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Volume 45(2); June 2012
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Commentarys
Benign Colonic 18F-FDG Uptake on Whole-Body FDG-PET Scan
Byung Ik Jang
Clin Endosc 2012;45(2):109-110.   Published online June 30, 2012
DOI: https://doi.org/10.5946/ce.2012.45.2.109
PDFPubReaderePub

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  • Organ-specific accuracy of [18F]FDG-PET/CT in identifying immune-related adverse events in patients with high-risk melanoma treated with adjuvant immune checkpoint inhibitor
    Birte Molvik Gideonse, Magnus Birkeland, Mie Holm Vilstrup, Peter Grupe, Mohammad Naghavi-Behzad, Christina H. Ruhlmann, Oke Gerke, Malene Grubbe Hildebrandt
    Japanese Journal of Radiology.2024; 42(7): 753.     CrossRef
  • Lesion Location in Clinical Significance of Incidental Colorectal FDG Uptake
    Joseph C. Lee, Gemma F. Hartnett, Aravind S. Ravi Kumar
    Clinical Endoscopy.2012; 45(4): 451.     CrossRef
  • 5,487 View
  • 30 Download
  • 2 Crossref
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Is Antibiotic Resistance Microorganism Becoming a Significant Problem in Acute Cholangitis in Korea?
Sang-Heum Park
Clin Endosc 2012;45(2):111-112.   Published online June 30, 2012
DOI: https://doi.org/10.5946/ce.2012.45.2.111
PDFPubReaderePub

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  • Comparative Antimicrobial Activities of Alchornea cordifolia Leaf Crude Extracts and Cephalosporin Antibiotics on Some Pathogenic Clinical Isolates
    A. A. Agboke, C. N. Nwosu, D. O. Obindo, M. H. Ekanem, E. V. Edet, I. F. Ubak
    Journal of Drug Delivery and Therapeutics.2020; 10(5-s): 170.     CrossRef
  • Prescription antibiotics for outpatients in Bangladesh: a cross-sectional health survey conducted in three cities
    Mohitosh Biswas, Debendra Roy, Afsana Tajmim, Sheikh Rajib, Mosharraf Hossain, Fahamida Farzana, Nelufar Yasmen
    Annals of Clinical Microbiology and Antimicrobials.2014; 13(1): 15.     CrossRef
  • 3,867 View
  • 36 Download
  • 2 Crossref
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Gastric Preparation for Upper Endoscopy
Il Ju Choi
Clin Endosc 2012;45(2):113-114.   Published online June 30, 2012
DOI: https://doi.org/10.5946/ce.2012.45.2.113
PDFPubReaderePub

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  • Effect of pronase as mucolytic agent on imaging quality of magnifying endoscopy
    Gwang Ha Kim
    World Journal of Gastroenterology.2015; 21(8): 2483.     CrossRef
  • Efficacy of simethicone and N‐acetylcysteine as premedication in improving visibility during upper endoscopy
    Wei‐Kuo Chang, Ming‐Kung Yeh, Hsuang‐Chun Hsu, Hsuan‐Wei Chen, Ming‐Kuan Hu
    Journal of Gastroenterology and Hepatology.2014; 29(4): 769.     CrossRef
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  • 53 Download
  • 2 Crossref
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Focused Review Series: What Should We Know about EUS-FNA?s
Introduction; Value of Endoscopic Ultrasound-Guided Fine Needle Aspiration
Eun Young Kim
Clin Endosc 2012;45(2):115-116.   Published online June 30, 2012
DOI: https://doi.org/10.5946/ce.2012.45.2.115
AbstractAbstract PDFPubReaderePub

Introduction of endoscopic ultrasound (EUS) to medical practice has brought a huge change in diagnostic algorithm of many gastrointestinal diseases. Addition of EUS-guided fine needle aspiration (FNA) upgraded diagnostic power of EUS. In this focused review series, value of EUS-FNA in the diagnosis of various diseases and tips for getting the best results with EUS-FNA are described by four invited authors including myself. First, Dr. Jeong Seop Moon discussed about EUS-FNA in submucosal lesion. He also touched on basic techniques and needles of EUS-FNA in his article. Next, I focused on additional value of EUS-FNA in the staging of hollow viscus cancer to optimize the treatment strategy. World's well-known endosonographer, Dr. Robert H. Hawes kindly presented his profound thoughts on EUS-FNA in pancreatic cystic lesions. Dr. Jayapal Ramesh and Dr. Shyam Varadarajulu shared their valuable tips for getting the best results when using EUS-FNA. Nobody doubts now EUS-FNA is an indispensable procedure in gastrointestinal endoscopy. Therefore, this focused review series will provide the readers with the concentrated knowledge of "What should we know about EUS-FNA."

