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Esophageal Lesions: A High Index of Suspicion is Important for Diagnosis
Jie-Hyun Kim
Clin Endosc 2020;53(6):757-758.   Published online November 27, 2020
DOI: https://doi.org/10.5946/ce.2020.278
PDFPubReaderePub
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  • 89 Download
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Review
Multidisciplinary and Multisociety Practice Guideline on Reprocessing Flexible Gastrointestinal Endoscopes and Endoscopic Accessories
Dae Young Cheung, Byung Ik Jang, Sang Wook Kim, Jie-Hyun Kim, Hyung Keun Kim, Jeong Eun Shin, Won Jae Yoon, Yong Kang Lee, Kwang Hyun Chung, Soo-Jeong Cho, Hyun Phil Shin, Sun Young Cho, Woon Geon Shin, Kee Don Choi, Byung-Wook Kim, Joong Goo Kwon, Hee Chan Yang, Tae-Geun Gweon, Hyun Gun Kim, Dong-Won Ahn, Kwang Bum Cho, Sun Hee Kim, Kyong Hwa Hwang, Hee Hyuk Im
Clin Endosc 2020;53(3):276-285.   Published online May 29, 2020
DOI: https://doi.org/10.5946/ce.2020.106
AbstractAbstract PDFPubReaderePub
The area of endoscopic application has been continuously expanded since its introduction in the last century and the frequency of its use also increased stiffly in the last decades. Because gastrointestinal endoscopy is naturally exposed to diseased internal organs and contact with pathogenic materials, endoscopy mediated infection or disease transmission becomes a major concern in this field. Gastrointestinal endoscopy is not for single use and the proper reprocessing process is a critical factor for safe and reliable endoscopy procedures. What needed in these circumstances is a practical guideline for reprocessing the endoscope and its accessories which is feasible in the real clinical field to guarantee acceptable prevention of pathogen transmission. This guideline contains principles and instructions of the reprocessing procedure according to the step by step. And it newly includes general information and updated knowledge about endoscopy-mediated infection and disinfection. Multiple societies and working groups participated to revise; Korean Association for the Study of the Liver, the Korean Society of Infectious Diseases, Korean College of Helicobacter and Upper Gastrointestinal Research, the Korean Society of Gastroenterology, Korean Society of Gastrointestinal Cancer, Korean Association for the Study of Intestinal Diseases, Korean Pancreatobiliary Association, the Korean Society of Gastrointestinal Endoscopy Nurses and Associates and Korean Society of Gastrointestinal Endoscopy. Through this cooperation, we enhanced communication and established a better concordance. We still need more researches in this field and fill up the unproven area. And our guidelines will be renewed accordingly.

