Research Topics
Genomes and Genes | Francis K L ChanSummaryAffiliation: The Chinese University of Hong Kong Country: China Publications
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Publications
Effects of Helicobacter pylori infection on long-term risk of peptic ulcer bleeding in low-dose aspirin usersFrancis K L Chan
Institute of Digestive Disease, Chinese University of Hong Kong, Hong Kong
Gastroenterology 144:528-35. 2013..However, it is not clear whether this strategy affects long-term risk of ulcer bleeding. We assessed the utility of testing ASA users with a high risk of ulcer bleeding for H pylori infection...
Burden of nonsteroidal anti-inflammatory and antiplatelet drug use in Asia: a multidisciplinary working party reportFrancis Ka Leung Chan
Institute of Digestive Disease, Chinese University of Hong Kong, Hong Kong
Clin Gastroenterol Hepatol 10:753-60. 2012..We established a working group to examine the burden of atherothrombotic and musculoskeletal diseases in Asia and made recommendations for safer prescribing of nonsteroidal anti-inflammatory drugs (NSAIDs) and low-dose aspirin...
Editorial: single-tablet ibuprofen/double-dose famotidine for reduction of gastric and duodenal ulcers (REDUCE Trials): what can be reduced?Francis K L Chan
Institute of Digestive Disease, Chinese University of Hong Kong, Hong Kong, China
Am J Gastroenterol 107:387-8. 2012..How the study findings may influence clinical practice deserves further consideration...
Anti-platelet therapy and managing ulcer riskFrancis K L Chan
Institute of Digestive Disease, Chinese University of Hong Kong, Hong Kong
J Gastroenterol Hepatol 27:195-9. 2012..In the future, management of patients on dual anti-platelet therapy needs to be individualized according to their thrombotic and bleeding risks...
Lack of benefits for prevention of cardiovascular disease with aspirin therapy in type 2 diabetic patients--a longitudinal observational studyWilson Y Leung
Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong SAR, PR China
Cardiovasc Diabetol 8:57. 2009..This study examined the benefit and harm of low-dose aspirin (daily dose < 300 mg) in patients with type 2 diabetes...
Helicobacter pylori and nonsteroidal anti-inflammatory drugsF K Chan
Department of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, Hong Kong, China
Gastroenterol Clin North Am 30:937-52. 2001..Given the significant role of H. pylori in the latter condition, screen-and-treat H. pylori might be a useful strategy for the prevention of ulcer complications in high-risk patients receiving low-dose aspirin in the future...
Helicobacter pylori, NSAIDs and gastrointestinal haemorrhageFrancis K L Chan
Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong
Eur J Gastroenterol Hepatol 14:1-3. 2002..Among H. pylori-positive patients with a history of ulcer bleeding who are taking low-dose aspirin, the eradication of H. pylori has been shown to be comparable to omeprazole in preventing recurrent bleeding...
Eradication of Helicobacter pylori and risk of peptic ulcers in patients starting long-term treatment with non-steroidal anti-inflammatory drugs: a randomised trialFrancis K L Chan
Departments of Medicine and Therapeutics, The Chinese University of Hong Kong, Special Administrative Region of China, Hong Kong
Lancet 359:9-13. 2002..We hypothesised that eradication of H pylori infection would reduce the risk of ulcers for patients starting long-term NSAID treatment...
Peptic-ulcer diseaseFrancis K L Chan
Department of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong, China
Lancet 360:933-41. 2002..With the fall in rates of H pylori infection, the proportion of ulcers not related to this organism and NSAIDs has risen, which will affect the management of peptic ulcer...
Celecoxib versus diclofenac and omeprazole in reducing the risk of recurrent ulcer bleeding in patients with arthritisFrancis K L Chan
Department of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong, China
N Engl J Med 347:2104-10. 2002..We assessed whether celecoxib would be similar to diclofenac plus omeprazole in reducing the risk of recurrent ulcer bleeding in patients at high risk for bleeding...
