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15 "Tae Hee Lee"
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Original Articles
Medical disputes related to advanced endoscopic procedures with endoscopic retrograde cholangiopancreatography or endoscopic ultrasonography for the management of pancreas and biliary tract diseases
Yoon Suk Lee, Jae-Young Jang, Jun Yong Bae, Eun Hye Oh, Yehyun Park, Yong Hwan Kwon, Jeong Eun Shin, Jun Kyu Lee, Tae Hee Lee, Chang Nyol Paik
Clin Endosc 2023;56(4):499-509.   Published online March 28, 2023
DOI: https://doi.org/10.5946/ce.2022.208
Graphical AbstractGraphical Abstract AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background
/Aims: This study aimed to evaluate the characteristics of endoscopic retrograde cholangiopancreatography (ERCP) or endoscopic ultrasonography (EUS)-related adverse events (AEs) that eventually lead to medical disputes or claims on medical professional liability.
Methods
Medical disputes for ERCP/EUS-related AEs filed in the Korea Medical Dispute Mediation and Arbitration Agency between April 2012 and August 2020 were evaluated using corresponding medical records. AEs were categorized into three sections: procedure-related, sedation-related, and safety-related AEs.
Results
Among a total of 34 cases, procedure-related AEs were 26 (76.5%; 12 duodenal perforations, 7 post-ERCP pancreatitis, 5 bleedings, 2 perforations combined with post-ERCP pancreatitis); sedation-related AEs were 5 (14.7%; 4 cardiac arrests, 1 desaturation), and safety-related AEs were 5 (8.8%; 1 follow-up loss for stent removal, 1 asphyxia, 1 fall). Regarding clinical outcomes, 20 (58.8%) were fatal and eventually succumbed to AEs. For the types of medical institutions, 21 cases (61.8%) occurred at tertiary or academic hospitals, and 13 (38.2%) occurred at community hospitals.
Conclusions
The ERCP/EUS-related AEs filed in Korea Medical Dispute Mediation and Arbitration Agency showed distinct features: duodenal perforation was the most frequent AE, and clinical outcomes were fatal, resulting in at least more than permanent physical impairment.

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  • Diagnostic Assessment of Endoscopic Ultrasonography–Fine Needle Aspiration Cytology in the Pancreas: A Comparison between Liquid-Based Preparation and Conventional Smear
    Jung-Soo Pyo, Dae Hyun Lim, Kyueng-Whan Min, Nae Yu Kim, Il Hwan Oh, Byoung Kwan Son
    Medicina.2024; 60(6): 930.     CrossRef
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  • 108 Download
  • 1 Web of Science
  • 1 Crossref
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A Nationwide Survey on the Facilities and Personnel for Endoscopic Sedation: Results from 50 Qualified Endoscopy Units of Teaching Hospitals Accredited by the Korean Society of Gastrointestinal Endoscopy (KSGE)
Seon-Young Park, Jun Kyu Lee, Jung-Wook Kim, Tae Hee Lee, Chang-Hwan Park, Jae-Yong Jang, Byung-Wook Kim, Byung Ik Jang, the Quality management and Endoscopic sedation committee of Korean Society of Gastrointestinal Endoscopy (KSGE)
Clin Endosc 2021;54(6):843-850.   Published online July 14, 2021
DOI: https://doi.org/10.5946/ce.2021.014
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background
/Aims: This study aimed to determine the current status of facilities, equipment, and personnel for endoscopic sedation from endoscopy units of representative hospitals in South Korea.
Methods
A questionnaire survey was conducted on 50 qualified endoscopy units accredited by the Korean Society of Gastrointestinal Endoscopy.
Results
All included endoscopy units had regulations and educational programs regarding sedation training for endoscopists and nursing personnel. There present one assisting nurse during endoscopy in 35 units (70%) and at least two nurses in 12 units (24.0%). All endoscopy units had examination rooms equipped with oxygen supply and suction systems. Endoscopist-directed sedation was performed in 48 units (96.0%). Propofol-based sedation was the most used sedation method. All units had a separate recovery bay. The daily number of patients per bed was greater than 10 in 17 units (34.0%). In 26 (52.0%) units, a single nurse cared for ≥10 patients per day. All the units fulfilled the discharge criteria.
Conclusions
This study presents data regarding endoscopic sedation clinical practice in 50 endoscopy units in South Korea. This study presents the current status of endoscopic sedation clinical practice in 50 qualified endoscopy units accredited by the KSGE, which provide excellent quality management.

