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Successful endoscopic submucosal dissection of a giant polyp in a 21-month-old female

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World Journal of Gastroenterology 2014年第1期20卷 323-325页

作者： Eun-Young Jung Soon-Ok choi Kwang Bum Cho Eun Soo Kim Kyung sik Park Jin-Bok Hwang Department of Pediatric Surgery Division of Gastroenterology and HepatologyKeimyung University School of MedicineDaegu 700-712South Korea Department of Internal Medicine Division of Gastroenterology and HepatologyKeimyung University School of MedicineDaegu 700-712South Korea Division of Gastroenterology and Hepatology Department of PediatricsKeimyung University School of MedicineDaegu 700-712South Korea

Endoscopic submucosal dissection(ESD)is now recognized as the preferred treatment modality for gastrointestinal epithelial lesions.A 21-month-old female was admitted with a giant hyperplastic polyp causing a gastric outlet *** ESD was performed with *** post-procedural course was uneventful without a bleeding *** further study of the feasibility of ESD in early children is necessary,ESD could be applied to avoid laparotomy even in young children.

关键词： Obstruction Endoscopic submucosal dissection Infant Hyperplastic polyp

Numerical assessment on improving multistage centrifugal impeller performance by changing inlet skew angle at impeller inlet

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Journal of Central South University 2012年第4期19卷 953-961页

作者： M.N.Labib Woo Ju-sik choi Du-youl T.Utomo B.Fajar Chung Han-shik Jeong Hyo-min Graduate School of Department of Mechanical and Precision Engineering Gyeongsang National UniversityTongyeong 650-160Korea Fluid and Thermal Engineering Co.Ltd. Kyungnam 621-843Korea Department of Mechanical Engineering Engineering FacultyUniversity of DiponegoroSemarang 1269Indonesia Department of Mechanical and Precision Engineering Gyeongsang National UniversityThe Institute of Marine Industr yTongyeong 650-160Korea Department of Mechanical and Precision Engineering Gyeongsang National UniversityThe Institute of Marine Industr yTongyeong 650-160Kore

Multistage centrifugal impellers with four different skew angles were investigated by using computational fluid *** purpose of this work is to investigate the influences of lean angle at the blade tip of the impeller *** variations of lean angles,that is,8°,10°,15° and 20°,were made at first stage *** Average Navier Stokes equation was used in simulation together with a shear?stress transport(SST) k-w turbulence model and mixing-plane approach,*** dimensional fluid flows were simplified using periodic model to reduce the computational cost and time required.A good performance was expected that the secondary flow can be effectively reduced in the flow passage of the impeller without excessive increase in manufacturing cost caused by the secondary *** results show that secondary flow affects the main flow intricately to form vortices or having non-uniform velocity in the flow passage,which in turn results in substantial fluid energy loss not only in the impeller but also in the guide vane downstream of *** numerical solutions were performed and allowed the optimum design and operating conditions to be obtained.

关键词： computational fluid dynamics secondary flow blade inlet skew angle multistage centrifugal compressor

The beneficial impacts of splanchnic vasoactive agents on hepatic functional recovery in massive hepatectomy porcine model

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Hepatobiliary Surgery and Nutrition 2021年第3期10卷 325-336页

作者： Hye-Sung Jo Jae Hyun Han Yoon Young choi Jin-I Seok Young-In Yoon Dong-sik Kim Division of HBP Surgery and Liver Transplantation Department of SurgeryKorea University College of MedicineSeoulRepublic of Korea Department of Surgery St.Vincent’s HospitalCollege of MedicineThe Catholic University of KoreaSeoulRepublic of Korea Department of Biomedical Science Korea University College of Medicine Graduate SchoolSeoulRepublic of Korea Division of Hepatobiliary Surgery and Liver Transplantation Department of SurgeryAsan Medical CenterUniversity of Ulsan College of MedicineSeoulRepublic of Korea

