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Original Article
Endoscopic resection of gastric gastrointestinal stromal tumor using clip-and-cut endoscopic full-thickness resection: a single-center, retrospective cohort in Korea
Yuri Kim, Ji Yong Ahn, Hwoon-Yong Jung, Seokin Kang, Ho June Song, Kee Don Choi, Do Hoon Kim, Jeong Hoon Lee, Hee Kyong Na, Young Soo Park
Clin Endosc 2024;57(3):350-363.   Published online February 15, 2024
DOI: https://doi.org/10.5946/ce.2023.144
Graphical AbstractGraphical Abstract AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background
/Aims: To overcome the technical limitations of classic endoscopic resection for gastric gastrointestinal stromal tumors (GISTs), various methods have been developed. In this study, we examined the role and feasibility of clip-and-cut procedures (clip-and-cut endoscopic full-thickness resection [cc-EFTR]) for gastric GISTs.
Methods
Medical records of 83 patients diagnosed with GISTs after endoscopic resection between 2005 and 2021 were retrospectively reviewed. Moreover, clinical characteristics and outcomes were analyzed.
Results
Endoscopic submucosal dissection (ESD) and cc-EFTR were performed in 51 and 32 patients, respectively. The GISTs were detected in the upper third of the stomach for ESD (52.9%) and cc-EFTR (90.6%). Within the cc-EFTR group, a majority of GISTs were located in the deep muscularis propria or serosal layer, accounting for 96.9%, as opposed to those in the ESD group (45.1%). The R0 resection rates were 51.0% and 84.4% in the ESD and cc-EFTR groups, respectively. Seven (8.4%) patients required surgical treatment (six patients underwent ESD and one underwent cc-EFTR,) due to residual tumor (n=5) and post-procedure adverse events (n=2). Patients undergoing R0 or R1 resection did not experience recurrence during a median 14-month follow-up period, except for one patient in the ESD group.
Conclusions
cc-EFTR displayed a high R0 resection rate; therefore, it is a safe and effective therapeutic option for small gastric GISTs.

Citations

Citations to this article as recorded by  
  • Endoscopic resection penetrating the muscularis propria for gastric gastrointestinal stromal tumors: advances and challenges
    Jin Woong Cho
    Clinical Endoscopy.2024; 57(3): 329.     CrossRef
  • 5,415 View
  • 146 Download
  • 1 Web of Science
  • 1 Crossref
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Review
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
Clin Endosc 2023;56(1):1-13.   Published online January 6, 2023
DOI: https://doi.org/10.5946/ce.2022.191
AbstractAbstract PDFPubReaderePub
The apprenticeship-based training method (ABTM) is highly effective for gastrointestinal (GI) endoscopic training. However, the conventional ABTM has significant issues. Although many supplementary training methods (TMs) have been developed and utilized, they cannot entirely replace the ABTM, which remains the major TM strategy. Currently, new TM construction is crucial and necessary due to financial constraints, difficulty of obtaining sufficient training time due to patient safety-related regulations, and catastrophic damage caused by disasters such as the coronavirus disease 2019 pandemic. The simulator-based TM (SBTM) is widely accepted as an alternative to the ABTM, owing to the SBTM’s advantages. Since the 1960s, many GI endoscopy training simulators have been developed and numerous studies have been published on their effectiveness. While previous studies have focused on the simulator’s validity, this review focused on the accessibility of simulators that were introduced by the end of 2021. Although the current SBTM is effective in GI endoscopic education, extensive improvements are needed to replace the ABTM. Incorporating simulator-incorporated TMs into an improved ABTM is an attempt to overcome the incompleteness of the current SBTM. Until a new simulator is developed to replace the ABTM, it is desirable to operate a simulator-integrated and well-coordinated TM that is suitable for each country and institution.