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  • The Urokinase Plasminogen Activation System in Pancreatic Cancer: Prospective Diagnostic and Therapeutic Targets
    Ashna A. Kumar, Benjamin J. Buckley, Marie Ranson
    Biomolecules.2022; 12(2): 152.     CrossRef
  • The Use of a Stylet in Endoscopic Ultrasound With Fine-Needle Aspiration
    Andrew Lai, Ashley Davis-Yadley, Seth Lipka, Miguel Lalama, Roshanak Rabbanifard, David Bromberg, Roger Nehaul, Ambuj Kumar, Prasad Kulkarni
    Journal of Clinical Gastroenterology.2019; 53(1): 1.     CrossRef
  • Which Needle Needs to Be Chosen for Better Outcome of Endoscopic Ultrasound-Guided Tissue Acquisition?
    Dong Wook Lee, Eun Young Kim
    Gut and Liver.2019; 13(3): 223.     CrossRef
  • Diagnosis of Gastric Subepithelial Tumor: Focusing on Endoscopic Ultrasonography
    Eun Young Kim
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2015; 15(1): 9.     CrossRef
  • Which Needle Is Better for Diagnosing Subepithelial Lesions?
    Eun Young Kim
    Clinical Endoscopy.2015; 48(2): 91.     CrossRef
  • The Role of Endoscopic Ultrasonography in T Staging: Early Gastric Cancer and Esophageal Cancer
    Jin Woong Cho
    Clinical Endoscopy.2013; 46(3): 239.     CrossRef
  • Highlights of the 48th Seminar of Korean Society of Gastrointestinal Endoscopy
    Kwang An Kwon, Il Ju Choi, Eun Young Kim, Seok Ho Dong, Ki Baik Hahm
    Clinical Endoscopy.2013; 46(3): 203.     CrossRef
  • Diagnosis of Subepithelial Lesion: Still "Tissue Is the Issue"
    Eun Young Kim
    Clinical Endoscopy.2013; 46(4): 313.     CrossRef
  • Sketch of International Digestive Endoscopy Network 2012 Meeting: Overview
    Ho Gak Kim
    Clinical Endoscopy.2012; 45(3): 211.     CrossRef
  • 5,044 View
  • 42 Download
  • 9 Crossref
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Endoscopic Ultrasound-Guided Fine Needle Aspiration in Submucosal Lesion
Jeong Seop Moon
Clin Endosc 2012;45(2):117-123.   Published online June 30, 2012
DOI: https://doi.org/10.5946/ce.2012.45.2.117
AbstractAbstract PDFPubReaderePub

A submucosal lesion, more appropriately a subepithelial lesion, is hard to diagnose. Endoscopic ultrasonography is good to differentiate the nature of submucosal lesion. For definite diagnosis, tissue acquisition from submucosal lesion is necessary, and many methods have been introduced for this purpose mainly by endoscopic ultrasonography, such as endoscopic ultrasound-guided fine needle aspiration (EUS-FNA), EUS-guided Trucut Biopsy (TCB), and EUS-guided fine needle biopsy (FNB). For EUS-FNA, adequate processing of specimen is important, and for proper diagnosis of EUS-FNA specimen, both cytologic and histologic examinations, including immunohistochemical stains, are important. All gastrointestinal stromal tumors have some degree of malignant potential, so there have been a lot of efforts and methods to increase diagnostic yields of submucosal lesion. We herein review the current hot topics on EUS-FNA for submucosal tumor, such as needles, on-site cytopathologists, immunohistochemical stains, EUS-TCB, EUS-FNB, Ki-67 labelling index, DOG1, and combining EUS-FNA and EUS-TCB.

