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5 "Yang Won Min"
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Original Article
Clinical Outcomes and Adverse Events of Gastric Endoscopic Submucosal Dissection of the Mid to Upper Stomach under General Anesthesia and Monitored Anesthetic Care
Jong-In Chang, Tae Jun Kim, Na Young Hwang, Insuk Sohn, Yang Won Min, Hyuk Lee, Byung-Hoon Min, Jun Haeng Lee, Poong-Lyul Rhee, Jae J Kim
Clin Endosc 2022;55(1):77-85.   Published online July 5, 2021
DOI: https://doi.org/10.5946/ce.2021.002
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background
/Aims: Endoscopic submucosal dissection (ESD) of gastric tumors in the mid-to-upper stomach is a technically challenging procedure. This study compared the therapeutic outcomes and adverse events of ESD of tumors in the mid-to-upper stomach performed under general anesthesia (GA) or monitored anesthesia care (MAC).
Methods
Between 2012 and 2018, 674 patients underwent ESD for gastric tumors in the midbody, high body, fundus, or cardia (100 patients received GA; 574 received MAC). The outcomes of the propensity score (PS)-matched (1:1) patients receiving either GA or MAC were analyzed.
Results
The PS matching identified 94 patients who received GA and 94 patients who received MAC. Both groups showed high rates of en bloc resection (GA, 95.7%; MAC, 97.9%; p=0.68) and complete resection (GA, 81.9%; MAC, 84.0%; p=0.14). There were no significant differences between the rates of adverse events (GA, 16.0%; MAC, 8.5%; p=0.18) in the anesthetic groups. Logistic regression analysis indicated that the method of anesthesia did not affect the rates of complete resection or adverse events.
Conclusions
ESD of tumors in the mid-to-upper stomach at our high-volume center had good outcomes, regardless of the method of anesthesia. Our results demonstrate no differences between the efficacies and safety of ESD performed under MAC and GA.

Citations

Citations to this article as recorded by  
  • General Anesthesia and Endoscopic Upper Gastrointestinal Tumor Resection
    Seung Hyun Kim
    Journal of Digestive Cancer Research.2023; 11(3): 125.     CrossRef
  • Is General Anesthesia Needed in Endoscopic Submucosal Dissection for Lesions Located in the Mid to Upper Stomach?
    Prasit Mahawongkajit, Jirawat Swangsri
    Clinical Endoscopy.2022; 55(1): 43.     CrossRef
  • Therapeutic approach to non-curative resection after endoscopic treatment in early gastric cancer
    Eun Jeong Gong, Chang Seok Bang
    Journal of the Korean Medical Association.2022; 65(5): 284.     CrossRef
  • Paneth Cell Carcinoma of the Stomach
    Jun Wan Kim, Gwang Ha Kim, Kyung Bin Kim
    The Korean Journal of Gastroenterology.2022; 80(1): 34.     CrossRef
  • Comparing Different Anesthesia Methods on Anesthetic Effect and Postoperative Pain in Patients with Early Gastric Cancer during Endoscopic Submucosal Dissection
    Jie Zhang, Yanlei Chen, Zhiwu Liu, Zhihao Pan, Jinghua Pan
    Journal of Oncology.2022; 2022: 1.     CrossRef
  • 3,730 View
  • 174 Download
  • 5 Web of Science
  • 5 Crossref
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Focused Review Series: Cutting Edge of Advanced Therapeutic Endoscopy
Peroral Endoscopic Myotomy for Esophageal Motility Disorders
Jun Young Kim, Yang Won Min
Clin Endosc 2020;53(6):638-645.   Published online November 20, 2020
DOI: https://doi.org/10.5946/ce.2020.223
AbstractAbstract PDFPubReaderePub
Peroral endoscopic myotomy (POEM) is one of the most clinically successful tunnel-based minimally invasive endoscopic treatments. The classic indications of POEM include achalasia of all types, including failed prior treatments, and expanded indications include the non-achalasia esophageal motility disorders, such as esophagogastric junction outflow obstruction, diffuse esophageal spasm, and jackhammer esophagus. For achalasia treatment, POEM has achieved a comparable surgical efficacy and a safety outcome and, therefore, has emerged as a first-line treatment. For non-achalasia esophageal motility disorders, POEM has also shown high clinical response rates. The complication rate of POEM for esophageal motility disorders is low and most complications are managed with conservative treatment. Currently, POEM is a representative procedure of natural orifice transluminal endoscopic surgery, which has shown a good clinical efficacy with low complication rates for esophageal motility disorders including achalasia. However, further studies are needed to treat non-achalasia motility disorder via POEM.