Citations

Citations to this article as recorded by  
  • Meaningful progress towards a high-fidelity endoscopic submucosal dissection training simulator model
    Gin Hyug Lee, So Young Byun
    Clinical Endoscopy.2025; 58(1): 77.     CrossRef
  • Impact and assessment of training models in interventional endoscopic ultrasound
    Bogdan Miutescu, Vinay Dhir
    Digestive Endoscopy.2024; 36(1): 59.     CrossRef
  • A Multicenter Survey of Percutaneous Endoscopic Gastrostomy in 2019 at Korean Medical Institutions
    Jun Woo Park, Tae Gyun Kim, Kwang Bum Cho, Jeong Seok Kim, Jin Woong Cho, Jung Won Jeon, Sun Gyo Lim, Chan Gyoo Kim, Hong Jun Park, Tae Jun Kim, Eun Sun Kim, Su Jin Jeong, Yong Hwan Kwon
    Gut and Liver.2024; 18(1): 77.     CrossRef
  • Exploring Endoscopic Competence in Gastroenterology Training: A Simulation-Based Comparative Analysis of GAGES, DOPS, and ACE Assessment Tools
    Faisal Wasim Ismail, Azam Afzal, Rafia Durrani, Rayyan Qureshi, Safia Awan, Michelle R Brown
    Advances in Medical Education and Practice.2024; Volume 15: 75.     CrossRef
  • Assemblage of a functional and versatile endoscopy trainer reusing medical waste: Step‐by‐step video tutorial
    Riccardo Vasapolli, Jörg Schirra, Christian Schulz
    Digestive Endoscopy.2024; 36(5): 634.     CrossRef
  • Navigating the learning landscape: Comprehensive training in third space endoscopy - training, techniques, and practical recommendations
    D. Roser, S. Nagl, A. Ebigbo
    Best Practice & Research Clinical Gastroenterology.2024; 71: 101918.     CrossRef
  • Systematic review of subjective validation methods for computerized colonoscopy simulators
    Adrián Lugilde-López, Manuel Caeiro-Rodríguez, Fernando A. Mikic-Fonte, Martín Llamas-Nistal
    Health Informatics Journal.2024;[Epub]     CrossRef
  • Development of colonic stent simulator using three-dimensional printing technique: a simulator development study in Korea
    Hyundam Gu, Suyoung Lee, Sol Kim, Hye-Lim Jang, Da-Woon Choi, Kyu Seok Kim, Yu Ri Shin, Dae Young Cheung, Bo-In Lee, Jin Il Kim, Han Hee Lee
    Clinical Endoscopy.2024; 57(6): 790.     CrossRef
  • EUS and ERCP training in Europe: Time for simulation, optimization, and standardization
    Selma J. Lekkerkerker, Rogier P. Voermans
    United European Gastroenterology Journal.2023; 11(5): 407.     CrossRef
  • There is no royal road: a shortcut for endoscopic submucosal dissection training
    Seong Woo Jeon
    Clinical Endoscopy.2023; 56(5): 590.     CrossRef
  • Enhancing the Quality of Upper Gastrointestinal Endoscopy: Current Indicators and Future Trends
    Caesar Ferrari, Micheal Tadros
    Gastroenterology Insights.2023; 15(1): 1.     CrossRef
  • 4,510 View
  • 280 Download
  • 11 Web of Science
  • 11 Crossref
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Original Articles
Outcomes of endoscopic submucosal dissection for superficial esophageal neoplasms in patients with liver cirrhosis
Young Kwon Choi, Jin Hee Noh, Do Hoon Kim, Hee Kyong Na, Ji Yong Ahn, Jeong Hoon Lee, Kee Wook Jung, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung
Clin Endosc 2022;55(3):381-389.   Published online April 20, 2022
DOI: https://doi.org/10.5946/ce.2021.242
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background
/Aims: The treatment of superficial esophageal neoplasms (SENs) in cirrhotic patients is challenging and rarely investigated. We evaluated the outcomes of endoscopic submucosal dissection (ESD) to determine the efficacy and safety of treating SENs in patients with liver cirrhosis.
Methods
The baseline characteristics and treatment outcomes of patients who underwent ESD for SENs between November 2005 and December 2017 were retrospectively reviewed.
Results
ESD was performed in 437 patients with 481 SENs, including 15 cirrhotic patients with 17 SENs. En bloc resection (88.2% vs. 97.0%) and curative resection (64.7% vs. 78.9%) rates were not different between the cirrhosis and non-cirrhosis groups (p=0.105 and p=0.224, respectively). Bleeding was more common in cirrhotic patients (p=0.054), and all cases were successfully controlled endoscopically. The median procedure and hospitalization duration did not differ between the groups. Overall survival was lower in cirrhotic patients (p=0.003), while disease-specific survival did not differ between the groups (p=0.85).
Conclusions
ESD could be a safe and effective treatment option for SENs in patients with cirrhosis. Detailed preprocedural assessments are needed, including determination of liver function, esophageal varix status, and remaining life expectancy, to identify patients who will obtain the greatest benefit.

Citations

Citations to this article as recorded by  
  • Clinical outcomes of endoscopic submucosal dissection for esophageal squamous cell carcinoma with esophageal varices: Multicenter retrospective study
    Yosuke Toya, Waku Hatta, Tomohiro Shimada, Tamotsu Matsuhashi, Takeharu Shiroki, Yu Sasaki, Tetsuya Tatsuta, Jun Nakamura, Norihiro Hanabata, Yohei Horikawa, Ko Nagino, Tomoyuki Koike, Atsushi Masamune, Yoshihiro Harada, Tetsuya Ohira, Katsunori Iijima, Y
    Digestive Endoscopy.2024; 36(3): 314.     CrossRef
  • Clinical outcomes of endoscopic submucosal dissection for superficial esophageal neoplasia in close proximity to esophageal varices: a multicenter international experience
    Shruti Mony, Bing Hu, Abel Joseph, Hiroyuki Aihara, Lorenzo Ferri, Amit Bhatt, Amit Mehta, Peng-Sheng Ting, Alex Chen, Andrew Kalra, Jad Farha, Manabu Onimaru, Long He, Qi Luo, Andrew Y. Wang, Haruhiro Inoue, Saowanee Ngamruengphong
    Endoscopy.2024; 56(02): 119.     CrossRef
  • Risk associated with endoscopic treatment of early upper gastrointestinal cancer in patients with liver cirrhosis and management strategies
    Yu-Yong Tan, Yu-Min Qing, Jian Gong, De-Liang Liu
    World Chinese Journal of Digestology.2024; 32(2): 102.     CrossRef
  • Radical chemoradiotherapy for superficial esophageal cancer complicated with liver cirrhosis
    Hejing Bao, Hehong Bao, Liping Lin, Yuhuan Wang, Longbin Zhang, Li Zhang, Han Zhang, Lingxiang Liu, Xiaolong Cao
    PeerJ.2024; 12: e18065.     CrossRef
  • Endoscopic management of early esophageal cancer in patients with concomitant cirrhosis
    Linlin Zhu, Zhenming Zhang
    Chinese Medical Journal.2024; 137(24): 3142.     CrossRef
  • Endoscopic submucosal dissection for early cancers or precancerous lesions of the upper GI tract in cirrhotic patients with esophagogastric varices: 10-year experience from a large tertiary center in China
    Shuai Zhang, Ying-Di Liu, Ning-Li Chai, Yi Yao, Fei Gao, Bo Liu, Zhan-Di He, Lu Bai, Xin Huang, Chao Gao, En-Qiang Linghu, Lian-Yong Li
    Gastrointestinal Endoscopy.2023; 97(6): 1031.     CrossRef
  • Endoscopic Submucosal Dissection for Treatment of Early-Stage Cancer or Precancerous Lesion in the Upper Gastrointestinal Tract in Patients with Liver Cirrhosis
    Yuyong Tan, Yumin Qing, Deliang Liu, Jian Gong
    Journal of Clinical Medicine.2023; 12(20): 6509.     CrossRef
  • 3,438 View
  • 160 Download
  • 6 Web of Science
  • 7 Crossref
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Clinical Outcomes of Percutaneous Endoscopic Gastrostomy in the Surgical Intensive Care Unit
Gyu Young Pih, Hee Kyong Na, Suk-Kyung Hong, Ji Yong Ahn, Jeong Hoon Lee, Kee Wook Jung, Do Hoon Kim, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung
Clin Endosc 2020;53(6):705-716.   Published online March 31, 2020
DOI: https://doi.org/10.5946/ce.2019.196
AbstractAbstract PDFPubReaderePub
Background
/Aims: Percutaneous endoscopic gastrostomy (PEG) is usually performed on patients with chronic underlying diseases in the general ward (GW). This study evaluated the clinical outcomes of PEG performed on patients in the surgical intensive care unit (SICU) compared with those of PEG performed in the GW.
Methods
The medical records of 27 patients in the SICU and 263 in the GW, who underwent PEG between January 2013 and July 2017, were retrospectively reviewed.
Results
The median age of the 27 SICU patients was 66 years, and their median body mass index was 21.1 kg/m2. In the SICU group, the median baseline Sequential Organ Failure Assessment (SOFA) score was 4, and the median Acute Physiology and Chronic Health Evaluation II (APACHE II) score was 16. The median interval between surgery and PEG in SICU patients was 30 days, with a PEG failure rate of 3.7%. Acute complications in SICU patients included bleeding (7.4%) and ileus (11.1%), while chronic complications included aspiration pneumonia (7.4%) and tube obstruction (3.7%). The rates of acute and chronic complications did not differ significantly between the SICU and GW groups. The 30-day mortality rate was 14.8% in SICU patients and 5.3% in GW patients (p=0.073).
Conclusions
PEG is a safe and feasible method of enteral feeding for critically ill patients who require ICU care after surgery.

