Endoscopic and Clinical Factors Affecting the Prognosis of Colorectal Endoscopic Submucosal Dissection-Related Perforation.

Abstract:

BACKGROUND/AIMS:Although colorectal endoscopic submucosal dissection (ESD)-related perforation is not uncommon, the factors affecting clinical outcomes after perforation have not been investigated. This study was designed to investigate the factors influencing the clinical course of ESD-related colon perforation. METHODS:Forty-three patients with colorectal ESD-related perforation were evaluated. The perforations were classified as endoscopic or radiologic perforations. The patients' medical records and endoscopic pictures were analyzed. RESULTS:The clinical outcomes were assessed by the duration of nil per os, intravenous antibiotics administration, and hospital stays, which were 2.7±1.5, 4.9±2.3, and 5.1±2.3 days, respectively. Multivariate analyses revealed that a larger tumor size, ESD failure, specific endoscopists, and abdominal pain were independently related to a poorer outcome. The time between perforation and clipping was 15.8±25.4 minutes in the endoscopic perforation group. The multivariate analysis of this group indicated that delayed clipping, specific endoscopists, and abdominal pain were independently associated with poorer outcomes. CONCLUSIONS:Tumor size, ESD failure, abdominal pain, and the endoscopist were factors that affected the clinical outcomes of patients with colorectal ESD-related perforation. The time between the perforation and clipping was an additional factor influencing the clinical course of endoscopic perforation. Decreasing this time period may improve outcomes.

journal_name

Gut Liver

journal_title

Gut and liver

authors

Kang DU,Choi Y,Lee HS,Lee HJ,Park SH,Yang DH,Yoon SM,Kim KJ,Ye BD,Myung SJ,Yang SK,Kim JH,Byeon JS

doi

10.5009/gnl15252

subject

Has Abstract

pub_date

2016-05-23 00:00:00

pages

420-8

issue

3

eissn

1976-2283

issn

2005-1212

pii

gnl15252

journal_volume

10

pub_type

杂志文章
  • Efficacy and safety of endoscopic submucosal dissection for early gastric cancer in patients with comorbid diseases.

    abstract:BACKGROUND/AIMS:Endoscopic submucosal dissection (ESD), a new and potentially curative method for treating gastrointestinal neoplasms, may have longer procedure time and the risk of complications when compared to conventional endoscopic mucosal resection. This study evaluated the efficacy and safety of ESD in patients ...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2010.4.2.186

    authors: Kim BJ,Chang TH,Kim JJ,Min BH,Lee JH,Son HJ,Rhee PL,Rhee JC,Kim KM,Park CK

    更新日期:2010-06-01 00:00:00

  • Cell Death and Liver Disease.

    abstract::Cell death is now reclassified into several types based on the mechanisms and morphologic phenotype. Understanding of such classifications offers insights into the pathogenesis of liver disease, as well as diagnostic or therapeutic implications. Apoptosis is recognized relatively easily due to its unique morphology, b...

    journal_title:Gut and liver

    pub_type: 杂志文章,评审

    doi:10.5009/gnl18486

    authors: Aizawa S,Brar G,Tsukamoto H

    更新日期:2020-01-15 00:00:00

  • Long-term outcome of photodynamic therapy with systemic chemotherapy compared to photodynamic therapy alone in patients with advanced hilar cholangiocarcinoma.

    abstract:BACKGROUND/AIMS:Patients with cholangiocarcinoma usually present at an advanced stage, and more than 50% of cases are not resectable at the time of diagnosis. Recently, photodynamic therapy (PDT) has been proposed as a palliative and neoadjuvant modality. We evaluated whether combination of PDT and chemotherapy is more...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2014.8.3.318

    authors: Hong MJ,Cheon YK,Lee EJ,Lee TY,Shim CS

    更新日期:2014-05-01 00:00:00

  • Diagnostic dilemma in an unusual case of common bile duct obstruction.

