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World Journal of Gastroenterology 2014年第11期20卷 2760-2764页

作者： jae young jang Hoon Jai Chun Division of Gastroenterology Department of Internal MedicineCollege of MedicineKyung Hee UniversitySeoul 136-705South Korea Division of Gastroenterology and Hepatology Department of Internal MedicineInstitute of Digestive Disease and NutritionKorea University College of MedicineSeoul 136-705South Korea

Helicobacter pylori(***)plays an important role in gastric carcinogenesis,as the majority of gastric cancers develop from ***-infected gastric *** rate of early gastric cancer diagnosis has increased in Japan and Korea,where *** infection and gastric cancer are highly *** intestinal-type gastric cancer without concomitant lymph node metastasis is usually treated by endoscopic *** metachronous gastric cancers often develop because atrophic mucosa left untreated after endoscopic treatment confers a high risk of gastric *** efficacy of *** eradication for the prevention of metachronous gastric cancer remains ***,in patients who undergo endoscopic resection of early gastric cancer,*** eradication is recommended to suppress or delay metachronous gastric *** and regularly scheduled endoscopy should be performed to detect minute metachronous gastric cancer after endoscopic resection.

关键词： Helicobacter pylori Gastric cancer Endoscopic resection Metachronous cancer

Bowel preparations as quality indicators for colonoscopy

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World Journal of Gastroenterology 2014年第11期20卷 2746-2750页

作者： jae young jang Hoon Jai Chun Division of Gastroenterology Department of Internal MedicineCollege of MedicineKyung Hee UniversitySeoul 130-701South Korea Division of Gastroenterology and Hepatology Department of Internal MedicineInstitute of Digestive Disease and NutritionKorea University College of MedicineSeoul 136-705South Korea

Colonoscopy is the principal investigative procedure for colorectal neoplasms because it can detect and remove most precancerous *** effectiveness of colonoscopy depends on the quality of the *** preparation is an essential part of high-quality colonoscopies because only an optimal colonic cleansing allows the colonoscopist to clearly view the entire colonic mucosa and to identify any polyps or other *** bowel preparation not only prolongs the overall procedure time,decreases the cecal intubation rate,and increases the costs associated with colonoscopy but also increases the risk of missing polyps or adenomas during the ***,a repeat examination or a shorter colonoscopy follow-up interval may be suitable strategies for a patient with suboptimal bowel preparation.

关键词： Colonoscopy Colorectal neoplasm Bower preparation Quality

Outcome after endoscopic submucosal dissection for early gastric cancer in Korea

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World Journal of Gastroenterology 2011年第31期17卷 3591-3595页

作者： Jun Haeng Lee Su Jin Hong jae young jang Seong Eun Kim Sang young Seol Department of Medicine Samsung Medical CenterSungkyunkwan University School of Medicine Department of Internal Medicine Digestive Disease CenterInstitute for Digestive ResearchSoon Chun Hyang University College of Medicine Department of Internal Medicine Kyung Hee University College of Medicine Department of Internal Medicine Ewha Womans University School of MedicineEwha Medical Research Institute Division of Gastroenterology and Hepatology Department of Internal MedicineInje University College of Medicine

Endoscopic treatment,such as endoscopic mucosal resection(EMR) and endoscopic submucosal dissection(ESD),has been established as one of the treatment options for selected cases with early gastric cancer(EGC).Most studies on this topic have been carried out by researchers in ***,the experience in EMR/ESD for EGC outside Japan is increasingly *** Korea,gastric cancer is the most common malignant disease,and the second leading cause of cancer ***,EMR for EGC is widely performed in many centers in *** results with a shortterm follow-up period are very promising in *** resection rate of EMR was 37.8%-94.3%,and that of ESD was 77.4%-93.1%.In this review,we will provide an overview of the outcomes of endoscopic treatments in Korea.

关键词： Early gastric cancer Endoscopic mucosal resection Endoscopic submucosal dissection Outcome

Usefulness of magnifying endoscopy for iodine-unstained lesions in a high-risk esophageal cancer population

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World Journal of Gastroenterology 2010年第37期16卷 4709-4715页

作者： Ik Seong Choi jae young jang Won young Cho Tae Hee Lee Hyun Gun Kim Bo young Lee Soung Won Jeong Joo young Cho Joon Seong Lee So young Jin Institute for Digestive Research SoonChunHyang University College of Medicine

