The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi最新文献

A Case of Esophageal MALT Lymphoma Mimicking a Subepithelial Tumor. 一例模仿上皮下肿瘤的食管 MALT 淋巴瘤病例

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The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi Pub Date : 2024-04-25 DOI: 10.4166/kjg.2024.021

Ha Eun Lee, Gwang Ha Kim, Min Ji Kim, Kyung Bin Kim, Dong Chan Joo, Hye Kyung Jeon, M. Lee, B. Lee

{"title":"A Case of Esophageal MALT Lymphoma Mimicking a Subepithelial Tumor.","authors":"Ha Eun Lee, Gwang Ha Kim, Min Ji Kim, Kyung Bin Kim, Dong Chan Joo, Hye Kyung Jeon, M. Lee, B. Lee","doi":"10.4166/kjg.2024.021","DOIUrl":"https://doi.org/10.4166/kjg.2024.021","url":null,"abstract":"Mucosa-associated lymphoid tissue (MALT) lymphoma, also known as extranodal marginal zone lymphoma, is a low-grade B-cell lymphoma that can develop in the mucosal layer of various organs, including the gastrointestinal tract, salivary glands, lungs, and skin. The most common site is the gastrointestinal tract, particularly the stomach. On the other hand, primary esophageal lymphomas are extremely rare. MALT lymphomas can undergo histological transformation into more aggressive B-cell lymphomas, such as diffuse large B-cell lymphoma, resulting in a poor prognosis. This paper reports a rare case of primary esophageal MALT lymphoma mimicking a subepithelial tumor located in the lower esophagus that was treated successfully with radiotherapy. MALT lymphoma should be included in a differential diagnosis when subepithelial tumors are found in the esophagus, particularly if endoscopic ultrasonography reveals the tumor to be located in the deep mucosal and submucosal layers. Following the precise diagnosis, accurate staging and appropriate treatment are crucial. Regular follow-up is necessary to assess the possibility of recurrence or transformation to high-grade lymphoma.","PeriodicalId":22736,"journal":{"name":"The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi","volume":"59 9","pages":"157-162"},"PeriodicalIF":0.6,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140656058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association between Atherosclerosis and High-Risk Colorectal Adenomas based on Cardio-Ankle Vascular Index and Ankle-Brachial Index. 基于心-踝血管指数和踝-肱指数的动脉粥样硬化与高风险结直肠腺瘤之间的关系

IF 0.6

The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi Pub Date : 2024-04-25 DOI: 10.4166/kjg.2024.003

Jung Ho Lee, Hyunseok Cho, Sang Hoon Lee, Sung Joon Lee, C. Kang, Dae Hee Choi, Jin Myung Park, Seung-Joo Nam, Tae Suk Kim, Ji Hyun Kim, Sung Chul Park

