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Gastrointestinal endoscopy’s carbon footprint
Su Bee Park, Jae Myung Cha
Clin Endosc 2023;56(3):263-267.   Published online March 31, 2023
DOI: https://doi.org/10.5946/ce.2023.003
AbstractAbstract PDFPubReaderePub
Climate change is a global emergency. Consequently, current global targets to combat the climate crisis include reaching net-zero carbon emissions by 2050 and keeping global temperature increases below 1.5 ˚C. In 2014, the healthcare carbon footprint was 5.5% of the total national footprint. Gastrointestinal endoscopy (GIE) has a large carbon footprint compared to other procedures performed in healthcare facilities. GIE was identified as the third largest generator of medical waste in healthcare facilities for the following reasons: (1) GIE is associated with high case volumes, (2) GIE patients and relatives travel frequently, (3) GIE involves the use of many nonrenewable wastes, (4) single-use devices are used during GIE, and (5) GIE is frequently reprocessed. Immediate actions to reduce the environmental impact of GIE include: (1) adhering to guidelines, (2) implementing audit strategies to determine the appropriateness of GIE, (3) avoiding unnecessary procedures, (4) using medication rationally, (4) digitalization, (5) telemedicine, (6) critical pathways, (7) outpatient procedures, (8) adequate waste management, and (9) minimizing single-use devices. In addition, sustainable infrastructure for endoscopy units, using renewable energy, and 3R (reduce, reuse, and recycle) programs are necessary to reduce the impact of GIE on the climate crisis. Consequently, healthcare providers need to work together to achieve a more sustainable future. Therefore, strategies must be implemented to achieve net-zero carbon emissions in the healthcare field, especially from GIE, by 2050.

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  • Single‐use accessories and endoscopes in the era of sustainability and climate change—A balancing act
    Zaheer Nabi, Raymond S. Y. Tang, Sridhar Sundaram, Sundeep Lakhtakia, D. Nageshwar Reddy
    Journal of Gastroenterology and Hepatology.2024; 39(1): 7.     CrossRef
  • Impact of power consumption and power saving for GI endoscopy (power on study) on reducing CO2emissions
    Anna Fichtl, Veronika Tacheva, Niklas Sturm, Karim Hamesch, Doerte Wichmann, Benjamin Mayer, Martin Müller, Martin Wagner, Thomas Seufferlein, Benjamin M Walter
    Gut.2024; 73(6): 892.     CrossRef
  • Green Endoscopy
    Vivek Kaul
    American Journal of Gastroenterology.2024;[Epub]     CrossRef
  • Ecogastroenterology: cultivating sustainable clinical excellence in an environmentally conscious landscape
    Kassem Sharif, Enrique Rodriguez de Santiago, Paula David, Arnon Afek, Ian M Gralnek, Shomron Ben-Horin, Adi Lahat
    The Lancet Gastroenterology & Hepatology.2024; 9(6): 550.     CrossRef
  • Can Gastric Juice Analysis with EndoFaster® Reduce the Environmental Impact of Upper Endoscopy?
    Angelo Zullo, Federica Chiovelli, Enrica Esposito, Cesare Hassan, Beatrice Casini
    Healthcare.2023; 11(24): 3186.     CrossRef
  • 2,769 View
  • 209 Download
  • 4 Web of Science
  • 5 Crossref
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Quality indicators in colonoscopy: the chasm between ideal and reality
Su Bee Park, Jae Myung Cha
Clin Endosc 2022;55(3):332-338.   Published online April 4, 2022
DOI: https://doi.org/10.5946/ce.2022.037
AbstractAbstract PDFPubReaderePub
Continuous measurement of quality indicators (QIs) should be a routine part of colonoscopy, as a wide variation still exists in the performance and quality levels of colonoscopy in Korea. Among the many QIs of colonoscopy, the adenoma detection rate, average withdrawal time, bowel preparation adequacy, and cecal intubation rate should be monitored in daily clinical practice to improve the quality of the procedure. The adenoma detection rate is the best indicator of the quality of colonoscopy; however, it has many limitations for universal use in daily practice. With the development of natural language processing, the adenoma detection rate is expected to become more effective and useful. It is important that colonoscopists do not strictly and mechanically maintain an average withdrawal time of 6 minutes but instead perform careful colonoscopy to maximally expose the colonic mucosa with a withdrawal time of at least 6 minutes. To achieve adequate bowel preparation, documentation of bowel preparation with the Boston Bowel Preparation Scale (BBPS) should be a routine part of colonoscopy. When colonoscopists routinely followed the bowel preparation protocols, ≥85% of outpatient screening colonoscopies had a BBPS score of ≥6. In addition, the cecal intubation rate should be ≥95% of all screening colonoscopies. The first step in improving colonoscopy quality in Korea is to apply these key performance measurements in clinical practice.