Citations

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  • Awareness of Endoscopy Nurses About Anesthesia Management in the Pediatric Gastrointestinal Endoscopy Unit; A Survey Study
    Feyza SEVER, Şamil HIZLI
    Turkish Journal of Pediatric Disease.2023; : 412.     CrossRef
  • Drugs used for sedation in gastrointestinal endoscopy
    Jun Kyu Lee
    Journal of the Korean Medical Association.2022; 65(11): 735.     CrossRef
  • 3,543 View
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  • 2 Web of Science
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Special Review: Korean Society of Gastrointestinal Endoscopy “Accreditation of Qualified Endoscopy Unit” Guideline: Update 2019
Updates on the Facilities, Procedures, and Performance of the Accredited Endoscopy Unit
Tae Hee Lee, Jin Young Yoon, Chang Nyol Paik, Hyuk Soon Choi, Jae-Young Jang, The Quality Management Committee of The Korean Society of Gastrointestinal Endoscopy
Clin Endosc 2019;52(5):431-442.   Published online September 30, 2019
DOI: https://doi.org/10.5946/ce.2019.164
AbstractAbstract PDFPubReaderePub
Endoscopic quality indicators can be classified into three categories, namely facilities and equipment, endoscopic procedures, and outcome measures. In 2019, the Korean Society of Gastrointestinal Endoscopy updated the accreditation of qualified endoscopy unit assessment items for these quality indicators to establish competence and define areas of continuous quality improvement. Here, we presented the updated program guidelines on the facilities, procedures, and performance of the accredited endoscopy unit. Many of these items have not yet been validated. However, the updated program will help in establishing competence and defining areas of continuous quality improvement in Korean endoscopic practice.

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  • Safety of Gastrointestinal Endoscopy in Korea: A Nationwide Survey and Population-Based Study
    Yunho Jung, Jung-Wook Kim, Jong Pil Im, Yu Kyung Cho, Tae Hee Lee, Jae-Young Jang
    Journal of Korean Medical Science.2022;[Epub]     CrossRef
  • Efficacy of sigmoidoscopy for evaluating disease activity in patients with ulcerative colitis
    Su Bum Park, Seong-Jung Kim, Jun Lee, Yoo Jin Lee, Dong Hoon Baek, Geom Seog Seo, Eun Soo Kim, Sang-Wook Kim, So Yeong Kim
    BMC Gastroenterology.2022;[Epub]     CrossRef
  • Endoscopist-Driven Sedation Practices in South Korea: Re-evaluation Considering the Nationwide Survey in 2019
    Seon-Young Park, Jun Kyu Lee, Chang-Hwan Park, Byung-Wook Kim, Chang Kyun Lee, Hong Jun Park, Byung Ik Jang, Dong Uk Kim, Jin Myung Park, Jae Min Lee, Young Sin Cho, Hyung Ku Chon, Seung Young Seo, Woo Hyun Paik
    Gut and Liver.2022; 16(6): 899.     CrossRef
  • Guidelines for accreditation of endoscopy units: quality measures from the Korean Society of Coloproctology
    Rumi Shin, Seongdae Lee, Kyung-Su Han, Dae Kyung Sohn, Sang Hui Moon, Dong Hyun Choi, Bong-Hyeon Kye, Hae-Jung Son, Sun Il Lee, Sumin Si, Won-Kyung Kang
    Annals of Surgical Treatment and Research.2021; 100(3): 154.     CrossRef
  • A Nationwide Survey on the Facilities and Personnel for Endoscopic Sedation: Results from 50 Qualified Endoscopy Units of Teaching Hospitals Accredited by the Korean Society of Gastrointestinal Endoscopy (KSGE)
    Seon-Young Park, Jun Kyu Lee, Jung-Wook Kim, Tae Hee Lee, Chang-Hwan Park, Jae-Yong Jang, Byung-Wook Kim, Byung Ik Jang
    Clinical Endoscopy.2021; 54(6): 843.     CrossRef
  • SAFETY IN THE GASTROENTEROLOGY SETTING

