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Is cholecystectomy a reasonable treatment option for simple gallbladder polyps larger than 10 mm?

World Journal of Gastroenterology 2015年第14期21卷 4248-4254页

作者： Hye Yon Park Se Hoon Oh kwang hyuck lee Jong Kyun lee Kyu Taek lee Division of Gastroenterology Department of Internal MedicineSamsung medical centerSungkyunkwan University School of Medicine

AIM: To determine the relevance of the 10-mm size criterion of the generally accepted surgical indication for gallbladder polyps(GBPs).METHODS: We collected data of patients who were confirmed to have GBPs through cholecystectomy at Samsung Medical Center between January 1997 andDecember *** the patients who underwent cholecystectomy for GBP, those with a definite evidence for malignancy such as adjacent organ invasion, metastasis on preoperative imaging studies, polyp larger than 20 mm, absence of preoperative imaging study results, and patients having gallstones were *** retrospectively collected and analyzed information on patient's clinical characteristics, symptoms, ultrasonographic findings, and blood laboratory ***: A total of 836 patients who had undergone cholecystectomy were retrospectively *** hundred eighty patients(93%) had benign polyps, whereas 56 patients(7%) had malignant *** the 56 patients with malignancy, 4 patients(7%) had borderline GBP(10-12 mm) and a patient had small GBP(< 10 mm) with T2 *** conducted an ROC curve analysis to verify the 10-mm size criteria(AUC = 0.887, SD = 0.21, P < 0.001).In the ROC curve for polyp size and malignancy, sensitivity and specificity of the 10-mm size criterion was 98.2% and 19.6%, *** specificity of the 11-mm and 12-mm size criteria was 44.6% and 56%, respectively, whereas the sensitivity of these two size criteria was *** defined the GBPs of 10 to 12 mm as a borderline-sized GBP, which were found in 411 patients(49%).In this group, there was a significant difference in age between patients with benign and malignant GBPs(47 years vs 60 years, P < 0.05).CONCLUSION: GBPs larger than 13 mm need immediate excision whereas for borderline-sized GBPs detected in young patients, careful medical observation can be a rational decision.

关键词： Gallbladder polyp Gallbladder cancer Cholecystecto

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Bleeding after endoscopic papillectomy and its risk factors:A single center experience of 196 cases

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Hepatobiliary & Pancreatic Diseases International 2024年第6期23卷 613-619页

作者： Jin Ho Choi Won Chul Kim Joo Kyung Park Jong Kyun lee Kyu Taek lee kwang hyuck lee Department of Medicine Division of GastroenterologySamsung Medical CenterSungkyunkwan University School of MedicineSeoul 06351Korea

Background:Endoscopic papillectomy(EP)is an effective method to remove an ampulla of Vater(AoV)adenoma with minimal *** reviewed the clinical outcomes and prognosis of patients undergoing EP,including tumor recurrence and adverse ***:A total of 196 patients who underwent EP from January 2004 to December 2017 were *** information was collected through electronic medical records,and risk factors to predict postprocedural bleeding were analyzed using a multivariate logistic regression ***:A total of 93.9%patients(184/196)underwent complete *** the follow-up period,14.7%patients(27/184)experienced tumor recurrence,and two of seven surgically resected tumors were malignant.A total of 45.4%patients(89/196)experienced adverse events related to *** bleeding occurred in 16.3%of the patients(32/196),and they were all successfully treated with endoscopic hemostasis and conservative *** most frequent site of delayed bleeding was the distal end of the papillary orifice,and 56.3%(18/32)patients of delayed bleeding were classified as having mild severity,the others had moderate *** adenomatous polyposis(FAP)[odds ratio(OR)=3.80,95%confidence interval(CI):1.01-14.29;Pleeding was increased in patients with FAP syndrome and male patients,and post-EP bleeding occurred most commonly in the distal part of the AoV.

关键词： Ampullary neoplasm Endoscopic papillectomy Post-procedural bleeding Risk factor

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Multicenter phase Ⅱ trial of modified FOLFIRINOX in gemcitabine-refractory pancreatic cancer

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World Journal of Gastrointestinal Oncology 2018年第12期10卷 505-515页

