Publications by authors named "Joon S Kim"

The prevalence of gastric mucosa-associated lymphoid tissue (MALT) lymphoma in Korea has not been reported largely because, it is a relatively rare disease. Gastric MALT lymphoma is clinically important because of the high prevalence of () in Korea. The endoscopic findings of gastric MALT lymphoma are diverse, and it is often challenging to differentiate from gastric adenocarcinoma.

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Background And Aim: The risk of gastrointestinal bleeding (GIB) remains a concern with the use of direct oral anticoagulants (DOAC). We evaluated the efficacy of four risk-scoring models (HAS-BLED, ATRIA, VTE-BLEED, and ORBIT) in predicting GIB according to the concomitant use of antiplatelet therapy in DOAC users.

Methods: Patients prescribed DOAC between December 2014 and October 2020 were enrolled in two university-affiliated hospitals.

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  • The study investigates how access to air-related information and awareness of public policies influence citizens' life satisfaction, particularly in relation to their perceptions of air pollution sources.
  • It challenges the assumption that all individuals can readily access and interpret officially disclosed air quality information, highlighting a research gap regarding real-world information accessibility and its effects.
  • Analyzing data from 1867 Beijing residents, the findings indicate that both higher information accessibility and greater policy awareness lead to improved life satisfaction, with variations noted based on perceptions of air pollution.
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  • A study was conducted to assess the effectiveness of a new hemostatic powder (CEGP-003) compared to traditional treatments for non-variceal upper gastrointestinal bleeding (NVUGIB).
  • The trial involved 218 patients, with CEGP-003 achieving a high initial hemostasis rate (96.3%) but also showing a higher re-bleeding rate than conventional methods (91.8%).
  • While CEGP-003 shows potential as an effective initial treatment, it requires careful monitoring due to the increased risk of re-bleeding.
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  • This study aimed to evaluate the effectiveness of tailored therapy based on genotypic resistance versus standard empirical therapy for Helicobacter pylori eradication across different treatment durations.
  • Results showed that patients receiving tailored therapy had significantly higher eradication rates (81.9%) compared to those on empirical therapy (65.7%), and this was consistent in both intention-to-treat and per-protocol analyses.
  • Although tailored therapy proved more effective, it was associated with a higher rate of adverse events compared to empirical therapy.
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Recent advances in machine learning have enabled the development of next-generation predictive models for complex computational biology problems, thereby spurring the use of interpretable machine learning (IML) to unveil biological insights. However, guidelines for using IML in computational biology are generally underdeveloped. We provide an overview of IML methods and evaluation techniques and discuss common pitfalls encountered when applying IML methods to computational biology problems.

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Objective: The frequency of small bowel (SB) injuries has increased due to the increased use of nonsteroidal anti-inflammatory drugs (NSAIDs) or aspirin. This study was a systematic review and meta-analysis to compare drugs effective for SB injuries caused by NSAIDs or aspirin use.

Methods: We searched MEDLINE, Embase, and Cochrane registries for randomized controlled trials through February 2023.

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Although adverse events of proton pump inhibitors (PPIs) have been reported, there are few studies on physicians' perceptions. We aimed to investigate physicians' awareness of PPI-related adverse events and changes in treatment patterns according to their practice. We conducted an online survey of physicians using a 15-item questionnaire.

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  • Clarithromycin resistance impacts the success of eradicating Helicobacter pylori, prompting a study to assess the MmaxSure™ H. pylori & ClaR Assay for identifying this resistance.
  • The study analyzed 156 gastric biopsy samples and compared the diagnostic abilities of MmaxSure™ with other tests like rapid urease and DPO-PCR, finding its effectiveness in H. pylori detection and clarithromycin resistance mutations.
  • Results showed MmaxSure™ had high sensitivity and specificity for detecting H. pylori and the A2143G mutation, suggesting it is a reliable diagnostic tool, though further studies are required to evaluate its clinical utility.
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Background/aims: Metachronous gastric cancer (MGC) can occur after endoscopic resection for gastric cancer. Further studies on factors other than Helicobacter pylori infection are needed. This systematic review and meta-analysis aimed to evaluate risk factors for metachronous recurrence of endoscopically resected gastric cancer.

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Background: The lack of well-established operational definitions is a major limitation of eradication studies that use secondary databases. We aimed to develop and validate operational definitions related to eradication therapy.

Methods: Operational definitions were developed by analyzing a nationwide eradication registry and validated using real-world data from hospital medical records.