    Gastroenterology Nursing.2021; 44(6): 467.     CrossRef
  • Duodenal Hyperplastic Polyp Masquerading as Tumor of the Ampulla of Vater
    Jin Myung Park, Chang Don Kang
    The Korean Journal of Pancreas and Biliary Tract.2020; 25(2): 135.     CrossRef
  • Efficacy and Patient Tolerability Profiles of Probiotic Solution with Bisacodyl Versus Conventional Cleansing Solution for Bowel Preparation: A Prospective, Randomized, Controlled Trial
    Youn I Choi, Jong-Joon Lee, Jun-Won Chung, Kyoung Oh Kim, Yoon Jae Kim, Jung Ho Kim, Dong Kyun Park, Kwang An Kwon
    Journal of Clinical Medicine.2020; 9(10): 3286.     CrossRef
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  • 7 Web of Science
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Case Reports
Successful Removal of a Screw Nail in the Jejunum Using Double-Balloon Enteroscopy
Dong Ju Kim, Myoung Ki Sim, Sang Wook Lee, Tae Hee Lee
Clin Endosc 2015;48(5):444-446.   Published online September 30, 2015
DOI: https://doi.org/10.5946/ce.2015.48.5.444
AbstractAbstract PDFPubReaderePub

The vast majority of foreign bodies (FBs) that enter the stomach pass through the gastrointestinal tract spontaneously. When the FB enters the small bowel-beyond the reach of conventional endoscopy-daily radiographs are needed to ensure its safe passage. However, endoscopic intervention is an appropriate management strategy for a sharp-pointed FB, because sharp FBs have a higher risk of intestinal perforation. We describe here a case in which a 1.5-cm, sharp-pointed screw nail in the proximal jejunum was removed successfully by double-balloon enteroscopy from a 19-year-old-male with autism. This case adds to the growing body of evidence demonstrating the value of therapeutic double-balloon enteroscopy in the field of FB ingestion

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  • Balloon-Assisted Enteroscopy for Retrieval of Small Intestinal Foreign Bodies: A KASID Multicenter Study
    Jeongseok Kim, Beom Jae Lee, Nam Seok Ham, Eun Hye Oh, Kee Don Choi, Byong Duk Ye, Jeong-Sik Byeon, Chang Soo Eun, Jin Su Kim, Dong-Hoon Yang
    Gastroenterology Research and Practice.2020; 2020: 1.     CrossRef
  • Foreign Body Penetration through Jejunal Loops Causing Renal Artery Thrombosis and Renal Infarct
    Najib Nassani, Elie El-Charabaty, Patricia Nasr, Iskandar Barakat, Sherif Andrawes
    ACG Case Reports Journal.2017; 4(1): e12.     CrossRef
  • 6,989 View
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  • 5 Web of Science
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"Cat Scratch Colon" in a Patient with Ischemic Colitis
Eui Ju Park, Joon Seong Lee, Tae Hee Lee, Dae Han Choi, Eui Bae Kim, Seong Ran Jeon, Su Jin Hong, Jin-Oh Kim
Clin Endosc 2015;48(2):178-180.   Published online March 27, 2015
DOI: https://doi.org/10.5946/ce.2015.48.2.178
AbstractAbstract PDFPubReaderePub

"Cat scratch colon" is a gross finding characterized by hemorrhagic mucosal scratches on colonoscopy. It is usually associated with a normal colon and is rarely associated with collagenous colitis. In a previous report, cat scratch colon was noted in the cecum and ascending colon, but has also been observed in the distal transverse colon. The patient in this study was also diagnosed with ischemic colitis that may have played a role in the development of cat scratch colon.

Citations

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  • An unexpected finding of cat scratch colon in a screening colonoscopy
    Natalia Mora Cuadrado, Noelia Alcaide Suárez, Beatriz Antolín Melero, Beatriz Burgueño Gómez, Miguel Durà Gil, Luis Ignacio Fernández Salazar, José Manuel González Hernández
    Gastroenterología y Hepatología (English Edition).2019; 42(3): 172.     CrossRef
  • Hallazgo inesperado de colon en arañazo de gato en una colonoscopia de cribado
    Natalia Mora Cuadrado, Noelia Alcaide Suárez, Beatriz Antolín Melero, Beatriz Burgueño Gómez, Miguel Durà Gil, Luis Ignacio Fernández Salazar, José Manuel González Hernández
    Gastroenterología y Hepatología.2019; 42(3): 172.     CrossRef
  • 9,070 View
  • 91 Download
  • 2 Web of Science
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Primary Fallopian Tube Carcinoma Diagnosed with Endoscopic Ultrasound Elastography with Fine Needle Biopsy
Eui Bae Kim, Tae Hee Lee, Jeong Sig Kim, In Ho Choi
Clin Endosc 2014;47(5):464-468.   Published online September 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.5.464
AbstractAbstract PDFPubReaderePub

