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Case Report
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

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  • Citric acid/magnesium oxide/sodium picosulfate

    Reactions Weekly.2021; 1868(1): 140.     CrossRef
  • 6,328 View
  • 156 Download
  • 1 Crossref
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Original Article
Validation of a Novel Endoscopic Retrograde Cholangiopancreatography Cannulation Simulator
Pichamol Jirapinyo, Andrew C. Thompson, Hiroyuki Aihara, Marvin Ryou, Christopher C. Thompson
Clin Endosc 2020;53(3):346-354.   Published online February 17, 2020
DOI: https://doi.org/10.5946/ce.2019.105
AbstractAbstract PDFSupplementary MaterialPubReaderePub
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.

Citations

Citations to this article as recorded by  
  • Morfología de la papila de Vater como factor que influye en el éxito en canulación durante el entrenamiento del Residente en Endoscopia Avanzada. Estudio clínico prospectivo
    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
    Expert Review of Gastroenterology & Hepatology.2021; 15(6): 675.     CrossRef
  • 5,903 View
  • 139 Download
  • 8 Web of Science
  • 7 Crossref
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Special Review: Korean Society of Gastrointestinal Endoscopy “Accreditation of Qualified Endoscopy Unit” Guideline: Update 2019
Updates on the Disinfection and Infection Control Process of the Accredited Endoscopy Unit
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
Clin Endosc 2019;52(5):443-450.   Published online September 30, 2019
DOI: https://doi.org/10.5946/ce.2019.173
AbstractAbstract PDFPubReaderePub
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.

Citations

Citations to this article as recorded by  
  • Analysis of sterilization efficiency and application cost of three low temperature sterilization methods
    Hui Chen, Jiawei Liu, Aiying Zeng, Nian Qin
    Review of Scientific Instruments.2024;[Epub]     CrossRef
  • Intensive reprocessing of reusable bronchoscopes can reduce the false positive rate of Xpert MTB/RIF caused by nucleic acid residue
    Xingxing Jin, Qianfang Hu, Yishi Li, Xia Zhang, Wan Tao, Houyu Zhong, Qinghai Zhao
    Journal of Clinical Tuberculosis and Other Mycobacterial Diseases.2024; 37: 100476.     CrossRef
  • Endoscope Cleaning and Disinfection Guidelines for Primary Care Physicians
    Yoo-Bin Seo, Seung Hee Kim, Eon Sook Lee, Seung Jin Jung, Sang Keun Hahm
    Korean Journal of Family Practice.2024; 14(4): 165.     CrossRef
  • Infection control in the bronchoscopy suite: effective reprocessing and disinfection of reusable bronchoscopes
    Mamta S. Chhabria, Fabien Maldonado, Atul C. Mehta
    Current Opinion in Pulmonary Medicine.2023; 29(1): 21.     CrossRef
  • Endoscopy in surgery
    María Rita Rodríguez-Luna, Silvana Perretta
    Frontiers in Gastroenterology.2023;[Epub]     CrossRef
  • Features of the work of an endoscopic nurse in Russia and other countries
    E. Yu. Pinina, S. S. Pirogov, N. Yu. Zarubina, A. S. Vodoleev, E. S. Karpova, A. D. Kaprin
    Filin’s Clinical endoscopy.2023; 62(1): 37.     CrossRef
  • Safety of Gastrointestinal Endoscopy in Korea: A Nationwide Survey and Population-Based Study
    Yunho Jung, Jung-Wook Kim, Jong Pil Im, Yu Kyung Cho, Tae Hee Lee, Jae-Young Jang
    Journal of Korean Medical Science.2022;[Epub]     CrossRef
  • A nationwide survey on the effectiveness of training on endoscope reprocessing within the national cancer screening program in Korea
    Hye Young Shin, Da Hun Jang, Jae Kwan Jun
    American Journal of Infection Control.2021; 49(8): 1031.     CrossRef
  • Effectiveness Between Daily and After-Each-Case Room Disinfection of the Endoscopy Unit
    Bo Jin, Yue Hu, Liang Huang, Xiaoyun Cheng, Jin Zhao, Xuejing Yang, Xiling Sun, Tieer Gan, Bin Lu
    Frontiers in Public Health.2021;[Epub]     CrossRef
  • Sans Standardization: Effective Endoscope Reprocessing
    Sameer K. Avasarala, Lawrence F. Muscarella, Atul C. Mehta
    Respiration.2021; 100(12): 1208.     CrossRef
  • Sharing Our Experience of Operating an Endoscopy Unit in the Midst of a COVID-19 Outbreak
    Jimin Han, Eun Young Kim
    Clinical Endoscopy.2020; 53(2): 243.     CrossRef
  • 5,236 View
  • 161 Download
  • 8 Web of Science
  • 11 Crossref
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Original Article
Effect of Sending Educational Video Clips via Smartphone Mobile Messenger on Bowel Preparation before Colonoscopy
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
Clin Endosc 2019;52(1):53-58.   Published online August 29, 2018
DOI: https://doi.org/10.5946/ce.2018.072
AbstractAbstract PDFPubReaderePub
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.