作者： Moon Jae Chung Huapyong Kang Ho Gak Kim Jong Jin Hyun Jun Kyu lee kwang hyuck lee Myung Hwan Noh Dae Hwan Kang Sang Hyub lee Seungmin Bang 无 Division of Gastroenterology Department of Internal Medicine Yonsei University College of Medicine Seoul 03722 South Korea Department of Internal Medicine Daegu Catholic University School of Medicine Daegu 42471 South Korea Department of Internal Medicine Korea University Ansan Hospital Korea University College of Medicine Ansan 15355 South Korea Department of Internal Medicine Dongguk University Ilsan Hospital Dongguk University College of Medicine Goyang 10326 South Korea Division of Gastroenterology Department of Internal Medicine Samsung Medical Center Sungkyunkwan University School of Medicine Seoul 06351 South Korea Department of Internal Medicine Dong-A University College of Medicine Busan 49201 South Korea Department of Internal Medicine Medical Research Institute Pusan National University School of Medicine and Research Institute for Convergence of Biomedical Science and Technology Pusan National University Yangsan Hospital Yangsan 50612 South Korea Departments of Internal Medicine and Liver Research Institute Seoul National University Hospital Seoul National University College of Medicine Seoul 03080 South Korea Pancreatobiliary Cancer Study Group of Korean Society of Gastrointestinal Cancer

AIM To evaluate the efficacy and safety of modified FOLFIRINOX as a second-line treatment for gemcitabine(GEM)-refractory unresectable pancreatic cancer(PC).METHODS This study was a prospective, multicenter, one-arm, open-label, phase Ⅱ trial. Patients with unresectable PC, who showed disease progression during GEMbased chemotherapy were enrolled. All patients were administered FOLFIRINOX with reduced irinotecan and oxaliplatin(RIO; irinotecan 120 mg/m^2 and oxaliplatin 60 mg/m^2), which was set according to the phase Ⅰ study of FOLFIRINOX. The objective response rate(ORR), disease control rate(DCR), progressionfree survival(PFS), overall survival(OS), adverse events were evaluated. Additionally, changes in quality of life(QoL) were assessed using a questionnaire on *** Between August 2015 and May 2016, a total of 48 patients were enrolled. The median follow-up time was 259 d with a median of 8.5 cycles. The ORR and DCR were 18.8% and 62.5%, respectively, including one patient who showed complete remission. The median PFS was 5.8 mo [95% confidence interval(CI): 3.7-7.9] and median OS was 9.0 mo(95%CI: 6.4-11.6). Neutropenia(64.6%) was the most common grade 3-4 adverse event, followed by febrile neutropenia(16.7%). Although 14.6% of patients experienced grade 3 fatigue, most non-hematologic AEs were under grade 2. In the QoL analysis, the global health status score before treatment was not different from the score at the last visit after treatment(45.43 ± 22.88 vs 48.66 ± 24.14, P = 0.548).CONCLUSION FOLFIRINOX with RIO showed acceptable toxicity and promising efficacy for GEM-refractory unresectable PC. However, this treatment requires careful observation of treatment-related hematologic toxicities.

关键词： Pancreatic cancer FOLFIRINOX Clinical Trial, Phase Ⅱ Chemotherapy Gemcitabine refractory

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Hepatobiliary scintigraphy for detecting biliary strictures after living donor liver transplantation

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World Journal of Gastroenterology 2011年第21期17卷 2626-2631页

作者： Yu Jin Kim Kyu Taek lee Young Cheol Jo kwang hyuck lee Jong Kyun lee Jae-Won Joh Choon hyuck David Kwon Department of Medicine Samsung Medical CenterSungkyunkwan University School of Medicine Department of Surgery Samsung Medical CenterSungkyunkwan University School of Medicine

AIM:To investigate the diagnostic accuracy of hepatobiliary scintigraphy(HBS) in detecting biliary strictures in living donor liver transplantation(LDLT) ***:We retrospectively reviewed 104 adult LDLT recipients of the right hepatic lobe with duct-toduct anastomosis,who underwent HBS and *** HBS results were categorized as normal,parenchymal dysfunction,biliary obstruction,or bile leakage without *** presence of biliary strictures was determined by percutaneous cholangiography or endoscopic retrograde cholangiopancreatography(ERCP).RESULTS:In 89 patients with biliary strictures,HBS showed biliary obstruction in 50 and no obstruction in 39,for a sensitivity of 56.2%.Of 15 patients with no biliary strictures,HBS showed no obstruction in 11,for a specificity of 73.3%.The positive predictive value(PPV) was 92.6%(50/54) and the negative predictive value(NPV) was 22%(11/50).We also analyzed the diagnostic accuracy of the change in bile duct *** sensitivity,NPV,specificity,and PPV were 65.2%,27.9%,80% and 95%,***:The absence of biliary obstruction on HBS is not ***,when post-LDLT biliary strictures are suspected,early ERCP may be considered.

