Clinical Endoscopy

Case Reports

A Case of Primary Small Bowel Melanoma Diagnosed by Single-Balloon Enteroscopy: Jun Young Shin, In Suh Park, Byoung Wook Bang, Hyung Kil Kim, Yong Woon Shin, Kye Sook Kwon; Clin Endosc 2017;50(4):395-399. Published online June 2, 2017; DOI: https://doi.org/10.5946/ce.2016.153

Although metastasis from cutaneous malignant melanoma to the small intestine is not uncommon, primary small bowel melanoma (SBM) is extremely rare. This case report describes a rare case of primary SBM, diagnosed by single-balloon enteroscopy. A 74-year-old man presented with recurrent melena. Upper endoscopy and colonoscopy were unremarkable. Abdominal computed tomography (CT) revealed an ileal mass with ileo-ileal intussusception. Subsequent single-balloon enteroscopy identified an ileal tumor, which was histologically diagnosed as melanoma. Extensive clinical examination did not reveal any primary cutaneous lesions. To the best of our knowledge, this is the first case of primary SBM in South Korea.

Citations

Citations to this article as recorded by

Primary malignant melanoma of the small bowel: A case report
James R. Marak, Tushant Kumar, Shivam Dwivedi, Shashwat Verma
Radiology Case Reports.2024; 19(3): 1215. CrossRef
Small bowel melanoma causing obstruction: A case report and a literature review
Ammar Mattit, Ibrahim Marrawi, Safouh Kheir, Taha Khamis, Safaa Qatleesh, Muhammad Ali Ousta
International Journal of Surgery Case Reports.2024; 116: 109388. CrossRef
Small Bowel Intussusception Secondary to Malignant Melanoma 11 Years After Melanoma-In-Situ Excision
W. Eric Briscoe, W. Todd Cockerham, Kevin N. Harrell
The American Surgeon™.2023; 89(7): 3275. CrossRef
Primary Small Bowel Melanoma: A Case Report and Review of Literature
Amanda M. Graças, Willy P. Souza, Ana Carolina A. Canut, Maurice Y. Franciss, Bruno Zilberstein
Frontiers in Surgery.2022;[Epub] CrossRef
Primary jejunal amelanotic melanoma: case report and review of literature
Kavya M. Reddy, Tinashe Maduke, Francis Wade, Christine Hachem
Clinical Journal of Gastroenterology.2021; 14(5): 1376. CrossRef
Effect of Double-Balloon Enteroscopy on Diagnosis and Treatment of Small-Bowel Diseases
Li Tang, Liu-Ye Huang, Jun Cui, Cheng-Rong Wu
Chinese Medical Journal.2018; 131(11): 1321. CrossRef

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A Case of Esophageal Fibrovascular Polyp That Induced Asphyxia during Sleep: Jin-Seok Park, Byoung Wook Bang, Junyoung Shin, Kye Sook Kwon, Hyung Gil Kim, Yong Woon Shin, Suk Jin Choi; Clin Endosc 2014;47(1):101-103. Published online January 24, 2014; DOI: https://doi.org/10.5946/ce.2014.47.1.101

Abstract PDF PubReader ePub

Esophageal fibrovascular polyps are rare, benign, submucosal tumors of the upper digestive tract that usually have an indolent course until the lesion attains a very large size. The most frequent complaints associated with these tumors include dysphagia and foreign body sensation. However, a long pedunculated polyp can regurgitate into the pharynx or oral cavity and cause asphyxia and sudden death if the larynx is occluded. We describe the case of a 51-year-old man who experienced snoring and occasional asphyxia during sleep. Upper endoscopy was performed, which indicated the presence of a pedunculated esophageal polyp that regurgitated into the vocal cords. The polyp was removed using a polypectomy snare and was confirmed to be a fibrovascular polyp based on pathologic examination findings. Three months after the excision of the polyp, the patient was found to be doing well without any further occurrence of asphyxia or sleep disturbances.

