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New sedatives and analgesic drugs for gastrointestinal endoscopic procedures
Jae Min Lee, Yehyun Park, Jin Myung Park, Hong Jun Park, Jun Yong Bae, Seung Young Seo, Jee Hyun Lee, Hyung Ku Chon, Jun-Won Chung, Hyun Ho Choi, Jun Kyu Lee, Byung-Wook Kim, Endoscopic Sedation Committee of the Korean Society of Gastrointestinal Endoscopy
Clin Endosc 2022;55(5):581-587.   Published online August 29, 2022
DOI: https://doi.org/10.5946/ce.2021.283
AbstractAbstract PDFPubReaderePub
Procedural sedation has become increasingly common in endoscopy. Sedatives and analgesics induce anxiolysis and amnesia. In addition, an appropriate level of sedation is necessary for safe procedures including therapeutic endoscopy. Midazolam and propofol are the most commonly used drugs in sedative endoscopy. In recent years, the need to ascertain the safety and effectiveness of sedation has increased in practice. Therefore, new sedatives and analgesic drugs for optimal sedative endoscopy, have recently emerged. This article reviews the characteristics of sedatives and analgesics, and describes their clinical use in gastrointestinal endoscopy.

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  • Clinical Practice Guideline for Percutaneous Endoscopic Gastrostomy
    Chung Hyun Tae, Ju Yup Lee, Moon Kyung Joo, Chan Hyuk Park, Eun Jeong Gong, Cheol Min Shin, Hyun Lim, Hyuk Soon Choi, Miyoung Choi, Sang Hoon Kim, Chul-Hyun Lim, Jeong-Sik Byeon, Ki-Nam Shim, Geun Am Song, Moon Sung Lee, Jong-Jae Park, Oh Young Lee
    Gut and Liver.2024; 18(1): 10.     CrossRef
  • Assessing wound complications in gastroscopy with Streptomyces protease enzyme combined with Shutai
    Qihui Chen, Hangfei Li, Lijuan Zhou, Zhanbo Yang
    International Wound Journal.2024;[Epub]     CrossRef
  • Characterization of Pediatric Rectal Absorption, Drug Disposition, and Sedation Level for Midazolam Gel Using Physiologically Based Pharmacokinetic/Pharmacodynamic Modeling
    Jinying Zhu, Sufeng Zhou, Lu Wang, Yuqing Zhao, Jie Wang, Tangping Zhao, Tongtong Li, Feng Shao
    Molecular Pharmaceutics.2024; 21(5): 2187.     CrossRef
  • Clinical practice guidelines for percutaneous endoscopic gastrostomy
    Chung Hyun Tae, Ju Yup Lee, Moon Kyung Joo, Chan Hyuk Park, Eun Jeong Gong, Cheol Min Shin, Hyun Lim, Hyuk Soon Choi, Miyoung Choi, Sang Hoon Kim, Chul-Hyun Lim, Jeong-Sik Byeon, Ki-Nam Shim, Geun Am Song, Moon Sung Lee, Jong-Jae Park, Oh Young Lee
    Clinical Endoscopy.2023; 56(4): 391.     CrossRef
  • Quality of recovery and pre-existing impaired cognition in patients undergoing advanced GI endoscopic procedures with patient-controlled sedation: a prospective observational cohort study
    Sara Lyckner, Michelle S. Chew, Andreas Nilsson
    iGIE.2023; 2(3): 292.     CrossRef
  • Clinical Practice Guideline for Percutaneous Endoscopic Gastrostomy
    Chung Hyun Tae, Ju Yup Lee, Moon Kyung Joo, Chan Hyuk Park, Eun Jeong Gong, Cheol Min Shin, Hyun Lim, Hyuk Soon Choi, Miyoung Choi, Sang Hoon Kim, Chul-Hyun Lim, Jeong-Sik Byeon, Ki-Nam Shim, Geun Am Song, Moon Sung Lee, Jong-Jae Park, Oh Young Lee
    The Korean Journal of Gastroenterology.2023; 82(3): 107.     CrossRef
  • Drugs used for sedation in gastrointestinal endoscopy
    Jun Kyu Lee
    Journal of the Korean Medical Association.2022; 65(11): 735.     CrossRef
  • 4,595 View
  • 315 Download
  • 8 Web of Science
  • 7 Crossref
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2021 Korean Society of Gastrointestinal Endoscopy Clinical Practice Guidelines for Endoscopic Sedation
Hong Jun Park, Byung-Wook Kim, Jun Kyu Lee, Yehyun Park, Jin Myung Park, Jun Yong Bae, Seung Young Seo, Jae Min Lee, Jee Hyun Lee, Hyung Ku Chon, Jun-Won Chung, Hyun Ho Choi, Myung Ha Kim, Dong Ah Park, Jae Hung Jung, Joo Young Cho, Endoscopic Sedation Committee of Korean Society of Gastrointestinal Endoscopy
Clin Endosc 2022;55(2):167-182.   Published online February 22, 2022
DOI: https://doi.org/10.5946/ce.2021.282
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Sedation can resolve anxiety and fear in patients undergoing endoscopy. The use of sedatives has increased in Korea. Appropriate sedation is a state in which the patient feels subjectively comfortable while maintaining the airway reflex for stable spontaneous breathing. The patient should maintain a state of consciousness to the extent that he or she can cooperate with the needs of the medical staff. Despite its benefits, endoscopic sedation has been associated with cardiopulmonary complications. Cardiopulmonary complications are usually temporary. Most patients recover without sequelae. However, they may progress to serious complications, such as cardiovascular collapse. Therefore, it is essential to screen high-risk patients before sedation and reduce complications by meticulous monitoring. Additionally, physicians should be familiar with the management of emergencies. The first Korean clinical practice guideline for endoscopic sedation was developed based on previous worldwide guidelines for endoscopic sedation using an adaptation process. The guideline consists of nine recommendations based on a critical review of currently available data and expert consensus when the guideline was drafted. These guidelines should provide clinicians, nurses, medical school students, and policy makers with information on how to perform endoscopic sedation with minimal risk.