COX-2 inhibition, H. pylori infection and the risk of gastrointestinal complicationsFrancis K L Chan
Department of Medicine and Therapeutics, Prince of Wales Hospital, 30 32 Ngan Shing Street, Shatin, Hong Kong
Curr Pharm Des 9:2213-9. 2003..Limited data showed that COX-2 expression was also increased in human gastric ulcer regardless of the H. pylori status. The functional significance of COX-2 in human gastric ulcer is unknown...
Celecoxib versus diclofenac plus omeprazole in high-risk arthritis patients: results of a randomized double-blind trialFrancis K L Chan
Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong SAR
Gastroenterology 127:1038-43. 2004..We studied the ulcer incidence and factors predicting ulcer recurrence in a prospective, double-blinded trial...
Clopidogrel versus aspirin and esomeprazole to prevent recurrent ulcer bleedingFrancis K L Chan
Department of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, Hong Kong, China
N Engl J Med 352:238-44. 2005..guidelines also recommend clopidrogel for patients who have major gastrointestinal intolerance of aspirin. We compared clopidogrel with aspirin plus esomeprazole for the prevention of recurrent bleeding from ulcers in high-risk patients...
Should we eradicate Helicobacter pylori infection in patients receiving nonsteroidal anti-inflammatory drugs or low-dose aspirin?Francis K L Chan
Division of Gastroenterology and Hepatology, Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China
Chin J Dig Dis 6:1-5. 2005..There is no convincing evidence that eradication of H. pylori has any clinically important adverse effect on the healing and prevention of ulcers in NSAIDs users...
NSAID-induced peptic ulcers and Helicobacter pylori infection: implications for patient managementFrancis K L Chan
Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, Shatin, Hong Kong SAR
Drug Saf 28:287-300. 2005..In light of potential cardiovascular risk with COX-2 selective NSAIDs, it is important to weigh the potential adverse effects against the benefits for an individual patient...
Celecoxib versus omeprazole and diclofenac in patients with osteoarthritis and rheumatoid arthritis (CONDOR): a randomised trialFrancis K L Chan
Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong SAR, China
Lancet 376:173-9. 2010..We aimed to compare risk of gastrointestinal events associated with celecoxib versus diclofenac slow release plus omeprazole...
A novel composite endpoint to evaluate the gastrointestinal (GI) effects of nonsteroidal antiinflammatory drugs through the entire GI tractFrancis K L Chan
The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong
J Rheumatol 37:167-74. 2010..The objective of this report is to introduce a novel composite endpoint that measures damage to the entire GI tract - clinically significant upper and lower GI events (CSULGIE) - in patients with NSAID-induced GI damage...
Management of high-risk patients on non-steroidal anti-inflammatory drugs or aspirinFrancis K L Chan
Institute of Digestive Disease, The Chinese University of Hong Kong, Shatin, People s Republic of China
Drugs 66:23-8; discussion 29-33. 2006..In patients with increased cardiovascular risk requiring anti-inflammatory analgesics, the combination of a non-selective NSAID, low-dose aspirin and a PPI is the preferred treatment...
Primer: managing NSAID-induced ulcer complications--balancing gastrointestinal and cardiovascular risksFrancis K L Chan
Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong
Nat Clin Pract Gastroenterol Hepatol 3:563-73. 2006..Naproxen is the preferred NSAID because it is not associated with excess cardiovascular risk. Patients with a high cardiovascular risk and a very high gastrointestinal risk should avoid using NSAIDs or COX2 inhibitors...
Combination of a cyclo-oxygenase-2 inhibitor and a proton-pump inhibitor for prevention of recurrent ulcer bleeding in patients at very high risk: a double-blind, randomised trialFrancis Ka Leung Chan
Institute of Digestive Disease, Chinese University of Hong Kong, Shatin, Hong Kong SAR, China
Lancet 369:1621-6. 2007....
