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Endoscopic ultrasound-guided choledochoduodenostomies with fully covered self-expandable metallic stents

World Journal of Gastroenterology 2012年第32期18卷 4435-4440页

作者： Tae Jun Song Yil Sik Hyun Sang soo Lee Do Hyun Park Dong Wan Seo Sung Koo Lee myung-Hwan Kim Department of Internal Medicine Inje University Ilsan Paik HospitalKoyang 411-706South Korea Department of Internal Medicine University of Ulsan College of MedicineAsan Medical CenterSeoul 138-736South Korea

AIM:To investigate the long-term outcomes of endoscopic ultrasound-guided choledochoduodenostomy(EUS-CDS) with a fully covered self-expandable metallic stent(FCSEMS).METHODS:From April 2009 to August 2010,15 patients with distal malignant biliary obstructions who were candidates for alternative techniques for biliary decompression due to a failed endoscopic retrograde cholangiopancreatography(ERCP) were *** 15 patients consisted of 8 men and 7 women and had a median age of 61 years(range:30-91 years).The underlying causes of the distal malignant biliary obstruction were pancreatic cancer(n = 9),ampulla of Vater cancer(n = 2),renal cell carcinoma(n = 1),advanced gastric cancer(n = 1),lymphoma(n = 1),and duodenal cancer(n = 1).RESULTS:The technical success rate of EUS-CDS with an FCSEMS was 86.7%(13/15),and functional success was achieved in 100%(13/13) of those *** two patients,the EUS-CDS failed because an FCSEMS with a delivery device could not be passed into the common bile *** mean duration of stent patency was 264 *** adverse events developed in three patients(3/13,23.1%),including self-limited pneumoperitoneum in two patients and cholangitis requiring stent reposition in one *** the follow-up period(median:186 d,range:52-388 d),distal stent migration occurred in four patients(4/13,30.8%).In 3 patients,the FCSEMS could be reinserted through the existing choledochoduodenal fistula ***:EUS-CDS with an FCSEMS is technically feasible and can lead to effective palliation of distal malignant biliary obstructions after failed ERCP.

关键词： Bile duct obstruction Drainage Endosonography Self-expandable metallic stent Neoplasms

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Endoscopic fibrin glue injection for closure of pancreatocutaneous fistula following transgastric endoscopic necrosectomy

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World Journal of Gastroenterology 2008年第39期14卷 6093-6095页

作者： Ji Woong Jang Do Hyun Park Sung-Hoon Moon Sang soo Lee Dong Wan Seo Sung Koo Lee myung-Hwan Kim Division of Gastroenterology Department of Internal MedicineUniversity of Ulsan College of MedicineAsan Medical CenterSeoul 138-736South Korea

Transgastric endoscopic necrosectomy has been recently introduced as the effective and alternative management of infected pancreatic necrosis and pancreatic abscess. However,up to 40% of patients who undergo endoscopic necrosectomy may need an additional percutaneous approach for subsequent peripancreatic fluid collection or non-resolution of pancreatic necrosis. This percutaneous approach may lead to persistent pancreatocutaneous fistula,which remains a serious problem and usually requires prolonged hospitalization,or even open-abdominal surgery. We describe the first case of pancreatocutaneous fistula and concomitant abdominal wall defect following transgastric endoscopic necrosectomy and percutaneous drainage,which were endoscopically closed with fibrin glue injection via the necrotic cavity.

关键词： Fibrin glue Pancreatocutaneous fistula Infected pancreatic necrosis Pancreatic abscess Endoscopic necrosectomy

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Identification of Colletotrichum spp. Associated with Anthracnose of Chinese Matrimony （Lycium chinense Mill.） Based on Morphological Characteristics and Sequence Analysis of ITS Regions of rDNA

Identification of Colletotrichum spp. Associated with Anthra...

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The 7th Korea-China Joint Symposium for Mycology

作者： Boo Hee LEE Joo Chan LEE myung soo PARK Seung Hun YU Chongyang Boxthorn Experimental Station Chungnam 345-872Korea Chongyang Boxthorn Experimental Station Chungnam 345-872Korea Department of Applied Biology College of Agriculture and Life Sciences Chungnam National UniversityDaejeon305-764Korea Department of Applied Biology College of Agriculture and Life Sciences Chungnam National UniversityDaejeon305-764Korea

＜正＞Anthracnose of Chinese matrimony is one of the severe diseases of the plant. It occurred mostly on green fruits from late July to October. On the basis of morphological characteristics and sequence analysis of ITS regions of rDNA, anthracnose fungi were divied into four groups, namely Colletotrichum acutatum, C. dematium, Glomerella cingulata （C. gloeosporioides） and C.