Citations

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    Cureus.2024;[Epub]     CrossRef
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    Güner KILIÇ, Yusuf KAYAR
    Sağlık Akademisi Kastamonu.2023; 8(2): 198.     CrossRef
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    World Journal of Gastroenterology.2022; 28(11): 1123.     CrossRef
  • Efficacy, Feasibility, and Safety of Endoscopic Ultrasound-guided Fine-needle Biopsy for the Diagnosis of Gastrointestinal Subepithelial Lesions
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    Journal of Clinical Gastroenterology.2022; 56(6): e283.     CrossRef
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    Kaveh Sharzehi, Amrita Sethi, Thomas Savides
    Clinical Gastroenterology and Hepatology.2022; 20(11): 2435.     CrossRef
  • Comparison of 22G Fork-Tip and Franseen Needles and Usefulness of Contrast-Enhanced Endoscopic Ultrasound for Diagnosis of Upper Gastrointestinal Subepithelial Lesions
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    Diagnostics.2022; 12(12): 3122.     CrossRef
  • What About Gastric Schwannoma? A Review Article
    Sara Lauricella, Sergio Valeri, Gianluca Mascianà, Ida Francesca Gallo, Erica Mazzotta, Chiara Pagnoni, Saponaro Costanza, Lorenza Falcone, Domenico Benvenuto, Marco Caricato, Gabriella Teresa Capolupo
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    Diagnostics.2021; 11(5): 771.     CrossRef
  • Controversies in EUS: Do we need miniprobes?
    Hans Seifert, Pietro Fusaroli, PaoloGiorgio Arcidiacono, Barbara Braden, Felix Herth, Michael Hocke, Alberto Larghi, Bertrand Napoleon, Mihai Rimbas, BogdanSilvio Ungureanu, Adrian Sãftoiu, AnandV Sahai, ChristophF Dietrich
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  • Efficacy of Endoscopic Ultrasound-Guided Fine-Needle Biopsy in Gastric Subepithelial Tumors Located in the Cardia
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  • Traction method for endoscopic subserosal dissection
    Bianca Maria Quarta Colosso, Mary Raina Angeli Abad, Haruhiro Inoue
    VideoGIE.2020; 5(4): 148.     CrossRef
  • EUS and EUS-guided FNA/core biopsies in the evaluation of subepithelial lesions of the lower gastrointestinal tract: 10-year experience
    IrinaM Cazacu, BenS Singh, AdrianaA Luzuriaga Chavez, Pramoda Koduru, Shamim Ejaz, BrianR Weston, WilliamA Ross, JeffreyH Lee, Sinchita Roy-Chowdhuri, ManoopS Bhutani
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    Min Rao, Qing-Qing Meng, Pu-Jun Gao
    World Journal of Clinical Cases.2020; 8(22): 5809.     CrossRef
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    Vitor Ottoboni Brunaldi, Martin Coronel, Danielle Azevedo Chacon, Eduardo Turiani Hourneaux De Moura, Sérgio E. Matuguma, Eduardo Guimarães Hourneaux De Moura, Diogo Turiani Hourneaux De Moura
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  • Is a Cytopathologist Always Needed during Endoscopic Ultrasonography-Guided Tissue Acquisition?
    Moon Won Lee, Gwang Ha Kim
    Clinical Endoscopy.2017; 50(4): 311.     CrossRef
  • Role of Endoscopic Ultrasonography in Guiding Treatment Plans for Upper Gastrointestinal Subepithelial Tumors
    Jeong Seop Moon
    Clinical Endoscopy.2016; 49(3): 220.     CrossRef
  • Primary Esophageal Intramural Squamous Cell Carcinoma Masquerading as a Submucosal Tumor: A Rare Presentation of a Common Disease
    Nikhil Sonthalia, Samit S. Jain, Ravindra G. Surude, Vinay B. Pawar, Suhas Udgirkar, Pravin M. Rathi
