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Endoscopic diverticulotomy with an isolated-tip needle-knife papillotome (Iso-Tome) and a fitted overtube for the treatment of a Killian-Jamieson diverticulum

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World Journal of Gastroenterology 2008年第42期14卷 6589-6592页

作者： Chang Kyun lee Il-Kwun Chung Ji-Young Park Tae hoon lee suck-ho lee Sang-Heum Park hong-Soo Kim Sun-Joo Kim Division of Gastroenterology Department of Internal Medicine Soonchunhyang University College of Medicine Cheonan Hospital Cheonan Choongnam 330-721 South Korea

A Killian-Jamieson diverticulum （KID） is an unfamiliar and rare cervical esophageal diverticulum. This diverticulum originates on the anterolateral wall of the proximal cervical esophagus through a muscular gap （the Killian-Jamieson space） below the cricopharyngeal muscle and lateral to the longitudinal muscle of the esophagus. To date, only surgical treatment has been recommended for a symptomatic KJD due to its close proximity to the recurrent laryngeal nerve and the concern of possible nerve injury. Recently, traditional open surgery for a symptomatic KJD is being challenged by the development of new endoscopic techniques and devices. We present here a case of a symptomatic KID that was successfully treated with the flexible endoscopic diverticulotomy using two new devices. An isolated-tip needle-knife papillotome （Iso-Tome） was used for the dissection of the tissue bridge of the diverticulum. And a flexible overtube with a modified distal end （a fitted overtube） was used for adequate visualization of the tissue bridge of the diverticulum and protection of the surrounding tissue during dissection of the tissue bridge. Our successful experience suggests that the flexible endoscopic diverticulotomy with the use of appropriate endoscopicdevices can be a safe and effective method for the treatment of a symptomatic KJD.

关键词： Esophagus Diverticulum Killian-Jamieson diverticulum Endoscopy Diverticulotomy

Usefulness of magnifying endoscopy in post-endoscopic resection scar for early gastric neoplasm:A prospective short-term follow-up endoscopy study

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World Journal of Gastroenterology 2009年第3期15卷 349-355页

作者： Tae hoon lee Il-Kwun Chung Ji-Young Park Chang Kyun lee suck-ho lee hong Soo Kim Sang-Heum Park Sun-Joo Kim Hyun-Deuk Cho Young Hwangbo Division of Gastroenterology Department of Internal MedicineSoonchunhyang University College of MedicineCheonan Hospital23-20 Bongmyung-dongCheonan330-721South Korea Department of Pathology Soonchunhyang University College of MedicineCheonan Hospital23-20 Bongmyung-dongCheonan330-721South Korea Department of Preventive Medicine Soonchunhyang University College of MedicineCheonan Hospital23-20 Bongmyung-dongCheonan330-721South Korea

AIM： To investigate the relationship between postendoscopic resection （ER） scars on magnifying endoscopy （ME） and the pathological diagnosis in order to validate the clinical significance of ME. METhoDS： From January, 2007 to June, 2008, 124 patients with 129 post-ER scar lesions were enrolled. Mucosal pit patterns on ME were compared with conventional endoscopy （CE） findings and histological results obtained from targeted biopsies. RESULTS： CE findings showed nodular scars （53/129）, erythematous scars （85/129）, and ulcerative scars （4/129）. The post-ER scars were classified into four pit patterns of sulci and ridges on ME：（ Ⅰ ） 47 round; （Ⅱ） 54 short rod or tubular; （Ⅲ） 19 branched or gyrus-like;and （Ⅳ） 9 destroyed pits. Sensitivity and specificity were 88.9% and 62.5%, respectively, by the presence of nodularity on CE. Erythematous lesions were high sensitivity （100%）, but specificity was as low as 36.7%. The range of the positive predictive va ue （PPV） on CE was as low as 10.6%-25%. Nine type N pit patterns were diagnosed as tumor lesions, and 120 cases of type Ⅰ-Ⅲ pit patterns revealed non-neoplastic lesions. Thus, the sensitivity, specificity, and the PPV of ME were 100%. CONCLUSION： ME findings can detect the presence of tumor in post-ER scar lesions, and make evident the biopsy target site in short-term follow-up. Further large-scale and long-term studies are needed to determine whether ME can replace endoscopic biopsy.

关键词： Endoscopic mucosal resection Endoscopic submucosal dissection Magnifying endoscopy Pitpattern Scar

Aortoduodenal fistula and aortic aneurysm secondary to biliary stent-induced retroperitoneal perforation

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World Journal of Gastroenterology 2008年第19期14卷 3095-3097页

作者： Tae hoon lee Do Hyun Park Ji-Young Park suck-ho lee Il-Kwun Chung hong Soo Kim Sang-Heum Park Sun-Joo Kim Division of Gastroenterology Department of Internal MedicineSoonchunhyang University College of Medicine Division of Gastroenterology Department of Internal MedicineUniversity of Ulsan College of Medicine

Duodenal perforations caused by biliary prostheses are not uncommon, and they are potentially life threatening and require immediate treatment. We describe an unusual case of aortic aneurysm and rupture which occurred after retroperitoneal aortoduodenal fistula formation as a rare complication caused by biliary metallic stent-related duodenal perforation. To our knowledge, this is the first report describing a lethal complication of a bleeding, aortoduodenal fistula and caused by biliary metallic stent-induced perforation.

