Journal Detail Information

Hemobilia is a rare gastrointestinal bleeding, usually caused by injury to the bile duct. Hemobilia after endoscopic retrograde cholangiopancreatography (ERCP) is generally self-limiting and patients will spontaneously recover, but some severe and fatal hemorrhages have been reported. ERCP-related bowel or bile duct perforation should be managed promptly, according to the type of injury and the status of the patient. We recently experienced a case of late-onset severe hemobilia in which the patient recovered after endoscopic biliary stent insertion. The problem was attributable to ERCP-related bile duct perforation during stone removal, approximately 5 weeks prior to the hemorrhagic episode. The removal of the stent was performed 10 days before the onset of hemobilia. The bleeding was successfully treated by two sessions of transarterial coil embolization.
Bile Ducts ; Cholangiopancreatography, Endoscopic Retrograde ; Embolization, Therapeutic ; Hemobilia* ; Hemorrhage ; Humans ; Plastics* ; Stents*

4

Cite

Share

Hybrid Natural Orifice Transluminal Endoscopic Surgery with Sentinel Lymph Node Navigation for Deep Early Gastric Cancer in the Fundic Region.

Yoon Suk PARK ; Seong Hwan KIM ; Hee Yun RYU ; Young Kwan CHO ; Yun Ju JO ; Tae Il SON ; Young Ok HONG

Clinical Endoscopy.2016;49(3):298-302. doi:10.5946/ce.2015.114

For patients refusing surgical treatment for deep early gastric cancer, hybrid natural orifice transluminal endoscopic surgery with sentinel lymph node navigation is a potential treatment option, particularly when the anatomic location of the cancer has low probability of lymph node metastasis. We report a case of deep early gastric cancer of the fundus beyond the endoscopic submucosal dissection indication that was treated by hybrid natural orifice transluminal endoscopic surgery with sentinel lymph node navigation. In a conventional approach, a total gastrectomy would have been needed; however, the patient refused surgical intervention. In this case, since the patient showed no positivity of the sentinel lymph node on intraoperative navigation, laparoscopic basin lymph node dissection was not performed. Hybrid natural orifice transluminal endoscopic surgery might be considered for specific regions such as the safety zone where lymph node metastases are less likely to occur.
Gastrectomy ; Humans ; Lymph Node Excision ; Lymph Nodes* ; Lymphatic Metastasis ; Natural Orifice Endoscopic Surgery* ; Neoplasm Metastasis ; Stomach Neoplasms*

5

Cite

Share

Asymptomatic Gastric Band Erosion Detected during Routine Gastroduodenoscopy.

Gee Young YUN ; Woo Sub KIM ; Hye Jin KIM ; Sun Hyung KANG ; Hee Seok MOON ; Jae Kyu SUNG ; Hyun Yong JEONG

Clinical Endoscopy.2016;49(3):294-297. doi:10.5946/ce.2016.001

The incidence of gastric band erosion has decreased to 1%. Gastric band erosion can manifest with various clinical symptoms, although some patients remain asymptomatic. We present a case of a mostly asymptomatic patient who was diagnosed with gastric band erosion during a routine health check-up. A 32-year-old man without any underlying diseases except for non-alcoholic fatty liver underwent laparoscopic adjustable gastric band surgery in 2010. He had no significant complications postoperatively. He underwent routine health check-ups with near-normal gastroduodenoscopic findings through 2014. However, in 2015, routine gastroduodenoscopy showed that the gastric band had eroded into the stomach. His gastric band was removed laparoscopically, and the remaining gastric ulcer perforation was repaired using an omental patch. Due to the early diagnosis, the infection was not serious. The patient was discharged on postoperative day 3 with oral antibiotics. This patient was fortunately diagnosed early by virtue of a routine health check-up; thus, eliminating the possibility of serious complications.
Adult ; Anti-Bacterial Agents ; Bariatric Surgery ; Cytochrome P-450 CYP1A1 ; Early Diagnosis ; Fatty Liver ; Humans ; Incidence ; Obesity, Morbid ; Stomach ; Stomach Ulcer ; Virtues

6

Cite

Share

Is There a Link between Clinical Manifestation of Gastric Anisakiasis and Helicobacter pylori Infection?.

Yuto SHIMAMURA ; Hirokazu HONDA ; Katsuyuki FUKUDA

Clinical Endoscopy.2017;50(5):510-510. doi:10.5946/ce.2017.094

No abstract available.
Anisakiasis* ; Helicobacter pylori* ; Helicobacter*

7

Cite

Share

Immediate Endoscopic Management of an Intramural Hematoma Developed during Colonoscopy.

Chang Il KWON ; Duck Hwan KIM ; Sung Pyo HONG

Clinical Endoscopy.2017;50(5):508-509. doi:10.5946/ce.2017.037

No abstract available.
Colonoscopy* ; Hematoma*

8

Cite

Share

Two Cases of Plug or Stone in Remnant Intrapancreatic Choledochal Cysts Treated with Endoscopic Retrograde Cholangiopancreatography.

