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Natural Orifice Transluminal Endoscopic Surgery and Upper Gastrointestinal Tract
김찬규 대한위암학회 2013 Journal of gastric cancer Vol.13 No.4
Since the first transgastric natural orifice transluminal endoscopic surgery was described, various applications and modified procedures have been investigated. Transgastric natural orifice transluminal endoscopic surgery for periotoneoscopy, cholecystectomy, and appendectomy all seem viable in humans, but additional studies are required to demonstrate their benefits and roles in clinical practice. The submucosal tunneling method enhances the safety of peritoneal access and gastric closure and minimizes the risk of intraperitoneal leakage of gastric air and juice. Submucosal tunneling involves submucosal tumor resection and peroral endoscopic myotomy. Peroral endoscopic myotomy is a safe and effective treatment option for achalasia, and the most promising natural orifice transluminal endoscopic surgery procedure. Endoscopic full-thickness resection is a rapidly developing natural orifice transluminal endoscopic surgery procedure for the upper gastrointestinal tract and can be performed with a hybrid natural orifice transluminal endoscopic surgery technique (combining a laparoscopic approach) to overcome some limitations of pure natural orifice transluminal endoscopic surgery. Studies to identify the most appropriate role of endoscopic full-thickness resection are anticipated. In this article, I review the procedures of natural orifice transluminal endoscopic surgery associated with the upper gastrointestinal tract.
김찬규 한국복음주의실천신학회 2010 복음과 실천신학 Vol.21 No.-
The purpose of this study is exploring the outlook of counseling preaching and Truth therapy, groping relationship on the counseling preaching and Truth therapy. Counseling preaching is a remarkable preaching form among the 21Cs preaching form. Everyday modern man is living in speedy changing era. Besides modern man is living in mix up several trends of thought of new age movement, post-modernism, etc. I think the pluralism, subjectivism, relativism, scientism is speaking for modern man value system among the collapsed traditional values. In midst of this influences, it is very important how to approach a agency of counseling. REBT is developed a counseling technique without Christian background. Counseling technique connected with Christian background based on this REBT is Truth Therapy. We will observe on Jesus Christ and Bible and His Revelation from Truth in Truth Therapy. This researcher is exploring the desirable way of counseling and preaching exploring the relationship of counseling preaching and Truth therapy. Finally, through the relationship of counseling preaching and Truth therapy will study how to control counseling and preaching effectively.
Endoscopic Treatment for Gastric Subepithelial Tumor
김찬규 대한위암학회 2024 Journal of gastric cancer Vol.24 No.1
Most gastric subepithelial tumors (SETs) are asymptomatic and are often incidentally discovered during endoscopic procedures conducted for unrelated reasons. Although surveillance is sufficient for the majority of gastric SETs, certain cases necessitate proactive management. Laparoscopic wedge resection, although a viable treatment option, has its limitations, particularly in cases where SETs (especially those with intraluminal growth) are not visualized on the peritoneal side. Recent advances in endoscopic instruments and technology have paved the way for the feasibility of endoscopic resection of SETs. Several promising endoscopic techniques have emerged for gastric SET resection, including submucosal tunneling endoscopic resection, endoscopic full-thickness resection (EFTR), laparoscopic and endoscopic cooperative surgery (LECS), and non-exposure EFTR (non-exposed endoscopic wall-inversion surgery and non-exposure simple suturing EFTR). This study aimed to discuss the indications, methods, and outcomes of endoscopic therapy for gastric SETs. In addition, a simplified diagram of the category of SETs according to the therapeutic indications and an algorithm for the endoscopic management of SET is suggested.