- Gallbladder and Bile Duct Disorders
- Pediatric Hepatobiliary Diseases and Treatments
- Pancreatic and Hepatic Oncology Research
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Esophageal and GI Pathology
- Biliary and Gastrointestinal Fistulas
- Pancreatitis Pathology and Treatment
- Liver Disease Diagnosis and Treatment
- Neuroendocrine Tumor Research Advances
- Hepatocellular Carcinoma Treatment and Prognosis
- Hepatitis C virus research
- Cancer Genomics and Diagnostics
- Liver Diseases and Immunity
- Anesthesia and Pain Management
- Anesthesia and Sedative Agents
- Gastrointestinal disorders and treatments
- Gastrointestinal Bleeding Diagnosis and Treatment
- Cardiac, Anesthesia and Surgical Outcomes
- Kidney Stones and Urolithiasis Treatments
- MRI in cancer diagnosis
- Laser Material Processing Techniques
- Radiomics and Machine Learning in Medical Imaging
- Abdominal Surgery and Complications
- Peptidase Inhibition and Analysis
- Renal cell carcinoma treatment
Soonchunhyang University
2014-2023
Soonchunhyang University Hospital
2014-2023
Digestive Health Research Institute
2021
St James's University Hospital
2019
University of Leeds
2019
Yonsei University
2015
Alba Graduate Business School, The American College of Greece
2014
Eulji University Hospital
2009-2012
Eulji University
2010-2012
Asan Medical Center
2009
<b>Background and study aims:</b> An endoscopic ultrasound (EUS)-guided fine needle biopsy (EUS-FNB) device using a core was developed to improve diagnostic accuracy by simultaneously obtaining cytological aspirates histological samples. We prospectively compared the of EUS-FNB with standard EUS-guided aspiration (EUS-FNA) in patients solid pancreatic masses. <b>Patients methods:</b> Between January 2012 May 2013, consecutive masses were enrolled randomized undergo or EUS-FNA at single...
Endoscopic ultrasound (EUS)-guided fine needle aspiration (EUS-FNA) is one of the alternative methods for tissue sampling liver solid mass. However, diagnostic efficacy using cytology alone was limited. In this study, we evaluate accuracy EUS-guided biopsy (EUS-FNB) as a percutaneous rescue mass.The EUS-FNB core mass performed prospectively patients who were failure to acquire or achieve diagnosis biopsy. The primary outcome malignancy and specific tumor type. secondary outcomes median...
As society ages, the need for endoscopic retrograde cholangiopancreatography (ERCP) is increasing. This prospective comparative study evaluated safety and efficacy of midazolam- versus propofol-based sedations by non-anesthesiologists during therapeutic ERCP in patients over 80 years age.A total 100 age who required were enrolled randomly received midazolam + fentanyl (MF group) or propofol (PF sedation. Endoscopic sedation was titrated to a moderate level carried out trained registered...
Background/aims Recent studies have demonstrated the utility of FibroScan® device in diagnosing liver steatosis, but its usefulness has not been thoroughly appraised. We investigated controlled attenuation parameter (CAP) detecting and quantifying steatosis. Methods A prospective analysis was applied to 79 chronic disease patients who underwent a biopsy, FibroScan investigation, ultrasonography, hepatic steatosis index (HSI). The presence degree as measured by device, ultrasonography HSI...
Tenofovir disoproxil fumarate (TDF) is widely used to treat patients with hepatitis B virus (HBV) infection. We investigated the effect of TDF on renal insufficiency in chronic (CHB).A consecutive cohort analysis was applied CHB taking prescribed from January 2012 May 2016 at Soonchunhyang University Seoul Hospital. Alterations over time corrected calcium, phosphate, creatinine, and estimated glomerular filtration rate (eGFR) were analyzed using generalized estimating equation method. The...
Abstract Background Although endoscopic retrograde cholangiopancreatography (ERCP) is a first-line diagnostic modality for suspected malignant biliary stricture (MBS), the yield of ERCP-based tissue sampling insufficient. Peroral cholangioscopy-guided forceps biopsy (POC-FB) and ultrasound-guided fine-needle aspiration (EUS-FNAB) are evolving as reliable procedures inconclusive MBS. This study aimed to evaluate usefulness approach using POC-FB or EUS-FNAB according location in patients with...