Citations

Citations to this article as recorded by  
  • 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
  • A Multicenter Survey of Percutaneous Endoscopic Gastrostomy in 2019 at Korean Medical Institutions
    Jun Woo Park, Tae Gyun Kim, Kwang Bum Cho, Jeong Seok Kim, Jin Woong Cho, Jung Won Jeon, Sun Gyo Lim, Chan Gyoo Kim, Hong Jun Park, Tae Jun Kim, Eun Sun Kim, Su Jin Jeong, Yong Hwan Kwon
    Gut and Liver.2024; 18(1): 77.     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
  • Risk factors and natural history of bedside percutaneous endoscopic versus fluoroscopy-guided gastrostomy tubes in intensive care unit patients
    Lucy Ching Chau, Ryan Soheim, Michael Dix, Sarah Chung, Nadia Obeid, Arielle Hodari-Gupta, Cletus Stanton
    Surgical Endoscopy.2023; 37(11): 8742.     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
  • Relative contraindications to percutaneous endoscopic gastrostomy (review of literature)
    Yu. O. Zharikov, M. Kh. Gurtsiev, S. Zh. Antonyan, S. F. Askerova, E. I. Chairkina, P. A. Yartsev
    Grekov's Bulletin of Surgery.2022; 180(6): 105.     CrossRef
  • 5,748 View
  • 149 Download
  • 6 Web of Science
  • 6 Crossref
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Special Review: Korean Society of Gastrointestinal Endoscopy “Accreditation 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
  • Intensive reprocessing of reusable bronchoscopes can reduce the false positive rate of Xpert MTB/RIF caused by nucleic acid residue
    Xingxing Jin, Qianfang Hu, Yishi Li, Xia Zhang, Wan Tao, Houyu Zhong, Qinghai Zhao
    Journal of Clinical Tuberculosis and Other Mycobacterial Diseases.2024; 37: 100476.     CrossRef
  • Endoscope Cleaning and Disinfection Guidelines for Primary Care Physicians
    Yoo-Bin Seo, Seung Hee Kim, Eon Sook Lee, Seung Jin Jung, Sang Keun Hahm
    Korean Journal of Family Practice.2024; 14(4): 165.     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
  • Features of the work of an endoscopic nurse in Russia and other countries
    E. Yu. Pinina, S. S. Pirogov, N. Yu. Zarubina, A. S. Vodoleev, E. S. Karpova, A. D. Kaprin
    Filin’s Clinical endoscopy.2023; 62(1): 37.     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
  • 5,241 View
  • 161 Download
  • 8 Web of Science
  • 11 Crossref
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Original Articles
Long-Term Survival and Tumor Recurrence in Patients with Superficial Esophageal Cancer after Complete Non-Curative Endoscopic Resection: A Single-Center Case Series
Ji Wan Lee, Charles J. Cho, Do Hoon Kim, Ji Yong Ahn, Jeong Hoon Lee, Kee Don Choi, Ho June Song, Sook Ryun Park, Hyun Joo Lee, Yong Hee Kim, Gin Hyug Lee, Hwoon-Yong Jung, Sung-Bae Kim, Jong Hoon Kim, Seung-Il Park
Clin Endosc 2018;51(5):470-477.   Published online June 1, 2018
DOI: https://doi.org/10.5946/ce.2018.025
AbstractAbstract PDFPubReaderePub
Background
/Aims: To report the long-term survival and tumor recurrence outcomes in patients with superficial esophageal cancer (SEC) after complete non-curative endoscopic resection (ER).
Methods
We retrieved ER data for 24 patients with non-curatively resected SEC. Non-curative resection was defined as the presence of submucosal and/or lymphovascular invasion on ER pathology. Relevant clinical and tumor-specific parameters were reviewed.
Results
The mean age of the 24 study patients was 66.3±8.3 years. Ten patients were closely followed up without treatment, while 14 received additional treatment. During a mean follow-up of 59.0±33.2 months, the 3- and 5-year survival rates of all cases were 90.7% and 77.6%, respectively. The 5-year overall survival rates were 72.9% in the close observation group and 82.1% in the additional treatment group (p=0.958). The 5-year cumulative incidences of all cases of recurrence (25.0% vs. 43.3%, p=0.388), primary EC recurrence (10.0% vs. 16.4%, p=0.558), and metachronous EC recurrence (16.7% vs. 26.7%, p=0.667) were similar between the two groups.
Conclusions
Patients with non-curatively resected SEC showed good long-term survival outcomes. Given the similar oncologic outcomes, close observation may be an option with appropriate caution taken for patients who are medically unfit to receive additional therapy.