    Clinical Medicine Insights: Gastroenterology.2016; 9: CGast.S40605.     CrossRef
  • Yields and Utility of Endoscopic Ultrasonography-Guided 19-Gauge Trucut Biopsy versus 22-Gauge Fine Needle Aspiration for Diagnosing Gastric Subepithelial Tumors
    Hee Kyong Na, Jeong Hoon Lee, Young Soo Park, Ji Yong Ahn, Kwi-Sook Choi, Do Hoon Kim, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung, Jin-Ho Kim
    Clinical Endoscopy.2015; 48(2): 152.     CrossRef
  • Which Needle Is Better for Diagnosing Subepithelial Lesions?
    Eun Young Kim
    Clinical Endoscopy.2015; 48(2): 91.     CrossRef
  • Diagnosis of Gastric Subepithelial Tumor: Focusing on Endoscopic Ultrasonography
    Eun Young Kim
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2015; 15(1): 9.     CrossRef
  • Utility of DOG1 Immunomarker in Fine Needle Aspirates of Gastrointestinal Stromal Tumor
    Aanchal Kakkar, Sandeep R. Mathur, Deepali Jain, Venkateswaran K. Iyer, Aasma Nalwa, Mehar C. Sharma
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  • Prognostic Significance of Ki-67 Expression in Patients Undergoing Surgical Resection for Gastrointestinal Stromal Tumor
    Seong Yeon Jeong, Won Wo Park, You Sun Kim, Young Il Park, Seung Hyup Kim, Won Jae Yoon, Jeong Seop Moon, Byung Mo Lee, Seong Woo Hong, Yun Kyung Kang
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  • A case of anastomotic recurrence after surgery for gastric cancer diagnosed by endoscopic ultrasound-guided fine needle aspiration
    Kouta Murohashi, Haruo Miwa, Kazuya Sugimori, Yuichiro Tozuka, Yuniba Ishii, Eri Kameta, Tomohiro Ishii, Takashi Kaneko, Takashi Oshima, Atsushi Kokawa, Kazushi Numata, Chikara Kunisaki, Katsuaki Tanaka, Shin Maeda
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  • Endoscopic submucosal dissection of large gastrointestinal stromal tumors in the esophagus and stomach
    Zhankun He, Chao Sun, Zhongqing Zheng, Qingxiang Yu, Tao Wang, Xin Chen, Hailong Cao, Wentian Liu, Bangmao Wang
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  • Prevalence and Predictive Factors of Malignant Potential in Resected Gastric Subepithelial Tumors
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  • Diagnosis of Subepithelial Lesion: Still "Tissue Is the Issue"
    Eun Young Kim
    Clinical Endoscopy.2013; 46(4): 313.     CrossRef
  • Endoscopic Submucosal Dissection for Gastrointestinal Mesenchymal Tumors Adjacent to the Esophagogastric Junction: We Need to Do More
    Chao Sun, Zhankun He, Zhongqing Zheng, Qingxiang Yu, Tao Wang, Wentian Liu, Bangmao Wang
    Journal of Laparoendoscopic & Advanced Surgical Techniques.2013; 23(7): 570.     CrossRef
  • Endoscopic Ultrasound, Where Are We Now in 2012?
    Eun Young Kim
    Clinical Endoscopy.2012; 45(3): 321.     CrossRef
  • Metastatic Breast Cancer to the Gastrointestinal Tract: Report of Five Cases and Review of the Literature
    Massimo Ambroggi, Elisa Maria Stroppa, Patrizia Mordenti, Claudia Biasini, Adriano Zangrandi, Emanuele Michieletti, Elena Belloni, Luigi Cavanna
    International Journal of Breast Cancer.2012; 2012: 1.     CrossRef
  • 7,723 View
  • 83 Download
  • 35 Crossref
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Endoscopic Ultrasound-Guided Fine Needle Aspiration in Hollow Viscus Cancer
Eun Young Kim
Clin Endosc 2012;45(2):124-127.   Published online June 30, 2012
DOI: https://doi.org/10.5946/ce.2012.45.2.124
AbstractAbstract PDFPubReaderePub

