A5080634162- Esophageal and GI Pathology
- Dysphagia Assessment and Management
- Gastroesophageal reflux and treatments
- Gallbladder and Bile Duct Disorders
- Colorectal Cancer Surgical Treatments
- Gastric Cancer Management and Outcomes
- Hernia repair and management
- Infection Control and Ventilation
- COVID-19 and healthcare impacts
- Gastrointestinal Tumor Research and Treatment
- Bariatric Surgery and Outcomes
- Pediatric Hepatobiliary Diseases and Treatments
- Tracheal and airway disorders
- Cardiovascular Disease and Adiposity
- Minimally Invasive Surgical Techniques
- Gastrointestinal disorders and treatments
- Enhanced Recovery After Surgery
- Abdominal Surgery and Complications
- Abdominal vascular conditions and treatments
- Colorectal Cancer Screening and Detection
- Metastasis and carcinoma case studies
- Nutrition and Health in Aging
- Infection Control in Healthcare
- Helicobacter pylori-related gastroenterology studies
- Neuroendocrine Tumor Research Advances
Siriraj Hospital
2011-2024
Mahidol University
2011-2024
Koto Hospital
2015
Showa University
2014-2015
Creative Research Enterprises (United States)
2015
Showa University Northern Yokohama Hospital
2014
Inguinal hernia is one of the most surgical common diseases. Giant inguinal more unusual and significantly challenging in terms management. It defined as an that extends below midpoint inner thigh when patient standing position.A 67-year-old male presented with giant right-side symptoms partial colonic obstruction significant weight loss. Barium enema revealed ascending colon, cecum ileum contained sac without lesions large bowel. He underwent repair omentectomy. Hernioplasty polypropylene...
To identify the features of early signet ring cell gastric carcinoma using magnification endoscopy with narrow band imaging (NBI).A retrospective review was conducted 12 cases who underwent treatment in a single institution between January 2009 and April 2013. All patients had NBI indigo carmine contrast to closely examine mucosal architecture, including microvasculature arrangement pits. Histologic examination final endoscopic submucosal dissection or gastrectomy specimen performed compared...
Cricopharyngeal bars (CPBs) are a unique etiology of oropharyngeal dysphagia. Symptomatic patients managed with endoscopic dilation or surgical myotomy. peroral myotomy (CP-POEM) is an emerging technique for the management dysphagia due to CPBs. This study evaluated technical success, clinical adverse events, and long-term recurrence following CP-POEM.Consecutive who underwent POEM CPBs between May 2015 December 2020 at four tertiary care centers were included. Primary outcome was success...
The histopathology of the muscularis propria (MP) is unknown in patients with achalasia. Endocytoscopy (EC) was developed as an ultra-high magnification endoscopy, and submucosal tunnel created during peroral endoscopic myotomy (POEM) not only provides access to MP but also enables subsequent assessment MP.In seven achalasia (mean ± SD; 35 18.1 years; men:women, 4:3) who underwent POEM (myotomy length: 12 2.2 cm), EC examination performed from mid-esophagus gastric side. images were compared...
Abstract Background The SARS-CoV2 virus has been identified in abdominal cavity of the COVID-19 patients. Therefore, potential viral transmission from any surgical created smoke these patients is concern especially laparoscopic surgery. This study aimed to compare amount and field contamination between open surgery fresh cadavers. Methods Cholecystectomy 12 cadavers was performed they were divided into 4 groups: approach with or without evacuator, evacuator. increased particle counts each...
Abstract Background Single-incision laparoscopic colectomy (SILC) was introduced as a novel minimally invasive technique. The benefits of this technique include reducing number the incision and cosmetic improvement. Unlike conventional colectomy, majority previously reported SILC need to be performed using special curved or articulated instruments. purpose study is demonstrate our initial experience SILC, which could standard Material methods Retrospective review 14 patients who underwent at...
