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Original Articles
Endoscopic Electrosurgery in Patients with Cardiac Implantable Electronic Devices
Myong Ki Baeg, Sang-Woo Kim, Sun-Hye Ko, Yoon Bum Lee, Seawon Hwang, Bong-Woo Lee, Hye Jin Choi, Jae Myung Park, In-Seok Lee, Yong-Seog Oh, Myung-Gyu Choi
Clin Endosc 2016;49(2):176-181.   Published online February 11, 2016
DOI: https://doi.org/10.5946/ce.2015.023
AbstractAbstract PDFPubReaderePub
Background
/Aims: Patients with cardiac implantable electronic devices (CIEDs) undergoing endoscopic electrosurgery (EE) are at a risk of electromagnetic interference (EMI). We aimed to analyze the effects of EE in CIED patients.
Methods
Patients with CIED who underwent EE procedures such as snare polypectomy, endoscopic submucosal dissection (ESD), and endoscopic retrograde cholangiopancreatography (ERCP) with endoscopic sphincterotomy (EST) were retrospectively analyzed. Postprocedural symptoms as well as demographic and outpatient follow-up data were reviewed through medical records. Electrical data, including preprocedural and postprocedural arrhythmia records, were reviewed through pacemaker interrogation, 24-hour Holter monitoring, or electrocardiogram.
Results
Fifty-nine procedures in 49 patients were analyzed. Fifty procedures were performed in 43 patients with a pacemaker, and nine were performed in six patients with an implantable cardioverter-defibrillator. There were one gastric and 44 colon snare polypectomies, five gastric and one colon ESDs, and eight ERCPs with EST. Fifty-five cases of electrical follow-up were noted, with two postprocedural changes not caused by EE. Thirty-one pacemaker interrogations had procedure recordings, with two cases of asymptomatic tachycardia. All patients were asymptomatic with no adverse events.
Conclusions
Our study reports no adverse events from EE in patients with CIED, suggesting that this procedure is safe. However, because of the possibility of EMI, recommendations on EE should be followed.

Citations

Citations to this article as recorded by  
  • Electrosurgical unit in GI endoscopy: the proper settings for practice
    Anuraag Jena, Shubham Jain, Sridhar Sundaram, Anupam Kumar Singh, Sanjay Chandnani, Pravin Rathi
    Expert Review of Gastroenterology & Hepatology.2023; 17(8): 825.     CrossRef
  • 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery
    Sigrun Halvorsen, Julinda Mehilli, Salvatore Cassese, Trygve S Hall, Magdy Abdelhamid, Emanuele Barbato, Stefan De Hert, Ingrid de Laval, Tobias Geisler, Lynne Hinterbuchner, Borja Ibanez, Radosław Lenarczyk, Ulrich R Mansmann, Paul McGreavy, Christian Mu
    European Heart Journal.2022; 43(39): 3826.     CrossRef
  • EHRA consensus on prevention and management of interference due to medical procedures in patients with cardiac implantable electronic devices
    Markus Stühlinger, Haran Burri, Kevin Vernooy, Rodrigue Garcia, Radoslaw Lenarczyk, Arian Sultan, Michael Brunner, Avi Sabbag, Emin Evren Özcan, Jorge Toquero Ramos, Giuseppe Di Stolfo, Mahmoud Suleiman, Florian Tinhofer, Julian Miguel Aristizabal, Ivan C
    EP Europace.2022; 24(9): 1512.     CrossRef
  • Electromagnetic interference on cardiac pacemakers and implantable cardioverter defibrillators during endoscopy as reported to the US Federal Drug Administration
    Jason M. Samuels, Douglas M. Overbey, Krzysztof J. Wikiel, Teresa S. Jones, Thomas N. Robinson, Edward L. Jones
    Surgical Endoscopy.2021; 35(7): 3796.     CrossRef
  • SAFETY IN THE GASTROENTEROLOGY SETTING

    Gastroenterology Nursing.2021; 44(6): 467.     CrossRef
  • Practice Advisory for the Perioperative Management of Patients with Cardiac Implantable Electronic Devices: Pacemakers and Implantable Cardioverter–Defibrillators 2020