Citations

Citations to this article as recorded by  
  • Using Clinical-based Discharge Criteria to Discharge Patients After Endoscopy Procedures Under Drug-induced Intravenous Sedation in the Outpatient Care Unit: An Observational Study
    Liangyu Fang, Lina Chen, Bingbing Wu, Yinchuan Xu, Laijuan Chen
    Journal of PeriAnesthesia Nursing.2024;[Epub]     CrossRef
  • Experience of organizing outpatient anesthetic care at Endoscopy centre of Multidisciplinary city clinic
    O. V. Makarov, S. A. Osipov, E. P. Rodionov, A. A. Malyshev, I. Yu. Korzheva, L. M. Avramenko, Z. Z. Loseva, I. V. Balykov, L. A. Baichorova, E. I. Alikhanova, A. V. Vlasenko, E. A. Evdokimov, V. I. Makovey, V. V. Erofeev
    Medical alphabet.2023; (6): 50.     CrossRef
  • Anesthesia care provider sedation versus conscious sedation for endoscopic ultrasound–guided tissue acquisition: a retrospective cohort study
    Sneha Shaha, Yinglin Gao, Jiahao Peng, Kendrick Che, John J. Kim, Wasseem Skef
    Clinical Endoscopy.2023; 56(5): 658.     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
  • In pursuit of the right plan for airway management in gastrointestinal endoscopic procedures…the battle half won?
    Upender Gowd, SukhminderJit Singh Bajwa, Madhuri Kurdi, Gaurav Sindwani
    Indian Journal of Anaesthesia.2022; 66(10): 683.     CrossRef
  • Drugs used for sedation in gastrointestinal endoscopy
    Jun Kyu Lee
    Journal of the Korean Medical Association.2022; 65(11): 735.     CrossRef
  • 5,748 View
  • 570 Download
  • 4 Web of Science
  • 6 Crossref
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Original Articles
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
  • 4,003 View
  • 272 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
  • 3,470 View
  • 116 Download
  • 2 Web of Science
  • 2 Crossref
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Endoscopic Submucosal Dissection versus Surgery for Undifferentiated-Type Early Gastric Cancer: A Systematic Review and Meta-Analysis
Cheal-Wung Huh, Dae Won Ma, Byung-Wook Kim, Joon Sung Kim, Seung Jae Lee
Clin Endosc 2021;54(2):202-210.   Published online February 17, 2021
DOI: https://doi.org/10.5946/ce.2020.121
AbstractAbstract PDFPubReaderePub
Background
/Aims: The use of endoscopic submucosal dissection (ESD) for treating undifferentiated-type early gastric cancer is controversial. The objective of this study was to perform a meta-analysis to compare the long-term outcomes of ESD and surgery for undifferentiated-type early gastric cancer.
Methods
The PubMed, Cochrane Library, and EMBASE databases were used to search for relevant studies comparing ESD and surgery for undifferentiated-type early gastric cancer. The methodological quality of the included publications was evaluated using the Risk of Bias Assessment tool for Nonrandomized Studies. The rates of overall survival, recurrence, adverse event, and complete resection were determined. Odds ratios (ORs) and 95% confidence intervals (CIs) were also evaluated.
Results
This meta-analysis enrolled five studies with 429 and 1,236 participants undergoing ESD and surgery, respectively. No significant difference was found in the overall survival rate between the ESD and surgery groups (OR, 2.29; 95% CI, 0.98–5.36; p=0.06). However, ESD was associated with a higher recurrence rate and a lower complete resection rate. The adverse event rate was similar between the two groups.
Conclusions
ESD with meticulous surveillance esophagogastroduodenoscopy may be as effective and safe as surgery in patients with undifferentiated-type early gastric cancer. Further large-scale, randomized, controlled studies from additional regions are required to confirm these findings.

Citations

Citations to this article as recorded by  
  • Curative criteria for endoscopic treatment of gastric cancer
    João A. Cunha Neves, Pedro G. Delgado-Guillena, Patrícia Queirós, Diogo Libânio, Enrique Rodríguez de Santiago
    Best Practice & Research Clinical Gastroenterology.2024; 68: 101884.     CrossRef
  • Chinese national clinical practice guidelines on the prevention, diagnosis, and treatment of early gastric cancer
    Peng Li, Ziyu Li, Enqiang Linghu, Jiafu Ji
    Chinese Medical Journal.2024; 137(8): 887.     CrossRef
  • Korean Practice Guidelines for Gastric Cancer 2022: An Evidence-based, Multidisciplinary Approach
    Tae-Han Kim, In-Ho Kim, Seung Joo Kang, Miyoung Choi, Baek-Hui Kim, Bang Wool Eom, Bum Jun Kim, Byung-Hoon Min, Chang In Choi, Cheol Min Shin, Chung Hyun Tae, Chung sik Gong, Dong Jin Kim, Arthur Eung-Hyuck Cho, Eun Jeong Gong, Geum Jong Song, Hyeon-Su Im
    Journal of Gastric Cancer.2023; 23(1): 3.     CrossRef
  • Endoscopic Resection of Early Gastric Cancer and Pre-Malignant Gastric Lesions
    Ana Clara Vasconcelos, Mário Dinis-Ribeiro, Diogo Libânio
    Cancers.2023; 15(12): 3084.     CrossRef
  • Performance of endoscopic submucosal dissection for undifferentiated early gastric cancer: a multicenter retrospective cohort
    Apostolis Papaefthymiou, Michel Kahaleh, Arnaud Lemmers, Sandro Sferrazza, Maximilien Barret, Katsumi Yamamoto, Pierre Deprez, José C. Marín-Gabriel, George Tribonias, Hong Ouyang, Federico Barbaro, Oleksandr Kiosov, Stefan Seewald, Gaurav Patil, Shaimaa
    Endoscopy International Open.2023; 11(07): E673.     CrossRef
  • A meta-analysis of the impact on gastrectomy versus endoscopic submucosal dissection for early stomach cancer
    Rajesh K. Singh
    International Journal of Clinical Medical Research.2023; 1(3): 37.     CrossRef
  • A meta-analysis of the impact on gastrectomy versus endoscopic submucosal dissection for early stomach cancer
    Rajesh K. Singh
    International Journal of Clinical Medical Research.2023;[Epub]     CrossRef
  • Long-term outcomes of endoscopic submucosal dissection and surgery for undifferentiated intramucosal gastric cancer regardless of size
    Gil Ho Lee, Eunyoung Lee, Bumhee Park, Jin Roh, Sun Gyo Lim, Sung Jae Shin, Kee Myung Lee, Choong-Kyun Noh
    World Journal of Gastroenterology.2022; 28(8): 840.     CrossRef
  • Comparison of long-term outcomes of endoscopic submucosal dissection and surgery for undifferentiated-type early gastric cancer meeting the expanded criteria: a systematic review and meta-analysis
    Hyo-Joon Yang, Jie-Hyun Kim, Na Won Kim, Il Ju Choi
    Surgical Endoscopy.2022; 36(6): 3686.     CrossRef
  • Endoscopic submucosal dissection versus surgery for patients with undifferentiated early gastric cancer
    Harold Benites-Goñi, Fernando Palacios-Salas, Andrea Carlin-Ronquillo, Carlos Díaz-Arocutipa, Alejandro Piscoya, Adrián Hernández
    Revista Española de Enfermedades Digestivas.2022;[Epub]     CrossRef
  • The future of endoscopic resection for early gastric cancer
    Raquel Ortigão, Diogo Libânio, Mário Dinis‐Ribeiro
    Journal of Surgical Oncology.2022; 125(7): 1110.     CrossRef
  • Endoscopic treatment for early gastric cancer
    Ji Yong Ahn
    Journal of the Korean Medical Association.2022; 65(5): 276.     CrossRef
  • Therapeutic approach to non-curative resection after endoscopic treatment in early gastric cancer
    Eun Jeong Gong, Chang Seok Bang
    Journal of the Korean Medical Association.2022; 65(5): 284.     CrossRef
  • Long-Term Outcomes of Endoscopic Submucosal Dissection of Undifferentiated-Type Early Gastric Cancer
    Chang Seok Bang
    Clinical Endoscopy.2021; 54(2): 143.     CrossRef
  • 4,882 View
  • 199 Download
  • 13 Web of Science
  • 14 Crossref
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The Use of Endoscopic Clipping in Preventing Delayed Complications after Endoscopic Resection for Superficial Non-Ampullary Duodenal Tumors
Jee Young An, Byung-Wook Kim, Joon Sung Kim, Jae-Myung Park, Tae Ho Kim, Jaesin Lee
Clin Endosc 2021;54(4):563-569.   Published online November 24, 2020
DOI: https://doi.org/10.5946/ce.2020.109
AbstractAbstract PDFPubReaderePub
Background
/Aims: Endoscopic resection (ER) has recently been accepted as the standard treatment modality for superficial nonampullary duodenal tumors (SNADTs). However, the procedure can cause adverse events such as perforation and bleeding. This study aimed to investigate the efficacy of prophylactic clipping in the prevention of delayed complications.
Methods
A retrospective review of the medical records of patients who underwent ER for SNADT from 3 centers was performed. Patients were divided into 2 groups: the immediate clipping group (ICG) and the no clipping group (NCG). Various baseline characteristics and factors associated with the appearance of delayed complications, such as size of the lesion, tumor location, histologic type, and co-morbidities, were compared between the two groups.
Results
A total of 99 lesions from 99 patients were included in this study. Fifty-two patients were allocated into ICG and 47 patients were allocated into NCG. Delayed bleeding occurred in 1 patient from ICG and in 8 patients from NCG. Delayed perforation occurred in 1 patient from ICG and in 3 patients from NCG. There were no procedure-related deaths in both groups.
Conclusions
Although the use of endoscopic clipping seemed to reduce the risk of developing delayed complications, further studies using a prospective design is required.

