• Title/Summary/Keyword: Endoscopic diagnosis

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Esophageal hemangioma-A case report (양성 식도 혈관종 -1례 보고-)

  • 김진국
    • Journal of Chest Surgery
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    • v.23 no.5
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    • pp.994-997
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    • 1990
  • We are reporting a case of esophageal hemangioma, which is a very rare disease with only 24 cases having been reported. A 31-year-old male with dysphagia was shown to have a hemangioma of the upper thoracic esophagus and resection of the lesion cured this problem. Once diagnosed in symptomatic patient, treatment should be instituted because of followings; 1. growth potency to large size, 2. possible complications such as hemorrhage and obstruction, and 3. exclusion diagnosis of malignancy. Surgery is the treatment of choice due to its effectiveness and safety, but endoscopic removal may be possible for small tumors and those on a pedicle.

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Foreign Bodies in Aero-digestive Tract (기관 식도 이물)

  • Han, Ju-Hee;Choi, Seung-Ho
    • Korean Journal of Bronchoesophagology
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    • v.15 no.2
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    • pp.11-18
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    • 2009
  • Foreign bodies of the upper aerodigestive tract in the pediatric population are a common occurrence. However, despite significant advances in prevention, first aid and endoscopic technology, they remain a diagnostic and therapeutic challenge. Early diagnosis is the key to successful and uncomplicated management of these accidents. An orderly and systematic approach to these patients including a careful history, physical exam and radiographic studies is detailed in this review.

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A Rare Case of Primary Duodenal Follicular Lymphoma

  • Hyun-Jung Kim;Jeongmin Choi
    • Journal of Digestive Cancer Research
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    • v.10 no.1
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    • pp.39-42
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    • 2022
  • Primary duodenal follicular lymphoma is rare and presents as multiple, small polyp-like lesions on endoscopy. If this lesion is suspected, an endoscopic biopsy is crucial for diagnosis. A watchful wait would be appropriate management as it has a fairly indolent clinical course. Herein, we present a rare case of primary duodenal follicular lymphoma.

Stress Fracture after Arthroscopic Lesser Trochanter Resection: Diagnosis and Therapy

  • Matthieu Baert;Maxence Vandekerckhove;Jan Vanlommel
    • Hip & pelvis
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    • v.36 no.1
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    • pp.70-75
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    • 2024
  • We report on the case of a 52-year-old female who presented with a stress fracture after undergoing an endoscopic resection of the lesser trochanter in ischiofemoral impingement, which was resistant to maximal conservative treatment. To the best of our knowledge, this complication has not been previously described. Non-weight-bearing and intravenous alendronic acid were prescribed for management. No additional surgery was required. The patient was pain free with the ability to perform sports on the same level as before and had no complaints.

Usefulness of Brushing Cytology in the Diagnosis of the Patients with the Stricture of Biliary Tree (담도계 협착 환자의 진단에 솔질 세포검사의 유용성)

  • Park, Mi-Ok
    • The Korean Journal of Cytopathology
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    • v.11 no.1
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    • pp.11-18
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    • 2000
  • Pancreaticobiliary tract strictures are frequent Indications for endoscopic retrograde cholangiopancreatography(ERCP). We have investigated the brushing cytology in order to determine its efficacy for diagnosis of pancreaticobiliary malisnancies. Brushing cytology during ERCP was evaluated in 56 patients with biliary tract stricture presenting to the Catholic Hospital of Taegu-Hyosung from April 1997 to August 1999. A comparison was made between the cytologic and histologic diagnoses on 32 cases from 30 patients. A diagnosis of malignancy was establishied in 78.1%, benign in 15.6%, and inadequate in 6.3% of the cases. Statistical data on cytologic diagnoses in strictures of the bile duct were as follows; specificity and sensitivity of blushing procedure was 100% & 83.3%, respectively: sensitivity of interpretation was 89.3%: with no false positive cases and 3 false negative cases: predictive value for malignancy was 100% & 100%, respectively: predictive value for benign was 28.6% & 40%,, respectively: overall diagnostic efficiency was 84.4%. It is concluded that brush cytology is a diagnostically reliable, highly specific technique for malignant lesions encounted at ERCP, although a negative result does not rule out the diagnosis of malignancy.