    Anesthesiology.2020; 132(2): 225.     CrossRef
  • Safety and outcomes of noncardiac surgery in patients with cardiac implantable electronic devices
    Bahman Akhondi, Mohammadmostafa Ansari-Ramandi, Mona Heidarali, Farzad Kamali, Majid Haghjoo
    Research in Cardiovascular Medicine.2019; 8(3): 76.     CrossRef
  • Critical analysis of guidelines for providing sedation to patients undergoing gastrointestinal endoscopy procedures
    Basavana Goudra, PreetMohinder Singh
    Anesthesia: Essays and Researches.2019; 13(4): 601.     CrossRef
  • Is It Safe to Perform Therapeutic Endoscopic Procedures in Patients with Implanted Electronic Cardiac Devices?
    Eun Young Kim
    Clinical Endoscopy.2016; 49(2): 104.     CrossRef
  • 11,495 View
  • 143 Download
  • 9 Web of Science
  • 9 Crossref
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Survey of Endoscope Reprocessing in Korea
Jeong Bae Park, Jae Nam Yang, Yun Jeong Lim, Ja Seol Koo, Jae Young Jang, Sang Hoon Park, Su Jin Hong, Sang-Woo Kim, Hoon Jai Chun, Disinfection Management Committee of the Korean Society of Gastrointestinal Endoscopy
Clin Endosc 2015;48(1):39-47.   Published online January 31, 2015
DOI: https://doi.org/10.5946/ce.2015.48.1.39
AbstractAbstract PDFPubReaderePub
Background/Aims

There is a growing emphasis on quality management in endoscope reprocessing. Previous surveys conducted in 2002 and 2004 were not practitioner-oriented. Therefore, this survey is significant for being the first to target actual participants in endoscope reprocessing in Korea.

Methods

This survey comprised 33 self-filled questions, and was personally delivered to nurses and nursing auxiliaries in the endoscopy departments of eight hospitals belonging to the society. The anonymous responses were collected after 1 week either by post or in person by committee members.

Results

The survey included 100 participants. In the questionnaire addressing compliance rates with the reprocessing guideline, the majority (98.9%) had a high compliance rate compared to 27% of respondents in 2002 and 50% in 2004. The lowest rate of compliance with a reprocessing procedure was reported for transporting the contaminated endoscope in a sealed container. Automated endoscope reprocessors were available in all hospitals. Regarding reprocessing time, more than half of the subjects replied that reprocessing took more than 15 minutes (63.2%).

Conclusions

The quality management of endoscope reprocessing has improved as since the previous survey. A national survey expanded to include primary clinics is required to determine the true current status of endoscope reprocessing.

Citations

Citations to this article as recorded by  
  • Recommendations and guidelines for endoscope reprocessing: Current position statement of digestive endoscopic society of Taiwan
    Wei-Kuo Chang, Chen-Ling Peng, Yen-Wei Chen, Cheuk-Kay Sun, Chieh-Chang Chen, Tao-Chieh Liu, Yin-Yi Chu, I-Fang Tsai, Chen-Shuan Chung, Hsiao-Fen Lin, Fang-Yu Hsu, Wei-Chen Tai, Hsi-Chang Lee, Hsu-Heng Yen, E-Ming Wang, Shu-Hui Chen, Cheng-Hsin Chu, Ming-
    Journal of Microbiology, Immunology and Infection.2024; 57(2): 211.     CrossRef
  • 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
  • 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
  • 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
  • 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
    Clinical Endoscopy.2016; 49(6): 542.     CrossRef
  • Adequacy of Reprocessing Gastrointestinal Endoscopes in Korea Hospitals
    YoungOk Kim, Jae Sim Jeong
    Journal of Korean Biological Nursing Science.2016; 18(4): 288.     CrossRef
  • Role of Clinical Endoscopy in Emphasizing Endoscope Disinfection
    Ji Kon Ryu, Eun Young Kim, Kwang An Kwon, Il Ju Choi, Ki Baik Hahm
    Clinical Endoscopy.2015; 48(5): 351.     CrossRef
  • Current Status of Endoscope Reprocessing in Korea
    Young-Seok Cho
    Clinical Endoscopy.2015; 48(1): 1.     CrossRef
  • 8,336 View
  • 93 Download
  • 9 Web of Science
  • 9 Crossref
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Review
A Review of Current Disinfectants for Gastrointestinal Endoscopic Reprocessing
Sanghoon Park, Jae Young Jang, Ja Seol Koo, Jeong Bae Park, Yun Jeong Lim, Su Jin Hong, Sang-Woo Kim, Hoon Jai Chun, Disinfection Management Committee, The Korean Society of Gastrointestinal Endoscopy
Clin Endosc 2013;46(4):337-341.   Published online July 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.4.337
AbstractAbstract PDFPubReaderePub