Citations

Citations to this article as recorded by  
  • Diffuse Esophageal Spasm: An Alternative Treatment Approach
    McKenzie K Allen , Wayne Frei
    Cureus.2024;[Epub]     CrossRef
  • Clinical and financial outcomes of per-oral endoscopic myotomy compared to laparoscopic heller myotomy for treatment of achalasia
    Lena Shally, Kashif Saeed, Derek Berglund, Mark Dudash, Katie Frank, Vladan N. Obradovic, Anthony T. Petrick, David L. Diehl, Jon D. Gabrielsen, David M. Parker
    Surgical Endoscopy.2023; 37(7): 5526.     CrossRef
  • Benefit of extending the protocol for high resolution manometry according to the version 4.0 of the Chicago criteria. A multicenter study
    Luis G. Alcalá‐González, Alberto Ezquerra‐Duran, Ariadna Aguilar, Claudia Barber, Elizabeth Barba, Isis K. Araujo, Ingrid Marin, Juan Naves, Jordi Serra
    Neurogastroenterology & Motility.2023;[Epub]     CrossRef
  • Role of Endoscopy in Motility Disorders of Upper Gastrointestinal Tract
    Jin Hee Noh, Hwoon-Yong Jung
    Journal of Neurogastroenterology and Motility.2023; 29(1): 7.     CrossRef
  • Surveillance Endoscopy After Foregut Surgery: Is It Necessary?
    Yahya Alwatari, Daniel Scheese, Graham Gardner, Vignesh Vudatha, Walker Julliard, Carlos Puig Gilbert, Rachit D. Shah
    Foregut: The Journal of the American Foregut Society.2023; 3(1): 89.     CrossRef
  • Per oral endoscopic myotomy for achalasia: A Taiwanese single‐center experience
    Yu‐Chi Lee, Wei‐Chen Tai, Keng‐Liang Wu, Chih‐Chien Yao, Seng‐Kee Chuah
    Advances in Digestive Medicine.2022; 9(4): 241.     CrossRef
  • Pediatric anesthesia and achalasia: 10 years’ experience in peroral endoscopy myotomy management
    Fabio Sbaraglia, Pietro Familiari, Federica Maiellare, Marco Mecarello, Annamaria Scarano, Demetrio Del Prete, Rosa Lamacchia, Federica Antonicelli, Marco Rossi
    Journal of Anesthesia, Analgesia and Critical Care.2022;[Epub]     CrossRef
  • A rare complication: Tension pneumothorax after peroral endoscopic myotomy
    Seokin Kang, Yuri Kim, Do Hoon Kim
    International Journal of Gastrointestinal Intervention.2022; 11(3): 139.     CrossRef
  • Endoscopic Management of Dysphagia
    Min Ji Kim, Yang Won Min
    The Korean Journal of Gastroenterology.2021; 77(2): 77.     CrossRef
  • An update on endoscopic treatment for achalasia: From per oral endoscopic myotomy to endolumenal functional lumen imaging probe
    Wei‐Chen Tai, Keng‐Liang Wu, Seng‐Kee Chuah
    Advances in Digestive Medicine.2021; 8(1): 8.     CrossRef
  • 4,471 View
  • 136 Download
  • 10 Web of Science
  • 10 Crossref
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Reviews
Clinical Practice Guideline for Endoscopic Resection of Early Gastrointestinal Cancer
Chan Hyuk Park, Dong-Hoon Yang, Jong Wook Kim, Jie-Hyun Kim, Ji Hyun Kim, Yang Won Min, Si Hyung Lee, Jung Ho Bae, Hyunsoo Chung, Kee Don Choi, Jun Chul Park, Hyuk Lee, Min-Seob Kwak, Bun Kim, Hyun Jung Lee, Hye Seung Lee, Miyoung Choi, Dong-Ah Park, Jong Yeul Lee, Jeong-Sik Byeon, Chan Guk Park, Joo Young Cho, Soo Teik Lee, Hoon Jai Chun
Clin Endosc 2020;53(2):142-166.   Published online March 30, 2020
DOI: https://doi.org/10.5946/ce.2020.032
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Although surgery was the standard treatment for early gastrointestinal cancers, endoscopic resection is now a standard treatment for early gastrointestinal cancers without regional lymph node metastasis. High-definition white light endoscopy, chromoendoscopy, and image-enhanced endoscopy such as narrow band imaging are performed to assess the edge and depth of early gastrointestinal cancers for delineation of resection boundaries and prediction of the possibility of lymph node metastasis before the decision of endoscopic resection. Endoscopic mucosal resection and/or endoscopic submucosal dissection can be performed to remove early gastrointestinal cancers completely by en bloc fashion. Histopathological evaluation should be carefully made to investigate the presence of risk factors for lymph node metastasis such as depth of cancer invasion and lymphovascular invasion. Additional treatment such as radical surgery with regional lymphadenectomy should be considered if the endoscopically resected specimen shows risk factors for lymph node metastasis. This is the first Korean clinical practice guideline for endoscopic resection of early gastrointestinal cancer. This guideline was developed by using mainly de novo methods and encompasses endoscopic management of superficial esophageal squamous cell carcinoma, early gastric cancer, and early colorectal cancer. This guideline will be revised as new data on early gastrointestinal cancer are collected.