Citations

Citations to this article as recorded by  
  • What are the priority quality indicators for colonoscopy in real‐world clinical practice?
    Kasenee Tiankanon, Satimai Aniwan
    Digestive Endoscopy.2024; 36(1): 30.     CrossRef
  • A Systematic Review of Exercise Therapy for Bowel Preparation
    Yuan-Yuan Zhang, Ramoo Vimala, Ping Lei Chui, Ida Normiha Hilmi
    Gastroenterology Nursing.2023; 46(5): 393.     CrossRef
  • Detecting colorectal lesions with image-enhanced endoscopy: an updated review from clinical trials
    Mizuki Nagai, Sho Suzuki, Yohei Minato, Fumiaki Ishibashi, Kentaro Mochida, Ken Ohata, Tetsuo Morishita
    Clinical Endoscopy.2023; 56(5): 553.     CrossRef
  • AI-powered medical devices for practical clinicians including the diagnosis of colorectal polyps
    Donghwan Kim, Eunsun Kim
    Journal of the Korean Medical Association.2023; 66(11): 658.     CrossRef
  • 3,134 View
  • 220 Download
  • 5 Web of Science
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Case Report
Fatal Necrotizing Fasciitis Following Uncomplicated Colonoscopic Polypectomy: A Case Report
Min Kyu Chae, Sang Youn Shin, Min Seob Kwak, Jin Young Yoon, Ha Il Kim, Jae Myung Cha
Clin Endosc 2021;54(2):280-284.   Published online December 11, 2020
DOI: https://doi.org/10.5946/ce.2020.117
AbstractAbstract PDFPubReaderePub
Necrotizing fasciitis (NF) is a life-threatening infection that can be caused by various procedures or surgery and may develop in healthy elderly patients. Here, we report a case of a 66-year-old man with diabetes mellitus who underwent colonoscopic polypectomy, without complications. However, he visited the emergency department 24 hours after the procedure complaining of abdominal pain. Abdominopelvic computed tomography revealed multiple air bubbles in the right lateral abdominal muscles. After a diagnosis of NF was made, immediate surgical debridement was performed. However, despite three sessions of extensive surgical debridement and best supportive care at the intensive care unit, the patient died because of sepsis and NF-associated multiple-organ failure. In conclusion, physicians should pay special attention to the possibility of NF if a patient with risk factors for NF develops sepsis after colonoscopic polypectomy.
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Reviews
Revision of Quality Indicators for the Endoscopy Quality Improvement Program of the National Cancer Screening Program in Korea
Jun Ki Min, Jae Myung Cha, Yu Kyung Cho, Jie-Hyun Kim, Soon Man Yoon, Jong Pil Im, Yunho Jung, Jeong Seop Moon, Jin-Oh Kim, Yoon Tae Jeen
Clin Endosc 2018;51(3):239-252.   Published online May 31, 2018
DOI: https://doi.org/10.5946/ce.2018.075
AbstractAbstract PDFPubReaderePub
Gastroscopy and colonoscopy are widely used for the early diagnosis of stomach and colorectal cancer. The present revision integrates recent data regarding previous quality indicators and novel indicators suggested for gastroscopy and colonoscopy procedures for the National Cancer Screening Program in Korea. The new indicators, developed by the Quality Improvement Committee of the Korean Society for Gastrointestinal Endoscopy, vary in the level of supporting evidence, and most are based solely on expert opinion. Updated indicators validated by clinical research were prioritized, but were chosen by expert consensus when such studies were absent. The resultant quality indicators were graded according to the levels of consensus and recommendations. The updated indicators will provide a relevant guideline for high-quality endoscopy. The future direction of quality indicator development should include relevant outcome measures and an evidence-based approach to support proposed performance targets.

