• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.10 no.1
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• pp.20-27
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• 2007

Purpose: This study was performed to review the recent experiences of pediatric gastrointestinal (GI) endoscopy done in one university hospital. Methods: A retrospective review of medical records was conducted of 1,040 pediatric cases who underwent GI endoscopy at the Pusan National University Hospital between January 2001 to June 2005. Results: A total of 1,040 endoscopies (upper 840 and lower 200) were performed. The male/female ratio was 1.25:1. Neonates and infants accounted for 6.0% and 16.5% respectively. Half of the children were below 5 years (mean age $8.5{\pm}2.1$ years). Upper and lower GI diagnostic endoscopies were performed in 634 and 163 children respectively. Abdominal pain (38.8%), vomiting (19.4%), foreign body (17.7%), and hematemesis (10.3%) were the main reasons for esophagogastroduodenoscopy. Hematochezia (56.0%), abdominal pain (27.5%) and diarrhea (3.0%) were the main reasons for colonoscopy. Upper GI therapeutic procedures included retrieval of foreign bodies, balloon dilatations of esophageal stricture, PEG, and variceal ligation in 148, 27, 15, and 3 children, respectively. Therapeutic lower GI endoscopies were performed in 37 children (polypectomy in 92%, argon lazer cauterization for angiodysplasia in 4%). Conclusion: GI endoscopy played an important role in the diagnosis and treatment of GI diseases in children. Procedures in younger aged children, cases evaluated by colonoscopy and therapeutic endoscopies are increasing in pediatric practice.

• Proceedings of the Korean Institute of Intelligent Systems Conference
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• 2005.04a
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• pp.255-260
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• 2005

위암은 국내 암발생 및 사망률의 상당 부분을 차지하고 있으며, 이러한 조기 위암의 발견은 치료 및 예후에 있어서 아주 중요하다. 본 논문에서는 조기 위암의 진단을 위해 위 내시경 영상에서 색상 변화를 이용해 이상 부위를 검출하여 검사자에게 조직적인 정보를 제공하는 시스템을 제안한다. 어느 정도의 진행이 이루어진 염증과 암은 쉽게 판단할 수 있지만, 조기의 염증이나 암의 경우에는 주의 깊게 보지 않는 경우에는 병변의 진단이 쉽지 않다. 본 논문에서는 위 내시경 영상을 IHB 채널로 변환시키고 조명에 의해 발생하는 잡음을 제거하며 자동으로 암 의심 영역을 검출하여 검사자에게 제공하거나 검사자에 의해 설정된 영역에 대한 조직적인 표면 정보를 제공한다. 본 논문의 연구는 추출된 이상 부위가 암을 확진할 수 없지만, 인간이 쉽게 인지하기 어려운 이상부위(암 의심 영역)를 추출하여 검사자에게 주의를 요구함으로써 일 처리를 줄이고 부과적인 정보를 제공한다. 그리고 검사추가 지정한 영역에 대해서도 조직적인 정보를 제공한다. 제안된 위 내시경 영상 분석 방법의 효율성을 확인하기 위해서 실제 내시경 영상들을 대상으로 실험한 결과, 제안된 방법이 위 내시경 영상 분석에 효율적임을 확인하였다.

• 아름다운작은공간 미소공
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• v.34
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• pp.24-25
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• 2003

• Journal of radiological science and technology
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• v.27 no.1
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• pp.13-16
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• 2004

대장내시경검사는 역사적으로 돌아보면 원래 히포크라테스의 치루치료과정에서 직장경 사용으로부터 유래되며 그 후 Kelly의 25 cm 표준 S상 결장경의 발견으로 진전되었고 조명 및 각종 부속기구들이 많이 개선되면서 직장암의 발견에 기여해 왔다. 1911년에 독일 뮌헨의 Michael Hoffman이라는 광학 기술자가 프리즘을 여러 개를 연결하면 직선이 아닌 곡선에서도 빛을 그대로 전달할 수 있다는 사실을 발견하였고 이를 기초로 하여 1958년에 미국에서 Hirschowitz가 처음으로 섬유경(fiberscope)을 선보였고 그 이후 이용한 상부소화관에 대한 내시경 기술이 급속히 발전하기 시작하였고, 이를 기초로 1969년부터 ACMI, Olympus, Fujinon, Pentax 등 세계 유수의 내시경 회사들이 대장내시경을 제작하기 시작하였다. 1983년에 미국의 Welch-Allyn사가 CCD(Charge Coupled Device)라는 집광 장치를 만들어서 마치 내시경의 눈과 같은 작용을 해서 이것을 내시경 선단에 장치하고 전파를 이용하여 영상을 전달하여 이 상이 TV 모니터에 비치는 것을 보게 되는 전자내시경을 개발하여 현재는 상부내시경 뿐 아니라 대장내시경도 대부분이 전자 내시경으로 대체되어서 오늘에 이르고 있다.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2022.10a
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• pp.2-5
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• 2022