Eunbee KIM ; Min Ho KANG ; Jisun LEE ; Hanlim CHOI ; Jae Woon CHOI ; Joung Ho HAN ; Seon Mee PARK

Clinical Endoscopy.2017;50(5):504-507. doi:10.5946/ce.2017.012

Incomplete resection of choledochal cysts (CCs) that extend deep into the pancreas can lead to protein plug or stone formation, pancreatitis, and cholangiocarcinoma. We encountered two cases of choledocholithiasis in remnant intrapancreatic CCs, in which the patients exhibited symptoms after 3 and 21 years of cyst excision. A 21-year-old woman who had undergone excision of a CC, as a neonate, presented with epigastric pain. Abdominal computed tomography (CT) revealed stones inside the remnant pancreatic cyst, which were removed by endoscopic retrograde cholangiopancreatography (ERCP), and her symptoms improved. A 33-year-old woman, who underwent cyst excision 3 years ago, presented with pancreatitis. Abdominal CT showed a radiolucent plug inside the remnant pancreatic cyst. The soft, whitish plug was removed by ERCP, and the pancreatitis improved. These cases indicate that plugs and stones in CCs have the same pathogenetic mechanism, and their form depends on the time since the incomplete excision surgery.
Abdominal Pain ; Adult ; Cholangiocarcinoma ; Cholangiopancreatography, Endoscopic Retrograde* ; Choledochal Cyst* ; Choledocholithiasis ; Cholelithiasis ; Female ; Humans ; Infant, Newborn ; Pancreas ; Pancreatic Cyst ; Pancreatitis ; Tomography, X-Ray Computed ; Young Adult

9

Cite

Share

Twin Rectal Tonsils Mimicking Carcinoid or Mucosa-Associated Lymphoid Tissue Lymphoma.

Masanori TAKEHARA ; Naoki MUGURUMA ; Shinji KITAMURA ; Tetsuo KIMURA ; Koichi OKAMOTO ; Hiroshi MIYAMOTO ; Yoshimi BANDO ; Tetsuji TAKAYAMA

Clinical Endoscopy.2017;50(5):500-503. doi:10.5946/ce.2016.157

The rectal tonsil is a rare polypoid lesion exclusively found in the rectum and is considered a reactive proliferation of the lymphoid tissue. Although this lesion is benign, we recommend that it should be differentiated from carcinoid or polypoid type of mucosa-associated lymphoid tissue lymphomas, based on gross findings. In this case report, we describe a case of rectal lesions with a unique appearance in a 41-year-old man. Colonoscopy revealed two 5-mm-sized nodules located opposite from each other on the left and right sides of the lower rectum. Endoscopic mucosal resection was conducted. Histopathologically, both lesions were mainly located in the submucosa and consisted of prominent lymphoid follicles with germinal centers of various sizes. No immunoreactivity of Bcl-2 was seen in the germinal centers. Immunohistochemical staining for kappa and lambda light chains revealed a polyclonal pattern. Therefore, these lesions were diagnosed as rectal tonsils.
Adult ; Carcinoid Tumor* ; Colonoscopy ; Germinal Center ; Humans ; Lymphoid Tissue ; Lymphoma, B-Cell, Marginal Zone* ; Palatine Tonsil* ; Rectum ; Twins*

10

Cite

Share

Congenital Jejunal Diverticular Bleeding in a Young Adult.

Ji Yung LEE ; Jae Young JANG ; Min Je KIM ; Tae In LEE ; Jung Wook KIM ; Young Woon CHANG

Clinical Endoscopy.2017;50(5):495-499. doi:10.5946/ce.2016.154

Diverticular bleeding of the small bowel is rare and occurs primarily in adults aged more than 60 years. In younger adults, Meckel's diverticulum, a true diverticulum that congenitally occurs in the distal ileum, is the most common cause of diverticular bleeding of the small bowel. Unlike Meckel's diverticula, other kinds of small bowel diverticula are not congenital and their incidence is related to age. Furthermore, congenital true diverticular bleeding of the jejunum in adults is very rare. We report the case of a 24-year-old man with subepithelial tumor-like lesion accompanied with obscure overt gastrointestinal bleeding. This lesion was initially suspected to be a subepithelial tumor based on radiologic tests and capsule endoscopy. He was finally diagnosed with a congenital true diverticulum in the jejunum with the appearance of a Meckel's diverticulum after surgical resection.
Adult ; Capsule Endoscopy ; Diverticulum ; Gastrointestinal Hemorrhage ; Hemorrhage* ; Humans ; Ileum ; Incidence ; Jejunum ; Meckel Diverticulum ; Neoplasms, Glandular and Epithelial ; Young Adult*

DISPLAY OPTIONS

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share