The Korean Journal of Gastroenterology.2007;49(5):341-342.
No abstract availble.
The Korean Journal of Gastroenterology
to Present ISSN: 1598-9992
Sort by
DISPLAY OPTIONS
Format:
Per page:
The Korean Journal of Gastroenterology.2007;49(5):336-340.
Duodenal varix is a rare cause of hemorrhage in patients with portal hypertension, however their rupture is serious and often life threatening. Treatments for duodenal variceal bleeding include endoscopic procedures, surgery, or interventional radiologic procedures. We report a case of duodenal varices rupture in a 45-year-old man with alcoholic liver cirrhosis who presented with melena and dizziness. Emergent upper endoscopy revealed large nodular varices with a ruptured erosion on the top in the distal second portion of duodenum. Two consecutive injections with 1.0 mL of n-butyl-2-cyanoacrylate (Histoacryl; Braun-Melsungen, Germany) mixed with 1.0 mL of lipiodol (Laboratoire-Guerbet, France) were performed intravariceally and achieved successful hemostasis. This suggests that endoscopic injection sclerotherapy with histoacryl may be an effective therapeutic option for the control of ruptured duodenal variceal bleeding.
Duodenal Diseases/etiology/*therapy ; Duodenoscopy ; Duodenum/*blood supply ; Enbucrilate/*analogs & derivatives/chemistry/therapeutic use ; Gastrointestinal Hemorrhage/etiology/*therapy ; Humans ; Liver Cirrhosis, Alcoholic/complications ; Male ; Middle Aged ; Rupture ; Sclerosing Solutions/*therapeutic use ; *Sclerotherapy ; Tissue Adhesives/therapeutic use ; Tomography, X-Ray Computed ; Varicose Veins/complications/*therapy
Duodenal Diseases/etiology/*therapy ; Duodenoscopy ; Duodenum/*blood supply ; Enbucrilate/*analogs & derivatives/chemistry/therapeutic use ; Gastrointestinal Hemorrhage/etiology/*therapy ; Humans ; Liver Cirrhosis, Alcoholic/complications ; Male ; Middle Aged ; Rupture ; Sclerosing Solutions/*therapeutic use ; *Sclerotherapy ; Tissue Adhesives/therapeutic use ; Tomography, X-Ray Computed ; Varicose Veins/complications/*therapy
A Case of Photodynamic Therapy for Early Esophageal Cancer Recurred after Esophagectomy.
The Korean Journal of Gastroenterology.2007;49(5):331-335.
Photodynamic therapy is a promising modality for the palliation of advanced upper gastrointestinal cancer and for the eradication of early neoplastic and pre-neoplastic lesions. It is based on the combination of a photosensitizer that is selectively localized in the target tissue and illumination of the lesion with visible light, resulting in photodamage and subsequent cell death. For early esophageal cancer, esophagectomy has been a standard modality of curative intent. However, accumulated data supports the possibility of PDT replacing surgery as a curative modality. We experienced a case of early esophageal cancer that recurred after esophagectomy. The patient was successfully treated with photodynamic therapy using porfimer sodium as a photosensitizer.
Endoscopy, Gastrointestinal ; Esophageal Neoplasms/*drug therapy/pathology/surgery ; *Esophagectomy ; Humans ; Male ; Middle Aged ; *Photochemotherapy ; Photosensitizing Agents/administration & dosage/*therapeutic use
Endoscopy, Gastrointestinal ; Esophageal Neoplasms/*drug therapy/pathology/surgery ; *Esophagectomy ; Humans ; Male ; Middle Aged ; *Photochemotherapy ; Photosensitizing Agents/administration & dosage/*therapeutic use
A Case of Ulcerative Colitis Relapsed by Influenza Vaccination.
The Korean Journal of Gastroenterology.2007;49(5):327-330.
