Journal Detail Information

1

Cite

Share

A Case of Multiple Intrahepatic Duct Stones associated with Portal Biliopathy.

Jung Sup KIM ; Dong Won LEE ; Il Young KIM ; Sung Yik LEE ; Tae Oh KIM ; Gwang Ha KIM ; Jeong HEO ; Dae Hwan KANG ; Geun Am SONG ; Mong CHO ; Suk KIM

Korean Journal of Gastrointestinal Endoscopy.2005;31(5):358-362.

"Portal biliopathy" is a terminology used to describe the biliary, ductal and gallbladder wall abnormalities seen in patients with portal hypertension. These changes are predominantly seen in patients with extrahepatic portal vein obstruction (EHPVO), and they include abnormalities (stricture and dilatation) of both the extra and intrahepatic bile ducts, and varices of the gallbladder. The majority of the patients are asymptomatic, but these changes occasionally become significant and give rise to overt obstructive jaundice and they possibly contribute to the development of choledocholithiasis and cholangitis. Asymptomatic patients do not need any treatment. If there is persistent elevation of alkaline phosphatase or ductal dilatation on ultrasonography, ERCP or MRCP can be performed to detect choledocholithiasis or biliary stricture. We present here a 43-year-old male patient for whom portal biliopathy with accompanying multiple intrahepatic duct stones was diagnosed by MRCP and choledocoscopy.
Adult ; Alkaline Phosphatase ; Bile Ducts, Intrahepatic ; Cholangiopancreatography, Endoscopic Retrograde ; Cholangitis ; Choledocholithiasis ; Constriction, Pathologic ; Dilatation ; Gallbladder ; Humans ; Hypertension, Portal ; Jaundice, Obstructive ; Male ; Portal Vein ; Ultrasonography ; Varicose Veins

2

Cite

Share

A Case of Duodenal Ulcer Bleeding caused by Pancreatic Arteriovenous Malformation.

Se Il OH ; Sang Soo LEE ; Il No DO ; Nae Yun HEO ; Song Yi HAN ; Jung Min AHN ; Young Jun CHOI ; Dong Wan SEO ; Sung Koo LEE ; Myung Hwan KIM

Korean Journal of Gastrointestinal Endoscopy.2005;31(5):353-357.

Arteriovenous malformation (AVM) of the pancreas is an extremely rare disease. It may be asymptomatic, but more than half of the patients present with gastrointestinal bleeding. The most common cause of the gastrointestinal bleeding is variceal bleeding due to the portal hypertension resulting from AVM. Bleeding from a duodenal ulcer and AVM to the pancreatic duct are rare findings. Surgical excision is the treatment of choice, but when portal hypertension has developed, this cannot be corrected even after surgical resection. We experienced a case of recurrent duodenal ulcer bleeding that was due to arteriovenous malformation in the head of the pancreas in a 45 year old man. He was successfully treated with pylorus preserving pancreaticoduodenectomy.
Arteriovenous Malformations* ; Duodenal Ulcer* ; Esophageal and Gastric Varices ; Head ; Hemorrhage* ; Humans ; Hypertension, Portal ; Middle Aged ; Pancreas ; Pancreatic Ducts ; Pancreaticoduodenectomy ; Pylorus ; Rare Diseases

3

Cite

Share

A Case of Acute Pancreatitis Caused by Ascaris Invasion of the Common Bile Duct.

Jong Won BYUN ; Jae Woo KIM ; Hoon CHOI ; Hye Jung KIM ; Kyu Hong KIM ; Myeong Gwan JEE ; Yong Soon PARK ; Soon Koo BAIK ; Hyun Soo KIM ; Sang Ok KWON ; Seong Hyun KIM

Korean Journal of Gastrointestinal Endoscopy.2005;31(5):348-352.

Ascaris lumbricoides is the most common intestinal parasite in less-developed countries as well as in areas with poor sanitation. Highly motile mature worms may enter the ampulla of Vater and migrate to the bile or pancreatic ducts causing cholangitis, biliary stones, cholecystitis, pancreatitis and a liver abscess. The incidence of pancreatitis due to biliary ascariasis is relatively common in endemic areas, but only a few cases have been reported in Korea since 1990. A 68-year-old woman was admitted with a sudden onset of epigastric pain. She was diagnosed with acute pancreatits due to ascaris based on computed tomography, the ampulla-impacted state of the worm and an elevated serum amylase level. The patient recovered without complications after the ascaris had been extracted using grasp forceps during endoscopy. The patient also received antihelminthic therapy. We report this case with a review of the relevant literatures.
Aged ; Ampulla of Vater ; Amylases ; Ascariasis ; Ascaris lumbricoides ; Ascaris* ; Bile ; Cholangitis ; Cholecystitis ; Common Bile Duct* ; Developing Countries ; Endoscopy ; Female ; Hand Strength ; Humans ; Incidence ; Korea ; Liver Abscess ; Pancreatic Ducts ; Pancreatitis* ; Parasites ; Sanitation ; Surgical Instruments

4

Cite

Share

A Case of Adult Intussusception of the Colon Caused by Cecal Neurofibroma in a Patient with Neurofibromatosis Type 1.