Primary fallopian tube carcinoma (PFTC) is a rare gynecological cancer that is very difficult to diagnose preoperatively. Here, we report the case of a 66-year-old female patient with PFTC that was diagnosed preoperatively on the basis of the characteristic features on endoscopic ultrasound (EUS) elastography and fine needle biopsy (FNB). EUS showed a sausage-shaped hypoechoic mass, 8 cm in size, with irregular margins and heterogeneous internal echoes extending to both adnexa. EUS elastography revealed that the mass had a blue color pattern, representing hard stiffness, and a heterogeneous green/red color pattern distributed outside the tumor, representing intermediate stiffness. Histopathologic analysis of the FNB and operative specimens confirmed the diagnosis of fallopian tube carcinoma. This is the first reported case of a combined EUS elastography and FNB of an adnexal mass leading to a preoperative diagnosis of fallopian tube carcinoma.

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  • The clinical impact of ultrasound contrast agents in EUS: a systematic review according to the levels of evidence
    Pietro Fusaroli, Bertrand Napoleon, Rodica Gincul, Christine Lefort, Laurent Palazzo, Maxime Palazzo, Masayuki Kitano, Kosuke Minaga, Giancarlo Caletti, Andrea Lisotti
    Gastrointestinal Endoscopy.2016; 84(4): 587.     CrossRef
  • 8,641 View
  • 59 Download
  • 1 Web of Science
  • 1 Crossref
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Endoscopic Ultrasound-Guided Sampling of a Metastatic Mucinous Adenocarcinoma Mimicking a Gastric Subepithelial Tumor
Dae Chul Seo, Tae Hee Lee, Yoon Mi Jeen, Hyun Gun Kim, Eui Bae Kim, Sang Cheol Lee
Clin Endosc 2014;47(5):460-463.   Published online September 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.5.460
AbstractAbstract PDFPubReaderePub

Metastatic mucinous adenocarcinoma of appendix origin and mimicking a gastric subepithelial tumor (SET) is very rare. Endoscopic ultrasound (EUS)-guided sampling is a useful diagnostic method for SETs. However, the cytologic findings of metastatic mucinous adenocarcinoma are unfamiliar to many pathologists and gastroenterologists. These findings present a diagnostic challenge because the introduction of gastric epithelium and mucin into the specimen during the procedure can be misleading. This is the first reported experience of an EUS-guided sampling of a gastric SET in a patient with suspected appendiceal tumor, to make the diagnosis of a mucinous adenocarcinoma.

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Endoscopic Treatment of Various Gastrointestinal Tract Defects with an Over-the-Scope Clip: Case Series from a Tertiary Referral Hospital
Woong Cheul Lee, Weon Jin Ko, Jun-Hyung Cho, Tae Hee Lee, Seong Ran Jeon, Hyun Gun Kim, Joo Young Cho
Clin Endosc 2014;47(2):178-182.   Published online March 31, 2014
DOI: https://doi.org/10.5946/ce.2014.47.2.178
AbstractAbstract PDFPubReaderePub

Recently, increasingly invasive therapeutic endoscopic procedures and more complex gastrointestinal surgeries such as endoscopic mucosal resection, endoscopic submucosal dissection, and novel laparoscopic approaches have resulted in endoscopists being confronted more frequently with perforations, fistulas, and anastomotic leakages, for which nonsurgical closure is desired. In this article, we present our experiences with the use of over-the-scope clip (OTSC) for natural orifice transluminal endoscopic surgery (NOTES) closure, prevention of perforation, anastomotic leakages, and fistula closures. The OTSC is a valuable device for closing intestinal perforations and fistulas, for NOTES closure, and for the prevention of perforation after the excision of a tumor from the proper muscle layer. Furthermore, it seems to be quite safe to perform, even by endoscopists with little experience of the technique.

