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New-onset diabetes after adult liver transplantation in the Korean Organ Transplantation Registry (KOTRY) study

Hepatobiliary Surgery and Nutrition 2020年第4期9卷 425-439页

作者： Jong man Kim Shin Hwang Kwang-Woong Lee jae-Geun Lee Je Ho Ryu Bong-Wan Kim Dong Lak Choi Young Kyoung You Dong-Sik Kim Yang Won Nah Koo Jeong Kang Jai Young Cho Geun Hong In Seok Choi Hee Chul Yu Dongho Choi Myoung Soo Kim 无 Department of Surgery Samsung Medical CenterSungkyunkwan University School of MedicineSeoulSouth Korea Department of Surgery Asan Medical CenterCollege of Medicine University of UlsanSouth Korea Department of Surgery Seoul National University College of MedicineSeoulSouth Korea Department of Surgery Yonsei University College of MedicineSeoulSouth Korea Department of Surgery Pusan National University College of MedicineBusanSouth Korea Department of Liver Transplantation and Hepatobiliary Surgery Ajou University School of MedicineSuwonSouth Korea Department of Surgery Catholic University of Daegu College of MedicineDaeguSouth Korea Department of Surgery College of MedicineCatholic University of KoreaSeoulSouth Korea Division of HBP Surgery and Liver Transplantation Department of SurgeryKorea University College of MedicineSeoulSouth Korea Department of Surgery Ulsan University HospitalUniversity of Ulsan College of MedicineUlsanSouth Korea Department of Surgery Keimyung University School of MedicineDaeguSouth Korea Department of Surgery Seoul National University Bundang HospitalSeoul National University College of MedicineSungnamSouth Korea Department of Surgery Ewha Woman’s University School of MedicineSeoulSouth Korea Department of Surgery Konyang University HospitalDaejonSouth Korea Department of Surgery Chonbuk National University School of MedicineJeonjuSouth Korea Department of Surgery Hanyang University College of MedicineSeoulSouth Korea The Korean Organ Transplantation Registry Study Group

Background:New-onset diabetes after transplantation(NODAT)is a serious complication following liver transplantation(LT).The present study aimed to investigate the incidence of and risk factors for NODAT using the Korean Organ Transplantation Registry(KOTRY)***:Patients with history of pediatric transplantation(age≤18 years),re-transplantation,multi-organ transplantation,or pre-existing diabetes mellitus were excluded.A total of 1,919 non-diabetic adult patients who underwent a primary LT between May 2014 and December 2017 were *** factors were identified using Cox regression ***:NODAT occurred in 19.7%(n=377)of adult liver transplant *** analysis showed steroid use,increased age,and high body mass index(BMI)in recipients,and implantation of a left-side liver graft was closely associated with NODAT in adult *** living donor liver transplant(LDLT)patients(n=1,473),open donor hepatectomy in the living donors,steroid use,small for size liver graft(graft to recipient weight ratio≤0.8),increased age,and high BMI in the recipient were predictive factors for *** use of antimetabolite and basiliximab induction reduced the incidence of NODAT in adult LT and in adult ***:Basiliximab induction,early steroid withdrawal,and antimetabolite therapy may prevent NODAT after adult *** BMI or advanced age in liver recipients,open donor hepatectomy in living donors,and small size liver graft can predict the occurrence of NODAT after adult LT or LDLT.

关键词： Diabetes living donors immunosuppression Asia

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Clinical outcomes and safety of high-resolution manometry guided superficial partial circular muscle myotomy in per-oral endoscopic myotomy for Jackhammer esophagus: Two cases report

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World Journal of Clinical Cases 2019年第16期7卷 2322-2329页

作者： Youn I Choi Kyoung Oh Kim Dong Kyun Park Jun-Won Chung Yoon jae Kim Kwang An Kwon Department of Gastroenterology Gil Medical Center Gachon University