关键词： Stents Retroperitoneal perforation Aorticaneurysm Fistula

Endoscopic transcystic stent placement for an intrahepatic abscess due to gallbladder perforation

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World Journal of Gastroenterology 2007年第9期13卷 1458-1459页

作者： Myung Soo Kang Do Hyun Park Ki Du Kwon Jeong hoon Park suck-ho lee hong-Soo Kim Sang-Heum Park Sun-Joo Kim Division of Gastroenterology Department of Internal MedicineSoon Chun Hyang University Cheonan HospitalCheonan Korea

Perforation of the gallbladder with cholecystohepatic communication is a rare cause of liver abscess. Because it is a rare entity, the treatment modality has not been fully established. We report for the first time a patient with an intrahepatic abscess due to gallbladder perforation successfully treated by endoscopic stent placement into the gallbladder who had a poor response to continuous percutaneous drainage.

关键词： Liver abscess Gallbladder perforation Endoscopic stent placement Cholecystohepatic communication

Ampullary adenomyoma presenting as acute recurrent pancreatitis

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World Journal of Gastroenterology 2007年第20期13卷 2892-2894页

作者： Tae-Hee Kwon Do Hyun Park Kwang Yeon Shim Hyun-Deuk Cho Jeong hoon Park suck-ho lee Il-Kwun Chung hong-Soo Kim Sang-Heum Park Sun-Joo Kim Division of Gastroenterology Department of Internal MedicineSoon Chun Hyang University Cheonan HospitalCheonanChoongnam 330-721Korea Division of Gastroenterology Department of PathologySoon Chun Hyang University Cheonan HospitalCheonanChoongnam 330-721Korea

Adenomyoma is a term generally applied to nodular lesions showing proliferation of both epithelial and smooth muscle components. Despite its benign nature,ampullary adenomyoma is usually presented as biliary obstruction. Most cases are misdiagnosed as carcinoma or adenoma by preoperative endoscopic or radiologic procedure. Therefore,it is frequently treated with extensive surgery. To our knowledge,this is the first reported case in English literature of adenomyoma located in the peripancreatic orifice resulting in intermittent pancreatic duct obstruction and recurrent pancreatitis diagnosed by the endoscopic piecemeal resection.

关键词： Ampulla Adenomyoma Acute recurrent pancreatitis Endoscopic resection

Revealing the influence of in-situ formed LiCl on garnet/Li interface for dendrite-free solid-state batteries

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Journal of Energy Chemistry 2024年第5期92卷 394-403页

作者： Seoyoon Shin Jinuk lee Tae ho Shin Seokhee lee Hydrogen Energy Materials Center Korea Institute of Ceramic Engineering&TechnologyJinju-siGyeongsangnam-do 52851Republic of Korea Department of Materials Science and Engineering Yonsei UniversitySeoul 03722Republic of Korea

Inadequate interfacial contact between lithium and solid-state electrolytes(SSEs)leads to elevated impedance and the growth of lithium dendrites,presenting significant obstacles to the practical viability of solid-state batteries(SSBs).To ameliorate interfacial contact,optimizing the surface treatment of SSEs has been widely ***,the formation of LiCl through acid treatment,an equally crucial factor impacting SSB performance,has received limited attention,leaving its underlying mechanism *** study aims to shed light on SSE characteristics following LiCl formation and the removal of Li_(2)CO_(3) through acid *** seek to establish quantifiable links between SSE surface structure and SSB performance,focusing on interfacial resistance,current distribution,critical current density(CCD),and lithium *** formation of LiCl,occurring as Li_(2)CO_(3) is removed through acid treatment,effectively mitigates lithium dendrite formation on SSE *** action inhibits electron injection and reduces the diffusion rate of Li ***,acid treatment transforms the SSE surface into a lithiophilic state by eliminating surface Li_(2)CO_(3).Consequently,the interfacial resistance between lithium and SSEs substantially decreases from 487.67 to 35.99Ωcm^(2) at 25°*** leads to a notably high CCD of 1.3 mA cm^(-2) and a significantly extended cycle life of 1,000 ***,in full SSBs incorporating LiCoO_(2)cathodes and acid-treated garnet SSEs,we observe exceptional cyclability and rate *** findings highlight that acid treatment not only establishes a fundamental relationship between SSE surfaces and battery performance but also offers an effective strategy for addressing interfacial challenges in SSBs.

