Intestinal Research

Ji Won Park

4 Articles

A Case of Perforated Gastrointestinal Stromal Tumor in the Jejunum as a Rare Cause of Acute Abdomen: Seong Yeol Kim, Jong Hyeok Kim, Dong Seon Park, Gil Su Jang, Eun Yeong Hong, Jung Sun An, So Yeon Kim, Ho Young Kim, Dong Hoon Kim, Ji Won Park, Il Hyun Baek, Choong Kee Park; Intest Res 2013;11(2):134-136. Published online April 30, 2013; DOI: https://doi.org/10.5217/ir.2013.11.2.134

Preoperative diagnosis of Gastrointestinal Stromal Tumors (GISTs) in the small intestine is often delayed until complications such as hemorrhage, bowel obstruction or perforation develop. Such GISTs are usually asymptomatic and tumor perforation is an uncommon clinical presentation. In this report, we review the diagnosis, pathology and treatment of a 32-year-old male with a perforated GIST in the jejunum who presented with symptoms of acute abdomen. Abdominal computed tomography (CT) showed a ruptured huge tumor with inhomogeneous density in the small intestine. The patient underwent a complete tumor excision and jejunal segmental resection. A histopathological examination of the tumor confirmed that it was a GIST. Postoperatively, the patient received medical treatment, using oral Imatinib 400 mg daily for 10 months without any signs of disease recurrence. Prognosis is worse in ruptured GISTs and in these cases, complete surgical resection of the tumor must be followed by adjuvant therapy with Imatinib. (Intest Res 2013;11:134-136)

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Prognostic Significance of Ki-67 Expression in Patients Undergoing Surgical Resection for Gastrointestinal Stromal Tumor
Seong Yeon Jeong, Won Wo Park, You Sun Kim, Young Il Park, Seung Hyup Kim, Won Jae Yoon, Jeong Seop Moon, Byung Mo Lee, Seong Woo Hong, Yun Kyung Kang
The Korean Journal of Gastroenterology.2014; 64(2): 87. CrossRef

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A Case of Acute Colonic Diverticulitis as a Complication of Colonoscopy: Dong Seon Park, Ji Won Park, Seong Yeol Kim, Gil Su Jang, Eun Yeong Hong, Jung Sun An, So Yeon Kim, Il Hyun Baek, Jong Hyeok Kim, Choong Kee Park; Intest Res 2013;11(2):146-148. Published online April 30, 2013; DOI: https://doi.org/10.5217/ir.2013.11.2.146

Abstract PDF

Colonoscopy is a good diagnostic tool and facilitates treatment of various colonic diseases. Nevertheless, it can induce many serious complications such as perforation and hemorrhage. Diverticulitis has also been reported as a serious complication of colonoscopy, with an incidence ranging from 0.04% to 0.08%. A 44-year-old male with chronic hepatitis B was presented with general weakness, myalgia, and febrile sensation. After admission for evaluation, pneumonia detected in the left upper and lower lobe and treated. We performed colonoscopy for screening and found multiple colonic diverticula in the right side of the colon. After 48 hours, the patient complained of abdominal pain and febrile sensation. Physical examination revealed tenderness in the right side of the abdomen. Abdomen-pelvis computed tomography showed bowel wall thickening of the cecum and ascending colon and multiple inflamed diverticula at the cecum with pericolic fat infiltration and fluid collection. We diagnosed the patient with acute diverticulitis after colonoscopy. Thereafter, he was treated with bowel rest and broad-spectrum intravenous antibiotics, and recovered. With a review of the relevant literature, we report a case of acute colonic diverticulitis as a complication of colonoscopy. (Intest Res 2013;11:146-148)

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Postcolonoscopy Diverticulitis
Mahmoud E. Essam, Iosif Beintaris, Matthew D. Rutter
ACG Case Reports Journal.2024; 11(5): e01362. CrossRef
Post-colonoscopy diverticulitis: A systematic review
Zi Qin Ng, Jih Huei Tan, Henry Chor Lip Tan, Mary Theophilus
World Journal of Gastrointestinal Endoscopy.2021; 13(3): 82. CrossRef
Diverticular Bleeding: A Clinical Image
Christopher F Brewer, Yayha Al Abed
Cureus.2021;[Epub] CrossRef
Colonoscopy-Induced Acute Diverticulitis
Se Ryeong Park, Young Seok Bae, Jong Ik Park, Jun Sik Min, Yong Kim
Journal of the Korean Geriatrics Society.2016; 20(2): 108. CrossRef

