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Review
Linear endoscopic ultrasound of the liver: a practical, landmark-based approach to segmental orientation
Hyung Ku Chon, Jung Hyun Yang, Tae Hyeon Kim
Received January 2, 2026  Accepted June 1, 2026  Published online August 28, 2026  
DOI: https://doi.org/10.5946/ce.2026.013    [Epub ahead of print]
AbstractAbstract PDF
Linear endoscopic ultrasound (EUS) has emerged as an essential tool in endohepatology, enabling high-resolution evaluation of the hepatic parenchyma, vascular structures, and segmental anatomy of the liver via transgastric and transduodenal imaging. As the role of linear EUS has expanded to include tissue acquisition, biliary drainage, portal pressure measurement, and targeted hepatic interventions, a thorough understanding of the liver anatomy has become indispensable to ensure procedural safety and efficacy. However, EUS-based liver evaluation remains technically challenging because of its use of dynamic imaging planes and the absence of fixed anatomical reference points. This review proposes a structured, station-based approach that integrates Couinaud’s segmental anatomy with reproducible vascular and ligamentous landmarks. By correlating the transgastric and transduodenal imaging views with the corresponding portal venous, hepatic venous, and ligamentous axes, this framework provides a systematic method for accurate segmental identification. Adoption of this approach may enhance diagnostic accuracy, facilitate safe therapeutic interventions, and promote more structured and reproducible training frameworks.
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Editorial
Advancing endoscopic ultrasound-guided liver biopsy through coil-based tract embolization: a new safety paradigm
Hyung Ku Chon, Tae Hyeon Kim
Clin Endosc 2026;59(2):240-241.   Published online March 27, 2026
DOI: https://doi.org/10.5946/ce.2025.446
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Editorial
The writing on the wall: self-expandable stents for endoscopic ultrasound-guided hepaticogastrostomy?
Hyung Ku Chon, Shayan Irani, Tae Hyeon Kim
Clin Endosc 2023;56(6):741-743.   Published online October 20, 2023
DOI: https://doi.org/10.5946/ce.2023.207
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Original Articles
Prevalence, natural progression, and clinical practices of upper gastrointestinal subepithelial lesions in Korea: a multicenter study
Younghee Choe, Yu Kyung Cho, Gwang Ha Kim, Jun-Ho Choi, Eun Soo Kim, Ji Hyun Kim, Eun Kwang Choi, Tae Hyeon Kim, Seong-Hun Kim, Do Hoon Kim, The Research Group for Endoscopic Ultrasound in Korean Society of Gastrointestinal Endoscopy
Clin Endosc 2023;56(6):744-753.   Published online August 25, 2023
DOI: https://doi.org/10.5946/ce.2023.005
Graphical AbstractGraphical Abstract AbstractAbstract PDF
Background
/Aims: This study aimed to evaluate the prevalence and natural progression of subepithelial lesions (SELs) in the upper gastrointestinal (UGI) tract.
Methods
The medical records of patients with UGI SELs who underwent endoscopic screening at eight university hospitals between January and December 2010 were retrospectively investigated. The follow-up evaluations were performed until December 2016.
Results
UGI SELs were found in 1,044 of the 65,233 participants screened (endoscopic prevalence, 1.60%; the total number of lesions, 1,062; mean age, 55.1±11.2 years; men, 53.6%). The median follow-up period was 48 (range, 8–74) months. SELs were most frequently found in the stomach (63.8%) and had a mean size of 9.9±6.1 mm. Endoscopic ultrasonography (EUS) was performed in 293 patients (28.1%). The most common lesions were leiomyomas, followed by gastrointestinal stromal tumors (GISTs), and ectopic pancreas. The proportions of SELs with malignant potential according to size were 3% (<1 cm), 22% (1–2 cm), 27% (2–3 cm), and 38% (≥3 cm). In gastric SELs larger than 1 cm, resections were performed in 20 patients because of an increase in size, of which 12 were found to be GISTs.
Conclusions
The prevalence of UGI SELs was 1.60%. Further, 23% of gastric SELs ≥1 cm were precancerous lesions, most followed by EUS and clinical decisions without initial pathological confirmation.

