A5038710288- Esophageal and GI Pathology
- Gastroesophageal reflux and treatments
- Gastric Cancer Management and Outcomes
- Colorectal Cancer Screening and Detection
- Bariatric Surgery and Outcomes
- Gallbladder and Bile Duct Disorders
- Nutrition and Health in Aging
- Gastrointestinal Bleeding Diagnosis and Treatment
- Intraperitoneal and Appendiceal Malignancies
- Abdominal vascular conditions and treatments
- Radiomics and Machine Learning in Medical Imaging
- Biliary and Gastrointestinal Fistulas
- COVID-19 and healthcare impacts
- Clinical Nutrition and Gastroenterology
- Hernia repair and management
- Helicobacter pylori-related gastroenterology studies
- Obesity and Health Practices
- Hepatocellular Carcinoma Treatment and Prognosis
- Pediatric Hepatobiliary Diseases and Treatments
- Pancreatitis Pathology and Treatment
- Vascular Tumors and Angiosarcomas
- Enhanced Recovery After Surgery
- Frailty in Older Adults
- Body Contouring and Surgery
- Minimally Invasive Surgical Techniques
Sengkang General Hospital
2021-2025
SingHealth Duke-NUS Academic Medical Centre
2023-2025
Nanyang Technological University
2023-2025
Duke-NUS Medical School
2024-2025
SingHealth
2022-2023
Singapore General Hospital
2023
National University Health System
2015-2021
National University Hospital
2016-2021
National University of Singapore
2013-2014
Introduction: Malignant gastric outlet obstruction (GOO) has a significant impact on quality of life. Endoscopic ultrasound-guided gastroenterostomy (EUS-GE) shown promising results. Traditional isolated outcome measures do not sufficiently address critical considerations for end-of-life patients like oral intake tolerance. This study aimed to determine via probabilistic approach, the optimal management strategy GOO that maximizes their Methods: A Markov decision model was developed, with...
Aim To identify important clinicopathological parameters that are most helpful in predicting additional non-sentinel lymph node (SLN) metastasis among patients with a positive SLN biopsy the Singapore breast cancer population. Methods A total of 1409 who underwent were reviewed over 5 year period from July 2004 to October 2009. General Hospital (SGH) nomogram was developed predictors Memorial Sloan-Kettering Cancer Centre (MSKCC) using 266 primary invasive and subsequently had an axillary...
Aim. For patients who have exhausted cephalic vein arteriovenous fistula (AVF) options, controversy exists on whether brachial-basilic AVF with transposition (BBTAVF) or a forearm graft (AVG) should be the next vascular access of choice. This study compared outcomes these two modalities. Methods. A retrospective 122 Asian multiethnic underwent either BBTAVF (81) an AVG (41). Maturation time and intervention rates were analyzed. Functional primary, secondary, overall patency evaluated....
Knowledge of stroke symptoms is associated with seeking medical attention early, and knowledge risk factors an essential factor in prevention. In this study, we evaluated the level literacy Singapore.A cross-sectional study Singapore citizens permanent residents aged 21 years above was conducted a public housing estate. Participants were randomly sampled using multi-stage stratified sampling. Assessment awareness performed open-ended questions. total, 687 respondents recruited, response rate...
The nutritional status of hospitalised patients is often at risk or compromised and predisposed to further deterioration after discharge, leading poor clinical outcomes, high healthcare costs, quality life. This paper aims provide evidence-based best-practice recommendations address this, supported by a national survey professionals in Singapore reviewed multidisciplinary expert panel under the Sarcopenia Interest Group Society Parenteral Enteral Nutrition (SingSPEN). We advocate screening...
Abstract A majority of lower extremities neuro‐ischaemic wounds (NIU) are related to: (a) only diabetes (DM); (b) peripheral artery disease (PAD); (c) co‐existing and (DM‐PAD). This study aims to characterise the major clinical outcomes forementioned three groups extremity wound patients in Singapore. Patients hospitalised for NIU between January 2014 October 2017 a tertiary hospital Singapore were analysed. Patients' limb amputation mortality assessed using Cox regression models. Cumulative...
Changes in cabin pressure can potentially cause expansion of any preexisting intracranial air resulting tension pneumocephalus. The authors describe a 28-year-old man, who was involved motor vehicle accident complicated by multiple facial fractures and dural tear while on his way to the airport. Instead seeking medical attention after accident, he proceeded with 2-hour commercial flight. He did not suffer from neurologic deterioration inflight, but upon presentation our center, computed...
Introduction: Laparoscopic sleeve gastrectomy (LSG) is associated with postoperative gastroesophageal reflux disease (GERD) and erosive esophagitis (EE). The role of crural repair during LSG still controversial. preoperative laxity the junction (GEJ), graded by Hill’s classification, more predictive for GERD EE after than presence a hiatal hernia seen on endoscopy. Thus, authors hypothesize that concomitant in specific subgroup patients lax GEJ (Hill’s III) may reduce incidence EE. Methods:...
Background: Multimodal prehabilitation programs, which may incorporate nutritional supplementation and exercise, have been developed to combat sarcopenia in surgical patients enhance post-operative outcomes. However, the optimal regime remains unknown. The use of beta-hydroxy beta-methylbutyrate (HMB) has beneficial effects on muscle mass strength. its effect quality perioperative setting yet be established. This study aims explore impact a multimodal program using bundle care that includes...
Abstract Background: Laparoscopic sleeve gastrectomy (LSG) is one of the commonest bariatric procedures. However, it associated with postoperative gastroesophageal reflux disease (GERD) and erosive esophagitis (EE). This study aims to assess impact various preoperative clinical endoscopic characteristics on development GERD EE. Methods: A single institution retrospective cohort involving all patients who underwent LSG. univariate multivariate analysis was performed identify parameters that...