    abstract::Biliary obstructions are rarely caused by a foreign body and have received sparse attention. We present an unusual case with pruritis and abdominal pain caused by impacted full length surgical gauze within the common bile duct. The patient had previously undergone an open cholecystectomy. Radiological investigations w...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2011.5.2.245

    authors: Bhandari V,Singh M,Vyas HG,Sharma N,Chejara R

    更新日期:2011-06-01 00:00:00

  • Efficacy of Current Traction Techniques for Endoscopic Submucosal Dissection.

    abstract::This systematic review aimed to assess the efficacy of the current approach to tissue traction during the endoscopic submucosal dissection (ESD) of superficial esophageal cancer, early gastric cancer, and colorectal neoplasms. We performed a systematic electronic literature search of articles published in PubMed and s...

    journal_title:Gut and liver

    pub_type: 杂志文章,评审

    doi:10.5009/gnl19266

    authors: Abe S,Wu SYS,Ego M,Takamaru H,Sekiguchi M,Yamada M,Nonaka S,Sakamoto T,Suzuki H,Yoshinaga S,Matsuda T,Oda I,Saito Y

    更新日期:2020-11-15 00:00:00

  • Hepatic Steatosis Index in the Detection of Fatty Liver in Patients with Chronic Hepatitis B Receiving Antiviral Therapy.

    abstract:Background/Aims:The hepatic steatosis index (HSI) is a noninvasive method to assess the severity of hepatic steatosis. Antiviral therapy (AVT) can impact aspartate aminotransferase and alanine aminotransferase levels, which are the main components of the HSI. Thus, we investigated the accuracy of the HSI in detecting h...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl19301

    authors: Chang JW,Lee HW,Kim BK,Park JY,Kim DY,Ahn SH,Han KH,Kim SU

    更新日期:2021-01-15 00:00:00

  • Barrett's esophagus and cancer risk: how research advances can impact clinical practice.

    abstract::Barrett's esophagus (BE) is the only known precursor to esophageal adenocarcinoma (EAC), whose incidence has increased sharply in the last 4 decades. The annual conversion rate of BE to cancer is significant, but small. The identification of patients at a higher risk of cancer therefore poses a clinical conundrum. Cur...

    journal_title:Gut and liver

    pub_type: 杂志文章,评审

    doi:10.5009/gnl.2014.8.4.356

    authors: di Pietro M,Alzoubaidi D,Fitzgerald RC

    更新日期:2014-07-01 00:00:00

  • Is health screening beneficial for early detection and prognostic improvement in pancreatic cancer?

    abstract:BACKGROUND/AIMS:The aim of this study was to evaluate the usefulness of health screening for early detection and improved prognosis in pancreatic cancer. METHODS:Between 1995 and 2008, 176,361 examinees visited the Health Promotion Center (HPC). Twenty patients diagnosed with pancreatic cancer were enrolled. During th...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2011.5.2.194

    authors: Kim ER,Bae SY,Lee KH,Lee KT,Son HJ,Rhee JC,Lee JK

    更新日期:2011-06-01 00:00:00

  • Histology combined with cytology by endoscopic ultrasound-guided fine needle aspiration for the diagnosis of solid pancreatic mass and intra-abdominal lymphadenopathy.

    abstract:BACKGROUND/AIMS:Small core biopsy samples can occasionally be obtained with conventional endoscopic ultrasonography-guided fine needle aspiration (EUS-FNA). Although most studies have focused on the cytological analysis of specimens, data regarding histological assessment is scarce. The aim of this study was to determi...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2013.7.5.605

    authors: Kim TH,Choi KH,Song HS,Kim JW,Jeon BJ

    更新日期:2013-09-01 00:00:00

  • Effect of Citric Acid on Accuracy of 13C-Urea Breath Test after Helicobacter pylori Eradication Therapy in a Region with a High Prevalence of Atrophic Gastritis.

    abstract:Background/Aims:The validity of 13C-urea breath test (13C-UBT) for Helicobacter pylori detection is influenced by atrophic gastritis. The aim of this study was to evaluate the effect of citric acid on the accuracy of 13C-Urea breath test after H. pylori eradication therapy in a region where atrophic gastritis is common...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl18398

    authors: Kwon YH,Kim N,Yoon H,Shin CM,Park YS,Lee DH

    更新日期:2019-09-15 00:00:00

  • Contrast-Enhanced Endoscopic Ultrasound for Differentially Diagnosing Autoimmune Pancreatitis and Pancreatic Cancer.