Citations

Citations to this article as recorded by  
  • Endoscopic Diagnosis of Gastric Subepithelial Lesions < 20 mm: Current Strategies and Emerging Solutions
    Yosuke Minoda, Shuzaburo Nagatomo, Haruei Ogino, Nao Fujimori, Eikichi Ihara
    Digestive Endoscopy.2026;[Epub]     CrossRef
  • Contrast-Enhanced Harmonic Endoscopic Ultrasonography for Diagnosing Gastric Subepithelial Tumors
    Moon Won Lee, Dong Chan Joo, Gwang Ha Kim, Bong Eun Lee, Hye Kyung Jeon
    Diagnostics.2026; 16(1): 165.     CrossRef
  • Prevalence of potentially malignant lesions in small gastric subepithelial lesions undergoing surgical resection according to the risk features
    Sung Eun Kim, Mi Ran Jung
    Foregut Surgery.2026; 6(1): 18.     CrossRef
  • Recent advancement in size measurement during endoscopy
    Hye Kyung Jeon, Gwang Ha Kim
    Clinical Endoscopy.2026; 59(1): 1.     CrossRef
  • Endoscopic and Hybrid Approaches for Gastric Subepithelial Tumors: Expanding the Frontiers of Minimally Invasive Therapy
    Francesco Bombaci, Angelo Bruni, Michele Dota, Massimo Del Gaudio, Giuseppe Dell’Anna, Francesco Vito Mandarino, Francesco Azzolini, Emanuele Sinagra, Lorenzo Fuccio, Rocco Maurizio Zagari, Giovanni Barbara, Paolo Cecinato
    Gastroenterology Insights.2026; 17(1): 13.     CrossRef
  • Natural History of Gastric Subepithelial Lesions Measuring 1 to 2 cm
    Younghee Choe, Byung-Wook Kim, Soo-Young Na, Joon Sung Kim
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2026; 26(1): 79.     CrossRef
  • Long-term prognosis and risk factor-based surveillance strategy for patients with small gastric subepithelial lesion using endoscopic ultrasonography
    Jong Sun Park, Ji Hyun Park, Bumhee Park, Jong Hoon Park, Sun Gyo Lim, Sung Jae Shin, Kee Myung Lee, Sung Soo Ahn, Choong-Kyun Noh, Gil Ho Lee
    Endoscopic Ultrasound.2026; 15(1): 62.     CrossRef
  • Clinical efficacy of endoscopic resection for subepithelial tumors in the esophagogastric junction and gastric cardia: an observational study
    Sang Jin Park, Min A Yang, Jae Sun Song, Won Dong Lee, Myoung Jin Ju, Jin Woong Cho
    Clinical Endoscopy.2026; 59(2): 245.     CrossRef
  • CAD-SEL: A dual-modal colonoscopy dataset of subepithelial lesion
    Louzhe Xu, Shurong Chen, Chunxiao Li, Jingjing Zhou, Xiaohan Shen, Jinghua Wang, Xinjue He, Tianlian Yan, Han Ma, Yizhen Zhang, Lan Li, Shu Bian, Yue Huang, Chao Lu, Yangyang Xiong, Jiang Liu, Qiang Chen, Lina Ye, Qiaona He, Yini Ke, Youming Li, Xinli Mao
    Scientific Data.2026;[Epub]     CrossRef
  • Diagnosis and Management of Asymptomatic Upper Gastrointestinal Subepithelial Lesions
    Yonghoon Choi
    The Korean Journal of Gastroenterology.2026; 86(3): 139.     CrossRef
  • How should we manage incidental gastric subepithelial lesions?
