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Case Reports
A Case of Primary Small Bowel Melanoma Diagnosed by Single-Balloon Enteroscopy
Jun Young Shin, In Suh Park, Byoung Wook Bang, Hyung Kil Kim, Yong Woon Shin, Kye Sook Kwon
Clin Endosc 2017;50(4):395-399.   Published online June 2, 2017
DOI: https://doi.org/10.5946/ce.2016.153
AbstractAbstract PDFPubReaderePub
Although metastasis from cutaneous malignant melanoma to the small intestine is not uncommon, primary small bowel melanoma (SBM) is extremely rare. This case report describes a rare case of primary SBM, diagnosed by single-balloon enteroscopy. A 74-year-old man presented with recurrent melena. Upper endoscopy and colonoscopy were unremarkable. Abdominal computed tomography (CT) revealed an ileal mass with ileo-ileal intussusception. Subsequent single-balloon enteroscopy identified an ileal tumor, which was histologically diagnosed as melanoma. Extensive clinical examination did not reveal any primary cutaneous lesions. To the best of our knowledge, this is the first case of primary SBM in South Korea.

Citations

Citations to this article as recorded by  
  • Primary malignant melanoma of the small bowel: A case report
    James R. Marak, Tushant Kumar, Shivam Dwivedi, Shashwat Verma
    Radiology Case Reports.2024; 19(3): 1215.     CrossRef
  • Small bowel melanoma causing obstruction: A case report and a literature review
    Ammar Mattit, Ibrahim Marrawi, Safouh Kheir, Taha Khamis, Safaa Qatleesh, Muhammad Ali Ousta
    International Journal of Surgery Case Reports.2024; 116: 109388.     CrossRef
  • Small Bowel Intussusception Secondary to Malignant Melanoma 11 Years After Melanoma-In-Situ Excision
    W. Eric Briscoe, W. Todd Cockerham, Kevin N. Harrell
    The American Surgeon™.2023; 89(7): 3275.     CrossRef
  • Primary Small Bowel Melanoma: A Case Report and Review of Literature
    Amanda M. Graças, Willy P. Souza, Ana Carolina A. Canut, Maurice Y. Franciss, Bruno Zilberstein
    Frontiers in Surgery.2022;[Epub]     CrossRef
  • Primary jejunal amelanotic melanoma: case report and review of literature
    Kavya M. Reddy, Tinashe Maduke, Francis Wade, Christine Hachem
    Clinical Journal of Gastroenterology.2021; 14(5): 1376.     CrossRef
  • Effect of Double-Balloon Enteroscopy on Diagnosis and Treatment of Small-Bowel Diseases
    Li Tang, Liu-Ye Huang, Jun Cui, Cheng-Rong Wu
    Chinese Medical Journal.2018; 131(11): 1321.     CrossRef
  • 6,315 View
  • 126 Download
  • 5 Web of Science
  • 6 Crossref
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A Case of Esophageal Fibrovascular Polyp That Induced Asphyxia during Sleep
Jin-Seok Park, Byoung Wook Bang, Junyoung Shin, Kye Sook Kwon, Hyung Gil Kim, Yong Woon Shin, Suk Jin Choi
Clin Endosc 2014;47(1):101-103.   Published online January 24, 2014
DOI: https://doi.org/10.5946/ce.2014.47.1.101
AbstractAbstract PDFPubReaderePub

Esophageal fibrovascular polyps are rare, benign, submucosal tumors of the upper digestive tract that usually have an indolent course until the lesion attains a very large size. The most frequent complaints associated with these tumors include dysphagia and foreign body sensation. However, a long pedunculated polyp can regurgitate into the pharynx or oral cavity and cause asphyxia and sudden death if the larynx is occluded. We describe the case of a 51-year-old man who experienced snoring and occasional asphyxia during sleep. Upper endoscopy was performed, which indicated the presence of a pedunculated esophageal polyp that regurgitated into the vocal cords. The polyp was removed using a polypectomy snare and was confirmed to be a fibrovascular polyp based on pathologic examination findings. Three months after the excision of the polyp, the patient was found to be doing well without any further occurrence of asphyxia or sleep disturbances.