Citations

Citations to this article as recorded by  
  • Current status of quality control in screening esophagogastroduodenoscopy and the emerging role of artificial intelligence
    Lihui Zhang, Liwen Yao, Zihua Lu, Honggang Yu
    Digestive Endoscopy.2024; 36(1): 5.     CrossRef
  • Interval Advanced Gastric Cancer After Negative Endoscopy
    Tae Jun Kim, Jeung Hui Pyo, Young Hye Byun, Sung Chul Choi, Jin Pyo Hong, Yang Won Min, Hyuk Lee, Byung-Hoon Min, Poong-Lyul Rhee, Jae J. Kim, Jun Haeng Lee
    Clinical Gastroenterology and Hepatology.2023; 21(5): 1205.     CrossRef
  • Simulator-based training method in gastrointestinal endoscopy training and currently available simulators
    Yuri Kim, Jeong Hoon Lee, Gin Hyug Lee, Ga Hee Kim, Gunn Huh, Seung Wook Hong, Hwoon-Yong Jung
    Clinical Endoscopy.2023; 56(1): 1.     CrossRef
  • Korean Guidelines for Postpolypectomy Colonoscopic Surveillance: 2022 revised edition
    Su Young Kim, Min Seob Kwak, Soon Man Yoon, Yunho Jung, Jong Wook Kim, Sun-Jin Boo, Eun Hye Oh, Seong Ran Jeon, Seung-Joo Nam, Seon-Young Park, Soo-Kyung Park, Jaeyoung Chun, Dong Hoon Baek, Mi-Young Choi, Suyeon Park, Jeong-Sik Byeon, Hyung Kil Kim, Joo
    Intestinal Research.2023; 21(1): 20.     CrossRef
  • Quality indicators in the endoscopic detection of gastric cancer
    Vikneswaran Namasivayam, Noriya Uedo
    DEN Open.2023;[Epub]     CrossRef
  • The Influence of Face Shields on the Quality of Colonoscopy in the Era of the COVID-19 Pandemic
    Jin Wook Lee, Hyo Jeong Lee, Dae Sung Kim, Jiyoung Yoon, Seung Wook Hong, Ha Won Hwang, Jong-Soo Lee, Gwang-Un Kim, Sinwon Lee, Jaewon Choe, Jin Hwa Park, Dong-Hoon Yang, Jeong-Sik Byeon
    Gut and Liver.2022; 16(3): 404.     CrossRef
  • Quality indicators in esophagogastroduodenoscopy
    Sang Yoon Kim, Jae Myung Park
    Clinical Endoscopy.2022; 55(3): 319.     CrossRef
  • Utilization and quality assessment of digestive endoscopy in China: results from 5-year consecutive nationwide surveys
    Lei Xin, Ye Gao, Zhiyuan Cheng, Tianjiao Wang, Han Lin, Yanan Pang, Chang Sun, Zengjun Fu, Zhaoshen Li, Xudong Ma, Luowei Wang
    Chinese Medical Journal.2022; 135(16): 2003.     CrossRef
  • Reduced detection rate of artificial intelligence in images obtained from untrained endoscope models and improvement using domain adaptation algorithm
    Junseok Park, Youngbae Hwang, Hyun Gun Kim, Joon Seong Lee, Jin-Oh Kim, Tae Hee Lee, Seong Ran Jeon, Su Jin Hong, Bong Min Ko, Seokmin Kim
    Frontiers in Medicine.2022;[Epub]     CrossRef
  • A scoping review on population-centered indicators for cancer care continuum
    Vasuki Rajaguru, Jieun Jang, Jeoung A. Kwon, Jae Hyun Kim, Jaeyong Shin, Mison Chun
    Frontiers in Public Health.2022;[Epub]     CrossRef
  • Korean Guidelines for Postpolypectomy Colonoscopic Surveillance: 2022 Revised Edition
    Su Young Kim, Min Seob Kwak, Soon Man Yoon, Yunho Jung, Jong Wook Kim, Sun-Jin Boo, Eun Hye Oh, Seong Ran Jeon, Seung-Joo Nam, Seon-Young Park, Soo-Kyung Park, Jaeyoung Chun, Dong Hoon Baek, Mi-Young Choi, Suyeon Park, Jeong-Sik Byeon, Hyung Kil Kim, Joo
    The Korean Journal of Gastroenterology.2022; 80(3): 115.     CrossRef
  • Antispasmodic Agent Administration Improves Gastric Neoplasm Detection Rates during Esophagogastroduodenoscopy
    Sang Yoon Kim, Jae Myung Park
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2022; 22(3): 246.     CrossRef
  • Korean guidelines for postpolypectomy colonoscopic surveillance: 2022 revised edition
    Su Young Kim, Min Seob Kwak, Soon Man Yoon, Yunho Jung, Jong Wook Kim, Sun-Jin Boo, Eun Hye Oh, Seong Ran Jeon, Seung-Joo Nam, Seon-Young Park, Soo-Kyung Park, Jaeyoung Chun, Dong Hoon Baek, Mi-Young Choi, Suyeon Park, Jeong-Sik Byeon, Hyung Kil Kim, Joo
    Clinical Endoscopy.2022; 55(6): 703.     CrossRef
  • Current Endoscopy Training in Korea and Future Aspects
