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Usefulness of Double Balloon Enteroscopy in Small Bowel Disease
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Jun Hwan Wi, Jin Oh Kim, In Seop Jung, Bong Min Ko, Joo Young Cho, Joon Seong Lee, Moon Sung Lee, Chan Sup Shim, Boo Sung Kim
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Intest Res 2005;3(2):140-144. Published online December 30, 2005
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 Abstract
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- Background/Aims
Conventional studies for small bowel such as small bowel series, enteroscopy with Push, Sonde and Ropeway method had some limitations such as high missing rate, incomplete study, long procedure time and patient inconvenience. Double balloon enteroscopy is a promising method to overcome these limitations. Our aim was to evaluate the usefulness of double balloon enteroscopy. Methods: Between Nov. 2004 and Feb. 2005, 24 patients with suspected small bowel disease underwent double balloon enteroscopy. Results: Indications for double balloon enteroscopy were obscure gastrointestinal bleeding, chronic abdominal pain and Crohn's disease etc. Thirty eight cases of double balloon enteroscopy in 24 patients were performed. We could identify positive diagnostic findings in 20 of the 24 patients. In 16 obscure gastrointestinal bleeding patients, the causes of bleeding were 7 small bowel ulcers, 4 angiodysplasias, 3 Crohn's diseases etc. Procedure-related complications were not observed in any patients. Conclusions: Double balloon enteroscopy is a useful and safe diagnostic tools in small bowel disease with high diagnostic accuracy (83%). (Intestinal Research 2005;3:140-144)
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Analysis of Early Colon Cancers Diagnosed by Endoscopic Resection
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Bong Roung Kim, Jin O Kim, Seong Hwan Kim, Sang Ho Lee, In Seop Jung, Su Jin Hong, Chang Byum Ryu, Joo Yung Cho, Moon Sung Lee, Chan Sup Shim, Boo Sung Kim, So Young Jin
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Intest Res 2003;1(1):51-54. Published online May 27, 2003
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Abstract
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- Backgrounds/Aims: The aim of this study was to analyze clinicopathologic feature of early colon cancer diagnosed by endoscopic resection. Methods: 41 early colon cancers from 22 patients endoscopically removed during the period from 2001.1~2002.6 were analysed. Results: 22 patients who were diagnoised as early colon cancer patient had totally 210 colonic polyps and 41 early colonic cancers. Most common age of distributuion was 6th decade. Of the 41 early colon cancers, malignant polyps less than 5 mm in size were in 43%, 6~10 mm in 10%, 11~20 mm in 21%, >21 mm in 26%. Malignant polyps were more common in left side colon than right side colon (7:3). Endoscopic shapes of early colon cancers were mostly sessile type (sessile type were in 90.2%). Conclusions: Significant fraction of early colon cancers were less than 1 cm in size. To detect and treat early colon cancers more earlier, It is advisable to remove all of the colon polyps even though small polyps. (Intestinal Research 2003;1:51-54)
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