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Patient Monitoring and Associated Devices during Endoscopic Sedation.

Sung Hoon MOON ; Hyung Keun KIM ; Dae Seong MYUNG ; Soon Man YOON ; Won MOON

The Korean Journal of Gastroenterology.2017;69(1):64-67. doi:10.4166/kjg.2017.69.1.64

Sedation is an essential component for gastrointestinal endoscopy. It allows patients to tolerate unpleasant endoscopic procedures by relieving anxiety, discomfort, or pain. It also reduces patient's risk of physical injury during endoscopic procedures, while providing the endoscopist with an adequate setting for a detailed examination. For the safety during endoscopic sedation, patient monitoring is crucial. Minimal monitoring requirements during endoscopic sedation are periodic assessment of blood pressure and application of continuous pulse oximetry. Continuous electrocardiography is recommended in selected patients with high risk for sedation or have cardiopulmonary diseases. Continuous supplemental oxygen is also recommended for endoscopic sedation. This study describes detailed monitoring and associated devices based on the current guidelines and recommendations from gastrointestinal society of America, Europe, and Korea.
Americas ; Anxiety ; Blood Pressure ; Conscious Sedation ; Electrocardiography ; Endoscopy ; Endoscopy, Gastrointestinal ; Europe ; Humans ; Korea ; Monitoring, Physiologic* ; Oximetry ; Oxygen

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Preparation, Evaluation, and Recovery before and after Conscious Sedative Endoscopy.

Hong Jun PARK ; Byoung Kwan SON ; Hoon Sup KOO ; Byung Wook KIM

The Korean Journal of Gastroenterology.2017;69(1):59-63. doi:10.4166/kjg.2017.69.1.59

No abstract available.
Conscious Sedation ; Endoscopy*

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Safety of Non-anesthesiologist Administration of Propofol for Gastrointestinal Endoscopy.

Jun Kyu LEE ; Dong Kee JANG ; Won Hee KIM ; Jung Wook KIM ; Byung Ik JANG

The Korean Journal of Gastroenterology.2017;69(1):55-58. doi:10.4166/kjg.2017.69.1.55

Propofol (2,6-diisopropylphenol) is a hypnotic drug with a very rapid onset and offset of action. It has increasingly been used in gastrointestinal endoscopy. Administration of propofol by nurses or endoscopists is commonly referred to as non-anesthesiologist-administered propofol (NAAP). There have been a lot of studies on the safety of NAAP compared with those by anesthesiologists. Safety results of those studies are summarized in this review.
Endoscopy, Gastrointestinal* ; Propofol*

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Second Korean Guidelines for the Management of Crohn's Disease.

Jae Jun PARK ; Suk Kyun YANG ; Byong Duk YE ; Jong Wook KIM ; Dong Il PARK ; Hyuk YOON ; Jong Pil IM ; Kang Moon LEE ; Sang Nam YOON ; Heeyoung LEE

The Korean Journal of Gastroenterology.2017;69(1):29-54. doi:10.4166/kjg.2017.69.1.29

Crohn's disease (CD) is a chronic, progressive, and disabling inflammatory bowel disease (IBD) with an uncertain etiopathogenesis. CD can involve any site of the gastrointestinal tract from the mouth to the anus, and is associated with serious complications, such as bowel strictures, perforations, and fistula formation. The incidence and prevalence rates of CD in Korea are still lower compared with those in Western countries, but they have been rapidly increasing during the recent decades. Although there are no definitive curative modalities for CD, various medical and surgical therapies have been applied for the treatment of this disease. Concerning CD management, there have been substantial discrepancies among clinicians according to their personal experience and preference. To suggest recommendable approaches to the diverse problems of CD and to minimize the variations in treatment among physicians, guidelines for the management of CD were first published in 2012 by the IBD Study Group of the Korean Association for the Study of the Intestinal Diseases. These are the revised guidelines based on updated evidence, accumulated since 2012. These guidelines were developed by using mainly adaptation methods, and encompass induction and maintenance treatment of CD, treatment based on disease location, treatment of CD complications, including stricture and fistula, surgical treatment, and prevention of postoperative recurrence. These are the second Korean guidelines for the management of CD and will be continuously revised as new evidence is collected.
Anal Canal ; Constriction, Pathologic ; Crohn Disease* ; Fistula ; Gastrointestinal Tract ; Humans ; Incidence ; Inflammatory Bowel Diseases ; Intestinal Diseases ; Korea ; Mouth ; Prevalence ; Recurrence

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Second Korean Guideline for the Management of Ulcerative Colitis.