    Young-Eun Joo
    The Korean Journal of Gastroenterology.2022; 80(5): 207.     CrossRef
  • Colonoscopy quality in community hospitals and nonhospital facilities in Korea
    Jae Gon Lee, Dong Soo Han, Young-Eun Joo, Dae-Seong Myung, Dong Il Park, Seul Ki Kim, Yunho Jung, Won Hyun Lee, Eun Soo Kim, Joon Seok Yoon, Chang Soo Eun
    The Korean Journal of Internal Medicine.2021; 36(Suppl 1): S35.     CrossRef
  • Association of Regular Endoscopic Screening with Interval Gastric Cancer Incidence in the National Cancer Screening Program
    Choong-Kyun Noh, Eunyoung Lee, Gil Ho Lee, Sun Gyo Lim, Bumhee Park, Sung Jae Shin, Jae Youn Cheong, Kee Myung Lee
    Journal of Clinical Medicine.2021; 11(1): 230.     CrossRef
  • Impacts of age and sedation on cardiocerebrovascular adverse events after diagnostic GI endoscopy: a nationwide population-based study
    Sang Yoon Kim, Chang Mo Moon, Min Ho Kim, Seong-Eun Kim, Hye-Kyung Jung, Ki-Nam Shim, Sung-Ae Jung
    Gastrointestinal Endoscopy.2020; 92(3): 591.     CrossRef
  • Efficacy and Patient Tolerability Profiles of Probiotic Solution with Bisacodyl Versus Conventional Cleansing Solution for Bowel Preparation: A Prospective, Randomized, Controlled Trial
    Youn I Choi, Jong-Joon Lee, Jun-Won Chung, Kyoung Oh Kim, Yoon Jae Kim, Jung Ho Kim, Dong Kyun Park, Kwang An Kwon
    Journal of Clinical Medicine.2020; 9(10): 3286.     CrossRef
  • Endoscopy training in Korea
    Joon Sung Kim, Byung-Wook Kim
    The Korean Journal of Internal Medicine.2019; 34(2): 237.     CrossRef
  • Updates on the Facilities, Procedures, and Performance of the Accredited Endoscopy Unit
    Tae Hee Lee, Jin Young Yoon, Chang Nyol Paik, Hyuk Soon Choi, Jae-Young Jang
    Clinical Endoscopy.2019; 52(5): 431.     CrossRef
  • Quality Indicators and Outcome Measures of Endoscopy in the National Cancer Screening Program
    Jun Ki Min, Jae Myung Cha, Min Seob Kwak, Jin Young Yoon, Yunho Jung, Jeong Eun Shin, Hyo-Joon Yang
    Yonsei Medical Journal.2019; 60(11): 1054.     CrossRef
  • 6,401 View
  • 172 Download
  • 21 Web of Science
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Quality is the Key for Emerging Issues of Population-Based Colonoscopy Screening
Jin Young Yoon, Jae Myung Cha, Yoon Tae Jeen, on behalf of Medical Policy Committee of Korean Association for the Study of Intestinal Diseases (KASID), Quality Improvement Committee of Korean Society of Gastrointestinal Endoscopy (KSGE)
Clin Endosc 2018;51(1):50-55.   Published online January 31, 2018
DOI: https://doi.org/10.5946/ce.2018.010
AbstractAbstract PDFPubReaderePub
Colonoscopy is currently regarded as the gold standard and preferred method of screening for colorectal cancer (CRC). However, the benefit of colonoscopy screening may be blunted by low participation rates in population-based screening programs. Harmful effects of population-based colonoscopy screening may include complications induced by colonoscopy itself and by sedation, psychosocial distress, potential over-diagnosis, and socioeconomic burden. In addition, harmful effects of colonoscopy may increase with age and comorbidities. As the risk of adverse events in population-based colonoscopy screening may offset the benefit, the adverse events should be managed and monitored. To adopt population-based colonoscopy screening, consensus on the risks and benefits should be developed, focusing on potential harm, patient preference, socioeconomic considerations, and quality improvement of colonoscopy, as well as efficacy for CRC prevention. As suboptimal colonoscopy quality is a major pitfall of population-based screening, adequate training and regulation of screening colonoscopists should be the first step in minimizing variations in quality. Gastroenterologists should promote quality improvement, auditing, and training for colonoscopy in a population-based screening program.