Human organs in the body have a complex structure, and in particular, the small intestine is about 7m long, so endoscopy is not easy and the risk of endoscopy is high. Currently, the test is performed with a capsule endoscope, and the test time is very long. The doctor connects the removed storage device to the computer to store the patient's capsule endoscope image and reads it using a program, but the capsule endoscope test results in a long image length, which takes a lot of time to read. In addition, in the case of the small intestine, there are many curves due to villi, so the occlusion area or light and shade of the image are clearly visible during the examination, and there may be cases where lesions and abnormal signs are missed during the examination. In this paper, we provide a method of assisting small intestine capsule endoscopic lesion examination using artificial neural networks to shorten the doctor's image reading time and improve diagnostic reliability.

• Journal of Veterinary Clinics
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• v.24 no.3
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• pp.315-319
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• 2007

Transgastric endoscopic cholecystectomy was successfully accomplished in a 1-year-old, 15 kg, female, mongrel dog. Single-working channel flexible gastric endoscope was used with the aid of one abdominal laparoscopic port. Gastrotomy was performed using endoscopic needle knife at the ventral antral region. Through the gastric incision endoscope was advanced and retroflexed for the visualization of gallbladder. For the better exposure of surgical field, gentle traction was applied at the fundus of the gallbladder using laparoscopic grasping forceps. Cystic duct and artery was ligated using endoclips. After transecting the duct and artery, gallbladder was dissected using endoscopic coagulating grasping forceps and needle knife. Resected gallbladder was retrieved through the mouth and gastric incision site was sutured using endoclips. There was no evidence of bile leakage or stomach leakage on postoperative day (POD) 3. On POD 16, gastric endoscopy and laparoscopy was performed. Gastric endoscopy revealed complete adhesion of incision site. The content of the peritoneum appeared healthy, with no sign of infection, bile staining, or organ injury. The omentum was adhered over resected gallbladder fossa and the serosal surface of gastrotomy site. This is the first report of NOTES cholecystectomy in the dog and provides new concept of cholecystectomy of the dog.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.4 no.2
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• pp.181-190
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• 2001

Purpose: The aim of this study is to investigate the usefulness of intestinal ultrasonography (US) and upper gastrointestinal endoscopy in the early diagnosis of Henoch-Sch$\"{o}$nlein purpura (HSP) with the gastrointestinal (GI) symptoms preceding the emergence of the skin lesion. Methods: The clinical, intestinal US and upper gastrointestinal endoscopic records of 85 patients (88 cases) with GI symptoms relating to HSP presenting between January 1999 and April 2001 were reviewed. Results: 1) GI symptoms were observed in 52 cases (59%) and skin, joint, renal and scrotal manifestations were observed in 88 (100%), 64 (73%), 15 (17%), 3 cases (3%) respectively. 2) Out of 52 cases with GI symptoms, abdominal pain was observed in all cases (100%). Positive stool occult blood, nausea and vomiting, abdominal tenderness, melena or tarry stool, diarrhea, hematemesis, rebound tenderness and rigidity were observed in 28 (50%), 17 (33%), 17 (33%), 12 (23%), 6 (12%), 4 (8%), 1 (2%) and 1 case (2%) respectively in order of frequency. 3) Intestinal US examination was performed in 27 cases with HSP and GI symptoms (52 cases). Out of 27 sonographic examinations 22 showed abnormal findings. Thickening of the duodeno-jejunal wall was observed in 16 cases (73%). Free peritoneal fluid, enlarged mesenteric lymph node, ileus and abnormal gall bladder were seen in 8 (36%), 8 (36%), 4 (18%) and 1 case (5%) respectively. In three cases of HSP without GI symptoms, those changes were absent. 4) In all of five cases with HSP and GI symptoms, endoscopic study showed mucosal edema and multiple hemorrhagic erosions especially at the second portion of the duodenum. Biopsy specimens from the duodenum of 2 cases out of 5 endoscopic examinations showed acute inflammatory infiltrates in the mucosa with hemorrhage. 5) Both intestinal US and endoscopic studies were performed in 4 cases with HSP and GI symptoms simultaneously. Out of 4 those cases, 3 cases showed the thickened duodeno-jejunal wall on the intestinal US, which suggested erosive hemorrhagic duodenitis by endoscopic findings. Conclusion: The typical but nonpathognomonic intestinal US findings including the thickening of the duodeno-jejunal wall and upper gastrointestinal endoscopic findings including hemorrhagicerosive duodenitis, in children with GI symptoms, should be considered a manifestation of HSP, even in the absence of skin lesion.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.14 no.2
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• pp.155-160
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• 2011