Citations

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  • Evaluation of the effect of reinforced education on the satisfaction of patients undergoing colonoscopy: A randomized controlled trial
    Negin Farid, Shakila Sharifian, Raziyeh Ghafouri, Antonio Brillantino
    PLOS ONE.2024; 19(1): e0296126.     CrossRef
  • Can an educational video improve the adequacy of bowel preparation for patients undergoing their first colonoscopy? Results of the EBOPS RCT
    Thomas Archer, Bernard Corfe, Keith Dear, Andy Cole, Stephen Foley, H Jervoise N Andreyev, Waleed Fateen, Andrew Baxter, Stuart Riley, Adolfo Parra-Blanco, Mo Thoufeeq
    Endoscopy International Open.2024; 12(03): E402.     CrossRef
  • Improving Colonoscopy Preparation Using Information and Communication Technologies (ICT), Randomized Clinical Trial
    Diego Mauricio Aponte Martín, Claudia Liliana Corso Bernal, María Valentina Aponte Aparicio, Luis Carlos Sabbagh Sanvicente
    Revista colombiana de Gastroenterología.2024; 39(1): 51.     CrossRef
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    Tanawat Pattarapuntakul, Thanyaporn Kanchanasuwan, Apichat Kaewdech, Thanawin Wong, Nisa Netinatsunton, Nalerdon Chalermsuksant, Pimsiri Sripongpun
    Frontiers in Medicine.2024;[Epub]     CrossRef
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    Edvinas Kildušis, Gintautas Brimas
    Lietuvos chirurgija.2024; 23(2): 108.     CrossRef
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    Yuming Ding, Ann Vandeleur, Gonzalo Chinchilla, Kimberley Littlemore, Ruth Hodgson, Tony Rahman
    Endoscopy International Open.2024; 12(11): E1326.     CrossRef
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    Parichat Wonggom, Siwanon Rattanakanokchai, Orathai Suebkinorn
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    Yifang Guan, Yanjun Song, Xiaona Li, Aijun Zhang, Ruyuan Li
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    Haibin Zhou, Hayat Khizar, Xiaofeng Zhang, Jianfeng Yang
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    Ted B. Walker, Tricia A. Hengehold, Kevin Garza, Benjamin D. Rogers, Dayna Early
    Digestive Diseases and Sciences.2022; 67(6): 2347.     CrossRef
  • Comparison of 2 L Polyethylene Glycol Plus Ascorbic Acid and 4 L Polyethylene Glycol in Elderly Patients Aged 60–79: A Prospective Randomized Study
    Sung Hoon Jung, Chul-Hyun Lim, Tae-Geun Gweon, Jinsu Kim, Jung Hwan Oh, Kyu-Tae Yoon, Jee Young An, Jeong‑Seon Ji, Hwang Choi
    Digestive Diseases and Sciences.2022; 67(10): 4841.     CrossRef
  • Patient education by smartphones for bowel preparation before colonoscopy
    Peng Li, Xueqian He, Xufang Yang, Jing Du, Weiquan Wu, Jiangfeng Tu
    Journal of Gastroenterology and Hepatology.2022; 37(7): 1349.     CrossRef
  • Los efectos de la educación perfeccionada, realizada por enfermeros en la calidad de la preparación intestinal para colonoscopia
    Gamze Arslanca, Mahmure Aygün
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    Gamze Arslanca, Mahmure Aygün
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    Gamze Arslanca, Mahmure Aygün
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    Suh Hyun Choi, Won Eui Yoon, Seung Hyuk Kim, Hee Jun Myung, Seo Hyun Kim, Soon Oh So, Se Hun Kim, Hyun Mi Lee, Yeoun Jung Oh, Jeong Seop Moon, Tae Yeong Park, You Sun Kim
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    Gwang Ha Kim, Kwang An Kwon, Do Hyun Park, Jimin Han
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    Xu Tian, Li-Juan Yi, Yang Han, Hui Chen, Xiao-Ling Liu, Wei-Qing Chen, Maria F Jiménez-Herrera
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    Edvinas Kildušis, Gintautas Brimas
    Lietuvos chirurgija.2021; 20(3-4): 135.     CrossRef
  • Telephonic Nurse Guidance for Colonoscopy: A Clinical Trial
    Tatiane Santa Rosa Diniz, Suzimar de Fátima Benato Fusco, Maria Elizandre Camilo de Oliveira, Hélio Rubens de Carvalho Nunes, Marla Andréia Garcia de Avila
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    Thomas Timmers, Loes Janssen, Rudolf B Kool, Jan AM Kremer
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  • 228 Download
  • 28 Web of Science
  • 28 Crossref
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Review
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
Clin Endosc 2017;50(4):345-356.   Published online July 31, 2017
DOI: https://doi.org/10.5946/ce.2017.106
AbstractAbstract PDFPubReaderePub
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.