    Sung Eun Kim
    Clinical Endoscopy.2026; 59(4): 685.     CrossRef
  • Natural History of Upper Gastrointestinal Subepithelial Tumors
    Seokin Kang
    Journal of Digestive Cancer Research.2026; 14(2): 139.     CrossRef
  • Natural history of asymptomatic subepithelial lesions of the upper gastrointestinal tract: A multicenter study in Korea
    Yonghoon Choi, Jae Yong Park, Sung Eun Kim, Jae Myung Park, Joon Sung Kim, Hyunsoo Chung, Seung Han Kim, Chan Hyuk Park, Sang Hoon Kim, Seon-Young Park, Bong Eun Lee, Seung Woo Lee, Ayoung Lee, Jeong Hoon Lee, Da Hyun Jung, Hyeong Ho Jo, In Hyuk Yoo, Byun
    World Journal of Gastroenterology.2026;[Epub]     CrossRef
  • The efficacy and safety of submucosal tunneling endoscopic resection in treating large esophageal subepithelial lesions
    Huiting Lin, Songfeng Chen, Niandi Tan, Qianjun Zhuang, Xingyu Jia, Dianxuan Jiang, Yinglian Xiao, Jinhui Wang
    Surgical Endoscopy.2025; 39(3): 1672.     CrossRef
  • Natural Course and Long-Term Outcomes of Gastric Subepithelial Lesions: A Systematic Review
    Masaya Iwamuro, Hiroyuki Okada, Motoyuki Otsuka
    Journal of Clinical Medicine.2025; 14(4): 1055.     CrossRef
  • Rapidly Growing Gastrointestinal Stromal Tumor on the Esophagus
    Ji Hye Park, Sung Eun Kim, Seun Ja Park, Moo In Park, Won Moon, Jae Hyun Kim, Kyoungwon Jung, Myung Hun Lee
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2025; 25(1): 64.     CrossRef
  • Advancements in Endoscopic Treatment for Gastric Subepithelial Tumors
    Osamu Goto, Kazutoshi Higuchi, Eriko Koizumi, Katsuhiko Iwakiri
    Gut and Liver.2025; 19(2): 151.     CrossRef
  • Endoscopic mucosal resection of a large duodenal polyp
    Ye Rin Chae, Ga Hee Kim
    Clinical Endoscopy.2025; 58(2): 331.     CrossRef
  • Diagnostic accuracy and influencing factors of microprobe endoscopic ultrasound for gastrointestinal subepithelial lesions: a multicenter retrospective study
    Jiao Li, Yongfeng Yan, Dandan Jiang, Xiaoxiang Wang, Li Wang, Li Liu, Tao Shu, Zhengkui Zhou, Xiaobin Sun
    BMC Gastroenterology.2025;[Epub]     CrossRef
  • Natural History of Gastric Subepithelial Tumors: Long-Term Outcomes and Surveillance Strategies
    Hye Kyung Jeon, Gwang Ha Kim
    Journal of Clinical Medicine.2025; 14(18): 6354.     CrossRef
  • Natural Course of Gastric Subepithelial Tumors
    Ji Yoon Kim, Seung Joo Kang
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2025; 25(3): 224.     CrossRef
  • Approach to Gastric Subepithelial Lesions: From Differential Diagnosis to Histologic Confirmation
    Sang Hoon Kim
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2025; 25(3): 209.     CrossRef
  • Gastric cancer with lymphoid stroma mimicking a subepithelial lesion after a 10-year disease-free interval: a case report
    Bang Ju Kim, Sung Eun Kim, Seun Ja Park, Moo In Park, Won Moon, Jae Hyun Kim, Kyoungwon Jung, Myung Hun Lee, Jung Wook Lee, Kyung Won Seo, Hee-Kyung Chang
    Kosin Medical Journal.2025; 40(3): 233.     CrossRef
  • Outcomes of device assisted endoscopic full thickness resection in gastroduodenal submucosal lesions: A large, multicentre study (with videos)
    Zaheer Nabi, Gaurav Patil, Rajesh Puri, Truptesh Kothari, Sukrit Sud, Radhika Chavan, Sridhar Sundaram, Nikhil Sonthalia, Jimmy Narayana, Jayanta Samanta, Jahnvi Dhar, Sanjay Rajput, Vikas Singla, Jeff George, Pankaj Dhawan, Rajesh Goud, Pradev Inavolu, A
    Digestive and Liver Disease.2025; 57(12): 2435.     CrossRef
  • Assessing the utility of three-dimensional imaging for preoperative assessment of gastric subepithelial tumors
    Dong Chan Joo, Gwang Ha Kim
    Clinical Endoscopy.2025; 58(6): 854.     CrossRef
  • A Case of Esophageal MALT Lymphoma Mimicking a Subepithelial Tumor
    Ha Eun Lee, Gwang Ha Kim, Min Ji Kim, Kyung Bin Kim, Dong Chan Joo, Hye Kyung Jeon, Moon Won Lee, Bong Eun Lee
    The Korean Journal of Gastroenterology.2024; 83(4): 157.     CrossRef
  • Small gastric subepithelial lesions: A sand in the eye