Expression and cellular localization of COX-1 and -2 in Helicobacter pylori gastritisF K Chan
Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong
Aliment Pharmacol Ther 15:187-93. 2001..There are conflicting reports on the expression of cyclooxygenase in Helicobacter pylori infection...
Salvage therapies after failure of Helicobacter pylori eradication with ranitidine bismuth citrate-based therapiesF K Chan
Department of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University of Hong Kong
Aliment Pharmacol Ther 14:91-5. 2000..Salvage therapies after initial Helicobacter pylori eradication failure of ranitidine bismuth citrate (RBC)-based regimens remain undefined...
Randomized trial of low-dose misoprostol and naproxen vs. nabumetone to prevent recurrent upper gastrointestinal haemorrhage in users of non-steroidal anti-inflammatory drugsF K Chan
Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong
Aliment Pharmacol Ther 15:19-24. 2001..Prophylactic misoprostol or non-steroidal anti-inflammatory drugs (NSAIDs) with low gastric toxicity (nabumetone) has been shown to reduce mucosal injury...
Protein-losing enteropathy in congestive heart failure: diagnosis by means of a simple methodF K Chan
Department of Medicine and Therapeutics, The Chinese University of Hong Kong
Hepatogastroenterology 46:1816-8. 1999..The use of this simple and non-invasive diagnostic technique in protein-losing enteropathy is discussed...
Does eradication of Helicobacter pylori impair healing of nonsteroidal anti-inflammatory drug associated bleeding peptic ulcers? A prospective randomized studyF K Chan
Department of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin
Aliment Pharmacol Ther 12:1201-5. 1998..We investigated the effects of H. pylori eradication on the healing of NSAID-associated bleeding peptic ulcers...
Preventing recurrent upper gastrointestinal bleeding in patients with Helicobacter pylori infection who are taking low-dose aspirin or naproxenF K Chan
Department of Medicine, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin
N Engl J Med 344:967-73. 2001..It is uncertain whether infection with Helicobacter pylori is a risk factor for bleeding in such patients...
Continuation of low-dose aspirin therapy in peptic ulcer bleeding: a randomized trialJoseph J Y Sung
Institute of Digestive Disease, Chinese University of Hong Kong, Sha Tin, New Territories, Hong Kong
Ann Intern Med 152:1-9. 2010..It is uncertain whether aspirin therapy should be continued after endoscopic hemostatic therapy in patients who develop peptic ulcer bleeding while receiving low-dose aspirin...
Quantitative detection of promoter hypermethylation in multiple genes in the serum of patients with colorectal cancerWai K Leung
Department of Medicine and Therapeutics, Prince of Wales Hospital, Shatin, Hong Kong
Am J Gastroenterol 100:2274-9. 2005..08). CONCLUSION: The quantitative detection of aberrant DNA methylation in serum may be a promising high-throughput approach for the noninvasive screening and monitoring of colorectal cancer...
Effects of long-term rofecoxib on gastric intestinal metaplasia: results of a randomized controlled trialWai K Leung
Institute of Digestive Disease, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong
Clin Cancer Res 12:4766-72. 2006..Gastric cancer and its premalignant gastric lesion, intestinal metaplasia (IM), frequently express cyclooxygenase-2 (COX-2) at high levels. We tested whether long-term use of specific COX-2 inhibitors regress gastric IM...
The effect of endoscopic therapy in patients receiving omeprazole for bleeding ulcers with nonbleeding visible vessels or adherent clots: a randomized comparisonJoseph J Y Sung
Endoscopy Center, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, Hong Kong
Ann Intern Med 139:237-43. 2003..The optimal treatment of ulcers with nonbleeding visible vessels and adherent clots is unclear...
Long-term outcome of Helicobacter pylori-negative idiopathic bleeding ulcers: a prospective cohort studyLawrence C T Hung
Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong
Gastroenterology 128:1845-50. 2005..4%-4.6%) in patients with H. pylori ulcers who received eradication therapy (P = .0002). CONCLUSIONS: The incidence of H. pylori-negative idiopathic bleeding ulcers is rising. These ulcers are prone to recurrent complications...