Citations

Citations to this article as recorded by  
  • Hybrid laparo-endoscopic access: New approach to surgical treatment for giant fibrovascular polyp of esophagus: A case report and review of literature
    Seda Dzhantukhanova, Lyudmila Grigori Avetisyan, Amina Badakhova, Yury Starkov, Andrey Glotov
    World Journal of Gastrointestinal Endoscopy.2023; 15(11): 666.     CrossRef
  • Esophageal Lipoma and Liposarcoma: A Systematic Review
    Davide Ferrari, Daniele Bernardi, Stefano Siboni, Veronica Lazzari, Emanuele Asti, Luigi Bonavina
    World Journal of Surgery.2021; 45(1): 225.     CrossRef
  • Recent developments in gastroesophageal mesenchymal tumours
    David J. Papke, Jason L. Hornick
    Histopathology.2021; 78(1): 171.     CrossRef
  • Deep Learning-Based Automatic Detection of Rectal Polyps Using Abdominal CT Images Guided by Cold Snare Polypectomy
    Haijun Lin, Qi Chen, Caijuan Li, Aifen Zheng, Lei Yang, Jiemin Hong, Hanqing Chen, Xuni He, Wuna Feng, Gustavo Ramirez
    Scientific Programming.2021; 2021: 1.     CrossRef
  • Difficult endoscopic resection of a giant esophageal fibrovascular polyp: case report and literature review
    Dan Nie, Ye Zong, Jielin Li
    Journal of International Medical Research.2021; 49(8): 030006052110398.     CrossRef
  • Endoscopic resection for giant oesophageal fibrovascular polyp
    N Acar, T Acar, F Cengiz, B Şuataman, C Tavusbay, M Haciyanli
    The Annals of The Royal College of Surgeons of England.2020; 102(4): e89.     CrossRef
  • Well-Differentiated Liposarcoma (Atypical Lipomatous Tumor) Presenting as an Esophageal Polyp
    Aoife J. McCarthy, Paul Carroll, Rajkumar Vajpeyi, Gail Darling, Runjan Chetty
    Journal of Gastrointestinal Cancer.2019; 50(3): 589.     CrossRef
  • First Characterization with Ultrasound Contrast Agent of a Fibrovascular Polyp Before Its Endoscopic Resection: A Case Report (with Videos)
    Nicolas Williet, Radwan Kassir, Francois Casteillo, Violaine Yvorel, Cyril Habougit, Xavier Roblin, Jean-Marc Phelip
    Clinical Endoscopy.2019; 52(2): 186.     CrossRef
  • Asphyxia Caused by a Giant Fibrovascular Polyp of the Esophagus
    Santiago A. Endara, Gerardo A. Dávalos, Ramiro J. Yepez, Diego F. Luna, Fabián B. Corral, Gabriel A. Molina, W. Javier Cisneros
    ACG Case Reports Journal.2019; 6(7): e00126.     CrossRef
  • Polypoid fibroadipose tumors of the esophagus: ‘giant fibrovascular polyp’ or liposarcoma? A clinicopathological and molecular cytogenetic study of 13 cases
    Rondell P Graham, Saba Yasir, Karen J Fritchie, Michelle D Reid, Patricia T Greipp, Andrew L Folpe
    Modern Pathology.2018; 31(2): 337.     CrossRef
  • Presentation and Management of Giant Fibrovascular Polyps of the Hypopharynx and Esophagus
    Julina Ongkasuwan, C. Lane Anzalone, Esperanza Salazar, Donald T. Donovan
    Annals of Otology, Rhinology & Laryngology.2017; 126(1): 29.     CrossRef
  • Giant Esophageal Fibrovascular Polyp: A Rare Cause of Dysphagia
    Joseph Cano, Clark Hair, Robert Jay Sealock
    Clinical Gastroenterology and Hepatology.2017; 15(5): e93.     CrossRef
  • Gastroscopic removal of a giant fibrovascular polyp from the esophagus
    Jie Li, Hua Yu, Renfu Pu, Zhongsheng Lu
    Thoracic Cancer.2016; 7(3): 363.     CrossRef
  • A Case of Giant Fibrovascular Polyp of the Esophagus, Treated Successfully by Endoscopic Resection
    Jong Wook Lee, Gwang Ha Kim, Joong Keun Kim, Chul Hong Park, Byeong Gu Song, Dong Hun Shin, Dong Woo Ha, Geun Am Song
    The Korean Journal of Gastroenterology.2016; 67(5): 253.     CrossRef
  • Highlights from the 50th Seminar of the Korean Society of Gastrointestinal Endoscopy
    Eun Young Kim, Il Ju Choi, Kwang An Kwon, Ji Kon Ryu, Seok Ho Dong, Ki Baik Hahm
    Clinical Endoscopy.2014; 47(4): 285.     CrossRef
  • 7,228 View
  • 78 Download
  • 18 Web of Science
  • 15 Crossref
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Original Article
Peroral Endoscopic Myotomy for Treating Achalasia in an Animal Model: A Feasibility Study
Byoung Wook Bang, Young Chul Choi, Hyung Gil Kim, Kye Sook Kwon, Yong Woon Shin, Don Haeng Lee, Joon Mee Kim
Clin Endosc 2013;46(1):54-58.   Published online January 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.1.54
AbstractAbstract PDFPubReaderePub
Background/Aims