Background Endoscopic management of recurrent bile duct stones after endoscopic sphincterotomy ( EST ) is effective and safe. However, repeat for extension a previous may involve substantial risk. The aim the present study was to evaluate safety efficacy papillary large balloon dilation EPLBD without difficult . Patients Methods From J anuary 2006 O ctober 2010, total 52 patients were enrolled; all had undergone (balloon diameter: 12–20 mm) remove In patients, stone removal failed with...
Endoscopic ultrasound-guided celiac plexus neurolysis (EUS-CPN) is a well-established intervention to palliate malignant pain. We report patient who developed hepatic and splenic infarction bowel ischemia following EUS-CPN. A 69-year-old man with known lung cancer pancreatic metastasis was transferred for debilitating, significant epigastric pain several months. The underwent EUS-CPN the After procedure, complained continuously of abdominal pain, nausea, vomiting; hematemesis hematochezia...
Abstract Background The use of a lumen-apposing metal stent (LAMS) capable one-step endoscopic ultrasound-guided transmural drainage (EUS-TD) can increase the effectiveness procedure. We evaluated newly developed electrocautery-enhanced (EC) delivery system with LAMS for EUS-guided gallbladder (EUS-GBD) or choledochoduodenostomy (EUS-CDS). Methods In animal experiment, an EC-LAMS was advanced into without prior tract dilation in four pigs. A conventional inserted another pigs as control...
Jae Yun Kim, Gyu Bong Ko, Tae Hoon Lee, Sang-Heum Park, Nah Young Sin Cho, Yunho Jung, Il-Kwun Chung, Hyun Jong Choi, Sang-Woo Cha, Ho Moon, Deok and Sun-Joo Kim. Gut Liver 2017;11:440-6. https://doi.org/10.5009/gnl16245
The mechanism of pancreatitis development following endoscopic papillary balloon dilation (EPBD) remains unknown. Antegrade with percutaneous transhepatic (PTPBD) allows the removal bile duct stones or fragments during choledochoscopic lithotomy, less mechanical trauma to papilla than EPBD-mediated stone removal.A total 56 patients underwent antegrade PTPBD from March 2006 February 2011. A 208 common retrograde EPBD same period. conditions were identical in both groups. frequencies and...
Abstract Background and study aims I-SCAN is a computed virtual chromoendoscopy (CVC) system designed to enhance surface vascular patterns. In this study, we evaluated the usefulness of direct peroral cholangioscopy (POC) using compared with conventional white-light image (WLI) diagnose bile duct lesions. Patients methods mucosal lesions in detected during POC were enrolled prospectively. The quality endoscopic visualization visual diagnosis assessed WLI modes, respectively, POC. Results A...
In suspected malignant biliary strictures (MBSs), the diagnostic yield of endoscopic retrograde cholangiopancreatography (ERCP)-based tissue sampling is limited. Transpapillary forceps biopsy (TPB) under intraductal ultrasonography (IDUS) guidance expected to improve accuracy in patients with indeterminate strictures. We evaluated usefulness IDUS-guided TPB MBS.Consecutive MBS were prospectively enrolled study. ERCP IDUS was performed all patients. Both conventional and on fluoroscopy each...
Abstract Backgrounds Fully covered self‐expandable metal stent (FCSEMS) are preferred for distal malignant biliary stricture (MBS). However, migration is a major adverse event of FCSEMS, especially far MBS. We evaluated the usefulness newly modified FCSEMS (M‐FCSEMS) having 12 mm in diameter and anti‐migration feature to minimize compared with conventional (C‐FCSEMS). Methods Total 102 patients were enrolled between January 2015 September 2017 this prospective comparative study; 50 allocated...
Accurate diagnosis of drug-induced liver injury (DILI) is difficult without considering the possibility underlying diseases, especially autoimmune hepatitis (AIH). We investigated clinical patterns in patients with a history medication, liver-function abnormalities, and whom biopsy was conducted, focusing on accompaniment by AIH.The clinical, serologic, histologic findings 29 were compared analyzed. The aged 46.2±12.8 years (mean±SD), 72.4% patient female. most common symptom causal drug...