Citations

Citations to this article as recorded by  
  • The Effect of Tegoprazan on the Treatment of Endoscopic Resection-Induced Artificial Ulcers: A Multicenter, Randomized, Active-Controlled Study
    Byung-Wook Kim, Jong Jae Park, Hee Seok Moon, Wan Sik Lee, Ki-Nam Shim, Gwang Ho Baik, Yun Jeong Lim, Hang Lak Lee, Young Hoon Youn, Jun Chul Park, In-Kyung Sung, Hyunsoo Chung, Jeong Seop Moon, Gwang Ha Kim, Su Jin Hong, Hyuk Soon Choi
    Gut and Liver.2024; 18(2): 257.     CrossRef
  • Endoscopic diagnosis and treatment of superficial non-ampullary duodenal epithelial tumors: A review
    Zheng Zhao, Yue Jiao, Shuyue Yang, Anni Zhou, Guiping Zhao, Shuilong Guo, Peng Li, Shutian Zhang
    Journal of Translational Internal Medicine.2023; 11(3): 206.     CrossRef
  • Long-term outcomes of endoscopic resection for duodenal neuroendocrine tumors
    Kiyoun Yi, Gwang Ha Kim, Su Jin Kim, Cheol Woong Choi, Moon Won Lee, Bong Eun Lee, Geun Am Song
    Scientific Reports.2023;[Epub]     CrossRef
  • Endoscopic clipping in non-variceal upper gastrointestinal bleeding treatment
    Giuseppe Galloro, Angelo Zullo, Gaetano Luglio, Alessia Chini, Donato Alessandro Telesca, Rosa Maione, Matteo Pollastro, Giovanni Domenico De Palma, Raffaele Manta
    Clinical Endoscopy.2022; 55(3): 339.     CrossRef
  • Endoscopic Closure After Endoscopic Resection for Superficial Non-Ampullary Duodenal Tumors
    Satoshi Tanabe, Takuya Wada
    Clinical Endoscopy.2021; 54(4): 453.     CrossRef
  • 3,352 View
  • 73 Download
  • 4 Web of Science
  • 5 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

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  • 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
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    Sameer K. Avasarala, Lawrence F. Muscarella, Atul C. Mehta
    Respiration.2021; 100(12): 1208.     CrossRef
  • 8,649 View
  • 310 Download
  • 8 Web of Science
  • 9 Crossref
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Original Article
Endoscopic Factors that Can Predict Histological Ulcerations in Early Gastric Cancers
Jaesin Lee, Byung-Wook Kim, Cheal Wung Huh, Joon Sung Kim, Lee-So Maeng
Clin Endosc 2020;53(3):328-333.   Published online January 7, 2020
DOI: https://doi.org/10.5946/ce.2019.133
AbstractAbstract PDFPubReaderePub
Background
/Aims: Predicting histological ulceration in early gastric cancer (EGC) during endoscopic examination is crucial for endoscopists deciding on the treatment modality. The aim of this study was to investigate the endoscopic factors that can predict histological ulcerations in EGCs.
Methods
We retrospectively analyzed patients who underwent endoscopic submucosal dissection (ESD) for EGC. Clinical features and endoscopic characteristics of EGC such as location, histological differentiation, longest diameter, tumor morphology, mucosal break, converging fold, color change, and surface irregularity were reviewed. Histological ulceration was defined based on ESD specimens.
Results
A total of 633 EGC lesions from 613 patients were included and histological ulcerations were found in 90 lesions (14.2%). Presence of converging folds, tumor morphology, and color changes on endoscopic examination were related to histological ulceration in the univariate analysis and converging folds along with color changes were statistically significant factors in the multivariate analysis. Kaplan–Meier analysis showed that patients with histological ulcerations in EGCs tended to have higher marginal recurrence rates.
Conclusions
Mucosal breaks are not equivalent to histological ulcerations. Rather, the existence of converging folds and color changes during endoscopic examination suggest histological ulcerations. Endoscopists should consider these factors when they decide the treatment modality for EGCs.

