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Survey results from the participants of the Asian Young Endoscopist Award and International Young Endoscopist Award as part of the International Digestive Endoscopy Network
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Tae-Geun Gweon, Sang Hoon Kim, Ki Bae Bang, Seung Wook Hong, Won Jae Yoon, Sung Noh Hong, Jae Jun Park, Jimin Han, Ja Seol Koo, Oh Young Lee, on behalf of the Public Affairs Committee of the Korean Society of Gastrointestinal Endoscopy
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Clin Endosc 2023;56(5):674-676. Published online August 24, 2023
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DOI: https://doi.org/10.5946/ce.2023.100
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Fecal Microbiota Transplantation beyond Clostridioides Difficile Infection
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Chang Mo Moon, Sung Noh Hong
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Clin Endosc 2021;54(2):149-151. Published online March 26, 2021
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DOI: https://doi.org/10.5946/ce.2021.068
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 Abstract
PDFPubReaderePub
- With advancing analytical methods for gut microbes, many studies have been conducted, revealing that gut microbes cause various diseases, including gastrointestinal and non-gastrointestinal diseases. Accordingly, studies have been actively conducted to analyze the effects on the prevention and treatment of these diseases through changes in intestinal microbes and control of dysbiosis. Fecal microbiota transplantation (FMT) is an effort and is currently being applied to Clostridioides difficile treatment in Korea. Many studies have demonstrated the application of FMT in inflammatory bowel disease, irritable bowel syndrome, non-alcoholic fatty liver disease, metabolic syndrome, obesity, and diabetes. With further studies and accumulation of evidence, FMT could help treat presently untreatable diseases in clinical practice.
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Recent Advance in Colon Capsule Endoscopy: What’s New?
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Sung Noh Hong, Sun-Hyung Kang, Hyun Joo Jang, Michael B. Wallace
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Clin Endosc 2018;51(4):334-343. Published online July 31, 2018
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DOI: https://doi.org/10.5946/ce.2018.121
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Abstract
PDFPubReaderePub
- Colon capsule endoscopy (CCE) is a relatively new diagnostic procedure for patients with suspected colonic diseases. This convenient,noninvasive method enables the physician to explore the entire colon without significant discomfort to the patient. However, while CCEcan be performed painlessly without bowel air insufflation, the need for vigorous bowel preparation and other technical limitationsexist. Due to such limitations, CCE has not replaced conventional colonoscopy. In this review, we discuss historical and recentadvances in CCE including technical issues, ideal bowel preparation, indications and contraindications and highlight further technicaladvancements and clinical studies which are needed to develop CCE as a potential diagnostic tool.
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Cristina Carretero Ribon, César Prieto-Frías, Ramon Angos, Maite Betés , Maite Herráiz Bayod, Susana de la Riva Onandía, Francisco Zozaya, María Fernandez-Calderon, Iago Rodríguez - Lago, Miguel Muñoz Navas
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Xiao Jia, Xiaohan Xing, Yixuan Yuan, Lei Xing, Max Q.-H. Meng
Proceedings of the IEEE.2020; 108(1): 178. CrossRef - Bleeding Meckel Diverticulum: A Retrospective Analysis of Computed Tomography Enterography Findings
Ying Chen, Yonghua Tang, Chunhong Hu, Shuangqing Chen
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Endoscopic Therapeutic Approach for Dysplasia in Inflammatory Bowel Disease
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Sung Noh Hong
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Clin Endosc 2017;50(5):437-445. Published online September 29, 2017
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DOI: https://doi.org/10.5946/ce.2017.132
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Abstract
PDFPubReaderePub
- Long-standing intestinal inflammation in patients with inflammatory bowel disease (IBD) induces dysplastic change in the intestinal mucosa and increases the risk of subsequent colorectal cancer. The evolving endoscopic techniques and technologies, including dye spraying methods and high-definition images, have been replacing random biopsies and have been revealed as more practical and efficient for detection of dysplasia in IBD patients. In addition, they have potential usefulness in detailed characterization of lesions and in the assessment of endoscopic resectability. Most dysplastic lesions without an unclear margin, definite ulceration, non-lifting sign, and high index of malignant change with suspicion for lymph node or distant metastases can be removed endoscopically. However, endoscopic resection of dysplasia in chronic IBD patients is usually difficult because it is often complicated by submucosal fibrosis. In patients with dysplasias that demonstrate submucosa fibrosis or a large size (≥20 mm), endoscopic submucosal dissection (ESD) or ESD with snaring (simplified or hybrid ESD) is an alternative option and may avoid a colectomy. However, a standardized endoscopic therapeutic approach for dysplasia in IBD has not been established yet, and dedicated specialized endoscopists with interest in IBD are needed to fully investigate recent emerging techniques and technologies.
