{"title":"Optimizing Treatment of <i>H. pylori</i>: The Role of Effective Sample Transport.","authors":"Yeon Ji Kim","doi":"10.7704/kjhugr.2024.0067","DOIUrl":"10.7704/kjhugr.2024.0067","url":null,"abstract":"","PeriodicalId":520887,"journal":{"name":"The Korean journal of helicobacter and upper gastrointestinal research","volume":"24 4","pages":"309-310"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144278150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Gastrojejunocolic Fistula: A Late Complication After Gastrojejunostomy].","authors":"Seung Ho Sin, Hyun Ho Choi","doi":"10.7704/kjhugr.2024.0057","DOIUrl":"10.7704/kjhugr.2024.0057","url":null,"abstract":"<p><p>Gastrojejunocolic fistula, a rare but serious complication of gastrojejunostomy often results from inadequate resection or incomplete vagotomy during gastric surgery. The most common symptoms include feculent vomiting, chronic diarrhea, and weight loss, and surgical repair is the definitive treatment for this condition. A 51-year-old man presented to our hospital with upper abdominal pain and chronic diarrhea. He had a history of gastric surgery for gastric cancer, 20 years prior at another hospital. Upper endoscopy and abdominal computed tomography confirmed diagnosis of a gastrojejunocolic fistula. In this case report, we present the clinical features and diagnostic approaches for gastrojejunocolic fistulas.</p>","PeriodicalId":520887,"journal":{"name":"The Korean journal of helicobacter and upper gastrointestinal research","volume":"24 4","pages":"370-373"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144278197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jungnam Kwon, Dong Han Yeom, Moon Yong Lee, Yong Sung Kim
{"title":"Role of the Small Intestinal Microbiota in Gastrointestinal Disorders.","authors":"Jungnam Kwon, Dong Han Yeom, Moon Yong Lee, Yong Sung Kim","doi":"10.7704/kjhugr.2024.0059","DOIUrl":"10.7704/kjhugr.2024.0059","url":null,"abstract":"<p><p>The small intestinal microbiota plays a crucial role in maintaining the health and pathogenesis of various gastrointestinal disorders. Despite extensive research on gut microbiota, studies focusing on the small intestine are limited owing to methodological challenges. This review discusses the taxonomic composition, microbial load, and diversity of normal small intestinal microbiota. Additionally, it highlights the role of small intestinal microbiota in gastrointestinal disorders, such as functional dyspepsia, small intestinal bacterial overgrowth, and nonsteroidal anti-inflammatory drug-induced enteropathy. The impact of proton pump inhibitors on small intestinal microbiota dysbiosis underscores the importance of the appropriate use of strong acid suppressants in clinical practice. Future research should focus on both the luminal and mucosal microbiota of the small intestine to explore the taxonomic changes and functional differences.</p>","PeriodicalId":520887,"journal":{"name":"The Korean journal of helicobacter and upper gastrointestinal research","volume":"24 4","pages":"339-345"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144278152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Duodenal Bezoar: A Rare Cause of Acute Pancreatitis.","authors":"Henriette Ya Kissi Anzouan Kacou, Young-Il Kim","doi":"10.7704/kjhugr.2024.0041","DOIUrl":"10.7704/kjhugr.2024.0041","url":null,"abstract":"<p><p>Gastrointestinal bezoars often occur as a complication of previous gastric surgery or in patients with altered gastrointestinal motility. Complications associated with gastrointestinal bezoars include perforation, peritonitis, protein-losing enteropathy, and acute appendicitis. Acute pancreatitis secondary to a duodenal bezoar is rare, and few studies have reported this complication. We report a case of acute pancreatitis and subsequent duodenal obstruction caused by a large duodenal phytobezoar.</p>","PeriodicalId":520887,"journal":{"name":"The Korean journal of helicobacter and upper gastrointestinal research","volume":"24 3","pages":"293-297"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144278183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hang Viet Dao, Binh Phuc Nguyen, Hue Thi Minh Luu, Long Bao Hoang
{"title":"Novel Technique to Diagnose Gastroesophageal Reflux Disease.","authors":"Hang Viet Dao, Binh Phuc Nguyen, Hue Thi Minh Luu, Long Bao Hoang","doi":"10.7704/kjhugr.2024.0020","DOIUrl":"10.7704/kjhugr.2024.0020","url":null,"abstract":"<p><p>Gastroesophageal reflux disease (GERD), which is commonly encountered in clinical practice, has become increasingly prevalent in Asia in recent years. Definitive diagnosis of GERD requires upper gastrointestinal endoscopy and ambulatory pH monitoring and is therefore challenging. Endoscopic lesions are usually not incorporated into the diagnostic criteria, and pH monitoring is expensive, complicated, and uncomfortable for patients. Studies have investigated novel methods for diagnosis of GERD. Mucosal integrity, evaluated by mucosal admittance or impedance, is impaired in GERD owing to microscopic epithelial changes. Measurement of mucosal integrity is simple and can be performed endoscopically. Mucosal impedance has been investigated as a method to differentiate between GERD, non-GERD, and eosinophilic esophagitis, and mucosal admittance provides evidence to support diagnosis of GERD. Further research on these novel techniques is warranted to incorporate these into the diagnostic modalities used for GERD.