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Refeeding Syndrome as a Possible Cause of Very Early Mortality in Acute Pancreatitis

Jeon TJ, Lee KJ, Woo HS, Kim EJ, Kim YS, Park JY, Cho JH

BACKGROUND/AIMS: Refeeding syndrome (RFS) is a fatal clinical complication that can occur as a result of fluid and electrolyte shifts during early nutritional rehabilitation for malnourished patients. This study was...
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Chronological changes in epidemiologic features of patients with gallstones over the last 20 years in a single large-volume Korean center

Zhao J, Kim H, Han Y, Choi YJ, Byun Y, Kwon W, Jang JY

PURPOSE: South Korea has a high prevalence of gallstones, the type of which could be influenced by changes in diet and socioeconomic status. Here we aimed to investigate the epidemiological...
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Type 2 Autoimmune Pancreatitis (Idiopathic Duct-Centric Pancreatitis) Highlighting Patients Presenting as Clinical Acute Pancreatitis: A Single-Center Experience

Oh D, Song TJ, Moon SH, Kim JH, Lee JN, Hong SM, Lee JS, Jo SJ, Cho DH, Park DH, Lee SS, Seo DW, Lee SK, Kim MH

BACKGROUND/AIMS: Type 2 autoimmune pancreatitis (AIP) has been considered extremely rare in East Asia. This study aimed to clarify the prevalence, clinical characteristics and radiological findings of type 2 AIP...
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Ceftriaxone-induced Acute Pancreatitis in an Adult

Lee JM, Park JM, Kim JH, Lee WG, Lee SH, Nam SJ, Kang CD, Lee SJ

Ceftriaxone is commonly used for the treatment of bacterial infection. But it may precipitate in bile causing biliary sludge, pseudolithiasis and gallstone especially in children. We report a case of...
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Hypertriglyceridemia-induced Severe Necrotizing Pancreatitis Following Low Dose Tamoxifen Administration

Jang YH, Kim HJ

A 51-year-old woman visited the emergency room with severe abdominal pain of acute onset. She had undergone a breast cancer operation one year previously and had been taking a half-dose...
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Comet tail artifact on ultrasonography: is it a reliable finding of benign gallbladder diseases?

Oh SH, Han HY, Kim HJ

PURPOSE: The aim of this study was to evaluate whether the comet tail artifact on ultrasonography can be used to reliably diagnose benign gallbladder diseases. METHODS: This retrospective study reviewed the...
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Ectopic retained gallstone causing an abdominal wall abscess

D'cruz RT, Shelat VG

A 67-year-old lady was managed with percutaneous cholecystostomy for severe acute cholecystitis with septic shock. An interval laparoscopic subtotal cholecystectomy was done at 8 weeks. Her post-operative phase was complicated...
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Sex and Gender Medicine in Pancreatobiliary Diseases

Park SM

Sex and gender medicine investigates the impact of sex and gender differences on normal conditions, pathogenesis, and clinical features of diseases. By considering sex and gender differences during diagnosis, treatment...
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Clinical Significance of Extraluminal Compressions according to the Site of the Duodenum

Chae CB, Kim GH, Park SK, Lee MW, Lee BE

BACKGROUND/AIMS: Differentiating extraluminal compressions from true subepithelial tumors in the duodenum by endoscopy alone is difficult. Endoscopic ultrasonography (EUS) is one of the most useful diagnostic modalities for this purpose....
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Patient reported outcomes in elective laparoscopic cholecystectomy

Mak MH, Chew WL, Junnarkar , Woon WW, Low JK, Huey TC, Shelat VG

BACKGROUNDS/AIMS: Traditional outcome measures (e.g., length of hospital stay, morbidity, and mortality) are used to determine the quality of care, but these may not be most important to patients. It...
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Cholelithiasis as a Risk Factor for Gallbladder Cancer

Oh DJ, Jang DK, Lee JK

Although the incidence of gallbladder cancer is relatively low, Korea is one of the countries with the highest incidences of gallbladder cancer in the world. Gallbladder cancer is also often...
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Risk Factors for Gallbladder Stone Formation after Gastric Cancer Surgery

Lee YW, Kim A, Han M, Yoo MW

PURPOSE: Although an increased incidence of gallbladder (GB) stone formation after gastrectomy has been reported, its etiology remains uncertain. The goal of this study was to explore the incidence of...
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Differentiation of gallbladder adenomyomatosis from early-stage gallbladder cancer before surgery

Moon J, Shin YC, Heo TG, Choi PW, Kim JI, Jung SW, Jun H, Jung SM, Um E

BACKGROUNDS/AIMS: This study aimed to compare the perioperative and clinical outcomes in patients undergoing laparoscopic cholecystectomy for gallbladder adenomyomatosis (GBA) or early-stage gallbladder cancer (GBC). METHODS: The perioperative and clinical outcomes...
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Endoscopic Sphincterotomy, Balloon Stone Extraction, and Basket Stone Extraction

Jang SI, Lee DK

Endoscopic sphincterotomy is performed after selective cannulation to remove the gallstone. Endoscopic sphincterotomy can cause complications such as bleeding, perforation and pancreatitis. Various types of endoscopic sphincter incision method and...
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Evaluation of Patients Suspected of Common Bile Duct Stone

Yoon JH

Common bile duct stones (CBDS) are estimated to be present in 10–20% of individuals with symptomatic gallstones. Most patients with gallstones remain asymptomatic throughout their lifetime, but 10–25% of them...
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Diagnosis of Obesity and Related Biomarkers

Bang CS, Oh JH, Diet, Obesity, and Metabolism Research Group of Korean Society of Neurogastroenterology and Motility

Obesity is associated with various comorbidities, such as type II diabetes, hypertension, dyslipidemia, and cardiovascular disease. Gastrointestinal complications are also frequent and obesity is a direct cause of nonalcoholic fatty...
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Screening of Sera from Patients with Pancreatitis by an Apoptosis Assay of Skin-derived Cells

Seok AE, Son BK, Lee J, Chung KH, Lee YR, Kim D, Cha BH, Kang HG

BACKGROUND/AIMS: An excessive inflammatory response is typical in acute pancreatitis and a significant cause of early mortality in severe acute pancreatitis. This is believed to be caused by inflammatory molecules...
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Indications and Timing of ERCP and Cholecystectomy for Biliary Pancreatitis

Choi YH, Lee SH

In acute biliary pancreatitis, endoscopic retrograde cholangiopancreatography (ERCP) and cholecystectomy should be considered to reduce the complications of gallstones including recurrent biliary pancreatitis. If biliary pancreatitis is accompanied by cholangitis...
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Papillary Cannulation Facilitated by Submucosal Saline Injection into an Intradiverticular Papilla

Lee K, Choi JW, Lee Y, Han JH, Park SM

Endoscopic retrograde cholangiopancreatography (ERCP) of the intradiverticular papilla with its invisible orifice remains challenging. Several techniques have been introduced to evert the papillary opening to facilitate cannulation. A 79-year-old woman...
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Impact of Periampullary Diverticulum on ERCP Performance: A Matched Case-Control Study

Corral JE, Mousa OY, Kröner PT, Gomez V, Lukens FJ

BACKGROUND/AIMS: Periampullary diverticulum (PAD) is frequently encountered during endoscopic retrograde cholangiopancreatography (ERCP) and has been associated with stone formation in the bile duct. The effects of PAD on the ERCP...
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