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Original Articles
Value of Fecal Calprotectin Measurement During the Initial Period of Therapeutic Anti-Tubercular Trial
Hyeong Ho Jo, Eun Young Kim, Jin Tae Jung, Joong Goo Kwon, Eun Soo Kim, Hyun Seok Lee, Yoo Jin Lee, Kyeong Ok Kim, Byung Ik Jang, the Crohn’s and Colitis Association in Daegu-Gyeongbuk
Clin Endosc 2022;55(2):256-262.   Published online November 5, 2021
DOI: https://doi.org/10.5946/ce.2021.061
AbstractAbstract PDFPubReaderePub
Background
/Aims: The diagnosis of intestinal tuberculosis (ITB) is often challenging. Therapeutic anti-tubercular trial (TATT) is sometimes used for the diagnosis of ITB. We aimed to evaluate the changing pattern of fecal calprotectin (FC) levels during TATT in patients with ITB.
Methods
A retrospective review was performed on the data of 39 patients who underwent TATT between September 2015 and November 2018 in five university hospitals in Daegu, South Korea. The analysis was performed for 33 patients with serial FC measurement reports.
Results
The mean age of the participants was 48.8 years. The final diagnosis of ITB was confirmed in 30 patients based on complete mucosal healing on follow-up colonoscopy performed after 2 months of TATT. Before starting TATT, the mean FC level of the ITB patients was 170.2 μg/g (range, 11.5-646.5). It dropped to 25.4 μg/g (range, 11.5-75.3) and then 23.3 μg/g (range, 11.5-172.2) after one and two months of TATT, respectively. The difference in mean FC before and one month after TATT was statistically significant (p<0.001), and FC levels decreased to below 100 μg/g in all patients after one month of TATT.
Conclusions
All ITB patients showed FC decline after only 1 month of TATT, and this finding correlated with complete mucosal healing in the follow-up colonoscopy after 2 months of TATT.

Citations

Citations to this article as recorded by  
  • Primary Gastric Tuberculosis in an Immunocompetent Patient: The Truth Lying beneath the Surface
    Fábio Pereira Correia, Luísa Martins Figueiredo, Luís Carvalho Lourenço, Sofia Santos, Rita Theias Manso, David Horta
    GE - Portuguese Journal of Gastroenterology.2024; 31(3): 191.     CrossRef
  • Evidence-based approach to diagnosis and management of abdominal tuberculosis
    Daya Krishna Jha, Mythili Menon Pathiyil, Vishal Sharma
    Indian Journal of Gastroenterology.2023; 42(1): 17.     CrossRef
  • Fecal Calprotectin as a Surrogate Marker for Mucosal Healing After Initiating the Therapeutic Anti-Tubercular Trial
    Satimai Aniwan
    Clinical Endoscopy.2022; 55(2): 210.     CrossRef
  • 3,056 View
  • 281 Download
  • 3 Web of Science
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Propofol Alone versus Propofol in Combination with Midazolam for Sedative Endoscopy in Patients with Paradoxical Reactions to Midazolam
Ji Hyung Nam, Dong Kee Jang, Jun Kyu Lee, Hyoun Woo Kang, Byung-Wook Kim, Byung Ik Jang, the Committees of Quality Management and Conscious Sedation of Korean Society of Gastrointestinal Endoscopy
Clin Endosc 2022;55(2):234-239.   Published online October 12, 2021
DOI: https://doi.org/10.5946/ce.2021.126
AbstractAbstract PDFPubReaderePub
Background
/Aims: The efficacy of propofol in gastrointestinal endoscopy for patients with midazolam-induced paradoxical reactions remains unclarified. This study aimed to compare the efficacy and safety of propofol-based sedation in patients who previously experienced paradoxical reactions.
Methods
This was a prospective, single-blinded, randomized controlled pilot study. Participants with a history of paradoxical reactions to midazolam during a previous esophagogastroduodenoscopy were recruited and randomly assigned to group I (propofol monosedation) or group II (combination of propofol and midazolam). The primary endpoint was the occurrence of a paradoxical reaction.
Results
A total of 30 participants (mean age, 54.7±12.6 years; male, 19/30) were randomly assigned to group I (n=16) or group II (n=14). There were no paradoxical reactions in group I, but there were two in group II, without a significant difference (p=0.209). The mean dose of propofol was higher in group I than in group II (p=0.002). Meanwhile, the procedure and recovery times did not differ between groups.
Conclusions
Propofol-based sedation was safe and effective for patients who experienced paradoxical reactions to midazolam. However, caution is needed because few cases of paradoxical reaction again can happen in group II in which midazolam was readministered.