Increased risk of advanced neoplasms among asymptomatic siblings of patients with colorectal cancerSiew C Ng
Department of Medicine and Therapeutics, Institute of Digestive Disease, Li Ka Shing Institute of Health Sciences, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, New Territories, Hong Kong SAR, China
Gastroenterology 144:544-50. 2013..Relatives of patients with CRC have an increased risk of colorectal neoplasm. We assessed the prevalence of advanced neoplasms among asymptomatic siblings of patients with CRC...
Targeted inhibition of COX-2 expression by RNA interference suppresses tumor growth and potentiates chemosensitivity to cisplatin in human gastric cancer cellsMichael W Y Chan
Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, PR China
Oncol Rep 18:1557-62. 2007..RNA interference may be a promising alternative to specific COX-2 inhibitors in the prevention and treatment of gastric cancer...
Predicting mortality in patients with bleeding peptic ulcers after therapeutic endoscopyPhilip W Y Chiu
Department of Surgery, Institute of Digestive Disease, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong
Clin Gastroenterol Hepatol 7:311-6; quiz 253. 2009..Despite advances in management of patients with bleeding peptic ulcers, mortality is still 10%. This study aimed to identify predictive factors and to develop a prediction model for mortality among patients with bleeding peptic ulcers...
Initial treatment with lansoprazole in young dyspeptic patients with negative urea breath test result: a randomized controlled trial with 12-month follow-upWai K Leung
Institute of Digestive Disease, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong
Am J Gastroenterol 102:1483-8. 2007..We evaluated the long-term effects of an initial 12-wk course of lansoprazole in young dyspeptic patients without Helicobacter pylori (H. pylori) infection...
Methylation of protocadherin 10, a novel tumor suppressor, is associated with poor prognosis in patients with gastric cancerJun Yu
Institute of Digestive Disease and Department of Medicine, The Chinese University of Hong Kong, Shatin, NT, Hong Kong
Gastroenterology 136:640-51.e1. 2009..We analyzed its epigenetic inactivation, biological effects, and prognostic significance in gastric cancer...
Long-term follow-up of ulcerative colitis in the Chinese populationDorothy K L Chow
Department of Medicine and Therapeutics, Institute of Digestive Disease, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, China
Am J Gastroenterol 104:647-54. 2009..We set out determine the incidence, prevalence, and survival rate of UC in the Chinese population and phenotypic stability by longitudinal follow-up...
Anti-sense trefoil factor family-3 (intestinal trefoil factor) inhibits cell growth and induces chemosensitivity to adriamycin in human gastric cancer cellsMichael W Y Chan
Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Shatin, NT, Hong Kong
Life Sci 76:2581-92. 2005..Our results demonstrated that blocking the expression of ITF inhibits growth of gastric cancer cells and enhances the response to chemotherapy...
MicroRNA-218 inhibits cell cycle progression and promotes apoptosis in colon cancer by downregulating BMI1 polycomb ring finger oncogeneXinqi He
Institute of Digestive Disease and Department of Medicine and Therapeutics, Li Ka Shing Institute of Health Sciences, Shenzhen Research Institute, The Chinese University of Hong Kong, Hong Kong, China
Mol Med 18:1491-8. 2012..05) and promoted cell cycle arrest in the G2 phase (P < 0.01). In conclusion, miR-218 plays a pivotal role in CRC development through inhibiting cell proliferation and cycle progression and promoting apoptosis by downregulating BMI-1...
Omeprazole before endoscopy in patients with gastrointestinal bleedingJames Y Lau
Institute of Digestive Disease, Chinese University of Hong Kong, Shatin, Hong Kong, China
N Engl J Med 356:1631-40. 2007..A neutral gastric pH is critical for the stability of clots over bleeding arteries. We investigated the effect of preemptive infusion of omeprazole before endoscopy on the need for endoscopic therapy...
