Intestinal Research

Jong-Jae Park

3 Articles

Small Bowel Metastatic Cancer Observed With Double Balloon Enteroscopy in a Patient With a Past History of Multiple Cancers: Ji Young Song, Beom Jae Lee, Eun Sang Yu, Young Ju Na, Jong-Jae Park, Jae Seon Kim, Young-Tae Bak; Intest Res 2015;13(4):350-354. Published online October 15, 2015; DOI: https://doi.org/10.5217/ir.2015.13.4.350

Small bowel tumors are very rare and generally malignant. As a result of the anatomical location and nonspecific manifestations of small bowel tumors, they are very difficult to diagnose. Balloon-assisted enteroscopy is a relatively noninvasive method compared to surgical resection, and allows for real-time observation, tissue confirmation with biopsy, and interventional procedures. Here, we report the case of a 69-year-old woman with a small bowel metastatic carcinoma observed with double balloon enteroscopy (DBE). She had a history of multiple cancers including ovarian cancer, bladder cancer, and breast cancer. The antegrade DBE procedure was performed before surgery for biopsy tissue confirmation. The patient underwent small bowel resection, and the final diagnosis was the same as that determined by preoperative biopsy. The final diagnosis was metastatic small bowel cancer originating from a cancer of the breast. This is the first detailed report of the preoperative diagnosis of small intestinal metastatic breast cancer by DBE.

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Obscure Bleeding from a Metastatic Small Bowel Tumor Diagnosed Using Motorized Spiral Enteroscopy: A Case Study and a Literature Review
Christian Banciu, Andreea Munteanu, Adrian Aprotosoaie, Ramona Fabian, Amadeus Dobrescu, Adrian Vaduva, Antonio Fabian, Irina Soica, Viviana Ivan, Laurentiu Sima
Diagnostics.2024; 14(9): 904. CrossRef
Endoscopic and histological characteristics of small bowel tumors diagnosed by double-balloon enteroscopy
Suleyman Dolu, Soner Onem, Zarni Htway, Farid Hajıyev, Ali Bilgen, Hatice Cilem Binicier, Ecem Kalemoglu, Ozgul Sagol, Mesut Akarsu
Clinical Endoscopy.2023; 56(1): 83. CrossRef
Unusual cause of intestinal obstruction: Breast cancer with solitary ileal metastasis diagnosed after enteroscopy
Hsuan‐An Su, Chih‐Jung Chen, Hsu‐Heng Yen
Advances in Digestive Medicine.2017; 4(3): 110. CrossRef

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Factors Affecting Complete Small Bowel Study and Diagnostic Yield in MiroCam^® Capsule Endoscopy: Wonho Jung, Jin Sung Koh, Sung Ho Kim, Sang Ah Lim, Eun Hye Lim, Joon Young Lee, Moon Kyung Joo, Beom Jae Lee, Ji Hoon Kim, Jong Eun Yeon, Jong-Jae Park, Jae Seon Kim, Kwan Soo Byun, Yung-Tae Bak, Sang Woo Lee, Jae Hyun Choi; Intest Res 2011;9(1):27-34. Published online April 30, 2011; DOI: https://doi.org/10.5217/ir.2011.9.1.27

Abstract PDF: Background/Aims
Mirocam^® capsule endoscopy has been widely used in Korea; however, data with respect to Mirocam^® capsule endoscopy is lacking. We have assessed the factors affecting complete small bowel studies and diagnostic yield in Mirocam^® capsule endoscopic studies. Methods: We retrospectively analyzed 103 cases that were assessed with Mirocam^® capsule endoscopy between June 2007 and February 2010 at Guro Korea University Hospital. Results: The mean age of the 103 cases was 55.47 years (range, 16-99 years) and 67 cases (65%) were male. The indications for capsule endoscopy were hematochezia/melena (77 cases, 74.8%), anemia (8 cases, 7.8%), abdominal pain (12 cases, 11.7%), and miscellaneous (weight loss and chronic diarrhea; 6 cases, 5.8%). The mean stomach transit time was 59.9±88.3 minutes (range, 1-630 minutes) and the mean small bowel transit time was 396.0±131.7 minutes (range, 117-708 minutes). The rate of successfully performing a complete small bowel study was 82.5% (85 cases), and the stomach transit time was a significant factor for a complete small bowel study (OR=0.991, 95% CI= 0.984-0.998, P=0.012). The diagnostic yield was 51.5% (53 cases); visual quality was a significant factor in determining the diagnostic yield (OR=6.776, 95% CI=1.32-34.70, P=0.022). Conclusions: In a Mirocam^® capsule endoscopic study, short stomach transit time was a significant factor affecting completion of the small bowel study. Achieving excellent visual quality by good bowel preparation was a significant factor for improving the diagnostic yield. (Intest Res 2011;9: 0-34)

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Clinical Analysis of Sigmoid Volvulus: Ji Hyun Kim, Jin Yong Kim, Kwan An Kwon, Moon Gi Chung, Jong Eun Yeon, Jong-Jae Park, Jae Seon Kim, Kwan Soo Byun, Young-Tae Bak; Intest Res 2005;3(2):117-120. Published online December 30, 2005

Abstract PDF: Background/Aims
Sigmoid volvulus is a rare cause of large bowel obstruction, but can lead to significant morbidity, but there have been few recent studies in Korea. This study was undertaken to evaluate the clinical features of sigmoid volvulus. Methods: We retrospectively reviewed the medical records of 11 patients diagnosed as a sigmoid volvulus in Korea university Guro, Ansan, Anam hospital and Gachon medical school Gil medical center from January 2000 to February 2005 and investigated their demographics, clinical course and outcomes. Results: The mean age was 34 years (range 25-58) and the male：female ratio was 6：5. Endoscopic decompression was attempted in 10 of 11 patients and was successful in all of them. 4 of them were undergone elective surgery and 1 of them developed recurrent sigmoid volvulus. 1 patient died by sepsis and total 4 patients developed recurrent volvulus. Conclusions: The mean age was relatively young compared with previously reported cases. Initial endoscopic decompression resolves the acute obstruction in the all of cases and recurrent rate was 40% and mortality rate was 9%. (Intestinal Research 2005;3:117-120)

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