Citations

Citations to this article as recorded by  
  • Clinical Impact of Proton Pump Inhibitor and Potassium-Competitive Acid Blocker for Predicting the Curability of Endoscopic Resection in Ulcerative Early Gastric Cancer
    Konomu Uno, Takaya Shimura, Shingo Inaguma, Keita Kuroyanagi, Ruriko Nishigaki, Takuya Kanno, Makiko Sasaki, Shigeki Fukusada, Naomi Sugimura, Yusuke Mizuno, Takayuki Nukui, Yuki Kojima, Mamoru Tanaka, Keiji Ozeki, Eiji Kubota, Satoru Takahashi, Hiromi Ka
    Digestion.2024; 105(3): 192.     CrossRef
  • Identification of maximal tumor size associated with negligible lymph node metastasis for endoscopic submucosal dissection of undifferentiated-type early gastric cancer
    Sung Eun Oh, Soomin Ahn, Kyoung-Mee Kim, Min-Gew Choi, Jun Ho Lee, Tae Sung Sohn, Jae Moon Bae, Ji Yeong An
    Gastric Cancer.2024;[Epub]     CrossRef
  • Endoscopic diagnosis of early gastric cancer
    Dong Chan Joo, Gwang Ha Kim
    Journal of the Korean Medical Association.2022; 65(5): 267.     CrossRef
  • Therapeutic approach to non-curative resection after endoscopic treatment in early gastric cancer
    Eun Jeong Gong, Chang Seok Bang
    Journal of the Korean Medical Association.2022; 65(5): 284.     CrossRef
  • Construction and analysis of an ulcer risk prediction model after endoscopic submucosal dissection for early gastric cancer
    San-Dong Gong, Huan Li, Yi-Bin Xie, Xiao-Hui Wang
    World Journal of Gastrointestinal Oncology.2022; 14(9): 1823.     CrossRef
  • Long‑term outcome of the endoscopic submucosal dissection of early gastric cancer: A comparison between patients with and without liver cirrhosis
    Seung Kim, Moon Joo, Ah-Young Yoo, Seong Kim, Won Kim, Beom Lee, Jong Park, Hoon Chun, Sang Lee
    Oncology Letters.2022;[Epub]     CrossRef
  • Discrepancy between endoscopic and pathological ulcerative findings in clinical intramucosal early gastric cancer
    Yohei Yabuuchi, Kohei Takizawa, Naomi Kakushima, Noboru Kawata, Masao Yoshida, Yoichi Yamamoto, Yoshihiro Kishida, Sayo Ito, Kenichiro Imai, Hirotoshi Ishiwatari, Kinichi Hotta, Hiroyuki Matsubayashi, Etsuro Bando, Masanori Terashima, Takashi Sugino, Hiro
    Gastric Cancer.2021; 24(3): 691.     CrossRef
  • What is the Most Precise Endoscopic Finding for Predicting the Clinicopathological Behaviors in Ulcerative Early Gastric Cancer?
    Youngdae Kim
    Clinical Endoscopy.2020; 53(3): 249.     CrossRef
  • 4,702 View
  • 132 Download
  • 8 Web of Science
  • 8 Crossref
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Brief Report
Delayed Duodenal Perforation of an Endoscopic Mucosal Resection- Induced Ulcer due to a Foreign Body
Tae-Geun Gweon, Cheal Wung Huh, Byung-Wook Kim
Clin Endosc 2019;52(6):624-625.   Published online July 8, 2019
DOI: https://doi.org/10.5946/ce.2019.083
PDFPubReaderePub
  • 4,167 View
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Commentary
Clinical Significance of Risk Factors for Asymptomatic Peptic Ulcer Disease
Cheal Wung Huh, Byung-Wook Kim
Clin Endosc 2017;50(6):514-515.   Published online November 30, 2017
DOI: https://doi.org/10.5946/ce.2017.159
PDFPubReaderePub

Citations

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  • Peptic ulcer
    Isabel Laucirica, Pilar Garcia Iglesias, Xavier Calvet
    Medicina Clínica (English Edition).2023; 161(6): 260.     CrossRef
  • Impact of peptic ulcer disease on the quality of life: A Cross Sectional Study
    Sadeel A. Shanshal, Ali Saleh Noori, Jaafar Atheer Ghazi, Abdullah Tahseen Dahham, Abdulrahman Samer Mohamed Saleh, Harith Kh. Al-Qazaz
    Research Journal of Pharmacy and Technology.2022; : 3267.     CrossRef
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    Zifei Tang, Jieru Shi, Min Ji, Peng Shi, Zhiheng Huang, Ying Huang
    Saudi Journal of Gastroenterology.2018; 24(6): 360.     CrossRef
  • 5,659 View
  • 160 Download
  • 2 Web of Science
  • 3 Crossref
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Focused Review Series: Training in Endoscopy
Training in Endoscopy: Esophagogastroduodenoscopy
Joon Sung Kim, Byung-Wook Kim
Clin Endosc 2017;50(4):318-321.   Published online July 31, 2017
DOI: https://doi.org/10.5946/ce.2017.096
AbstractAbstract PDFPubReaderePub
Gastrointestinal endoscopy is important in diagnosis, treatment, and prevention of many diseases of the digestive tract. The ability to perform esophagogastroduodenoscopy (EGD) safely, effectively, and efficiently has become the mainstay of gastroenterology practice. In Korea, EGD education is usually imparted as a component of gastroenterology training programs during fellowship. In this review, we discuss the general principles of EGD training. Formal curriculum development with devising clear goals and effective training methods should be developed in the future.

