- Pancreatic and Hepatic Oncology Research
- Gallbladder and Bile Duct Disorders
- Pancreatitis Pathology and Treatment
- Pediatric Hepatobiliary Diseases and Treatments
- Gastrointestinal disorders and treatments
- Esophageal and GI Pathology
- Colorectal Cancer Screening and Detection
- Biliary and Gastrointestinal Fistulas
- Respiratory Support and Mechanisms
- Ultrasound Imaging and Elastography
- Neuroendocrine Tumor Research Advances
- Pneumonia and Respiratory Infections
- Obstructive Sleep Apnea Research
- Neuroscience of respiration and sleep
- Hemoglobinopathies and Related Disorders
- Cardiac Arrest and Resuscitation
- Gastric Cancer Management and Outcomes
- Liver Disease and Transplantation
- Liver Disease Diagnosis and Treatment
- Mechanical Circulatory Support Devices
- Surgical Simulation and Training
- Esophageal Cancer Research and Treatment
- Medical Device Sterilization and Disinfection
- Congenital Heart Disease Studies
- Tracheal and airway disorders
Rajavithi Hospital
2018-2025
Rangsit University
2020-2025
Police General Hospital
2015-2024
Ministry of Public Health
2020-2024
Siriraj Hospital
2012-2019
Mahidol University
1987-2019
The University of Tokyo
2017-2018
University of Tokyo Hospital
2017
Nagoya University
2014-2017
King Chulalongkorn Memorial Hospital
2015
We assessed the efficacy of conventional cardiopulmonary resuscitation (CPR) in 2-week-old piglets. determined intrathoracic vascular pressures, cerebral (CBF) and myocardial blood flows (MBF), oxygen uptake during CPR this infant animal preparation contrasted these results with those previous work on adult animals. further examined effects infusion epinephrine pressures uptake, which has not been previously evaluated preparations. Conventional was performed pentobarbital-anesthetized...
Abstract Background: Negative results of EUS‐FNA for solid pancreatic lesions (SPL) can be false ones. Combination with strain ratio (SR) may ensure a correct benign diagnosis SPL. Aims: We prospectively evaluated the sensitivity rate and EUS elastography using method diagnosing Methods: Thirty‐eight patients SPL identified by CT or MRI between January 2013 November were included in our prospective study. diagnoses made SR an endosonographer who was blinded to all clinical information. In...
ABSTRACT Objectives Despite progress in promoting gender equality, bias remains a significant obstacle for women and hinders their academic advancement. We aim to survey critically analyze women's representation conferences changes over time various regions of Asian countries. Methods An international was conducted with representatives from East Asia (Hong Kong, China, Japan), South (India Pakistan), Southeast (Vietnam Thailand). The collected data on faculty members serving as chairpersons,...
Abstract Objectives Choledocholithiasis is the leading cause of biliary pancreatitis and sepsis. Endoscopic retrograde cholangiopancreatography (ERCP) considered a minimally invasive treatment for choledocholithiasis. However, diagnostic ERCP should be avoided. We conducted prospective trial in high‐risk choledocholithiasis patients based on American Society Gastrointestinal Endoscopy (ASGE) 2019 criteria to investigate accuracy current guideline. Methods This multicenter, cohort study...
Abstract Objectives This study aimed to evaluate the disparity in culture results between sterilization and high‐level disinfection (HLD) for duodenoscopes linear endoscopic ultrasound (EUS), assess effectiveness of different bacterial contamination detection methods. Methods is a prospective randomized study, including EUS with adenosine triphosphate bioluminescence assay values below 200 relative light units after manual cleaning which were randomly assigned undergo either or HLD 1:1...
Background and study aims While endoscopic ultrasound (EUS)-guided drainage of pancreatic fluid collection (PFC) is recommended to be performed ≥ 4 weeks after onset acute pancreatitis (AP), early (< weeks) interventions are needed in some symptomatic cases. Despite feasibility percutaneous drainage, there have been few studies about EUS-guided PFC. Patients methods Consecutive patients who received (EUS-PCD) infected or PFC at the University Tokyo were retrospectively studied....