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2018 update of expert consensus statement on antiplatelet therapy in East Asian patients with ACS or undergoing PCI

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Science Bulletin 2019年第3期64卷 166-179页

作者： Yong Huo Young-Hoon Jeong Yanjun Gong Daowen Wang Ben He Jiyan Chen Guosheng Fu Yundai Chen Jianping Li Yi Li Shinya Goto Udaya S.Tantry Paul A.Gurbel Jong-Hwa Ahn Hyo-soo Kim myung Ho Jeong Yaling Han Sidney C.Smith Jr. Junbo Ge Department of Cardiology Peking University First Hospital Department of Internal Medicine Gyeongsang National University School of Medicine and Cardiovascular Center Gyeongsang National University Changwon Hospital Division of Cardiology Internal Medicine Department Tongji Hospital Tongji Medical College Huazhong University of Science and Technology Department of Cardiology Shanghai Chest Hospital affiliated to Shanghai Jiaotong University Department of Cardiology Guangdong General Hospital Department of Cardiology Sir Run Run Shaw Hospital Zhejiang University School of Medicine Department of Cardiology Chinese PLAG General Hospital Department of Cardiology General Hospital of Northern Theater Command Department of Medicine (Cardiology) Tokai University School of Medicine Inova Center for Thrombosis Research and Drug Development Inova Heart and Vascular Institute Cardiovascular Center Department of Internal Medicine Seoul National University Hospital The Heart Research Center Nominated by Korea Ministry of Health and Welfare Chonnam National University Hospital Division of Cardiology University of North Carolina Department of Cardiology Fudan University Zhongshan Hospital

East Asians are the most populous race in the world and their health status is an important global *** with Caucasian populations, East Asian patients have a different benefit/risk ratio when using antithrombotic treatment. Despite this observation, treatment strategies in East Asian patients are mostly based on the American and European guidelines. Despite a lower platelet inhibitory response to clopidogrel, East Asian patients show a similar or even a lower rate of ischemic event occurrence and higher bleeding risk compared with Caucasian patients. For potent P2Y_(12) inhibitors(ticagrelor and prasugrel),East Asian patients have shown less favorable net clinical benefits compared with Caucasian patients,which may be related to differences in pharmacokinetic/pharmacodynamic profiles and therapeutic zone of antiplatelet effect. This updated consensus mainly focuses on state-of-the-art and current controversies in the East Asian population. In addition, when East Asian patients are administered potent P2Y_(12) receptor inhibitors, the strategies and ongoing trials to overcome the related hurdles are discussed.

关键词： East Asian Coronary artery disease Antiplatelet Bleeding

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Increased intestinal macromolecular permeability and urine nitrite excretion associated with liver cirrhosis with ascites

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World Journal of Gastroenterology 2008年第24期14卷 3884-3890页

作者： soong Lee Seung-Cheol Son Moon-Jong Han Woo-Jin Kim soo-Hyun Kim Hye-Ran Kim Woo-Kyu Jeon Ki-Hong Park myung-Geun Shin Department of Internal Medicine College of MedicineSeonam University and Seonam University Hospital Department of Laboratory Medicine Chonnam National University Medical School and Chonnam National University Hwasun Hospital Brain Korea 21 Project Center for Biomedical Human Resources at Chonnam National University Medical School Department of Internal Medicine Kangbuk Samsung HospitalSungkyunkwan University School of Medicine Korea Polymer Testing & Research Institute Ltd.