Zenker's diverticulum is a rare condition caused by herniation of the mucosa at pharyngoesophageal junction, resulting in dysphagia. Third-space endoscopic surgery now plays an important role its management, facilitating precise with good outcomes. The aim report to demonstrate technical steps and outcomes per-oral myotomy (Z-POEM). We two male patients presented Esophagograms revealed diverticula 2.1 2.0 cm, respectively, diagnostic gastroscopy showed be 17 cm from incisors, tight, thick...
Laparoscopic cholecystectomy with common bile duct exploration (LC LCBDE) remains the preferred technique for difficult stone (CBDS) removal. The chopstick method uses commonly available instruments and may be cost-saving compared to other techniques. We studied outcome of LCBDE using determine if it could considered a first-choice method.Data from all patients that underwent January 1, 2012 April 30, 2019 were retrospectively analyzed. A standard 4-port incision CBDS permitted extraction...
Objective: Enhanced Recovery After Surgery (ERAS) is a multidisciplinary approach that aims to optimize perioperative management, promote postoperative recovery, reduce complications, and improve long-term survival. The current study aimed evaluate compare the physical activity after gastrectomy between patients who underwent upper gastrointestinal surgery according ERAS those based on conventional care (CC) protocol. Materials Methods: This prospective retrospective review enrolled 60 (n =...
Abstract Background Surgical resection followed by indicated adjuvant therapy offers potential curative treatment in colonic adenocarcinoma. Beyond the well-established seed and soil theory of colon cancer progression, 'normal-appearing' tissues near tumor are not genuinely normal remain as remnants patients following surgery. Our objective was to elucidate alteration gene expression pathways across various distances margins right-sided Methods Twenty-seven fresh samples primary 56 matched...
Objective: Sigmoid-type achalasia represents an advanced stage of characterized by significant dilation and tortuosity the esophageal lumen. Considering demonstrated efficacy peroral endoscopic myotomy (POEM) in treating early-stage achalasia, this procedure may offer alternative therapeutic approach for sigmoid-type achalasia. This study aimed to assess POEM’s feasibility short-term patients with Materials Methods: We enrolled 16 consecutive (eight type 1 eight 2). The anticipated outcomes...
Peritoneal metastasis in gastric cancer has a poor prognosis and is increasing prevalence. Neoadjuvant chemotherapy used for advanced tumors; however, surgery generally not considered metastatic unresectable diseases. Recently, conversion surgery, treatment which aims an R0 resection following chemotherapy, become novel therapeutic option with better survival rates. In addition to hyperthermic intraperitoneal (HIPEC) leads significant tumor reduction, but it limited by its morbidity....
Objective: Radical surgery is the mainstay treatment for adenocarcinoma of esophagogastric junction. The presence microscopic residual tumor tissue after curative-intent associated with recurrence. This study compared outcomes patients (Residual+ group) and those without (Residual- group). Material Methods: We retrospectively reviewed medical records 71 adenocarcinomas junction who underwent between January 2005 August 2018. evaluated clinical pathological characteristics recurrences, rates...
Objective: Bariatric surgery is considered the most effective treatment for morbid obesity, and increasingly performed in Thailand globally. We aimed to establish outcomes of bariatric at Siriraj Hospital, Bangkok.
 Materials Methods: This was a retrospective study patients who underwent between January 2012 June 2016.
 Results: The records first 100 were reviewed, comprising 58 laparoscopic sleeve gastrectomy (LSG) 42 Roux-en-Y gastric bypass (LRYGB). median patient age,...
Despite the infrequency of trocar site hernias (TSHs), fascial closure continues to be recommended for their prevention when using a ≥ 10-mm trocar.To identify necessity 12-mm nonbladed incision in minimally invasive colorectal surgeries.Between July 2010 and December 2018, all patients who underwent surgery at Minimally Invasive Surgery Unit Siriraj Hospital were retrospectively reviewed. All cross-sectional imaging TSH assessment. Clinicopathological characteristics recorded. Incidence...