关键词： Solid-statebatteries Acidtreatment Interfacial stability LiCl Surface modification

Rescue endoscopic band ligation of iatrogenic gastric perforations following failed endoclip closure

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World Journal of Gastroenterology 2013年第6期19卷 955-959页

作者： Joung-ho Han Tae hoon lee Yunho Jung suck-ho lee Hyun Kim Hye-Suk Han Heebok Chae Seon Mee Park Seijin Youn Division of Gastroenterology Department of Internal medicineChungbuk National University College of MedicineCheongju 361-711South Korea Division of Gastroenterology Department of Internal MedicineSoon Chun Hyang University College of MedicineCheonan HospitalCheonan 330-721South Korea

Iatrogenic gastric perforation is one of the most serious complications during therapeutic endoscopy,despite significant advances in endoscopic techniques and *** case study evaluated the clinical efficacy and safety of the rescue endoscopic band ligation (EBL) technique in iatrogenic gastric wall perforation following the failure of primary endoclip *** patients were enrolled in this *** patients underwent emergency endoscopy following the onset of acute gastric wall perforation during endoscopic *** outcome measurements were primary technical success and immediate or delayed procedure-related *** endoscopic closure using band ligation was reported in all patients,with no complication *** conclude that EBL may be a feasible and safe alternate technique for the management of acute gastric perforation,especially in cases where closure is difficult with endoclips.

关键词： Gastric perforation Endoscopy Band ligation

Comparison of postpolypectomy bleeding between epinephrine and saline submucosal injection for large colon polyps by conventional polypectomy:A prospective randomized,multicenter study

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World Journal of Gastroenterology 2007年第21期13卷 2973-2977页

作者： suck-ho lee Il-Kwun Chung Sun-Joo Kim Jin-Oh Kim Bong-Min Ko Won-ho Kim Hyun-Soo Kim Dong-IL Park Hyo-Jong Kim Jeong-Sik Byeon Suk-Kyun Yang Byeong Ik Jang Sung-Ae Jung Yoon-Tae Jeen Jai-Hyun Choi Hwang Choi Dong-Soo Han Jae Suk Song Department of Internal Medicine University of Soonchunhyang at CheonanCheonan & Seoul & BucheonRepublic of Korea Department of Internal Medicine University of Yonsei at SeoulSeoul & WonjuRepublic of Korea Department of Internal Medicine University of Sungkyunkwan at SeoulSeoulRepublic of Korea Department of Internal Medicine University of Kyunghee at SeoulSeoulRepublic of Korea Department of Internal Medicine University of Ulsan at SeoulSeoulRepublic of Korea Department of Internal Medicine University of Youngnam at TaeguTaeguRepublic of Korea Department of Internal Medicine University of Ewha at SeoulSeoulRepublic of Korea Department of Internal Medicine University of Korea at SeoulSeoul & AnsanRepublic of Korea Department of Internal Medicine University of Catholic at BucheonBucheonRepublic of Korea Department of Internal Medicine University of Hanyang at KuriKuriRepublic of Korea Department of Preventive Medicine University of KwandongKangneungRepublic of Korea

AIM:To evaluate and compare the clinical outcomes of prophylactic submucosal saline-epinephrine injection and saline injection alone for large colon polyps by conventional polypectomy. METhoDS:A prospective study was conducted from July 2003 to July 2004 at 11 tertiary endoscopic centers. Large colon polyps (> 10 mm in diameter) wererandomized to undergo endoscopic polypectomy with submucosal saline-epinephrine injection (epinephrine group) or normal saline injection (saline group). Endoscopic polypectomy was performed by the conventional snare method,and early (leeding complications (12 h-30 d) were observed. RESULTS:A total of 561 polyps in 486 patients were resected by endoscopic polypectomy. Overall,bleeding complications occurred in 7.6% (37/486) of the patients,including 4.9% (12/244) in the epinephrine group,and 10.3% (25/242) in the saline group. Early and late postpolypectomy bleeding (PPB) occurred in 6.6% (32/486) and 1% (5/486) of the patients,respectively,including 4.5% (11/244),0.4% (1/244) in the epinephrine group,and 8.7% (21/242),1.7% (4/242) in the saline group. No significant differences in the rates of overall,early and late PPB were observed between the 2 groups. Multivariate stepwise logistic regression analysis revealed that large size (> 2 cm) and neoplastic polyps were independently and significantly associated with the presence of PPB. CONCLUSION:The prophylactic submucosal injection of diluted epinephrine does not appear to provide an additional advantage over the saline injection alone for the prevention of PPB.

关键词： Colonoscopic polypectomy Bleeding submucosal injection Saline Epinephrine

The association between C-reactive protein to albumin ratio and 6-month neurological outcome in patients with in-hospital cardiac arrest

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World Journal of Emergency Medicine 2024年第3期15卷 223-228页

作者： Ji ho lee Dong Hun lee Byung Kook lee Seok Jin Ryu Department of Emergency Medicine Chonnam National University HospitalGwangju 61469Republic of Korea Department of Emergency Medicine Chonnam National University Medical SchoolGwangju 61469Republic of Korea

The global incidence rates of in-hospital cardiac arrest(IHCA)range from1.2 to 9.0 per1,000 hospitalized patients,as per the National Cardiac Arrest Database.[1] While IHCAs tend to exhibit superior 30-day survival rates relative to out-of-hospital cardiac arrests (OHCA) due to situational advantages,such as immediate access to medical personnel and treatments.

关键词： patients cardiac IHC