Citations

Citations to this article as recorded by  
  • Efficacy and safety of remimazolam-based sedation for intensive care unit patients undergoing upper gastrointestinal endoscopy: a cohort study
    Yuan-rui Zhao, Ke-sheng Huang, Guo Hou, Lan Yao, Li-ping Lu, Song Xu, Ying-tao Lian, Zhun Yao, Zhui Yu
    World Journal of Emergency Medicine.2023; 14(1): 31.     CrossRef
  • Effective dose of propofol combined with a low-dose esketamine for gastroscopy in elderly patients: A dose finding study using dixon’s up-and-down method
    Yuling Zheng, Yafei Xu, Bixin Huang, Ying Mai, Yiwen Zhang, Zhongqi Zhang
    Frontiers in Pharmacology.2022;[Epub]     CrossRef
  • Drugs used for sedation in gastrointestinal endoscopy
    Jun Kyu Lee
    Journal of the Korean Medical Association.2022; 65(11): 735.     CrossRef
  • 3,971 View
  • 271 Download
  • 5 Web of Science
  • 3 Crossref
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A Nationwide Survey on the Facilities and Personnel for Endoscopic Sedation: Results from 50 Qualified Endoscopy Units of Teaching Hospitals Accredited by the Korean Society of Gastrointestinal Endoscopy (KSGE)
Seon-Young Park, Jun Kyu Lee, Jung-Wook Kim, Tae Hee Lee, Chang-Hwan Park, Jae-Yong Jang, Byung-Wook Kim, Byung Ik Jang, the Quality management and Endoscopic sedation committee of Korean Society of Gastrointestinal Endoscopy (KSGE)
Clin Endosc 2021;54(6):843-850.   Published online July 14, 2021
DOI: https://doi.org/10.5946/ce.2021.014
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background
/Aims: This study aimed to determine the current status of facilities, equipment, and personnel for endoscopic sedation from endoscopy units of representative hospitals in South Korea.
Methods
A questionnaire survey was conducted on 50 qualified endoscopy units accredited by the Korean Society of Gastrointestinal Endoscopy.
Results
All included endoscopy units had regulations and educational programs regarding sedation training for endoscopists and nursing personnel. There present one assisting nurse during endoscopy in 35 units (70%) and at least two nurses in 12 units (24.0%). All endoscopy units had examination rooms equipped with oxygen supply and suction systems. Endoscopist-directed sedation was performed in 48 units (96.0%). Propofol-based sedation was the most used sedation method. All units had a separate recovery bay. The daily number of patients per bed was greater than 10 in 17 units (34.0%). In 26 (52.0%) units, a single nurse cared for ≥10 patients per day. All the units fulfilled the discharge criteria.
Conclusions
This study presents data regarding endoscopic sedation clinical practice in 50 endoscopy units in South Korea. This study presents the current status of endoscopic sedation clinical practice in 50 qualified endoscopy units accredited by the KSGE, which provide excellent quality management.

Citations

Citations to this article as recorded by  
  • Awareness of Endoscopy Nurses About Anesthesia Management in the Pediatric Gastrointestinal Endoscopy Unit; A Survey Study
    Feyza SEVER, Şamil HIZLI
    Turkish Journal of Pediatric Disease.2023; : 412.     CrossRef
  • Drugs used for sedation in gastrointestinal endoscopy
    Jun Kyu Lee
    Journal of the Korean Medical Association.2022; 65(11): 735.     CrossRef
  • 3,455 View
  • 116 Download
  • 2 Web of Science
  • 2 Crossref
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Review
Multidisciplinary and Multisociety Practice Guideline on Reprocessing Flexible Gastrointestinal Endoscopes and Endoscopic Accessories
Dae Young Cheung, Byung Ik Jang, Sang Wook Kim, Jie-Hyun Kim, Hyung Keun Kim, Jeong Eun Shin, Won Jae Yoon, Yong Kang Lee, Kwang Hyun Chung, Soo-Jeong Cho, Hyun Phil Shin, Sun Young Cho, Woon Geon Shin, Kee Don Choi, Byung-Wook Kim, Joong Goo Kwon, Hee Chan Yang, Tae-Geun Gweon, Hyun Gun Kim, Dong-Won Ahn, Kwang Bum Cho, Sun Hee Kim, Kyong Hwa Hwang, Hee Hyuk Im
Clin Endosc 2020;53(3):276-285.   Published online May 29, 2020
DOI: https://doi.org/10.5946/ce.2020.106
AbstractAbstract PDFPubReaderePub
The area of endoscopic application has been continuously expanded since its introduction in the last century and the frequency of its use also increased stiffly in the last decades. Because gastrointestinal endoscopy is naturally exposed to diseased internal organs and contact with pathogenic materials, endoscopy mediated infection or disease transmission becomes a major concern in this field. Gastrointestinal endoscopy is not for single use and the proper reprocessing process is a critical factor for safe and reliable endoscopy procedures. What needed in these circumstances is a practical guideline for reprocessing the endoscope and its accessories which is feasible in the real clinical field to guarantee acceptable prevention of pathogen transmission. This guideline contains principles and instructions of the reprocessing procedure according to the step by step. And it newly includes general information and updated knowledge about endoscopy-mediated infection and disinfection. Multiple societies and working groups participated to revise; Korean Association for the Study of the Liver, the Korean Society of Infectious Diseases, Korean College of Helicobacter and Upper Gastrointestinal Research, the Korean Society of Gastroenterology, Korean Society of Gastrointestinal Cancer, Korean Association for the Study of Intestinal Diseases, Korean Pancreatobiliary Association, the Korean Society of Gastrointestinal Endoscopy Nurses and Associates and Korean Society of Gastrointestinal Endoscopy. Through this cooperation, we enhanced communication and established a better concordance. We still need more researches in this field and fill up the unproven area. And our guidelines will be renewed accordingly.

