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Homogenous Subepithelial Esophageal Lesion 同质性食管上皮下病变
Pub Date : 2023-03-10 DOI: 10.7704/kjhugr.2023.0004
Jin Ook Jang, S. J. Kim, C. Choi
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引用次数: 0
Management of Type 1 Gastric Neuroendocrine Tumors Less than 10 mm in Diameter 直径小于10mm的1型胃神经内分泌肿瘤的治疗
Pub Date : 2023-03-10 DOI: 10.7704/kjhugr.2022.0065
J. Sung
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引用次数: 0
Approach to Patients after Successful Eradication of Helicobacter pylori 幽门螺杆菌成功根除后患者的处理方法
Pub Date : 2023-03-10 DOI: 10.7704/kjhugr.2023.0019
H. Moon
Helicobacter pylori (H. pylori) is a well-known gastrointestinal microorganism that causes chronic gastritis and peptic ulcers, which may evolve into gastric cancer. Previous studies have shown that H. pylori eradication inhibits the development of primary and metachronous gastric cancer. Therefore, the Kyoto global consensus recommends eradication therapy for both symptomatic and asymptomatic H. pylori-infected patients. Gastric cancer is detected even in patients after successful H. pylori eradication. Recent studies have reported the role of endoscopy in detection of primary gastric cancers after H. pylori eradication. Development of gastric cancer may be observed several months or even >10 years after successful H. pylori eradication. Therefore, identification of high-risk patients in whom extensive surveillance may prove beneficial represents a clinical dilemma. In this review, the characteristics of gastric cancer patients who have undergone successful H. pylori-eradication therapy are summarized.
幽门螺杆菌(H.pylori)是一种常见的胃肠道微生物,可引起慢性胃炎和消化性溃疡,并可能发展为癌症。先前的研究表明,根除幽门螺杆菌可抑制原发性和异时性癌症的发展。因此,京都全球共识建议对有症状和无症状的幽门螺杆菌感染患者进行根除治疗。甚至在成功根除幽门螺杆菌后的患者中也能检测到癌症。最近的研究报道了内镜在根除幽门螺杆菌后检测原发性胃癌中的作用。在成功根除幽门螺杆菌数月甚至10年后,可能会观察到癌症的发展。因此,确定广泛监测可能有益的高危患者是一个临床难题。本文综述了成功根除幽门螺杆菌治疗的癌症患者的特点。
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引用次数: 0
Approach to Small Gastric Subepithelial Lesions 胃上皮下小病变的入路
Pub Date : 2023-03-10 DOI: 10.7704/kjhugr.2023.0020
M. Lee, B. Lee
Gastric subepithelial lesions (SELs) are often detected incidentally during upper gastrointestinal endoscopy. Although most SELs are benign, endoscopic differentiation between malignant and benign lesions is important. Endoscopy is useful to determine the location, color, consistency, mobility, surface characteristics, and approximate size of gastric SELs. EUS can distinguish between intraluminal lesions and extraluminal compression and confirm the exact size, layer of origin, echogenicity, and homogeneity of SELs. Accurate understanding of the endoscopic and EUS features of gastric SELs is useful to effectively design an appropriate management plan and thereby minimize the rate of unnecessary surveillance or overtreatment.
胃上皮下病变(SELs)经常在上消化道内窥镜检查中偶然发现。尽管大多数SEL是良性的,但内镜下区分恶性和良性病变很重要。内窥镜可用于确定胃SEL的位置、颜色、一致性、移动性、表面特征和大致大小。EUS可以区分腔内病变和腔外压迫,并确认SEL的确切大小、起源层、回声和均匀性。准确了解胃SEL的内镜和EUS特征有助于有效设计适当的管理计划,从而最大限度地降低不必要的监测或过度治疗的发生率。
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引用次数: 1
Approach to Patients with Consecutive Helicobacter pylori Eradication Failure 幽门螺杆菌连续根除失败患者的治疗方法
Pub Date : 2023-03-10 DOI: 10.7704/kjhugr.2023.0017
S. Kim
Helicobacter pylori (H. pylori) is associated with various gastrointestinal disorders, such as gastritis, peptic ulcers, mucosa-associated lymphoid tissue lymphoma, and gastric cancer. Therefore, the International Agency for Research on Cancer, a specialized cancer agency of the World Health Organization, categorizes H. pylori as a definite gastric carcinogen (group I). H. pylori eradication is a major challenge both medically and socioeconomically in countries with high prevalence of H. pylori and gastric cancer. However, the efficacy of first-line clarithromycin-containing triple therapy and second-line bismuth-containing quadruple therapy continues to decline worldwide including in Korea. The role of salvage therapy is being recognized globally; however, the exact salvage therapy which is useful in daily clinical practice remains unestablished. In this review, factors associated with eradication failure will be discussed. Furthermore, eradication regimens that may be useful as salvage therapies based on Korean guidelines, Maastricht VI/Florence consensus report and previous research are summarized.
幽门螺杆菌(H.pylori)与各种胃肠道疾病有关,如胃炎、消化性溃疡、粘膜相关淋巴组织淋巴瘤和胃癌症。因此,世界卫生组织癌症专门机构癌症国际研究机构将幽门螺杆菌归类为明确的胃致癌物(I组)。在幽门螺杆菌和癌症发病率高的国家,根除幽门螺杆菌在医学和社会经济上都是一项重大挑战。然而,一线含克拉霉素三联疗法和二线含铋三联疗法的疗效在全球范围内持续下降,包括在韩国。抢救疗法的作用正在得到全球的认可;然而,在日常临床实践中有用的确切挽救疗法仍然没有建立起来。在这篇综述中,将讨论与根除失败相关的因素。此外,根据韩国指南、马斯特里赫特VI/Florence共识报告和先前的研究,总结了可能作为挽救疗法有用的根除方案。
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引用次数: 0
Is Probiotic Supplementation Useful for Helicobacter pylori Eradication? 益生菌补充剂对根除幽门螺杆菌有用吗?