AIM: To investigate the usefulness of magnified observations of iodine-unstained esophageal lesions in the histological diagnosis of esophageal mucosa abnormalities, in high-risk esophageal cancer groups. METHODS: The subjects included 38 patients who had at least one of the four criteria known to be highrisk factors for esophageal cancer. Following endoscopic observation, magnified observations were performed on iodine-unstained lesions of the esophagus. The total number of lesions was 43. These lesions were classified as type A (clear papilla), type B (fused papilla), and type C (non-visible papilla) according to the findings. Tissue biopsy was then carried out. Finally the histological findings were graded in terms of histological factors, and their relationships were compared. RESULTS: Of the 43 lesions, 11 were type A, 17 were type B, and 15 were type C under magnifying endoscopy. Histological findings such as inflammatory cell infiltration and basal cell hyperplasia were significantly increased in type B and type C lesions compared with type A lesions (P < 0.05). Low-grade esophageal dysplasia was apparent in 1 (9%) of 11 type A lesions, in 3 (18%) of 17 type B lesions, and in 6 (40%) of 15 type C lesions, with the highest rate in type C. CONCLUSION: Magnified observations of the esophagus, classified by papillary aspects using magnifying endoscopy of iodine-unstained lesions in high-risk esophageal cancer groups, are considered useful in estimating dysplasia and inflammation of esophageal mucosa.

关键词： Esophageal cancer Iodine Magnifying endoscopy

Recurrent massive bleeding due to dissecting intramural hematoma of the esophagus: Treatment with therapeutic angiography

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World Journal of Gastroenterology 2009年第41期15卷 5232-5235页

作者： jaejun Shim jae young jang young Hwangbo Seok Ho Dong Joo Hyeong Oh Hyo Jong Kim Byung-Ho Kim young Woon Chang Rin Chang Department of Internal Medicine Kyung Hee University School of Medicine Hoegi-dong 1 Dongdaemoongu Seoul 130-702 South Korea Department of Diagnostic Radiology Kyung Hee University School of Medicine Hoegi-dong 1 Dongdaemoon-gu Seoul 130-702 South Korea

Spontaneous or traumatic intramural bleeding of the esophagus, which is often associated with overlying mucosal dissection, constitutes a rare spectrum of esophageal injury called dissecting intramural hematoma of the esophagus (DIHE). Chest pain, swallowing diffi culty, and minor hematemesis are common, which resolve spontaneously in most cases. This case report describes a patient with spontaneous DIHE with recurrent massive bleeding which required critical management and highlights a potential role for therapeutic angiography as an alternative to surgery.

关键词： Esophagus Intramural hematoma Therapeutic angiography

Comparison of hepatic venous pressure gradient and endoscopic grading of esophageal varices

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World Journal of Gastroenterology 2016年第11期22卷 3212-3219页

作者： Eun Ji Lee Yong jae Kim Dong Erk Goo Seung Boo Yang Hyun-Joo Kim jae young jang Soung Won Jeong Department of Radiology Soonchunhyang University Seoul Hospital Department of Radiology Soonchunhyang University Gumi Hospital Department of Gastroenterology Soonchunhyang University Seoul Hospital

AIM: To determine the correlation between the hepatic venous pressure gradient and the endoscopic grade of esophageal ***: From September 2009 to March 2013, a total of 176 measurements of hepatic venous pressure gradient (HVPG) were done in 146 patients. Each transjugular HVPG was measured twice, first using an end whole catheter (EH-HVPG), and then using a balloon catheter (B-HVPG). The HVPG was compared with the endoscopic grade of esophageal varices (according to the general rules for recording endoscopic findings of esophagogastric varices), which was recorded within a month of the measurement of ***: The study included 110 men and 36 women, with a mean age of 56.1 years (range, 43-76 years). The technical success rate of the pressure measurements was 100% and there were no complication related to the procedures. Mean HVPG was 15.3 mmHg as measured using the end hole catheter method and 16.5 mmHg as measured using the balloon catheter method. Mean HVPG (both EH-HVPG and B-HVPG) was not significantly different among patients with different characteristics, including sex and comorbid factors, except for cases with hepatocellular carcinoma (B-HVPG, P = 0.01; EH-HVPG, P = 0.02). Portal hypertension (> 12 mmHg HVPG) occurred in 66% of patients according to EH-HVPG and 83% of patients according to B-HVGP, and significantly correlated with Child’s status (B-HVPG, P < 0.000; EH-HVGP, P < 0.000) and esophageal varies observed upon endoscopy (EH-HVGP, P = 0.003; B-HVGP, P = 0.006). One hundred and thirty-five endoscopies were performed, of which 15 showed normal findings, 27 showed grade 1 endoscopic esophageal varices, 49 showed grade 2 varices, and 44 showed grade 3 varices. When comparing endoscopic esophageal variceal grades and HVPG using univariate analysis, the P value was 0.004 for EH-HVPG and 0.002 for ***: Both EH-HVPG and B-HVPG showed a positive correlation with the endoscopic grade of esophag