Citations

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  • A newly developed deep learning-based system for automatic detection and classification of small bowel lesions during double-balloon enteroscopy examination
    Yijie Zhu, Xiaoguang Lyu, Xiao Tao, Lianlian Wu, Anning Yin, Fei Liao, Shan Hu, Yang Wang, Mengjiao Zhang, Li Huang, Junxiao Wang, Chenxia Zhang, Dexin Gong, Xiaoda Jiang, Liang Zhao, Honggang Yu
    BMC Gastroenterology.2024;[Epub]     CrossRef
  • Enfoque actual para enseñar y evaluar a las nuevas generaciones de endoscopistas
    María del Carmen Figueredo Peña, Reinaldo Andrés Mauricio Rincón Sánchez
    Revista colombiana de Gastroenterología.2024; 39(1): 62.     CrossRef
  • A journey towards pediatric gastrointestinal endoscopy and its training: a narrative review
    Luca Scarallo, Giusy Russo, Sara Renzo, Paolo Lionetti, Salvatore Oliva
    Frontiers in Pediatrics.2023;[Epub]     CrossRef
  • Identification of gaze pattern and blind spots by upper gastrointestinal endoscopy using an eye-tracking technique
    Ayoung Lee, Hyunsoo Chung, Yejin Cho, Jue Lie Kim, Jinju Choi, Eunwoo Lee, Bokyung Kim, Soo-Jeong Cho, Sang Gyun Kim
    Surgical Endoscopy.2022; 36(4): 2574.     CrossRef
  • Simulation-based mastery learning in gastrointestinal endoscopy training
    Hasan Maulahela, Nagita Gianty Annisa, Tiffany Konstantin, Ari Fahrial Syam, Roy Soetikno
    World Journal of Gastrointestinal Endoscopy.2022; 14(9): 512.     CrossRef
  • Endoscopy training in Korea
    Joon Sung Kim, Byung-Wook Kim
    The Korean Journal of Internal Medicine.2019; 34(2): 237.     CrossRef
  • Virtual reality simulation in endoscopy training: Current evidence and future directions
    Tahrin Mahmood, Michael Anthony Scaffidi, Rishad Khan, Samir Chandra Grover
    World Journal of Gastroenterology.2018; 24(48): 5439.     CrossRef
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Original Article
Can Endoscopic Ulcerations in Early Gastric Cancer Be Clearly Defined before Endoscopic Resection? A Survey among Endoscopists
Sung Min Park, Byung-Wook Kim, Joon Sung Kim, Young Wook Kim, Gi Jun Kim, Seung Ji Ryu
Clin Endosc 2017;50(5):473-478.   Published online April 24, 2017
DOI: https://doi.org/10.5946/ce.2016.143
AbstractAbstract PDFPubReaderePub
Background
/Aims: Early gastric cancer (EGC) with ulcerations can be treated via endoscopic resection (ER) when it is differentiated pathologically, limited to the mucosa, and <3 cm in diameter. The presence of ulceration is a key factor in deciding treatment strategies and is usually diagnosed during endoscopic examination. The aim of this study was to evaluate whether ulcerations in EGC can be clearly defined among endoscopists and which factors are related to the differences.
Methods
A survey questionnaire, composed of demographic features and endoscopic images of seven patients with EGC, was presented to the endoscopists via e-mail. The endoscopists were asked whether such patients have ulcerations in the lesions.
Results
The questionnaires were e-mailed to 197 endoscopists, and 103 doctors replied. The presence of an endoscopic ulceration was defined differently among the endoscopists, depending on the duration of endoscopic practice and the experience of endoscopic submucosal dissection (ESD). The differences were especially high in the lesions without mucosal breaks and converging folds, which were expected to be viewed as non-ulcerative.
Conclusions
Before ER, endoscopic ulcerations in EGC must be reviewed by experienced endoscopists to reduce overestimations, and adequate educational programs for trainees should be established.

Citations

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  • A standardized pathology report for gastric cancer: 2nd edition
    Young Soo Park, Myeong-Cherl Kook, Baek-hui Kim, Hye Seung Lee, Dong-Wook Kang, Mi-Jin Gu, Ok Ran Shin, Younghee Choi, Wonae Lee, Hyunki Kim, In Hye Song, Kyoung-Mee Kim, Hee Sung Kim, Guhyun Kang, Do Youn Park, So-Young Jin, Joon Mee Kim, Yoon Jung Choi,
    Journal of Pathology and Translational Medicine.2023; 57(1): 1.     CrossRef
  • A Standardized Pathology Report for Gastric Cancer: 2nd Edition
    Young Soo Park, Myeong-Cherl Kook, Baek-hui Kim, Hye Seung Lee, Dong-Wook Kang, Mi-Jin Gu, Ok Ran Shin, Younghee Choi, Wonae Lee, Hyunki Kim, In Hye Song, Kyoung-Mee Kim, Hee Sung Kim, Guhyun Kang, Do Youn Park, So-Young Jin, Joon Mee Kim, Yoon Jung Choi,
    Journal of Gastric Cancer.2023; 23(1): 107.     CrossRef
  • Applicability of endoscopic submucosal dissection for patients with early gastric cancer beyond the expanded indication for endoscopic submucosal dissection
    Jeong Ho Song, Sejin Lee, Sung Hyun Park, Anastasios Kottikias, Aleisa Abdulmohsen, Nasser Alrashidi, Minah Cho, Yoo Min Kim, Hyoung-Il Kim, Woo Jin Hyung
    Surgical Endoscopy.2022; 36(11): 8349.     CrossRef
  • Construction and analysis of an ulcer risk prediction model after endoscopic submucosal dissection for early gastric cancer
    San-Dong Gong, Huan Li, Yi-Bin Xie, Xiao-Hui Wang
    World Journal of Gastrointestinal Oncology.2022; 14(9): 1823.     CrossRef
  • Discrepancy between endoscopic and pathological ulcerative findings in clinical intramucosal early gastric cancer
    Yohei Yabuuchi, Kohei Takizawa, Naomi Kakushima, Noboru Kawata, Masao Yoshida, Yoichi Yamamoto, Yoshihiro Kishida, Sayo Ito, Kenichiro Imai, Hirotoshi Ishiwatari, Kinichi Hotta, Hiroyuki Matsubayashi, Etsuro Bando, Masanori Terashima, Takashi Sugino, Hiro
    Gastric Cancer.2021; 24(3): 691.     CrossRef
  • Predictive Model of Nonneoplastic Pathology after Endoscopic Resection of Gastric Epithelial Neoplasia
    Tae-Geun Gweon, Byung-Wook Kim, Joon Sung Kim, Sung Min Park, Jeong Seon Ji, Bo In Lee
    Gut and Liver.2020; 14(2): 199.     CrossRef
  • Endoscopic Factors that Can Predict Histological Ulcerations in Early Gastric Cancers
    Jaesin Lee, Byung-Wook Kim, Cheal Wung Huh, Joon Sung Kim, Lee-So Maeng
    Clinical Endoscopy.2020; 53(3): 328.     CrossRef
  • What is the Most Precise Endoscopic Finding for Predicting the Clinicopathological Behaviors in Ulcerative Early Gastric Cancer?
    Youngdae Kim
    Clinical Endoscopy.2020; 53(3): 249.     CrossRef
  • Risk Factors for Lymph Node Metastasis in Undifferentiated-Type Gastric Carcinoma
    Myeong-Cherl Kook
    Clinical Endoscopy.2019; 52(1): 15.     CrossRef
  • Identification of Ulceration in Early Gastric Cancer before Resection is Not Easy: Need for a New Guideline for Endoscopic Submucosal Dissection Indication Based on Endoscopic Image
    Hang Lak Lee
    Clinical Endoscopy.2017; 50(5): 410.     CrossRef
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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.