Citations

Citations to this article as recorded by  
  • Efficacy and safety of three-dimensional magnetically assisted capsule endoscopy for upper gastrointestinal and small bowel examination
    Dong Jun Oh, Yea Je Lee, Sang Hoon Kim, Joowon Chung, Hyun Seok Lee, Ji Hyung Nam, Yun Jeong Lim, Thomas Lui Ka Luen
    PLOS ONE.2024; 19(5): e0295774.     CrossRef
  • EUS-Guided Vascular Interventions: Recent Advances
    Sahib Singh, Saurabh Chandan, Sumant Inamdar, Kambiz S. Kadkhodayan, Jahnvi Dhar, Jayanta Samanta, Antonio Facciorusso
    Journal of Clinical Medicine.2024; 13(16): 4835.     CrossRef
  • A New Drying Method of Thermolabile Flexible Endoscope Channels by Laminar and Turbulent Airflow: A Prospective, Randomized-Controlled, Single-Center, Proof-of-Concept Trial
    Florian A. Michael, Michael Jung, Mike Reimers, Clara Oschwald, Ulrike Mihm, Christoph Welsch, Dirk Walter, Fabian Finkelmeier, Johannes Masseli, Anita Pathil, Georg Dultz, Danuta Puhlmann, Laura Diaz-Martinez, Daniel Hack, Neelam Lingwal, Jörg Bojunga, V
    American Journal of Gastroenterology.2024;[Epub]     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
  • Current status of the gastric cancer screening program in Korea
    Young-Il Kim, Il Ju Choi
    Journal of the Korean Medical Association.2022; 65(5): 250.     CrossRef
  • Reducing the environmental footprint of gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement
    Enrique Rodríguez de Santiago, Mario Dinis-Ribeiro, Heiko Pohl, Deepak Agrawal, Marianna Arvanitakis, Robin Baddeley, Elzbieta Bak, Pradeep Bhandari, Michael Bretthauer, Patricia Burga, Leigh Donnelly, Axel Eickhoff, Bu'Hussain Hayee, Michal F. Kaminski,
    Endoscopy.2022; 54(08): 797.     CrossRef
  • Current Evidence for a Paradigm Shift in Gastric Cancer Prevention From Endoscopic Screening toHelicobacter pyloriEradication in Korea
    Young-Il Kim, Il Ju Choi
    Journal of Gastric Cancer.2022; 22(3): 169.     CrossRef
  • General guideline in the endoscopy room to avoid air-borne infection during the COVID-19 pandemic
    Kwang Hyun Chung, Soo-Jeong Cho
    Clinical Endoscopy.2022; 55(5): 688.     CrossRef
  • Efficacy of a novel channel-cleaning ball brush for endoscope reprocessing: a randomized controlled trial
    Kwang Hyun Chung, Jeong Don Chae, Wonho Choe, Hyo Young Lee, Il Hwan Oh, Byoung Kwan Son
    Clinical Endoscopy.2022; 55(5): 674.     CrossRef
  • Endoscopes that Complete Pre-Cleaning may be Stored Overnight until Next Morning for the Subsequent Reprocessing
    Soo-Jeong Cho
    Clinical Endoscopy.2021; 54(4): 449.     CrossRef
  • Accreditation program for gastrointestinal endoscopes reprocessing in Italy: An on-site survey
    Giancarlo Spinzi, Angelo Milano, Piero Brosolo, Paola Da Massa Carrara, Maurizio Labardi, Alberto Merighi, Luisa Riccardi, Francesco Torresan, Maurizio Capelli
    Endoscopy International Open.2021; 09(11): E1627.     CrossRef
  • Sans Standardization: Effective Endoscope Reprocessing
    Sameer K. Avasarala, Lawrence F. Muscarella, Atul C. Mehta
    Respiration.2021; 100(12): 1208.     CrossRef
  • 10,153 View
  • 355 Download
  • 10 Web of Science
  • 12 Crossref
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Focused Review Series: Application of Artificial Intelligence in GI Endoscopy
Lesion-Based Convolutional Neural Network in Diagnosis of Early Gastric Cancer
Hong Jin Yoon, Jie-Hyun Kim
Clin Endosc 2020;53(2):127-131.   Published online March 30, 2020
DOI: https://doi.org/10.5946/ce.2020.046
AbstractAbstract PDFPubReaderePub
Diagnosis and evaluation of early gastric cancer (EGC) using endoscopic images is significantly important; however, it has some limitations. In several studies, the application of convolutional neural network (CNN) greatly enhanced the effectiveness of endoscopy. To maximize clinical usefulness, it is important to determine the optimal method of applying CNN for each organ and disease. Lesion�-based CNN is a type of deep learning model designed to learn the entire lesion from endoscopic images. This review describes the application of lesion-based CNN technology in diagnosis of EGC.