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Early-diagnosed silent sinus syndrome and cone-beam computed tomography in a pediatric patient: a case report

  • Leidens, Natali;Franco, Ademir;Santos, Marco C.J.;Makeeva, Irina M.;Fernandes, Angela
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.46 no.2
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    • pp.155-159
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    • 2020
  • Chronic maxillary atelectasis (CMA) is a progressive alteration in the volume of the maxillary sinuses that may result in facial asymmetry. CMA in asymptomatic patients is known as silent sinus syndrome (SSS) and is a rare entity, especially in pediatric patients. This study reports a case of SSS in a pediatric patient who received an early diagnosis through cone-beam computed tomography (CBCT). An asymptomatic 12-year-old female patient in orthodontic treatment presented with opacification of the left maxillary sinus on a panoramic radiograph. Clinically, the patient had discrete hypoglobus and enophthalmos. CBCT and nasal video-endoscopy revealed ostiomeatal obstruction with bone deformity, leading to diagnosis of SSS. Endonasal endoscopic maxillary sinusotomy was performed. Two years later, the patient remained asymptomatic, and a second CBCT exam confirmed a stable condition. This case highlights the role of optimal radiographic interpretation for early diagnosis of maxillofacial alterations in pediatric patients.

Diagnosis of Helicobacter pylori Infection

  • Tongtawee, Taweesak;Kaewpitoon, Soraya;Kaewpitoon, Natthawut;Dechsukhum, Chavaboon;Leeanansaksiri, Wilairat;Loyd, Ryan A;Matrakool, Likit;Panpimanmas, Sukij
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.4
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    • pp.1631-1635
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    • 2016
  • Helicobacter pylori infection plays an important role in the pathogenesis of chronic gastritis, peptic ulcer disease and gastric malignancy. A diagnosis of infection is thus an important part of a treatment strategy of many gastrointestinal tract diseases. Many diagnostic tests are available but all have some limitations in different clinical situations and laboratory settings. A single gold standard cannot available, but be used for diagnosis of Helicobacter pylori infection in daily clinical practice in all areas, so several techniques have been developed to give reliable results, especially focusing on real time endoscopic features. The narrow band imaging system (NBI) and high resolution endoscopy are imaging techniques for enhanced visualization of infected mucosa and premalignant gastric lesions. The aim of this article is to review the current diagnostic options and possible future developments detection of Helicobacter pylori infection.

New Diagnostic Techniques in Cancer of the Pharynx and Esophagus (인두암과 식도암의 새로운 진단내시경)

  • Cho, Joo Young;Cho, Won Young
    • Korean Journal of Bronchoesophagology
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    • v.17 no.1
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    • pp.14-18
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    • 2011
  • The diagnosis and treatment of early gastrointestinal cancers is the gastroenterologists' mission because of national cancer screening program in South Korea. The detection of early cancers is emphasized, because these were previously treated with surgical treatment can be currently cured with endoscopic treatment. Gastroenterologists who achieved at least on some level can make an exact diagnosis regardless of what type of endoscopy, but generally, there are some required conditions for an optimal diagnosis. First, clinically important lesions have to be detected easily. Second, the border and morphology of lesions have to be characterized easily. Third, lesions have to be diagnosed exactly. Precancers and early cancers are often subtle and can pose a challenge to gastroenterologists to visualize using standard white light endoscopy. The use of dye solutions aids the diagnosis of early gastrointestinal cancers, however, it is a quite cumbersome to use dye solutions all the time and the solution often bothers the exact observation by pooling into the depression or ulceration of the lesion. To overcome this weakness, newer endoscopes are now developed so called "image enhanced endoscopy" using optical and/or electronic methods such as narrow band imaging (NBI), autofluorescence imaging (AFI), i-scan, flexible spectral imaging color enhancement (FICE) and confocal endomicroscopy (CLE).

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