Accurate cancer staging is essential in patients with hollow viscus malignancy to decide therapeutic modalities. Endoscopic ultrasound (EUS) is considered as the best modality for local staging of hollow viscus cancer. EUS-guided fine needle aspiration (FNA) is a minimally invasive and effective sampling method. EUS-FNA should be applied when positive diagnosis of malignancy can possibly change the choice of therapeutic options. EUS in conjunction with EUS-FNA can optimize stage-directed therapy which is helpful in selecting minimally invasive treatment option including endoscopic treatment and avoiding unnecessary surgery in advanced cases.

Citations

Citations to this article as recorded by  
  • Endoscopic Ultrasound, Where Are We Now in 2012?
    Eun Young Kim
    Clinical Endoscopy.2012; 45(3): 321.     CrossRef
  • 5,107 View
  • 23 Download
  • 1 Crossref
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Endoscopic Ultrasound-Guided Fine Needle Aspiration in Cystic Pancreatic Lesions
Robert H. Hawes, James Clancy, Muhammad K. Hasan
Clin Endosc 2012;45(2):128-131.   Published online June 30, 2012
DOI: https://doi.org/10.5946/ce.2012.45.2.128
AbstractAbstract PDFPubReaderePub

Incidental pancreatic cysts are being increasingly recognized recently with incremented concern about health and frequent health check-up. Endoscopic ultrasound (EUS) has emerged as the principal modality for imaging pancreas for various pancreatic diseases including pancreatic cyst. But imaging alone cannot accurately identify the exact nature of the pancreatic cyst. EUS-guided fine needle aspiration is a useful adjunctive procedure to differentiate pancreatic cystic lesions. Cystic fluid analysis with cytologic evaluation is important to diagnose etiology of pancreatic cystic lesions, helping the clinician to more accurately assess the presence or potential for malignancy.

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  • 6,320 View
  • 75 Download
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How Can We Get the Best Results with Endoscopic Ultrasound-Guided Fine Needle Aspiration?
Jayapal Ramesh, Shyam Varadarajulu
Clin Endosc 2012;45(2):132-137.   Published online June 30, 2012
DOI: https://doi.org/10.5946/ce.2012.45.2.132
AbstractAbstract PDFPubReaderePub

Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) has evolved to become an indispensable tool for tissue acquisition. While the overall diagnostic accuracy of EUS-FNA is greater than 90% for lung cancer staging, it is lower for pancreatic mass lesions. Several factors such as location of the tumor, disease characteristics and procedural techniques determine the outcomes of EUS-FNA. In this review we evaluate the various technical factors that are keys to attaining optimal procedural outcomes.

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  • Yields and Utility of Endoscopic Ultrasonography-Guided 19-Gauge Trucut Biopsy versus 22-Gauge Fine Needle Aspiration for Diagnosing Gastric Subepithelial Tumors
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  • 6,673 View
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Review
Non-Steroidal Anti-Inflammatory Drug-Induced Enteropathy
Yun Jeong Lim, Chang-Hun Yang
Clin Endosc 2012;45(2):138-144.   Published online June 30, 2012
DOI: https://doi.org/10.5946/ce.2012.45.2.138
AbstractAbstract PDFPubReaderePub

Non-steroidal anti-inflammatory drugs (NSAIDs) are one of the most commonly prescribed drugs in the world. NSAID-induced lower gastrointestinal (GI) complications are increasing while upper GI complications are decreasing. Lower GI events accounted for 40% of all serious GI events in patients on NSAIDs. Capsule endoscopy and device assisted enteroscopy are available for detection of small intestinal lesions. Capsule endoscopy studies have demonstrated that NSAIDs use in healthy volunteers raised the incidence (55% to 75%) of intestinal damage. It appears that selective cyclooxygenase-2 inhibitors (coxibs) improved upper and lower GI safety based on results of clinical trials. Selective coxibs are still capable of triggering GI adverse events and cardiovascular toxicity issues were the main focus of concerns. Unfortunately, definite strategies are not available to prevent or heal NSAID-induced intestinal injuries. Thus, there is still a strong clinical need for effective drugs with improved safety profiles than the existing NSAIDs.

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Original Articles
The Clinical Meaning of Benign Colon Uptake in 18F-FDG PET: Comparison with Colonoscopic Findings
Sun Hee Roh, Sung-Ae Jung, Seong-Eun Kim, Hye-In Kim, Min Jin Lee, Chung Hyun Tae, Ju Young Choi, Ki-Nam Shim, Hye-Kyung Jung, Tae Hun Kim, Kwon Yoo, Il Hwan Moon, Bom Sahn Kim
Clin Endosc 2012;45(2):145-150.   Published online June 30, 2012
DOI: https://doi.org/10.5946/ce.2012.45.2.145
AbstractAbstract PDFPubReaderePub
Background/Aims

Benign colon 18F-fluorodeoxyglucose (FDG) uptake is frequently observed in asymptomatic individuals. Aims of this study were to investigate the benign colon uptake by whole body FDG-positron emission tomography (PET) in asymptomatic adults and to correlate those results with colonoscopic and histologic findings.

