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이매지나 제품의 특장점 IMAGINA CLINICAL CASES 회사 소개

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IMAGINA LEADERS STOMACH Prof. Seong Woo JEON

ESOPHAGUS

Prof. Seong Woo JEON

Prof. Yong Hwan KWON

Prof. Woo Chul CHUNG

image
  • Prof. Seong Woo JEON
  • Division of Gastroenterology & Hepatology
  • Department of Medicine
  • Kyungpook National University Hospital
  • Area of Interest
  • Therapeutic endoscopy in esophageal, gastric and colon cancer
  • Prevention and screening of early gastric cancer
  • Development of novel endoscopic devices
  • Helicobacter pylori diagnosis and treatment

How do I use PENTAX IMAGINA in my clinical endoscopy cases :

“ I use PENTAX Medical IMAGINA in daily clinical endoscopy practice.
One of our endoscopy purpose is screening for whom have a gastrointestinal symptoms.
I encounter several specific findings matched with their subjective symptoms and reflux esophagitis is most representative one.
Typical findings associated with typical symptoms could make it easy to diagnose certain diseases like reflux esophagitis.
The PENTAX Medical IMAGINA system have clear resolution and it can help clear diagnosis. “

Reflux Esophagitis LA C

Patient History

A 79-year-old male patient had undergone surveillance endoscopy after concurrent chemoradiotherapy for squamous cancer of upper esophagus.
The patient had no evidence of recurrence on CT scan and endoscopy.

Endoscopic Findings

The endoscopy findings with i-scan SE shows that 4 mucosal breaks with exudates are extending to the proximal part of esophagus more than 5mm long and continuous between the tops of mucosal folds, but which involves less than 75% of the circumference. The esophagogastric junction also shows moderate hiatal hernia.

Patient Outcome and Follow-ups

The patient has got prescription for control of symptom. After taking medication of proton pump inhibitor, maintenance therapy will be provided.
The endoscopic follow-up was scheduled 6months later.

Image 1

Video clip available

Mucosal breaks with exudates are extending to the proximal part of esophagus more than 5mm long and continuous between the tops of mucosal folds, but which involves less than 75% of the circumference.
The esophagogastric junction also shows moderate hiatal hernia.

Image 2 & 3

image image

Mucosal breaks with exudates are extending to the proximal part of esophagus more than 5mm long and continuous between the tops of mucosal folds, but which involves less than 75% of the circumference.

Summary

  • HD endoscopy itself is very useful in the grading of reflux esophagitis.

Reflux esophagitis LA classification are as follows;

  • A. One (or more) mucosal break on longer than 5 mm that does not extend between the tops of two mucosal folds
  • B. One (or more) mucosal break more than 5-mm long that does not extent between the tops of two mucosal folds
  • C. One (or more) mucosal break that is continuous between the tops of two or more mucosal folds but that involves less than 75% of the circumference
  • D. One (or more) mucosal break that involves at least 75% of the esophageal circumference
qrcode
IMAGINA LEADERS STOMACH Prof. Yong Hwan KWON

ESOPHAGUS

Prof. Seong Woo JEON

Prof. Yong Hwan KWON

Prof. Woo Chul CHUNG

image
  • Prof. Yong Hwan KWON
  • Division of Gastroenterology & Hepatology
  • Department of Medicine
  • Kyungpook National University Hospital
  • Area of Interest
  • Area of Interest Endoscopic therapy
  • Gastric cancer and carcinogenesis
  • Helicobacter pylori

How do I use PENTAX IMAGINA in my clinical endoscopy cases :

“ I used PENTAX Medical IMAGINA in patients with dysphagia. We have to consider the EG junction cancer in patients who complained the solid and liquid food dysphagia.
This time clear image and high maneuverability ofIMAGINA gastroscope thoroughly guided EG junction.”

Achalasia

Patient History

A 62-year-old male patient was referred for the treatment of hematemesis from ER.
He has a history of dysphagia for solid and liquid food for 20 years and recurrently vomits after meal.

Esophagogram
amount of contrast agent remained in the esophagus and showed a typical bird beak appearance.
image
Chest CT
Distal esophageal narrowing that extended to the gastro-esophageal junction and esophageal dilation was observed above the narrowed segment.
image
i-scan SE and TE helped to demarcate the borders or the leision.

Endoscopic Findings

Esophagus showed retention of fluid and food materials with severe dilatation. He had an Eckardt symptom score of 8.
During endoscopy, the risk of aspiration should be considered, thus long fasting should be done before endoscopic examination.

Patient Outcome and Follow-ups

The patient had received balloon dilatation and he could eat the food easily.