Gastrointestinal endoscopy is gaining popularity for diagnostic and therapeutic purposes. However, concerns over endoscope-related nosocomial infections are increasing, together with interest by the general public in safe and efficient endoscopy. For this reason, reprocessing the gastrointestinal endoscope is an important step for effective performance of endoscopy. Disinfectants are essential to the endoscope reprocessing procedure. Before selecting an appropriate disinfectant, their characteristics, limitations and means of use must be fully understood. Herein, we review the characteristics of several currently available disinfectants, including their uses, potency, advantages, and disadvantages. Most disinfectants can be used to reprocess gastrointestinal endoscopes if the manufacturer's guidelines are followed. The selection and use of a suitable disinfectant depends on the individual circumstances of each endoscopy suite.

Citations

Citations to this article as recorded by  
  • ORTOFİTALDEHİT İLE ORTOFİTALDEHİT-GÜMÜŞ NANOPARTİKÜL ve ORTOFİTALDEHİT GÜMÜŞ GRAFENOKSİT NANOPARTİKÜLLERİN ANTİMİKROBİYAL ETKİNLİĞİNİN KARŞILAŞTIRILMASI
    Gülten CAN SEZGİN, Nilay ILDİZ
    Sağlık Bilimleri Dergisi.2023; 32(1): 113.     CrossRef
  • Collective bacterial disinfection by opto-chemical treatment on mature biofilm in clinical endoscope
    Van Nam Tran, Suhyun Park, Fazlurrahman Khan, Van Gia Truong, Seok Jeong, Don Haeng Lee, Young-Mog Kim, Hyun Wook Kang
    Journal of Photochemistry and Photobiology B: Biology.2022; 226: 112367.     CrossRef
  • Feasibility of a Selective Epoxidation Technique for Use in Quantification of Peracetic Acid in Air Samples Collected on Sorbent Tubes
    Callee M. Walsh, Stephen R. Jackson, Notashia N. Baughman, Jason E. Ham, J. R. Wells
    ACS Chemical Health & Safety.2022; 29(4): 378.     CrossRef
  • Development of a high-level light-activated disinfectant for hard surfaces and medical devices
    Matthew P. Wylie, Rebecca A. Craig, Sean P. Gorman, Colin P. McCoy
    International Journal of Antimicrobial Agents.2021; 58(1): 106360.     CrossRef
  • Study on the Efficacy of Peracetic Acid Disinfectant (Type III) on Gastrointestinal Endoscopy Disinfection
    Nan Zhang, Jianqiang Guo, Lan Liu, Honglei Wu, Jiaoyang Gu
    Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2021; 31(4): 395.     CrossRef
  • Opto-chemical treatment for enhanced high-level disinfection of mature bacterial biofilm in a Teflon-based endoscope model
    Van Nam Tran, Periaswamy Sivagnanam Saravana, Suhyun Park, Van Gia Truong, Byung-Soo Chun, Hyun Wook Kang
    Biomedical Optics Express.2021; 12(9): 5736.     CrossRef
  • Anticipating Xenogenic Pollution at the Source: Impact of Sterilizations on DNA Release From Microbial Cultures
    David Calderón-Franco, Qingnan Lin, Mark C. M. van Loosdrecht, Ben Abbas, David G. Weissbrodt
    Frontiers in Bioengineering and Biotechnology.2020;[Epub]     CrossRef
  • Methods for Endoscope Reprocessing
    Neil B. Marya, Raman V. Muthusamy
    Gastrointestinal Endoscopy Clinics of North America.2020; 30(4): 665.     CrossRef
  • Ex-Vivo Identification of Tumor From Parenchyma in Human Liver Using Electrochemical Impedance Spectroscopy on a Needle
    Jinhwan Kim, Joho Yun, Kwanghyun Kim, Nah Ihm Kim, Hee Joon Kim, Jong-Hyun Lee