Methods

Among 3,540 subjects who had undergone FDG-PET, 43 subjects who were diagnosed to have benign colon uptake in FDG-PET and underwent colonoscopy were retrospectively reviewed. Subjects were classified as diffuse or focal groups based on their FDG uptake patterns. PET results were analyzed together with colonoscopic and histologic findings.

Results

Forty-three subjects showed benign colon uptake in FDG-PET; 28 of them were shown as the diffuse group, while other 15 subjects were classified as the focal group. Five subjects among those showed diffuse uptake were diagnosed as adenoma. Seven among 15 subjects who showed focal uptake were diagnosed as adenocarcinoma (n=2), adenoma (n=3), or non-neoplastic polyp (n=2). Positive predictive values were 25% in the diffuse group and 47% in the focal group.

Conclusions

We recommend that patients showing benign FDG uptake in the colon should be further evaluated by colonoscopy, especially for patients with focal FDG uptake.

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Expression of MUC5AC and Trefoil Peptide 1 (TFF1) in the Subtypes of Intestinal Metaplasia
Joo-Yong Song, Byung-Wook Kim, Ah-Won Lee, Kyo-Young Lee, In-Sik Chung, Bo-In Lee, Hwang Choi, Jeong-Seon Ji, Hiun-Suk Chae, Kyu-Yong Choi
Clin Endosc 2012;45(2):151-154.   Published online June 30, 2012
DOI: https://doi.org/10.5946/ce.2012.45.2.151
AbstractAbstract PDFPubReaderePub
Background/Aims

Alterations of the expression pattern of mucins and trefoil peptides have been described in gastric adenocarcinomas and in their precursor lesions. The aim of this study was to determine the progression patterns of intestinal metaplasia (IM) subtypes by analyzing the expression patterns of TFF1 and MUC5AC in different subtypes of IM of the stomach.

Methods

Endoscopic gastric biopsies of the antrum and body were obtained from patients with dyspepsia and endoscopic IM. Alcian blue/periodic acid-Schiff staining and the high iron diamine technique were used to classify the subtypes of IM. Immunoreactivity for MUC5AC and TFF1 was estimated in different types of IM.

Results

IM was detected in 128 samples from 80 patients; type I was found in 48 samples, type II was found in 37 samples, and type III was found in 43 samples. There was a gradual decrease in MUC5AC and TFF1 expression during the progression of IM from type I to type III via the type II intermediate.

Conclusions

This downregulation of MUC5AC and TFF1 expression may challenge the sequential progression of IM from type I to type III via the type II intermediate, and it might be associated with gastric carcinogenesis.

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Extended Spectrum-β-Lactamase or Carbapenemase Producing Bacteria Isolated from Patients with Acute Cholangitis
Ja Chung Goo, Mun Hyuk Seong, Young Kwang Shim, Hee Seung Lee, Jung-Ho Han, Kyeong Seob Shin, Jae-Woon Choi, Sei Jin Youn, Seon Mee Park
Clin Endosc 2012;45(2):155-160.   Published online June 30, 2012
DOI: https://doi.org/10.5946/ce.2012.45.2.155
Correction in: Clin Endosc 2012;45(4):453
AbstractAbstract PDFPubReaderePub
Background/Aims

This study assessed the antibiotic resistance organisms isolated from the blood and bile of acute cholangitis and evaluated risk factors associated with them and their impact on clinical outcomes.

Methods

The identities and antibiotic resistance profiles of bacteria isolated from 433 cases of acute cholangitis from 346 patients were analyzed. Risk factors and the outcomes of patients infected with them were assessed.

Results

Microorganisms were isolated from 266 of 419 blood cultures and 256 of 260 bile cultures. Isolates from bile and blood were identical in 71% of the cases. A total of 20 extended spectrum-β-lactamase (ESBL)-producers and 4 carbapenemase-producing organisms were isolated from blood, and 34 ESBL-producers and 13 carbapenemase-producers were isolated from bile. Sixty-four (14.8%) cases were infected with any one of these bacteria isolated from blood or bile. Risk factors associated with them in blood were nosocomial infection and prior biliary intervention. In bile, indwelling biliary device was a risk factor associated with them. Antibiotic-resistant bacteria were associated with mortality, independent of other prognostic factors.