BACKGROUND Jack hammer esophagus is a relatively rare disease and to date,there is no dramatic treatment ***,conventional per-oral endoscopic myotomy (POEM) have expanded their area into Jackhammer ***,several complications such as post procedure motility disorders (e.g.,passage disturbance) are issues after *** overcome these issues,we here introduced high-resolution manometry (HRM)-guided superficial partial circular muscle myotomy,which involves cutting only the superficial layer of the esophageal circular *** SUMMARY We report two cases of patients with Jackhammer esophagus who were treated with HRM-guided extremely superficial partial circular muscle myotomy during *** 1 was a 53-year-old female with medication-refractory odynophagia and case 2 was a 47-year-old man who presented with chest *** were diagnosed with Jackhammer esophagus using HRM,and the hypercontractile segments of the esophagus were ***-guided extremely superficial partial circular muscle myotomy was performed while preserving the lower esophageal ***,the circular and longitudinal muscle layers are preserved but hypercontractile movements are reduced,even after ***’ clinical symptoms dramatically improved right after POEM,and 6-mo follow-up HRM revealed completely resolved *** a 1-year follow-up period,patients were still in good health and remained symptom *** HRM-guided superficial partial circular muscle myotomy may be a promising alternative to conventional POEM for treating Jackhammer esophagus with improved efficacy.

关键词： Jackhammer esophagus Hypercontractile Partial circular muscle myotomy Case report

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Embolization of pancreatic arteriovenous malformation:A case report

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World Journal of Clinical Cases 2020年第8期8卷 1471-1476页

作者： So Yeon Yoon Gyeong Sik Jeon Shin jae Lee Dae Joong Kim Chang Il Kwon Mi Hyun Park Department of Radiology CHA Bundang Medical CenterCollege of MedicineCHA UniversitySeongnam-si 13496Gyeonggi-doSouth Korea Department of Radiology Research Institute of Radiological ScienceYongin Severance HospitalYonsei University College of MedicineYongin-si 17046South Korea Department of Internal Medicine Digestive Disease CenterCHA Bundang Medical CenterCollege of MedicineCHA UniversitySeongnam-si 13496Gyeonggi-doSouth Korea Department of Radiology Dankook University HospitalChungcheongnam-do 31116South Korea

BACKGROUND Pancreatic arteriovenous malformation(AVM)is a rare disease with a number of different reported treatment methods,but there are as yet no established or definite treatments for the *** SUMMARY A 43-year-old man visited the hospital due to periumbilical *** patient underwent imaging study and laboratory testing for evaluation of *** AVM associated with pancreatitis was suspected on computed tomography and magnetic resonance *** patient was diagnosed with pancreatic AVM with pancreatitis on imaging study and *** arterial embolization with various embolic materials was ***-up computed tomography scan revealed progressive regression of AVM and improvement of *** two-year follow-up,the patient showed no recurrence of symptom or *** Transcatheter arterial embolization can be considered an effective treatment modality for selective cases of pancreatic AVM.

关键词： Pancreas Arteriovenous malformation Pancreatitis Pancreatic pseudocyst Embolization Therapeutic Case report

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Comparative effectiveness of combined antiplatelet treatments in acute minor ischaemic stroke

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Stroke & Vascular Neurology 2022年第1期7卷 13-21页