Citations

Citations to this article as recorded by  
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    Fei Zhang, Hui Han, Minglin Li, Tian Tian, Guilei Zhang, Zhenrong Yang, Feng Guo, Maomao Li, Yuting Wang, Jiahe Wang, Ying Liu
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    Information Fusion.2024; 101: 102007.     CrossRef
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    Pooja K., Kishore Kanna R., G. Li, U. Subramaniam, M. Sekar
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    Elham Asadian, Farshad Bahramian, Saeed Siavashy, Sara Movahedi, Rüstem Keçili, Chaudhery Mustansar Hussain, Fatemeh Ghorbani-Bidkorpeh
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    Hannah Lee, Jun-Won Chung, Sung-Cheol Yun, Sung Woo Jung, Yeong Jun Yoon, Ji Hee Kim, Boram Cha, Mohd Azzam Kayasseh, Kyoung Oh Kim
    Diagnostics.2024; 14(23): 2706.     CrossRef
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    Frontiers in Bioinformatics.2023;[Epub]     CrossRef
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    Zhendong Yao, Tao Jin, Boneng Mao, Bo Lu, Yefei Zhang, Sisi Li, Weichang Chen
    Frontiers in Oncology.2022;[Epub]     CrossRef
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    Priya Bhardwaj, Gaurav Bhandari, Yogesh Kumar, Surbhi Gupta
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    Sai Wang, Qi He, Ping Zhang, Xin Chen, Siyang Zuo
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    Fadwa Alrowais, Saud S. Alotaibi, Radwa Marzouk, Ahmed S. Salama, Mohammed Rizwanullah, Abu Sarwar Zamani, Amgad Atta Abdelmageed, Mohamed I. Eldesouki
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    Maryam Kausar Khan, Muhammad Siddique, Naeem Aslam, Muntazir Hussain Khan, Sara Mukhtar, Bushra Syed
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    Min Zhang, Chang Zhu, Yun Wang, Zihao Kong, Yifei Hua, Weifeng Zhang, Xinmin Si, Bixing Ye, Xiaobing Xu, Lurong Li, Ding Heng, Baiyun Liu, Song Tian, Jiangfen Wu, Yini Dang, Guoxin Zhang
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    Kyeong Ok Kim, Eun Young Kim
    Gut and Liver.2021; 15(3): 346.     CrossRef
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    Technology in Cancer Research & Treatment.2021;[Epub]     CrossRef
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    Ji Hyun Kim, Seung-Joo Nam, Sung Chul Park
    World Journal of Gastroenterology.2021; 27(24): 3543.     CrossRef
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  • 167 Download
  • 22 Web of Science
  • 21 Crossref
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Review
Clinical Practice Guideline for Endoscopic Resection of Early Gastrointestinal Cancer
Chan Hyuk Park, Dong-Hoon Yang, Jong Wook Kim, Jie-Hyun Kim, Ji Hyun Kim, Yang Won Min, Si Hyung Lee, Jung Ho Bae, Hyunsoo Chung, Kee Don Choi, Jun Chul Park, Hyuk Lee, Min-Seob Kwak, Bun Kim, Hyun Jung Lee, Hye Seung Lee, Miyoung Choi, Dong-Ah Park, Jong Yeul Lee, Jeong-Sik Byeon, Chan Guk Park, Joo Young Cho, Soo Teik Lee, Hoon Jai Chun
Clin Endosc 2020;53(2):142-166.   Published online March 30, 2020
DOI: https://doi.org/10.5946/ce.2020.032
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Although surgery was the standard treatment for early gastrointestinal cancers, endoscopic resection is now a standard treatment for early gastrointestinal cancers without regional lymph node metastasis. High-definition white light endoscopy, chromoendoscopy, and image-enhanced endoscopy such as narrow band imaging are performed to assess the edge and depth of early gastrointestinal cancers for delineation of resection boundaries and prediction of the possibility of lymph node metastasis before the decision of endoscopic resection. Endoscopic mucosal resection and/or endoscopic submucosal dissection can be performed to remove early gastrointestinal cancers completely by en bloc fashion. Histopathological evaluation should be carefully made to investigate the presence of risk factors for lymph node metastasis such as depth of cancer invasion and lymphovascular invasion. Additional treatment such as radical surgery with regional lymphadenectomy should be considered if the endoscopically resected specimen shows risk factors for lymph node metastasis. This is the first Korean clinical practice guideline for endoscopic resection of early gastrointestinal cancer. This guideline was developed by using mainly de novo methods and encompasses endoscopic management of superficial esophageal squamous cell carcinoma, early gastric cancer, and early colorectal cancer. This guideline will be revised as new data on early gastrointestinal cancer are collected.