Citations

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  • Experimental Evaluation of the Optimal Suture Pattern With a Flexible Endoscopic Suturing System
    Peter Halvax, Michele Diana, Yoshihiro Nagao, Jacques Marescaux, Lee Swanström
    Surgical Innovation.2017; 24(3): 201.     CrossRef
  • Management of non-acute gastrointestinal defects using the over-the-scope clips (OTSCs): a retrospective single-institution experience
    Joshua S. Winder, Afif N. Kulaylat, Jane R. Schubart, Hassan M. Hal, Eric M. Pauli
    Surgical Endoscopy.2016; 30(6): 2251.     CrossRef
  • Early endoscopic closure of colocutaneous fistula adjacent to unmatured low colorectal anastomosis with the Over-The-Scope Clip (OTSC)
    Constantinos Avgoustou, K. Paraskeva
    Hellenic Journal of Surgery.2016; 88(3): 193.     CrossRef
  • Endoscopic Closure for Full-Thickness Gastrointestinal Defects: Available Applications and Emerging Innovations
    Nobuyoshi Takeshita, Khek Yu Ho
    Clinical Endoscopy.2016; 49(5): 438.     CrossRef
  • 6,196 View
  • 59 Download
  • 3 Web of Science
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Brief Report
White Esophageal Mucosa and Black Gastric Mucosa: Upper Gastrointestinal Injury Due to Hydrochloric Acid Ingestion
Woong Cheul Lee, Tae Hee Lee, Jun-Hyung Cho
Clin Endosc 2014;47(1):119-120.   Published online January 24, 2014
DOI: https://doi.org/10.5946/ce.2014.47.1.119
PDFPubReaderePub

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  • Severe Intentional Corrosive (Nitric Acid) Acute Poisoning: A Case Report and Literature Review
    Alexandra Stoica, Cătălina Lionte, Mădălina Palaghia, Irina Gîrleanu, Victoriţa Şorodoc, Alexandr Ceasovschih, Oana Sîrbu, Raluca Haliga, Cristina Bologa, Ovidiu Petriş, Vlad Nuţu, Ana Trofin, Gheorghe Bălan, Andreea Catana, Adorata Coman, Mihai Constanti
    Journal of Personalized Medicine.2023; 13(6): 987.     CrossRef
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Case Reports
Superior Mesenteric Artery Syndrome Diagnosed with Linear Endoscopic Ultrasound (with Video) in a Patient with Normal Body Mass Index
Jee Wan Wee, Tae Hee Lee, Joon Seong Lee, Wan Jung Kim
Clin Endosc 2013;46(4):410-413.   Published online July 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.4.410
AbstractAbstract PDFPubReaderePub

Superior mesenteric artery (SMA) syndrome is an uncommon disease that results from SMA compression of the third portion of the duodenum. Patients with SMA syndrome present with upper gastrointestinal symptoms, such as nausea, vomiting, and abdominal pain. The diagnosis is usually made from an upper barium study or computed tomography. Typically, SMA syndrome is caused by a decreased aortomesenteric angle of 6° to 25°. An underweight body mass index (BMI) is a risk factor for development of SMA syndrome. There are few reports of the role of linear endoscopic ultrasound (EUS) in the diagnosis of SMA syndrome. We report a case of SMA syndrome, with normal BMI, that was diagnosed with the aid of linear EUS. Although SMA syndrome is not typically within the scope of practice of endosonographers, it is useful to get familiar with the findings.