作者： Shina Kim Joon-Tae Kim Ji Sung Lee Beom Joon Kim Jong-Moo Park Kyusik Kang Soo Joo Lee jae Guk Kim jae-Kwan Cha Dae-Hyun Kim Tai Hwan Park Sang-Soon Park Kyung Bok Lee Jun Lee Keun-Sik Hong Yong-Jin Cho Hong-Kyun Park Byung-Chul Lee Kyung-Ho Yu Mi Sun Oh Dong-Eog Kim Wi-Sun Ryu Jay Chol Choi Jee-Hyun Kwon Wook-Joo Kim Dong-Ick Shin Sung-Il Sohn Jeong-Ho Hong man-Seok Park Kang-Ho Choi Ki-Hyun Cho Juneyoung Lee Hee-Joon Bae Department of Neurology Chonnam National University HospitalChonnam National University Medical SchoolGwangjuKorea Clinical Research Center Asan Institute for Life SciencesAsan Medical CenterUniversity of Ulsan College of MedicineSeoulKorea Department of Neurology Cerebrovascular CenterSeoul National University Bundang HospitalSeongnamKorea Department of Neurology Uijeongbu Eulji Medical CenterEulji University School of MedicineUijeongbu-siKorea Department of Neurology Nowon Eulji Medical CenterEulji UniversitySeoulKorea Department of Neurology Eulji University HospitalEulji UniversityDaejeonKorea Department of Neurology Dong-a UniversityBusanKorea Department of Neurology Seoul Medical CenterSeoulKorea Department of Neurology Soonchunhyang University HospitalSeoulKorea Department of Neurology Yeungnam University HospitalDaeguKorea Department of Neurology Inje University Ilsan Paik HospitalInje University College of MedicineGoyangKorea Department of Neurology Hallym University Sacred Heart HospitalAnyangKorea Department of Neurology Dongguk University Ilsan HospitalGoyangKorea Department of Neurology Jeju National University HospitalJeju National University School of MedicineJejuKorea Department of Neurology University of Ulsan College of MedicineUlsanKorea Department of Neurology Chungbuk National University HospitalCheongjuKorea Department of Neurology Keimyung University Dongsan Medical CenterDaeguKorea Department of Biostatistics Korea University College of MedicineSeoulKorea

Background No study has thoroughly compared the effectiveness of combined antiplatelet treatments(other than clopidogrel–aspirin)versus clopidogrel–aspirin or aspirin alone for early secondary prevention in acute ischaemic *** We identified patients with acute,minor,non-cardiogenic ischaemic stroke treated with aspirin alone,clopidogrel–aspirin or other combination *** scores considering the inverse probability of treatment weighting were used to adjust for baseline *** primary outcome was the composite of all strokes(ischaemic or haemorrhagic),myocardial infarction and all-cause mortality at 3 *** Among 12234 patients(male:61.9%;age:65.5±13 years)who met the eligibility criteria,aspirin,clopidogrel–aspirin and other combination treatments were administered in 52.2%,42.9%and 4.9%of patients,*** the crude analysis,the primary outcome event at 3 months occurred in 14.5%of the other combination group,14.4%of the aspirin group and 13.0%of the clopidogrel–aspirin *** the weighted Cox proportional hazards analysis,the 3-month primary outcome event occurred less frequently in the clopidogrel–aspirin group than in the other combination group(weighted HR:0.82(0.59–1.13)),while no association was found between the aspirin group(weighted HR:1.04(0.76–1.44))or other combination group and the 3-month primary *** Other combined antiplatelet treatment,compared with aspirin alone or clopidogrel–aspirin,was not associated with reduced risks of primary composite vascular events or recurrent stroke during the first 3 months after ***,the results suggest that other combination treatments,particularly the cilostazol-based combination,may not be effective alternatives for clopidogrel–aspirin to prevent early vascular events in patients with acute minor *** exploration in clinical trials will be needed.

关键词： prevention treatment alone

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Ileal angiomyolipoma manifested by small intestinal intussusception

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World Journal of Gastroenterology 2009年第11期15卷 1398-1400页

作者： Chang Ho Lee Jong Hun Kim Doo Hyun Yang Yong Hwang Myoung jae Kang Young Kon Kim Min Ro Lee Department of Surgery Chonbuk National University Medical SchoolJeonju 561-180 South Korea Department of Pathology Chonbuk National University Medical SchoolJeonju 561-180 South Korea Department of Radiology Chonbuk National University Medical SchoolJeonju 561-180South Korea

Angiomyolipomas(AMLs),a form of benign mesenchymal hamartoma,arise primarily in the kidneys of patients with or without tuberous ***-renal AMLs are very rare and are most commonly found in the liver. AMLs of the small intestine are exceedingly ***, a case of a 28-year-old man,who presented with ileal intussusception caused by ileal AML is *** clinicopathological and immunohistochemical findings of ileal AMLs are discussed and the literature on small intestinal AMLs is reviewed.

