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| 1 | Non-sequential narrow band imaging for targeted biopsy and monitoring of gastric intestinal metaplasia显示文摘AIM: To evaluate the efficacy of non-sequential narrow band imaging (NBI) for a better recognition of gastric intestinal metaplasia (GIM). METHODS: Previously diagnosed GIM patients underwent targeted biopsy from areas with and without GIM, as indicated by NBI, twice at an interval of 1 year. The authors compared the endoscopic criteria such as light blue crest (LBC), villous pattern (VP), and large long crest (LLC) with standard histology. The results from two surveillance endoscopies were compared with histology results for sensitivity, specif icity, positive predic-tive value (PPV), negative predictive value (NPV), and likelihood ratio of positive test (LR+). The number of early gastric cancer cases detected was also reported. RESULTS: NBI targeted biopsy was performed in 38 and 26 patients during the first and second surveillance endoscopies, respectively. There were 2 early gastric cancers detected in the first endoscopy. No cancer was detected from the second study. Surgical and endoscopic resections were successfully performed in each patient. Sensitivity, specifi city, PPV, NPV, and LR+ of all 3 endoscopic criteria during the first/second surveillances were 78.8%/91.3%, 82.5%/89.1%, 72.8%/77.8%, 86.8%/96.1, and 4.51/8.4, respectively. LBC provided the highest LR+ over VP and LLC. CONCLUSION: Non-sequential NBI is useful for GIM targeted biopsy. LBC provides the most sensitive reading. However, the optimal duration between two surveillances requires further study. | Rungsun Rerknimitr Boonlert Imraporn Naruemon Klaikeaw Wiriyaporn Ridtitid Sukprasert Jutaghokiat Yuwadee Ponauthai Pradermchai Kongkam Pinit Kullavanijaya | 2011 | World Journal of Gastroenterology2011，17，10： | 7 |
| 2 | Infliximab stopped severe gastrointestinal bleeding in Crohn's disease显示文摘To report the result of rapid ulcer healing by infliximab in Crohn's patients with severe enterocolic bleeding. During 2005 and 2010, inflammatory bowel disease database of King Chulalongkorn Memorial and Samitivej hospitals were reviewed. There were seven Crohn's disease (CD) patients (4 women and 3 men; mean age 52 ± 10.4 years; range: 11-86 years). Two of the seven patients developed severe gastrointestinal bleeding (GIB) as a flare up of CD whereas the other five patients presented with GIB as their first symptom for CD. Their mean hemoglobin level dropped from 12 ± 1.3 g/ dL to 8.7 ± 1.3 g/dL in a 3-d period. Median packed red blood cells units needed for resuscitation was 4 units. Because of uncontrolled bleeding, surgical resection was considered. However, due to the poor surgical candidacy of these patients (n = 3) and /or possible development of short bowel syndrome (n = 6), surgery was not pursued. Likewise angiographic embolization was not considered in any due to the risk of large infarction. All severe GIBs successfully stopped by one or two doses of intravenous infliximab. Our data suggests that infliximab is an alternative therapy for CD with severe GIB when surgery has limitation or patient is a high risk. | Satimai Aniwan Surasak Eakpongpaisit Boonlert Imraporn Surachai Amornsawadwatana Rungsun Rerknimitr | 2012 | World Journal of Gastroenterology2012，18，21： | 6 |
| 3 | Advances in diagnostic endoscopy for duodenal, including ampullary, adenoma显示文摘 | Rapat Pittayanon Boonlert Imraporn Rungsun Rerknimitr Pinit Kullavanijaya | 2014 | Digestive Endoscopy2014，，： | 2 |
| 4 | A- cute aortic dissection causing gastroduodenal and hepatic infarction 显示文摘 | Jutaghokiat S Angsuwatcharakon P Imraporn B | 2009 | Endoscopy2009，41，2： | 1 |
| 5 | Advances in diagnostic endoscopy for duodenal, including ampullary, adenoma显示文摘 | Pittayanon R Imraporn B Rerknimitr R | 2014 | Dig Endosc2014，262，： | 1 |
| 6 | Acute aortic dissection causing gastroduodenal and hepatic infarction 显示文摘 | Jutaghokiat S Angsuwatcharakon P Imraporn B | 2009 | Endoscopy2009，41，2： | 1 |
| 7 | Acute aortic dissection causing gastroduodenal and hepatic infarction显示文摘 | Jutaghokiat S Angsuwatcharakon P Imraporn B | 2009 | Endoscopy2009，41，2： | 1 |
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