Citations

Citations to this article as recorded by  
  • Evaluating aortomesenteric parameters in a tertiary center of Nepal for superior mesenteric artery syndrome diagnosis and risk factors: cross-sectional study
    Diwas Sapkota, Bikash Bikram Adhikari, Aimandu Shrestha, Shailendra Katwal
    Annals of Medicine & Surgery.2024; 86(5): 2612.     CrossRef
  • New frontiers for therapeutic endoscopic ultrasound in children
    Valerio Balassone, Simona Faraci, Chiara Imondi, Paola De Angelis, Tamara Caldaro, Luigi Dall'Oglio
    International Journal of Gastrointestinal Intervention.2023; 12(1): 1.     CrossRef
  • Endoscopic ultrasound diagnosis of superior mesenteric artery syndrome
    Chiara CASTELLANA, Leonardo H. EUSEBI, Carla SERRA, Rocco M. ZAGARI, Mario LIMA
    Gazzetta Medica Italiana Archivio per le Scienze Mediche.2023;[Epub]     CrossRef
  • Superior mesenteric artery syndrome after severe head trauma
    Jurgita Gailiene, Ausra Lukosiute-Urboniene, Arturas Kilda, Vidmantas Barauskas
    Journal of Pediatric Surgery Case Reports.2019; 48: 101255.     CrossRef
  • Co-occurring superior mesenteric artery syndrome and nutcracker syndrome requiring Roux-en-Y duodenojejunostomy and left renal vein transposition: a case report and review of the literature
    Rebeca Heidbreder
    Journal of Medical Case Reports.2018;[Epub]     CrossRef
  • Superior mesenteric artery (Wilkie’s) syndrome: a rare cause of upper gastrointestinal system obstruction
    Abdullah Oguz, Omer Uslukaya, Burak Veli Ülger, Ahmet Turkoglu, Mehmet Veysi Bahadır, Zubeyir Bozdag, Abdullah Böyük, Cemil Göya
    Acta Chirurgica Belgica.2016; 116(2): 81.     CrossRef
  • 8,041 View
  • 95 Download
  • 6 Crossref
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Endoscopic Resection of Hypopharyngeal Squamous Cell Carcinoma
Gene Hyun Bok, Won Young Cho, Joo Young Cho, So Young Jin, Ji Ho Ahn, Chang Gyun Chun, Tae Hee Lee, Hyun Gun Kim
Clin Endosc 2013;46(2):189-192.   Published online March 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.2.189
AbstractAbstract PDFPubReaderePub

Hypopharyngeal cancers are often diagnosed at an advanced stage and have a poor prognosis. Even when they are diagnosed at an operable stage, surgery often results in substantial morbidity and decreased patients' quality of life. Although the endoscopic diagnosis of early hypopharyngeal cancer is difficult, recent developments in advanced imaging endoscopy have enabled easier diagnosis of these lesions. Endoscopic resection of early hypopharyngeal cancer is a potential minimally invasive treatment that can preserve the function and quality of life of patients. Reports of this procedure are limited, however. We report a case of hypopharygeal cancer treated with endoscopic resection.

Citations

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  • Identify metabolism-related genes IDO1, ALDH2, NCOA2, SLC7A5, SLC3A2, LDHB, and HPRT1 as potential prognostic markers and correlate with immune infiltrates in head and neck squamous cell carcinoma
    Ce Li, Shuai Chen, Wenming Jia, Wenming Li, Dongmin Wei, Shengda Cao, Ye Qian, Rui Guan, Heng Liu, Dapeng Lei
    Frontiers in Immunology.2022;[Epub]     CrossRef
  • Endoscopic resection for superficial hypopharyngeal/laryngeal cancer and clinical pathway options
    Wei‐Chen Huang, Li‐Hsiang Cheng, Tien‐Yu Huang, Yu‐Lueng Shih, Wei‐Kuo Chang, Tsai‐Yuan Hsieh, Peng‐Jen Chen
    Advances in Digestive Medicine.2019; 6(3): 123.     CrossRef
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    Molecular Medicine Reports.2014; 9(6): 2587.     CrossRef
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Original Articles
Endoscopic Ultrasound Elastography for the Pancreas in Korea: A Preliminary Single Center Study
Tae Hee Lee, Young Deok Cho, Sang-Woo Cha, Joo Young Cho, Jae Young Jang, Soung Won Jeong, Hyun Jong Choi, Jong Ho Moon
Clin Endosc 2013;46(2):172-177.   Published online March 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.2.172
AbstractAbstract PDFPubReaderePub
Background/Aims

Endoscopic ultrasound elastography (EUS-EG) has been widely used for the evaluation of pancreatic cancer in the Western world. To date, there is very little experience with EUS-EG in Korea. We described the results of comparison between normal pancreas and pancreatic cancer in Korea.

Methods

The present study was performed at a tertiary hospital on 35 subjects comprising 20 with normal pancreas (control group) and 15 with pancreatic cancer (disease group). We compared the EUS-EG performance of the two groups.

Results

The pancreas in the control group showed a mean elasticity value of 0.53% (95% confidence interval [CI], 0.45 to 0.61). The elasticity value was higher than that previously reported from Western country (0.47%; 95% CI, 0.38 to 0.57). In the disease group, the mean elasticity value of pancreatic lesions was 0.02% (95% CI, 0.01 to 0.02). The mean elasticity value of the disease group was significantly lower than that of the control group (p<0.0001).