    abstract:Background/Aims:Differentially diagnosing focal-type autoimmune pancreatitis (f-AIP) and pancreatic cancer (PC) is challenging. Contrast-enhanced harmonic endoscopic ultrasound (CEH-EUS) may provide information for differentiating pancreatic masses. In this study, we evaluated the usefulness of CEH-EUS in differentiati...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl17391

    authors: Cho MK,Moon SH,Song TJ,Kim RE,Oh DW,Park DH,Lee SS,Seo DW,Lee SK,Kim MH

    更新日期:2018-09-15 00:00:00

  • The clinicopathological features of gastric hyperplastic polyps with neoplastic transformations: a suggestion of indication for endoscopic polypectomy.

    abstract:BACKGROUND/AIMS:Although gastric hyperplastic polyps are usually considered as benign lesions, a low risk of carcinomatous conversion is currently recognized. We aimed to identify the characteristics of hyperplastic polyps undergoing neoplastic transformation. METHODS:A total of 269 gastric hyperplastic polyps from 21...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2009.3.4.271

    authors: Han AR,Sung CO,Kim KM,Park CK,Min BH,Lee JH,Kim JY,Chang DK,Kim YH,Rhee PL,Rhee JC,Kim JJ

    更新日期:2009-12-01 00:00:00

  • Expanding Indications for Liver Transplant: Tumor and Patient Factors.

    abstract::During the past few decades, liver transplant has developed from a high-mortality procedure to an almost routine procedure with good survival outcomes. The development of living donor liver transplant has increased the availability of liver grafts, and the scope of indications for liver transplant has been expanding e...

    journal_title:Gut and liver

    pub_type: 杂志文章,评审

    doi:10.5009/gnl19265

    authors: Chu KK,Wong KH,Chok KS

    更新日期:2021-01-15 00:00:00

  • A case of recurrent pancreatitis induced by trimethoprim-sulfamethoxazole re-exposure.

    abstract::A 32-year-old man presented with epigastric pain. He had a previous episode of acute pancreatitis of undetermined cause 2 years earlier. The patient had taken trimethoprim (80 mg) and sulfamethoxazole (400 mg) twice daily because of acute urethritis 3 days prior to admission. No definite cause of acute pancreatitis co...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2010.4.2.250

    authors: Park TY,Oh HC,Do JH

    更新日期:2010-06-01 00:00:00

  • Assessment for Risk of Bias in Systematic Reviews and Meta-Analyses in the Field of Hepatology.

    abstract::A systematic review (SR) provides the best and most objective analysis of the existing evidence in a particular field. SRs and derived conclusions are essential for evidence-based strategies in medicine and evidence-based guidelines in clinical practice. The popularity of SRs has also increased markedly in the field o...

    journal_title:Gut and liver

    pub_type: 杂志文章,评审

    doi:10.5009/gnl14451

    authors: Kim G,Cho YZ,Baik SK

    更新日期:2015-11-23 00:00:00

  • Primary squamous cell carcinoma of the liver initially presenting with pseudoachalasia.

    abstract::Pseudoachalasia secondary to primary squamous cell carcinoma (SCC) of the liver is extremely rare and has not been reported until now. Here, we report a unique case of primary SCC of the liver initially presenting with progressive dysphagia along with short periods of significant weight loss. A 58-year-old man initial...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2012.6.2.275

    authors: Choi MK,Kim GH,Song GA,Nam HS,Yi YS,Ahn KH,Kim S,Kim JY,Park DY

    更新日期:2012-04-01 00:00:00

  • 2014 KLCSG-NCC Korea Practice Guideline for the Management of Hepatocellular Carcinoma.

    abstract::The guideline for the management of hepatocellular carcinoma (HCC) was first developed in 2003 and revised in 2009 by the Korean Liver Cancer Study Group and the National Cancer Center, Korea. Since then, many studies on HCC have been carried out in Korea and other countries. In particular, a substantial body of knowl...

    journal_title:Gut and liver

    pub_type: 杂志文章,实务指引

    doi:10.5009/gnl14460

    authors: Korean Liver Cancer Study Group (KLCSG).,National Cancer Center, Korea (NCC).