{"title":"Association between Atherosclerosis and High-Risk Colorectal Adenomas based on Cardio-Ankle Vascular Index and Ankle-Brachial Index.","authors":"Jung Ho Lee, Hyunseok Cho, Sang Hoon Lee, Sung Joon Lee, C. Kang, Dae Hee Choi, Jin Myung Park, Seung-Joo Nam, Tae Suk Kim, Ji Hyun Kim, Sung Chul Park","doi":"10.4166/kjg.2024.003","DOIUrl":"https://doi.org/10.4166/kjg.2024.003","url":null,"abstract":"Background/Aims\u0000Colorectal adenomas are precancerous lesions that may lead to colorectal cancer. Recent studies have shown that colorectal adenomas are associated with atherosclerosis. The cardio-ankle vascular index (CAVI) and ankle-brachial index (ABI) are noninvasive methods for evaluating atherosclerosis. This study examined the association between atherosclerosis and high-risk colorectal adenomas based on the CAVI and ABI.\u0000\u0000\u0000Methods\u0000The data of patients aged ≥50 years who had a colonoscopy and CAVI and ABI measurements from August 2015 to December 2021 at the Kangwon National University Hospital were analyzed retrospectively. After the colonoscopy, subjects were divided into no, overall, and high-risk (size ≥1 cm, high-grade dysplasia or villous adenoma, three or more adenomas) adenoma groups based on the pathology findings. The data were subjected to univariate and multivariate logistic regression analyses.\u0000\u0000\u0000Results\u0000Among the 1,164 subjects, adenomas and high-risk adenomas were found in 613 (52.6%) and 118 (10.1%) patients, respectively. The rate of positive ABI (<0.9) and positive CAVI (≥9.0) were significantly higher in the high-risk adenoma group (22.0% and 55.9%) than in the no adenoma (12.3% and 39.6%) and the overall adenoma group (15.7% and 44.0%) (p=0.008 and p=0.006, respectively). Multivariate analysis revealed a positive CAVI and smoking status to be significantly associated with high-risk adenoma with an odds ratio of 1.595 (95% confidence interval 1.055-2.410, p=0.027) and 1.579 (1.072-2.324, p=0.021), respectively.\u0000\u0000\u0000Conclusions\u0000In this study, a significant correlation between positive CAVI and high-risk adenomas was observed. Therefore, CAVI may be a significant predictor for high-risk colorectal adenoma.","PeriodicalId":22736,"journal":{"name":"The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi","volume":"16 3","pages":"143-149"},"PeriodicalIF":0.6,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140656012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of the Efficacy of 12-day Concomitant Quadruple Therapy versus 14-day High dose Dual Therapy as a First-line H. pylori Eradication Regimen. 12 天四联疗法与 14 天大剂量双联疗法作为一线幽门螺杆菌根除方案的疗效比较。

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The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi Pub Date : 2024-04-25 DOI: 10.4166/kjg.2024.012

Seyed Mohammad Valizadeh Toosi, Sahar Feyzi, Arash Kazemi

{"title":"Comparison of the Efficacy of 12-day Concomitant Quadruple Therapy versus 14-day High dose Dual Therapy as a First-line H. pylori Eradication Regimen.","authors":"Seyed Mohammad Valizadeh Toosi, Sahar Feyzi, Arash Kazemi","doi":"10.4166/kjg.2024.012","DOIUrl":"https://doi.org/10.4166/kjg.2024.012","url":null,"abstract":"Background/Aims\u0000Helicobacter pylori (H. pylori) is the most prevalent infection in the world and is strongly associated with gastric adenocarcinoma, lymphoma and gastric or duodenal ulcers. Different regimens have been used for H. pylori eradication. We aimed to compare the efficacy of two different regimens as first-line H. pylori eradication regimens, in an area with high antibiotic resistance.\u0000\u0000\u0000Methods\u0000In this RCT, we assigned 223 patients with H. pylori infection, who were naïve to treatment. They were randomly divided into two groups to receive either 12-day concomitant quadruple therapy (consisting of pantoprazole 40 mg, amoxicillin 1 g, clarithromycin 500 mg, and metronidazole 500 mg every 12 hours) or 14-day high dose dual therapy (consisting of esomeprazole 40 mg and amoxicillin 1 g TDS). H. pylori eradication was assessed eight weeks after the end of treatment.\u0000\u0000\u0000Results\u0000H. pylori eradication rate by PP analysis for 12-day concomitant quadruple therapy and 14-day high dose dual therapy were 90.4% and 79.1%, respectively (p=0.02). According to ITT analysis, the eradication rates were 86.2% and 76.3%, respectively (p=0.06). Adverse drug reactions were 12.3% in high dose dual therapy and 36.8% in concomitant quadruple therapy (p<0.001).\u0000\u0000\u0000Conclusions\u0000Twelve-day concomitant therapy seems to be an acceptable regimen for first-line H. pylori eradication in Iran, a country with a high rate of antibiotic resistance. Although, high dose dual therapy did not result in an ideal eradication rate, but it had fewer drug side effects than the 12-day concomitant regimen.","PeriodicalId":22736,"journal":{"name":"The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi","volume":"70 18","pages":"150-156"},"PeriodicalIF":0.6,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140655239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Metastatic Melanoma of the Common Bile Duct Presented with Dyspepsia. 胆总管转移性黑色素瘤伴有消化不良。