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Citations
Citations to this article as recorded by - Considerations for Colorectal Neoplasia Detection in Inflammatory Bowel Disease Clinical Trials
Mira M. Yang, Keith Usiskin, Harris A. Ahmad, Shabana Ather, Antoine Sreih, James B. Canavan, Francis A. Farraye, Christopher Ma
Digestive Diseases.2024; 42(1): 12. CrossRef - Development and validation of a predictive model for submucosal fibrosis in patients with early gastric cancer undergoing endoscopic submucosal dissection: experience from a large tertiary center
Yunqing Zeng, Jinhou Li, Yuan Zheng, Di Zhang, Ning Zhong, Xiuli Zuo, Yanqing Li, Wenbin Yu, Jiaoyang Lu
Annals of Medicine.2024;[Epub] CrossRef - Beyond the SCENIC route: updates in chromoendoscopy and dysplasia screening in patients with inflammatory bowel disease
Loren Galler Rabinowitz, Nikhil A. Kumta, James F. Marion
Gastrointestinal Endoscopy.2022; 95(1): 30. CrossRef - Elevating the Technique: Resecting Complex Dysplastic Lesions of the Colon in Patients with Inflammatory Bowel Disease
Eshandeep S. Boparai, Fernando S. Velayos, Abhik Roy, Carolyn Li, Ahmed S. Alkoraishi, Craig A. Munroe
Digestive Diseases and Sciences.2020; 65(1): 78. CrossRef - Role of interventional inflammatory bowel disease in the era of biologic therapy: a position statement from the Global Interventional IBD Group
Bo Shen, Gursimran Kochhar, Udayakumar Navaneethan, Xiuli Liu, Francis A. Farraye, Yago Gonzalez-Lama, David Bruining, Darrell S. Pardi, Martin Lukas, Martin Bortlik, Kaicun Wu, Ajit Sood, David A. Schwartz, William J. Sandborn, Roger Charles, Yan Chen, M
Gastrointestinal Endoscopy.2019; 89(2): 215. CrossRef - Management of Inflammatory Bowel Disease–Associated Dysplasia in the Modern Era
Shailja C. Shah, Steven H. Itzkowitz
Gastrointestinal Endoscopy Clinics of North America.2019; 29(3): 531. CrossRef
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7,692
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6
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Filling the Technical Gap between Standard Endoscopic Mucosal Resection and Full Endoscopic Submucosal Dissection for 20–35 mm Sized Colorectal Neoplasms
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Sung Noh Hong
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Clin Endosc 2017;50(4):313-315. Published online July 31, 2017
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DOI: https://doi.org/10.5946/ce.2017.107
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PDFPubReaderePub
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Citations
Citations to this article as recorded by - Long‐term clinical outcomes of endoscopic submucosal dissection for colorectal neoplasia with or without the hybrid technique
DU Kang, JC Park, SW Hwang, SH Park, DH Yang, KJ Kim, BD Ye, SJ Myung, SK Yang, JS Byeon
Colorectal Disease.2020; 22(12): 2008. CrossRef
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1
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Early Gastric Cancer-Like Advanced Gastric Cancer versus Advanced Gastric Cancer-Like Early Gastric Cancer
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Hyun Sik Park, Sun-Young Lee, Sung Noh Hong, Jeong Hwan Kim, In-Kyung Sung, Hyung Seok Park, Chan Sup Shim, Choon Jo Jin
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Clin Endosc 2013;46(2):155-160. Published online March 31, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.2.155
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Abstract
PDFPubReaderePub
- Background/Aims
Improvements in the endoscopic evaluation and management of gastric cancer have made it possible to determine the depth of invasion during endoscopic examination. The aim of this study was to elucidate the differences between early gastric cancer (EGC) that resembles advanced gastric cancer (AGC) and AGC that resembles EGC. MethodsWe retrieved cases of EGC-like AGC and AGC-like EGC from consecutive gastric cancers that had been completely resected. The endoscopic diagnoses and clinicopathological findings were analyzed. ResultsAGC-like EGCs were located mainly in the distal part of the stomach, whereas EGC-like AGCs were located mainly in the proximal part of the stomach (p<0.001). Sixty percent of AGC-like EGCs were moderately differentiated adenocarcinomas, while 64% of EGC-like AGCs were poorly differentiated adenocarcinomas (p=0.015). According to Lauren's classification, 68% of AGC-like EGCs were intestinal type, whereas 71% of EGC-like AGCs were diffuse type (p=0.020). ConclusionsAGC-like EGCs predominate in the distal part of the stomach, while EGC-like AGCs predominate in the proximal part. When evaluating the depth of a gastric cancer, care should be taken not to underestimate measurements in proximal gastric cancers since they tend to be poorly-differentiated adenocarcinomas, in Lauren's diffuse type, and invade deeper than their endoscopic appearance might suggest.