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    Eun Jeong Gong, Hyun Lim, Sang Jin Lee, Do Hoon Kim
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  • Endoscopic resection for local residual or recurrent cancer after definitive chemoradiotherapy or radiotherapy for esophageal squamous cell carcinoma
    Yasuhiro Tani, Ryu Ishihara, Noriko Matsuura, Yuki Okubo, Yushi Kawakami, Hirohisa Sakurai, Takahiko Nakamura, Katsunori Matsueda, Muneaki Miyake, Satoki Shichijo, Akira Maekawa, Takashi Kanesaka, Sachiko Yamamoto, Yoji Takeuchi, Koji Higashino, Noriya Ue
    Scientific Reports.2023;[Epub]     CrossRef
  • Modified underwater endoscopic mucosal resection for intermediate-sized sessile colorectal polyps
    Dong Hyun Kim, Seon-Young Park, Hye-Su You, Yong-Wook Jung, Young-Eun Joo, Dae-Seong Myung, Hyun-Soo Kim, Nah Ihm Kim, Seong-Jung Kim, Jae Kyun Ju
    Frontiers in Medicine.2023;[Epub]     CrossRef
  • Clinical Application of the Kyoto Classification of Gastritis
    Gwang Ha Kim
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2023; 23(2): 89.     CrossRef
  • Endoscopic Resection for Gastric Adenocarcinoma of the Fundic Gland Type: A Case Series
    Hwa Jin Lee, Gwang Ha Kim, Dong Chan Joo, Moon Won Lee, Bong Eun Lee, Kyungbin Kim
    The Korean Journal of Gastroenterology.2023; 81(6): 259.     CrossRef
  • The optimal interval of surveillance gastroscopy after endoscopic resection for gastric neoplasia: a multicenter cohort study
    Younghee Choe, Byung-Wook Kim, Tae Ho Kim, Jun-Won Chung, Jongwon Kim, Soo-Young Na, Joon Sung Kim
    Surgical Endoscopy.2023; 37(10): 7556.     CrossRef
  • External Validation of the eCura System for Undifferentiated-Type Early Gastric Cancer with Noncurative Endoscopic Resection
    Hyo-Joon Yang, Young-Il Kim, Ji Yong Ahn, Kee Don Choi, Sang Gyun Kim, Seong Woo Jeon, Jie-Hyun Kim, Sung Kwan Shin, Hyuk Lee, Wan Sik Lee, Gwang Ha Kim, Jae Myung Park, Woon Geon Shin, Il Ju Choi
    Gut and Liver.2023; 17(4): 537.     CrossRef
  • Outcomes of the Conventional versus Pocket-Creation Method for Endoscopic Submucosal Dissection of Gastric Body Tumors Using a Dual Knife: A Retrospective Study
    Sang Pyo Lee, Hyun Joo Jang, Sea Hyub Kae, Jae Gon Lee
    Gut and Liver.2023; 17(4): 547.     CrossRef
  • LEARNING CURVE IN ESOPHAGEAL ENDOSCOPIC SUBMUCOSAL DISSECTION BY WESTERN ENDOSCOSPISTS TRAINED IN JAPAN: EXPERIENCE IN LATIN AMERICA
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Focused Review Series: Endoscopic Submucosal Dissection for Undifferentiated-Type Early Gastric Cancer
Strategy for Curative Endoscopic Resection of Undifferentiated-Type Early Gastric Cancer
Jie-Hyun Kim
Clin Endosc 2019;52(1):9-14.   Published online January 24, 2019
DOI: https://doi.org/10.5946/ce.2018.199
AbstractAbstract PDFPubReaderePub
Endoscopic resection (ER) of undifferentiated-type early gastric cancer (UD-EGC) has a lower curative resection (CR) rate than differentiated-type EGC. However, if UD-EGC is curatively resected using ER, long-term outcomes can be favorable. Thus, the strategy for CR by ER is important in UD-EGC. To achieve CR in UD-EGC, biological behaviors including tumor growth patterns must be considered. This review aims to describe what is important for curative ER of UD-EGC.

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  • Long-term outcomes of endoscopic resection followed by additional surgery after non-curative resection in undifferentiated-type early gastric cancer: a nationwide multi-center study
    Jie-Hyun Kim, Young-Il Kim, Ji Yong Ahn, Woon Geon Shin, Hyo-Joon Yang, Su Youn Nam, Byung-Hoon Min, Jae-Young Jang, Joo Hyun Lim, Wan Sik Lee, Bong Eun Lee, Moon Kyung Joo, Jae Myung Park, Hang Lak Lee, Tae-Geun Gweon, Moo In Park, Jeongmin Choi, Chung H
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Review
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.