AIM： To determine intestinal permeability, the serum tumor necrosis factor （TNF）-α level and urine nitric oxide （NO） metabolites are altered in liver cirrhosis （LC） with or without ascites. METHODS： Fifty-three patients with LC and 26 healthy control subjects were enrolled in the study. The intestinal permeability value is expressed as the percentage of polyethylene glycol （PEG） 400 and 3350 retrieval in 8-h urine samples as determined by high performance liquid chromatography. Serum TNF-α concentrations and urine NO metabolites were determined using an enzyme-linked immunosorbent assay （ELISA） and Greiss reaction method, respectively. RESULTS： The intestinal permeability index wassignificantly higher in patients with LC with ascites than in healthy control subjects or patients with LC without ascites （0.88 ± 0.12 vs 0.52 ± 0.05 or 0.53 ± 0.03, P 〈 0.05） and correlated with urine nitrite excretion （r = 0.98）. Interestingly, the serum TNF-α concentration was significantly higher in LC without ascites than in control subjects or in LC with ascites （198.9 ± 55.8 pg/mL vs 40.9 ± 12.3 pg/mL or 32.1 ± 13.3 pg/mL, P 〈 0.05）. Urine nitrite excretion was significantly higher in LC with ascites than in the control subjects or in LC without ascites（ 1170.9± 28.7 μmol/L vs 903.1 ± 55.1 μmol/L or 956.7 ± 47.7 μmol/L, P 〈 0.05）. COMCLUSIOM： Increased intestinal macromolecular permeability and NO is probably of importance in the pathophysiology and progression of LC with ascites, but the serum TNF-α concentration was not related to LC with ascites.

关键词： Intestinal permeability Tumor necrosisfactor-R Nitric oxide Liver cirrhosis Ascites

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Interleukin-2 gene-encoded stromal cells inhibit the growth of metastatic cholangiocarcinomas

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World Journal of Gastroenterology 2006年第12期12卷 1889-1894页

作者： myung-HwanKim Sang soo Lee Sung Koo Lee Seung-Gyu Lee Chul-Won Suh Gyung-Yub Gong Jung-Sun Park Young-Hoon Kim Sang-Hee Kim Department of Gastroenterology University of Ulsan College of MedicineAsan Medical CenterSeoulKorea Department of Surgery University of Ulsan College of MedicineAsan Medical CenterSeoulKorea Department of Oncology University of Ulsan College of MedicineAsan Medical CenterSeoul Korea Department of Pathology University of Ulsan College of MedicineAsan Medical CenterSeoulKorea Asan Institute for Life Sciences.Seoul Korea

AIM： To demonstrate bone marrow stromal cells （BMSCs） can be used as an attractive target for genetic modification in the treatment of malignant diseases. METHODS： Using a hamster model of biliary cancer, we investigated the therapeutic effects of interleukin-2 （IL-2） gene-modified BHSCs. Syrian golden hamsters were injected via the femoral vein with 5×10^5 cells of the KIGB-5 biliary cancer cell line （n=20）. One week later, the hamsters were injected intraperitoneally with BMSCs containing Ad/hIL-2 and Ad/△E1, unmodified BHSCs, or RPHI only （control） and observed for 12 wk （n=5/each group）. RESULTS： All hamsters treated with BMSCs containing Ad/hIL-2 survived with no evidence of the disease during this period. In contrast, hamsters in the other three groups showed disseminated metastases involving the lungs as eady as 4 wk.CONCLUSION： Ad/IL-2 therapy is effective in the treatment of biliary cancer.

关键词： Bone marrow stromal cell Adenovirus/hIL-2 Biliary cancer

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Effect of itopride, a new prokinetic, in patients with mild GERD: A pilot study

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World Journal of Gastroenterology 2005年第27期11卷 4210-4214页

作者： Yong Sung Kim Tae Hyeon Kim Chang soo Choi Young Woo Shon Sang Wook Kim Geom Seog Seo Yong Ho Nah myung Gyu Choi Suck Chei Choi Department of Internal Medicine

AIM： Itopride is a newly developed prokinetic agent, which enhances gastric motility through both antidopaminergic and anti-acetylcholinesterasic actions. The importance of esophageal motor dysfunction in the pathogenesis of gastro-esophageal reflux disease （GERD） makes it interesting to examine the effect of itopride on esophageal acid ***： The effect of itopride on esophageal acid reflux variables for 24 h was studied in 26 patients with GERD symptoms, pre-entry total acid exposure time （pH〈4） of more than 5% and mild esophagitis （SavaryMiller grades I, II） proven by endoscopy. Ambulatory 24hpH-metry and symptom assessment were performed after treatments with 150 or 300 mg itopride thrice a day （t.i.d.） for 30 d in random order, using an open label *** evaluating the safety of itopride, blood biochemical laboratory test was performed and the serum prolactin level was also examined before and after ***： Total symptom score was significantly decreased after treatment in 150- or 300-mg group. Itopride 300 mg was significantly effective than 150 mg on decreasing the total per cent time with pH〈4, total time with pH〈4 and DeMeester score. No serious adverse effects were observed with administration of itopride in both ***： Itopride 100 mg t.i.d, is effective on decreasing pathologic reflux in patient with GERD and therefore it has the potential to be effective in the treatment of this disease.

