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

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[Current Endoscopy Training in Korea and Future Aspects]. 【国内内窥镜培训现状及未来展望】。
IF 0.6
The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi Pub Date : 2022-11-25 DOI: 10.4166/kjg.2022.122
Young-Eun Joo
{"title":"[Current Endoscopy Training in Korea and Future Aspects].","authors":"Young-Eun Joo","doi":"10.4166/kjg.2022.122","DOIUrl":"https://doi.org/10.4166/kjg.2022.122","url":null,"abstract":"<p><p>The training of trainees to perform endoscopies is challenging. There is no standardized training program in Korea. Trainees usually learn to perform endoscopies under the supervision of an educator, an expert endoscopist. However, most of educators have never received formal training. For high quality and effecting training, formal training program for educators is needed. Also, specific assessment tools measuring performance and improving training are required. The use of simulators for acquiring, maintaining, and assessing skills in endoscopy has grown over the past decade. Many data suggest that simulation training may accelerate the acquisition of specific technical skills in endoscopy early in training. If we include education using simulators in basic endoscopy education, it will be of great help to shorten the endoscopy training time and improve the endoscopy training environment. A significant portion of medical lawsuits against gastroenterologists in Korea are related to complications related to sedation. Therefore, endoscopy education should include contents related to sedation education. Also, systematic and thorough education program along with assessment tool measuring true competence of sedation in endoscopy is needed. Changes should be made at all levels to improve our endoscopy training system.</p>","PeriodicalId":22736,"journal":{"name":"The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi","volume":"80 5","pages":"207-210"},"PeriodicalIF":0.6,"publicationDate":"2022-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40706848","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
Collagenous Gastoduodenitis in the Form of a Gastric Ulcer. 胃溃疡形式的胶原性胃十二指肠炎。
IF 0.6
The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi Pub Date : 2022-11-25 DOI: 10.4166/kjg.2022.079
In Hyoung Choi, Yu Kyung Cho, Jun Young Park, Donghoon Kang, Jae Myung Park, Myung-Gyu Choi
{"title":"Collagenous Gastoduodenitis in the Form of a Gastric Ulcer.","authors":"In Hyoung Choi,&nbsp;Yu Kyung Cho,&nbsp;Jun Young Park,&nbsp;Donghoon Kang,&nbsp;Jae Myung Park,&nbsp;Myung-Gyu Choi","doi":"10.4166/kjg.2022.079","DOIUrl":"https://doi.org/10.4166/kjg.2022.079","url":null,"abstract":"<p><p>Collagenous gastroduodenitis is a rare gastrointestinal disease diagnosed histologically by subepithelial collagen deposition in the lamina propria. Its clinical presentation is diverse. The authors encountered a 17-year-old female patient who complained of epigastric pain. Endoscopy revealed several deep ulcers in the gastric body. The gastric mucosa around the ulcer showed diffuse fine nodularity in the shape of cobblestones with open-type atrophy. The duodenal mucosa showed nodular lesions similar to those of the gastric mucosa. The gastric ulcer healed completely with proton pump inhibitor treatment. The patient was followed up, showing no remarkable mucosal change of stomach or duodenum for several years. Collagenous gastroduodenitis was diagnosed by repeated histologic examinations. This paper reports a rare case of chronic collagen gastritis with deep gastric ulcer and its long-term clinical progress.</p>","PeriodicalId":22736,"journal":{"name":"The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi","volume":"80 5","pages":"225-228"},"PeriodicalIF":0.6,"publicationDate":"2022-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40722422","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
Gastric Perforation Encountered during Duodenal Stent Insertion. 十二指肠支架置入时胃穿孔。
IF 0.6
The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi Pub Date : 2022-11-25 DOI: 10.4166/kjg.2022.060
Sung Woo Ko, Hoonsub So, Sung Jo Bang