Upper gastrointestinal tract phenotype of Crohn's disease is associated with early surgery and further hospitalizationDorothy K L Chow
Institute of Digestive Disease, Chinese University of Hong Kong, Department of Medicine and Therapeutics, Prince of Wales Hospital, Hong Kong
Inflamm Bowel Dis 15:551-7. 2009..We studied the clinical course of CD in Chinese patients presenting with the L4 phenotype and factors predicting its occurrence upon longitudinal follow-up...
Comparison of EUS and ERCP in the investigation with suspected biliary obstruction caused by choledocholithiasis: a randomized studyYuk Tong Lee
Institute of Digestive Disease, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong SAR, China
Gastrointest Endosc 67:660-8. 2008..EUS may be used to reduce the need of diagnostic ERCP...
Cyclooxygenase-2 upregulates vascular endothelial growth factor expression and angiogenesis in human gastric carcinomaWai K Leung
Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong
Int J Oncol 23:1317-22. 2003..Future studies should evaluate the potential anti-angiogenic effect of COX-2 inhibitors on human gastric cancer...
Interaction of Helicobacter pylori infection and low-dose aspirin in the upper gastrointestinal tract: implications for clinical practiceEn Ling Leung Ki
Department of Medicine and Therapeutics, Institute of Digestive Disease, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong, S A R, PR China
Best Pract Res Clin Gastroenterol 26:163-72. 2012..pylori in upper gastrointestinal tract injury in low-dose ASA users and on the effectiveness of H. pylori eradication in reducing the risk of complications such as rebleeding in high-risk patients...
Changes in the choice of colorectal cancer screening tests in primary care settings from 7,845 prospectively collected surveysMartin C S Wong
School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong, 4 F, School of Public Health and Primary Care, Prince of Wales Hospital, Shatin, NT, Hong Kong SAR, China
Cancer Causes Control 23:1541-8. 2012..This study examined factors influencing the choice of participants between colonoscopy and fecal immunochemical test (FIT) in a screening program and the impact of an unbiased educational session on influencing this decision...
The efficacy of cap-assisted colonoscopy in polyp detection and cecal intubation: a meta-analysis of randomized controlled trialsSiew C Ng
Institute of Digestive Disease, The Chinese University of Hong Kong, Hong Kong
Am J Gastroenterol 107:1165-73. 2012..The role of cap-assisted colonoscopy (CAC) in polyp detection and cecal intubation is unclear. We conducted a meta-analysis to compare the efficacy of CAC vs. standard colonoscopy (SC)...
The risk of peptic ulcer bleeding mortality in relation to hospital admission on holidays: a cohort study on 8,222 cases of peptic ulcer bleedingKelvin K F Tsoi
Institute of Digestive Disease, The Chinese University of Hong Kong, Shatin, NT, Hong Kong
Am J Gastroenterol 107:405-10. 2012..This study sets to investigate whether mortality among patients with PUB differs between holiday and weekday admissions, and also to investigate the association between mortality and the waiting time for endoscopy...
Treatment of diarrhea-predominant irritable bowel syndrome with traditional Chinese herbal medicine: a randomized placebo-controlled trialWai K Leung
Institute of Digestive Disease, Faculty of Medicine, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong
Am J Gastroenterol 101:1574-80. 2006..BACKGROUND: The use of this herbal formulation for diarrhea-predominant IBS did not lead to global symptom improvement. Further controlled clinical studies may be necessary to characterize the role of TCM in the management of IBS...
Risk factors associated with the development of intestinal metaplasia in first-degree relatives of gastric cancer patientsWai K Leung
Department of Medicine and Therapeutics, 9th Floor, Clinical Sciences Building, Prince of Wales Hospital, Ngan Shing Street, Shatin, Hong Kong, P R China
Cancer Epidemiol Biomarkers Prev 14:2982-6. 2005..In conclusion, we have identified risk factors associated with gastric intestinal metaplasia in stomach cancer relatives, which may be useful in the understanding of gastric carcinogenesis in these high-risk individuals...