    Tanyaporn Chantarojanasiri, Nikhil Sonthalia, Rashid N. Lui
    Journal of Gastroenterology and Hepatology.2024; 39(7): 1207.     CrossRef
  • Endoscopic treatment of a large Brunner’s gland hamartoma in the duodenum
    Ha Eun Lee, Gwang Ha Kim, Kyungbin Kim
    Endoscopy.2024; 56(S 01): E546.     CrossRef
  • Artificial Intelligence-Based Diagnosis of Gastric Mesenchymal Tumors Using Digital Endosonography Image Analysis
    Dong Chan Joo, Gwang Ha Kim, Moon Won Lee, Bong Eun Lee, Ji Woo Kim, Kwang Baek Kim
    Journal of Clinical Medicine.2024; 13(13): 3725.     CrossRef
  • An Esophageal Leiomyoma with Cystic Degeneration Mimicking a Malignant Neoplasm
    Gwang Ha Kim, Dong Chan Joo, Moon Won Lee, Bong Eun Lee, Kyungbin Kim
    The Ewha Medical Journal.2023;[Epub]     CrossRef
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Predictive Factors for Differentiating Gastrointestinal Stromal Tumors from Leiomyomas Based on Endoscopic Ultrasonography Findings in Patients with Gastric Subepithelial Tumors: A Multicenter Retrospective Study
Sun Moon Kim, Eun Young Kim, Jin Woong Cho, Seong Woo Jeon, Ji Hyun Kim, Tae Hyeon Kim, Jeong Seop Moon, Jin-Oh Kim, the Research Group for Endoscopic Ultrasound of the Korean Society of Gastrointestinal Endoscopy
Clin Endosc 2021;54(6):872-880.   Published online November 18, 2021
DOI: https://doi.org/10.5946/ce.2021.251
AbstractAbstract PDF
Background
/Aims: The utility of endoscopic ultrasonography (EUS) for differentiating gastrointestinal stromal tumors (GISTs) and leiomyomas of the stomach is not well known. We aimed to evaluate the ability of EUS for differentiating gastric GISTs and leiomyomas.
Methods
We retrospectively reviewed the medical records of patients with histopathologically proven GISTs (n=274) and leiomyomas (n=87). In two consensus meetings, the inter-observer variability in the EUS image analysis was reduced. Using logistic regression analyses, we selected predictive factors and constructed a predictive model and nomogram for differentiating GISTs from leiomyomas. A receiver operating characteristic (ROC) curve analysis was performed to measure the discrimination performance in the development and internal validation sets.
Results
Multivariate analysis identified heterogeneity (odds ratio [OR], 9.48), non-cardia (OR, 19.11), and older age (OR, 1.06) as independent predictors of GISTs. The areas under the ROC curve of the predictive model using age, sex, and four EUS factors (homogeneity, location, anechoic spaces, and dimpling or ulcer) were 0.916 (sensitivity, 0.908; specificity, 0.793) and 0.904 (sensitivity, 0.908; specificity, 0.782) in the development and internal validation sets, respectively.
Conclusions
The predictive model and nomogram using age, sex and homogeneity, tumor location, presence of anechoic spaces, and presence of dimpling or ulcer on EUS may facilitate differentiation between GISTs and leiomyomas.

Citations

Citations to this article as recorded by  
  • Nationwide Multicenter Study of Advanced Endoscopic Resection and Malignant Risk Model for Gastric Myogenic Tumors (GASTRO Trial)
    Chih-Tsung Fan, Tze-Yu Shieh, Wen-Hung Hsu, Hsi-Yuan Chien, Ching-Tai Lee, Ming-Yao Chen, Chung-Ying Lee, Wei-Chen Tai, Sz-Iuan Shiu, I-Ching Cheng, Chen-Shuan Chung
    Life.2026; 16(1): 82.     CrossRef
  • Characteristics and diagnostic sensitivity of endoscopic ultrasound in lower gastrointestinal subepithelial lesions
    Yu-Shiuan Liang, Li-Chun Chang, Weng-Fai Wong, Ming-Lun Han, Chieh-Chang Chen, Chien-Chuan Chen, Ping-Huei Tseng
    Journal of the Formosan Medical Association.2026;[Epub]     CrossRef
  • A novel risk-scoring system based on endoscopic ultrasound and clinical characteristics for the preoperative diagnosis of small gastric gastrointestinal stromal tumors
    Luojie Liu, Yunfu Feng, Sijie Zheng, Bin He, Chao Ma, Zhibing Wang, Xiaodan Xu, Jian Chen, Ying Shi
    Scientific Reports.2026;[Epub]     CrossRef