Citations

Citations to this article as recorded by  
  • Helicobacter pylori Treatment and Gastric Cancer Risk After Endoscopic Resection of Dysplasia: A Nationwide Cohort Study
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    Best Practice & Research Clinical Gastroenterology.2024; 68: 101895.     CrossRef
  • Tumor size discrepancy between endoscopic and pathological evaluations in colorectal endoscopic submucosal dissection
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    World Journal of Gastrointestinal Endoscopy.2024; 16(3): 136.     CrossRef
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    Hong Tao Lin, Ahmed Abdelbaki, Somashekar G Krishna
    World Journal of Gastroenterology.2024; 30(10): 1291.     CrossRef
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    Ilker Ozgur, Fevzi Cengiz
    Seminars in Colon and Rectal Surgery.2024; 35(2): 101023.     CrossRef
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    Hossein Arabi, Abdollah Saberi Manesh, Habib Zaidi
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    Sho Kiritani, Junichi Arita, Yuichiro Mihara, Rihito Nagata, Akihiko Ichida, Yoshikuni Kawaguchi, Takeaki Ishizawa, Nobuhisa Akamatsu, Junichi Kaneko, Kiyoshi Hasegawa
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    Jun-Hyung Cho, So-Young Jin, Suyeon Park
    Surgical Endoscopy.2023; 37(4): 2969.     CrossRef
  • Endoscopic submucosal dissection for superficial esophageal squamous cell carcinoma: long-term follow-up in a Western center
    Andreas Probst, Alanna Ebigbo, Stefan Eser, Carola Fleischmann, Tina Schaller, Bruno Märkl, Stefan Schiele, Bernd Geissler, Gernot Müller, Helmut Messmann
    Clinical Endoscopy.2023; 56(1): 55.     CrossRef
  • A Randomized Controlled Trial of Fibrin Glue to Prevent Bleeding After Gastric Endoscopic Submucosal Dissection
    Hyun Deok Lee, Eunwoo Lee, Sang Gyun Kim, Cheol Min Shin, Jun Chul Park, Kee Don Choi, Seokyung Hahn, Soo-Jeong Cho
    American Journal of Gastroenterology.2023; 118(5): 892.     CrossRef
  • Endoscopic Resection of Undifferentiated Early Gastric Cancer
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    Journal of Gastric Cancer.2023; 23(1): 146.     CrossRef
  • Pre-procedure oral administration of pronase improves efficacy of lugol chromoendoscopy in esophageal squamous cell carcinoma screening: a prospective, double-blinded, randomized, controlled trial
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    Surgical Endoscopy.2023; 37(6): 4421.     CrossRef
  • Endoscopic advances in the management of gastric cancer and premalignant gastric conditions
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    World Journal of Gastrointestinal Endoscopy.2023; 15(3): 114.     CrossRef
  • Comparative Cost Analysis Between Endoscopic Resection and Surgery for Submucosal Colorectal Cancer
    Soo Min Noh, Sung Wook Hwang, Sang Hyoung Park, Dong-Hoon Yang, Byong Duk Ye, In Ja Park, Seok-Byung Lim, Jeong-Sik Byeon
    Diseases of the Colon & Rectum.2023; 66(5): 723.     CrossRef
  • Descriptive Analysis of Gastric Cancer Mortality in Korea, 2000-2020
    Tung Hoang, Hyeongtaek Woo, Sooyoung Cho, Jeeyoo Lee, Sayada Zartasha Kazmi, Aesun Shin
    Cancer Research and Treatment.2023; 55(2): 603.     CrossRef
  • Endoscopically injectable and self‐crosslinkable hydrogel‐mediated stem cell transplantation for alleviating esophageal stricture after endoscopic submucosal dissection
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    Bioengineering & Translational Medicine.2023;[Epub]     CrossRef
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    Scientific Reports.2023;[Epub]     CrossRef
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  • Endoscopic resection for local residual or recurrent cancer after definitive chemoradiotherapy or radiotherapy for esophageal squamous cell carcinoma
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    Gwang Ha Kim
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2023; 23(2): 89.     CrossRef
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    The Korean Journal of Gastroenterology.2023; 81(6): 259.     CrossRef
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  • Outcomes of the Conventional versus Pocket-Creation Method for Endoscopic Submucosal Dissection of Gastric Body Tumors Using a Dual Knife: A Retrospective Study
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    Gut and Liver.2023; 17(4): 547.     CrossRef
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  • Diagnostic Performance of Endoscopic Ultrasonography with Water-Filled Balloon Method for Superficial Esophageal Squamous Cell Carcinoma
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    Jung-Wook Kim, Albert C. Kim
    Gut and Liver.2023; 17(5): 665.     CrossRef