关键词： Gastro-esophageal reflux disease Itopride

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16S rRNA基因测序技术在肝脓疡细菌鉴定中的作用(英文)

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介入放射学杂志 2014年第10期23卷 906-912页

作者：宋伦圭 Yun Gyu Song Sang Gun Shim Kwang Min Kim Dae soo Kim Sang Haeng Choi Jae Young Song Kon Ho Lee Hyung-Lyun kang Seung-Chul Baik Woo-Kon Lee myung Je Cho Kwang Ho Rhee Dong Hae Lee 庆尚南道昌原市三星昌原医院成均馆大学医院 Department of Radiology Samsung Changwon HospitalSungkyunkwan University School of Medicine Changwon Korea Department of Internal Medicine Samsung Changwon HospitalSungkyunkwan University School of Medicine Changwon Korea Human Derived Material Center Korea Research Institute of Bioscience and Biotechnology Daejeon Korea Unitech Science Co. Ltd. Daejeon Korea Department of Microbiology Gyeongsang National University College of Medicine Jinju Korea

目的评价16S核糖体RNA(rRNA)基因测序在肝脓疡中细菌鉴定中的应用价值。方法2012年1月—2013年12月间共20例肝脓疡行经皮置管引流的患者,分别行脓液培养,血培养和16S rRNA基因测序。利用454 GS Junior System对脓液基因组DNA行PCR和16S ... 详细信息

目的评价16S核糖体RNA(rRNA)基因测序在肝脓疡中细菌鉴定中的应用价值。方法2012年1月—2013年12月间共20例肝脓疡行经皮置管引流的患者,分别行脓液培养,血培养和16S rRNA基因测序。利用454 GS Junior System对脓液基因组DNA行PCR和16S rRNA基因测序。脓液培养,血液培养和16S rRNA基因测序结果进行分别评价。结果脓液和血液培养阳性的患者分别是9例(45%)和4例(20%)。16S rRNA基因测序细菌鉴定率为90%,明显高于传统的培养方法。结论 16S rRNA基因测序方法较传统的培养方法能更准确和有效对肝脓疡进行细菌鉴定。

关键词：肝脓疡脓肿培养宏基因组学 16S rRNA基因测序

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Comparison of clinical outcomes between culprit vessel only and multivessel percutaneous coronary intervention for ST-segment elevation myocardial infarction patients with multivessel coronary diseases

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Journal of Geriatric Cardiology 2015年第3期12卷 208-217页

作者： Kwang Sun Ryu Hyun Woo Park soo Ho Park Ho Sun Shon Keun Ho Ryu Dong Gyu Lee Mohamed EA Bashir Ju Hee Lee Sang Min Kim Sang Yeub Lee Jang Whan Bae Kyung Kuk Hwang Dong Woon Kim Myeong Chan Cho Young Keun Ahn myung Ho Jeong Chong Jin Kim Jong Seon Park Young Jo Kim Yang soo Jang Hyo soo Kim Ki Bae Seung Database and Bioinformatics Laboratory School of Electrical and Computer Engineering Chungbuk National University Cheongju Chungbuk South Korea Human Genome Center Institute of Medical Science University of Tokyo Minatoku Tokyo Japan Faculty of Computer Science and Information Technology University of Meddcal Sciences and Technology Khartoum Sudan Regional Curdiovcascular Disease Center Chungbuk National University Ho spital Cheonglu Chungbuk South Korea Division of Cardiology Department of Internal Medicine College of Medicine Chungbuk National University Cheongju Chungbuk South Korea Department of Cardiology Chonnam National University Hospital Donggu Gwangju South Korea Department of Internal Medicine Kyunghee University Gangdong Hospital Seoul South Korea Department of Internal Medicine Yeungnam University Hospital Medical Center Daegu South Korea Division of Cardiology Yonsei University Severance Hospital Seoul South Korea Cardiovascular Center and Department of Internal Medicine Seoul National University Hospital Seoul South Korea Department of Cardiovascular Medicine Catholic University St. Mary's Hospital Seoul South Korea