Jun Hwan YOO ; In Ho JUNG ; Young Bae KIM ; Jai Keun KIM ; Ju Sung SUN ; Seung Jun CHOI ; Joon Hyuck CHOI ; Kee Myung LEE ; Ki Baik HAHM ; Jin Hong KIM

Korean Journal of Gastrointestinal Endoscopy.2005;31(5):343-347.

Neurofibromatosis type 1 (NF-1) is an autosomal dominant hereditary disorder and it is characterized by neurofibromas and cafe-au-lait spots on the skin. NF-1 affects the gastrointestinal tract in 25% of the cases and the stomach and jejunum are the commonly involved sites. Yet the occurrence of colon NF is very unusual. Several cases of colon involvement of NF-1 have been reported on and their clinical manifestations were massive or occult bleeding, constipation and asymptomatic rectal or perianal nodules. There was a reported case of colon-to-colon intussusception via an isolated colonic neurofibroma. However, the best of our knowledge, there has been no reported case of colon-to-colon intussusception induced by NF-1. We encountered a case of NF-1 involving the cecum that resulted in colon-to-colon intussusception and secondary acute appendicitis. The patient showed the typical skin lesions and bony abnormalities of NF. We report on this case with a review of the literature.
Adult* ; Appendicitis ; Cafe-au-Lait Spots ; Cecum ; Colon* ; Constipation ; Gastrointestinal Tract ; Hemorrhage ; Humans ; Intussusception* ; Jejunum ; Neurofibroma* ; Neurofibromatoses* ; Neurofibromatosis 1* ; Skin ; Stomach

5

Cite

Share

A Case of Primary Duodenal Adenocarcinoma Identified by Serially Elevated Serum CEA Levels after Curative Resection for Colon Cancer.

See Jin JANG ; Bo In LEE ; Jeong Seon JI ; Byung Wook KIM ; Hwang CHOI ; Se Hyun CHO ; Kyu Yong CHOI ; Dae Sung KIM ; Min HUH ; Sang Hun LEE ; In Sik CHUNG ; Lee So MAENG

Korean Journal of Gastrointestinal Endoscopy.2005;31(5):339-342.

The follow-up of patients after performing potentially curative resection for colon cancer is important, yet the ideal surveillance strategy has not been defined. Periodic clinical examinations, laboratory tests, radiographic imaging, colonoscopy and carcinoembryonic antigen (CEA) testing have been utilized for surveillance, and the serial CEA measurement is the most cost-effective test for identifying the recurrence of disease. However, this test also indicates the development of secondary gastrointestinal malignancy such as gastric cancer or duodenal cancer. We report here on a case of metachronous duodenal adenocarcinoma that was revealed by the serial measurement of the serum CEA after we performed curative resection for colon cancer.
Adenocarcinoma* ; Carcinoembryonic Antigen ; Colon* ; Colonic Neoplasms* ; Colonoscopy ; Duodenal Neoplasms ; Follow-Up Studies ; Humans ; Recurrence ; Stomach Neoplasms

6

Cite

Share

A Case of Foreign Body Removal Using Latex Glove and Two Endoscopes.

In Hwan KIM ; Jeong Soon KIM ; Sang Soon PARK ; Yeun Jung LIM ; Sang Jong PARK ; Eun Jeong JANG ; Ju Sang PARK ; Hyun Wook BAIK

Korean Journal of Gastrointestinal Endoscopy.2005;31(5):334-338.

Foreign body ingestion is a common clinical problem. Foreign bodies are generally swallowed accidentally and most pass out spontaneously. However, if a sharp object is not eliminated early, it can penetrate the bowel wall and cause severe complications. Endoscopic techniques for removing sharp foreign bodies safely include methods using a protector hood and overtube. An overtube is uncomfortable and has limitations in its diameter. We introduced a method using a latex glove, which is easily available, comfortable, and has no limitations in diameter. In addition, two endoscopes were used to reduce the risk of complications, and the large sharp object was easily wrapped with the latex glove. We report a case of a sharp and large foreign body being removed endoscopically using a latex glove and two endoscopes without any complications.
Eating ; Endoscopes* ; Foreign Bodies* ; Latex*

7

Cite

Share

A Case of Gastric Bezoar Formed by Ingestion of Gypsum, and it was Treated Endoscopically Using Electrohydraulic Lithotripsy.

Jong Kwan PARK ; Min Su KIM ; Young Gyun KIM ; Won Na SUH ; Tae Il KIM ; Hyojin PARK

Korean Journal of Gastrointestinal Endoscopy.2005;31(5):328-333.