Conclusions

EUS-EG could be a highly sensitive diagnostic modality for pancreatic cancer in Korea with little EUS-EG experience. We also provided the reference range of elasticity value of normal pancreas, which might be valuable in the interpretation of pancreatic elasticity data for Korean adults.

Citations

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  • Present status of ultrasound elastography for the diagnosis of pancreatic tumors: review of the literature
    Takamichi KUWAHARA, Kazuo HARA, Nobumasa MIZUNO, Shin HABA, Nozomi OKUNO
    Choonpa Igaku.2022; 49(3): 275.     CrossRef
  • Recent Advances in Endosonography—Elastography: Literature Review
    Akira Yamamiya, Atsushi Irisawa, Koki Hoshi, Akane Yamabe, Naoya Izawa, Kazunori Nagashima, Takahito Minaguchi, Masamichi Yamaura, Yoshitsugu Yoshida, Ken Kashima, Yasuhito Kunogi, Fumi Sakuma, Keiichi Tominaga, Makoto Iijima, Kenichi Goda
    Journal of Clinical Medicine.2021; 10(16): 3739.     CrossRef
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    Valeria Tonini, Manuel Zanni
    World Journal of Gastroenterology.2021; 27(35): 5851.     CrossRef
  • Endoscopic ultrasonography elastography in the diagnosis of intrapancreatic ectopic spleen: A case report
    Nan Ge, Si-Yu Sun
    World Journal of Clinical Cases.2020; 8(9): 1729.     CrossRef
  • Present status of ultrasound elastography for the diagnosis of pancreatic tumors: review of the literature
    Takamichi Kuwahara, Kazuo Hara, Nobumasa Mizuno, Shin Haba, Nozomi Okuno
    Journal of Medical Ultrasonics.2020; 47(3): 413.     CrossRef
  • Impact of endoscopic ultrasonography on diagnosis of pancreatic cancer
    Masayuki Kitano, Takeichi Yoshida, Masahiro Itonaga, Takashi Tamura, Keiichi Hatamaru, Yasunobu Yamashita
    Journal of Gastroenterology.2019; 54(1): 19.     CrossRef
  • Early Detection of Pancreatic Cancer: Opportunities and Challenges
    Aatur D. Singhi, Eugene J. Koay, Suresh T. Chari, Anirban Maitra
    Gastroenterology.2019; 156(7): 2024.     CrossRef
  • Diagnostic Efficacy of Endoscopic Ultrasound Elastography in Differentiating Solid Pancreatic Lesions: A Single-Center Experience
    Ahmed Youssef Altonbary, Hazem Hakim, Ahmed Mohamed El-Shamy
    Clinical Endoscopy.2019; 52(4): 360.     CrossRef
  • Elastography of the Pancreas, Current View
    Christoph F. Dietrich, Michael Hocke
    Clinical Endoscopy.2019; 52(6): 533.     CrossRef
  • Endoscopic ultrasound elastography in the diagnosis of pancreatic masses: A meta-analysis
    Binglan Zhang, Fuping Zhu, Pan Li, Shishi Yu, Yajing Zhao, Minmin Li
    Pancreatology.2018; 18(7): 833.     CrossRef
  • Endoscopic ultrasound (EUS) elastography and strain ratio, could it help in differentiating malignant from benign pancreatic lesions?
    Hussein Hassan Okasha, Reem Ezzat Mahdy, Shaimaa Elkholy, Mohamed Sayed Hassan, Ahmed Nabil El-Mazny, Kareem Essam Eldin Hadad, Moustafa Saeed, Mohamed El-Nady, Osama Soliman Elbalky, Asem Ashraf, Amr Abo El-Magd, Abeer Awad
    Medicine.2018; 97(36): e11689.     CrossRef
  • Differentiation of Pancreatic Masses via Endoscopic Ultrasound Strain Ratio Elastography Using Adjacent Pancreatic Tissue as the Reference
    Nadan Rustemović, Mirjana Kalauz, Katja Grubelić Ravić, Hrvoje Iveković, Branko Bilić, Zvonimir Ostojić, Dalibor Opačić, Iva Ledinsky, Matea Majerović, Ana Višnjić
    Pancreas.2017; 46(3): 347.     CrossRef
  • Endoscopic ultrasound elastography for solid pancreatic lesions
    Tanyaporn Chantarojanasiri, Pradermchai Kongkam
    World Journal of Gastrointestinal Endoscopy.2017; 9(10): 506.     CrossRef
  • New Imaging Techniques
    Julio Iglesias-García, Jose Lariño-Noia, Juan Enrique Domínguez-Muñoz
    Gastrointestinal Endoscopy Clinics of North America.2017; 27(4): 551.     CrossRef
  • Maximizing the endosonography: The role of contrast harmonics, elastography and confocal endomicroscopy
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Peroral Endoscopic Myotomy for Treatment of Achalasia: Initial Results of a Korean Study
Byung Hoo Lee, Kwang Yeun Shim, Su Jin Hong, Gene Hyun Bok, Jun-Hyung Cho, Tae Hee Lee, Joo Young Cho
Clin Endosc 2013;46(2):161-167.   Published online March 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.2.161
AbstractAbstract PDFPubReaderePub
Background/Aims