Background The clinical significance of complete revascularization for ST segment elevation myocardial infarction （STEMI） pa- tients during admission is still debatable. Methods A total of 1406 STEMI patients from the Korean Myocardial Infarction Registry with multivessel diseases without cardiogenic shock who underwent primary percutaneous coronary intervention （PPCI） were analyzed. We used propensity score matching （PSM） to control differences of baseline characteristics between culprit only intervention （CP） and multivessel percutaneous coronary interventions （MP）, and between double vessel disease （DVD） and triple vessel disease （TVD）. The major adverse cardiac event （MACE） was analyzed for one year after discharge. Results TVD patients showed higher incidence of MACE （14.2% vs. 8.6%, P = 0.01）, any cause of revascularization （10.6% vs. 5.9%, P - 0.01）, and repeated PCI （9.5% vs. 5.7%, P = 0.02）, as compared to DVD patients during one year after discharge. MP reduced MACE effectively （7.3% vs. 13.8%, P = 0.03）, as compared to CP for one year, but all cause of death （1.6% vs. 3.2%, P= 0.38）, Ml （0.4% vs. 0.8%, P = 1.00）, and any cause ofrevascularization （5.3% vs. 9.7%, P = 0.09） were comparable in the two treatment groups. Conclusions STEMI patients with TVD showed higher rate of MACE, as compared to DVD MP performed during PPCI or ad hoc during admission for STEMI patients without cardiogenic shock showed lower rate of MACE in this large scaled database. Therefore, MP could be considered as an effective treatment option for STEMI patients without cardiogenic shock.

关键词： Culprit only intervention Multivessel intervention Multivessel coronary disease Myocardial infarction Primary percutaneous coronary intervention

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Forward-viewing endoscopic ultrasound-guided NOTES interventions: A study on peritoneoscopic potential

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World Journal of Gastroenterology 2013年第41期19卷 7160-7167页

作者： Seung Uk Jeong Hassanuddin Aizan Tae Jun Song Dong Wan Seo Su-Hui Kim Do Hyun Park Sang soo Lee Sung Koo Lee myung-Hwan Kim Department of Gastroenterology Asan Medical CenterUniversity of Ulsan College of MedicineSeoul 138-736South Korea Department of Internal Medicine Ilsan Paik HospitalInje UniversityKoyang 411-706South Korea Asan Institute for Life Sciences Asan Medical CenterUniversity of Ulsan College of MedicineSeoul 138-736South Korea

AIM:To evaluate the feasibility of diagnostic and therapeutic transgastric(TG)peritoneoscopic interventions with a forward-viewing endoscopic ultrasound(FV-EUS).METHODS:This prospective endoscopic experimental study used an animal *** TG peritoneoscopic interventions and EUS examination of the intraabdominal organs were performed using an FV-EUS on 10 animal models(1 porcine and 9 canine).The procedures carried out include EUS evaluation and endoscopic biopsy of intraperitoneal organs,EUS-guided fine needle aspiration(EUS-FNA),EUS-guided radiofrequency ablation(EUS-RFA),and argon plasma coagulation(APC)for hemostatic *** animals were kept alive for 7 d,and then necropsy was performed to evaluate results and ***:In all 10 animals,TG peritoneoscopy,followed by endoscopic biopsy for the liver,spleen,abdominal wall,and omentum,was performed *** helped control minor *** of intra-abdominal solid organs with real-time EUS was accomplished with *** EUS-FNA was successfully performed on the liver,spleen,and ***,a successful outcome was achieved with EUSRFA of the hepatic *** adverse events were recorded during the ***:Peritoneoscopic natural orifice transluminal endoscopic surgery(NOTES)interventions through FV-EUS were feasible in providing evaluation and performing endoscopic *** promises potential as a platform for future EUS-based NOTES.

关键词： Forward-viewing endoscopic ultrasound Oblique-viewing endoscopic ultrasound Endoscopic ultrasound guided intervention Peritoneoscopy Natural orifice transluminal endoscopic surgery

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