  • Comparing endoscopic mucosal resection with endoscopic submucosal dissection in colorectal adenoma and tumors: Meta-analysis and system review
    Nian Wang, Lei Shu, Song Liu, Lin Yang, Tao Bai, Zhaohong Shi, Xinghuang Liu, Paolo Aurello
    PLOS ONE.2023; 18(9): e0291916.     CrossRef
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    Seung Min Baik, Ryung-Ah Lee
    Annals of Surgical Treatment and Research.2023; 105(5): 245.     CrossRef
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    Journal of the Korean Medical Association.2023; 66(11): 642.     CrossRef
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    World Journal of Gastroenterology.2023; 29(43): 5800.     CrossRef
  • A Retrospective Multicenter Study of Risk Factors, Stratification, and Prognosis of Lymph Node Metastasis in T1 and T2 Colorectal Cancer
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    Journal of Clinical Medicine.2023; 12(24): 7744.     CrossRef
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    Zhixiang Xu, Jing Zhuang, Xin Zhu, Jun Yao
    Medicine.2023; 102(50): e36438.     CrossRef
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    Anesthesia & Analgesia.2022; 134(1): 114.     CrossRef
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    Journal of Digestive Diseases.2022; 23(4): 220.     CrossRef
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    Eun Jeong Gong, Chang Seok Bang
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    Ji Yong Ahn
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    Dong Chan Joo, Gwang Ha Kim
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    Young-Il Kim, Il Ju Choi
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    Szabolcs Ábrahám, Illés Tóth, Dániel Váczi, György Lázár
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  • Utility of a deep learning model and a clinical model for predicting bleeding after endoscopic submucosal dissection in patients with early gastric cancer
    Ji Eun Na, Yeong Chan Lee, Tae Jun Kim, Hyuk Lee, Hong-Hee Won, Yang Won Min, Byung-Hoon Min, Jun Haeng Lee, Poong-Lyul Rhee, Jae J Kim
    World Journal of Gastroenterology.2022; 28(24): 2721.     CrossRef
  • Rare primary rectal mucosa-associated lymphoid tissue lymphoma with curative resection by endoscopic submucosal dissection: A case report and review of literature
    Yan Tao, Qiong Nan, Zi Lei, Ying-Lei Miao, Jun-Kun Niu
    World Journal of Clinical Cases.2022; 10(21): 7599.     CrossRef
  • Prevention of stricture after endoscopic submucosal dissection for esophageal cancer: intralesional steroid infusion using a spray tube
    Jong Yeul Lee
    Clinical Endoscopy.2022; 55(4): 516.     CrossRef
  • Paneth Cell Carcinoma of the Stomach
    Jun Wan Kim, Gwang Ha Kim, Kyung Bin Kim
    The Korean Journal of Gastroenterology.2022; 80(1): 34.     CrossRef
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    BMC Cancer.2022;[Epub]     CrossRef
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    Gyung Mo Son, Su Bum Park, Tae Un Kim, Byung-Soo Park, In Young Lee, Joo-Young Na, Dong Hoon Shin, Sang Bo Oh, Sung Hwan Cho, Hyun Sung Kim, Hyung Wook Kim
    Journal of the Anus, Rectum and Colon.2022; 6(4): 203.     CrossRef
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    Journal of Gastric Cancer.2022; 22(4): 339.     CrossRef
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    Myeongsoon Park, Jin Wook Lee, Dong Woo Shin, Jungseok Kim, Yoo Jin Lee, Ju Yup Lee, Kwang Bum Cho
    Clinical Endoscopy.2022; 55(6): 767.     CrossRef
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Quality Indicators for Small Bowel Capsule Endoscopy
Ki-Nam Shim, Seong Ran Jeon, Hyun Joo Jang, Jinsu Kim, Yun Jeong Lim, Kyeong Ok Kim, Hyun Joo Song, Hyun Seok Lee, Jae Jun Park, Ji Hyun Kim, Jaeyoung Chun, Soo Jung Park, Dong-Hoon Yang, Yang Won Min, Bora Keum, Bo-In Lee, Korean Gut Image Study Group
Clin Endosc 2017;50(2):148-160.   Published online March 30, 2017
DOI: https://doi.org/10.5946/ce.2017.030
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Capsule endoscopy (CE) enables evaluation of the entire mucosal surface of the small bowel (SB), which is one of the most important steps for evaluating obscure gastrointestinal bleeding. Although the diagnostic yield of SB CE depends on many clinical factors, there are no reports on quality indicators. Thus, the Korean Gut Image Study Group (KGISG) publishes an article titled, “Quality Indicators for Small Bowel Capsule Endoscopy” under approval from the Korean Society of Gastrointestinal Endoscopy (KSGE). Herein, we initially identified process quality indicators, while the structural and outcome indicators are reserved until sufficient clinical data are accumulated. We believe that outcomes of SB CE can be improved by trying to meet our proposed quality indicators.

