Publications by authors named "Peng Soon Koh"
Heterotopic pancreas - An expert in hide and seek.
Int J Surg Case Rep
November 2024
Article Synopsis
- Heterotopic pancreas is a rare condition often misdiagnosed before surgery, commonly found in the upper gastrointestinal tract, but can also occur in unusual locations such as the thorax and kidneys.
- A case study highlighted a patient with intermittent abdominal pain and weight loss, leading to the discovery of a heterotopic pancreas during surgery after imaging indicated a suspicious growth in the duodenum.
- Challenges in diagnosis include the lesion's site and characteristics; while biopsies can help, they are often non-diagnostic, and the only definitive treatment is surgical resection.
Article Synopsis
- Hepatocellular carcinoma (HCC) is a dangerous type of cancer that is different inside each tumor, making it hard to treat.
- Researchers studied over 600 samples from 123 patients to understand how this cancer develops and progresses.
- They discovered that the most aggressive cells in a tumor are the best way to predict how well a patient will do, not just by looking at how different the tumor cells are from each other.
Patients with unresectable malignant biliary obstruction often require biliary drainage to decompress the biliary system. Endoscopic Retrograde Cholangiopancreatography (ERCP) is the primary biliary drainage method whenever possible. Percutaneous Transhepatic Biliary Drainage (PTBD) is used as a salvage method if ERCP fails.
View Article and Find Full Text PDFObjectives: Obesity and non-alcoholic fatty liver disease (NAFLD) are rampant in South East Asia. There is paucity of data exploring its' impact on donor suitability for living donor liver transplantation (LDLT). We aimed to describe and examine the factors related to non-utilization of potential donors in our LDLT programme.
View Article and Find Full Text PDFAcute suppurative thyroiditis account for <1% of thyroid diseases and is uncommon because of the gland's encapsulation, iodine-rich environment, good vascular supply and extensive lymphatic drainage. It has been reported in patients with underlying goiters, thyroid cancers and in immuno-compromised patients. The usual causative organisms are and .
View Article and Find Full Text PDFBackground: Achieving critical view of safety (CVS) is vital during laparoscopic cholecystectomy (LC). There is no known study determining use of indocyanine green fluorescence cholangiography (ICGFC) in early identification of CVS during LC. This study aims to compare use of ICGFC in LC against conventional LC in early identification of CVS.
View Article and Find Full Text PDFArticle Synopsis
- Adult-to-adult living donor liver transplantation (LDLT) is a common and safe surgery, but it's complicated and needs special skills to do well.
- In the last 20 years, more adults have received liver transplants from living donors, especially using the right lobe of the liver, which helps with size issues.
- The success of the surgery relies on good planning, understanding how the surgery works, and being able to adjust to problems that come up during the operation.
Background: This study aims to assess if radiofrequency ablation (RFA) has any oncological superiority over transarterial chemoembolization(TACE) on post-hepatectomy recurrence.
Methods: From 2002 to 2011, 60.15% of 823 patients developed recurrence after hepatectomy for HCC.
Article Synopsis
- This study looks at liver transplant patients with a condition called portal vein thrombosis (PVT) to see how they do after surgery.
- It compares three groups: those without PVT, those who had PVT found before surgery, and those who had it found during surgery.
- The results show that patients with PVT can do just as well as those without it, and if PVT is found accidentally, they can usually still have a successful transplant without big changes needed in treatment.
Objective: Hepatocellular carcinoma (HCC) is an important cancer in Malaysia. This study aimed to determine the epidemiological characteristics and clinical presentations of patients in a multiracial population consisting of three major Asian races: Malays, Chinese and Indians.
Methods: Consecutive patients with HCC were prospectively studied from 2006 to 2009.
Hemobilia with jaundice as a result of cholestasis and bleeding from choledochal cyst is uncommon. Ascertaining the diagnosis is often challenging and delayed diagnosis can lead to significant consequences due to hemodynamic instability, particularly in elderly patients. Although surgery remains the definitive treatment modality, interventional radiology for hemostasis has been increasingly recognized as an option.
View Article and Find Full Text PDFInfective colitis can be a cause of massive lower gastrointestinal bleeding requiring acute surgical intervention. Causative organisms include entamoeba and histoplasma species. However, concurrent colonic infection with both these organisms is very rare, and the in vivo consequences are not known.
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