    IEEE Sensors Journal.2020; 20(23): 14042.     CrossRef
  • RESEARCH : Fluorescence Microscopy–Based Protocol for Detecting Residual Bacteria on Medical Devices
    Michael Wong, Yi Wang, Hao Wang, April K. Marrone, Shanil P. Haugen, Kaumudi Kulkarni, Ralph Basile, K. Scott Phillips
    Biomedical Instrumentation & Technology.2020; 54(6): 397.     CrossRef
  • Occupational asthma caused by peracetic acid-hydrogen peroxide mixture
    G I Walters, P S Burge, V C Moore, M O Thomas, A S Robertson
    Occupational Medicine.2019; 69(4): 294.     CrossRef
  • Efficacy of Peracetic Acid (EndoPA®) for Disinfection of Endoscopes
    Ji Min Lee, Kang-Moon Lee, Dae Bum Kim, Se Eun Go, Sungwoo Ko, Yoongoo Kang, Solim Hong
    The Korean Journal of Gastroenterology.2018; 71(6): 319.     CrossRef
  • Antibacterial activity of Staphylococcus aureus biofilm under combined exposure of glutaraldehyde, near-infrared light, and 405-nm laser
    Van Nam Tran, Chakradhar Dasagrandhi, Van Gia Truong, Young-Mog Kim, Hyun Wook Kang, Michael R. Hamblin
    PLOS ONE.2018; 13(8): e0202821.     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
  • Acute Phlegmonous Gastritis Developing after Endoscopic Submucosal Dissection That Was Successfully Treated by Antibiotics Alone
    Yoo-Min Park, Jae-Young Jang, Hyo-Jung Ha, Da Rae Kim, Sun-Hee Park, A-Ri Shin, Ja-Won Koo
    The Korean Journal of Medicine.2016; 90(2): 127.     CrossRef
  • National Endoscopy Quality Improvement Program Remains Suboptimal in Korea
    Jae Myung Cha, Jeong Seop Moon, Il-Kwun Chung, Jin-Oh Kim, Jong Pil Im, Yu Kyung Cho, Hyun Gun Kim, Sang Kil Lee, Hang Lak Lee, Jae Young Jang, Eun Sun Kim, Yunho Jung, Chang Mo Moon, Yeol Kim, Bo Young Park
    Gut and Liver.2016; 10(5): 699.     CrossRef
  • Role of Clinical Endoscopy in Emphasizing Endoscope Disinfection
    Ji Kon Ryu, Eun Young Kim, Kwang An Kwon, Il Ju Choi, Ki Baik Hahm
    Clinical Endoscopy.2015; 48(5): 351.     CrossRef
  • Removal of pathogenic bacterial biofilms by combinations of oxidizing compounds
    Gabriela María Olmedo, Mariana Grillo-Puertas, Luciana Cerioni, Viviana Andrea Rapisarda, Sabrina Inés Volentini
    Canadian Journal of Microbiology.2015; 61(5): 351.     CrossRef
  • Current Status of Endoscope Reprocessing in Korea
    Young-Seok Cho
    Clinical Endoscopy.2015; 48(1): 1.     CrossRef
  • Survey of Endoscope Reprocessing in Korea
    Jeong Bae Park, Jae Nam Yang, Yun Jeong Lim, Ja Seol Koo, Jae Young Jang, Sang Hoon Park, Su Jin Hong, Sang-Woo Kim, Hoon Jai Chun
    Clinical Endoscopy.2015; 48(1): 39.     CrossRef
  • 8,761 View
  • 140 Download
  • 20 Crossref
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Original Article
Diagnostic Accuracy and Interobserver Agreement in Predicting the Submucosal Invasion of Colorectal Tumors Using Gross Findings, Pit Patterns, and Microvasculatures
Hye Jung Choi, Bo-In Lee, Hwang Choi, Kyu Yong Choi, Sang-Woo Kim, Joo Yong Song, Jeong Seon Ji, Byung-Wook Kim
Clin Endosc 2013;46(2):168-171.   Published online March 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.2.168
AbstractAbstract PDFPubReaderePub
Background/Aims

Depth of invasion is one of the most important factors for establishing treatment strategy for colorectal tumors.