Citations

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Hybrid laparo-endoscopic access: New approach to surgical treatment for giant fibrovascular polyp of esophagus: A case report and review of literature
Seda Dzhantukhanova, Lyudmila Grigori Avetisyan, Amina Badakhova, Yury Starkov, Andrey Glotov
World Journal of Gastrointestinal Endoscopy.2023; 15(11): 666. CrossRef
Esophageal Lipoma and Liposarcoma: A Systematic Review
Davide Ferrari, Daniele Bernardi, Stefano Siboni, Veronica Lazzari, Emanuele Asti, Luigi Bonavina
World Journal of Surgery.2021; 45(1): 225. CrossRef
Recent developments in gastroesophageal mesenchymal tumours
David J. Papke, Jason L. Hornick
Histopathology.2021; 78(1): 171. CrossRef
Deep Learning-Based Automatic Detection of Rectal Polyps Using Abdominal CT Images Guided by Cold Snare Polypectomy
Haijun Lin, Qi Chen, Caijuan Li, Aifen Zheng, Lei Yang, Jiemin Hong, Hanqing Chen, Xuni He, Wuna Feng, Gustavo Ramirez
Scientific Programming.2021; 2021: 1. CrossRef
Difficult endoscopic resection of a giant esophageal fibrovascular polyp: case report and literature review
Dan Nie, Ye Zong, Jielin Li
Journal of International Medical Research.2021; 49(8): 030006052110398. CrossRef
Endoscopic resection for giant oesophageal fibrovascular polyp
N Acar, T Acar, F Cengiz, B Şuataman, C Tavusbay, M Haciyanli
The Annals of The Royal College of Surgeons of England.2020; 102(4): e89. CrossRef
Well-Differentiated Liposarcoma (Atypical Lipomatous Tumor) Presenting as an Esophageal Polyp
Aoife J. McCarthy, Paul Carroll, Rajkumar Vajpeyi, Gail Darling, Runjan Chetty
Journal of Gastrointestinal Cancer.2019; 50(3): 589. CrossRef
First Characterization with Ultrasound Contrast Agent of a Fibrovascular Polyp Before Its Endoscopic Resection: A Case Report (with Videos)
Nicolas Williet, Radwan Kassir, Francois Casteillo, Violaine Yvorel, Cyril Habougit, Xavier Roblin, Jean-Marc Phelip
Clinical Endoscopy.2019; 52(2): 186. CrossRef
Asphyxia Caused by a Giant Fibrovascular Polyp of the Esophagus
Santiago A. Endara, Gerardo A. Dávalos, Ramiro J. Yepez, Diego F. Luna, Fabián B. Corral, Gabriel A. Molina, W. Javier Cisneros
ACG Case Reports Journal.2019; 6(7): e00126. CrossRef
Polypoid fibroadipose tumors of the esophagus: ‘giant fibrovascular polyp’ or liposarcoma? A clinicopathological and molecular cytogenetic study of 13 cases
Rondell P Graham, Saba Yasir, Karen J Fritchie, Michelle D Reid, Patricia T Greipp, Andrew L Folpe
Modern Pathology.2018; 31(2): 337. CrossRef
Presentation and Management of Giant Fibrovascular Polyps of the Hypopharynx and Esophagus
Julina Ongkasuwan, C. Lane Anzalone, Esperanza Salazar, Donald T. Donovan
Annals of Otology, Rhinology & Laryngology.2017; 126(1): 29. CrossRef
Giant Esophageal Fibrovascular Polyp: A Rare Cause of Dysphagia
Joseph Cano, Clark Hair, Robert Jay Sealock
Clinical Gastroenterology and Hepatology.2017; 15(5): e93. CrossRef
Gastroscopic removal of a giant fibrovascular polyp from the esophagus
Jie Li, Hua Yu, Renfu Pu, Zhongsheng Lu
Thoracic Cancer.2016; 7(3): 363. CrossRef
A Case of Giant Fibrovascular Polyp of the Esophagus, Treated Successfully by Endoscopic Resection
Jong Wook Lee, Gwang Ha Kim, Joong Keun Kim, Chul Hong Park, Byeong Gu Song, Dong Hun Shin, Dong Woo Ha, Geun Am Song
The Korean Journal of Gastroenterology.2016; 67(5): 253. CrossRef
Highlights from the 50th Seminar of the Korean Society of Gastrointestinal Endoscopy
Eun Young Kim, Il Ju Choi, Kwang An Kwon, Ji Kon Ryu, Seok Ho Dong, Ki Baik Hahm
Clinical Endoscopy.2014; 47(4): 285. CrossRef

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18 Web of Science
15 Crossref

Original Article

Peroral Endoscopic Myotomy for Treating Achalasia in an Animal Model: A Feasibility Study: Byoung Wook Bang, Young Chul Choi, Hyung Gil Kim, Kye Sook Kwon, Yong Woon Shin, Don Haeng Lee, Joon Mee Kim; Clin Endosc 2013;46(1):54-58. Published online January 31, 2013; DOI: https://doi.org/10.5946/ce.2013.46.1.54

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Background/Aims

Laparoscopic Heller myotomy with antireflux procedure is considered to be a standard treatment for achalasia. Recently, peroral endoscopic myotomy (POEM) was developed and performed on patients with achalasia. However, there is no report on POEM use in South Korea. The aim of this study was to evaluate the technical feasibility of POEM in a porcine model.

Methods

POEM was performed on two mini pigs. We performed upper endoscopy under general anesthesia. A submucosal tunnel was created and the circular muscle layer was incised using several knives. The mucosal entry was closed using resolution clips. We performed a follow-up endoscopy and sacrificed the pigs 2 weeks after the POEM. The myotomy site was evaluated grossly and histologically.

Results

POEM was successfully performed on the two mini pigs. No injuries to any abdominal or mediastinal structures occurred. Two weeks after the POEM, the esophageal mucosa healed without any endoscopic evidence of complications. Necropsy revealed that the circular muscle layer was completely lost and replaced with fibrotic tissue.

Conclusions

We found that POEM is a technically feasible method which can be performed on an animal model. However, to ensure safe use on patients with achalasia, further studies on technical methods and long-term follow-up examinations are required.