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Focused Review Series: Current Issues and Future Directions of Small Bowel Endoscopic Evaluation
The Role of Capsule Endoscopy in Patients with Obscure Gastrointestinal Bleeding
Yang Won Min, Dong Kyung Chang
Clin Endosc 2016;49(1):16-20.   Published online January 28, 2016
DOI: https://doi.org/10.5946/ce.2016.49.1.16
AbstractAbstract PDFPubReaderePub
Obscure gastrointestinal bleeding (OGIB) accounts for 5% of all gastrointestinal (GI) bleeding cases and is often caused by small bowel lesions. Capsule endoscopy (CE), which allows non-invasive visualization of the small bowel mucosa, has revolutionized the evaluation of OGIB. CE is preferred by both patients and physicians mainly because of its non-invasiveness, and is widely used as the first-line diagnostic modality for OGIB. The diagnostic yield of CE in OGIB has been reported to be in the range of 32% to 83%. Although no direct comparison has been made, a meta-analysis showed similar diagnostic yields between CE and double-balloon enteroscopy (DBE) for OGIB. However, CE could enhance the yield of subsequent DBE and serve as a guide for optimizing the insertion route for DBE. Even after negative CE, selected patients could benefit from second-look CE for OGIB. In terms of outcomes, a favorable clinical impact after CE has been reported in several studies. However, observations indicate that CE might not influence clinical outcomes directly, but rather play a role in selecting patients with OGIB who are likely to benefit from subsequent evaluation and intervention.

Citations

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