Although a large number of studies have reported the causes of the exacerbation of ulcerative colitis (UC), the effect of influenza vaccination on the relapse of UC has not been reported. We experienced a case of prompt exacerbation of quiescent UC due to influenza vaccination. A 39-year-old woman was diagnosed as UC 4-years ago and was well controlled with oral mesalazine. She experienced abdominal pain and frequent bowel movements with hematochezia 3 days after the vaccination. On admission, laboratory findings showed elevated erythrocyte sedimentation rate and C-reactive protein. Sigmoidoscopy showed marked edematous mucosa on rectum and sigmoid colon with fine ulceration and spontaneous bleeding. She recovered from the exacerbation of UC after steroid treatment. Vaccination should be administered to the patients with inflammatory bowel disease with the caution of its possible side effects.
Adult ; Blood Sedimentation ; C-Reactive Protein/analysis ; Colitis, Ulcerative/*diagnosis/*etiology/radiography ; Female ; Humans ; Influenza Vaccines/administration & dosage/*adverse effects ; Recurrence ; Sigmoidoscopy ; Tomography, X-Ray Computed
Adult ; Blood Sedimentation ; C-Reactive Protein/analysis ; Colitis, Ulcerative/*diagnosis/*etiology/radiography ; Female ; Humans ; Influenza Vaccines/administration & dosage/*adverse effects ; Recurrence ; Sigmoidoscopy ; Tomography, X-Ray Computed
The Korean Journal of Gastroenterology.2007;49(5):320-326.
BACKGROUND/AIMS: Gastric variceal bleeding is an infrequent but serious complication of portal hypertension. Endoscopic injection of Histoacryl(R) (N-butyl-2-cyanoacrylate) has been approved as an effective treatment for gastric variceal bleeding. The aim of this study was to evaluate the long-term efficacy and safety of the endoscopic injection of Histoacryl(R) for the treatment of gastric varices. METHODS: Between January 1994 and January 2005, eighty-five patients with gastric varices received endoscopic injections of Histoacryl(R) . Among these 85 patients, 65 received the procedure within 1 week after gastric variceal bleeding, and 13 received as a prophylactic procedure. According to the Sarin classification, 32 patients were GOV1 and 53 were GOV2. Most of the varices were large (F2 or F3, 75 patients). The average volume of Histoacryl(R) per each session was 1.43 ml. Among 85 patients, 72 patients were followed-up and the median duration was 24.5 months. RESULTS: The rate of initial hemostasis was 98.6% and recurrent bleeding occurred in 29.2% (21 of 72). When rebleeding occurred, 76.2% was within 1 year after the initial injection. Treatment failure-related mortality rate was 1.4% (1 of 85). Twenty-seven patients died, mostly due to hepatocelluar carcinoma or liver failure. Two patients experienced pulmonary embolism and one experienced splenic infarction. They recovered without specific treatment. Rebleeding rate had a tendency to increase in patients with hepatocelluar carcinoma (p=0.051) and GOV2 (p=0.061). CONCLUSIONS: Histoacryl(R) injection therapy is a effective treatment method for gastric varices with high initial hemostasis rate and low major complications.
Adult ; Aged ; Enbucrilate/administration & dosage/*analogs & derivatives/chemistry/therapeutic ; Endoscopy, Gastrointestinal ; Esophageal and Gastric Varices/mortality/surgery/*therapy ; Female ; Gastrointestinal Hemorrhage/mortality/surgery/*therapy ; Humans ; Injections ; Male ; Middle Aged ; Predictive Value of Tests ; Retrospective Studies ; Sclerosing Solutions/administration & dosage/*therapeutic use ; Severity of Illness Index ; Survival Rate
Adult ; Aged ; Enbucrilate/administration & dosage/*analogs & derivatives/chemistry/therapeutic ; Endoscopy, Gastrointestinal ; Esophageal and Gastric Varices/mortality/surgery/*therapy ; Female ; Gastrointestinal Hemorrhage/mortality/surgery/*therapy ; Humans ; Injections ; Male ; Middle Aged ; Predictive Value of Tests ; Retrospective Studies ; Sclerosing Solutions/administration & dosage/*therapeutic use ; Severity of Illness Index ; Survival Rate
pH-sensitive Polymeric Micelles for the Effective Delivery of Anti-cancer Drug.