  • Development and validation of an endoscopic ultrasound-based nomogram for differentiating small gastric stromal tumours from non-gastric stroma tumours
    Weijia Dou, Junjie Li, Lei Shang, Chun Song, Haoying Wang, Jing Ma, Jun Wang, Yan Wang, Zhenxiong Liu
    Surgical Endoscopy.2026; 40(5): 4222.     CrossRef
  • Long-term prognosis and risk factor-based surveillance strategy for patients with small gastric subepithelial lesion using endoscopic ultrasonography
    Jong Sun Park, Ji Hyun Park, Bumhee Park, Jong Hoon Park, Sun Gyo Lim, Sung Jae Shin, Kee Myung Lee, Sung Soo Ahn, Choong-Kyun Noh, Gil Ho Lee
    Endoscopic Ultrasound.2026; 15(1): 62.     CrossRef
  • The clinical value of endoscopic ultrasonography combined with endoscopic treatment for upper gastrointestinal lifting lesions
    Huanhuan Guo, Bo Peng, Zhang’e Xiong, Ziyin Li
    Frontiers in Medicine.2026;[Epub]     CrossRef
  • Uncovering the associative mediation pathway from EUS features to malignancy through pathological mediators in gastrointestinal stromal tumor
    Shaoyan Xia, Yutong Sun, Qianqian Chen, Jichao Pang, Jiafeng Wang, Wanting Li, Yaoqian Yuan, Enqiang Linghu
    Frontiers in Medicine.2026;[Epub]     CrossRef
  • Advancements in endoscopic resection of subepithelial tumors: toward safer, recurrence-free techniques
    Won Shik Kim, Moon Kyung Joo
    Clinical Endoscopy.2025; 58(2): 256.     CrossRef
  • Diagnostic accuracy and influencing factors of microprobe endoscopic ultrasound for gastrointestinal subepithelial lesions: a multicenter retrospective study
    Jiao Li, Yongfeng Yan, Dandan Jiang, Xiaoxiang Wang, Li Wang, Li Liu, Tao Shu, Zhengkui Zhou, Xiaobin Sun
    BMC Gastroenterology.2025;[Epub]     CrossRef
  • Diagnosis model for gastric submucosal tumor based on multiple decision trees comprising endoscopic and endoscopic ultrasonography features
    Shen Su, Shun-Yao Wu, Yun-He Tang, Lin-Lin Ren, Fan Yin, Yu-Shuang Xu, Xiao-Yu Li, Hua Liu, Shao-Hua Zhang, Xing-Lin Zhang, Zi-Bin Tian, Tao Mao
    BMC Gastroenterology.2025;[Epub]     CrossRef
  • Results of the interim analysis of a prospective, multicenter, observational study of small subepithelial lesions in the stomach
    Masaya Iwamuro, Toshiharu Mitsuhashi, Tomoki Inaba, Kazuhiro Matsueda, Teruya Nagahara, Yoji Takeuchi, Hisashi Doyama, Masakatsu Mizuno, Tomoyuki Yada, Yoshinari Kawai, Jun Nakamura, Minoru Matsubara, Hiroko Nebiki, Keiko Niimi, Tatsuya Toyokawa, Ryuta Ta
    Digestive Endoscopy.2024; 36(3): 323.     CrossRef
  • Diagnostic Endoscopic Ultrasound (EUS) of the Luminal Gastrointestinal Tract
    Giovanna Impellizzeri, Giulio Donato, Claudio De Angelis, Nico Pagano
    Diagnostics.2024; 14(10): 996.     CrossRef
  • Differential diagnosis of gastrointestinal stromal tumors versus leiomyomas by special stains
    Shiwei Zhang, Pan Qin, Hongliang Ji
    BMC Gastroenterology.2024;[Epub]     CrossRef
  • Endoscopic Ultrasound Advanced Techniques for Diagnosis of Gastrointestinal Stromal Tumours
    Socrate Pallio, Stefano Francesco Crinò, Marcello Maida, Emanuele Sinagra, Vincenzo Francesco Tripodi, Antonio Facciorusso, Andrew Ofosu, Maria Cristina Conti Bellocchi, Endrit Shahini, Giuseppinella Melita
    Cancers.2023; 15(4): 1285.     CrossRef
  • Endoscopic ultrasound artificial intelligence-assisted for prediction of gastrointestinal stromal tumors diagnosis: A systematic review and meta-analysis
    Rômulo Sérgio Araújo Gomes, Guilherme Henrique Peixoto de Oliveira, Diogo Turiani Hourneaux de Moura, Ana Paula Samy Tanaka Kotinda, Carolina Ogawa Matsubayashi, Bruno Salomão Hirsch, Matheus Oliveira Veras, João Guilherme Ribeiro Jordão Sasso, Roberto Pa
    World Journal of Gastrointestinal Endoscopy.2023; 15(8): 528.     CrossRef
  • Prevalence, natural progression, and clinical practices of upper gastrointestinal subepithelial lesions in Korea: a multicenter study
    Younghee Choe, Yu Kyung Cho, Gwang Ha Kim, Jun-Ho Choi, Eun Soo Kim, Ji Hyun Kim, Eun Kwang Choi, Tae Hyeon Kim, Seong-Hun Kim, Do Hoon Kim