Citations

Citations to this article as recorded by

Pilot prospective study on formal training in per-oral endoscopic myotomy (POEM) during advanced endoscopy fellowship
Salmaan Jawaid, Peter V. Draganov, Hiroyuki Aihara, Mouen A. Khashab, Dennis Yang
Endoscopy International Open.2021; 09(12): E1890. CrossRef
Miotomía endoscópica peroral, experiencia in vivo : imprescindible para desarrollo de la técnica en humanos
A. Peñaloza-Ramírez, J. Suárez-Correa, J. Báez-Blanco, C. Sabogal-Gómez, H. Kuan-Casas, C. Sánchez-Pignalosa, P. Aponte-Ordóñez
Revista de Gastroenterología de México.2018; 83(2): 86. CrossRef
In vivo experience with peroral endoscopic myotomy: An essential activity for developing the technique in humans
A. Peñaloza-Ramírez, J. Suárez-Correa, J. Báez-Blanco, C. Sabogal-Gómez, H. Kuan-Casas, C. Sánchez-Pignalosa, P. Aponte-Ordóñez
Revista de Gastroenterología de México (English Edition).2018; 83(2): 86. CrossRef
Factors predicting the technical difficulty of peroral endoscopic myotomy for achalasia
Xiaowei Tang, Yutang Ren, Zhengjie Wei, Jieqiong Zhou, Zhiliang Deng, Zhenyu Chen, Bo Jiang, Wei Gong
Surgical Endoscopy.2016; 30(9): 3774. CrossRef
Peroral endoscopic myotomy for treatment of achalasia in children and adolescents
Chenjie Li, Yuyong Tan, Xuehong Wang, Deliang Liu
Journal of Pediatric Surgery.2015; 50(1): 201. CrossRef
The Ideal Experimental Training Session for Minimally Invasive Endoluminal Techniques
Sakai P
Gastroenterology & Hepatology: Open Access.2015;[Epub] CrossRef
International Digestive Endoscopy Network 2014: Turnpike to the Future
Eun Young Kim, Kwang An Kwon, Il Ju Choi, Ji Kon Ryu, Ki Baik Hahm
Clinical Endoscopy.2014; 47(5): 371. CrossRef
Training for peroral endoscopic myotomy
Daniel von Renteln, Melina C. Vassiliou, Thomas Rösch
Techniques in Gastrointestinal Endoscopy.2013; 15(3): 153. CrossRef
Peroral Endoscopic Myotomy for the Treatment of Achalasia: An Analysis
Dennis Yang, Mihir S. Wagh
Diagnostic and Therapeutic Endoscopy.2013; 2013: 1. CrossRef
Peroral Endoscopic Myotomy in a Porcine Model: A Step to Achalasia Patients
Su Jin Hong
Clinical Endoscopy.2013; 46(1): 1. CrossRef

6,486 View
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10 Crossref

Case Report

Two Cases of Ileal Dieulafoy Lesion with Massive Hematochezia Treated by Single Balloon Enteroscopy: Young Chul Choi, Sang Hyun Park, Byoung Wook Bang, Kye Sook Kwon, Hyung Gil Kim, Yong Woon Shin; Clin Endosc 2012;45(4):440-443. Published online November 30, 2012; DOI: https://doi.org/10.5946/ce.2012.45.4.440

Abstract PDF PubReader ePub

Ileal Dieulafoy lesion is an unusual vascular abnormality that can cause gastrointestinal bleeding. It can be associated with massive, life-threatening hemorrhage and requires urgent angiographic intervention or surgery. Ileal Dieulafoy lesion is hard to recognize due to inaccessibility and normal-appearing mucosa. With advances in endoscopy, aggressive diagnostic and therapeutic approaches including enteroscopy have recently been performed for small bowel bleeding. We report two cases of massive ileal Dieulafoy lesion bleeding diagnosed and treated successfully by single balloon enteroscopy with a review of the literature.

Citations

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A diagnostic dilemma: a case report of concomitant duodenal Dieulafoy lesion and gastric ulcer
Lauren Wallace, Peter J Gallagher
Journal of Surgical Case Reports.2024;[Epub] CrossRef
Stitch in time saves nine
Aisha Rummaan, Irene Lee, Deepa Rattehalli, Prajesh Kumar, Sauid Ishaq
Frontline Gastroenterology.2023; 14(3): 265. CrossRef
Ileal Dieulafoy Lesion: a rare case report
Aleena Jain, Manjusha Karegar, Amita Joshi, Amey Rojekar
Surgical and Experimental Pathology.2018;[Epub] CrossRef
The Role of Emergency Endoscopy in Small Bowel Bleeding: A Review
Enrique Pérez-Cuadrado-Robles, Enrique Pérez-Cuadrado-Martínez
GE Portuguese Journal of Gastroenterology.2016; 23(2): 84. CrossRef
An Unusual Cause of Torrential Lower Gastrointestinal Hemorrhage
Terence C. Chua, Anthony J. Gill, Jaswinder S. Samra
Gastroenterology.2015; 148(5): e10. CrossRef

8,153 View
41 Download
5 Crossref

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