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The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi Pub Date : 2024-04-25 DOI: 10.4166/kjg.2024.011

O. F. Cetiner, Huseyin Emre Dundar, Sinem Kantarcioglu-Coskun, Serkan Torun, S. Tokmak

{"title":"Metastatic Melanoma of the Common Bile Duct Presented with Dyspepsia.","authors":"O. F. Cetiner, Huseyin Emre Dundar, Sinem Kantarcioglu-Coskun, Serkan Torun, S. Tokmak","doi":"10.4166/kjg.2024.011","DOIUrl":"https://doi.org/10.4166/kjg.2024.011","url":null,"abstract":"Malignant melanoma (MM) is an aggressive tumor that can metastasize to any organ, but biliary tract metastasis is scarce. We describe a very rare case of MM metastasis to the common bile duct (CBD), presented with only dyspeptic symptoms. The patient had mildly elevated alkaline phosphatase and gamma-glutamyl transferase levels. Magnetic resonance cholangiopancreatography demonstrated a dilated common bile duct with a distal stricture. The MM diagnosis was established with the ampulla of Vater biopsy specimens obtained by endoscopic retrograde cholangiopancreatography (ERCP), and the patient's symptoms were resolved after biliary stenting. Both primary CBD cancer and other cancer types like MM that metastasize to CBD can cause obstruction and can be manifested only by dyspeptic symptoms. MM metastasis to CBD can cause obstruction manifested only by dyspeptic symptoms without obstructive jaundice. ERCP can be employed as a promising option for treatment and diagnosis. New-onset dyspeptic symptoms in patients with a history of MM should be investigated thoroughly, especially in the context of biliary metastasis.","PeriodicalId":22736,"journal":{"name":"The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi","volume":"33 15","pages":"163-166"},"PeriodicalIF":0.6,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140657409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Bile Acid Diarrhea]. [胆汁酸腹泻]。

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The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi Pub Date : 2024-04-25 DOI: 10.4166/kjg.2023.119

Hee Jin Kim, Hyun Jin Kim

{"title":"[Bile Acid Diarrhea].","authors":"Hee Jin Kim, Hyun Jin Kim","doi":"10.4166/kjg.2023.119","DOIUrl":"https://doi.org/10.4166/kjg.2023.119","url":null,"abstract":"Diarrhea is a very common gastrointestinal symptom, and the presence of higher concentrations of bile acid in the colon leads to bile acid diarrhea (BAD). In BAD patients, a portion of bile from the small intestine that is normally controlled by enterohepatic circulation is present at a high concentration in the lumen of the large intestine, resulting in increased motility and secretion of the large intestine. The prevalence of BAD is estimated to be 1-2% of the general population, and it comprises one-third of the instances of diarrhea-predominant irritable bowel syndrome. The clinical symptoms of BAD include chronic diarrhea, increased frequency of defecation, urgency to defecate, fecal incontinence, and cramping abdominal pain. The pathophysiology of BAD has not yet been fully elucidated. However, recent studies have reported increased intestinal permeability, shortened intestinal transit time, and changes in the intestinal microbial community to be the possible causes of BAD. Although fecal and serum bile acid tests are widely used for diagnosis, new test methods that are non-invasive, inexpensive, and have high sensitivity and specificity are needed at various institutions to facilitate the diagnosis. The selenium homo-tauro-cholic acid (SeHCAT) test is the gold standard for BAD diagnosis and severity assessment. The validation of several other serum markers, such as 7-hydroxy-4-cholesten-3-one (serum 7αC4) and the fibroblast growth factor 19 (FGF19) for use in clinical practice is ongoing. Although bile acid sequestrants are the mainstay of treatment, the development of drugs that are more effective and have better compliance is required. Farnesoid X receptor (FXR) agonists are showing promising results.","PeriodicalId":22736,"journal":{"name":"The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi","volume":"12 18","pages":"133-142"},"PeriodicalIF":0.6,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140657887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Successful Transcatheter Arterial Embolization of Abdominal Wall Hematoma from the Left Deep Circumflex Iliac Artery after Abdominal Paracentesis in a Patient with Liver Cirrhosis: Case Report and Literature Review. 肝硬化患者腹腔穿刺术后左侧深环髂动脉腹壁血肿经导管动脉栓塞术获得成功：病例报告和文献综述。