Image 1

image

Image 2

image

Image 3

Summary

  • In people with achalasia, endoscopy often reveals a dilated esophagus that contains retained food;
  • it may also reveal inflammation, small ulcers caused by residual food and other infection.
  • The endoscopic examination is especially important to rule out other possible causes for the symptoms.
  • These include esophageal and gastric tumors as well as stenosis caused by scarring or inflammatory conditions.
  • Especially the esophagogastric junction, as well as the gastric cardia and the fundus, should be examined carefully for evidence of neoplasm,
  • because gastric adenocarcinoma is the most common neoplasm associated with pseudoachalasia.
qrcode
IMAGINA LEADERS STOMACH Prof. Woo Chul CHUNG

ESOPHAGUS

Prof. Seong Woo JEON

Prof. Yong Hwan KWON

Prof. Woo Chul CHUNG

image
  • Prof. Woo Chul CHUNG
  • Division of Gastroenterology
  • Department of Internal Medicine
  • The Catholic University School of Medicine
  • St. Vincent’s Hospital
  • Area of Interest
  • Area of Interest Therapeutic endoscopy
  • Gastric cancer
  • Helicobacter pylori

How do I use PENTAX IMAGINA in my clinical endoscopy cases :

“IMAGINA video endoscope is suitable for therapeutic endoscopy and the image was sharper and crisper without losing focus.
I can practice IMAGINA for various therapeutic endoscopy cases. Prejudice about PENTAX Medical endoscopes can be released I think.”

Foreign Matter Removal on Esophagus

Patient History

A 73-year-old male patient with hypertension was referred for taking out foreign matter (drug package) which was swallowed together with medicine

Endoscopic Findings

The drug package was observed at mid esophagus.
We used a protective device - endoscopic cap, in order to avoid esophagogastric/
pharyngeal damage during endoscopic extraction of sharp-pointed foreign body. (image 1)
Successful removal and laceration wounds were observed. (image 2)

Endoscopic Treatment and Pathology Results

Foreign body removal by endoscopy.

Patient Outcome and Follow-ups

The procedure performed successfully without any event.

Image 1

image
image

Image 2

image
image

Summary

  • In the guideline of removal of foreign bodies in the upper gastrointestinal tract in adults, diagnostic evaluation based on the patient’s history and symptoms was important.
  • it may also reveal inflammation, small ulcers caused by residual food and other infection.
  • Blister packs are useful for protecting drugs, and they are made of aluminum foil or plastic film. Sharp edges are exposing, when they are divided individually.
  • In case of foreign bodies inducing complete esophageal obstruction, and for sharp-pointed objects or batteries in the esophagus, we recommend urgent (within 24 hours) therapeutic endoscopy.
  • Time delay decreases the likelihood of successful removal and increases the risk of complications.
qrcode
IMAGINA LEADERS Prof. Seong Woo JEON

ESOPHAGUS

< image >
  • Prof. Seong Woo JEON
  • Division of Gastroenterology & Hepatology
  • Department of Medicine
  • Kyungpook National University Hospital
  • Area of Interest
  • Therapeutic endoscopy in esophageal,
    gastric and colon cancer
  • Prevention and screening of early gastric cancer
  • Development of novel endoscopic devices
  • Helicobacter pylori diagnosis and treatment

How do I use
PENTAX IMAGINA
in my clinical endoscopy
cases :

“ I use PENTAX Medical IMAGINA in daily clinical endoscopy practice.
One of our endoscopy purpose is screening for whom have a gastrointestinal symptoms.
I encounter several specific findings matched with their subjective symptoms and reflux esophagitis is most representative one.
Typical findings associated with typical symptoms could make it easy to diagnose certain diseases like reflux esophagitis.
The PENTAX Medical IMAGINA system have clear resolution and it can help clear diagnosis. “

Reflux Esophagitis
LA C

Patient History

A 79-year-old male patient had undergone surveillance endoscopy after concurrent chemoradiotherapy for squamous cancer of upper esophagus.
The patient had no evidence of recurrence on CT scan and endoscopy.

Endoscopic Findings

The endoscopy findings with i-scan SE shows that 4 mucosal breaks with exudates are extending to the proximal part of esophagus more than 5mm long and continuous between the tops of mucosal folds, but which involves less than 75% of the circumference. The esophagogastric junction also shows moderate hiatal hernia.

Patient Outcome and Follow-ups

The patient has got prescription for control of symptom. After taking medication of proton pump inhibitor, maintenance therapy will be provided.
The endoscopic follow-up was scheduled 6months later.

Image 1

Mucosal breaks with exudates are extending to the proximal part of esophagus more than 5mm long and continuous between the tops of mucosal folds, but which involves less than 75% of the circumference.
The esophagogastric junction also shows moderate hiatal hernia.

Image 2 & 3

image image

Mucosal breaks with exudates are extending to the proximal part of esophagus more than 5mm long and continuous between the tops of mucosal folds, but which involves less than 75% of the circumference.