The Korean Journal of Gastroenterology.2007;49(5):314-319.
Polymeric micelles from pH-sensitive block copolymers have been designed for targeting tumor acidity or endosomal pH in tumor cells. The micelles are core-shell types formed by self-organization of the blocks in an aqueous medium or under specific experimental conditions. They possess a segment that has physical or chemical properties responding to small changes in environmental pH. The segment induces to the fast release kinetics from the micelles at tumor sites by particle shrunk/disruption. Furthermore, it can alter the biodistribution of the micelles and the interactions with tissues and cells by utilizing small pH changes. Such properties lead to overcome the problems associated with free chemo-agents, such as nonspecific toxicity, lack of tumor selectivity, and the development of multidrug resistance in various tumor cells. Therefore, the micelles have been considered as promising anti-cancer drug carriers. This review summarizes the recent progress in pH-sensitive micelles for tumor chemotherapy, particularly for those responding to tumor pH and endosomal/lysosomal pH for the treatment of multidrug resistance (MDR).
Antineoplastic Agents/*administration & dosage ; Drug Delivery Systems ; Humans ; Hydrogen-Ion Concentration ; *Micelles ; Neoplasms/*drug therapy ; Polymers/chemistry
Antineoplastic Agents/*administration & dosage ; Drug Delivery Systems ; Humans ; Hydrogen-Ion Concentration ; *Micelles ; Neoplasms/*drug therapy ; Polymers/chemistry
Delivery of Photosensitizers for Photodynamic Therapy.
The Korean Journal of Gastroenterology.2007;49(5):300-313.
Photodynamic therapy (PDT) has been used to treat several types of cancer, and comprises intravascular administration of photosensitizer, uptake by cancer cells, and followed by irradiation of light of appropriate wavelength. Although PDT takes advantage of relative retention of photosensitizer by cancer cells, effective delivery of photosensitizing drugs is of great concern. Several delivery strategies have been employed in PDT. Photosensitizers can be delivered either by passive carriers such as liposomes, micelles, and polymeric particles, or by active targeting using cancer cell-directed ligands or antibodies. Although well-studied colloidal carriers effectively deliver photosensitizer to tumor cells, they are taken up by mononuclear phagocytic system. Delivery system using polymers is an attractive alternative to colloidal carriers, in which hydrophobic drugs are chemically or physically loaded to polymers. Though there are several steps to be solved, targeted delivery system utilizing receptors or antigens abundantly expressed on cancer cell theoretically provides a great deal of advantages over passive system. Selective uptake of photosensitizers by cancer cells may greatly enhance therapeutic efficacy as well as minimizing adverse effects resulting from accumulation in normal tissue. This review discusses various strategies for photosensitizer delivery that have been investigated to date.
Drug Delivery Systems ; Humans ; Liposomes/chemistry ; Micelles ; Neoplasms/*drug therapy ; *Photochemotherapy ; Photosensitizing Agents/*administration & dosage ; Polymers/chemistry/therapeutic use
Drug Delivery Systems ; Humans ; Liposomes/chemistry ; Micelles ; Neoplasms/*drug therapy ; *Photochemotherapy ; Photosensitizing Agents/*administration & dosage ; Polymers/chemistry/therapeutic use
Drug-eluting Stent in Gastrointestinal Disease.
The Korean Journal of Gastroenterology.2007;49(5):294-299.