Chang Hwan CHOI ; Won MOON ; You Sun KIM ; Eun Soo KIM ; Bo In LEE ; Yunho JUNG ; Yong Sik YOON ; Heeyoung LEE ; Dong Il PARK ; Dong Soo HAN

The Korean Journal of Gastroenterology.2017;69(1):1-28. doi:10.4166/kjg.2017.69.1.1

Ulcerative colitis (UC) is a chronic inflammatory bowel disorder characterized by a relapsing and remitting course. The direct and indirect costs of the treatment of UC are high, and the quality of life of patients is reduced, especially during exacerbation of the disease. The incidence and prevalence of UC in Korea are still lower than those of Western countries, but have been rapidly increasing during the past decades. Various medical and surgical therapies, including biologics, are currently used for the management of UC. However, many challenging issues exist, which sometimes lead to differences in practice between clinicians. Therefore, the Inflammatory Bowel Disease Study Group of the Korean Association for the Study of Intestinal Diseases established the first Korean guideline for the management of UC in 2012. This is an update of the first guideline. It was generally made by the adaptation of several foreign guidelines as was the first edition, and encompasses treatment of active colitis, maintenance of remission, and indication of surgery for UC. The specific recommendations are presented with the quality of evidence and classification of recommendations.
Biological Products ; Classification ; Colitis ; Colitis, Ulcerative* ; Humans ; Incidence ; Inflammatory Bowel Diseases ; Intestinal Diseases ; Korea ; Prevalence ; Quality of Life ; Ulcer*

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Immunoglobulin G4 Associated Cholangitis: Clinical Profile and Response to Therapy.

Inseok LEE

The Korean Journal of Gastroenterology.2008;52(2):128-129.

No abstract available.

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Endoscopic Ultrasonography in Locoregional Staging of Gastric Cancer.

Eun Young KIM

The Korean Journal of Gastroenterology.2008;52(2):124-127.

No abstract available.
*Endosonography ; Humans ; Neoplasm Staging ; Sensitivity and Specificity ; Stomach Neoplasms/pathology/*ultrasonography

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A Case of Mucinous Adenocarcinoma of the Colon Presenting with Psoas Abscess.

Kang Nyeong LEE ; Hang Lak LEE ; Jai Hoon YOON ; Seung Chul CHO ; Oh Young LEE ; Byung Chul YOON ; Ho Soon CHOI ; Joon Soo HAHM

The Korean Journal of Gastroenterology.2008;52(2):120-123.

A colon cancer presenting as psoas muscle abscess is very rare. A 27-year-old woman was admitted with abdominal pain, fever, and discomfort on left thigh. She had been administered on anti-tuberculosis medication for colonic tuberculosis since 3 months ago. Abdominal CT scan revealed a mass lesion obstructing the descending colon with an abscess formation within left psoas muscle. We undertook segmental resection of obstructing descending colon after the percutaneous drainage of psoas abscess. The pathologic report was mucinous adenocarcinoma of the colon. We report the first case of colon cancer manifested with psoas abscess in Korea, with the review of literature associated with the correlation of colon cancer and tuberculosis.
Adenocarcinoma, Mucinous/complications/*diagnosis/pathology ; Adult ; Colectomy ; Colon, Descending ; Colonic Neoplasms/complications/*diagnosis/pathology ; Drainage ; Female ; Humans ; Psoas Abscess/*diagnosis/etiology ; Tomography, X-Ray Computed

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Risk of Hepatocellular Carcinoma Across a Biological Gradient of Serum Hepatitis B Virus DNA Level.

Sang Hoon AHN

The Korean Journal of Gastroenterology.2006;48(3):218-219.

No abstract availble.

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Role of Doppler Ultrasonography in Portal Hypertension.

Soon Koo BAIK

The Korean Journal of Gastroenterology.2006;48(3):215-217.

No abstract availble.
Blood Flow Velocity ; Humans ; Hypertension, Portal/*ultrasonography ; Liver Cirrhosis/pathology ; Portal Vein/ultrasonography ; *Ultrasonography, Doppler

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