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The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi Pub Date : 2024-04-25 DOI: 10.4166/kjg.2024.030

YOUNG-EUN Seo, C. Lim, JAE-WOONG Lim, Je Seong Kim, Hyung Hoon Oh, Keon-Young Ma, Ga-Ram You, Chan-Mook Im, Byung Chan Lee, Young-Eun Joo

{"title":"Successful Transcatheter Arterial Embolization of Abdominal Wall Hematoma from the Left Deep Circumflex Iliac Artery after Abdominal Paracentesis in a Patient with Liver Cirrhosis: Case Report and Literature Review.","authors":"YOUNG-EUN Seo, C. Lim, JAE-WOONG Lim, Je Seong Kim, Hyung Hoon Oh, Keon-Young Ma, Ga-Ram You, Chan-Mook Im, Byung Chan Lee, Young-Eun Joo","doi":"10.4166/kjg.2024.030","DOIUrl":"https://doi.org/10.4166/kjg.2024.030","url":null,"abstract":"The occurrence of an abdominal wall hematoma caused by abdominal paracentesis in patients with liver cirrhosis is rare. This paper presents a case of an abdominal wall hematoma caused by abdominal paracentesis in a 67-year-old woman with liver cirrhosis with a review of the relevant literature. Two days prior, the patient underwent abdominal paracentesis for symptom relief for refractory ascites at a local clinic. Upon admission, a physical examination revealed purpuric patches with swelling and mild tenderness in the left lower quadrant of the abdominal wall. Abdominal computed tomography revealed advanced liver cirrhosis with splenomegaly, tortuous dilatation of the para-umbilical vein, a large volume of ascites, and a large acute hematoma at the left lower quadrant of the abdominal wall. An external iliac artery angiogram showed the extravasation of contrast media from the left deep circumflex iliac artery. Embolization of the target arterial branches using N-butyl-2-cyanoacrylate was then performed, and the bleeding was stopped. The final diagnosis was an abdominal wall hematoma from the left deep circumflex iliac artery after abdominal paracentesis in a patient with liver cirrhosis.","PeriodicalId":22736,"journal":{"name":"The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi","volume":"25 21","pages":"167-171"},"PeriodicalIF":0.6,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140657798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Obesity and Colorectal Cancer]. [肥胖与结直肠癌]。

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The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi Pub Date : 2023-08-25 DOI: 10.4166/kjg.2023.083

Jundeok Lee, Su Young Kim

引用次数: 0

Impact of Diet on Colorectal Cancer Progression and Prevention: From Nutrients to Neoplasms. 饮食对大肠癌进展和预防的影响:从营养到肿瘤。

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The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi Pub Date : 2023-08-25 DOI: 10.4166/kjg.2023.079

Sang Hoon Kim, Dong Hwan Park, Yun Jeong Lim

引用次数: 1

[Gut Microbiome and Colorectal Cancer]. [肠道微生物群与结直肠癌]。

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The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi Pub Date : 2023-08-25 DOI: 10.4166/kjg.2023.089

Tae-Geun Gweon

引用次数: 0

Solitary Fibrous Tumors of the Mesocolon: A Report of Two Cases and Review of Literature. 结肠系膜孤立性纤维性肿瘤2例报告并文献复习。

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The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi Pub Date : 2023-08-25 DOI: 10.4166/kjg.2023.053

Madhur M Pardasani, Phani Kumar Nekarakanti, Bheerappa Nagari, Surya Ramachandra Varma Gunturi, Ashish Kumar Bansal, Shantiveer G Uppin

引用次数: 0