Citations

Citations to this article as recorded by  
  • Efficacy and safety of three-dimensional magnetically assisted capsule endoscopy for upper gastrointestinal and small bowel examination
    Dong Jun Oh, Yea Je Lee, Sang Hoon Kim, Joowon Chung, Hyun Seok Lee, Ji Hyung Nam, Yun Jeong Lim, Thomas Lui Ka Luen
    PLOS ONE.2024; 19(5): e0295774.     CrossRef
  • Current status of the gastric cancer screening program in Korea
    Young-Il Kim, Il Ju Choi
    Journal of the Korean Medical Association.2022; 65(5): 250.     CrossRef
  • Reducing the environmental footprint of gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement
    Enrique Rodríguez de Santiago, Mario Dinis-Ribeiro, Heiko Pohl, Deepak Agrawal, Marianna Arvanitakis, Robin Baddeley, Elzbieta Bak, Pradeep Bhandari, Michael Bretthauer, Patricia Burga, Leigh Donnelly, Axel Eickhoff, Bu'Hussain Hayee, Michal F. Kaminski,
    Endoscopy.2022; 54(08): 797.     CrossRef
  • Current Evidence for a Paradigm Shift in Gastric Cancer Prevention From Endoscopic Screening toHelicobacter pyloriEradication in Korea
    Young-Il Kim, Il Ju Choi
    Journal of Gastric Cancer.2022; 22(3): 169.     CrossRef
  • General guideline in the endoscopy room to avoid air-borne infection during the COVID-19 pandemic
    Kwang Hyun Chung, Soo-Jeong Cho
    Clinical Endoscopy.2022; 55(5): 688.     CrossRef
  • Efficacy of a novel channel-cleaning ball brush for endoscope reprocessing: a randomized controlled trial
    Kwang Hyun Chung, Jeong Don Chae, Wonho Choe, Hyo Young Lee, Il Hwan Oh, Byoung Kwan Son
    Clinical Endoscopy.2022; 55(5): 674.     CrossRef
  • Endoscopes that Complete Pre-Cleaning may be Stored Overnight until Next Morning for the Subsequent Reprocessing
    Soo-Jeong Cho
    Clinical Endoscopy.2021; 54(4): 449.     CrossRef
  • Accreditation program for gastrointestinal endoscopes reprocessing in Italy: An on-site survey
    Giancarlo Spinzi, Angelo Milano, Piero Brosolo, Paola Da Massa Carrara, Maurizio Labardi, Alberto Merighi, Luisa Riccardi, Francesco Torresan, Maurizio Capelli
    Endoscopy International Open.2021; 09(11): E1627.     CrossRef
  • Sans Standardization: Effective Endoscope Reprocessing
    Sameer K. Avasarala, Lawrence F. Muscarella, Atul C. Mehta
    Respiration.2021; 100(12): 1208.     CrossRef
  • 8,521 View
  • 310 Download
  • 8 Web of Science
  • 9 Crossref
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Special Review: Korean Society of Gastrointestinal Endoscopy “Accreditations 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
  • 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
  • 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
  • 4,584 View
  • 149 Download
  • 7 Web of Science
  • 8 Crossref
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Updates on the Sedation for Gastrointestinal Endoscopy
Jun Kyu Lee, Yoo Jin Lee, Jun Hyung Cho, Jong Pil Im, Chang-Hwan Park, Jae-Young Jang, Byung Ik Jang, the Quality Management Committee and the Disinfection Management/Conscious Sedation Committee of Korean Society of Gastrointestinal Endoscopy (KSGE)
Clin Endosc 2019;52(5):451-457.   Published online September 30, 2019
DOI: https://doi.org/10.5946/ce.2019.172
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Sedation, defined as the depressed level of consciousness, induced by drug administration, is widely used for gastrointestinal endoscopy to relieve a patient’s anxiety and discomfort. In addition, successful procedure is anticipated with control of unintended movements. Endoscopic sedation, however, cannot be free from the risk of serious adverse events, e.g., cardiopulmonary compromise. Therefore, principles on personnel, facility and equipment, as well as performance itself, should be followed to prevent unfavorable incidents. In this article, sedation guidelines for the Accreditation of Qualified Endoscopy Units, issued by the Korean Society of Gastrointestinal Endoscopy, are presented.