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Citations
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Marek Majewski, Paulina Mertowska, Sebastian Mertowski, Konrad Smolak, Ewelina Grywalska, Kamil Torres
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Sung Eun Oh, Ji Yeong An, Min-Gew Choi, Tae Sung Sohn, Jae Moon Bae, Sung Kim, Jun Ho Lee
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The Effect of the Bowel Preparation Status on the Risk of Missing Polyp and Adenoma during Screening Colonoscopy: A Tandem Colonoscopic Study
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Sung Noh Hong, In Kyung Sung, Jeong Hwan Kim, Won Hyeok Choe, Byung Kook Kim, Soon Young Ko, Jung Hyun Lee, Dong Choon Seol, Su Young Ahn, Sun-Young Lee, Hyung Seok Park, Chan Sup Shim
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Clin Endosc 2012;45(4):404-411. Published online November 30, 2012
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DOI: https://doi.org/10.5946/ce.2012.45.4.404
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Abstract
PDFPubReaderePub
- Background/Aims
Although a small amount of fecal material can obscure significant colorectal lesions, it has not been well documented whether bowel preparation status affects the missing risk of colorectal polyps and adenomas during a colonoscopy. MethodsWe prospectively enrolled patients with one to nine colorectal polyps and at least one adenoma of >5 mm in size at the screening colonoscopy. Tandem colonoscopy with polypectomy was carried out within 3 months. ResultsA total of 277 patients with 942 polyps and 714 adenomas completed index and tandem examinations. At the index colonoscopy, 187 polyps (19.9%) and 127 adenomas (17.8%) were missed. The per-patient miss rate of polyps and adenomas increased significantly as the bowel cleansing rate declined from excellent to poor/inadequate on the Aronchick scale (polyps, p=0.024; adenomas, p=0.040). The patients with poor/inadequate bowel preparation were independently associated with an increased risk of having missed polyps (odds ratio [OR], 3.21; 95% confidence interval [CI], 1.13 to 9.15) or missed adenomas (OR, 3.04; 95% CI, 1.04 to 8.88) compared to the patients with excellent bowel preparation. ConclusionsThe risk of missing polyps and adenomas during screening colonoscopy is significantly affected by bowel preparation status. It seems appropriate to shorten the colonoscopy follow-up interval for patients with suboptimal bowel preparation.
