Clinical Endoscopy

Original Article

Can Endoscopic Ulcerations in Early Gastric Cancer Be Clearly Defined before Endoscopic Resection? A Survey among Endoscopists: Sung Min Park, Byung-Wook Kim, Joon Sung Kim, Young Wook Kim, Gi Jun Kim, Seung Ji Ryu; Clin Endosc 2017;50(5):473-478. Published online April 24, 2017; DOI: https://doi.org/10.5946/ce.2016.143

Background
/Aims: Early gastric cancer (EGC) with ulcerations can be treated via endoscopic resection (ER) when it is differentiated pathologically, limited to the mucosa, and <3 cm in diameter. The presence of ulceration is a key factor in deciding treatment strategies and is usually diagnosed during endoscopic examination. The aim of this study was to evaluate whether ulcerations in EGC can be clearly defined among endoscopists and which factors are related to the differences.
Methods
A survey questionnaire, composed of demographic features and endoscopic images of seven patients with EGC, was presented to the endoscopists via e-mail. The endoscopists were asked whether such patients have ulcerations in the lesions.
Results
The questionnaires were e-mailed to 197 endoscopists, and 103 doctors replied. The presence of an endoscopic ulceration was defined differently among the endoscopists, depending on the duration of endoscopic practice and the experience of endoscopic submucosal dissection (ESD). The differences were especially high in the lesions without mucosal breaks and converging folds, which were expected to be viewed as non-ulcerative.
Conclusions
Before ER, endoscopic ulcerations in EGC must be reviewed by experienced endoscopists to reduce overestimations, and adequate educational programs for trainees should be established.

Citations

Citations to this article as recorded by

A standardized pathology report for gastric cancer: 2nd edition
Young Soo Park, Myeong-Cherl Kook, Baek-hui Kim, Hye Seung Lee, Dong-Wook Kang, Mi-Jin Gu, Ok Ran Shin, Younghee Choi, Wonae Lee, Hyunki Kim, In Hye Song, Kyoung-Mee Kim, Hee Sung Kim, Guhyun Kang, Do Youn Park, So-Young Jin, Joon Mee Kim, Yoon Jung Choi,
Journal of Pathology and Translational Medicine.2023; 57(1): 1. CrossRef
A Standardized Pathology Report for Gastric Cancer: 2nd Edition
Young Soo Park, Myeong-Cherl Kook, Baek-hui Kim, Hye Seung Lee, Dong-Wook Kang, Mi-Jin Gu, Ok Ran Shin, Younghee Choi, Wonae Lee, Hyunki Kim, In Hye Song, Kyoung-Mee Kim, Hee Sung Kim, Guhyun Kang, Do Youn Park, So-Young Jin, Joon Mee Kim, Yoon Jung Choi,
Journal of Gastric Cancer.2023; 23(1): 107. CrossRef
Applicability of endoscopic submucosal dissection for patients with early gastric cancer beyond the expanded indication for endoscopic submucosal dissection
Jeong Ho Song, Sejin Lee, Sung Hyun Park, Anastasios Kottikias, Aleisa Abdulmohsen, Nasser Alrashidi, Minah Cho, Yoo Min Kim, Hyoung-Il Kim, Woo Jin Hyung
Surgical Endoscopy.2022; 36(11): 8349. CrossRef
Construction and analysis of an ulcer risk prediction model after endoscopic submucosal dissection for early gastric cancer
San-Dong Gong, Huan Li, Yi-Bin Xie, Xiao-Hui Wang
World Journal of Gastrointestinal Oncology.2022; 14(9): 1823. CrossRef
Discrepancy between endoscopic and pathological ulcerative findings in clinical intramucosal early gastric cancer
Yohei Yabuuchi, Kohei Takizawa, Naomi Kakushima, Noboru Kawata, Masao Yoshida, Yoichi Yamamoto, Yoshihiro Kishida, Sayo Ito, Kenichiro Imai, Hirotoshi Ishiwatari, Kinichi Hotta, Hiroyuki Matsubayashi, Etsuro Bando, Masanori Terashima, Takashi Sugino, Hiro
Gastric Cancer.2021; 24(3): 691. CrossRef
Predictive Model of Nonneoplastic Pathology after Endoscopic Resection of Gastric Epithelial Neoplasia
Tae-Geun Gweon, Byung-Wook Kim, Joon Sung Kim, Sung Min Park, Jeong Seon Ji, Bo In Lee
Gut and Liver.2020; 14(2): 199. CrossRef
Endoscopic Factors that Can Predict Histological Ulcerations in Early Gastric Cancers
Jaesin Lee, Byung-Wook Kim, Cheal Wung Huh, Joon Sung Kim, Lee-So Maeng
Clinical Endoscopy.2020; 53(3): 328. CrossRef
What is the Most Precise Endoscopic Finding for Predicting the Clinicopathological Behaviors in Ulcerative Early Gastric Cancer?
Youngdae Kim
Clinical Endoscopy.2020; 53(3): 249. CrossRef
Risk Factors for Lymph Node Metastasis in Undifferentiated-Type Gastric Carcinoma
Myeong-Cherl Kook
Clinical Endoscopy.2019; 52(1): 15. CrossRef
Identification of Ulceration in Early Gastric Cancer before Resection is Not Easy: Need for a New Guideline for Endoscopic Submucosal Dissection Indication Based on Endoscopic Image
Hang Lak Lee
Clinical Endoscopy.2017; 50(5): 410. CrossRef

