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29
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August 2022 - present
Publications
Publications (29)
Wernicke encephalopathy (WE) is a seldom encountered yet significant neuropsychiatric ailment resulting from a deficiency in thiamine (vitamin B1). While commonly linked with chronic alcoholism or insufficient dietary intake, instances of WE following bariatric and metabolic surgeries, notably laparoscopic Roux-en-Y gastric bypass (RYGB), have been...
This study aims to determine the effects of perioperative dexmedetomidine infusion (PDI) on Asian patients undergoing bariatric–metabolic surgery (BMS), focusing on the need for pain medications and management of postoperative nausea and vomiting (PONV), and to investigate the association with these variables, including patients’ characteristics an...
Intraoperative teaching is a challenging task. The briefing–intraoperative teaching–debriefing (BID) model, which is based on guided discovery learning at limited time intervals, has rarely been investigated. This study validated the benefits of the modified BID model on medical clerks. This study involved 37 first-year medical clerks enrolled from...
Background: According to recent animal models for lung adenocarcinoma metastasis, cardiac function may be related to the clinical outcome. The aim of this study is to identify a predictable index for postoperative metastasis (POM) that is associated with cardiac function. Methods. Two hundred and seven consecutive patients who underwent thoracoscop...
A 65-year-old woman with a medical history of osteoporosis and L3-L5 spondylolisthesis presented to the emergency department with a 10-day history of cough, pectoralgia, and dyspnea. Two weeks before the presentation, she underwent minimally invasive transforaminal lumbar interbody fusion and vertebroplasty. She reported no fever, chills, or hemopt...
Purpose
Applying eHealth interventions via social media is common in modern medicine. LINE® is a popular communication app in Taiwan that can deliver messages 24 h a day. In addition to being free of charge, it also allows bariatric nurses (BNs) and patients to enjoy bidirectional communication via telecommunication services instead of direct, face...
Postoperative pulmonary complications (PPCs) most commonly occur after thoracic surgery. Not only prolonged hospital stay and increased financial expenses but also morbidity and even mortality may be troublesome for those with PPCs. Herein, we aimed to conduct a comprehensive systematic review and meta-analysis of available data to examine the effe...
Background: The increasing lung cancer screening for asymptomatic adults via computed tomography (CT) has increased the discovery of intermediate pulmonary nodules (PNs) that are small, with a subsolid component, or/and are relatively deeply seated. Pre- or intraoperative localization could be the main modality to identify and localize these target...
Objective: The chest tube drainage system (CTDS) of choice for the pleural cavity after pulmonary resection remains controversial. This systematic review and network meta-analysis (NMA) aimed to assess the length of hospital stay, chest tube placement duration, and prolonged air leak among different types of CTDS. Methods: This systemic review and...
Question: A 76-year-old male with a known left diaphragmatic hernia presented with acute shortness of breath, vomiting and diarrhoea for five days. A chest computed tomography was performed. What is the diagnosis? Answer: The diagnosis is tension gastrothorax with gastric volvulus. Gastric decompression and diaphragmatic hernia repair were successf...
In March 2020, the coronavirus disease 2019 (COVID-19) outbreak was declared as a pandemic by the World Health Organization. The COVID-19 breached the Taiwanese government’s defense, and the Central Epidemic Command Center (CECC)
announced a Nationwide Level 3 Alert on May 19, 2021. In summary, the residency training has been afected as follows:
le...
Double-lumen hemodialysis catheters (DLHCs) provide temporary hemodialysis accesses with real-time ultrasound safely assisting clinicians during central venous catheterization Saugel et al, Crit Care 21:225, (2017). Nevertheless, numerous complications have been reported, and some have been catastrophic. Though real-time ultrasound guidance is a pr...
Purpose
Laparoscopic gastric clipping (LGC) is a relatively novel restrictive bariatric surgery wherein a horizontal metallic clip is applied to the gastric fundus. Its intraoperative complications or the difficulties associated with the applied gastric clip (GC) during revisional procedures have seldom been mentioned. Herein, the experience of rev...
The standard size of bougie for laparoscopic sleeve gastrectomy (LSG) is not yet established. Therefore, a systematic review and network meta-analysis were conducted to assess the weight loss effects and associated complications of LSG for patients with morbid obesity, based on different bougie sizes. A total of 15 studies were reviewed in this sys...
We conducted a systematic review and meta-analysis to assess the efficacy of intragastric BTA injection in patients with obesity and morbid obesity. Five RCTs were identified. Intragastric BTA injection was no superior to saline in absolute weight loss or BMI change, but significantly lengthened the gastric emptying time (MD, 15.57; 95% CI, 8.75 to...