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Korean Guideline for Colonoscopic Polypectomy
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Suck-Ho Lee, Sung Jae Shin, Dong Il Park, Seong-Eun Kim, Hae Jeong Jeon, Se Hyung Kim, Sung Pil Hong, Sung Noh Hong, Dong-Hoon Yang, Bo In Lee, Young-Ho Kim, Hyun-Soo Kim, Hyun Jung Kim, Suk-Kyun Yang, Hyo Jong Kim, Multi-Society Task Force for Development of Guidelines for Colorectal Polyp Screening, Surveillance and Management
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Clin Endosc 2012;45(1):11-24. Published online March 31, 2012
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DOI: https://doi.org/10.5946/ce.2012.45.1.11
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Abstract
PDF
 Supplementary MaterialPubReaderePub
There is indirect evidence to suggest that 80% of colorectal cancers (CRC) develop from adenomatous polyps and that, on average, it takes 10 years for a small polyp to transform into invasive CRC. In multiple cohort studies, colonoscopic polypectomy has been shown to significantly reduce the expected incidence of CRC by 76% to 90%. Colonoscopic polypectomy is performed frequently in primary outpatient clinics and secondary and tertiary medical centers in Korea. However, there are no evidence-based, procedural guidelines for the appropriate performance of this procedure, including the technical aspects. For the guideline presented here, PubMed, Medline, and Cochrane Library literature searches were performed. When little or no data from well-designed prospective trials were available, an emphasis was placed on the results from large series and reports from recognized experts. Thus, these guidelines for colonoscopic polypectomy are based on a critical review of the available data as well as expert consensus. Further controlled clinical studies are needed to clarify aspects of this statement, and revision may be necessary as new data become available. This guideline is intended to be an educational device to provide information that may assist endoscopists in providing care to patients. This guideline is not a rule and should not be construed as a legal standard of care or as encouraging, advocating, requiring, or discouraging any particular treatment. Clinical decisions for any particular case involve a complex analysis of the patient's condition and the available courses of action. -
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Korean Guidelines for Postpolypectomy Colonoscopy Surveillance
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Dong-Hoon Yang, Sung Noh Hong, Young-Ho Kim, Sung Pil Hong, Sung Jae Shin, Seong-Eun Kim, Bo In Lee, Suck-Ho Lee, Dong Il Park, Hyun-Soo Kim, Suk-Kyun Yang, Hyo Jong Kim, Se Hyung Kim, Hyun Jung Kim, Multi-Society Task Force for Development of Guidelines for Colorectal Polyp Screening, Surveillance and Management
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Clin Endosc 2012;45(1):44-61. Published online March 31, 2012
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DOI: https://doi.org/10.5946/ce.2012.45.1.44
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Abstract
PDFSupplementary MaterialPubReaderePub
Postpolypectomy surveillance has become a major indication for colonoscopy as a result of increased use of screening colonoscopy in Korea. In this report, a careful analytic approach was used to address all available evidences to delineate the predictors for advanced neoplasia at surveillance colonoscopy and we elucidated the high risk findings of the index colonoscopy as follows: 3 or more adenomas, any adenoma larger than 10 mm, any tubulovillous or villous adenoma, any adenoma with high-grade dysplasia, and any serrated polyps larger than 10 mm. Surveillance colonoscopy should be performed five years after the index colonoscopy for those without any high-risk findings and three years after the index colonoscopy for those with one or more high risk findings. However, the surveillance interval can be shortened considering the quality of the index colonoscopy, the completeness of polypectomy, the patient's general condition, and family and medical history. -
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Korean Guidelines for Colorectal Cancer Screening and Polyp Detection
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Bo-In Lee, Sung Pil Hong, Seong-Eun Kim, Se Hyung Kim, Hyun-Soo Kim, Sung Noh Hong, Dong-Hoon Yang, Sung Jae Shin, Suck-Ho Lee, Dong Il Park, Young-Ho Kim, Hyun Jung Kim, Suk-Kyun Yang, Hyo Jong Kim, Hae Jeong Jeon, Multi-Society Task Force for Development of Guidelines for Colorectal Polyp Screening, Surveillance and Management
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Clin Endosc 2012;45(1):25-43. Published online March 31, 2012
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DOI: https://doi.org/10.5946/ce.2012.45.1.25
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Abstract
PDFSupplementary MaterialPubReaderePub
Now colorectal cancer is the second most common cancer in males and the fourth most common cancer in females in Korea. Since most of colorectal cancers occur after the prolonged transformation of adenomas into carcinomas, early detection and removal of colorectal adenomas are one of the most effective methods to prevent colorectal cancer. Considering the increasing incidence of colorectal cancer and polyps in Korea, it is very important to establish Korean guideline for colorectal cancer screening and polyp detection. The guideline was developed by the Korean Multi-Society Take Force and we tried to establish the guideline by evidence-based methods. Parts of the statements were draw by systematic reviews and meta-analyses. Herein we discussed epidemiology of colorectal cancers and adenomas in Korea and optimal methods for screening of colorectal cancer and detection of adenomas including fecal occult blood tests, radiologic tests, and endoscopic examinations. -
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