{"title":"Gastric Perforation Encountered during Duodenal Stent Insertion.","authors":"Sung Woo Ko,&nbsp;Hoonsub So,&nbsp;Sung Jo Bang","doi":"10.4166/kjg.2022.060","DOIUrl":"https://doi.org/10.4166/kjg.2022.060","url":null,"abstract":"<p><p>Gastric outlet obstruction is a major symptom in patients with advanced pancreatic cancer. Endoscopic intervention is often challenging in severe strictures because the guidewire cannot pass beyond the stricture. Sometimes, the air itself cannot pass beyond the stricture, which can result in a severely distended stomach. Such a stomach is vulnerable to excessive air insertion or mechanical stress during endoscopic procedures, and endoscopists may encounter a higher rate of complications. Gastric perforation is rare but could be fatal. However, endoscopic management can show a favorable result if the perforation is noticed early. The authors report a case of the perforation of a gastric tear during duodenal stent insertion in a patient with a gastric outlet obstruction.</p>","PeriodicalId":22736,"journal":{"name":"The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi","volume":"80 5","pages":"221-224"},"PeriodicalIF":0.6,"publicationDate":"2022-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40722421","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
[The Present Status and Improvement Directions for Gastrointestinal Fellows and Residents in Korea]. [韩国胃肠道研究员和住院医师的现状及改进方向]。
IF 0.6
The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi Pub Date : 2022-11-25 DOI: 10.4166/kjg.2022.131
Woo Chul Chung
{"title":"[The Present Status and Improvement Directions for Gastrointestinal Fellows and Residents in Korea].","authors":"Woo Chul Chung","doi":"10.4166/kjg.2022.131","DOIUrl":"https://doi.org/10.4166/kjg.2022.131","url":null,"abstract":"<p><p>The Korean Society of Gastroenterology (KSG) and the Korean Society of Gastrointestinal Endoscopy (KSGE) have tried to promote high-quality patient care, and safety in the field of gastrointestinal (GI) diseases. In 2017, the training guidelines for GI fellows have been made, and the education board of KSGE revised 2 year- program of GI fellows. The guideline includes the total number of assigned patients, the number of GI endoscopy procedures, attendance of academic conferences, and research presentations. The traditional training model of GI fellowship is known as an \"apprenticeship\". Unfortunately, it might increase confusion between what trainees are observing and prior information. Now, practical hands-on training system using simulator helps to provide a support program for GI fellowship education. In order to facilitate training program, trainers will need to carefully plan the teaching. Therefore, it improves knowledge and performance for trainers. What we should keep in mind is that this hands-on program has the goal of making a good gastroenterologist, not just making an endoscopist. At same time, the application of cognitive education in GI fellow training must be performed. On the other side, the privileging and credentialing for endoscopic subspecialty should be made. The provision of benefits could serve as an important foundation for maintaining GI specialist board system.</p>","PeriodicalId":22736,"journal":{"name":"The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi","volume":"80 5","pages":"217-220"},"PeriodicalIF":0.6,"publicationDate":"2022-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40722420","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
[Aortoesophageal Fistula Induced by an Indwelling Nasogastric Tube: A Case Report]. 鼻胃管留置致主动脉食管瘘1例。
IF 0.6
The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi Pub Date : 2022-11-25 DOI: 10.4166/kjg.2022.085
Sangmin Lee, Yook Kim, Ki Bae Kim
{"title":"[Aortoesophageal Fistula Induced by an Indwelling Nasogastric Tube: A Case Report].","authors":"Sangmin Lee,&nbsp;Yook Kim,&nbsp;Ki Bae Kim","doi":"10.4166/kjg.2022.085","DOIUrl":"https://doi.org/10.4166/kjg.2022.085","url":null,"abstract":"<p><p>A 91-year-old woman who presented with melena and hypovolemic shock visited the emergency room. She received enteral nutrition by nasogastric tube in a bedridden state due to hip surgery. Gastroscopy initially suggested a simple ulcer that occurred after a nasogastric tube was placed for a long time, but the ulcer was deep, and the amount of instantaneous bleeding was considerable. Therefore, an aortoesophageal fistula was suspected. Angiography was performed instead of endoscopic hemostasis, followed by thoracic endovascular aortic repair (TEVAR). After the TEVAR procedure, the patient recovered without further gastrointestinal bleeding. Prompt judgment and communication between the endoscopist and the interventional physician are important for successful hemostasis in an aortoenteric fistula patient.