</p>","PeriodicalId":520887,"journal":{"name":"The Korean journal of helicobacter and upper gastrointestinal research","volume":"24 3","pages":"208-217"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144278188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Performance of the National Cancer Screening Program for Gastric Cancer in Korea.","authors":"Young-Il Kim","doi":"10.7704/kjhugr.2024.0039","DOIUrl":"10.7704/kjhugr.2024.0039","url":null,"abstract":"<p><p>In Korea, the National Cancer Screening Program for Gastric Cancer (NCSP-GC) was implemented in 1999 to reduce the mortality associated with gastric cancer, the most common cancer in Korea until 2018. In 2021, approximately 7.76 million screening endoscopies were performed as part of the NCSP-GC, including 10664 participants (37.2% of the total gastric cancer cases in 2021; 10909 of the 29361 cases) with histologically confirmed gastric cancer, according to data from the Korean National Health Insurance Service. The endoscopic screening component of the NCSP-GC has contributed to the early detection of gastric cancer and the reduction of its mortality. This review evaluates the performance and limitations of the endoscopic screening component of the NCSP-GC and discusses strategies to overcome limitations.</p>","PeriodicalId":520887,"journal":{"name":"The Korean journal of helicobacter and upper gastrointestinal research","volume":"24 3","pages":"231-237"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144278189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prevention of Gastric Cancer: <i>Helicobacter pylori</i> Treatment.","authors":"Ji Yong Ahn","doi":"10.7704/kjhugr.2024.0031","DOIUrl":"10.7704/kjhugr.2024.0031","url":null,"abstract":"<p><p><i>Helicobacter pylori</i> infection has been associated with various gastric diseases, including ulcers, adenomas, and adenocarcinomas. Over 40 years since the discovery of <i>H. pylori</i>, numerous studies have shown that <i>H. pylori</i> eradication therapy can help prevent gastric cancer not only in healthy individuals but also in patients who have already been treated for early gastric cancer. Moreover, some studies have shown that eradication therapy can improve gastric mucosal inflammatory diseases, such as atrophic changes and intestinal metaplasia. This article reviews the epidemiology of <i>H. pylori</i> infections and gastric cancer, mechanisms of <i>H. pylori</i>-associated gastric cancer development, and current evidence supporting the benefits of <i>H. pylori</i> eradication for reducing or preventing gastric cancer.</p>","PeriodicalId":520887,"journal":{"name":"The Korean journal of helicobacter and upper gastrointestinal research","volume":"24 3","pages":"238-242"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967488/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144278190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Stomach Cancer Screening in Japan and Korea.","authors":"Hidekazu Suzuki","doi":"10.7704/kjhugr.2024.0054","DOIUrl":"10.7704/kjhugr.2024.0054","url":null,"abstract":"","PeriodicalId":520887,"journal":{"name":"The Korean journal of helicobacter and upper gastrointestinal research","volume":"24 3","pages":"199-200"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144278192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Gastric Undifferentiated Pleomorphic Sarcoma Presenting as a Rapidly Growing Subepithelial Tumor].","authors":"Dae Gon Ryu, Cheol Woong Choi","doi":"10.7704/kjhugr.2024.0033","DOIUrl":"10.7704/kjhugr.2024.0033","url":null,"abstract":"<p><p>A 48-year-old man presented to our hospital for evaluation of melena. Abdominal computed tomography (CT) revealed an endophytic contrast-enhanced mass (approximately 9 cm) in the gastric fundus and upper body. CT showed no evidence of metastasis to other organs. Endoscopic examination revealed a large mass accompanied by an exudate and signs of surface hemorrhage. The shape of the mass resembled that of a subepithelial tumor, and >50% of the mucosa was peeled off. Endoscopic ultrasonography revealed hyperechoic spreading and dotor rod-shaped anechoic lesions arranged within an overall hypoechoic mass. The patient underwent total gastrectomy with lymph node dissection and was diagnosed with undifferentiated pleomorphic sarcoma without lymph node metastasis. Undifferentiated pleomorphic sarcoma, a high-grade aggressive soft tissue sarcoma, predominantly involves the extremities and rarely the stomach. It is usually asymptomatic but tends to grow rapidly. Endoscopic imaging performed a year prior to presentation was unremarkable. We report a case of a gastric undifferentiated pleomorphic sarcoma that presented as a rapidly growing subepithelial tumor. Malignancies other than a gastrointestinal stromal tumor should be considered in the differential diagnosis in patients presenting with a rapidly growing gastric subepithelial tumor.</p>","PeriodicalId":520887,"journal":{"name":"The Korean journal of helicobacter and upper gastrointestinal research","volume":"24 3","pages":"276-280"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144278176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Endoscopic Treatment of Gastric Bezoars: A Report of Three Cases.","authors":"Younghee Choe, Joon Sung Kim, Byung-Wook Kim","doi":"10.7704/kjhugr.2024.0038","DOIUrl":"10.7704/kjhugr.2024.0038","url":null,"abstract":"<p><p>Bezoars, including phytobezoars, trichobezoars, and pharmacobezoars, are accumulations of undigested substances in the gastrointestinal tract. We report three cases of gastric bezoars. Case 1: An 86-year-old woman presented with a one-month history of abdominal pain and vomiting. Esophagogastroduodenoscopy revealed gastric bezoars; consumption of 2 L of cola daily for 2 weeks resulted in complete disappearance of the bezoars. Case 2: An asymptomatic 63-year-old woman underwent esophagogastroduodenoscopy, which revealed a gastric bezoar. Cola spraying and endoscopic lithotomy were ineffective; therefore, the patient underwent laparoscopic removal of the bezoar for management of small bowel obstruction secondary to the bezoar fragments. Case 3: A 6-year-old girl with a history of pica underwent two laparoscopic surgeries 10 months apart for recurrent trichobezoars. We report our treatment approach in three patients who presented with gastric bezoars.</p>","PeriodicalId":520887,"journal":{"name":"The Korean journal of helicobacter and upper gastrointestinal research","volume":"24 3","pages":"286-292"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11974587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144278185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}