    更新日期:2015-05-23 00:00:00

  • Comparison of Clinical Outcomes of Borderline Resectable Pancreatic Cancer According to the Neoadjuvant Chemo-Regimens: Gemcitabine versus FOLFIRINOX.

    abstract:Background/Aims:Although many studies have reported the promising effect of neoadjuvant treatment for borderline resectable pancreatic cancer (BRPC) to increase resectability, only a few studies have recommended the use of firstline chemotherapeutic agents as neoadjuvant treatment for BRPC. The current study compared c...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl20070

    authors: Choi YJ,Byun Y,Kang JS,Kim HS,Han Y,Kim H,Kwon W,Oh DY,Paik WH,Lee SH,Ryu JK,Kim YT,Lee K,Kim H,Chie EK,Jang JY

    更新日期:2020-08-26 00:00:00

  • Biologics for the Management of Inflammatory Bowel Disease: A Review in Tuberculosis-Endemic Countries.

    abstract::The advent of biologics and biologic therapy has transformed the management of inflammatory bowel disease (IBD) with enhanced early and adequate responses to treatment, fewer hospitalizations, a reduced need for surgery, and unprecedented outcomes including complete mucosal and histologic healing. However, an importan...

    journal_title:Gut and liver

    pub_type: 杂志文章,评审

    doi:10.5009/gnl19209

    authors: Banerjee R,Ali RAR,Wei SC,Adsul S

    更新日期:2020-11-15 00:00:00

  • Chronic hepatitis C.

    abstract::The goal of antiviral therapy for patients with chronic hepatitis C virus (HCV) infection is to attain a sustained virologic response (SVR), which is defined as undetectable serum HCV-RNA levels at 6 months after the cessation of treatment. Major improvements in antiviral therapy for chronic hepatitis C have occurred ...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2011.5.2.117

    authors: Jang JY,Chung RT

    更新日期:2011-06-01 00:00:00

  • Anti-Saccharomyces cerevisiae Antibody in Pediatric Crohn's Disease Patients without Mucosal Healing Is a Useful Marker of Mucosal Damage.

    abstract:Background/Aims:We evaluated whether anti-Saccharomyces cerevisiae antibody (ASCA) titers are associated with diagnostic findings, disease activity, Paris classification phenotypes, and persistence after infliximab (IFX) treatment in children with Crohn's disease (CD). We also investigated the role of ASCA as a predict...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl20212

    authors: Kim MJ,Kim E,Kang B,Lee Y,Kang ES,Choe YH

    更新日期:2020-12-30 00:00:00

  • Management of Hepatocellular Carcinoma: Current Status and Future Directions.

    abstract::Hepatocellular carcinoma (HCC) is the second most common cause of cancer death worldwide. This cancer commonly arises against a background of chronic liver disease. As a result, a patient with HCC requires multidisciplinary care. Treatment options vary widely based on tumor burden and metastases. The most widely utili...

    journal_title:Gut and liver

    pub_type: 杂志文章,评审

    doi:10.5009/gnl15022

    authors: Au JS,Frenette CT

    更新日期:2015-07-01 00:00:00

  • A case of enteropathy-type T-cell lymphoma diagnosed by small bowel enteroscopy: a perspective on imaging-enhanced endoscopy.

    abstract::Enteropathy-type T-cell lymphoma (ETL) or enteropathy-associated T-cell lymphoma is a very rare malignant intestinal tumor. ETL is usually diagnosed by surgery. Endoscopic findings of ETL are not well known, and there are few reports of findings from endoscopy that has been performed only using white light. Additional...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2012.6.4.516

    authors: Bae JY,Ko BM,Min SK,Lee JC,Lee GW,Yoon LY,Hong SJ,Lee MS,Kim HK

    更新日期:2012-10-01 00:00:00

  • Incidence of Cholangiocarcinoma with or without Previous Resection of Liver for Hepatolithiasis.