Citations

Citations to this article as recorded by  
  • Close Observation versus Additional Surgery after Noncurative Endoscopic Resection of Esophageal Squamous Cell Carcinoma
    Byeong Geun Song, Ga Hee Kim, Charles J. Cho, Hyeong Ryul Kim, Yang Won Min, Hyuk Lee, Byung-Hoon Min, Ho June Song, Yong-Hee Kim, Jun Haeng Lee, Hwoon-Yong Jung, Jae Ill Zo, Young Mog Shim
    Digestive Surgery.2021; 38(3): 247.     CrossRef
  • Non-Curative Endoscopic Resection for Superficial Esophageal Cancer
    Eun Hye Kim, Jun Chul Park
    Clinical Endoscopy.2018; 51(5): 399.     CrossRef
  • 6,341 View
  • 147 Download
  • 2 Web of Science
  • 2 Crossref
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Characteristics of Missed Simultaneous Gastric Lesions Based on Double-Check Analysis of the Endoscopic Image
Eun Jeong Gong, Jeong Hoon Lee, Kyoungwon Jung, Charles J. Cho, Hee Kyong Na, Ji Yong Ahn, Kee Wook Jung, Do Hoon Kim, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung, Jin-Ho Kim
Clin Endosc 2017;50(3):261-269.   Published online August 22, 2016
DOI: https://doi.org/10.5946/ce.2016.056
AbstractAbstract PDFPubReaderePub
Background
/Aims: The detection of multifocal lesions is important for the successful management of gastric neoplasms. We investigated the characteristics of missed simultaneous lesions and the reason for the missed diagnoses.
Methods
A total of 140 patients who underwent repeat endoscopy before endoscopic resection between June 2013 and June 2014 were retrospectively reviewed. We classified simultaneous lesions into three groups based on a review of earlier images: group 1, no images of the location of simultaneous lesions were taken; group 2, no corresponding lesion was evident in the previous images; and group 3, simultaneous lesions were visible in the earlier images but a biopsy was not performed.
Results
Simultaneous lesions were found in 12 patients (8.6%) with 13 lesions, comprising 10 dysplasia (76.9%) and three adenocarcinoma (23.1%). Regarding the reasons for missed diagnoses, seven lesions (53.8%) were classified as group 3, five (38.5%) as group 1, and the remaining lesion (7.7%) as group 2. There were no significant differences in the characteristics of the patients with and without simultaneous lesions.
Conclusions
Lesions disregarded or unnoticed during endoscopic examination were the main reason for missed diagnosis of simultaneous lesions. Endoscopists should consider the possibility of simultaneous lesions and attempt to meticulously evaluate the entire gastric mucosa.

Citations

Citations to this article as recorded by  
  • Gastric dysplasia in random biopsies: the influence of Helicobacter pylori infection and alcohol consumption in the presence of a lesion
    Ana Isabel Ferreira, Tiago Lima Capela, Vítor Macedo Silva, Sofia Xavier, Pedro Boal Carvalho, Joana Magalhães, José Cotter
    Scandinavian Journal of Gastroenterology.2024; 59(2): 125.     CrossRef
  • Protocolo de evaluación de las lesiones premalignas gástricas
    A. Cerpa Arencibia, M. Tavecchia Castro, A. Burgos García, M.D. Martín-Arranz
    Medicine - Programa de Formación Médica Continuada Acreditado.2024; 14(2): 104.     CrossRef
  • Editorial: PPIs and gastric cancer – Are we dealing with a carcinogen? Authors' reply
    Eun Jeong Gong, Hye‐Kyung Jung
    Alimentary Pharmacology & Therapeutics.2023; 58(10): 1101.     CrossRef
  • Development and evaluation of a double-check support system using artificial intelligence in endoscopic screening for gastric cancer
    Hirotaka Oura, Tomoaki Matsumura, Mai Fujie, Tsubasa Ishikawa, Ariki Nagashima, Wataru Shiratori, Mamoru Tokunaga, Tatsuya Kaneko, Yushi Imai, Tsubasa Oike, Yuya Yokoyama, Naoki Akizue, Yuki Ota, Kenichiro Okimoto, Makoto Arai, Yuki Nakagawa, Mari Inada,
    Gastric Cancer.2022; 25(2): 392.     CrossRef
  • High Expression of Claudin-4 Is Associated with Synchronous Tumors in Patients with Early Gastric Cancer
    Won Shik Kim, Hayeon Kim, Moon Kyung Joo, Byung Il Choi, Ah Young Yoo, Jong-Jae Park, Beom Jae Lee, Seung Han Kim, Hoon Jai Chun
    Journal of Clinical Medicine.2022; 11(12): 3550.     CrossRef
  • Assessment of Outcomes From 1-Year Surveillance After Detection of Early Gastric Cancer Among Patients at High Risk in Japan
    Yoshinobu Yamamoto, Naohiro Yoshida, Tomonori Yano, Takahiro Horimatsu, Noriya Uedo, Noboru Kawata, Hiromitsu Kanzaki, Shinichiro Hori, Kenshi Yao, Seiichiro Abe, Chikatoshi Katada, Chizu Yokoi, Ken Ohata, Hisashi Doyama, Kenichi Yoshimura, Hideki Ishikaw
    JAMA Network Open.2022; 5(8): e2227667.     CrossRef
  • Preparation of image databases for artificial intelligence algorithm development in gastrointestinal endoscopy
    Chang Bong Yang, Sang Hoon Kim, Yun Jeong Lim
    Clinical Endoscopy.2022; 55(5): 594.     CrossRef
  • Accuracy of artificial intelligence–assisted detection of upper GI lesions: a systematic review and meta-analysis
    Thomas K.L. Lui, Vivien W.M. Tsui, Wai K. Leung
    Gastrointestinal Endoscopy.2020; 92(4): 821.     CrossRef
  • Common Locations of Gastric Cancer: Review of Research from the Endoscopic Submucosal Dissection Era
    Su Jin Kim, Cheol Woong Choi
    Journal of Korean Medical Science.2019;[Epub]     CrossRef
  • Characteristics of Synchronous and Metachronous Multiple Gastric Tumors after Endoscopic Submucosal Dissection of Early Gastric Neoplasm
    Hyun Jik Lee, Yoo Jin Lee, Ju Yup Lee, Eun Soo Kim, Woo Jin Chung, Byoung Kuk Jang, Kyung Sik Park, Jae Seok Hwang, Kwang Bum Cho
    Clinical Endoscopy.2018; 51(3): 266.     CrossRef
  • Cost Effectiveness of Gastric Cancer Screening According to Race and Ethnicity
    Monica Saumoy, Yecheskel Schneider, Nicole Shen, Michel Kahaleh, Reem Z. Sharaiha, Shailja C. Shah
    Gastroenterology.2018; 155(3): 648.     CrossRef
  • Characteristics of Missed Synchronous Gastric Epithelial Neoplasms
    Bong Eun Lee
    Clinical Endoscopy.2017; 50(3): 211.     CrossRef
  • 8,765 View
  • 186 Download
  • 13 Web of Science
  • 12 Crossref
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Yields and Utility of Endoscopic Ultrasonography-Guided 19-Gauge Trucut Biopsy versus 22-Gauge Fine Needle Aspiration for Diagnosing Gastric Subepithelial Tumors
Hee Kyong Na, Jeong Hoon Lee, Young Soo Park, Ji Yong Ahn, Kwi-Sook Choi, Do Hoon Kim, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung, Jin-Ho Kim
Clin Endosc 2015;48(2):152-157.   Published online March 27, 2015
DOI: https://doi.org/10.5946/ce.2015.48.2.152
AbstractAbstract PDFPubReaderePub
Background/Aims