Citations

Citations to this article as recorded by  
  • Nurse-Administered Propofol Sedation Training Curricula and Propofol Administration in Digestive Endoscopy Procedures
    Andrea Minciullo, Lucia Filomeno
    Gastroenterology Nursing.2024; 47(1): 33.     CrossRef
  • Propofol Alone versus Propofol in Combination with Midazolam for Sedative Endoscopy in Patients with Paradoxical Reactions to Midazolam
    Ji Hyung Nam, Dong Kee Jang, Jun Kyu Lee, Hyoun Woo Kang, Byung-Wook Kim, Byung Ik Jang
    Clinical Endoscopy.2022; 55(2): 234.     CrossRef
  • Endoscopist-Driven Sedation Practices in South Korea: Re-evaluation Considering the Nationwide Survey in 2019
    Seon-Young Park, Jun Kyu Lee, Chang-Hwan Park, Byung-Wook Kim, Chang Kyun Lee, Hong Jun Park, Byung Ik Jang, Dong Uk Kim, Jin Myung Park, Jae Min Lee, Young Sin Cho, Hyung Ku Chon, Seung Young Seo, Woo Hyun Paik
    Gut and Liver.2022; 16(6): 899.     CrossRef
  • Drugs used for sedation in gastrointestinal endoscopy
    Jun Kyu Lee
    Journal of the Korean Medical Association.2022; 65(11): 735.     CrossRef
  • Pain Intensity at Injection Site during Esophagogastroduodenoscopy Using Long- and Medium-Chain versus Long-Chain Triglyceride Propofol: A Randomized Controlled Double-Blind Study
    Joon Seop Lee, Eun Soo Kim, Kwang Bum Cho, Kyung Sik Park, Yoo Jin Lee, Ju Yup Lee
    Gut and Liver.2021; 15(4): 562.     CrossRef
  • A Nationwide Survey on the Facilities and Personnel for Endoscopic Sedation: Results from 50 Qualified Endoscopy Units of Teaching Hospitals Accredited by the Korean Society of Gastrointestinal Endoscopy (KSGE)
    Seon-Young Park, Jun Kyu Lee, Jung-Wook Kim, Tae Hee Lee, Chang-Hwan Park, Jae-Yong Jang, Byung-Wook Kim, Byung Ik Jang
    Clinical Endoscopy.2021; 54(6): 843.     CrossRef
  • Risk Factors for Prolonged Hospital Stay after Endoscopy
    Toshihiro Nishizawa, Shuntaro Yoshida, Osamu Toyoshima, Tatsuya Matsuno, Masataka Irokawa, Toru Arano, Hirotoshi Ebinuma, Hidekazu Suzuki, Takanori Kanai, Kazuhiko Koike
    Clinical Endoscopy.2021; 54(6): 851.     CrossRef
  • 6,070 View
  • 232 Download
  • 8 Web of Science
  • 7 Crossref
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Commentary
What is the Best Sampling Method to Monitor the Effect of Endoscopy Reprocessing?
Kwang Hyun Chung, Byung Ik Jang
Clin Endosc 2018;51(5):397-398.   Published online September 21, 2018
DOI: https://doi.org/10.5946/ce.2018.146
PDFPubReaderePub
  • 3,899 View
  • 94 Download
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Review
Korean Society of Gastrointestinal Endoscopy Guidelines for Endoscope Reprocessing
Byoung Kwan Son, Byung-Wook Kim, Won Hee Kim, Dae-Sung Myung, Young-Seok Cho, Byung Ik Jang, The Disinfection Management and Conscious Sedation Committee of Korean Society of Gastrointestinal Endoscopy
Clin Endosc 2017;50(2):143-147.   Published online March 17, 2017
DOI: https://doi.org/10.5946/ce.2017.029
AbstractAbstract PDFPubReaderePub
The Korean Society of Gastrointestinal Endoscopy (KSGE) issued guidelines for endoscope reprocessing for the first time in 1995, and the version of the guidelines was updated in August 2009, August 2012, and March 2015. Guidelines for endoscope reprocessing should be revised continuously, because new disinfectants and devices are developed and introduced. The current official version of the KSGE guidelines for endoscope reprocessing is explained herein to assist the reader in understanding the KSGE requirements for cleaning and disinfecting endoscopes.