Summary

  • HD endoscopy itself is very useful in the grading of reflux esophagitis.

Reflux esophagitis LA classification are as follows;

  • A. One (or more) mucosal break on longer than 5 mm that does not extend between the tops of two mucosal folds
  • B. One (or more) mucosal break more than 5-mm long that does not extent between the tops of two mucosal folds
  • C. One (or more) mucosal break that is continuous between the tops of two or more mucosal folds but that involves less than 75% of the circumference
  • D. One (or more) mucosal break that involves at least 75% of the esophageal circumference
/base/img/resource/img/jeon-qr-1.png
IMAGINA LEADERS Prof. Yong Hwan KWON

ESOPHAGUS

< image >
  • Prof. Yong Hwan KWON
  • Division of Gastroenterology & Hepatology
  • Department of Medicine
  • Kyungpook National University Hospital
  • Area of Interest
  • Area of Interest Endoscopic therapy
  • Gastric cancer and carcinogenesis
  • Helicobacter pylori

How do I use
PENTAX IMAGINA
in my clinical endoscopy
cases :

“ I used PENTAX Medical IMAGINA in patients with dysphagia. We have to consider the EG junction cancer in patients who complained the solid and liquid food dysphagia.
This time clear image and high maneuverability ofIMAGINA gastroscope thoroughly guided EG junction.”

Achalasia

Patient History

A 62-year-old male patient was referred for the treatment of hematemesis from ER.
He has a history of dysphagia for solid and liquid food for 20 years and recurrently vomits after meal.

Esophagogram
amount of contrast agent remained in the esophagus and showed a typical bird beak appearance.
image
Chest CT
Distal esophageal narrowing that extended to the gastro-esophageal junction and esophageal dilation was observed above the narrowed segment.
image
i-scan SE and TE helped to demarcate the borders or the leision.

Endoscopic Findings

Esophagus showed retention of fluid and food materials with severe dilatation. He had an Eckardt symptom score of 8.
During endoscopy, the risk of aspiration should be considered, thus long fasting should be done before endoscopic examination.

Patient Outcome and
Follow-ups

The patient had received balloon dilatation and he could eat the food easily.

Image 1

image

Image 2

image

Image 3

Summary

  • In people with achalasia, endoscopy often reveals a dilated esophagus that contains retained food;
  • it may also reveal inflammation, small ulcers caused by residual food and other infection.
  • The endoscopic examination is especially important to rule out other possible causes for the symptoms.
  • These include esophageal and gastric tumors as well as stenosis caused by scarring or inflammatory conditions.
  • Especially the esophagogastric junction, as well as the gastric cardia and the fundus, should be examined carefully for evidence of neoplasm,
  • because gastric adenocarcinoma is the most common neoplasm associated with pseudoachalasia.
qrcode
IMAGINA LEADERS Prof. Woo Chul CHUNG

ESOPHAGUS

< image >
  • Prof. Woo Chul CHUNG
  • Division of Gastroenterology
  • Department of Internal Medicine
  • The Catholic University School of Medicine
  • St. Vincent’s Hospital
  • Area of Interest
  • Area of Interest Therapeutic endoscopy
  • Gastric cancer
  • Helicobacter pylori

How do I use
PENTAX IMAGINA
in my clinical endoscopy
cases :

“IMAGINA video endoscope is suitable for therapeutic endoscopy and the image was sharper and crisper without losing focus.
I can practice IMAGINA for various therapeutic endoscopy cases. Prejudice about PENTAX Medical endoscopes can be released I think.”

Foreign Matter
Removal on
Esophagus

Patient History

A 73-year-old male patient with hypertension was referred for taking out foreign matter (drug package) which was swallowed together with medicine

Endoscopic Findings

The drug package was observed at mid esophagus.
We used a protective device - endoscopic cap, in order to avoid esophagogastric/
pharyngeal damage during endoscopic extraction of sharp-pointed foreign body. (image 1)
Successful removal and laceration wounds were observed. (image 2)

Endoscopic Treatment and Pathology Results

Foreign body removal by endoscopy.

Patient Outcome and Follow-ups

The procedure performed successfully without any event.

Image 1

image
image

Image 2

image
image

Summary

  • In the guideline of removal of foreign bodies in the upper gastrointestinal tract in adults, diagnostic evaluation based on the patient’s history and symptoms was important.
  • it may also reveal inflammation, small ulcers caused by residual food and other infection.
  • Blister packs are useful for protecting drugs, and they are made of aluminum foil or plastic film. Sharp edges are exposing, when they are divided individually.
  • In case of foreign bodies inducing complete esophageal obstruction, and for sharp-pointed objects or batteries in the esophagus, we recommend urgent (within 24 hours) therapeutic endoscopy.
  • Time delay decreases the likelihood of successful removal and increases the risk of complications.
qrcode

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