关键词： Living donor liver transplantation Tc99m mebrofenin Radionucleotide imaging Hepatobiliary scintigraphy Biliary stricture

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Predictive factors associated with malignancy of intraductal papillary mucinous pancreatic neoplasms

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World Journal of Gastroenterology 2010年第42期16卷 5353-5358页

作者： Jin Hee lee Kyu Taek lee Jongwook Park Sun Youn Bae kwang hyuck lee Jong Kyun lee Kee-Taek Jang Jin Seok Heo Seong Ho Choi Dong Wook Choi Jong Chul Rhee Department of Medicine Samsung Medical CenterSungkyunkwan University School of MedicineSeoul 135710South Korea Department of Pathology Samsung Medical CenterSungkyunkwan University School of MedicineSeoul 135710South Korea Department of Surgery Samsung Medical CenterSungkyunkwan University School of MedicineSeoul 135710South Korea

AIM:To identify preoperative predictive factors associated with malignancy of intraductal papillary mucinous neoplasms(IPMNs) of the ***:Between April 1995 and April 2010,129 patients underwent surgical resection for IPMNs at our institute and had confirmed pathologic *** medical records were retrospectively reviewed and immunohistochemical staining for mucin(MUC) in pancreatic tissues was ***:Univariate analysis showed that the following five variables were closely associated with malignant IPMNs preoperatively:absence of extrapancreatic malignancy;symptoms;tumor size > 4 cm;main pancreaticduct(MPD) size > 7 mm;and lymph node enlargement on preoperative computed tomography(CT).Multivariate analysis revealed that the following two factors were significantly associated with malignant IPMNs preoperatively:MPD size > 7 mm [odds ratio(OR) = 2.50];and lymph node enlargement on preoperative CT(OR = 3.57).No significant differences in the expression of MUC1,MUC2 and MUC5AC were observed between benign and malignant ***:MPD size > 7 mm and preoperative lymph node enlargement on CT are useful predictive factors associated with malignancy of IPMNs.

关键词： Intraductal papillary mucinous neoplasms Malignancy Predictive factors Pancreatic neoplasms

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Histologic characteristics of gastric polyps in Korea: Emphasis on discrepancy between endoscopic forceps biopsy and endoscopic mucosal resection specimen

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World Journal of Gastroenterology 2006年第25期12卷 4029-4032页

作者： Won Jae Yoon Dong Ho lee Yong Jin Jung Ji Bong Jeong Ji Won Kim Byeong Gwan Kim Kook Lae lee kwang hyuck lee Young Soo Park Jin-Hyeok Hwang Jin-Wook Kim Nayoung Kim Jun Kyu lee Hyun Chae Jung Yong Bum Yoon In Sung Song Department of Internal Medicine Seoul National University College of Medicine SeoulKorea

AIM： To investigate histological characteristics of gastric polyps in the Korean population. METHODS： We reviewed endoscopic photographs and medical records of patients with gastric polyps who underwent endoscopic mucosal resection from April 1996 through February 2003. RESULTS： A total of 85 gastric polyps from 74 patients were reviewed, Male-to-female ratio was 1：1,96, Mean age was 59.9 =1：10,8 years. Multiple polyps were observed in 10,8%, Gastric polyps occurred most frequently in the antrum （58.8%）, Pathological results on resected specimens were as follows： tubular adenoma 45.9%, hyperplastic polyp 31.8%, inflammatory polyp 9.4%, hamartoma 3.5%, fundic gland polyp 2.4%, tubulovillous adenoma 2.4%, adenocarcinoma 2.4%, dysplasia 1.1%, and mucosal pseudolipomatosis 1.1%. Discrepancy rate between endoscopic biopsy and pathology of resected specimens was 27.1%. There was no relationship between the size of the polyp and concordance rate. CONCLUSION： There is considerable discrepancy in histologic findings between endoscopic forceps biopsy and resected specimens. Approaches to review of the histology of an entire polyp should be performed, especially when an adenoma is suspected.

关键词： Polyp Gastric Histology

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Biclustering of ARMA time series

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Journal of Zhejiang University-Science A(Applied Physics & Engineering) 2010年第12期11卷 959-965页

作者： Jeonghwa lee Chi-hyuck JUN Department of Industrial and Management Engineering Pohang University of Science and Technology

Biclustering is a method of grouping objects and attributes simultaneously in order to find multiple hidden *** dealing with a long time series,there is a low possibility of finding meaningful clusters of whole time ***,we may find more significant clusters containing partial time sequence by applying a biclustering *** paper proposed a new biclustering algorithm for time series data following an autoregressive moving average (ARMA) *** assumed the plaid model but modified the algorithm to incorporate the sequential nature of time series *** maximum likelihood estimation (MLE) method was used to estimate coefficients of ARMA in each *** applied the proposed method to several synthetic data which were generated from different ARMA *** from the experiments showed that the proposed method compares favorably with other biclustering methods for time series data.