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  • 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
  • 9,282 View
  • 310 Download
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Commentary
Adverse Events by Sedation Type in Gastrointestinal Endoscopy
Joon Sung Kim, Byung-Wook Kim
Clin Endosc 2017;50(2):97-98.   Published online March 9, 2017
DOI: https://doi.org/10.5946/ce.2017.031
PDFPubReaderePub

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  • Topical pharyngeal anesthesia provides no additional benefit to propofol sedation for esophagogastroduodenoscopy: a randomized controlled double-blinded clinical trial
    Xiaotian Sun, Yang Xu, Xueting Zhang, Aitong Li, Hanqing Zhang, Teng Yang, Yan Liu
    Scientific Reports.2018;[Epub]     CrossRef
  • 6,212 View
  • 200 Download
  • 1 Web of Science
  • 1 Crossref
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Case Report
Non-Exposed Endoscopic Wall-Inversion Surgery for Gastrointestinal Stromal Tumor of the Stomach: First Case Report in Korea
Da Won Kim, Joon Sung Kim, Byung-Wook Kim, Ji Yun Jung, Gi Jun Kim, Jin-Jo Kim
Clin Endosc 2016;49(5):475-478.   Published online March 15, 2016
DOI: https://doi.org/10.5946/ce.2016.002
AbstractAbstract PDFPubReaderePub
Laparoscopic wedge resection of the stomach is a widely accepted treatment for primary resectable gastrointestinal stromal tumors (GISTs). However, it is difficult to determine the appropriate incision line from outside of the stomach, and many attempts have been made to avoid unnecessary resection of unaffected gastric tissues. Recently a technique called non-exposed endoscopic wall-inversion surgery (NEWS) was introduced to avoid exposure of GIST to the peritoneum. Here, we describe the first published case of NEWS for GIST of the stomach practiced in Korea.

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  • Advances of endoscopic and surgical management in gastrointestinal stromal tumors
    Lei Yue, Yingchao Sun, Xinjie Wang, Weiling Hu
    Frontiers in Surgery.2023;[Epub]     CrossRef
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    Moon Kyung Joo
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2021; 21(3): 180.     CrossRef
  • Clinical outcomes of non-exposed endoscopic wall-inversion surgery for gastric submucosal tumors: long-term follow-up and functional results
    Junya Aoyama, Osamu Goto, Hirofumi Kawakubo, Shuhei Mayanagi, Kazumasa Fukuda, Tomoyuki Irino, Rieko Nakamura, Norihito Wada, Hiroya Takeuchi, Naohisa Yahagi, Yuko Kitagawa
    Gastric Cancer.2020; 23(1): 154.     CrossRef
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    Jan Hajer, Lukáš Havlůj, Adam Whitley, Robert Gürlich
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    Prasit Mahawongkajit, Ajjana Techagumpuch, Worapop Suthiwartnarueput
    Oncology Letters.2017; 14(4): 4746.     CrossRef
  • 8,868 View
  • 119 Download
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  • 5 Crossref
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Commentary
Can AIMS65 Save the Endoscopists from Midnight Calls?
Joon Sung Kim, Byung-Wook Kim
Clin Endosc 2015;48(6):459-460.   Published online November 30, 2015
DOI: https://doi.org/10.5946/ce.2015.48.6.459
PDFPubReaderePub
  • 6,919 View
  • 38 Download
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Case Report
Cholangitis Secondary to Food Material Impaction in the Common Bile Duct through a Choledochoduodenal Fistula
Bong-Koo Kang, Sung Min Park, Byung-Wook Kim, Joon Sung Kim, Ji Hee Kim, Jeong-Seon Ji, Hwang Choi
Clin Endosc 2015;48(3):265-267.   Published online May 29, 2015
DOI: https://doi.org/10.5946/ce.2015.48.3.265
AbstractAbstract PDFPubReaderePub

Biliary-enteric communications caused by duodenal ulcers are uncommon, and choledochoduodenal fistula (CDF) is by far the most common type. Usually in this situation, food material does not enter the common bile duct because the duodenal lumen is intact. Here, we report a case in which cholangitis occurred due to food materials impacted through a CDF. Duodenal obstruction secondary to duodenal ulcer prevented food passage into the duodenum in this case. Surgical management was recommended; however, the patient refused surgery because of poor general condition. Consequently, the patient expired with sepsis secondary to ascending cholangitis.

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  • Stone-Induced Purulent Choledocoduodenal Fistula Presenting with Ascending Cholangitis
    Christienne Shams, Michael Cannon, Jared Bortman, Seifeldin Hakim
    ACG Case Reports Journal.2018; 5(1): e60.     CrossRef
  • Successful Conservative Treatment of a Cholecystoduodenal Fistula Caused by a Cytomegalovirus-associated Duodenal Ulcer
    Hideki Mori, Moriya Zakimi, Shin Kato, Koki Yamada, Kenji Chinen, Tomiaki Kubota, Masayuki Arashiro, Susumu Shinoura, Kaoru Kikuchi
    Internal Medicine.2016; 55(18): 2617.     CrossRef
  • 6,332 View
  • 64 Download
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Focused Review Series: Endoscopic Management of Upper Gastrointestinal Bleeding
Endoscopic Management of Peptic Ulcer Bleeding
Joon Sung Kim, Sung Min Park, Byung-Wook Kim
Clin Endosc 2015;48(2):106-111.   Published online March 27, 2015
DOI: https://doi.org/10.5946/ce.2015.48.2.106
AbstractAbstract PDFPubReaderePub

Acute upper gastrointestinal bleeding is a common medical emergency around the world and the major cause is peptic ulcer bleeding. Endoscopic treatment is fundamental for the management of peptic ulcer bleeding. Despite recent advances in endoscopic treatment, mortality from peptic ulcer bleeding has still remained high. This is because the disease often occurs in elderly patients with frequent comorbidities and are taking ulcerogenic medications. Therefore, the management of peptic ulcer bleeding is still a challenge for clinicians. This article reviews the various endoscopic methods available for management of peptic ulcer bleeding and the techniques in using these methods.