关键词： Hepatic venous pressure gradient Liver cirrhosis Esophageal varices Endoscopic grade of esophageal varices Balloon catheter measurement End hole catheter measurement

3D image reconstruction with controllable spatial filtering based on correlation of multiple periodic functions in computational integral imaging

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Chinese Optics Letters 2015年第3期13卷 22-26页

作者： jae-young jang Myungjin Cho Eun-Soo Kim Department of Optometry Eulji University 553 Sanseong-daero Sujeong-guSeongnam-si Gyonggi-do South Korea Department of Electrical Electronic and Control Engineering Hankyong National University

We propose a novel method of slice image reconstruction with controllable spatial filtering by using the correlation of periodic delta-function arrays （PDFAs） with elemental images in computational integral imaging. The multiple PDFAs, whose spatial periods correspond to object＇s depths with the elemental image array （EIA）, can generate a set of spatially filtered EIAs for multiple object depths compared with the conventional method for the depth of a single object. We analyze a controllable spatial filtering effect by the proposed method. To show the feasibility of the proposed method, we carry out preliminary experiments for multiple objects and present the results.

关键词： image reconstruction with controllable spatial filtering based on correlation of multiple periodic functions in computational integral imaging EIA

Long-term result of endoscopic Histoacryl （N-butyl-2-cyanoacrylate）injection for treatment of gastric varices

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World Journal of Gastroenterology 2011年第11期17卷 1494-1500页

作者： Eun Jung Kang Soung Won Jeong jae young jang Joo young Cho Sae Hwan Lee Hyun Gun Kim Sang Gyune Kim young Seok Kim young Koog Cheon young Deok Cho Hong Soo Kim Boo Sung Kim Institute for Digestive Research Department of Internal MedicineSoonchunhyang University College of MedicineSeoul HospitalSeoul 140-743South Korea

AIM:To evaluate the long-term efficacy and safety of endoscopic obliteration with Histoacryl  for treatment of gastric variceal bleeding and ***:Between January 1994 and March 2010 at SoonChunHyang University Hospital,a total of 127 patients with gastric varices received Histoacryl  injections *** hundred patients underwent endoscopic Histoacryl  injections because of variceal bleeding,the other 27 patients received such injections as a prophylactic ***:According to Sarin classification,56 patients were GOV1,61 patients were GOV2 and 10 patients were *** of the varices were large(F2 or F3,111 patients).The average volume of Histoacryl  per each session was 1.7±1.3 cc and mean number of sessions was 1.3±0.6.(1 session-98 patients,2 sessions-25 patients,≥3 sessions-4 patients).Twenty-seven patients with high risk of bleeding(large or fundal or RCS+or Child C) received Histoacryl  injection as a primary prophylactic *** these patients,hepatitis B virus was the major etiology of cirrhosis,25 patients showed GOV1 or 2(92.6%)and F2 or F3 accounted for 88.9%(n=24).The rate of initial hemostasis was 98.4%and recurrent bleeding within one year occurred in 18.1%of *** hemostasis during episodes of rebleeding was achieved in 73.9%of *** survival was 50 mo (95%CI 30.5-69.5).Major complications occurred in 4 patients(3.1%).The rebleeding rate in patients with hepatocellular carcinoma or GOV2 was higher than in those with other *** of the 27 subjects who were treated prophylactically experienced treatment-related *** survival rates of the 127 patients at 6 mo,1,3,and 5 years were 92.1%,84.2%,64.2%,and 45.3%,*** 6 mo cumulative survival rate of the 27 patients treated prophylactically was 75%.CONCLUSION:Histoacryl  injection therapy is an effective treatment for gastric varices and also an effective prophylactic treatment of gastric varices which

关键词： Gastric varix Prophylaxis Histoacryl  (Nbutyl-2-cyanoacrylate) Histoacryl  injection Treatment of gastric varix

Diagnostic value for extrahepatic metastases of hepatocellular carcinoma in positron emission tomography/computed tomography scan

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World Journal of Gastroenterology 2012年第23期18卷 2979-2987页