To evaluate the yields and utility of 19-gauge (G) Trucut biopsy (TCB) versus 22 G fine needle aspiration (FNA) for diagnosing gastric subepithelial tumors (SETs).

Methods

We retrieved data for 152 patients with a gastric SET larger than 2 cm who had undergone endoscopic ultrasonography (EUS)-guided 19 G TCB (n=90) or 22 G FNA (n=62). Relevant clinical, tumor-specific, and EUS procedural information was reviewed retrospectively.

Results

A specific diagnosis was made for 76 gastrointestinal stromal tumors (GISTs) and 51 non-GIST SETs. The diagnostic yield of TCB was greater than that of FNA (77.8% vs. 38.7%, p<0.001). The percentage of non-diagnostic specimens (suspicious and insufficient) was significantly lower in the TCB group (6.7% and 15.5%, respectively) than in the FNA group (22.6% and 38.7%, respectively; both p<0.001). TCB accurately diagnosed 90.9% of GISTs and 81.1% of non-GIST SETs, whereas FNA accurately diagnosed 68.8% of GISTs and 14.3% of non-GIST SETs. There were nine technical failures with TCB, and the rate of adverse events did not differ between the groups (TCB vs. FNA, 3.3% vs. 8.1%; p=0.27).

Conclusions

Nineteen-gauge TCB is safe and highly valuable for diagnosing gastric SETs larger than 2 cm if technical failure can be avoided.

Citations

Citations to this article as recorded by  
  • Natural history of gastric leiomyoma
    Kwangbeom Park, Ji Yong Ahn, Hee Kyong Na, Kee Wook Jung, Jeong Hoon Lee, Do Hoon Kim, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwwon-Yong Jung
    Surgical Endoscopy.2024; 38(5): 2726.     CrossRef
  • Diagnostic yield of endoscopic and EUS-guided biopsy techniques in subepithelial lesions of the upper GI tract: a systematic review
    Cynthia A. Verloop, Jacqueline A.C. Goos, Marco J. Bruno, Rutger Quispel, Lydi M.J.W. van Driel, Lieke Hol
    Gastrointestinal Endoscopy.2024; 99(6): 895.     CrossRef
  • Comparison of endoscopic ultrasound‐guided fine needle aspiration cytology versus endoscopic biopsy for the diagnosis of subepithelial lesions of the upper and lower gastrointestinal tract: A 10‐year retrospective single institution analysis
    Katrina Collins, Bianca Puello Yocum, Hector Mesa, Harvey Cramer, Omer Saeed
    Diagnostic Cytopathology.2023; 51(7): 434.     CrossRef
  • Utility of endoscopic ultrasonography-guided fine-needle biopsy (EUS-FNB) for diagnosing small subepithelial lesions (< 20 mm)
    Masanari Sekine, Takaya Miura, Junichi Fujiwara, Takeshi Uehara, Takeharu Asano, Satohiro Matsumoto, Hiroyuki Miyatani, Hirosato Mashima
    Journal of Ultrasound.2022; 25(1): 35.     CrossRef
  • Advancements in the Diagnosis of Gastric Subepithelial Tumors
    Osamu Goto, Mitsuru Kaise, Katsuhiko Iwakiri
    Gut and Liver.2022; 16(3): 321.     CrossRef
  • Necessity of Individualized Approach for Gastric Subepithelial Tumor Considering Pathologic Discrepancy and Surgical Difficulty Depending on the Gastric Location
    Sung Gon Kim, Bang Wool Eom, Hongman Yoon, Myeong-Cheorl Kook, Young-Woo Kim, Keun Won Ryu
    Journal of Clinical Medicine.2022; 11(16): 4733.     CrossRef
  • Accuracy of visual on-site evaluation (Vose) In predicting the adequacy of Eus-guided fine needle biopsy: A single center prospective study
    Serena Stigliano, Valerio Balassone, Dario Biasutto, Francesco Covotta, Marianna Signoretti, Francesco Maria Di Matteo
    Pancreatology.2021; 21(1): 312.     CrossRef
  • Utility of a 20G needle with a core trap in EUS-guided fine-needle biopsy for gastric submucosal tumors: A multicentric prospective trial
    Ken Kamata, Akira Kurita, Satoru Yasukawa, Yasutaka Chiba, Hiroko Nebiki, Masanori Asada, Hiroaki Yasuda, Hideyuki Shiomi, Takeshi Ogura, Makoto Takaoka, Noriyuki Hoki, Reiko Ashida, Minoru Shigekawa, Akio Yanagisawa, Masatoshi Kudo, Masayuki Kitano
    Endoscopic Ultrasound.2021; 10(2): 134.     CrossRef
  • Endoscopic Resection of Gastrointestinal Stromal Tumor: Is It Safe?
    Moon Kyung Joo
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2021; 21(3): 180.     CrossRef
  • Efficacy of Endoscopic Ultrasound-Guided Fine-Needle Biopsy in Gastric Subepithelial Tumors Located in the Cardia
    Ga Hee Kim, Ji Yong Ahn, Chung Sik Gong, Mimi Kim, Hee Kyong Na, Jeong Hoon Lee, Kee Wook Jung, Do Hoon Kim, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung
    Digestive Diseases and Sciences.2020; 65(2): 583.     CrossRef
  • Comparison of the treatment outcomes of endoscopic and surgical resection of GI stromal tumors in the stomach: a propensity score–matched case-control study
    Ga Hee Kim, Kee Don Choi, Chung Sik Gong, In-Seob Lee, Young Soo Park, Minkyu Han, Hee Kyong Na, Ji Yong Ahn, Jeong Hoon Lee, Kee Wook Jung, Do Hoon Kim, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung
    Gastrointestinal Endoscopy.2020; 91(3): 527.     CrossRef
  • EUS-guided fine-needle biopsy sampling versus FNA in the diagnosis of subepithelial lesions: a large multicenter study
    Diogo T.H. de Moura, Thomas R. McCarty, Pichamol Jirapinyo, Igor B. Ribeiro, Victor K. Flumignan, Fedaa Najdawai, Marvin Ryou, Linda S. Lee, Christopher C. Thompson
    Gastrointestinal Endoscopy.2020; 92(1): 108.     CrossRef
  • Gastrointestinal Stromal Tumors of the Small Intestine: Progress in Diagnosis and Treatment Research