</p>","PeriodicalId":22736,"journal":{"name":"The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi","volume":"80 5","pages":"229-232"},"PeriodicalIF":0.6,"publicationDate":"2022-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40722423","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
[Abdominal Ultrasound Education for Gastroenterology Residents and Fellows]. [胃肠病学住院医师及研究员腹部超声教育]。
IF 0.6
The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi Pub Date : 2022-11-25 DOI: 10.4166/kjg.2022.120
Young Koog Cheon, Youngjung Kim, Joon Seong Lee
{"title":"[Abdominal Ultrasound Education for Gastroenterology Residents and Fellows].","authors":"Young Koog Cheon,&nbsp;Youngjung Kim,&nbsp;Joon Seong Lee","doi":"10.4166/kjg.2022.120","DOIUrl":"https://doi.org/10.4166/kjg.2022.120","url":null,"abstract":"<p><p>Ultrasound (US) is an essential diagnostic tool in almost every medical area. Therefore, abdominal US education for internal medicine residents was mandated by the Korean Association of Internal Medicine. However, US education for physicians has been conducted only in some university hospitals that directly perform abdominal US examinations in internal medicine, or some education is provided with the help of radiologists. US technology continues to become increasingly widespread, portable, and miniaturized. Furthermore, point-of-care US, i.e., US executed at the patient's bedside to obtain real-time objective information with diagnostic and clinical monitoring purposes or to guide invasive procedures, has been incorporated in many specialties. Despite the increasing role of US, there is no systemized abdominal US education program. Therefore, the authors are trying to develop a structured abdominal US education program through cooperation with related US organizations.</p>","PeriodicalId":22736,"journal":{"name":"The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi","volume":"80 5","pages":"211-216"},"PeriodicalIF":0.6,"publicationDate":"2022-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40722419","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
Gastric CD56-negative Extranodal Natural Killer/T-cell Lymphoma: A Case Report. 胃cd56阴性结外自然杀伤/ t细胞淋巴瘤1例报告。
IF 0.6
The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi Pub Date : 2022-10-25 DOI: 10.4166/kjg.2022.076
Joohong Chung, Sam Ryong Jee, Eunjeong Choi, Seung Jung Yu, Jun Sik Yoon, Hong Sub Lee, Sang Heon Lee, Sung Jae Park, Ha Young Park
{"title":"Gastric CD56-negative Extranodal Natural Killer/T-cell Lymphoma: A Case Report.","authors":"Joohong Chung,&nbsp;Sam Ryong Jee,&nbsp;Eunjeong Choi,&nbsp;Seung Jung Yu,&nbsp;Jun Sik Yoon,&nbsp;Hong Sub Lee,&nbsp;Sang Heon Lee,&nbsp;Sung Jae Park,&nbsp;Ha Young Park","doi":"10.4166/kjg.2022.076","DOIUrl":"https://doi.org/10.4166/kjg.2022.076","url":null,"abstract":"<p><p>Extranodal natural killer (NK)/T-cell lymphoma, nasal type (ENKTCL-NT) is the most common subtype of Epstein-Barr virus-associated NK/T-cell lymphomas. ENKTCL-NT occurs infrequently in the gastrointestinal tract. In particular, reports of ENKTCL-on NT arising from the stomach are extremely rare. Several clusters of differentiation (CDs) have been useful in recognizing NK-cells, T-cells, and tumor cells of NK/T-cell lymphomas. Among them, the CD56 antigen is considered the most sensitive marker for ENKTCL-NT and is expressed in almost all cases of ENKTCL-NT. Thus, the development of CD56-negative ENKTCL-NT is highly atypical. This paper reports a case of a young Asian female who presented with gastric ulcer bleeding. The patient was histologically diagnosed with ENKTCL-NT. No tumor cells for CD56 were observed, whereas no monoclonality of the T-cell receptor gamma gene rearrangement was detected in the tumor cells. The patient was scheduled for systemic chemotherapy six times and achieved complete remission. Peripheral blood-hematopoietic stem cell transplantation was performed later.</p>","PeriodicalId":22736,"journal":{"name":"The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi","volume":"80 4","pages":"190-194"},"PeriodicalIF":0.6,"publicationDate":"2022-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40571394","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