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    Yonsei Medical Journal.2019; 60(11): 1054.     CrossRef
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Original Article
Retention Esophagitis as a Significant Clinical Predictor of Progression to Esophageal Cancer in Achalasia
Haewon Kim, Hyojin Park, HeeSeung Choi, Yooju Shin, Hyunsung Park, Young Hoon Youn, Jie-Hyun Kim
Clin Endosc 2018;51(2):161-166.   Published online March 6, 2018
DOI: https://doi.org/10.5946/ce.2017.087
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background
/Aims: Chronic liquid and/or food stasis caused by retention esophagitis (RE) in achalasia is a notable endoscopic finding because of the presence of a thickened or whitish esophageal mucosa and histologically altered squamous hyperplasia. We aimed to identify the clinical features of RE associated with achalasia and to clarify the clinical definition of RE in achalasia as a precancerous lesion identified by analyzing biomarker expressions.
Methods
From 2006 to 2015, we retrospectively reviewed 37 patients with achalasia without previous treatment. Among them, 21 patients had diagnostic findings of RE (RE+) and 16 patients had no diagnostic findings of RE (RE–). Immunohistochemical staining of p53, p16, and Ki-67 was performed on the endoscopic biopsy tissues from the patients with achalasia and 10 control patients with non-obstructive dysphagia.
Results
The symptom duration and transit delay were significantly longer in the RE+ group than in the RE– group. We found particularly high p53 positivity rates in the RE+ group (p<0.001). The rate of p16 expression was also significantly higher in the RE+ group than in the other two groups (p=0.003).
Conclusions
A high p53 expression rate was more frequently found in the RE+ group than in the other two groups. RE could be a meaningful clinical feature of achalasia for predicting esophageal carcinogenesis.

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    Shreya Chablaney, Rita M. Knotts
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    K. Nesteruk, M.C.W. Spaander, I. Leeuwenburgh, M.P. Peppelenbosch, G.M. Fuhler
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    Eun Jeong Gong, Do Hoon Kim
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Commentary
Endoscopic Resection of Early Gastric Cancer with Undifferentiated-Type Histology
Jie-Hyun Kim
Clin Endosc 2017;50(6):511-513.   Published online November 30, 2017
DOI: https://doi.org/10.5946/ce.2017.168
PDFPubReaderePub
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Original Article
Clinical Outcomes of Endoscopic Submucosal Dissection for Superficial Esophageal Squamous Neoplasms
Jung Soo Park, Young Hoon Youn, Jae Jun Park, Jie-Hyun Kim, Hyojin Park
Clin Endosc 2016;49(2):168-175.   Published online February 12, 2016
DOI: https://doi.org/10.5946/ce.2015.080
AbstractAbstract PDFPubReaderePub
Background
/Aims: Endoscopic treatment has been broadly applied to superficial esophageal neoplasms. Endoscopic submucosal dissection (ESD) allows for high rates of en bloc resection, precise histological assessment, and low rates of local recurrence. The aim of this study was to evaluate the outcomes of ESD for superficial esophageal neoplasms.
Methods
We retrospectively reviewed 36 esophageal ESDs for superficial squamous neoplasms in 32 patients between March 2009 and August 2014 at Gangnam Severance Hospital.
Results
The median patient age was 64 years, and 30 men were included. The indications were early squamous cell carcinoma in 26 lesions, adenoma with high-grade dysplasia in five lesions, and low-grade dysplasia in five lesions. The en bloc resection and R0 resection rates were 97.2% (35 of 36) and 91.7% (33 of 36), respectively. Microperforation and post-ESD bleeding occurred in 5.6% (2 of 36) and 5.6% (2 of 36), respectively. Post-ESD esophageal strictures developed in five patients (13.9%). Five patients (15.6%) had an additional treatment after ESD (concurrent chemoradiation therapy in three, radiation therapy in one, and surgery in one patient). There was no disease-specific mortality during the median follow-up of 31 months.
Conclusions
Favorable clinical outcomes were observed in ESD for superficial esophageal squamous neoplasms. Esophageal ESD could be a good treatment option in terms of efficacy and safety.

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Case Report
A Case of Postfundoplication Dysphagia without Symptomatic Improvement after Endoscopic Dilatation
Chanhee Kyung, Han Ho Jeon, Heewook Kim, Jie-Hyun Kim, Young Hoon Youn, Hyojin Park
Clin Endosc 2014;47(1):104-107.   Published online January 24, 2014
DOI: https://doi.org/10.5946/ce.2014.47.1.104
AbstractAbstract PDFPubReaderePub

Laparoscopic fundoplication is a treatment option for gastroesophageal reflux disease refractory to medical treatment. When deciding whether or not to undergo surgery, patients with refractory gastroesophageal reflux disease and esophageal motility disorder need to fully understand the operative procedure, postoperative complications, and residual symptoms such as dysphagia, globus sensation, and recurrence of reflux. Herein, we report a case of a patient diagnosed with gastroesophageal reflux disease and aperistalsis who underwent Nissen (total, 360°) fundoplication after lack of response to medical treatment and subsequently underwent pneumatic dilatation due to unrelieved postoperative dysphagia and globus sensation.

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