Citations

Citations to this article as recorded by  
  • The Influence of Face Shields on the Quality of Colonoscopy in the Era of the COVID-19 Pandemic
    Jin Wook Lee, Hyo Jeong Lee, Dae Sung Kim, Jiyoung Yoon, Seung Wook Hong, Ha Won Hwang, Jong-Soo Lee, Gwang-Un Kim, Sinwon Lee, Jaewon Choe, Jin Hwa Park, Dong-Hoon Yang, Jeong-Sik Byeon
    Gut and Liver.2022; 16(3): 404.     CrossRef
  • Optimal Timing of Simethicone Supplement for Bowel Preparation: A Prospective Randomized Controlled Trial
    Zhen-wen Wu, Sheng-gang Zhan, Mei-feng Yang, Yi-teng Meng, Feng Xiong, Cheng Wei, Ying-xue Li, Ding-guo Zhang, Zheng-lei Xu, Ben-hua Wu, Rui-yue Shi, Jun Yao, Li-sheng Wang, De-feng Li, Cyriac Abby Philips
    Canadian Journal of Gastroenterology and Hepatology.2021; 2021: 1.     CrossRef
  • Efficacy and Patient Tolerability Profiles of Probiotic Solution with Bisacodyl Versus Conventional Cleansing Solution for Bowel Preparation: A Prospective, Randomized, Controlled Trial
    Youn I Choi, Jong-Joon Lee, Jun-Won Chung, Kyoung Oh Kim, Yoon Jae Kim, Jung Ho Kim, Dong Kyun Park, Kwang An Kwon
    Journal of Clinical Medicine.2020; 9(10): 3286.     CrossRef
  • 5,928 View
  • 157 Download
  • 3 Web of Science
  • 3 Crossref
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Original Article
Feedback Survey of the Effect, Burden, and Cost of the National Endoscopic Quality Assessment Program during the Past 5 Years in Korea
Yu Kyung Cho, Jeong Seop Moon, Dong Su Han, Yong Chan Lee, Yeol Kim, Bo Young Park, Il-Kwun Chung, Jin-Oh Kim, Jong Pil Im, Jae Myung Cha, Hyun Gun Kim, Sang Kil Lee, Hang Lak Lee, Jae Young Jang, Eun Sun Kim, Yunho Jung, Chang Mo Moon, Ethics and Quality Control Committee of Korean Society of Gastrointestinal Endoscopy
Clin Endosc 2016;49(6):542-547.   Published online March 2, 2016
DOI: https://doi.org/10.5946/ce.2015.113
AbstractAbstract PDFPubReaderePub
Background
/Aims: In Korea, the nationwide gastric cancer screening program recommends biennial screening for individuals aged 40 years or older by way of either an upper gastrointestinal series or endoscopy. The national endoscopic quality assessment (QA) program began recommending endoscopy in medical institutions in 2009. We aimed to assess the effect, burden, and cost of the QA program from the viewpoint of medical institutions.
Methods
We surveyed the staff of institutional endoscopic units via e-mail.
Results
Staff members from 67 institutions replied. Most doctors were endoscopic specialists. They responded as to whether the QA program raised awareness for endoscopic quality (93%) or improved endoscopic practice (40%). The percentages of responders who reported improvements in the diagnosis of gastric cancer, the qualifications of endoscopists, the quality of facilities and equipment, endoscopic procedure, and endoscopic reprocessing were 69%, 60%, 66%, 82%, and 75%, respectively. Regarding reprocessing, many staff members reported that they had bought new automated endoscopic preprocessors (3%), used more disinfectants (34%), washed endoscopes longer (28%), reduced the number of endoscopies performed to adhere to reprocessing guidelines (9%), and created their own quality education programs (59%). Many responders said they felt that QA was associated with some degree of burden (48%), especially financial burden caused by purchasing new equipment. Reasonable quality standards (45%) and incentives (38%) were considered important to the success of the QA program.
Conclusions
Endoscopic quality has improved after 5 years of the mandatory endoscopic QA program.