Pub Date : 2023-03-10 DOI: 10.7704/kjhugr.2023.0007
K. Shim
The Korean Journal of Helicobacter and Upper Gastrointestinal Research is an Open-Access Journal. All articles are distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. EDITORIAL ISSN 1738-3331 eISSN 2671-826X, https://doi.org/10.7704/kjhugr.2023.0007 The Korean Journal of Helicobacter and Upper Gastrointestinal Research, 2023;23(1):1-3
《韩国幽门螺杆菌与上消化道研究杂志》是一份开放获取期刊。所有文章都是在知识共享署名非商业许可(http:// creativecommons.org/licenses/by-nc/4.0)的条款下发布的,该许可允许不受限制的非商业使用、分发和在任何媒体上复制,前提是正确引用原创作品。编辑ISSN 1738-3331 eISSN 2671-826X, https://doi.org/10.7704/kjhugr.2023.0007 .韩国幽门螺杆菌与上胃肠研究杂志,2023;23(1):1-3
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引用次数: 0
Clinical Efficacy of Transcatheter Arterial Embolization for Acute Non-Variceal Gastrointestinal Bleeding 经导管动脉栓塞治疗急性非静脉曲张性胃肠道出血的临床疗效
Pub Date : 2023-03-10 DOI: 10.7704/kjhugr.2023.0002
W. Kim, M. Joo
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引用次数: 0
Approach for the Management of Indefinite-for-neoplasia Lesions Detected on Gastric Mucosal Biopsy 胃粘膜活检中发现的肿瘤病变的不确定性处理方法
Pub Date : 2023-03-10 DOI: 10.7704/kjhugr.2023.0014
D. Ryu, C. Choi
Indefinite-for-neoplasia is an expression used to describe lesions in which carcinoma or dysplasia cannot be clearly and conclusively established via biopsy. Gastric indefinite-for-neoplasia may represent a reactive change secondary to inflammation in some patients; however, some lesions are eventually diagnosed as dysplasia or carcinoma. Follow-up endoscopic biopsy is commonly performed in patients with gastric indefinite-for-neoplasia lesions. Nonetheless, patients may undergo resection based on a high index of clinical suspicion for dysplasia or carcinoma based on endoscopic findings. Accurate target biopsies of the lesion and effective communication with pathologists are required to improve diagnostic accuracy and avoid unnecessary re-examinations. It is important to establish endoscopic findings useful in differentiating lesions that require resection. In this review, we describe the approach for the management of indefinite-for-neoplasia lesions detected on gastric mucosal biopsy and the characteristics of lesions that require resection.
肿瘤不确定性是一种用于描述无法通过活检明确和最终确定癌症或发育不良的病变的表达。胃肿瘤的不确定性可能代表一些患者继发于炎症的反应性变化;然而,一些病变最终被诊断为发育不良或癌症。随访内镜活检通常在胃肿瘤病变患者中进行。尽管如此,根据内窥镜检查结果,患者可能会因临床怀疑发育不良或癌症的高指数而接受切除术。需要对病变进行准确的靶向活检,并与病理学家进行有效沟通,以提高诊断准确性,避免不必要的复查。重要的是要确定有助于鉴别需要切除的病变的内窥镜检查结果。在这篇综述中,我们描述了胃粘膜活检中检测到的不确定的肿瘤病变的处理方法以及需要切除的病变的特征。
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引用次数: 0
Differential Diagnosis of Esophageal Ulcers 食管溃疡的鉴别诊断
Pub Date : 2023-03-10 DOI: 10.7704/kjhugr.2022.0060
B. Lee
The Korean Journal of Helicobacter and Upper Gastrointestinal Research is an Open-Access Journal. All articles are distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. BRIEF REPORT ISSN 1738-3331 eISSN 2671-826X, https://doi.org/10.7704/kjhugr.2022.0060 The Korean Journal of Helicobacter and Upper Gastrointestinal Research, 2023;23(1):68-72
《韩国幽门螺杆菌与上消化道研究杂志》是一本开放获取期刊。所有文章都是根据《知识共享署名非商业许可证》(http://creativecommons.org/licenses/by-nc/4.0)的条款分发的,该许可证允许在任何媒体上进行不受限制的非商业使用、分发和复制,前提是正确引用了原作。简要报告ISSN 1738-3331 eISSN 2671-826X,https://doi.org/10.7704/kjhugr.2022.0060《韩国幽门螺杆菌与上消化道研究杂志》,2023年;23(1):68-72
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引用次数: 0
Clinical Outcomes of Transcatheter Arterial Embolization after Failed Endoscopic Intervention for Acute Non-Variceal Bleeding Associated with Benign Upper Gastrointestinal Diseases 内镜下介入治疗急性非静脉曲张性出血并发良性上消化道疾病失败后经导管动脉栓塞的临床疗效
Pub Date : 2023-03-06 DOI: 10.7704/kjhugr.2022.0054
Sang Yoon Kim, Su J. Kim, Ayoung Lee, Kichul Yoon, JUN YOUNG Park, J. Y. Lee, Jae Myung Park
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引用次数: 0
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The Korean Journal of Helicobacter and Upper Gastrointestinal Research
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