6,799 View
154 Download
11 Web of Science
10 Crossref

Case Report

Cholangitis Secondary to Food Material Impaction in the Common Bile Duct through a Choledochoduodenal Fistula: Bong-Koo Kang, Sung Min Park, Byung-Wook Kim, Joon Sung Kim, Ji Hee Kim, Jeong-Seon Ji, Hwang Choi; Clin Endosc 2015;48(3):265-267. Published online May 29, 2015; DOI: https://doi.org/10.5946/ce.2015.48.3.265

Abstract PDF PubReader ePub

Biliary-enteric communications caused by duodenal ulcers are uncommon, and choledochoduodenal fistula (CDF) is by far the most common type. Usually in this situation, food material does not enter the common bile duct because the duodenal lumen is intact. Here, we report a case in which cholangitis occurred due to food materials impacted through a CDF. Duodenal obstruction secondary to duodenal ulcer prevented food passage into the duodenum in this case. Surgical management was recommended; however, the patient refused surgery because of poor general condition. Consequently, the patient expired with sepsis secondary to ascending cholangitis.

Citations

Citations to this article as recorded by

Stone-Induced Purulent Choledocoduodenal Fistula Presenting with Ascending Cholangitis
Christienne Shams, Michael Cannon, Jared Bortman, Seifeldin Hakim
ACG Case Reports Journal.2018; 5(1): e60. CrossRef
Successful Conservative Treatment of a Cholecystoduodenal Fistula Caused by a Cytomegalovirus-associated Duodenal Ulcer
Hideki Mori, Moriya Zakimi, Shin Kato, Koki Yamada, Kenji Chinen, Tomiaki Kubota, Masayuki Arashiro, Susumu Shinoura, Kaoru Kikuchi
Internal Medicine.2016; 55(18): 2617. CrossRef

6,811 View
71 Download
2 Web of Science
2 Crossref

Focused Review Series: Endoscopic Management of Upper Gastrointestinal Bleeding

Endoscopic Management of Peptic Ulcer Bleeding: Joon Sung Kim, Sung Min Park, Byung-Wook Kim; Clin Endosc 2015;48(2):106-111. Published online March 27, 2015; DOI: https://doi.org/10.5946/ce.2015.48.2.106

Abstract PDF PubReader ePub

Acute upper gastrointestinal bleeding is a common medical emergency around the world and the major cause is peptic ulcer bleeding. Endoscopic treatment is fundamental for the management of peptic ulcer bleeding. Despite recent advances in endoscopic treatment, mortality from peptic ulcer bleeding has still remained high. This is because the disease often occurs in elderly patients with frequent comorbidities and are taking ulcerogenic medications. Therefore, the management of peptic ulcer bleeding is still a challenge for clinicians. This article reviews the various endoscopic methods available for management of peptic ulcer bleeding and the techniques in using these methods.