    Clinical Endoscopy.2023; 56(6): 744.     CrossRef
  • Significance of Ultrasound Endoscopy in the Differential Diagnosis of Cardiac Leiomyomas and Gastrointestinal Stromal Tumors
    燊 苏
    Advances in Clinical Medicine.2023; 13(11): 17185.     CrossRef
  • The Diagnosis of Small Gastrointestinal Subepithelial Lesions by Endoscopic Ultrasound-Guided Fine Needle Aspiration and Biopsy
    Masanari Sekine, Takeharu Asano, Hirosato Mashima
    Diagnostics.2022; 12(4): 810.     CrossRef
  • Diagnostic accuracy of endoscopic ultrasound with artificial intelligence for gastrointestinal stromal tumors: A meta‐analysis
    Xiao Hua Ye, Lin Lin Zhao, Lei Wang
    Journal of Digestive Diseases.2022; 23(5-6): 253.     CrossRef
  • 10,290 View
  • 225 Download
  • 17 Web of Science
  • 19 Crossref
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Case Reports
Successful Endoscopic Ultrasound-Guided Treatment of a Spontaneous Rupture of a Hemorrhagic Pancreatic Pseudocyst
Chan Park, Tae Hyeon Kim, Hyung Ku Chon
Clin Endosc 2021;54(5):763-766.   Published online March 3, 2021
DOI: https://doi.org/10.5946/ce.2020.279
AbstractAbstract PDF
Spontaneous rupture of a hemorrhagic pancreatic pseudocyst may be life-threatening. Endoscopic ultrasound (EUS)-guided drainage has been reported to be a valuable treatment option for pancreatic pseudocysts. However, its usefulness in the management of a ruptured pancreatic pseudocyst is limited. We report a rare case of a spontaneous rupture of a hemorrhagic pancreatic pseudocyst in a patient with chronic pancreatitis, which was successfully treated with EUS-guided gastrocystostomy with a fully covered self-expandable metallic stent.

Citations

Citations to this article as recorded by  
  • Spontaneous Hemorrhagic Rupture of a Pancreatic Mucinous Cystic Neoplasm: A Case Report and Literature Review of Cystic Pancreatic Lesions Presenting with Bleeding or Rupture
    Ji Yeong Kim, Byoung Je Kim, Mu Sook Lee, Jung Hee Hong, Jae Hyuck Yi, Mi Jeong Kim, Hye Won Lee
    Journal of the Korean Society of Radiology.2026; 87(3): 592.     CrossRef
  • Perforation of pancreatic pseudocyst diagnosed with endoscopy and treated with percutaneous drainage
    Mako Koseki, Yusuke Hashimoto
    DEN Open.2024;[Epub]     CrossRef
  • Spontaneous rupture of an infected pseudocyst of the pancreas
    Mohamed Fadhel Chtourou, Hazem Beji, Slim Zribi, Yassine Kallel, Mahdi Bouassida, Hassen Touinsi
    International Journal of Surgery Case Reports.2023;[Epub]     CrossRef
  • A ruptured pancreatic pseudocyst causes acute peritonitis with clinical characteristics of a gastrointestinal tract perforation
    Tran Que Son, Tran Hieu Hoc, Tran Thu Huong, Ngo Quang Dinh, Pham Van Tuyen
    Journal of Surgical Case Reports.2022;[Epub]     CrossRef
  • 7,556 View
  • 122 Download
  • 5 Web of Science
  • 4 Crossref
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Minimally Invasive Approach Using Digital Single-Operator Peroral Cholangioscopy-Guided Electrohydraulic Lithotripsy and Endoscopic Nasogallbladder Drainage for the Management of High-Grade Mirizzi Syndrome
Hyung Ku Chon, Chan Park, Tae Hyeon Kim
Clin Endosc 2021;54(6):930-934.   Published online February 18, 2021
DOI: https://doi.org/10.5946/ce.2021.015
AbstractAbstract PDF
Mirizzi syndrome is a rare complication of gallbladder disease that can be difficult to treat. In particular, endoscopic treatment often fails because of the inability to access or to capture the impacted cystic duct stone. We report a case of Mirizzi syndrome grade III that was successfully managed by digital single-operator peroral cholangioscopy-guided electrohydraulic lithotripsy with endoscopic nasogallbladder drainage and interval laparoscopic cholecystectomy. Based on our experience, digital single-operator peroral cholangioscopy-guided electrohydraulic lithotripsy with endoscopic nasogallbladder drainage is a feasible minimally invasive approach for the management of high-grade Mirizzi syndrome.

