounted for 43% (31/72) and 44.8% (47/101), respectively, of the total responders. The percentage of responders who had experience with performing EMR or polypectomy for colonic lesions accounted for 56.6% (30/53) and 87.3% (62/71), respectively, of the total responders. The indication for ER for treating gastric and colonic lesions was restricted to the size of 1∼2 cm irrespective of the type or location of lesion. Most of the responders assumed that ER should be performed in their clinics and they wanted to have a chance to improve these techniques.
Conclusions
The infrastructure for therapeutic endoscopy, such as ER, should be progressively expanded. Therefore, well designed schematic training programs are currently needed to advance using ER more commonly in clinical practice. (Korean J Gastrointest Endosc 2010;41:338-343)
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Comparison of a Digital Video Transfer System with a Satellite Broadcasting System Used in a Teleconference: From the Trainee Point of View
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Jai Hoon Yoon, M.D., Joon Soo Hahm, M.D., Hang Lak Lee, M.D., Ho Soon Choi, M.D. and Yong Jin Park, Ph.D.*
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Korean J Gastrointest Endosc 2009;39(1):22-29. Published online July 30, 2009
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Abstract
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- Background
/Aims: Telemedicine is a useful tool for remote education to overcome limitations of location. We have shared medical knowledge by the use of a real-time, high quality digital video transfer system (DVTS). The study aim was to evaluate the use of the DVTS by viewer questionnaire.
Methods
After an endoscopic live demonstration using DVTS and satellite broadcasting system (SBS), questions were provided for the degree of satisfaction about image and sound of the presentation. A questionnaire was composed of 11 questions concerning factors such as a comparison of image quality between the two systems. The preference between DVTS with SBS was analyzed.
Results
For image quality, SBS was more preferable than DVTS (65.6% versus 16.7%). However, 16.7% found no difference between the use of DVTS and SBS. For the time delay between the image and sound, 62.5% preferred SBS and 11.5% preferred DVTS. The satisfaction for combining DVTS with SBS were 68% as good and 22% as very good.
Conclusions
We have demonstrated the feasibility of telemedicine by the demonstration of a satisfactory teleconference, although DVTS was utilized as an assistant tool. DVTS should prove to be a promising tool as a useful and economic means to provide remote medicine. (Korean J Gastrointest Endosc 2009;39: 22-29)
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A Remote Educational System in Medicine Using Digital Video Transfer System
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Joon Soo Hahm, M.D., Shuji Shimizu, M.D.∥, Naoki Nakashima, M.D.∥, Yil Sik Hyun, M.D., Ho Soon Choi, M.D., Yong Ko, M.D.*, Kyeong Geun Lee, M.D.†, Sun Il Kim, M.D.‡, Tae Eun Kim§, Ji Won Yun§
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Korean J Gastrointest Endosc 2006;32(3):161-167. Published online March 30, 2006
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Abstract
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- Background
/Aims: Telemedicine has opened the door to a wide range of learning experience to the doctors and students working and studying at various remote locations. However, there are limitations to this technology, such as the lack of any approved international standards of ethics. The aim of our study was to establish a telemedical education system using the Digital Video Transfer System (DVTS) on the high-speed network. Methods: The Asia Pacific Information Infrastructure (APII) link was used to connect Korea with Japan, and the Korea Advanced Research Network (KOREN) was used to connect Busan with Seoul. Teleconferencing and video streaming between Hanyang University Hospital in Seoul and Kyushu University Hospital in Japan were realized using DVTS over the Ipv4 network. Results: Four endoscopic surgeries and two endoscopic procedures were successfully transmitted between Seoul and Kyushu, while concomitant teleconferences were taking place between the two cities throughout the operations. An adequate bandwidth of 60 Mbps was kept for two-line transmissions. The quality of transmitted video image showed no frame loss with a rate of 30 images per second. The sound was also clear, and the time delay was less than 0.3 sec. Conclusions: We have established an international medical network with high-quality video transmission over Internet medium and this was easy to perform, reliable and economical. (Korean J Gastrointest Endosc 2006;32:161167)
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원저 : 한국 소화기 내시경의 현황과 교육 ( Original Articles : Present Status and Education of Digestive Endoscopy in Korea )
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Korean J Gastrointest Endosc 1994;14(2):127-144. Published online November 30, 1993
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Abstract
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- A survey was done on the participants of the previous education seminar. Eighty two endoscopists from 67 instituties had replied and 50 practitioners replied for a total of l32 that were surveyed and analyzed. (continue...)