Conclusions

ESBL or carbapenemase-producing bacteria were frequently isolated in acute cholangitis patients especially with prior biliary intervention and nosocomial infection. Isolation of antibiotic-resistant bacteria was an independent risk factor of mortality.

Citations

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Effectiveness of Premedication with Pronase for Visualization of the Mucosa during Endoscopy: A Randomized, Controlled Trial
Gyu Jin Lee, Seun Ja Park, Sun Jung Kim, Hyung Hun Kim, Moo In Park, Won Moon
Clin Endosc 2012;45(2):161-164.   Published online June 30, 2012
DOI: https://doi.org/10.5946/ce.2012.45.2.161
AbstractAbstract PDFPubReaderePub
Background/Aims

Gastric mucus should be removed before endoscopic examination to increase visibility. In this study, the effectiveness of premedication with pronase for improving visibility during endoscopy was investigated.

Methods

From April 2010 to February 2011, 400 outpatients were randomly assigned to receive endoscopy with one of four premedications as follows: dimethylpolysiloxane (DMPS), pronase and sodium bicarbonate with 10 minutes premedication time (group A, n=100), DMPS and sodium bicarbonate with 10 minutes premedication time (group B, n=100), DMPS, pronase and sodium bicarbonate with 20 minutes premedication time (group C, n=100), and DMPS and sodium bicarbonate with 20 minute premedication time (group D, n=100). One endoscopist, who was unaware of the premedication types, calculated the visibility scores (range, 1 to 3) of the antrum, lower gastric body, upper gastric body and fundus. The sum of the scores from the four locations was defined as the total visibility score.

Results

Group C showed significantly lower scores than other groups (p=0.002). Group C also had the lowest frequency of flushing, which was significantly lower than that of group D. Groups C and D had significantly shorter durations of examination than groups A and B.

Conclusions

Using pronase 20 minutes before endoscopy significantly improved endoscopic visualization and decreased the frequency of water flushing.

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Case Reports
A Case of Giant Lipoma Causing Chronic Recurrent Intussusception of the Colon
Chang Seob Lee, Mi Jin Lee, Kyoung Lee Kim, Yeon Soo Kim, Gwang Ho Baik, Jin Bong Kim, Dong Joon Kim, Sang Hak Han
Clin Endosc 2012;45(2):165-168.   Published online June 30, 2012
DOI: https://doi.org/10.5946/ce.2012.45.2.165
AbstractAbstract PDFPubReaderePub

Colonic lipomas, which often occur in elderly women, usually have small size and occur mainly in the cecum and ascending colon. Most colonic lipomas are asymptomatic and identified incidentally at the time of endoscopy or surgery. However, they may cause symptoms such as bleeding, obstruction or intussusception as their size increases. Intermittent episodes of intussusception are uncommon but may be caused by large pedunculated lipoma. In a 68-year-old woman suffering intermittent abdominal pain, 5.5×4.5×3.8-cm huge mass was found by colonoscopy at proximal ascending colon, which was intussuscepted to proximal transverse colon on abdominal computed tomography. Segmental right colonic resection was conducted. We report a case of symptomatic giant pedunculated colonic lipoma causing intussusception requiring surgical intervention, with a successful recovery after surgery.

Citations

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    İlke Evrim SEÇİNTİ, Betül ŞİMŞEK, Salih ŞİMŞEK, Süleyman UYSAL, Ozan ÖZTÜRK
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  • 8 Crossref
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Successful Treatment of Early Gastric Cancer Adjacent to a Fundal Varix by Endoscopic Submucosal Dissection and Endoscopic Cyanoacrylate Therapy
Yeon Soo Kim, Won Young Cho, Joo Young Cho, So Young Jin
Clin Endosc 2012;45(2):169-173.   Published online June 30, 2012
DOI: https://doi.org/10.5946/ce.2012.45.2.169
AbstractAbstract PDFPubReaderePub

Endoscopic submucosal dissection (ESD) was developed for the en bloc resection of large early gastrointestinal neoplasms. A disadvantage of ESD is its technical difficulty, which requires advanced skills and is associated with a higher rate of complications. Endoscopic variceal obturation (EVO) using cyanoacrylate has emerged as the initial treatment of choice for acute gastric variceal bleeding. This procedure achieves hemostasis in 90% of cases. A 52-year-old patient with Child A alcoholic liver cirrhosis presented with early gastric cancer in the cardia and type 1 isolated gastric varices in the fundus. The two lesions were so close together that treatment was not easy. The lesions were managed successfully with a combination of ESD and EVO using cyanoacrylate.