Background:Excessive portal pressure after massive hepatectomy can cause hepatic sinusoidal injury and have deleterious impacts on hepatic functional recovery,contributing to developing post-hepatectomy liver *** study aimed to assess the effects of splanchnic vasoactive agents on hepatic functional recovery and regeneration while clarifying the underlying mechanism,using a 70%hepatectomy porcine ***:Eighteen pigs undergoing 70%hepatectomy were involved in this study and divided into three groups:control(n=6),terlipressin(n=6),and octreotide(n=6).Terlipressin(0.5 mg)and octreotide(0.2 mg)were administered 3 times a day for each group with the first dose starting just before surgery until the 7th postoperative day,at which time the surviving pigs were *** the period,portal pressure,liver weight,biochemical analysis,histological injury score,and molecular markers were evaluated and compared between ***:The 7-day survival rates in the octreotide,terlipressin,and control groups were 100%,83.3%,and 66.7%,*** portal pressures decreased in both terlipressin and octreotide groups than the control group at 30 minutes,1 hour and 6 hours after *** amount of regeneration measured by liver weight to body weight ratio at the time of sacrifice in the terlipressin group was smaller than that in the control group(117%vs.129%,P=0.03).Serum aspartate aminotransferase(AST)and total bilirubin levels at 1 and 6 hours after hepatectomy and prothrombin time/international normalized ratio(PT/INR)at 6 hours after hepatectomy were significantly improved in the terlipressin and octreotide groups compared to the control *** endothelin-1(ET-1)was significantly lower in the terlipressin group than that in the control group 6 hours after hepatectomy(P<0.01).The histological injury score in the control group was significantly higher than that in the terlipressin group on the 7th postoperative day(P<0.01).Conclusions:Splanc

关键词： Hepatectomy portal pressure terlipressin somatostatin

Clinical outcomes of endoscopic papillectomy of ampullary adenoma: A multi-center study

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World Journal of Gastroenterology 2022年第17期28卷 1845-1859页

作者： Seong Ji choi Hong sik Lee Jiyeong Kim Jung Wan Choe Jae Min Lee Jong Jin Hyun Jai Hoon Yoon Hyo Jung Kim Jae Seon Kim Ho Soon choi Department of Internal Medicine Hanyang University College of MedicineSeoul 04763South Korea Division of Gastroenterology and Hepatology Department of Internal MedicineKorea University College of MedicineSeoul 02841South Korea Lab of Biostatistical Consulting and Research Medical Research Collaborating CenterIndustry-University Cooperation FoundationHanyang UniversitySeoul 04763South Korea

BACKGROUND Ampullary adenoma is a rare premalignant lesion,but its incidence is *** papillectomy has become the first treatment of choice for ampullary adenomas due to its safety and effectiveness,thereby replacing surgical ***,recurrence rates and adverse events after endoscopic papillectomy were reported in up to 30%of *** To review the long-term outcomes of endoscopic papillectomy and investigate the factors that affect these *** We retrospectively analyzed the data of patients who underwent endoscopic papillectomy for ampullary adenoma at five tertiary hospitals between 2013 and *** evaluated clinical outcomes and their risk *** definitions of outcomes were as follow:(1)curative resection:complete endoscopic resection without recurrence;(2)endoscopic success:treatment of ampullary adenoma with endoscopy without surgical intervention;(3)early recurrence:reconfirmed adenoma at the first endoscopic surveillance;and(4)late recurrence:reconfirmed adenoma after the first endoscopic *** A total of 106 patients were included for *** the included patients,81(76.4%)underwent curative resection,99(93.4%)had endoscopic success,showing that most patients with noncurative resection were successfully managed with *** patients(15.1%)had piecemeal resection,22 patients(20.8%)had shown positive/uncertain resection margin,11 patients(16.1%)had an early recurrence,13 patients(10.4%)had a late recurrence,and 6 patients(5.7%)had a *** multivariate analysis,a positive/uncertain margin[Odds ratio(OR)=4.023,P=0.048]and piecemeal resection(OR=6.610,P=0.005)were significant risk factors for early and late recurrence,*** resection was also a significant risk factor for non-curative resection(OR=5.424,P=0.007).Twenty-six patients experienced adverse events(24.5%).CONCLUSION Endoscopic papillectomy is a safe and effective treatment for ampullary ***

关键词： Endoscopic papillectomy Ampullary adenoma Clinical outcome Recurrence Adverse event

Effect of intra-arterial infusion with triolein emulsion on rabbit liver

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World Journal of Gastroenterology 2014年第39期20卷 14442-14449页

作者： Yong-Woo Kim Young Mi Park sik Yoon Hak Jin Kim Do Yoon Park Byung Mann Cho Seon Hee choi Department of Radiology Research Institute for Convergence of Biomedical Science and Technology Pusan National University Yangsan Hospital Pusan National University College of Medicine Yangsan 626-770 South Korea Department of Radiology Busan Paik Hospital Inje University Pusan 614-735 South Korea Department of Anatomy Pusan National University College of Medicine and Biomedical Research Institute Pusan 602-739 South Korea Department of Radiology Pusan National University College of Medicine and Biomedical Research Institute Pusan 602-739 South Korea Department of Pathology Pusan National University College of Medicine and Biomedical Research Institute Pusan 602-739 South Korea Preventive Medicine Pusan National University College of Medicine and Biomedical Research Institute Pusan 602-739 South Korea Pusan National University Postgraduate School Pusan National University Pusan 602-739 South Korea

AIM: To determine whether intra-arterial infusion of triolein emulsion has biochemical and histopathologic effect on rabbit liver.