    abstract:BACKGROUND/AIMS:To investigate the incidence of cholangiocarcinoma in patients with hepatolithiasis with or without previous resection of liver. METHODS:From 2002 to 2009, we retrospectively reviewed 117 patients who were diagnosed and treated for hepatolithiasis in Korea University Guro Hospital. Among the 117 patien...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2013.7.4.475

    authors: Lee JY,Kim JS,Moon JM,Lim SA,Chung W,Lim EH,Lee BJ,Park JJ,Bak YT

    更新日期:2013-07-01 00:00:00

  • The learning curve for colorectal stent insertion for the treatment of malignant colorectal obstruction.

    abstract:BACKGROUND/AIMS:We aimed to assess the effectiveness of self-expanding metal stent (SEMS) insertion by evaluating the learning curve in relation to the experience of an endoscopist. METHODS:We retrospectively analyzed the outcomes of 120 SEMS insertion procedures performed by one endoscopist in patients with malignant...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2012.6.3.328

    authors: Lee JH,Yoon JY,Park SJ,Hong SP,Kim TI,Kim WH,Cheon JH

    更新日期:2012-07-01 00:00:00

  • Learning curves for colonoscopy: a prospective evaluation of gastroenterology fellows at a single center.

    abstract:BACKGROUND/AIMS:Colonoscopy training programs and the minimal experience with colonoscopy required to be considered technically competent are not well established. The aim of this study was to determine the colonoscopy learning curves and factors associated with this difficult procedure at a single center. METHODS:A t...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2010.4.1.31

    authors: Chung JI,Kim N,Um MS,Kang KP,Lee D,Na JC,Lee ES,Chung YM,Won JY,Lee KH,Nam TM,Lee JH,Choi HC,Lee SH,Park YS,Hwang JH,Kim JW,Jeong SH,Lee DH

    更新日期:2010-03-01 00:00:00

  • Concurrent chemoradiation in a patient with unresectable cholangiocarcinoma.

    abstract::Cholangiocarcinoma is a catastrophic tumor with a high mortality rate, for which surgery is the most reliable treatment. However, these tumors progress insidiously and are difficult to diagnose early. Most patients lack the opportunity to receive surgery due to the advanced disease stage at the time of the diagnosis, ...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2010.4.1.103

    authors: Park JS,Lee DH,Jeong S,Kim WC,Lee JI,Lee SY,Park SD,Nha SY

    更新日期:2010-03-01 00:00:00

  • Endoscopic Ultrasound-Guided Hepaticogastrostomy: Technical Review and Tips to Prevent Adverse Events.

    abstract::Most patients who require biliary drainage can be treated by endoscopic retrograde cholangiopancreatography (ERCP)- guided procedures. However, ERCP can be challenging in patients with complications, such as malignant duodenal obstruction, or a surgically-altered anatomy, such as a Rouxen- Y anastomosis, which prevent...

    journal_title:Gut and liver

    pub_type: 杂志文章,评审

    doi:10.5009/gnl20096

    authors: Ogura T,Higuchi K

    更新日期:2020-07-23 00:00:00

  • Is a second-look endoscopy necessary after endoscopic submucosal dissection for gastric neoplasm?

    abstract:BACKGROUND/AIMS:Second-look endoscopy is performed to check for the possibility of post-endoscopic submucosal dissection (ESD) bleeding and to perform prophylactic hemostasis in most hospitals; however, there is little evidence about the efficacy of second-look endoscopy. We investigated whether second-look endoscopy a...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl13422

    authors: Kim ER,Kim JH,Kang KJ,Min BH,Lee JH,Rhee PL,Rhee JC,Kim JJ

    更新日期:2015-01-01 00:00:00

  • Remission of cap polyposis maintained for more than three years after infliximab treatment.

    abstract::Cap polyposis is a rare disorder with characteristic endoscopic and histological features; its etiology is still unknown, and no specific treatment has been established. We report a case of cap polyposis that improved remarkably after infliximab infusion and had no recurrence for 3 years. ...

    journal_title:Gut and liver

    pub_type: 杂志文章

    doi:10.5009/gnl.2009.3.4.325

    authors: Kim ES,Jeen YT,Keum B,Seo YS,Chun HJ,Um SH,Kim CD,Ryu HS

    更新日期:2009-12-01 00:00:00