Clinical Features of Hepatitis C Virus-related Acute-on-chronic Liver Failure in a Korean Population. 韩国人群中丙型肝炎病毒相关急性慢性肝衰竭的临床特征
IF 0.6
The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi Pub Date : 2022-10-25 DOI: 10.4166/kjg.2022.050
Jung Woo Choi, Ji Yoon Kwak, Sang Soo Lee, Hyun-Gyu Kim, Ho Jin Son, Hankyu Jeon, Hee Jin Kim, Ra Ri Cha, Jae Min Lee, Hyun Jin Kim
{"title":"Clinical Features of Hepatitis C Virus-related Acute-on-chronic Liver Failure in a Korean Population.","authors":"Jung Woo Choi,&nbsp;Ji Yoon Kwak,&nbsp;Sang Soo Lee,&nbsp;Hyun-Gyu Kim,&nbsp;Ho Jin Son,&nbsp;Hankyu Jeon,&nbsp;Hee Jin Kim,&nbsp;Ra Ri Cha,&nbsp;Jae Min Lee,&nbsp;Hyun Jin Kim","doi":"10.4166/kjg.2022.050","DOIUrl":"https://doi.org/10.4166/kjg.2022.050","url":null,"abstract":"<p><strong>Background/aims: </strong>Acute-on-chronic liver failure (ACLF) is a widely recognized concept in which acute decompensation (AD) in patients with cirrhosis results in organ failure and high short-term mortality. On the other hand, few studies reflecting the various etiologies of cirrhosis are available. This study examined the clinical features of patients with hepatitis C virus (HCV)-related ACLF.</p><p><strong>Methods: </strong>Between January 2005 and December 2018, 109 HCV-related cirrhosis patients hospitalized for AD (ascites, hepatic encephalopathy, gastrointestinal hemorrhage, and bacterial infection) were enrolled for ACLF defined by the European Association for the Study of the Liver (EASL).</p><p><strong>Results: </strong>ACLF developed in 35 patients (32.1%) on admission. Eight, eight, and 19 patients had ACLF grades 1, 2, and 3, respectively. The 28-day and 90-day mortality rates were very low (2.7% and 5.4%, respectively) in patients without ACLF and very high (60.0% and 74.3%, respectively) in those with ACLF. In patients with HCV-related ACLF, compared to previous studies on hepatitis B virus-related ACLF and alcohol-related ACLF, the prevalence of liver failure was very low (17.1%), whereas that of kidney failure was very high (71.4%). Compared with all other prognostic scores, the Chronic liver failure Consortium Organ Failure score predicted the 90-day mortality most accurately, with an area under the receiver operator characteristic of 0.921.</p><p><strong>Conclusions: </strong>HCV-related ACLF has unique clinical characteristics distinct from hepatitis B virus-related and alcohol-related ACLF. ACLF defined by EASL can be useful for predicting the short-term mortality in HCV-related cirrhosis.</p>","PeriodicalId":22736,"journal":{"name":"The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi","volume":"80 4","pages":"169-176"},"PeriodicalIF":0.6,"publicationDate":"2022-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40568938","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
Efficacy and Safety of Endoscopic Stenting for Crohn's Disease Related Strictures: A Systematic Review and Meta-analysis. 内镜支架置入术治疗克罗恩病相关狭窄的疗效和安全性:一项系统综述和荟萃分析
IF 0.6
The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi Pub Date : 2022-10-25 DOI: 10.4166/kjg.2022.077
Suprabhat Giri, Amrit Gopan, Sridhar Sundaram, Aditya Kale
{"title":"Efficacy and Safety of Endoscopic Stenting for Crohn's Disease Related Strictures: A Systematic Review and Meta-analysis.","authors":"Suprabhat Giri,&nbsp;Amrit Gopan,&nbsp;Sridhar Sundaram,&nbsp;Aditya Kale","doi":"10.4166/kjg.2022.077","DOIUrl":"https://doi.org/10.4166/kjg.2022.077","url":null,"abstract":"<p><strong>Background/aims: </strong>Endoscopic stenting is an evolving treatment for symptomatic Crohn's strictures. Several case series and small studies have reported its efficacy. Future studies can be designed based on a systematic review of the evaluation of efficacy. Hence, this meta-analysis was conducted to assess the critical role of stents in the management of intestinal strictures associated with Crohn's disease (CD).