Citations

Citations to this article as recorded by

Characteristics of Bleeding Peptic Ulcers and the Outcome after Endoscopic Therapy at a Tertiary Care Centre of Pakistan
Farwah Javed, Ghias Ul Hassan, Hafiz Habib Ur Rehman Khalil, Shafqat Rasool, Akif Dilshad, Bilal Nasir
Pakistan Journal of Health Sciences.2024; : 120. CrossRef
A review of endoscopic findings in upper gastrointestinal bleeding in Calabar, South-South Nigeria: A two-center study
Kooffreh-Ada Mbang, Ogbu E. Ngim, Okonkwo Uchenna C, Chukwudike Evaristus, Joanah Moses Ikobah, Uhegbu Kelechi, Itam-Eyo Asa E, Eko Benedicta A, Effiong Esther I, Ndoma-Egba Rowland
Calabar Journal of Health Sciences.2024; 7: 93. CrossRef
Utilizing Endoscopy for the Diagnosis of Acute Upper Gastrointestinal Bleeding
Muhammad Z Akhtar, Moeen U Huq, Rahul Adwani, Ali Usman, Sarmad Ijaz, Iqra Seher
Cureus.2023;[Epub] CrossRef
Anticoagulant Reversal in Gastrointestinal Bleeding: Review of Treatment Guidelines
Truman J. Milling, Majed A. Refaai, Neil Sengupta
Digestive Diseases and Sciences.2021; 66(11): 3698. CrossRef
EVALUATION OF OCCURRENCE OF H. PYLORI INFECTION AND EFFICACY OF ERADICATION THERAPY IN PEPTIC ULCER DISEASE
Prashant Dorkar S, Prakash Gurav, Santosh Dalvi, Prachi Dharmadhikari, Anand Devraj H
Journal of Evolution of Medical and Dental Sciences.2017; 6(80): 5661. CrossRef
Épidémiologie et facteurs pronostiques des hémorragies digestives hautes en Côte d’ivoire : étude prospective observationnelle multicentrique
M. Diakité, A. Toth’o, C. Assi, F. M. Bathaix, S. Koné, D. Bangoura, A. Koné, A. Ouattara, S. Doffou, A. Okon, N. N. Guessan, D. Soro, E. Allah-Kouadio, A. Coulibaly, A. M. J. Lohouès-Kouacou, B. M. Camara, H. Y. Kissi, A. K. Mahassadi, K. A. Attia, A. T.
Journal Africain d'Hépato-Gastroentérologie.2016; 10(2): 80. CrossRef
Alcohol Abuse Increases Rebleeding Risk and Mortality in Patients with Non-variceal Upper Gastrointestinal Bleeding
Jussi M. Kärkkäinen, Sami Miilunpohja, Tuomo Rantanen, Jenni M. Koskela, Johanna Jyrkkä, Juha Hartikainen, Hannu Paajanen
Digestive Diseases and Sciences.2015; 60(12): 3707. CrossRef
Ulcères gastroduodénaux hémorragiques : étude prospective observationnelle multicentrique en Côte-d’Ivoire
C. Assi, S. A. Thot’o, M. Diakité, M. F. Bathaix, S. Doffou, A. Ouattara, Y. H. Kissi, A. Coulibaly, D. Bangoura, D. Soro, E. Allah-Kouadio, K. A. Attia, M. J. Lohouès-Kouacou, T. Ndri-Yoman, B. M. Camara
Acta Endoscopica.2015; 45(6): 297. CrossRef

15,100 View
184 Download
7 Web of Science
8 Crossref

First
Prev
Page of 1
Next
Last

Search