Citations

Citations to this article as recorded by  
  • Difficult Biliary Stones: A Comprehensive Review of New and Old Lithotripsy Techniques
    Edoardo Troncone, Michelangela Mossa, Pasquale De Vico, Giovanni Monteleone, Giovanna Del Vecchio Blanco
    Medicina.2022; 58(1): 120.     CrossRef
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    Rishi Pawa, Robert Dorrell, Swati Pawa
    Endoscopy International Open.2022; 10(01): E135.     CrossRef
  • Mirizzi Syndrome Type IV Successfully Treated with Peroral Single-operator Cholangioscopy-guided Electrohydraulic Lithotripsy: A Case Report with Literature Review
    Hirokazu Kawai, Toshifumi Sato, Masaaki Natsui, Kotaro Watanabe, Ryosuke Inoue, Mayuki Kimura, Kazumi Yoko, Syun-ya Sasaki, Masashi Watanabe, Taku Ohashi, Akihiro Tsukahara, Norio Tanaka, Yoshihisa Tsukada
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    F. M. Pavuk
    Klinicheskaia khirurgiia.2021; 88(1-2): 69.     CrossRef
  • A Stone in Remnant Cystic Duct Causing Mirizzi Syndrome Following Laparoscopic Cholecystectomy
    Min Jae Yang, Do Hyun Park
    Clinical Endoscopy.2021; 54(5): 777.     CrossRef
  • 6,998 View
  • 122 Download
  • 5 Web of Science
  • 5 Crossref
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An Unusual Presentation of a Solid Pseudopapillary Tumor of the Pancreas Mimicking Adenocarcinoma
Hyung Ku Chon, Keum Ha Choi, Tae Hyeon Kim
Clin Endosc 2020;53(5):615-619.   Published online November 22, 2019
DOI: https://doi.org/10.5946/ce.2019.158
AbstractAbstract PDF
Solid pseudopapillary tumors of the pancreas are rare and typically occur in young women. Compared with pancreatic adenocarcinoma, solid pseudopapillary tumors are characterized by notable indolent biological behavior associated with a favorable prognosis. Despite their large size, these tumors rarely metastasize. Even in cases of hepatic metastasis, most lesions are usually solitary in distribution and are amenable to resection. We report a case of a 55-year-old man with a small solid pseudopapillary tumor (≤3-cm diameter) mimicking a pancreatic adenocarcinoma, with multiple hepatic metastases. The diagnosis was confirmed by endoscopic ultrasound-guided fine-needle biopsy using a 22-G core needle. Unfortunately, rapid tumor progression led to patient mortality 5 months after diagnosis. To our knowledge, this is the first case report that describes a small solid pseudopapillary tumor of the pancreas with multiple hepatic metastasis and poor prognosis in a patient who was diagnosed with this condition at the time of initial diagnosis.