Achalasia is a rare esophageal motility disorder. Recently, a novel endoscopic technique, peroral endoscopic myotomy (POEM), was introduced as an alternative treatment for achalasia. We report the results and short term outcomes of POEM for patients with achalasia.

Methods

POEM was performed in 13 patients with achalasia. The procedure consisted of creating a submucosal tunnel followed by endoscopic myotomy of circular muscle bundles. The mucosal entry was closed by conventional hemostatic clips. A validated clinical symptom score (Eckardt score) and high resolution manometry were used to evaluate the outcomes.

Results

Both the clinical score of achalasia, as well as the resting lower esophageal sphincter (LES) pressure, were significantly reduced after POEM. Mean posttreatment Eckardt score was 0.4±0.7, compared to 6.4±1.9 prior to the treatment (p=0.001). The mean pretreatment and posttreatment LES pressure was 30.3 and 15.3 mm Hg, respectively (p=0.007). Following POEM, symptomatic relief from dysphagia without reflux symptoms was observed in all patients (13/13). No serious complications related to POEM were encountered.

Conclusions

Based upon our initial experience, the authors believe that POEM is a feasible, safe, and effective treatment and may possibly substitute established treatments of refractory achalasia.

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Case Reports
Intra-Abdominal Tuberculous Lymphadenitis Diagnosed Using an Endoscopic Ultrasonography-Guided ProCore Needle Biopsy
Tae Hee Lee, Joo Young Cho, Gene Hyun Bok, Won Young Cho, So Young Jin
Clin Endosc 2013;46(1):77-80.   Published online January 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.1.77
AbstractAbstract PDFPubReaderePub

Intra-abdominal tuberculous lymphadenitis can mimic a variety of other abdominal disorders such as pancreatic cancer, metastatic lymph nodes, or lymphoma, which can make a proper diagnosis difficult. A correct diagnosis of intra-abdominal tuberculous lymphadenitis can lead to appropriate management. Endoscopic ultrasonography (EUS)-guided needle biopsy may be the procedure of choice for tissue acquisition when onsite cytopathology examination is unavailable because it is essential to obtain sufficient material suitable for the examination using an ancillary method, such as flow cytometry, molecular diagnosis, cytogenetics, or microbiological culture. We report a case of intra-abdominal tuberculous lymphadenitis diagnosed using an EUS-guided, 22-gauge histology new needle biopsy without an onsite cytopathology examination.

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Cecal Fecaloma Due to Intestinal Tuberculosis: Endoscopic Treatment
Sun Moon Kim, Ki Hyun Ryu, Young Suk Kim, Tae Hee Lee, Euyi Hyeog Im, Kyu Chan Huh, Young Woo Choi, Young Woo Kang
Clin Endosc 2012;45(2):174-176.   Published online June 30, 2012
DOI: https://doi.org/10.5946/ce.2012.45.2.174
AbstractAbstract PDFPubReaderePub

Colorectal fecaloma is a mass of accumulated feces that is much harder in consistency than a fecal impactation. The rectosigmoid area is the common site for fecalomas and the cecum is the most unusual site. Diagnosis is usually made by distinctive radiographic findings of a mobile intraluminal mass with a smooth outline and no mucosal attachment. Most of the fecalomas are successfully treated by conservative methods such as laxatives, enemas and rectal evacuation. When conservative treatments have failed, endoscopic procedures or a surgical intervention may be needed. We report here that a cecal fecaloma caused by intestinal tuberculosis scar was successfully removed by endoscopic procedures.

Citations

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