Citations

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    Rumi Shin, Seongdae Lee, Kyung-Su Han, Dae Kyung Sohn, Sang Hui Moon, Dong Hyun Choi, Bong-Hyeon Kye, Hae-Jung Son, Sun Il Lee, Sumin Si, Won-Kyung Kang
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    Kwang Bum Cho
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    Joon Sung Kim, Byung-Wook Kim
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    Eun Kwang Choi
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    Jung-Wook Kim, Yu Kyung Cho, Jin-Oh Kim, Jae-Young Jang
    Clinical Endoscopy.2019; 52(5): 426.     CrossRef
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    Theodor Voiosu, Andrei Voiosu, Andreea Benguş, Bogdan Mateescu
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    Álvaro Brotons, Angels Vilella, Cristina Sánchez-Montes, Catalina Garau, Albert Vila, Vicente Pons Beltrán, Carlos Dolz Abadía
    Revista Española de Enfermedades Digestivas.2018;[Epub]     CrossRef
  • 8,711 View
  • 254 Download
  • 22 Web of Science
  • 23 Crossref
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Focused Review Series: Trainings in Endoscopy
Training in Endoscopy: Esophagogastroduodenoscopy
Joon Sung Kim, Byung-Wook Kim
Clin Endosc 2017;50(4):318-321.   Published online July 31, 2017
DOI: https://doi.org/10.5946/ce.2017.096
AbstractAbstract PDFPubReaderePub
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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Training in Endoscopy: Colonoscopy
Hyun Joo Jang
Clin Endosc 2017;50(4):322-327.   Published online July 31, 2017
DOI: https://doi.org/10.5946/ce.2017.077
AbstractAbstract PDFPubReaderePub
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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Original Article
External Validation of the Endoscopic Features of Sessile Serrated Adenomas in Expert and Trainee Colonoscopists
Hyo-Joon Yang, Jeong In Lee, Soo-Kyung Park, Yoon Suk Jung, Jin Hee Sohn, Kyu Yong Choi, Dong Il Park
Clin Endosc 2017;50(3):279-286.   Published online September 13, 2016
DOI: https://doi.org/10.5946/ce.2016.107
AbstractAbstract PDFSupplementary MaterialPubReaderePub
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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    Tianyu Chi, Ying Liu, Cuicui Yang, Qing Jia, Quchuan Zhao
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    Thi Khuc, Amol Agarwal, Feng Li, Sergey Kantsevoy, Bryan Curtin, Matilda Hagan, Mary Harris, Anurag Maheshwari, Amit Raina, Elinor Zhou, Paul Thuluvath
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    Suk Pyo Shin
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    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
Endoscopic Sedation: From Training to Performance
Tae Hoon Lee, Chang Kyun Lee
Clin Endosc 2014;47(2):141-150.   Published online March 31, 2014
DOI: https://doi.org/10.5946/ce.2014.47.2.141
AbstractAbstract PDFPubReaderePub

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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Original Article
International Live Endoscopic Multichannel Demonstration Using Superfast Broadband Internet Connections
Sang Pyo Lee, Hang Lak Lee, Joon Soo Hahm, Ho Soon Choi, Inwhee Joe, Shuji Shimizu
Clin Endosc 2012;45(1):73-77.   Published online March 31, 2012
DOI: https://doi.org/10.5946/ce.2012.45.1.73
AbstractAbstract PDFPubReaderePub
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).

Methods

This 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.

Results

The 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.

Conclusions

We believe that a multicenter-based live endoscopic demonstration is a very effective conferencing method when using advanced networks and DVTS.

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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
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    Brian M. Fung, Eric Markarian, Marina Serper, James H. Tabibian
    American Journal of Gastroenterology.2022; 117(7): 1072.     CrossRef
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    Hedvig Aminoff, Sebastiaan Meijer, Urban Arnelo, Susanne Frennert
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    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
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    Thomas R. McCarty, Hiroyuki Aihara
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  • Remote transmission of live endoscopy over the Internet: Report from the 87th Congress of the Japan Gastroenterological Endoscopy Society
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    Kwang An Kwon, Il Ju Choi, Eun Young Kim, Seok Ho Dong, Ki Baik Hahm
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    Ho Gak Kim
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Education and Training Guidelines for the Board of the Korean Society of Gastrointestinal Endoscopy
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
Korean J Gastrointest Endosc 2011;42(4):207-214.   Published online April 28, 2011
AbstractAbstract PDF
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?
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.
Korean J Gastrointest Endosc 2010;41(6):338-343.   Published online December 30, 2010
AbstractAbstract PDF
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
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.*
Korean J Gastrointest Endosc 2009;39(1):22-29.   Published online July 30, 2009
AbstractAbstract PDF
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
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§
Korean J Gastrointest Endosc 2006;32(3):161-167.   Published online March 30, 2006
AbstractAbstract PDF
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;32:161⁣167)
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원저 : 한국 소화기 내시경의 현황과 교육 ( Original Articles : Present Status and Education of Digestive Endoscopy in Korea )
Korean J Gastrointest Endosc 1994;14(2):127-144.   Published online November 30, 1993
AbstractAbstract PDF
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...)
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