    Fangxing Peng, Yao Liu
    Cancer Management and Research.2020; Volume 12: 3877.     CrossRef
  • Prospective, multicenter, observational study of tissue acquisition through EUS-guided fine-needle biopsy using a 25G Franseen needle
    Ryo Sugiura, Masaki Kuwatani, Kei Yane, Yoko Taya, Hideyuki Ihara, Manabu Onodera, Kazunori Eto, Itsuki Sano, Taiki Kudo, Tomoko Mitsuhashi, Akio Katanuma, Naoya Sakamoto
    Endoscopic Ultrasound.2019; 8(5): 321.     CrossRef
  • Randomized crossover trial comparing EUS‐guided fine‐needle aspiration with EUS‐guided fine‐needle biopsy for gastric subepithelial tumors
    Tomohisa Iwai, Mitsuhiro Kida, Hiroshi Imaizumi, Shiro Miyazawa, Kosuke Okuwaki, Hiroshi Yamauchi, Toru Kaneko, Rikiya Hasegawa, Eiji Miyata, Wasaburo Koizumi
    Diagnostic Cytopathology.2018; 46(3): 228.     CrossRef
  • Endoscopic ultrasound-guided tissue acquisition of subepithelial masses
    Jared J. Rejeski, Girish Mishra
    Techniques in Gastrointestinal Endoscopy.2018; 20(1): 15.     CrossRef
  • The diagnostic and cellularity yield of reverse bevel versus fork‐tip fine needle biopsy
    Mohamed M Abdelfatah, Ahmed Hamed, Nicholas J. Koutlas, F. Zahra Aly
    Diagnostic Cytopathology.2018; 46(8): 649.     CrossRef
  • Endobronchial Ultrasound-guided Transbronchial Needle Aspiration With a 19-G Needle Device
    Alain Tremblay, Seamus McFadden, Martina Bonifazi, Valentina Luzzi, Samuel V. Kemp, Stefano Gasparini, Alex Chee, Paul MacEachern, Elaine Dumoulin, Christopher A. Hergott, Pallav L. Shah
    Journal of Bronchology & Interventional Pulmonology.2018; 25(3): 218.     CrossRef
  • EUS-FNA WITH 19 OR 22 GAUGES NEEDLES FOR GASTRIC SUBEPITHELIAL LESIONS OF THE MUSCLE LAYER
    César Vivian LOPES, Antônio Atalíbio HARTMANN, Everson Luiz de Almeida ARTIFON
    ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo).2018;[Epub]     CrossRef
  • The role of EUS-guided fine needle aspiration in autoimmune pancreatitis: a single center prospective study
    Li Cao, Yun Wang, Jinlin Wang, Qiaozhen Guo, Qian Chen, Xiaoli Wu, Shou-Jiang Tang, Bin Cheng
    Scandinavian Journal of Gastroenterology.2018; 53(12): 1604.     CrossRef
  • Feasibility of a 20-gauge ProCore needle in EUS-guided subepithelial tumor sampling: a prospective multicenter study
    Do Hoon Kim, Gwang Ha Kim, Chang Min Cho, Chang Hwan Park, Soo-Young Na, Tae Hyeon Kim, Yu Kyung Cho, Ji Hyun Kim, Dong-Wan Seo
    BMC Gastroenterology.2018;[Epub]     CrossRef
  • Subepithelial rectal gastrointestinal stromal tumor – the use of endoscopic ultrasound-guided fine needle aspiration to establish a definitive cytological diagnosis: a case report
    Vitor Ottoboni Brunaldi, Martin Coronel, Danielle Azevedo Chacon, Eduardo Turiani Hourneaux De Moura, Sérgio E. Matuguma, Eduardo Guimarães Hourneaux De Moura, Diogo Turiani Hourneaux De Moura
    Journal of Medical Case Reports.2017;[Epub]     CrossRef
  • GEIS guidelines for gastrointestinal sarcomas (GIST)
    Andrés Poveda, Xavier García del Muro, Jose Antonio López-Guerrero, Ricardo Cubedo, Virginia Martínez, Ignacio Romero, César Serrano, Claudia Valverde, Javier Martín-Broto
    Cancer Treatment Reviews.2017; 55: 107.     CrossRef
  • The role of endoscopy in subepithelial lesions of the GI tract
    Ashley L. Faulx, Shivangi Kothari, Ruben D. Acosta, Deepak Agrawal, David H. Bruining, Vinay Chandrasekhara, Mohamad A. Eloubeidi, Robert D. Fanelli, Suryakanth R. Gurudu, Mouen A. Khashab, Jenifer R. Lightdale, V. Raman Muthusamy, Aasma Shaukat, Bashar J
    Gastrointestinal Endoscopy.2017; 85(6): 1117.     CrossRef
  • Contrast‐enhanced harmonic endoscopic ultrasonography for differential diagnosis of submucosal tumors of the upper gastrointestinal tract
    Ken Kamata, Mamoru Takenaka, Masayuki Kitano, Shunsuke Omoto, Takeshi Miyata, Kosuke Minaga, Kentaro Yamao, Hajime Imai, Toshiharu Sakurai, Tomohiro Watanabe, Naoshi Nishida, Takaaki Chikugo, Yasutaka Chiba, Haruhiko Imamoto, Takushi Yasuda, Andrea Lisott
    Journal of Gastroenterology and Hepatology.2017; 32(10): 1686.     CrossRef
  • How best to manage gastrointestinal stromal tumor
    Gandhi Lanke, Jeffrey H Lee
    World Journal of Clinical Oncology.2017; 8(2): 135.     CrossRef
  • EUS-guided 22-gauge fine needle biopsy for the diagnosis of gastric subepithelial tumors larger than 2 cm
    Jeong Hoon Lee, Charles J. Cho, Young Soo Park, Ji Yong Ahn, Do Hoon Kim, Hee Kyong Na, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung
    Scandinavian Journal of Gastroenterology.2016; 51(4): 486.     CrossRef
  • Response:
    Moon Kyung Joo, Jong-Jae Park
    Gastrointestinal Endoscopy.2016; 83(4): 851.     CrossRef
  • EUS-guided fine needle biopsy sampling using a novel fork-tip needle: a case-control study
    Pujan Kandel, Ghassan Tranesh, Aziza Nassar, Russell Bingham, Massimo Raimondo, Timothy A. Woodward, Victoria Gomez, Michael B. Wallace
    Gastrointestinal Endoscopy.2016; 84(6): 1034.     CrossRef
  • Is Endoscopic Ultrasonography Adequate for the Diagnosis of Gastric Schwannomas?
    Eun Jeong Gong, Kee Don Choi
    Clinical Endoscopy.2016; 49(6): 498.     CrossRef
  • A Case of Gastrointestinal Stromal Tumor That Underwent Endoscopic Ultrasound-Guided Aspiration with a 25-Gauge Biopsy Needle
    Minoru Tomizawa, Fuminobu Shinozaki, Yasufumi Motoyoshi, Takao Sugiyama, Shigenori Yamamoto, Naoki Ishige
    Case Reports in Gastroenterology.2016; 10(1): 173.     CrossRef
  • Cytology of the gastrointestinal tract: opportunities to be tapped
    Darshana Jhala
    Diagnostic Histopathology.2015; 21(12): 462.     CrossRef
  • Which Needle Is Better for Diagnosing Subepithelial Lesions?
    Eun Young Kim
    Clinical Endoscopy.2015; 48(2): 91.     CrossRef
  • 9,872 View
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  • 37 Web of Science
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Comparison of Clinical Outcomes Associated with Pull-Type and Introducer-Type Percutaneous Endoscopic Gastrostomies
Sin Won Lee, Jeong Hoon Lee, Hyungjin Cho, Yeonjung Ha, Hyun Lim, Ji Yong Ahn, Kwi Sook Choi, Do Hoon Kim, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung, Jin-Ho Kim
Clin Endosc 2014;47(6):530-537.   Published online November 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.6.530
AbstractAbstract PDFPubReaderePub
Background/Aims