Methods

Three blinded experts reviewed electronic photos and video clips of 33 early colorectal cancer-like lesions. They estimated the depth of invasion based on conventional white light endoscopy (CWE), magnifying chromoendoscopy (MCE), and magnifying narrow band imaging endoscopy (MNE).

Results

The lesions included nine mucosal low-grade neoplasias, 16 mucosal high grade neoplasias, and eight carcinomas with invasion to the submucosal layer or beyond. The diagnostic accuracy for submucosal invasion by CWE ranged from 67% to 82%, while those by MCE and MNE ranged from 85% to 88% and 85% to 88%, respectively. The diagnostic accuracy significantly differed between CWE and MCE (p=0.034) and between CWE and MNE (p=0.039). The kappa values for CWE, MCE, and MNE among the endoscopists were 0.564, 0.673, and 0.673, respectively.

Conclusions

The estimation of submucosal invasion for early colorectal cancer-like lesions based on MCE or MNE is more accurate than CWE. MCE and MNE were demonstrated to have substantial agreement for predicting submucosal invasion.

Citations

Citations to this article as recorded by  
  • Estimation of Invasion Depth: The First Key to Successful Colorectal ESD
    Bo-In Lee, Takahisa Matsuda
    Clinical Endoscopy.2019; 52(2): 100.     CrossRef
  • Comparison of endoscopic ultrasonography and magnifying endoscopy for assessment of the invasion depth of shallow gastrointestinal neoplasms: a systematic review and meta-analysis
    Zhang Tao, Chen Yan, He Zhao, Jiawei Tsauo, Xiaowu Zhang, Bing Qiu, Yanqing Zhao, Xiao Li
    Surgical Endoscopy.2017; 31(12): 4923.     CrossRef
  • Use of confocal laser endomicroscopy with a fluorescently labeled fatty acid to diagnose colorectal neoplasms
    Feihong Deng, Yuan Fang, Zhiyong Shen, Wei Gong, Tao Liu, Jing Wen, Wanling Zhang, Xianjun Zhu, Hui Zhong, Tong Wang, Fachao Zhi, Biao Nie
    Oncotarget.2017; 8(35): 58934.     CrossRef
  • Higher net change of index of hemoglobin values between colon polyp and nonpolyp mucosa correlates with the presence of an advanced colon adenoma
    Wei‐Chun Cheng, Hsiu‐Chi Cheng, Po‐Jun Chen, Jui‐Wen Kang, Er‐Hsiang Yang, Bor‐Shyang Sheu, Wei‐Ying Chen
    Advances in Digestive Medicine.2016; 3(4): 161.     CrossRef
  • Brief Education on Microvasculature and Pit Pattern for Trainees Significantly Improves Estimation of the Invasion Depth of Colorectal Tumors
    Joon Sung Kim, Bo-In Lee, Hwang Choi, Bong Koo Kang, Jong In Kim, Hae Mi Lee, Eun-Joo Im, Byung-Wook Kim, Sang-Woo Kim, Myung-Gyu Choi, Kyu Yong Choi
    Gastroenterology Research and Practice.2014; 2014: 1.     CrossRef
  • Clinical Usefulness of Magnifying Chromoendoscopy and Magnifying Narrow Band Imaging Endoscopy for Predicting the Submucosal Invasion of Early Colorectal Cancers
    Kwang An Kwon, Yang Suh Ku
    Clinical Endoscopy.2013; 46(2): 113.     CrossRef
  • 7,266 View
  • 44 Download
  • 6 Crossref
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