关键词： Angiomyolipoma Intussusception Hamartoma Ileum Colectomy

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Finger compartment syndrome due to a high-pressure washer injury:A case report

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World Journal of Clinical Cases 2023年第13期11卷 3017-3021页

作者： Jun Ho Choi Seung Yeon Choi jae Ha Hwang Kwang Seog Kim Sam Yong Lee Department of Plastic and Reconstructive Surgery Chonnam National University Hospital Chonnam National University Medical SchoolGwangju 61469South Korea

BACKGROUND Although the finger compartment syndrome is not common,it compresses the neurovascular bundles in a limited space and blocks blood flow to the fingers,causing necrosis of the *** fasciotomy through unilateral or bilateral midline release of the finger can achieve decompression of the finger ***,we report a case of the compartment syndrome in a finger injury caused by a high-pressure water flow which is commonly used in car washing *** SUMMARY A 60-year-old man injured his right middle finger while using a high-pressure washer at a car washing *** patient complained of severe pain in his middle finger and a 0.2 cm punctured open wound on the volar side of the distal phalangeal joint of the middle *** fingertip was pale,numb,and characterized by severe swelling and a limited range of *** radiography showed that there was no fracture in the *** decompression was performed through finger fasciotomy by bilateral midline *** the second day after surgery,the color of the fingertip returned to pink,swelling was resolved,and the range of motion returned to *** sensation of the fingertip was completely restored,and the capillary refill test and pinprick test were *** The fingertip compartment syndrome can be caused by a high-pressure water flow damage to the fingers when using high-pressure washers at a car washing *** avoid finger necrosis,rapid diagnosis of the finger compartment syndrome and appropriate digital decompression are essential to better outcome.

关键词： Compartment syndrome Crush injuries Fasciotomy Finger injuries Case report

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Sigmoidorectal intussusception of adenoma of sigmoid colon treated by laparoscopic anterior resection after sponge-on-the-stick-assisted manual reduction

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World Journal of Gastroenterology 2006年第1期12卷 146-149页

作者： Ki-jae Park Hong-Jo Choi Sung-Heun Kim Sang-Young Han Sook-Hee Hong Jin-Han Cho Hyung-Ho Kim Department of Surgery Dong-A University College of MedicinePusanSouth Korea Department of Internal Medicine Dong-A University College of Medicine.PusanSouth Korea Department of Pathology Dong-A University College of MedicinePusanSouth Korea Department of Radiology Dong-A University College of MedicinePusanSouth Korea Department of Surgery Seoul National University Bundang HospitalBundangKyunggi-DoSouth Korea

We present herein a case report of sigmoidorectal intussusception as an unusual case of sigmoid adenomatous polyp. The patient was a 56-year-old man who suffered from rectal bleeding for one day. He initially visited his general practitioner and was diagnosed as having an intraluminal mass of 15 cm from the anal verge. Several hours after admission to our coloproctology clinic, he suddenly presented with lower abdominal cramping pain with rectal bleeding during his bowel preparation using polyethylene glycol electrolyte solution. An emergency colonoscopy revealed that the invaginated colon with polypoid mass was protruded to the lower rectum. Gastrograffin enema showed that the invaginated bowel segment was 3 cm from the anal verge. CT scan showed the typical finding of intussusception. We performed laparoscopic anterior resection and anastomosis after the sponge-on-the-stickassisted manual reduction. The permanent pathologic finding showed villotubular adenoma of the sigmoid colon.

关键词： Sigmoidorectal intussusception Adenomatouspolyp Laparoscopic resection

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Enterovenous fistulization: A rare complication of Crohn's disease

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World Journal of Gastroenterology 2011年第47期17卷 5227-5230页

作者： Jeong Woo Lim Kyung-Jo Kim Byong Duk Ye Jeong-Sik Byeon Seung-jae Myung Suk-Kyun Yang Jin Ho Kim Division of Gastroenterology Department of Internal Medicine University of Ulsan College of Medicine Asan Medical Center