Citations

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  • Characteristics of Bleeding Peptic Ulcers and the Outcome after Endoscopic Therapy at a Tertiary Care Centre of Pakistan
    Farwah Javed, Ghias Ul Hassan, Hafiz Habib Ur Rehman Khalil, Shafqat Rasool, Akif Dilshad, Bilal Nasir
    Pakistan Journal of Health Sciences.2024; : 120.     CrossRef
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    Muhammad Z Akhtar, Moeen U Huq, Rahul Adwani, Ali Usman, Sarmad Ijaz, Iqra Seher
    Cureus.2023;[Epub]     CrossRef
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    Truman J. Milling, Majed A. Refaai, Neil Sengupta
    Digestive Diseases and Sciences.2021; 66(11): 3698.     CrossRef
  • EVALUATION OF OCCURRENCE OF H. PYLORI INFECTION AND EFFICACY OF ERADICATION THERAPY IN PEPTIC ULCER DISEASE
    Prashant Dorkar S, Prakash Gurav, Santosh Dalvi, Prachi Dharmadhikari, Anand Devraj H
    Journal of Evolution of Medical and Dental Sciences.2017; 6(80): 5661.     CrossRef
  • Épidémiologie et facteurs pronostiques des hémorragies digestives hautes en Côte d’ivoire : étude prospective observationnelle multicentrique
    M. Diakité, A. Toth’o, C. Assi, F. M. Bathaix, S. Koné, D. Bangoura, A. Koné, A. Ouattara, S. Doffou, A. Okon, N. N. Guessan, D. Soro, E. Allah-Kouadio, A. Coulibaly, A. M. J. Lohouès-Kouacou, B. M. Camara, H. Y. Kissi, A. K. Mahassadi, K. A. Attia, A. T.
    Journal Africain d'Hépato-Gastroentérologie.2016; 10(2): 80.     CrossRef
  • Alcohol Abuse Increases Rebleeding Risk and Mortality in Patients with Non-variceal Upper Gastrointestinal Bleeding
    Jussi M. Kärkkäinen, Sami Miilunpohja, Tuomo Rantanen, Jenni M. Koskela, Johanna Jyrkkä, Juha Hartikainen, Hannu Paajanen
    Digestive Diseases and Sciences.2015; 60(12): 3707.     CrossRef
  • Ulcères gastroduodénaux hémorragiques : étude prospective observationnelle multicentrique en Côte-d’Ivoire
    C. Assi, S. A. Thot’o, M. Diakité, M. F. Bathaix, S. Doffou, A. Ouattara, Y. H. Kissi, A. Coulibaly, D. Bangoura, D. Soro, E. Allah-Kouadio, K. A. Attia, M. J. Lohouès-Kouacou, T. Ndri-Yoman, B. M. Camara
    Acta Endoscopica.2015; 45(6): 297.     CrossRef
  • 13,477 View
  • 158 Download
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Case Report
Repetitive Colonoscopic Decompression as a Bridge Therapy before Surgery in a Pregnant Patient with Chronic Intestinal Pseudo-Obstruction
Joon Sung Kim, Bo-In Lee, Byung-Wook Kim, Hwang Choi, Yun-Seok Lee, Leeso Maeng
Clin Endosc 2013;46(5):591-594.   Published online September 30, 2013
DOI: https://doi.org/10.5946/ce.2013.46.5.591
AbstractAbstract PDFPubReaderePub

Chronic intestinal pseudo-obstruction is a rare clinical syndrome which is characterized by intestinal obstruction without occluding lesions in the intestinal lumen and pregnancy is one of the important aggravating factors. Here, we report a case of a woman with intractable intestinal pseudo-obstruction that was precipitated by pregnancy. She could not make any stool passage for more than 4 weeks until a fetal gestational age of 17 weeks was reached. However, the patient could be maintained by repetitive colonoscopic decompressions and finally total colectomy could be performed successfully at a fetal gestational age of 21 weeks.

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  • Chronic intestinal pseudo‐obstruction in adults: A practical guide to identify patient subgroups that are suitable for more specific treatments
    Guido Basilisco, Margherita Marchi, Marina Coletta
    Neurogastroenterology & Motility.2024;[Epub]     CrossRef
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    S De Meulder, T Vanuytsel
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    Giovanni Di Nardo, Maria Beatrice Manca, Elsa Iannicelli, Giancarlo D'Ambra, Alessandro Laviano, Matteo Guarino, Pasquale Parisi, Francesco Ernesto Pontieri, Elisa Rosati, Roberto De Giorgio
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    Chang-Zhen Zhu, Hong-Wei Zhao, Hong-Wei Lin, Feng Wang, Yuan-Xin Li
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    G. Di Nardo, C. Di Lorenzo, A. Lauro, V. Stanghellini, N. Thapar, T. B. Karunaratne, U. Volta, R. De Giorgio
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  • 6,555 View
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Original Articles
Ultrathin Endoscope-Assisted Method for the Management of Upper Gastrointestinal Obstruction to Avoid Technical Failure
Jong In Kim, Joon Sung Kim, Byung-Wook Kim, Joo-Yong Song, Joo Ho Ham, Bo-In Lee, Hye-Jung Choi, Jeong-Seon Ji, Hwang Choi
Clin Endosc 2013;46(4):373-378.   Published online July 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.4.373
AbstractAbstract PDFPubReaderePub
Background/Aims

Endoscopic management of upper gastrointestinal obstruction is safe and feasible. However, its technical and clinical success rate is about 90%, which is primarily due to inability to pass a guide-wire through the stricture. The aim of this study was to evaluate the usefulness of an ultrathin endoscope for correct placement of guide wire to avoid technical failure in upper gastrointestinal obstruction.

Methods

Retrospective assessment of ultrathin endoscope to traverse the stenosis of the upper gastrointestinal tract in technically difficult cases was performed. Technical and clinical success rates and immediate complications were analyzed.

Results

Nine cases were included in this study (eight cases of stent insertion and one case of balloon dilatation). Technical success was achieved in all of the patients (100%) and oral feeding was feasible in all of the cases (100%). Immediate complications, such as migration, perforation, and hemorrhage, did not develop in any of the cases.

Conclusions

Ultrathin endoscope-assisted method for upper gastrointestinal obstruction is potentially safe and useful to avoid technical failure.