Citations

Citations to this article as recorded by  
  • Comparison of channel sampling methods and brush heads in surveillance culture of endoscope reprocessing: A propensity score matching and paired study
    Xue-Yue Ji, Pei-Yong Ning, Chun-Nan Fei, Jia Song, Xue-Mei Dou, Nan-Nan Zhang, Jun Liu, He Liu
    Saudi Journal of Gastroenterology.2022; 28(1): 46.     CrossRef
  • Altered Gastric Microbiota and Inflammatory Cytokine Responses in Patients with Helicobacter pylori-Negative Gastric Cancer
    Han-Na Kim, Min-Jeong Kim, Jonathan P. Jacobs, Hyo-Joon Yang
    Nutrients.2022; 14(23): 4981.     CrossRef
  • Efficacy of a novel channel-cleaning ball brush for endoscope reprocessing: a randomized controlled trial
    Kwang Hyun Chung, Jeong Don Chae, Wonho Choe, Hyo Young Lee, Il Hwan Oh, Byoung Kwan Son
    Clinical Endoscopy.2022; 55(5): 674.     CrossRef
  • Guidelines for accreditation of endoscopy units: quality measures from the Korean Society of Coloproctology
    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
    Annals of Surgical Treatment and Research.2021; 100(3): 154.     CrossRef
  • Guidelines for Cancer Care during the COVID-19 Pandemic in South Korea
    Jii Bum Lee, Minkyu Jung, June Hyuk Kim, Bo Hyun Kim, Yeol Kim, Young Seok Kim, Byung Chang Kim, Jin Kim, Sung Ho Moon, Keon-Uk Park, Meerim Park, Hyeon Jin Park, Sung Hoon Sim, Hong Man Yoon, Soo Jung Lee, Eunyoung Lee, June Young Chun, Youn Kyung Chung,
    Cancer Research and Treatment.2021; 53(2): 323.     CrossRef
  • The Effectiveness of Drying on Residual Droplets, Microorganisms, and Biofilms in Gastrointestinal Endoscope Reprocessing: A Systematic Review
    Hefeng Tian, Jiao Sun, Shaoning Guo, Xuanrui Zhu, Han Feng, Yijin Zhuang, Xiu Wang, Konstantinos Triantafyllou
    Gastroenterology Research and Practice.2021; 2021: 1.     CrossRef
  • Does the Reprocessing of Endoscopes Have to Take Place Immediately after Pre-Cleaning? A First Evaluation
    Vanessa M Eichel, Jonas M Jabs, Samy Unser, Nico T Mutters, Martin Scherrer
    Clinical Endoscopy.2021; 54(4): 526.     CrossRef
  • Ambient air pollution in gastrointestinal endoscopy unit
    Chang Seok Bang, Keunwook Lee, Young Joo Yang, Gwang Ho Baik
    Surgical Endoscopy.2020; 34(9): 3795.     CrossRef
  • 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
    Clinical Endoscopy.2019; 52(5): 443.     CrossRef
  • Ambient air pollution in gastrointestinal endoscopy unit; rationale and design of a prospective study
    Chang Seok Bang, Keunwook Lee, Jae Ho Choi, Jae Seung Soh, Ji Young Hong, Gwang Ho Baik, Dong Joon Kim
    Medicine.2018; 97(49): e13600.     CrossRef
  • 9,251 View
  • 310 Download
  • 10 Web of Science
  • 10 Crossref
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Original Article
Indications for Detection, Completion, and Retention Rates of Small Bowel Capsule Endoscopy Based on the 10-Year Data from the Korean Capsule Endoscopy Registry
Yun Jeong Lim, Oh Young Lee, Yoon Tae Jeen, Chi Yeon Lim, Dae Young Cheung, Jae Hee Cheon, Byong Duk Ye, Hyun Joo Song, Jin Su Kim, Jae Hyuk Do, Kwang Jae Lee, Ki-Nam Shim, Dong Kyung Chang, Cheol Hee Park, Byung Ik Jang, Jeong Seop Moon, Hoon Jai Chun, Myung-Gyu Choi, Jin Oh Kim, Korean Gut Image Study Group
Clin Endosc 2015;48(5):399-404.   Published online September 30, 2015
DOI: https://doi.org/10.5946/ce.2015.48.5.399
AbstractAbstract PDFPubReaderePub
Background/Aims

Capsule endoscopy (CE) is widely used. However, CE has limitations including incomplete examination, inadequate bowel preparation, and retention. The aim of this study was to estimate the indications for and detection, completion, and retention rates of small intestine CE based on the 10-year data from the Korean Capsule Endoscopy Registry.

Methods

Twenty-four hospitals participated in this study. Clinical information, such as reasons for CE, method and quality of bowel preparation, and incomplete examination and capsule retention rates, was collected and analyzed.

Results

A total of 2,914 CEs were registered. The most common reason for CE was obscure gastrointestinal bleeding (59%). Significant lesions were detected in 66% of cases. Positive CE diagnosis occurred in 63% of cases. The preparation method did not significantly affect the quality of bowel preparation for CE. The overall incomplete rate was 33%, and was high in the elderly and those with poor bowel preparation. Capsule retention was 3% and high in patients with small bowel tumors and Crohn's disease and in children under 10 years of age.

Conclusions

CE is a valuable technique; while the overall detection rate is high, incompletion and retention rates are also relatively high. CE should be carefully considered in the elderly and children less than 10 years of age, as well as in patients with small bowel tumors and Crohn's disease.