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In recent years, significant translational research advances have been made in the upper gastrointestinal (GI) research field. Endoscopic evaluation is a reasonable option for acquiring upper GI tissue for research purposes because it has minimal risk and can be applied to unresectable gastric cancer. The optimal number of biopsy samples and sample storage is crucial and might influence results.

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  • The study looked at how often people should have check-ups (called surveillance gastroscopy) after getting their stomach cancer removed to catch any new tumors that might form.
  • They compared two groups: one having check-ups every year and another every two years, to see which was better.
  • They found that checking from year to year is likely enough for most people, but those with severe stomach issues should be watched more closely to find any new cancer early.
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Background: Identifying clarithromycin resistance is essential for eradicating Helicobacter pylori (HP). Therefore, we evaluated the performance of Allplex™ H.pylori & ClariR Assay (Allplex™) for diagnosing and detecting clarithromycin resistance in HP.

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Gastrointestinal (GI) bleeding is one of the most common conditions among patients visiting emergency departments in Korea. GI bleeding is divided into upper and lower GI bleeding, according to the bleeding site. GI bleeding is also divided into overt and occult GI bleeding based on bleeding characteristics.

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Background: Bismuth-based quadruple therapy (BQT) is recommended as the first-line empirical therapy for Helicobacter pylori eradication as it is not associated with resistance. However, few studies have investigated the use of potassium-competitive acid blockers for BQT.

Aim: To investigate the efficacy and safety profiles of tegoprazan-based BQT (TBMT) versus lansoprazole-based BQT (LBMT) for H.

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Background: Cold snare polypectomy (CSP) is recommended for the resection of small colorectal polyps. However, few studies have investigated the efficacy of cold endoscopic mucosal resection (cold EMR) for small polyps. Thus, the aim of this study was to investigate the efficacy and safety of cold EMR compared with CSP for small colorectal polyps.

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  • The study aims to compare the effectiveness of tegoprazan, a new acid blocker, with esomeprazole in relieving nighttime heartburn and sleep disturbances in patients with gastroesophageal reflux disease (GERD).
  • A total of 46 patients participated, receiving either tegoprazan 50 mg or esomeprazole 40 mg for 2 weeks, and although tegoprazan showed a faster time to first nighttime heartburn-free interval, the difference was not statistically significant.
  • The results suggest that while tegoprazan might provide quicker relief from nighttime heartburn, more extensive studies are needed to confirm these findings due to the small sample size and significant limitations in statistical significance.
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Background/aims: Among several methods used to prevent endoscopic submucosal dissection (ESD) bleeding, the recently developed hemostatic powder (HP) has few technical limitations and is relatively easy-to-use. This study aimed to analyze the hemostatic effects and mechanisms of two HPs using a porcine upper gastrointestinal hemorrhage model.

Methods: We evaluated HPs (Endospray and epidermal growth factor [EGF]-endospray) for adhesion, waterproofing ability, permeability, and absorption .

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  • This study examined the effectiveness of different durations of therapy for treating bacterial infections based on whether the bacteria were resistant or susceptible to clarithromycin, using a method called DPO-PCR for testing.
  • The analysis included 184 patients and found that both 7-day and 14-day treatments yielded similar eradication rates for both the clarithromycin susceptible and resistant groups, indicating that shorter therapy might be just as effective.
  • The results suggest that a 7-day therapy is adequate following clarithromycin susceptibility testing, as there were no significant differences in treatment effectiveness, patient compliance, or side effects between the shorter and longer durations.
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Noradrenaline is a neurotransmitter released in response to homeostatic challenge and activates the hypothalamic-pituitary-adrenal axis via stimulation of corticotropin-releasing hormone (CRH) neurons. Here we investigated the mechanism through which noradrenaline regulates activity within the CRH neuronal network. Using a combination of in vitro GCaMP6f Ca imaging and electrophysiology, we show that noradrenaline induces a robust increase in excitability in a proportion of CRH neurons with many neurons displaying a bursting mode of activity.

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Objectives: Bougination is one of the first-line treatments in benign esophageal stricture (BES). The aim of the study was to identify clinical and endoscopic factors affecting the achievement of a normal diet with only bougie dilation in patients with BES.

Patients And Methods: Patients treated with only bougination for BES at three hospitals were retrospectively investigated.

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Background/aims: Globally, the population aged 80 years or older is growing faster due to the rising life expectancy. Korea has already entered into an advanced aged society, and a post-aged society is expected in 2025. This study evaluated the patterns of gastrointestinal disease in the population aged 80 years or older during the recent decade in Korea.

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