Citations

Citations to this article as recorded by  
  • Solid pseudopapillary neoplasm of the pancreas in an adolescent: A case report and review of the literature
    Aakriti Sapkota, Rajesh Paudel, Sandip Pandey, Navin Bhatt
    World Journal of Gastrointestinal Oncology.2025;[Epub]     CrossRef
  • Rare case of solid pseudopapillary neoplasm of the pancreas with liver and splenic metastasis in a 19-year-old girl
    Chi-Chi Chen, Ting-Yuan Feng, Hsiang-Chun Jan, Shaw-Jiun Chou, Tzu-Hung Chen, Sheng-Chun Wang
    International Journal of Surgery Case Reports.2024;[Epub]     CrossRef
  • Large Solid Pseudopapillary Tumor Pancreas with Extensive Splenoportal Thrombosis and Malignant Transformation—A Rare Entity
    Thara Pratap, Dhanya Jacob, Abhishek Yadav, Muhammed Jasim Abdul Jalal, Iona Leekha Mathew
    Journal of Gastrointestinal and Abdominal Radiology.2022; 05(03): 196.     CrossRef
  • Aggressive solid pseudopapillary tumor of the pancreas. (Literature review and case report)
    D.V. Sidorov, N.A. Grishin, M.V. Lozhkin, N.N. Volchenko, Kh.S. Kosumova, A.A. Troitskii, I.V. Stepanyuk, S.A. Bykasov, R.I. Moshurov
    Onkologiya. Zhurnal imeni P.A.Gertsena.2022; 11(2): 52.     CrossRef
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Original Article
Endoscopic Ultrasound-Guided Liver Biopsy Using a Core Needle for Hepatic Solid Mass
Hyung Ku Chon, Hee Chan Yang, Keum Ha Choi, Tae Hyeon Kim
Clin Endosc 2019;52(4):340-346.   Published online July 15, 2019
DOI: https://doi.org/10.5946/ce.2018.175
AbstractAbstract PDF
Background
/Aims: This study aimed to evaluate the feasibility and efficacy of endoscopic ultrasound-guided fine needle biopsy (EUSFNB) using a core needle for hepatic solid masses (HSMs). Additionally, the study aimed to assess factors that influence the diagnostic accuracy of EUS-FNB for HSMs.
Methods
A retrospective analysis of patients who underwent EUS-FNB for the pathological diagnosis of HSMs was conducted between January 2013 and July 2017. The procedure had been performed using core needles of different calibers. The assessed variables were mass size, puncture route, needle type, and the number of needle passes.
Results
Fifty-eight patients underwent EUS-FNB for the pathologic evaluation of HSMs with a mean mass size of 21.4±9.2 mm. EUSFNB was performed with either a 20-G (n=14), 22-G (n=29) or a 25-G core needle (n=15). The diagnostic accuracy for this procedure was 89.7%, but both specimen adequacy for histology and available immunohistochemistry stain were 91.4%. The sensitivity and specificity of EUS-FNB were 89.7% and 100%, respectively. There was one case involving bleeding as a complication, which was controlled with endoscopic hemostasis. According to the multivariate analysis, no variable was independently associated with a correct final diagnosis.
Conclusions
EUS-FNB with core biopsy needle is a safe and highly accurate diagnostic option for assessing HSMs. There were no variable factors associated with diagnostic accuracy.

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Commentary
How to Improve the Diagnostic Accuracy of EUS-FNA in Abdominal and Mediastinal Lymphadenopathy?
Tae Hyeon Kim
Clin Endosc 2019;52(2):93-94.   Published online March 27, 2019
DOI: https://doi.org/10.5946/ce.2019.048
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Case Report
Successful Removal of a Large Common Bile Duct Stone by Using Direct Peroral Cholangioscopy and Laser Lithotripsy in a Patient with Severe Kyphosis
Song I Lee, Byung Hun Lim, Won Gak Heo, Young Jun Kim, Tae Hyeon Kim
Clin Endosc 2016;49(4):395-398.   Published online March 22, 2016
DOI: https://doi.org/10.5946/ce.2015.109
AbstractAbstract PDF
A 75-year-old woman with hypertension presented with acute suppurative cholangitis. Chest radiography revealed severe kyphosis. Abdominal computed tomography revealed a large stone impacted in the common bile duct (CBD). The patient underwent emergent endoscopic retrograde cholangiopancreatography, and cholangiography revealed a large stone (7×3 cm) in the CBD that could not be captured using a large basket. We could not use the percutaneous approach for stone fragmentation by using a cholangioscope because of severe degenerative kyphosis. Finally, we performed holmium laser lithotripsy under peroral cholangioscopy by using an ultraslim endoscope, and the large stone in the CBD was successfully fragmented and removed without complications.

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Case Report
Successful Endoscopic Decompression for Intramural Duodenal Hematoma with Gastric Outlet Obstruction Complicating Acute Pancreatitis
Jun Young Lee, Jin Soo Chung, Tae Hyeon Kim
Clin Endosc 2012;45(3):202-204.   Published online August 22, 2012
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AbstractAbstract PDF

Non-traumatic intramural duodenal hematoma (IDH) with duodenal obstruction caused by acute pancreatitis is rare. Most patients with non-extensive hematoma show improvement with non-operative treatments. Percutaneous drainage or surgery may be necessary in cases with suspected malignancy, perforation, or intestinal tract obstruction. We present a case of IDH caused by acute pancreatitis that led to obstruction of the duodenum and an experience of successful endoscopic decompression of the hematoma.

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