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Clinical course of subepithelial lesions detected on upper gastrointestinal endoscopy

World journal of Gastroenterology 2010年第4期16卷 439-444页

作者： Yeun j.ng Lim hee j.ng son j.ng-Soo Lee Young Hye Byun Hyun joo Suh Pool Lyul Rhee jae j Kim j.ng Chul Rhee Center for Health Promotion Department of MedicineSamsung Medical CenterSungkyunkwan University School of Medicine50Irwon-dongGangnam-guSeoul 135-710South Korea Division of Gastroenterology Department of MedicineSamsung Medical CenterSungkyunkwan University School of Medicine50Irwon-dongGangnam-guSeoul 135-710South Korea

AIM:To evaluate the natural history of subepithelial ***:We reviewed the medical records of 104 159 patients who underwent upper gastrointestinal endoscopy at the Center for Health Promotion of Samsung Medical Center between 1996 and *** lesions were detected in 795 patients(0.76%);252 patients were followed using upper gastrointestinal endoscopy for 82.5 ± 29.2 mo(range,12-160 mo;median,84 mo;1st quartile,60 mo;3rd quartile,105 mo).The median interval of follow-up endoscopy was 12 mo(range,6-105 mo;1st quartile,12 mo;3rd quartile,24 mo).RESULTS:The mean patient age was 53 years(range,22-80 years),and the male-to-female ratio was 2.36:1(177/75).The lesion size at initial measurement averaged 8.9 mm(range,2-25 mm;median,8 mm;1st quartile,5 mm;3rd quartile,10 mm).Of the 252 lesions,244(96.8%) were unchanged and 8(3.2%) were significantly increased in size(from 12.9 ± 6.0 to 21.2 ± 12.2 mm) after a mean interval of 59.1 ± 27.5 mo(range,12-86 mo).Surgical resection of lesions was performed when the lesions were ≥ 3 cm in *** lesions were diagnosed as gastrointestinal stromal tumors with an intermediate or high risk of malignancy and one lesion was classified as a ***:Most small subepithelial lesions do not change as shown by endoscopic examination,and regular follow-up with endoscopy may be considered in small,subepithelial lesions,especially lesions < 1 cm in size.

关键词： Subepithelial tumor Ultrasonography Gastrointestinal diseases Gastrointestinal endoscopy Time factors

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Unexpected anterograde amnesia associated with Buscopan used as a predmedication for endocscopy

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World journal of Gastroenterology 2007年第28期13卷 3895-3896页

作者： Hyuk Lee hee j.ng son Poong-Lyul Rhee jae j Kim j.ng Chul Rhee Departments of Medicine Samsung Medical CenterSungkyunkwan University School of MedicineSeoul 135-710Korea Departments of Medicine Samsung Medical CenterSungkyunkwan University School of MedicineSeoul 135-710Korea Center for Health PromotionSamsung Medical CenterSungkyunkwan University School of MedicineSeoul 135-710Korea

It has been known that peripheral adverse event is caused by peripheral antimuscarinic action, from hyoscine butylbromide (Buscopan; Boehringer Ingelheim, Germany) used as a premedication for endoscopy. However, symptoms or signs associated with the central nervous system are rarely reported in the field of anesthesiology and peripartum labor. This central anticholinergic syndrome is likely caused by blockade of muscarinic cholinergic receptors in the central nervous system. There is no report on Buscopan-induced central anticholinergic syndrome in endoscopy room so far. Three middle-aged females unexpectedly suffered from anterograde amnesia after intramuscular injection of hyoscine butylbromide as an antispasmodic premedication for endoscopy at our endoscopy unit in the Health Promotion Center.

关键词：内窥镜检查东莨菪碱丁基溴化物抗胆碱能药综合症健忘症顺行性遗忘

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世界胃肠病学杂志：英文版 2008年第27期14卷 4359-4364页

作者： Young Hye Byun jun Haeng Lee Moon Kyung Park ji Hyun song Byung-Hoon Min Dong Kyung Chang Young- Ho Kim hee j.ng son Poong-Lyul Rhee jae j Kim j.ng Chul Rhee ji Hye Hwang Dong Il Park Sang Goon Shim In Kyung Sung Department of Medicine Sungkyunkwan University School of Medicine Samsung Medical Center Department of Physical Medicine and Rehabilitation Sungkyunkwan University School of Medicine Samsung Medical Center Department of Medicine Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Medicine Sungkyunkwan University School of Medicine Masan Samsung Hospital Department of Internal Medicine Konkuk University College of Medicine

AIM: To determine the prevalence and risk factors of work-related musculoskeletal disorders in gastrointestinal endoscopists in Korea. METHODS: A survey of musculoskeletal symptoms, using a self-administered questionnaire, was conducted on 55 endoscopists practicing in general hospitals or health promotion centers. RESULTS: Forty-nine (89.1%) endoscopists reported musculoskeletal pain on at least one anatomic location and 37 (67.3%) endoscopists complained of pain at rest. Twenty-six (47.3%) endoscopists had severe musculoskeletal pain defined as a visual analogue score greater than 5.5. Factors related to the development of severe pain were (1) standing position during upper endoscopy, (2) specific posture/ habit during endoscopic procedures, and (3) multiple symptomatic areas. Finger pain was more common in beginners, whereas shoulder pain was more common in experienced endoscopists. Sixteen percent of symptomatic endoscopists have modified their practice or reduced the number of endoscopic examinations. Only a few symptomatic endoscopists had sought professional consultation with related specialists. CONCLUSION: The prevalence of musculoskeletal pain in endoscopists is very high. The location of pain was different between beginners and experienced endoscopists. Measures for the prevention and adequate management of endoscopy-related musculoskeletal symptoms are necessary.

关键词：内窥镜检查法肌与骨骼症状胃肠检查韩国

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非对比增强MR双反转恢复序列对髌股关节滑膜的评估效果

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国际医学放射学杂志 2018年第2期 242-242页

作者： Y.N.son W.jin G.H.jahng j.G.Cha Y.S.Park S.j.Yun 于美霞 Department of Radiology Kyung Hee University Hospital at Gangdong Kyung Hee University School of Medicine

摘要目的研究非对比增强（CE）双反转恢复序列（DIR）评估髌股关节滑膜的效果。方法由2位放射学医师独立评估33个膝关节的轴向DIR和CE T;W脂肪抑制（CE T;FS）影

关键词：双反转恢复对比增强关节滑膜 MR

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