</p><p><strong>Methods: </strong>A literature search of various databases from 2000 to February 2022 was conducted for studies evaluating the outcome of stents in patients with CD-related stricture. The outcomes assessed included technical and clinical success, adverse events, symptom recurrence, and the need for a surgical resection. Pooled event rates across studies were expressed with summative statistics.</p><p><strong>Results: </strong>Ten studies with 170 patients were included in the present analysis. The pooled event rates for technical success, clinical success, stent migration, and post-procedural pain were 98.2% (95% CI, 95.8-100), 71.3% (95% CI, 57.4-85.1), 32% (95% CI, 0.0-65.3) and 20.2% (95% CI, 4.1-36.2), respectively. The cumulative recurrence rate and need for surgery were 40.1% (95% CI, 20.3-59.9) and 8.6% (95% CI, 1.7-15.5), respectively. Subgroup analysis showed that partially-covered (PC) self-expanding metallic stent (SEMS) was significantly better than fully-covered SEMS with a lower stent migration rate and symptom recurrence rate.</p><p><strong>Conclusions: </strong>Overall efficacy of stents in the management of CD-related stricture remains moderate with a low complication rate. Among the stents, PC-SEMS may be associated with a more favorable outcome. Future studies will be needed to determine the long-term benefits of endoscopic stenting.</p>","PeriodicalId":22736,"journal":{"name":"The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi","volume":"80 4","pages":"177-185"},"PeriodicalIF":0.6,"publicationDate":"2022-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40568939","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: 3
[Ectopic Pancreas with Walled-off Necrosis Mimicking Malignant Submucosal Gastric Tumor]. 异位胰腺伴壁状坏死模拟胃粘膜下恶性肿瘤。
IF 0.6
The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi Pub Date : 2022-10-25 DOI: 10.4166/kjg.2022.078
Ji Eun Kim, Jun Haeng Lee, Sujin Park, Kwang Hyuck Lee, Tae Jun Kim, Yang Won Min, Hyuk Lee, Byung-Hoon Min, Poong-Lyul Rhee, Jae J Kim
{"title":"[Ectopic Pancreas with Walled-off Necrosis Mimicking Malignant Submucosal Gastric Tumor].","authors":"Ji Eun Kim,&nbsp;Jun Haeng Lee,&nbsp;Sujin Park,&nbsp;Kwang Hyuck Lee,&nbsp;Tae Jun Kim,&nbsp;Yang Won Min,&nbsp;Hyuk Lee,&nbsp;Byung-Hoon Min,&nbsp;Poong-Lyul Rhee,&nbsp;Jae J Kim","doi":"10.4166/kjg.2022.078","DOIUrl":"https://doi.org/10.4166/kjg.2022.078","url":null,"abstract":"<p><p>An ectopic pancreas rarely transforms into a malignancy, and the symptoms vary from patient to patient. The most commonly observed site of an ectopic pancreas is the antrum of the stomach. A 59-year-old male patient with severe abdominal pain underwent CT. A 9.6 cm-sized well-defined exophytic huge mass with heterogenic density was located between the stomach distal antrum and duodenum. A malignant submucosal tumor was suspected because of the exophytic dirty huge mass. Initially, surgery was considered to confirm the histological evaluation. After 2 months, the abdominal pain disappeared, and the follow-up MRI scan showed a decrease in size, which contained a necrotic component inside. It was confirmed that the parenchymal tissue was the pancreas. The pathology through EUS-guided fine needle aspiration (EUS-FNA) was normal pancreatic acinar cells, smooth muscle fragments, squamous cyst, and some neutrophils (abscess). Walled-off necrosis occurs as a complication of acute pancreatitis with parenchymal tissues and surrounding tissues, but complications of ectopic pancreatitis occurred in this case. Abdominal pain due to ectopic pancreas leading to the formation of a giant abscess has been reported as a very rare case. Diagnosis through biopsy is most important when a malignant submucosal tumor is suspected. In addition, it is important to determine the clinical features, examination findings, such as EUS, CT, and MRI, and the changes according to the follow-up period. This paper reports a case of ectopic pancreas, resulting in necrotic tissue and walled-off necrosis, abdominal pain, and spontaneous improvement.</p>","PeriodicalId":22736,"journal":{"name":"The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi","volume":"80 4","pages":"195-199"},"PeriodicalIF":0.6,"publicationDate":"2022-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40571395","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
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