Citations

Citations to this article as recorded by  
  • Monthly endoscopy surveillance culture facilitates detection of breaches in the scope reprocessing procedure: 5‐year experience in an endoscopy center
    Shu‐Hui Chen, Theophile Liu, Huei‐Wen Lai, Hui‐Lan Chang, Hsu‐Heng Yen
    Advances in Digestive Medicine.2022; 9(2): 103.     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
  • Polyp missing rate and its associated risk factors of referring hospitals for endoscopic resection of advanced colorectal neoplasia
    Jae Gyu Shin, Hyung Wook Kim, Su Bum Park, Cheol Woong Choi, Dae Hwan Kang, Su Jin Kim, Hyeong Seok Nam, Dae Gon Ryu
    Medicine.2017; 96(19): e6742.     CrossRef
  • Education and Training Guidelines for the Board of the Korean Society of Gastrointestinal Endoscopy
    Hee Seok Moon, Eun Kwang Choi, Ji Hyun Seo, Jeong Seop Moon, Ho June Song, Kyoung Oh Kim, Jong Jin Hyun, Sung Kwan Shin, Beom Jae Lee, Sang Heon Lee
    Clinical Endoscopy.2017; 50(4): 345.     CrossRef
  • How to Improve the Quality of Screening Endoscopy in Korea: National Endoscopy Quality Improvement Program
    Yu Kyung Cho
    Clinical Endoscopy.2016; 49(4): 312.     CrossRef
  • How Can We Propagate the National Endoscopy Quality Improvement Program and Improve the Quality of Endoscopic Screening?
    Dong-Hoon Yang
    Gut and Liver.2016; 10(5): 657.     CrossRef
  • The Importance of an Endoscopic Quality Assessment Program Reflecting Real Practice
    In Kyung Yoo, Yoon Tae Jeen
    Clinical Endoscopy.2016; 49(6): 495.     CrossRef
  • 9,669 View
  • 125 Download
  • 5 Web of Science
  • 7 Crossref
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Commentary
Can We Measure the Learning Curve of Colonoscopy Using Polyp Detection Rate?
Jin Young Yoon, Jae Myung Cha
Clin Endosc 2016;49(1):6-7.   Published online January 28, 2016
DOI: https://doi.org/10.5946/ce.2016.49.1.6
PDFPubReaderePub

Citations

Citations to this article as recorded by  
  • Real-time artificial intelligence (AI)-aided endoscopy improves adenoma detection rates even in experienced endoscopists: a cohort study in Singapore
    Frederick H. Koh, Jasmine Ladlad, Fung-Joon Foo, Winson J. Tan, Sharmini S. Sivarajah, Leonard M. L. Ho, Jia-Lin Ng, Frederick H. Koh, Cheryl Chong, Darius Aw, Juinn-Haur Kam, Alvin Y. H. Tan, Choon-Chieh Tan, Baldwin P. M. Yeung, Wai-Keong Wong, Bin-Chet
    Surgical Endoscopy.2023; 37(1): 165.     CrossRef
  • The imitation game: a review of the use of artificial intelligence in colonoscopy, and endoscopists’ perceptions thereof
    Sarah Tham, Frederick H. Koh, Jasmine Ladlad, Koy-Min Chue, Cui-Li Lin, Eng-Kiong Teo, Fung-Joon Foo
    Annals of Coloproctology.2023; 39(5): 385.     CrossRef
  • Is Tissue Really the Issue? How the Polyp Detection Rate May Be a Good Enough Quality Measure Among Trainees
    Anthony J. Choi, SriHari Mahadev
    Digestive Diseases and Sciences.2020; 65(8): 2151.     CrossRef
  • Comparison of efficacy of colonoscopy between the morning and afternoon: A systematic review and meta-analysis
    Junqi Wu, Sheng-Bing Zhao, Shu-Ling Wang, Jun Fang, Tian Xia, Xiao-Ju Su, Can Xu, Zhao-Shen Li, Yu Bai
    Digestive and Liver Disease.2018; 50(7): 661.     CrossRef
  • 5,846 View
  • 75 Download
  • 5 Web of Science
  • 4 Crossref
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Case Reports
A Case of Biliary Cast Developed in a Patient with Long-Standing Biliary Sludge
Ja Won Koo, Na Eun Jang, Hong Joo Lee, Kwang Ro Joo, Jae Myung Cha, Hyun Phil Shin, Joung Il Lee, Sung-Jig Lim
Clin Endosc 2013;46(1):98-101.   Published online January 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.1.98
AbstractAbstract PDFPubReaderePub