Citations

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  • The Role of Capsule Endoscopy in the Diagnosis and Management of Small Bowel Tumors: A Narrative Review
    Stefano Fantasia, Pablo Cortegoso Valdivia, Stefano Kayali, George Koulaouzidis, Marco Pennazio, Anastasios Koulaouzidis
    Cancers.2024; 16(2): 262.     CrossRef
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    Cheng Zhou, Weicheng Wang, Jinlei Jiang, Wei Wang, Ning Tang, Yamin Liu, Shenghao Xue, Yiping Guo, Daxiang Cui, Qichao Li
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    Bruno Rosa, Xavier Dray, Anastasios Koulaouzidis
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    James Guoxian Huang, Pornthep Tanpowpong
    World Journal of Gastroenterology.2023; 29(18): 2717.     CrossRef
  • Association between eupatilin and reduction in small bowel bleeding in aspirin users and aspirin plus acid suppressant users
    Hyun Seok Lee, Ji Hyung Nam, Dong Jun Oh, Hyun Jung Ahn, Yun Jeong Lim
    The Korean Journal of Internal Medicine.2023; 38(4): 484.     CrossRef
  • The evolving role of small-bowel capsule endoscopy
    Silvia Pecere, Michele Francesco Chiappetta, Livio Enrico Del Vecchio, Edward Despott, Xavier Dray, Anastasios Koulaouzidis, Lorenzo Fuccio, Alberto Murino, Emanuele Rondonotti, Manon Spaander, Cristiano Spada
    Best Practice & Research Clinical Gastroenterology.2023; 64-65: 101857.     CrossRef
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    Kim Tien Nguyen, Han-Sol Lee, Jayoung Kim, Eunpyo Choi, Jong-Oh Park, Chang-Sei Kim
    International Journal of Mechanical Sciences.2022; 229: 107516.     CrossRef
  • Faecal calprotectin increases the diagnostic yield in patients with suspected small bowel disease – a multicenter retrospective cohort study
    Aisha Abo El Ela, Nina Meuli, Petr Hruz, Emanuel Burri
    Swiss Medical Weekly.2022; 153(3): 40050.     CrossRef
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    Masanao Nakamura, Kenji Watanabe, Naoki Ohmiya, Fumihito Hirai, Teppei Omori, Daisuke Tokuhara, Konosuke Nakaji, Sadaharu Nouda, Motohiro Esaki, Yukinori Sameshima, Hidemi Goto, Akira Terano, Hisao Tajiri, Toshiyuki Matsui
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Reviews
Guidelines for Video Capsule Endoscopy: Emphasis on Crohn's Disease
Soo-Kyung Park, Byong Duk Ye, Kyeong Ok Kim, Cheol Hee Park, Wan-Sik Lee, Byung Ik Jang, Yoon Tae Jeen, Myung-Gyu Choi, Hyun Jung Kim, The Korean Gut Image Study Group
Clin Endosc 2015;48(2):128-135.   Published online March 27, 2015
DOI: https://doi.org/10.5946/ce.2015.48.2.128
AbstractAbstract PDFPubReaderePub

Video capsule endoscopy (VCE) is an ingestible video camera that transmits high-quality images of the small intestinal mucosa. This makes the small intestine more readily accessible to physicians investigating the presence of small bowel disorders, such as Crohn's disease (CD). Although VCE is frequently performed in Korea, there are no evidence-based guidelines on the appropriate use of VCE in the diagnosis of CD. To provide accurate information and suggest correct testing approaches for small bowel diseases, the Korean Gut Image Study Group, part of the Korean Society of Gastrointestinal Endoscopy, developed guidelines on VCE. Teams were set up to develop guidelines on VCE. Four areas were selected: diagnosis of obscure gastrointestinal bleeding, small bowel preparation for VCE, diagnosis of CD, and diagnosis of small bowel tumors. Three key questions were selected regarding the role of VCE in CD. In preparing these guidelines, a systematic literature search, evaluation, selection, and meta-analysis were performed. After writing a draft of the guidelines, the opinions of various experts were solicited before producing the final document. These guidelines are expected to play a role in the diagnosis of CD. They will need to be updated as new data and evidence become available.

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Stricture Occurring after Endoscopic Submucosal Dissection for Esophageal and Gastric Tumors
Gwang Ha Kim, Sam Ryong Jee, Jae Young Jang, Sung Kwan Shin, Kee Don Choi, Jun Haeng Lee, Sang Gyun Kim, Jae Kyu Sung, Suck Chei Choi, Seong Woo Jeon, Byung Ik Jang, Kyu Chan Huh, Dong Kyung Chang, Sung-Ae Jung, Bora Keum, Jin Woong Cho, Il Ju Choi, Hwoon-Yong Jung, Korean ESD Study Group
Clin Endosc 2014;47(6):516-522.   Published online November 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.6.516
AbstractAbstract PDFPubReaderePub

Endoscopic submucosal dissection (ESD) is a widely accepted treatment for early gastric and esophageal cancer. Compared to endoscopic mucosal resection, ESD has the advantage of enabling en bloc removal of tumors regardless of their size. However, ESD can result in a large artificial ulcer, which may lead to a considerable deformity. Circumferential mucosal defects of more than three-fourths the esophageal circumference, long longitudinal mucosal defects (>30 mm), and lesions in the upper esophagus are significant risk factors for the development of post-ESD strictures of the esophagus. In the stomach, a circumferential mucosal defects more than three-fourths in extent and longitudinal mucosal defects >5 cm are risk factors of post-ESD stricture. If scheduled early, regular endoscopic balloon dilation is effective in controlling and preventing post-ESD stricture. Moreover, intralesional steroid injections or oral steroids can achieve remission of dysphagia or reduce the need for repeated endoscopic balloon dilation. However, further study is needed to improve the prevention of stricture formation.