Laparoscopic Heller myotomy with antireflux procedure is considered to be a standard treatment for achalasia. Recently, peroral endoscopic myotomy (POEM) was developed and performed on patients with achalasia. However, there is no report on POEM use in South Korea. The aim of this study was to evaluate the technical feasibility of POEM in a porcine model.

Methods

POEM was performed on two mini pigs. We performed upper endoscopy under general anesthesia. A submucosal tunnel was created and the circular muscle layer was incised using several knives. The mucosal entry was closed using resolution clips. We performed a follow-up endoscopy and sacrificed the pigs 2 weeks after the POEM. The myotomy site was evaluated grossly and histologically.

Results

POEM was successfully performed on the two mini pigs. No injuries to any abdominal or mediastinal structures occurred. Two weeks after the POEM, the esophageal mucosa healed without any endoscopic evidence of complications. Necropsy revealed that the circular muscle layer was completely lost and replaced with fibrotic tissue.

Conclusions

We found that POEM is a technically feasible method which can be performed on an animal model. However, to ensure safe use on patients with achalasia, further studies on technical methods and long-term follow-up examinations are required.

Citations

Citations to this article as recorded by  
  • Pilot prospective study on formal training in per-oral endoscopic myotomy (POEM) during advanced endoscopy fellowship
    Salmaan Jawaid, Peter V. Draganov, Hiroyuki Aihara, Mouen A. Khashab, Dennis Yang
    Endoscopy International Open.2021; 09(12): E1890.     CrossRef
  • Miotomía endoscópica peroral, experiencia in vivo : imprescindible para desarrollo de la técnica en humanos
    A. Peñaloza-Ramírez, J. Suárez-Correa, J. Báez-Blanco, C. Sabogal-Gómez, H. Kuan-Casas, C. Sánchez-Pignalosa, P. Aponte-Ordóñez
    Revista de Gastroenterología de México.2018; 83(2): 86.     CrossRef
  • In vivo experience with peroral endoscopic myotomy: An essential activity for developing the technique in humans
    A. Peñaloza-Ramírez, J. Suárez-Correa, J. Báez-Blanco, C. Sabogal-Gómez, H. Kuan-Casas, C. Sánchez-Pignalosa, P. Aponte-Ordóñez
    Revista de Gastroenterología de México (English Edition).2018; 83(2): 86.     CrossRef
  • Factors predicting the technical difficulty of peroral endoscopic myotomy for achalasia
    Xiaowei Tang, Yutang Ren, Zhengjie Wei, Jieqiong Zhou, Zhiliang Deng, Zhenyu Chen, Bo Jiang, Wei Gong
    Surgical Endoscopy.2016; 30(9): 3774.     CrossRef
  • Peroral endoscopic myotomy for treatment of achalasia in children and adolescents
    Chenjie Li, Yuyong Tan, Xuehong Wang, Deliang Liu
    Journal of Pediatric Surgery.2015; 50(1): 201.     CrossRef
  • The Ideal Experimental Training Session for Minimally Invasive Endoluminal Techniques
    Sakai P