Percutaneous endoscopic gastrostomy (PEG) is a method of providing enteral nutrition using endoscopy. The PEG techniques differ according to the insertion method, and include the pull type, push type, and introducer type. The aim of this study was to compare the clinical outcomes associated with the pull-type and introducer-type PEG insertion techniques, which included the adverse events, at our tertiary care center in Korea.

Methods

We retrospectively reviewed 141 cases that had undergone PEG insertion at our center from January 2009 to June 2012. The indications for PEG insertion and the acute and chronic complications caused by each type of PEG insertion were analyzed.

Results

The indications for PEG insertion in our cohort included neurologic disease (58.7%), malignancy (21.7%), and other indications (19.6%). Successful PEG insertions were performed on 136 cases (96.5%), and there were no PEG-associated deaths. Bleeding was the most frequent acute complication (12.8%), and wound problems were the most frequent chronic complications (8.8%). There were no statistically significant differences between the pull-type and introducer-type PEG insertion techniques in relation to complication rates in our study population.

Conclusions

PEG insertion is considered a safe procedure. The pull-type and introducer-type PEG insertion techniques produce comparable outcomes, and physicians may choose either of these approaches according to the circumstances.

Citations

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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
  • 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
  • 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
  • Buried T-Bar after Gastrostomy Placement in Children
    Soon Chul Kim
    Indian Journal of Pediatrics.2022; 89(8): 833.     CrossRef
  • Nationwide Survey for Pediatric Gastrostomy Tube Placement in Korea
    Sangwoo Lee, Byung-Ho Choe, Ben Kang, Soon Chul Kim
    Journal of Korean Medical Science.2022;[Epub]     CrossRef
  • Clinical Outcomes of Enteral Feeding Protocol Via Percutaneous Endoscopic Gastrostomy: A Single‐Center, Retrospective Study
    Jin Hee Noh, Hee Kyong Na, Ji Yong Ahn, Suk‐Kyung Hong, Jiyoun Kim, Jina Yang, Hwoon‐Yong Jung
    Nutrition in Clinical Practice.2021; 36(1): 225.     CrossRef
  • Relationship of early acute complications and insertion site in push method percutaneous endoscopic gastrostomy
    Hiroshi Suzuki, Satoru Joshita, Tadanobu Nagaya, Koichi Sato, Akihiro Ito, Tomoaki Suga, Takeji Umemura
    Scientific Reports.2020;[Epub]     CrossRef
  • The efficacy of a novel percutaneous endoscopic gastrostomy simulator using three‐dimensional printing technologies
    Hee Kyong Na, Ji Yong Ahn, Gin Hyug Lee, Jeong Hoon Lee, Do Hoon Kim, Kee Wook Jung, Kee Don Choi, Ho June Song, Hwoon‐Yong Jung
    Journal of Gastroenterology and Hepatology.2019; 34(3): 561.     CrossRef
  • A large prospective audit of morbidity and mortality associated with feeding gastrostomies in the community
    Emily Clarke, Narrie Pitts, Andrew Latchford, Stephen Lewis
    Clinical Nutrition.2017; 36(2): 485.     CrossRef
  • Antibacterial gauzes are effective in preventing infections after percutaneous endoscopic gastrostomy placement
    Denise Strijbos, Erik J. Schoon, Wouter Curvers, Pieter Friederich, Hajo J. Flink, Arnold Stronkhorst, Lennard P.L. Gilissen
    European Journal of Gastroenterology & Hepatology.2016; 28(3): 297.     CrossRef
  • Advances in nutritional delivery interventions
    Bryan Silon, John C. Fang
    Techniques in Gastrointestinal Endoscopy.2015; 17(4): 152.     CrossRef
  • 7,700 View
  • 95 Download
  • 13 Web of Science
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Case Report
Intralesional Steroid Injection to Prevent Stricture after Near-Circumferential Endosopic Submucosal Dissection for Superficial Esophageal Cancer
Wook Jin Lee, Hwoon-Yong Jung, Do Hoon Kim, Jeong Hoon Lee, Kee Don Choi, Ho June Song, Gin Hyug Lee, Jin-Ho Kim
Clin Endosc 2013;46(6):643-646.   Published online November 19, 2013
DOI: https://doi.org/10.5946/ce.2013.46.6.643
AbstractAbstract PDFPubReaderePub