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Original Article
Learning Curve of Capsule Endoscopy
Korean Gut Image Study Group, Yun Jeong Lim, Young Sung Joo, Dae Young Jung, Byong Duk Ye, Ji Hyun Kim, Jae Hee Cheon, Seong Eun Kim, Jae Hyuk Do, Byung Ik Jang, Jeong Seop Moon, Jin Oh Kim, Hoon Jae Chun, Myung-Gyu Choi
Clin Endosc 2013;46(6):633-636.   Published online November 19, 2013
DOI: https://doi.org/10.5946/ce.2013.46.6.633
AbstractAbstract PDFPubReaderePub
Background/Aims

Capsule endoscopy (CE) has become an important tool for the diagnosis of small bowel disease. Although CE does not require the skill of endoscope insertion, the images should be interpreted by a person with experience in assessing images of the gastrointestinal mucosa. This investigation aimed to document the number of cases needed by trainees to gain the necessary experience for CE competency.

Methods

Fifteen cases were distributed to 12 trainees with no previous experience of CE during their gastroenterology training as clinical fellows. Twelve trainees and an expert were asked to read CE images from one patient each week for 15 weeks. The diagnosis was reported using five categories (no abnormalities detected, small bowel erosion or ulcer, small bowel tumor, Crohn disease, and active small bowel bleeding with no identifiable source). We then examined, using the κ coefficient, how the degree of mean agreements between the trainees and the expert changed as the training progressed each week.

Results

The agreement rate of CE diagnosis increased as the frequencies of interpretation increased. Most of the mean κ coefficients were >0.60 and >0.80 after week 9 and 11, respectively.

Conclusions

Experience with approximately 10 cases of CE is appropriate for trainees to attain CE competency.

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    Benito Velayos Jiménez, Noelia Alcaide Suárez, Guillermo González Redondo, Luis Fernández Salazar, Rocío Aller de la Fuente, Lourdes del Olmo Martínez, Lourdes Ruiz Rebollo, José Manuel González Hernández
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    Naoki Muguruma, Kumiko Tanaka, Satoshi Teramae, Tetsuji Takayama
    Clinical Journal of Gastroenterology.2017; 10(1): 1.     CrossRef
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    Joel A. Friedlander, Quin Y. Liu, Benjamin Sahn, Koorosh Kooros, Catharine M. Walsh, Robert E. Kramer, Jenifer R. Lightdale, Julie Khlevner, Mark McOmber, Jacob Kurowski, Matthew J. Giefer, Harpreet Pall, David M. Troendle, Elizabeth C. Utterson, Herbert
    Journal of Pediatric Gastroenterology and Nutrition.2017; 64(3): 485.     CrossRef
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    Konstantinos Triantafyllou, Paraskevas Gkolfakis, Nikos Viazis, Panagiotis Tsibouris, Athanasios Tsigaridas, Periklis Apostolopoulos, John Anastasiou, Eleni Hounda, Ioannis Skianis, Konstantina Katopodi, Xhoela Ndini, George Alexandrakis, Demetrios G. Kar
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    Ramón Alfredo Castañeda-Ortiz, Plácido Espinosa-Rosas, Rodrigo Alejandro Rodriguez-Izaguirre, Anahi Anzo-Osorio, Enory Almanza-Miranda, Luis Ariel Waller-Gónzalez, Guillermina Gómez-Navarro, Pedro Salvador Jimenez-Urueta
    Endoscopia.2016; 28(3): 96.     CrossRef
  • Optimizing lesion detection in small-bowel capsule endoscopy: from present problems to future solutions
    Anastasios Koulaouzidis, Dimitris K Iakovidis, Alexandros Karargyris, John N Plevris
    Expert Review of Gastroenterology & Hepatology.2015; 9(2): 217.     CrossRef
  • A Simple Evaluation Tool (ET-CET) Indicates Increase of Diagnostic Skills From Small Bowel Capsule Endoscopy Training Courses
    J.G. Albert, O. Humbla, M.E. McAlindon, C. Davison, U. Seitz, C. Fraser, F. Hagenmüller, E. Noetzel, C. Spada, M.E. Riccioni, J. Barnert, N. Filmann, M. Keuchel
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  • Training in Video Capsule Endoscopy
    Cary G. Sauer, Steven H. Erdman
    Journal of Pediatric Gastroenterology and Nutrition.2015; 61(4): 381.     CrossRef
  • Perfecting Video Capsule Endoscopy: Is There Need for Training?
    Jae Hee Cheon, Ki Baik Hahm
    Clinical Endoscopy.2013; 46(6): 599.     CrossRef
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  • 58 Download
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Special Issue Article of IDEN 2013
Lower Gastrointestinal Bleeding: Is Urgent Colonoscopy Necessary for All Hematochezia?
Byung Ik Jang
Clin Endosc 2013;46(5):476-479.   Published online September 30, 2013
DOI: https://doi.org/10.5946/ce.2013.46.5.476
AbstractAbstract PDFPubReaderePub