Gastrointestinal (GI) cancers cause obstruction of the GI tract including biliary tree. In advanced GI cancer, endoscopic stent insertion is the treatment of choice. However, the current stent allows only mechanical palliation of obstructed GI tract and has no anti-tumor effect. The primary role of a drug eluting stent (DES) in gastrointestinal malignancy is that it decreases the tumor re-growth and sustains the stent patency. This might not be as impressive as the effect of a vascular DES which decreases the incidence of restenosis and thus increases the survival rate of the patient. However, in terms of improving the quality of life of the patient, maintaining the stent patency is one of the most important task of GI doctors. With an advanced technology in stent production, Korea would be able to play an active role in the field of DES especially with more advanced anti-tumor effect. Moreover, advances in this type of drug delivery system will enable the development of local treatment of GI malignancy using endoscopy.
*Drug-Eluting Stents ; Gastrointestinal Diseases/*drug therapy ; Humans ; Polyurethanes/*chemistry
*Drug-Eluting Stents ; Gastrointestinal Diseases/*drug therapy ; Humans ; Polyurethanes/*chemistry
Optical Nano-imaging for the Diagnosis of Gastrointestinal Cancers.
The Korean Journal of Gastroenterology.2007;49(5):287-293.
Development of in vivo animal imaging instrumentations and methods contributes to the early diagnosis of cancer. Of variable imaging modalities, in vivo optical imaging such as bioluminescence and fluorescence is one of the best methods to measure molecular change of cancer cells. High sensitivity and relatively low cost of optical method gives benefits to apply for translational research in the field of cancer. Nano-probes to label and detect early cancer cells have been developed by nano-chemists and molecular imaging researchers. Quantum dots made from fluorescent semi-conductors show good advantages in term of imaging probes; high quantum yields, large molar extinction coefficients, size-dependent tunable emission and high photostability. To detect a gastrointestinal (GI) cancer, newly developed endoscopes have been used. Among them, near infrared fluorescence endoscope and confocal endomicroscope are good candidates for clinical application. In animal studies, successful results to detect cancer in gastrointestinal tract have been obtained. Prospect of nanoparticles as optical imaging moiety is promising to detect GI cancers if their toxicity is minimized. Future fluorescence confocal endoscope with safe cancer targeting nanoparticles will be useful for the detection and treatment of GI cancers.
Diagnostic Imaging ; Endoscopy, Gastrointestinal/*methods ; Fluorescent Dyes/*diagnostic use ; Gastrointestinal Neoplasms/*diagnosis ; Humans ; Molecular Diagnostic Techniques ; Nanoparticles/*diagnostic use
Diagnostic Imaging ; Endoscopy, Gastrointestinal/*methods ; Fluorescent Dyes/*diagnostic use ; Gastrointestinal Neoplasms/*diagnosis ; Humans ; Molecular Diagnostic Techniques ; Nanoparticles/*diagnostic use
Development of Micro/Nano Devices for Cancer Diagnosis.
The Korean Journal of Gastroenterology.2007;49(5):280-286.
In order to rapidly detect and analyze the presence of a target ligand of interests in environmental or industrial fluids as well as biological samples, numerous test systems have been designed and developed, which have been based on the combination of a test reagent and absorbing paper or membrane. The main limitations of these conventional devices are the difficulty of quantitative or semi-quantitative detection and poor detection limit (around nanogram/ml range detection capability). In this paper, new approaches and research trends which use nano/MEMS (micro electro mechanical systems) technology is introduced, which has a concept of fast, precise, and massive diagnosis and analysis of target molecules using very small amount of samples.
Electronics, Medical/*instrumentation ; Humans ; Nanotechnology/*instrumentation ; Neoplasms/*diagnosis
Electronics, Medical/*instrumentation ; Humans ; Nanotechnology/*instrumentation ; Neoplasms/*diagnosis
Country
Republic of Korea
Publisher
Korean Society of Gastroenterology
ElectronicLinks
http://www.kjg.or.kr/Editor-in-chief
Abbreviation
Korean J Gastroenterol
Vernacular Journal Title
대한소화기학회지
ISSN
1598-9992
EISSN
2233-6869
Year Approved
2007
Current Indexing Status
Currently Indexed
Start Year
Description
Previous Title
Powered by IMICAMS(
备案号: 11010502037788, 京ICP备10218182号-8)