Recombinant activated factor VII (rFVIIa) was given to three children with acute bleeding resulting from liver failure and disseminated intravascular coagulation. Cases I II (girls aged 3 years 6 years, respectively) were diagnosed Dengue hemorrhagic fever prolonged shock. Case III, a boy 9 months, underwent left lobe hepatectomy for hepatoblastoma, during which 60% of his removed. This case complicated by myoglobinuria, renal impairment early All patients exhibited active bleeding. received...
Abstract Background and study aims Endoscopic ultrasound (EUS) elastography (EUS-E) contrast-enhanced harmonic EUS (CH-EUS) are useful methods for the diagnosis of pancreatic lesions. This to compare accuracy combined EUS-E CH-EUS with that or alone in differential solid Patients One hundred thirty-six patients lesions underwent both were included. Diagnoses classified as adenocarcinoma, neuroendocrine tumor (NET), inflammatory pseudotumor 95, 22, 19 patients, respectively. records each case...
We studied alterations of chest geometry during conventional cardiopulmonary resuscitation in anesthetized immature swine. Pulsatile force was applied to the sternum increments determine effects increasing compression on and intrathoracic vascular pressures. In 2-wk- 1-mo-old piglets, permanent changes shape developed due incomplete recoil along anteroposterior axis, large pressures were generated. 3-mo-old animals, deformity did not develop, produced. propose a theoretical model as an...
Objective: To determine whether parents' observations can be used to predict the severity of obstructive sleep apnoea syndrome (OSAS) in children. Study design: Sixty‐five children with OSAS diagnosed by overnight polysomnography were consecutively recruited and classified as having severe or non‐severe according index (OAI) oxygen saturation measured pulse oximetry (S p O 2 ) nadir. Parents asked complete a questionnaire about child's breathing difficulties at night. Results: Twenty‐eight...
Percutaneous cholecystostomy [percutaneous transhepatic gallbladder drainage (PTGBD)] is the treatment of choice in surgically unfit patients with acute cholecystitis. However, PTGBD tube removal after symptoms resolution results 41-46% recurrence. This study aims to demonstrate feasibility conversion transmural endoscopic ultrasound-guided (EUS-GBD) using plastic stents for cholecystectomy.Patients who underwent internal EUS-GBD as a from were reviewed. was performed improvement...
Groove pancreatitis (GP) is an uncommon disease involving the pancreaticoduodenal area. Possible pathogenesis includes obstructive in duct of Santorini and impaired communication with Wirsung, minor papilla stenosis, leakage causing inflammation. Limited data regarding endoscopic treatment have been published.Seven patients GP receiving were reviewed. The morphology pancreatic was evaluated by a pancreatogram. Endoscopic dilation drainage performed.There two divisum cases, one ansa...
A 70-year-old, non-smoker man with overweight (BMI 26.4 kg/m 2 ) and a medical history of hypertension
Endoscopic retrograde cholangiopancreatography (ERCP) is the primary treatment modality for bile duct obstruction. When ERCP unsuccessful, percutaneous transhepatic biliary drainage can be an alternative method. ultrasound-guided (EUS-BD) has emerged as a option obstruction, especially after failure. EUS-BD offers transluminal intrahepatic and extrahepatic through transgastric transduodenal approach. EUS-guided hepaticogastrostomy (EUS-HGS) excellent choice patients with hilar strictures or...
Abstract Background Colonoscopy is a standard procedure for evaluating colon diseases and screening colorectal cancer, bowel cleanliness prior to colonoscopy key. The aim of this study was compare the cleansing efficacy low-volume (2 L) split-dose polyethylene glycol (PEG) plus single-dose (24 µg) lubiprostone (LB) high-volume (4 PEG. Methods Patients scheduled undergo outpatient between December 2019 June 2021 at Rajavithi Hospital were enrolled randomized into two groups: 2 L PEG + LB or 4...