关键词： Biclustering Time series Autoregressive moving average (ARMA) Maximum likelihood estimation (MLE)

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Fabrication of sintering-free flexible copper nanowire/ polymer composite transparent electrodes with enhanced chemical and mechanical stability

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Nano Research 2016年第7期9卷 2162-2173页

作者： Cho Rong Chu Changsoo lee Jahyun Koo hyuck Mo lee Department of Materials Science and Engineering KAIST 291 Daehak-ro Yuseong-gu Daejeon 305-701 Republic of Korea

The thermal decomposition synthesis of long copper nanowires （CuNWs） was achieved by controlling the synthesis parameters. A detailed study was performed to determine the effect of the molar ratio of copper chloride to nickel acetylacetonate, temperature, and stirring rate on the final shape of the products. Transparent electrodes （TEs） were fabricated by wet treatment with acetic acid （AA）, without using a sintering process. The low oxidation stability and high surface roughness are the main disadvantages of the CuNW TEs, which limit their applications. In order to overcome these issues, we prepared CuNW/polymer composite TEs by partial embedding of the CuNWs into poly（methyl methacrylate）（PMMA） on poly（ethylene terephthalate）（PET） substrates. The CuNW/PMMA composite TEs exhibit excellent optoelectronic performance （91.3% at 100.7 ff2/sq）, low surface roughness （4.6 nm in height）, and good mechanical and chemical stability as compared with CuNW TEs. On the basis of these properties, we believe that CuNW-based composite TEs could serve as low-cost materials for a wide range of new optoelectronic devices.

关键词： copper nanowires nanowire/polymercomposite transparent electrode chemical stability mechanical stability

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Techniques for overcoming atretic changes of the portal vein in living donor liver transplantation

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Hepatobiliary & Pancreatic Diseases International 2020年第4期19卷 311-317页

作者： Jeong-Moo lee kwang-Woong lee Department of Surgery Seoul National University College of Medicine101 Daehak-roJongno-guSeoul 03080Korea

Background:Spontaneous diversion of the portal flow through collateral vessels into the systemic circulation is frequently observed in liver transplant recipients with severe portal *** induces main portal vein atretic change and modifies flow into the collateral even after donor graft *** atretic changes make liver transplantation *** this article we described several methods for overcoming this challenge by appropriate surgical ***:Three anastomotic techniques for living donor liver transplantation were performed in patients with atretic changes in the portal ***:The three techniques were(1)venoplasty to widen the diameter by using the recipient’s portal vein,and the diameter of the recipient’s portal vein was enlarged using their own portal vein stump patch;(2)conduit with cryopreserved vessels,and we dissected around the superior mesenteric vein and splenic vein junction and a conduit was built using the cryopreserved vessels;and(3)left gastric varix to portal vein anastomosis,if the recipients had large gastric varix and variceal wall was sufficiently thick for ***:Selection of optimal methods for portal vein anastomosis is essential in patients with atrophic change on the portal *** these methods are used aptly,they can be considered as favorable methods for overcoming each situation.

关键词： Atretic portal vein Liver transplantation Anastomosis

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A Continuous Current Model of Accumulation Mode(Junctionless)Cylindrical Surrounding-Gate Nanowire MOSFETs

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Chinese Physics Letters 2013年第3期30卷 190-193页

作者： JIN Xiao-Shi LIU Xi KWON hyuck-In lee Jong-Ho School of Information Science and Engineering Shenyang University of TechnologyShenyang 110023 School of Electrical and Electronics Engineering Chung-Ang UniversitySeoul 156-756Korea School of EECS Engineering and ISRC(Inter-University Semiconductor Research Center) Seoul National UniversityShinlim-DongKwanak-GuSeoul 151-742Korea

A continuous current model of accumulation mode or so-called junctionless(JL)cylindrical surrounding-gate Si Nanowire metal-oxide-silicon field effect transistors(MOSFETs)is *** model is based on an approximated solution of Poisson's equation considering both body doping and mobile charge *** is verified by comparing with three-dimensional simulation results using SILVACO Atlas TCAD which shows good *** any empirical fitting parameters,the proposed continuous current model of JL SRG MOSFETs is valid for all the operation regions.

关键词： MOSFETs TCAD cylindrical

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