Citations

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  • Successful endoscopic submucosal dissection for early gastric cancer adjacent to gastric cardia varix
    Ko Watanabe, Takuto Hikichi, Jun Nakamura, Tadayuki Takagi, Rei Suzuki, Mitsuru Sugimoto, Yuichi Waragai, Hitomi Kikuchi, Naoki Konno, Hiroyuki Asama, Mika Takasumi, Hiroshi Watanabe, Katsutoshi Obara, Hiromasa Ohira
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    Kyung Sik Park
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  • 4 Crossref
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Cecal Fecaloma Due to Intestinal Tuberculosis: Endoscopic Treatment
Sun Moon Kim, Ki Hyun Ryu, Young Suk Kim, Tae Hee Lee, Euyi Hyeog Im, Kyu Chan Huh, Young Woo Choi, Young Woo Kang
Clin Endosc 2012;45(2):174-176.   Published online June 30, 2012
DOI: https://doi.org/10.5946/ce.2012.45.2.174
AbstractAbstract PDFPubReaderePub

Colorectal fecaloma is a mass of accumulated feces that is much harder in consistency than a fecal impactation. The rectosigmoid area is the common site for fecalomas and the cecum is the most unusual site. Diagnosis is usually made by distinctive radiographic findings of a mobile intraluminal mass with a smooth outline and no mucosal attachment. Most of the fecalomas are successfully treated by conservative methods such as laxatives, enemas and rectal evacuation. When conservative treatments have failed, endoscopic procedures or a surgical intervention may be needed. We report here that a cecal fecaloma caused by intestinal tuberculosis scar was successfully removed by endoscopic procedures.

Citations

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  • Obstructive Fecalomas in an Infant Treated with Successful Endoscopic Disimpaction
    Risa Kanai, Kengo Nakaya, Koji Fukumoto, Masaya Yamoto, Hiromu Miyake, Akiyoshi Nomura, Susumu Yamada, Akihiro Makino, Hideto Iwafuchi, Naoto Urushihara, Georg Singer
    Case Reports in Pediatrics.2021; 2021: 1.     CrossRef
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    Brian T. Wang, Stefanie Y. Lee
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    Eric H. Choi, Walter J. Coyle, David Schlossberg
    Microbiology Spectrum.2016;[Epub]     CrossRef
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    Jong Jin Lee, Jeong Wook Kim
    The Korean Journal of Gastroenterology.2015; 66(1): 46.     CrossRef
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    Ha Yeong Yoo, Hye Won Park, Seong-Hwan Chang, Sun Hwan Bae
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  • 58 Download
  • 5 Crossref
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A Case of Ampullary Perforation Treated with a Temporally Covered Metal Stent
Woo Young Park, Kwang Bum Cho, Eun Soo Kim, Kyung Sik Park
Clin Endosc 2012;45(2):177-180.   Published online June 30, 2012
DOI: https://doi.org/10.5946/ce.2012.45.2.177
AbstractAbstract PDFPubReaderePub

Endoscopic retrograde cholangiopancreatography (ERCP)-related perforation is classified into three or four types based on anatomical location and the mechanism of injury. Although ampullary injury, among them, may be managed nonsurgically, surgical management is required in cases of perforation with retroperitoneal fluid collection and severe condition. Here, a patient with ERCP-related severe ampullary perforation with retroperitoneal fluid collection that was treated nonsurgically with a covered stent is presented.

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    Gregorios A. Paspatis, Marianna Arvanitakis, Jean-Marc Dumonceau, Marc Barthet, Brian Saunders, Stine Ydegaard Turino, Angad Dhillon, Maria Fragaki, Jean-Michel Gonzalez, Alessandro Repici, Roy L.J. van Wanrooij, Jeanin E. van Hooft
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