Stricture frequently occurs after endoscopic submucosal dissection (ESD) for superficial esophageal carcinoma with near- or whole-circumferential mucosal defects, and post-ESD stricture is difficult to treat and usually requires multiple sessions of endoscopic balloon dilatation. Intralesional steroid injection has previously been used to prevent stricture; however, there have been few experiences with this method after near- or whole-circumferential ESD. We present a case of a single session of intralesional steroid injection performed immediately after near-circumferential ESD to prevent post-ESD stricture. After a follow-up period of 6 months, the patient showed good outcome without dysphagia.

Citations

Citations to this article as recorded by  
  • Recent Advances of Biomedical Materials for Prevention of Post-ESD Esophageal Stricture
    Yuchen Bao, Zhenguang Li, Yingze Li, Tao Chen, Yu Cheng, Meidong Xu
    Frontiers in Bioengineering and Biotechnology.2021;[Epub]     CrossRef
  • Evaluation of human keratinocyte sheets transplanted onto porcine excised esophagus after submucosal dissection in an ex vivo model
    Yosuke Kawai, Ryo Takagi, Takeshi Ohki, Masakazu Yamamoto, Masayuki Yamato
    Regenerative Therapy.2020; 15: 323.     CrossRef
  • White coat status is a predictive marker for post-esophageal endoscopic submucosal dissection stricture: a retrospective study
    Keitaro Takahashi, Mikihiro Fujiya, Nobuhiro Ueno, Takeshi Saito, Yuya Sugiyama, Yuki Murakami, Takuya Iwama, Takahiro Sasaki, Masami Ijiri, Kazuyuki Tanaka, Aki Sakatani, Katsuyoshi Ando, Yoshiki Nomura, Shin Kashima, Mitsuru Goto, Kentaro Moriichi, Tosh
    Esophagus.2019; 16(3): 258.     CrossRef
  • Roles of Steroids in Preventing Esophageal Stricture after Endoscopic Resection
    Yu Qiu, Ruihua Shi
    Canadian Journal of Gastroenterology and Hepatology.2019; 2019: 1.     CrossRef
  • Long-term outcomes of a primary complete endoscopic resection strategy for short-segment Barrett’s esophagus with high-grade dysplasia and/or early esophageal adenocarcinoma
    Farzan F. Bahin, Mahesh Jayanna, Luke F. Hourigan, Reginald V. Lord, David Whiteman, Stephen J. Williams, Eric Y.T. Lee, Michael J. Bourke
    Gastrointestinal Endoscopy.2016; 83(1): 68.     CrossRef
  • Endoscopic submucosal tunnel dissection for a large esophageal subepithelial leiomyoma to prevent postprocedural stenosis
    Wen‐Hsin Hsu, Meng‐Shun Sun, Hoi‐Wan Lo, Ching‐Yang Tsai, Yu‐Jou Tsai
    Advances in Digestive Medicine.2016; 3(3): 115.     CrossRef
  • Endoscopic Submucosal Dissection for Superficial Esophageal Neoplasm: A Growing Body of Evidence
    Eun Jeong Gong, Hwoon-Yong Jung
    Clinical Endoscopy.2016; 49(2): 101.     CrossRef
  • Esophageal Stricture Prevention after Endoscopic Submucosal Dissection
    Deepanshu Jain, Shashideep Singhal
    Clinical Endoscopy.2016; 49(3): 241.     CrossRef
  • Ten-year experience of esophageal endoscopic submucosal dissection of superficial esophageal neoplasms in a single center
    Hyung Chul Park, Do Hoon Kim, Eun Jeong Gong, Hee Kyong Na, Ji Yong Ahn, Jeong Hoon Lee, Kee Wook Jung, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung, Jin-Ho Kim
    The Korean Journal of Internal Medicine.2016; 31(6): 1064.     CrossRef
  • Systematic review: the prevention of oesophageal stricture after endoscopic resection
    M. Barret, B. Beye, S. Leblanc, F. Beuvon, S. Chaussade, F. Batteux, F. Prat
    Alimentary Pharmacology & Therapeutics.2015; 42(1): 20.     CrossRef
  • Endoscopic cell sheet transplantation device developed by using a 3-dimensional printer and its feasibility evaluation in a porcine model
    Masanori Maeda, Nobuo Kanai, Shinichiro Kobayashi, Takahiro Hosoi, Ryo Takagi, Takashi Ohki, Yoshihiro Muragaki, Masayuki Yamato, Susumu Eguchi, Fumio Fukai, Teruo Okano
    Gastrointestinal Endoscopy.2015; 82(1): 147.     CrossRef
  • 6,642 View
  • 92 Download
  • 11 Crossref
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