关键词： Triolein Emulsions Hepatology Liver dysfunction Histopathology

Citron kinase interacts with LATS2 and inhibits its activity by occluding its hydrophobic phosphorylation motif

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Journal of Molecular Cell Biology 2019年第11期11卷 1006-1017页

作者： Thi Hai Yen Tran Dae-Wook Yang Minchul Kim Da-Hye Lee Marta Gai Ferdinando Di Cunto Kwang-Wook choi Dae-sik Lim Department of Biological Sciences KAIST 291 Daehak-roYuseong-guDaejeon 34141Republic of Korea Department of Molecular Biotechnology and Health Sciences University of Turin10126 TurinItaly

The inhibitory effect of large tumor suppressor kinase(LATS1/2)on the activity of the oncoprotein yes-associated protein(YAP)is crucial to maintain tissue *** studies have identified several new regulators of this ***,citron kinase(CIT)was listed as a potential binding candidate of Hippo-related components,suggesting a new connection between CIT and the Hippo *** from CITs role in cytokinesis,the molecular crosstalk between CIT and the Hippo pathway is largely ***,we demonstrate a role for CIT as a scaffold protein Unking LATS2 and *** importantly,CIT interacts with LATS2 to directly suppress LATS2 phosphorylation at the hydrophobic motif—targeted by MST1,leading to LATS2 inactivation and YAP *** studying their genetic interactions,we found that Sticky,the CIT homolog in Drosophila melanogaster,functions with Warts to control Drosophila eye ***,our study confirms citron kinase as a novel regulator of the Hippo pathway.

关键词： citron kinase LATS2-YAP interaction LATS2 inhibition sticky-warts Hippo pathway

Changes of the intestinal endocrine cells in the C57BL/6 mouse after implantation of murine lung carcinoma (3LL): An immunohistochemical quantitative study

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World Journal of Gastroenterology 2005年第35期11卷 5460-5467页

作者： Sae-Kwang Ku Seung-Kyoo Seong Dae-Young Kim Hyeung-sik Lee Jong-Dae Kim Hae-Yun choi Bu-Il Seo Jae-Hyun Lee Pharmacology and Toxicology Laboratory Central Research Laboratories Dong-Wha Pharmaceutical Industrial Co Ltd Anyang 430-017 Republic of Korea Developmental Biology/Embryology Division of Biological Science Gachon Medical School Kanghwha 417-840 Republic of Korea Department of Herbal Biotechnology Daegu Haany University Gyeongsan 712-715 Republic of Korea College of Oriental Medicine Daegu Haany University Gyeongsan 712-715 Republic of Korea Laboratory of Histology College of Veterinary Medicine Kyungpook National University Taegu 702-701 Republic of Korea

AIM: To study the distributions and frequencies of intestinal endocrine cells in the C57BL/6 mouse with immunohistochemical method using seven types of specific antisera against chromogranin A (CGA), serotonin,somatostatin, glucagons, gastrin, cholecystokinin (CCK)-8 and human pancreatic polypeptide (hPP) after abdominal subcutaneous implantation of murine lung carcinoma (3LL).METHODS: The experimental animals were divided into two groups, one is non-implanted Sham and the other is 3LL-implanted group. Samples were collected from six regions of intestinal tract at 28th d after implantation of 3LL cells (1×105 cell/mouse).RESULTS: In this study, five types of immunoreactive (IR) cells were identified except for gastrin and hPP. The regional distributions of the intestinal endocrine cells in the 3LL-implanted group were similar to those of the non-implanted Sham. However, significant decreases of IR cells were detected in 3LL-implanted group compared to those of non-implanted Sham. CGA- and serotonin-IR cells significantly decreased in 3LL-implanted groups compared to that of non-implanted Sham. Somatostatin-IR cells in the jejunum and ileum and CCK-8-IR cells in the jejunum of 3LL-implanted groups significantly decreased compared to that of non-implanted Sham. In addition,glucagon-IR cells were restricted to the ileum and colon of non-implanted ***: Implantation of tumor cell mass (3LL)induced severe quantifiable changes of intestinal endocrine cell density and the abnormality in density of intestinal endocrine cells may contribute to the development of gastrointestinal symptoms such as anorexia and indigestion, frequently encountered in patients with cancer.