    Gastroenterology & Hepatology: Open Access.2015;[Epub]     CrossRef
  • International Digestive Endoscopy Network 2014: Turnpike to the Future
    Eun Young Kim, Kwang An Kwon, Il Ju Choi, Ji Kon Ryu, Ki Baik Hahm
    Clinical Endoscopy.2014; 47(5): 371.     CrossRef
  • Training for peroral endoscopic myotomy
    Daniel von Renteln, Melina C. Vassiliou, Thomas Rösch
    Techniques in Gastrointestinal Endoscopy.2013; 15(3): 153.     CrossRef
  • Peroral Endoscopic Myotomy for the Treatment of Achalasia: An Analysis
    Dennis Yang, Mihir S. Wagh
    Diagnostic and Therapeutic Endoscopy.2013; 2013: 1.     CrossRef
  • Peroral Endoscopic Myotomy in a Porcine Model: A Step to Achalasia Patients
    Su Jin Hong
    Clinical Endoscopy.2013; 46(1): 1.     CrossRef
  • 6,336 View
  • 59 Download
  • 10 Crossref
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Case Report
Two Cases of Ileal Dieulafoy Lesion with Massive Hematochezia Treated by Single Balloon Enteroscopy
Young Chul Choi, Sang Hyun Park, Byoung Wook Bang, Kye Sook Kwon, Hyung Gil Kim, Yong Woon Shin
Clin Endosc 2012;45(4):440-443.   Published online November 30, 2012
DOI: https://doi.org/10.5946/ce.2012.45.4.440
AbstractAbstract PDFPubReaderePub

Ileal Dieulafoy lesion is an unusual vascular abnormality that can cause gastrointestinal bleeding. It can be associated with massive, life-threatening hemorrhage and requires urgent angiographic intervention or surgery. Ileal Dieulafoy lesion is hard to recognize due to inaccessibility and normal-appearing mucosa. With advances in endoscopy, aggressive diagnostic and therapeutic approaches including enteroscopy have recently been performed for small bowel bleeding. We report two cases of massive ileal Dieulafoy lesion bleeding diagnosed and treated successfully by single balloon enteroscopy with a review of the literature.

Citations

Citations to this article as recorded by  
  • A diagnostic dilemma: a case report of concomitant duodenal Dieulafoy lesion and gastric ulcer
    Lauren Wallace, Peter J Gallagher
    Journal of Surgical Case Reports.2024;[Epub]     CrossRef
  • Stitch in time saves nine
    Aisha Rummaan, Irene Lee, Deepa Rattehalli, Prajesh Kumar, Sauid Ishaq
    Frontline Gastroenterology.2023; 14(3): 265.     CrossRef
  • Ileal Dieulafoy Lesion: a rare case report
    Aleena Jain, Manjusha Karegar, Amita Joshi, Amey Rojekar
    Surgical and Experimental Pathology.2018;[Epub]     CrossRef
  • The Role of Emergency Endoscopy in Small Bowel Bleeding: A Review
    Enrique Pérez-Cuadrado-Robles, Enrique Pérez-Cuadrado-Martínez
    GE Portuguese Journal of Gastroenterology.2016; 23(2): 84.     CrossRef
  • An Unusual Cause of Torrential Lower Gastrointestinal Hemorrhage
    Terence C. Chua, Anthony J. Gill, Jaswinder S. Samra
    Gastroenterology.2015; 148(5): e10.     CrossRef
  • 8,021 View
  • 41 Download
  • 5 Crossref
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