Clinical Endoscopy

Endoscopic Treatment of Jejunal Heterotopic Gastric Mucosa that Caused Recurrent Intussusception: Ke Ryun Ahn, Ja Seol Koo, Hwan Il Kim, Ji Hye Kim, Jee Hyun Lee, Seung Young Kim, Sung Woo Jung, Sang Woo Lee; Clin Endosc 2017;50(6):605-608. Published online October 18, 2017; DOI: https://doi.org/10.5946/ce.2017.026

Heterotopic gastric mucosa (HGM) is a rare anomaly in the small bowel and may be the cause of intussusception when it gets a lead point in the jejunum. All cases of intussusception due to intestinal HGM have been treated with surgical resection. A 5-year-old girl presented with chief complaints of vomiting and abdominal pain for 2 weeks. A computed tomography scan of the abdomen showed intussusception at the proximal jejunal loops. Three air reductions and one saline reduction were attempted without success. She continued to be symptomatic, and endoscopic evaluation was performed. Enteroscopy revealed some variable-sized polypoid mucosal lesions with erosions on the proximal jejunum. Endoscopic mucosal resection was performed using a snare. The resected tissues histologically showed a hyperplastic polyp arising from the HGM. Her symptoms did not recur within 1 year after the treatment. Our case showed that enteroscopy could be useful for the diagnosis and management of jejunal intussusception caused by HGM.

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Siri A. Urquhart, Nayantara Coelho-Prabhu
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Case Reports in Surgery.2019; 2019: 1. CrossRef

6,388 View
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Simultaneous Esophageal and Gastric Metastases from Lung Cancer: Jae Yong Park, Seung Wook Hong, Joo Young Lee, Ji Hye Kim, Jin Woo Kang, Hyun Woo Lee, Jong Pil Im; Clin Endosc 2015;48(4):332-335. Published online July 24, 2015; DOI: https://doi.org/10.5946/ce.2015.48.4.332

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We report of a patient with metastatic adenocarcinoma of the esophagus and stomach from lung cancer. The patient was a 68-year-old man receiving radiotherapy and chemotherapy for stage IV lung cancer, without metastases to the gastrointestinal (GI) tract at the time of the initial diagnosis. During the treatment period, dysphagia and melena newly developed. Upper GI endoscopy revealed geographic erosion at the distal esophagus and multiple volcano-shaped ulcers on the stomach body. Endoscopic biopsy was performed for each lesion. To determine whether the lesions were primary esophageal and gastric cancer masses or metastases from the lung cancer, histopathological testing including immunohistochemical staining was performed, and metastasis from lung cancer was confirmed. The disease progressed despite chemotherapy, and the patient died 5 months after the diagnosis of lung cancer. This is a case report of metastatic adenocarcinoma in the esophagus and stomach, which are very rare sites of spread for lung cancer.

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Gastric Metastasis of Primary Lung Cancer: Case Report and Systematic Review With Pooled Analysis
Dong Tang, Jianjian Lv, Zhijing Liu, Shuhui Zhan, Yuqiang Gao
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World Journal of Gastrointestinal Oncology.2017; 9(3): 129. CrossRef

8,186 View
54 Download
2 Web of Science
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A Submucosal Tumor-Like Recurrence of Early Esophageal Cancer after Endoscopic Submucosal Dissection: Jeong Cheon Choi, Gwang Ha Kim, Do Youn Park, Hyeog Gyu Seoung, Yong Jae Lee, Ji Hye Kim, Tae Kyun Kim, Hoseok I; Clin Endosc 2013;46(2):182-185. Published online March 31, 2013; DOI: https://doi.org/10.5946/ce.2013.46.2.182

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Early esophageal cancer is defined as a tumor invading the mucosa with or without lymph node or distant organ metastasis. In the current guidelines for early esophageal cancer, absolute indication for endoscopic resection include lesions limited to the epithelium or lamina propria mucosa not exceeding two-thirds of the circumference, and relative indications include lesions limited to the muscularis mucosa or the upper third of the submucosal layer and not accompanied by clinical evidence of lymph node metastasis. After endoscopic submucosal dissection for early esophageal cancer, locally recurrent cancer can occur, especially in the case of incomplete resection. Here, we report a rare case of a submucosal tumor-like recurrence after endoscopic resection of early esophageal cancer.

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55 Download
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Esophageal Pyogenic Granuloma: Endosonographic Findings and Endoscopic Treatments: Hyeog Gyu Seoung, Gwang Ha Kim, Geun Am Song, Ji Hye Kim, Min Young Oh, Jeong Cheon Choi, Jung Hee Koh, Chang Jun Park; Clin Endosc 2013;46(1):81-84. Published online January 31, 2013; DOI: https://doi.org/10.5946/ce.2013.46.1.81

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Pyogenic granuloma is a benign inflammatory vascular lesion, mainly found in the skin and oral mucosa. A few cases of pyogenic granuloma in the gastrointestinal tract have been reported, and the esophagus was the main site in these cases. These patients were diagnosed with pyogenic granuloma after they underwent upper endoscopy and biopsy. Endoscopic resection is a favorable treatment option for esophageal pyogenic granuloma. Recently, we observed characteristic endosonographic findings in two cases with esophageal pyogenic granuloma, which were then treated successfully by endoscopic resection.

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