Lower gastrointestinal bleeding (LGIB) is defined as acute or chronic abnormal blood loss distal to the ligament of Treitz. The incidence of LGIB is only one fifth of that of the upper gastrointestinal tract and is estimated to be 21 to 27 cases per 100,000 adults per year. Acute bleeding is arbitrarily defined as bleeding of <3 days' duration resulting in instability of vital signs, anemia, and/or need for blood transfusion. Chronic bleeding is defined as slow blood loss over a period of several days or longer presenting with symptoms of occult fecal blood, intermittent melena, or scant hematochezia. Bleeding means that the amounts of blood in the feces are too small to be seen but detectable by chemical tests. LGIB is usually chronic and stops spontaneously. Bleeding stop (80%), but male gender and older patients suffer from more severe LGIB. The optimal timing of colonoscopic intervention for LGIB remains uncertain. Urgent colonoscopy may serve to decrease hospital stay. However, urgent colonoscopy is difficult to control, and showed no evidence of improving clinical outcomes or lowering costs as compared with routine elective colonoscopy.

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    Е.А. ДЖУСИПБЕКОВ, Д.У. СМАГУЛОВА, Г.Т. СУЛТАНКУЛОВА, Д.Ж. КУАТБЕКОВ
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Focused Review Series: A Perspective: Endoscopy and Imaging in Inflammatory Bowel Disease
The Role of Colonoscopy in Inflammatory Bowel Disease
Yong Gil Kim, Byung Ik Jang
Clin Endosc 2013;46(4):317-320.   Published online July 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.4.317
AbstractAbstract PDFPubReaderePub

An endoscopic evaluation, particularly ileocolic mucosal and histological findings, is essential for the diagnosis of inflammatory bowel disease (IBD). The introduction of antitumor necrosis factor agents has changed the therapeutic paradigm of patients with IBD, but an endoscopic evaluation is more important to guide therapeutic decision-making. In the future, endoscopy with a histological evaluation will be increasingly used in patients with IBD. Both Crohn colitis and ulcerative colitis result in an increased incidence of colorectal carcinoma. Thus, surveillance colonoscopy is important to detect early neoplastic lesions. Surveillance ileocolonoscopy has also changed recently from multiple random biopsies to pancolonic dye spraying with targeted biopsies of abnormal areas.

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Special Issue Articles of IDEN 2012
Lessons from Korean Capsule Endoscopy Multicenter Studies
Kyeong Ok Kim, Byung Ik Jang
Clin Endosc 2012;45(3):290-294.   Published online August 22, 2012
DOI: https://doi.org/10.5946/ce.2012.45.3.290
AbstractAbstract PDFPubReaderePub

Since its development, video capsule endoscopy (VCE) introduced a new area in the study of small bowel disease. We reviewed and discussed current issues from Korean capsule endoscopy multicenter studies. Main results are as follows: First, there was no significant difference in diagnostic yield according to the method of bowel preparation. Second, VCE represents a reliable and influential screening measure in patients with chronic unexplained abdominal pain and this technique could successfully alter the clinical course especially for patients with small bowel tumor. Third, the inter-observer variation in the expert group was lower than that in trainee group. Fourth, studies about the spontaneous capsule passage after retention showed 2.5% of retention rate and the size of lumen was an important factor of spontaneous passage. We need larger scale studies on the effect of bowel preparation methods on the diagnostic yield and further studies about the learning curve or unique capsule endoscopic findings for small intestinal diseases in Korean patients.

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  • Factors Affecting Diagnostic Yields of Capsule Endoscopy for Obscure Gastrointestinal Bleeding
    Na Rae Lim, Keep Yung Hong, Woo Chul Chung
    Gastrointestinal Disorders.2024; 6(2): 468.     CrossRef
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    Lawrence Hookey, Jacob Louw, Michelle Wiepjes, Natalie Rubinger, Stijn Van Weyenberg, Andrew G. Day, William Paterson
    Gastrointestinal Endoscopy.2017; 85(1): 187.     CrossRef
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    Mona Rezapour, Chidi Amadi, Lauren B. Gerson
    Gastrointestinal Endoscopy.2017; 85(6): 1157.     CrossRef
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    Hirokazu Yamagami, Kenji Watanabe, Noriko Kamata, Mitsue Sogawa, Tetsuo Arakawa
    Clinical Endoscopy.2013; 46(4): 321.     CrossRef
  • 6,554 View
  • 43 Download
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Commentary
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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    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;[Epub]     CrossRef
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    Joseph C. Lee, Gemma F. Hartnett, Aravind S. Ravi Kumar
    Clinical Endoscopy.2012; 45(4): 451.     CrossRef
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  • 30 Download
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