Gastric bezoars are collection of indigestible material in the stomach, and these can be classified into five broad categories: phytobezoar, trichobezoar, pharmacobezoar, lactobezoar and miscellaneous materials such as sand, stone and concrete (gypsum). The treatment of gastric bezoars has recently changed from surgical management to such nonsurgical interventions as enzymatic dissolution, nasogastric suctioning and endoscopic removal by polypectomy snare and basket. Up to the present, electrohydraulic lithotripsy has been a well established method for the treatment of urinary and hepatobiliary stones. We report here on a patient who had a huge gastric bezoar that was formed by the ingestion of gypsum, and this was treated with endoscopic electrohydraulic lithotripsy.
Bezoars* ; Calcium Sulfate* ; Eating* ; Endoscopy ; Humans ; Lithotripsy* ; Silicon Dioxide ; SNARE Proteins ; Stomach ; Suction

8

Cite

Share

A Case of Low-grade Gastric MALT Lymphoma Mimicking as a Advanced Gastric Cancer.

Nam Hoon KIM ; Young Woon CHANG ; Jae Young JANG ; Sang Gil LEE ; Kwang Ro JOO ; Seok Ho DONG ; Hyo Jong KIM ; Byung Ho KIM ; Joung Il LEE ; Rin CHANG

Korean Journal of Gastrointestinal Endoscopy.2005;31(5):323-327.

Gastric MALT lymphoma usually presents with various endoscopic morphologic characteristics. The majority of the endoscopic findings of low-grade gastric MALT lymphoma reveal multiple and superficial erosions or ulceration with mucosal nodularity, but high-grade gastric MALT lymphomas show ulceroinfiltrative and fungating lesion. However, low-grade gastric MALT lymphoma that presents as advanced gastric cancer is very rare. We experienced a case of low-grade gastric MALT lymphoma with perigastric lymph node infiltration; it presented as advanced gastric cancer, and it was treated with H. pylori eradication and CHOP chemotherapy. So we report on this case along with a review of related literatures.
Drug Therapy ; Lymph Nodes ; Lymphoma, B-Cell, Marginal Zone* ; Stomach Neoplasms* ; Ulcer

9

Cite

Share

A Case of Ectopic Sebaceous Glands in the Esophagus.

Sun Moon KIM ; Eui Hyeog IM ; Seung Hyun JUNG ; Tae Hee LEE ; Kyu Chan HUH ; Jung Uee LEE ; Yun Mi KIM ; Young Woo CHOI ; Young Woo KANG

Korean Journal of Gastrointestinal Endoscopy.2005;31(5):320-322.

Ectopic sebaceous glands have been reported in the organs of an ectodermal origin such as the oral cavity, genitals, eye and orbit, nipples, palm and soles, and the parotid glands. Their presence in the esophagus, which is an organ of endodermal origin, is a very rare and interesting anomaly. Whether ectopic sebaceous glands in the esophagus are the result of congenital misplacement or acquired metaplastic change remains unclear. We report here on a patient with sebaceous glands in the esophagus, and this was diagnosed by endoscopic biopsy.
Biopsy ; Ectoderm ; Endoderm ; Esophagus* ; Humans ; Mouth ; Nipples ; Orbit ; Parotid Gland ; Sebaceous Glands*

10

Cite

Share

A Case of Boerhaave's Syndrome after Bowel Preparation with Polyethylene Glycol.

Chi Hoon KIM ; Jong Hwan PARK ; Min Woong KIM ; Hwa Mi KANG ; Ji Hoon YOON ; Suk Hun KIM ; Jae Hoon JEONG ; Hyung Wook KIM ; Seung Keun PARK ; Hee Ug PARK

Korean Journal of Gastrointestinal Endoscopy.2005;31(5):315-319.

Polyethylene glycol (Colyte(R)) electrolyte lavage solution is widely used for bowel preparataion before colonoscopy and surgery. The minor complications associated with PEG solution, i.e., nausea and bloating have been reported on. However, major complications such as PEG electrolyte lavage solution-induced Mallory-Weiss tear, esophageal rupture, asystole and aspiration have rarely been reported on. Spontaneous rupture of the esophagus (Boerhaave's syndrome) is a very rare disease and it is often diagnosed late or it is misdiagnosed because of the atypical clinical symptoms. Its mortality increases proportionally to the time between esophageal rupture and treatment. It can cause a fatal outcome unless it is treated early. We authors report here on a case of spontaneous esophageal rupture after bowel preparation with polyethylene glycol.
Colonoscopy ; Esophagus ; Fatal Outcome ; Heart Arrest ; Mallory-Weiss Syndrome ; Mortality ; Nausea ; Polyethylene Glycols* ; Polyethylene* ; Rare Diseases ; Rupture ; Rupture, Spontaneous ; Therapeutic Irrigation

DISPLAY OPTIONS

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share