Development of biliary casts is very unusual, especially in patients who have not undergone liver transplantation. Variable causes of biliary cast formation in nonliver transplantation patients have been suggested. However, stasis of bile flow and/or gallbladder hypocontractility is known to eventually result in the promotion of biliary sludge and subsequent cast formation. Here we present one case of biliary cast syndrome, which developed in a nonliver transplant patient who had biliary sludge for a long period of time, providing evidence that long-standing biliary sludge may lead to cast formation.

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  • Intensive Care Unit–Related Cholangiopathy-Induced Biliary Cast Syndrome Without Liver Transplantation: A Rare Entity
    Fnu Vikash, Sindhu Vikash, Sammy Ho, Donald Kotler, Sunny Patel
    ACG Case Reports Journal.2024; 11(2): e01269.     CrossRef
  • A Case of Biliary Cast Syndrome with Cholangiocarcinoma-like Lesion in a Patient with No History of Liver Transplantation
    Sa-Hong Jo, Ho-Cheol Choi, Sung-Eun Park, Jin-Il Moon, Jung-Ho Won, Jae-Boem Na, Yang-Won Kim, Won-Jeong Yang, Byeong-Ju Koo, Jae-Kyeong Ahn, Seong-Je Kim
    Medicina.2023; 59(7): 1272.     CrossRef
  • Biliary Cast Syndrome in an Opium Inhaler
    Reza Dabiri, Hamid Asadzadeh Aghdae, Hasan Rajabalinia, Amir Houshang Mohammad Alizadeh
    Case Reports in Gastroenterology.2013; 7(3): 376.     CrossRef
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Retroperitoneal Synovial Sarcoma Manifested by Obstructive Jaundice in an Elderly Woman: Case Report
Dae Ho Kim, Kwang Ro Joo, Jae Myung Cha, Hyun Phil Shin, Joung Il Lee, Jae Jun Park, Hyun Soo Kim, Dal Mo Yang
Clin Endosc 2012;45(4):428-430.   Published online November 30, 2012
DOI: https://doi.org/10.5946/ce.2012.45.4.428
AbstractAbstract PDFPubReaderePub

Synovial sarcoma is a rare type of soft tissue sarcoma that arises in tissues containing synovial fluid, usually in the extremities. It has only rare occurrence in the retroperitoneal space. Early detection of retroperitoneal synovial sarcoma is difficult, since the retroperitoneal space is highly expandable and deeply hidden. Furthermore, the presenting symptoms are often vague and nonspecific, and are related to the pressure on adjacent structures. In this study, we present an unusual case of retroperitoneal synovial sarcoma with obstructive jaundice due to intrabiliary blood clots caused by invasion of bile duct by tumor. The obstructive jaundice was relieved through endoscopic removal of the blood clots and insertion of a biliary stent.

Citations

Citations to this article as recorded by  
  • Management of primary retroperitoneal synovial sarcoma: A case report and review of literature
    Aikaterini Mastoraki, Dimitrios Schizas, Ioannis S Papanikolaou, George Bagias, Nikolaos Machairas, George Agrogiannis, Theodore Liakakos, Nikolaos Arkadopoulos
    World Journal of Gastrointestinal Surgery.2019; 11(1): 27.     CrossRef
  • Intrapelvic Retroperitoneal Synovial Sarcoma in a 15-Year-Old Adolescent Girl: A Case Report and Review of the Literature
    Stan A. Bessems, Maarten van Heinsbergen, Paul H. Nijhuis, Kees C.P. van de Ven, Frits Aarts
    Journal of Pediatric Hematology/Oncology.2019; 41(8): 627.     CrossRef
  • Primary Monophasic Synovial Sarcoma of the Liver in a 13-Year-Old Boy
    Bo Xiong, Min Chen, Feng Ye, Zhuxue Zhang, Lijuan Yin, Huifen Huang, Huijiao Chen, Hongying Zhang
    Pediatric and Developmental Pathology.2013; 16(5): 353.     CrossRef
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