关键词： Intestinal endocrine cell Immunohistochemistry C57BL/6 mouse 3LL Tumor

Prostate-specific antigen density predicts favorable pathology and biochemical recurrence in patients with intermediate-risk prostate cancer

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Asian Journal of Andrology 2016年第3期18卷 480-484,I0012页

作者： Ho Won Kang Hae Do Jung Joo Yong Lee Jong Kyou Kwon Seong Uk Jeh Kang Su Cho Won sik Ham Young Deuk choi Department of Urology Chungbuk National University College of Medicine Cheongju Korea Department of Urology Severance Hospital Urological Science InstituteYonsei University College of Medicine Seoul Korea Department of Urology. Inje university Haeundae Paik Hospital Busan Korea Department of Urology Gyeongsang National University School of Medicine Jinju Korea Department of Urology Gangnam Severance Hospital Urological Science Institute Yonsei University Uollege of Medicine Seoul Korea Robot and Minimal Invasive Surgery Center Severance Hospital Yonsei University College of Medicine Seoul Korea.

This study was designed to identify clinical predictors of favorable pathology and biochemical recurrence （BCR） in patients with intermediate-risk prostate cancer （IRPCa）. Between 2006 and 2012, clinicopathological and oncological data from 203 consecutive men undergoing robot-assisted radical prostatectomy （RARP） for IRPCa were reviewed in a single-institutional retrospective study. Favorable pathology was defined as Gleason score 〈6 and organ-confined cancer as detected by surgical pathology. Logistic regression analysis was used to determine predictive variables of favorable pathology, and the Kaplan-Meier and multivariate Cox regression model were used to estimate BCR-free survival after RARP. Overall, 38 patients （18.7%） had favorable pathology after RARP. Lower quartile prostate-specific antigen density （PSAD） was associated with favorable pathology compared to the highest quartile PSAD after adjusting for preoperative PSA, clinical stage and biopsy Gleason score （odds ratio, 5.42; 95% confidence interval, 1.01-28.97; P = 0.048）. During a median 37.8 （interquartile range, 24.6-60.2） months of follow-up, 66 patients experienced BCR. There were significant differences with regard to BCR free survival by PSAD quartiles （log rank, P = 0.003）. Using a multivariable Cox proportion hazard model, PSAD was found to be an independent predictor of BCR in patients with IRPCa after RARP （hazard ratio, 4.641; 95% confidence interval, 1.109-19.417; P = 0.036）. The incorporation of the PSAD into risk assessments might provide additional prognostic information and identify some patients in whom active surveillance would be appropriate in patients with IRPCa.

关键词： biochemical recurrence prostatectomy prostate-specific antigen prostate-specific antigen density prostatic neoplasms

Intraductal papillary bile duct adenocarcinoma and gastrointestinal stromal tumor in a case of neurofibromatosis type 1

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World Journal of Gastroenterology 2018年第4期24卷 537-542页

作者： Jung Min Lee Jae Min Lee Jong Jin Hyun Hyuk Soon choi Eun Sun Kim Bora Keum Yoon Tae Jeen Hoon Jai Chun Hong sik Lee Chang Duck Kim Dong sik Kim Joo Young Kim Division of Gastroenterology and Hepatology Department of Internal Medicine Institute of Gastrointestinal Medical Instrument Research Korea University College of Medicine Division of Gastroenterology and Hepatology Department of Internal Medicine Korea University Anam Hospital Division of HBP Surgery and Liver Trans- plantation Department of Surgery Korea University College of Medicine Department of Pathology Korea University College of Medicine

We report our experience with a synchronous case of gastrointestinal stromal tumor(GIST) and intraductal papillary neoplasm of the bile duct(IPNB) in anelderly woman with neurofibromatosis type 1(NF-1). A 72-year-old woman presented with a 2-mo history of right upper abdominal pain unrelated to diet and indigestion. Fourteen years earlier, she had been diagnosed with NF-1, which manifested as café au lait spots and multiple nodules on the skin. Computed tomography(CT) revealed a multilocular low-density mass with septation, and mural nodules in the right hepatic lobe, as well as a 1.7-cm-sized well-demarcated enhancing mass in the third portion of the duodenum. The patient subsequently underwent right hepatectomy and duodenal wedge resection. We present here the first report of a case involving a synchronous IPNB and GIST in a patient with NF-1. Our findings demonstrate the possibility of various tumors in NF-1 patients and the importance of diagnosis at an early

关键词： Neurofibromatosis type 1 Intraductal papillary neoplasm of the bile duct Gastrointestinal stromal tumor Synchronous