作者： Ji Eun Lee jae young jang Soung Won Jeong Sae Hwan Lee Sang Gyune Kim Sang-Woo Cha young Seok Kim young Deok Cho Hong Soo Kim Boo Sung Kim So young Jin Deuk Lin Choi Institution for Digestive Research Digestive Disease Center Department of Internal Medicine Soonchunhyang University Hospital Seoul 140-743 South Korea Institution for Digestive Research Digestive Disease Center Department of Internal Medicine Soonchunhyang University Hospital Cheon-an 330-721 South Korea Institution for Digestive Research Digestive Disease Center Department of Internal Medicine Soonchunhyang University Hospital Bu-cheon 420-767 South Korea Department of Pathology Soonchunhyang University Hospital Seoul 140-743 South Korea Department of Radiology Soonchunhyang University Hospital Seoul 140-743 South Korea

AIM: To evaluated the value of 18F-fluorodeoxyglucose (FDG) positron emission tomography (PET)/computed tomography (CT) scan in diagnosis of hepatocellular carcinoma (HCC) and extrahepatic metastases. METHODS: A total of 138 patients with HCC who had both conventional imaging modalities and 18F-FDG PET/CT scan done between November 2006 and March 2011 were enrolled. Diagnostic value of each imaging modality for detection of extrahepatic metastases was evaluated. Clinical factors and tumor characteristics including PET imaging were analyzed as indicative factors for metastases by univariate and multivariate methods. RESULTS: The accuracy of chest CT was significantly superior compared with the accuracy of PET imaging for detecting lung metastases. The detection rate of metastatic pulmonary nodule ≥ 1 cm was 12/13 (92.3%), when < 1 cm was 2/10 (20%) in PET imaging. The accuracy of PET imaging was significantly superior compared with the accuracy of bone scan for detecting bone metastases. In multivariate analy- sis, increased tumor size (≥ 5 cm) (P = 0.042) and increased average standardized uptake value (SUV) uptake (P = 0.028) were predictive factors for extrahepatic metastases. Isometabolic HCC in PET imaging was inversely correlated in multivariate analysis (P = 0.035). According to the receiver operating characteristic curve, the optimal cutoff of average SUV to predict extrahepatic metastases was 3.4. CONCLUSION: 18F-FDG PET/CT scan is invaluable for detection of lung metastases larger than 1 cm and bone metastases. Primary HCC having larger than 5 cm and increased average SUV uptake more than 3.4 should be considered for extrahepatic metastases.

关键词： ^ 18F-fluorodeoxyglucose positron emissiontomography/computed tomography scan Diagnosis Hepatocellular carcinoma ExtrahepaUc metastases

Acoustofluidic separation of prolate and spherical micro-objects

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Microsystems & Nanoengineering 2024年第1期10卷 217-230页

作者： Muhammad Soban Khan Mushtaq Ali Song Ha Lee Keun young jang Seong jae Lee Jinsoo Park Department of Mechanical Engineering Chonnam National University77 Yongbong-roBuk-guGwangju 61186Republic of Korea Department of Polymer Engineering The University of Suwon17 Wauan-gilBongdam-eupHwaseongGyeonggi 18323Republic of Korea

Most microfluidic separation techniques rely largely on object size as a separation *** ability to separate micro-objects based on their shape is crucial in various biomedical and chemical ***,we develop an ondemand,label-free acoustofluidic method to separate prolate ellipsoids from spherical microparticles based on traveling surface acoustic wave-induced acoustic radiation force and *** freely rotating non-spherical microobjects were aligned under the progressive acoustic field by the counterrotating radiation torque,and the major axis of the prolate ellipsoids was parallel to the progressive wave *** specific alignment of the ellipsoidal particles resulted in a reduction in the cross-sectional area perpendicular to the wave *** a consequence,the acoustic backscattering decreased,resulting in a decreased magnitude of the radiation *** the variation in radiation force,which depended on the micro-object morphology enabled the acoustofluidic shape-based *** conducted numerical simulations for the wave scattering of spherical and prolate objects to elucidate the working mechanism underlying the proposed method.A series of experiments with polystyrene microspheres,prolate ellipsoids,and peanut-shaped microparticles were performed for *** quantitative analysis of the separation efficiency,we confirmed the high purity and high recovery rate of the proposed acoustofluidic shapebased separation of *** a bioparticle,we utilize Thalassiosira eccentrica to perform shape-based separation,as the species has a variety of potential applications in drug delivery,biosensing,nanofabrication,bioencapsulation and immunoisolation.

关键词： separation spherical rotating