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  • Rescue technique for self-expandable metallic stent placement using ultrathin endoscope after failure of the conventional method in patients with malignant colon obstruction: a multicenter retrospective study
    Tae-Geun Gweon, Chul-Hyun Lim, Jinsu Kim, Dong Hoon Kang, Bo In Lee, Young-Seok Cho
    Surgical Endoscopy.2023; 37(10): 7600.     CrossRef
  • Fluoroscopic Gastroduodenal Stent Placement in 55 Patients with Endoscopic Stent Placement Failure
    Nader Bekheet, Min Tae Kim, Jung-Hoon Park, Kun Yung Kim, Jiaywei Tsauo, Wang Zhe, Young Je Lim, Ho-Young Song
    CardioVascular and Interventional Radiology.2018; 41(8): 1233.     CrossRef
  • Fluoroscopic-guided stent placement in failed tentative endoscopic approaches to malignant gastroduodenal obstructions
    Soo Hwan Kim, Ho-Young Song, Jung-Hoon Park, Wei-Zhong Zhou, Young Chul Cho, Ji Hoon Shin, Jin Hyoung Kim
    Acta Radiologica.2017; 58(8): 959.     CrossRef
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Diagnostic Accuracy and Interobserver Agreement in Predicting the Submucosal Invasion of Colorectal Tumors Using Gross Findings, Pit Patterns, and Microvasculatures
Hye Jung Choi, Bo-In Lee, Hwang Choi, Kyu Yong Choi, Sang-Woo Kim, Joo Yong Song, Jeong Seon Ji, Byung-Wook Kim
Clin Endosc 2013;46(2):168-171.   Published online March 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.2.168
AbstractAbstract PDFPubReaderePub
Background/Aims

Depth of invasion is one of the most important factors for establishing treatment strategy for colorectal tumors.

Methods

Three blinded experts reviewed electronic photos and video clips of 33 early colorectal cancer-like lesions. They estimated the depth of invasion based on conventional white light endoscopy (CWE), magnifying chromoendoscopy (MCE), and magnifying narrow band imaging endoscopy (MNE).

Results

The lesions included nine mucosal low-grade neoplasias, 16 mucosal high grade neoplasias, and eight carcinomas with invasion to the submucosal layer or beyond. The diagnostic accuracy for submucosal invasion by CWE ranged from 67% to 82%, while those by MCE and MNE ranged from 85% to 88% and 85% to 88%, respectively. The diagnostic accuracy significantly differed between CWE and MCE (p=0.034) and between CWE and MNE (p=0.039). The kappa values for CWE, MCE, and MNE among the endoscopists were 0.564, 0.673, and 0.673, respectively.

Conclusions

The estimation of submucosal invasion for early colorectal cancer-like lesions based on MCE or MNE is more accurate than CWE. MCE and MNE were demonstrated to have substantial agreement for predicting submucosal invasion.

Citations

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  • Estimation of Invasion Depth: The First Key to Successful Colorectal ESD
    Bo-In Lee, Takahisa Matsuda
    Clinical Endoscopy.2019; 52(2): 100.     CrossRef
  • Comparison of endoscopic ultrasonography and magnifying endoscopy for assessment of the invasion depth of shallow gastrointestinal neoplasms: a systematic review and meta-analysis
    Zhang Tao, Chen Yan, He Zhao, Jiawei Tsauo, Xiaowu Zhang, Bing Qiu, Yanqing Zhao, Xiao Li
    Surgical Endoscopy.2017; 31(12): 4923.     CrossRef
  • Use of confocal laser endomicroscopy with a fluorescently labeled fatty acid to diagnose colorectal neoplasms
    Feihong Deng, Yuan Fang, Zhiyong Shen, Wei Gong, Tao Liu, Jing Wen, Wanling Zhang, Xianjun Zhu, Hui Zhong, Tong Wang, Fachao Zhi, Biao Nie
    Oncotarget.2017; 8(35): 58934.     CrossRef
  • Higher net change of index of hemoglobin values between colon polyp and nonpolyp mucosa correlates with the presence of an advanced colon adenoma
    Wei‐Chun Cheng, Hsiu‐Chi Cheng, Po‐Jun Chen, Jui‐Wen Kang, Er‐Hsiang Yang, Bor‐Shyang Sheu, Wei‐Ying Chen
    Advances in Digestive Medicine.2016; 3(4): 161.     CrossRef
  • Brief Education on Microvasculature and Pit Pattern for Trainees Significantly Improves Estimation of the Invasion Depth of Colorectal Tumors
    Joon Sung Kim, Bo-In Lee, Hwang Choi, Bong Koo Kang, Jong In Kim, Hae Mi Lee, Eun-Joo Im, Byung-Wook Kim, Sang-Woo Kim, Myung-Gyu Choi, Kyu Yong Choi
    Gastroenterology Research and Practice.2014; 2014: 1.     CrossRef
  • Clinical Usefulness of Magnifying Chromoendoscopy and Magnifying Narrow Band Imaging Endoscopy for Predicting the Submucosal Invasion of Early Colorectal Cancers
    Kwang An Kwon, Yang Suh Ku
    Clinical Endoscopy.2013; 46(2): 113.     CrossRef
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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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    Cancer Discovery.2024; 14(5): 766.     CrossRef
  • RNA Sequencing of Early-Stage Gastric Adenocarcinoma Reveals Multiple Activated Pathways and Novel Long Non-Coding RNAs in Patient Tissue Samples
    Sadegh Fattahi, Novin Nikbakhsh, Hassan Taheri ‎, Mohammad Ranaee, Haleh Akhavan-Niaki
    Reports of Biochemistry and Molecular Biology.2021; 9(4): 478.     CrossRef
  • Helicobacter pylori Infection and the Patterns of Gastric Mucin Expression in Children
    Ana-Maria Teodora Domșa, Raluca Lupușoru, Dan Gheban, Alexandra Buruiană-Simic, Bogdan Alexandru Gheban, Camelia Lazăr, Cristina Maria Borzan
    Journal of Clinical Medicine.2020; 9(12): 4030.     CrossRef
  • Helicobacter pylori and cytokine gene variants as predictors of premalignant gastric lesions
    Anca Negovan, Mihaela Iancu, Emőke Fülöp, Claudia Bănescu
    World Journal of Gastroenterology.2019; 25(30): 4105.     CrossRef
  • Effect of myeloid differentiation primary response gene 88 on expression profiles of genes during the development and progression of Helicobacter-induced gastric cancer
    Ivonne Lozano-Pope, Arnika Sharma, Michael Matthias, Kelly S. Doran, Marygorret Obonyo
    BMC Cancer.2017;[Epub]     CrossRef
  • The changes in MUC5AC expression in gastric cancer before and after Helicobacter pylori eradication
    Ding Shi, Xin-min Qiu, Xing-jun Yan
    Clinics and Research in Hepatology and Gastroenterology.2014; 38(2): 235.     CrossRef
  • Pathophysiology and Epidemiology of Intestinal Metaplasia
    Joon Sung Kim, Byung-Wook Kim
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2013; 13(2): 73.     CrossRef
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