The presence of hepatic portal venous gas (HPVG) is associated with numerous diseases, and has been regarded as a serious, even catastrophic condition. However, anecdotal reports mention that some patients with inflammatory bowel disease (IBD), who developed HPVG after diagnostic examinations of the colon, were successfully managed with antibiotic therapy and have followed benign courses. In contrast, among IBD patients, the development of HPVG is rarely caused by enterovenous fistula. We describe a 32-year-old man with Crohn's ileocolitis who presented with hypotension and fever associated with HPVG, as well as superior mesenteric vein thrombosis, possibly caused by enterovenous fistula, who was successfully managed by surgery. We also review the literature concerning portal venous gas associated with Crohn's disease.

关键词： Crohn's disease Enterovenous fistula Portal venous gas

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Acute lower extremity arterial thrombosis after intraocular foreign body removal under general anesthesia: A case report and review of literature

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World Journal of Clinical Cases 2021年第27期9卷 8232-8241页

作者： Soeun Jeon Jeong-Min Hong Hyeon Jeong Lee Eunsoo Kim Hyunju Lee Yesul Kim Hyun-Su Ri jae Jung Lee Department of Anesthesia and Pain Medicine Pusan National UniversitySchool of MedicineBusan 49241South Korea Biomedical Research Institute Pusan National University HospitalBusan 49241South Korea Department of Anesthesia and Pain Medicine Kyungpook National UniversitySchool of MedicineDaegu 41944South Korea Department of Ophthalmology College of MedicinePusan National UniversitySchool of MedicineYangsan 50612South Korea

BACKGROUND Surgery,which is a major risk factor for venous thrombosis,has rarely been considered a risk factor for arterial *** studies have suggested that venous and arterial thromboses share common risk factors and have a bidirectional ***,there is a growing interest in the risk of arterial thrombosis after *** report a case of acute bilateral lower extremity arterial thromboses that developed after a prolonged *** SUMMARY A 59-year-old man was hospitalized for intraocular foreign body removal *** was a heavy-drinking smoker and had untreated hypertension and varicose veins in both *** operation was unexpectedly prolonged,lasting 4 h and 45 *** after emergence from general anesthesia,the patient complained of extreme pain in both *** the surgical drape was removed,cyanosis was evident in both feet of the *** pulse was not palpable,and continuous-wave Doppler signals were inaudible in the bilateral dorsalis pedis and posterior tibial *** tomography angiography confirmed acute bilateral thrombotic occlusion of the popliteal arteries,proximal anterior tibial arteries,and tibioperoneal *** pulse returned in both lower limbs after 6 h of heparin *** patient was discharged on postoperative day 26 without any *** Acute lower extremity arterial thrombosis can occur after *** should pay particular attention to patients with risk factors for thrombosis.

关键词： Thromboembolism Thrombosis Arterial thrombosis Arterial occlusive diseases Peripheral occlusive artery disease Case report

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Effect of transcranial direct current stimulation on supernumerary phantom limb pain in spinal cord injured patient:A case report

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World Journal of Clinical Cases 2024年第17期12卷 3177-3182页

作者： Hyo-Sik Park jae-Hyung Kim Department of Interventional Physiatry Eulji University Medical CenterSeo-GuDaejeonSouth Korea

BACKGROUND Supernumerary phantom limb(SPL)sensation is the experience of additional limbs,either single or a pair of *** to traumatic spinal cord injuries,we report effect of transcranial direct current stimulation(tDCS)on SPL pain in a patient with cervical cord *** SUMMARY The subject was a 57-year-old man who was diagnosed with complete spinal cord injury(C6/C5,motor level;C5/C5,sensory level;AIS-A)approximately three months *** a period of 2 wk,we administered anodal tDCS over the motor cortex for 15 minutes at an intensity of 1.5 *** that treatment,the patient experienced a decrease of SPL pain intensity and frequency,which lasted for 1 week after the end of *** Targeting the motor cortex through neuromodulation appears to be a promising option for the management of SPL pain.

关键词： Supernumerary phantom limb pain Spinal cord injury transcranial Direct Current Stimulation Neuromodulation Case report

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