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A Clinical Review of the Intussusception in Adult: Su Jin Kim, Cheol Hee Park, Yong Min Kim, Seong Yeol Kim, Seung Yeon Chun, Chin Woo Kwon, Ji Won Park, Kyoung Oh Kim, Il Hyun Baek, Kyo Sang Yoo, Jong Hyeok Kim, Choong Kee Park; Intest Res 2012;10(2):183-188. Published online April 30, 2012; DOI: https://doi.org/10.5217/ir.2012.10.2.183

Abstract PDF

Background/Aims
Intussusception is uncommon in adults compared with children. The present study aimed to review our experience of adult intussusceptions and discuss the preoperative diagnosis and management. Methods: A retrospective review was performed for 25 patients, at least 18 years old. These patients were diagnosed as intestinal intussusceptions at Hallym University Sacred Heart Hospital from January 1999 to October 2010. Results: There were 14 male and 11 female with a mean age of 55 years. The most common symptom was abdominal pain. The preoperative diagnostic rate was 92% because of the use of an abdominal computed tomography (CT) and an ultrasound. A total of 9 (36%) patients had enteroenteric intussusception, 8 had ileocolic, 1 had ileocecal and 7 patients had colocolic intussusception. A discrete pathologic process was present in 22 (88%) patients and the remaining 3 (12%) patients were idiopathic. There were 12 small bowel lesions and 10 colonic lesions. Neoplasms were the most common etiology of intussusceptions. Of the cases with a defined colonic cause, 8 (80%) were malignant. Overall, 12 (48%) patients underwent primary resection of the intussusception without prior reduction, 11 (44%) patients had reduction of their intussusception followed by resection. Conclusions: Adult colonic intussusception is usually associated with malignancy. All patients with obstruction of unknown cause or lead point on CT should consider surgical exploration. (Intest Res 2012;10: 0-188)

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Adult intussusception caused by inverted Meckel's diverticulum treated with operation
Sung Yun Lee, Jae Yoon Jeong, Seung Hyun Hong, Seung Min Woo, Su Heui Lee, Hyun Joo You, Dong Won Kim
Yeungnam University Journal of Medicine.2016; 33(2): 116. CrossRef
Conservative Management of Adult Small Bowel Intussusception Detected at Abdominal Computed Tomography
Ju Sun Kim, Jae Hoon Lim, Jin Ho Jeong, Wan Sung Kim
The Korean Journal of Gastroenterology.2015; 65(5): 291. CrossRef
Adult intussusceptions: preoperative predictive factors for malignant lead point
Kil Hwan Kim, Hwan Namgung, Dong Guk Park
Annals of Surgical Treatment and Research.2014; 86(5): 244. CrossRef
A Case of Small Bowel Intussusception Caused by Jejunal Hamartoma Confused as Hepatitis A in an Adult
Joon Hur, Gu-Min Cho, Young Ook Eum, Ji Young Park, Mi Sung Kim, Byung Seong Ko, Hyang Mi Shin, Seung-Myoung Son
Yeungnam University Journal of Medicine.2012; 29(2): 110. CrossRef

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A Case of Henoch-Schönlein Purpura with Suspicious Focal Bowel Necrosis in an Adult: Su Jin Kim, Cheol Hee Park, So Yeon Kim, In Joung Lee, Chul Min Park, Chang Beom Cho, Jin Woo Kwon, Ji Won Park, Kyung Rim Huh, Kyoung Oh Kim, Il Hyun Baek, Kyo Sang Yoo, Jong Hyeok Kim, Choong Kee Park; Intest Res 2011;9(2):148-152. Published online August 30, 2011; DOI: https://doi.org/10.5217/ir.2011.9.2.148

Abstract PDF: Henoch-Schönlein purpura (HSP) is a vasculitis of the small vessels of the skin, joints, gastrointestinal tract, and kidneys characterized by immunoglobulin A deposits in the involved organs. HSP is typified by the classic tetrad of purpura, arthralgia, abdominal pain, and renal involvement. It is common in childhood, but may also occur in adults and can be accompanied by severe complications. Gastrointestinal symptoms occur in up to 85% of patients, and gastrointestinal involvement can manifest as severe problems including intussusception, obstruction, and perforation. The disease course is often self-limited, but severe manifestations occasionally require surgical intervention. We report the case of a 24-year-old man with HSP who presented with abdominal pain and vomiting. Computerized tomography revealed thickening of the ileal wall and multifocal disrupted prominent mucosal enhancement. These findings suggested hemorrhagic enteritis and mucosal necrosis. After treatment with high dose corticosteroids, the lesion improved and surgical intervention was avoided. Our experience suggests that corticosteroid therapy may help in controlling HSP with suspicious small bowel necrosis. (Intest Res 2011;9:148-152)

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