Purpose: This study was performed to evaluate the role of colonoscopy in children with hematochezia. Methods: We retrospectively reviewed the medical records of 277 children who underwent colonoscopy because of hematochezia between January, 2003 and July, 2010. Results: The mean age of the patients was $6.0{\pm}4.4$ (7 days~17.8 years) years. The male to female ratio was 2.2:1. The duration between the 1st episode of hematochezia and colonoscopy was $4.9{\pm}12.1$ months. Characteristics of hematochezia included red stool (65.1%), blood on wipe (12.8%), bloody toilet (11.9%), and blood dripping (10.2%). The most proximal region of colonoscopic approach was terminal ileum (84.5%), cecum (9.5%), hepatic flexure (2.8%), and splenic flexure (3.2%). Eighty five patients (30.6%) had no specific abnormal findings. Major causes of hematochezia were polyp (26.4%), food protein induced proctocolitis (6.9%), infectious colitis (5.4%), lymphofolliculitis (5.7%), non specific colitis (5.7%), and vascular ectasia (5.1%). The hemorrhagic sites included the rectum (24.0%), rectosigmoid junction (18.1%), sigmoid colon (13.5%), ascending colon (14.2%), transverse colon (11.3%), descending colon (7.8%), cecum (8.1%), and terminal ileum (3.1%). The recurrence rate of hematochezia after colonoscopy was 19.1%. Colonoscopy was performed in 262 patients (94.6%) with conscious sedation. Endoscopic hemostasis was performed in 5 patients. Complications of colonoscopy or sedation were not found. Conclusion: The causes and lesional localization of pediatric hematochezia were diverse. Colonoscopy has an important role in the diagnosis and treatment of hematochezia in children. Total colonoscopy is recommended to detect the cause of hematochezia.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.8 no.1
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• pp.31-40
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• 2005

Purpose: This study aimed to provide, as a basic material, the experiences of endoscopy in diagnosis and treatment of tumorous conditions in the upper gastrointestinal tract in children. Methods: The objects were 26 patients diagnosed as having tumorous conditions in the upper gastrointestinal tract among 1,283 patients who underwent upper gastrointestinal endoscopic examination at the Department of Pediatrics, Pusan National University Hospital, from January 1994 to July 2004 retrospectively. The characteristics of patients, the chief complaints for endoscopic examination, the sorts of tumors diagnosed, the endoscopic findings of tumors, and the treatment of tumors were analysed. Results: 1) Eleven male and fifteen female were included, whose mean age was $6.93{\pm}4.02years$. 2) The chief complaints for endoscopic examination were abdominal pain (80.7%), vomiting or nausea (30.8%), and gastrointestinal beeding (30.7%) in order. 3) Six cases of ectopic pancreas, five cases of sentinel polyp, three cases of papilloma and vallecular cyst, two cases of Brunner's gland hyperplasia and gastric submucosal tumor, one case of gastrointestinal stromal tumor, duodenal intramural hematoma, T cell lymphoma, lipoma, and Peutz-Jeghers syndrome were diagnosed by endoscopy with or without biopsy. 4) The location of tumors was in the pharynx (19.2%), esophagus (7.7%), gastro-esophageal junction (23.0%), stomach (30.7%) and duodeneum (26.9%). 5) The size of tumors was less than 10 mm in 53.8%, 10~20 mm in 26.9%, more than 20 mm 19.2%. 6) Treatments for tumors included resection by laser, surgical resection, endoscopic polypectomy with a forcep or snare, and observation 7) There was no significant complication. Conclusion: Various and not a few tumors were found in the upper gastrointestinal tract. The endoscopy was accurate, effective, and safe means for diagnosis and treatment of those lesions in children.

• Journal of the Korean Institute of Intelligent Systems
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• v.15 no.4
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• pp.473-478
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• 2005

The gastric cancer takes the great part of the cancer occurrence and the mortality from cancer in Korea, and the early detection of gastric cancer is very important in the treatment and convalescence. This paper. for the early detection of gastric cancer, Proposes the analysis system of endoscopic image of the stomach that detects the abnormal region by using the change of color in the image and provides the surface tissue information to the detector. While the advanced inflammation and the cancer may be easily detected, the early inflammation and the cancer have a difficulty in detection and require the more attention lot detection. This paper, at first, converts the endoscopic image to the Image of IHb(Index of Hemoglobin) model and removes noises incurred by illumination, and next, automatically detects the regions suspected as cancer and provides the related information to the detector, or provides the surface tissue information for the regions appointed by the detector. This paper does not intend to provide the final diagnosis of the detected abnormal regions as gastric cancer, but provides the supplementary mean that reduces the load and mistaken diagnosis of the detector by automatically detecting the abnormal regions being not easily detected by human eyes and providing the additional information for the diagnosis. The experiments using practical endoscopic images for performance evaluation showed that the proposed system is effective in the analysis of endoscopic image of the stomach.