Promoter hypermethylation mediates downregulation of thiamine receptor SLC19A3 in gastric cancerXin Liu
Institute of Digestive Disease, Department of Medicine and Therapeutics, Prince of Wales Hospital, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, SAR, China
Tumour Biol 30:242-8. 2009..In summary, SLC19A3 was epigenetically downregulated in gastric cancer. Methylation of SLC19A3 promoter could be a novel biomarker for early gastric cancer development...
Comparing the Blatchford and pre-endoscopic Rockall score in predicting the need for endoscopic therapy in patients with upper GI hemorrhageSandy H Pang
Institute of Digestive Diseases, Chinese University of Hong Kong, Shatin NT, Hong Kong
Gastrointest Endosc 71:1134-40. 2010..The need for therapeutic endoscopy in patients with upper GI hemorrhage is important in determining the risk and disposition of these patients. Pre-endoscopic risk scores may be helpful in predicting this need...
Promoter methylation of the Wnt/beta-catenin signaling antagonist Dkk-3 is associated with poor survival in gastric cancerJun Yu
Institute of Digestive Disease, Department of Medicine, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong SAR
Cancer 115:49-60. 2009..In this study, the authors investigated the promoter methylation of the dickkopf homolog 3 gene Dkk-3 in these cancers and its prognostic significance in gastric cancer...
Levofloxacin-resistant Helicobacter pylori in Hong KongChing Ching Lee
Department of Microbiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, SAR, China
Chemotherapy 54:50-3. 2008..In this study we investigate the resistance mechanism and the antimicrobial susceptibilities of clarithromycin, metronidazole, amoxicillin, tetracycline and telithromycin against levofloxacin-resistant H. pylori in Hong Kong...
Dysregulation and crosstalk of cellular signaling pathways in colon carcinogenesisWilliam K K Wu
Institute of Digestive Disease, LKS Institute of Health Sciences and Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong Electronic address
Crit Rev Oncol Hematol 86:251-77. 2013..Understanding their relative importance and crosstalk will provide a rational basis for anticancer drug development...
Effect of amlodipine on platelet inhibition by clopidogrel in patients with ischaemic heart disease: a randomised, controlled trialAndrew Y W Li
Department of Medicine and Geriatrics, Ruttonjee Hospital, Hong Kong, China
Heart 99:468-73. 2013..Amlodipine inhibits cytochrome P450 (CYP) enzyme and has the potential to reduce clopidogrel bioactivation in vivo. Reports in previous retrospective studies described greater platelet reactivity in patients on amlodipine...
Helicobacter pylori causes epigenetic dysregulation of FOXD3 to promote gastric carcinogenesisAlfred S L Cheng
Institute of Digestive Disease, The Chinese University of Hong Kong, Hong Kong SAR, China
Gastroenterology 144:122-133.e9. 2013..Promoter hypermethylation occurs during Helicobacter pylori-induced gastritis. We investigated whether the deregulated genes contribute to gastric tumorigenesis...
Capsule endoscopy or angiography in patients with acute overt obscure gastrointestinal bleeding: a prospective randomized study with long-term follow-upWai K Leung
Institute of Digestive Disease, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, People s Republic of China
Am J Gastroenterol 107:1370-6. 2012..However, no studies have directly compared the two modalities in patients with overt OGIB. We compared the diagnostic yield and long-term outcomes of patients with overt OGIB randomized to CE or angiogram...
Detection of miR-92a and miR-21 in stool samples as potential screening biomarkers for colorectal cancer and polypsChung Wah Wu
Institute of Digestive Disease and Department of Medicine and Therapeutics, Li Ka Shing Institute of Health Sciences, The Chinese University of Hong Kong, Hong Kong, China
Gut 61:739-45. 2012..The detection of molecular markers in stool samples is a potential strategy for colorectal cancer (CRC) screening. This study evaluated the feasibility of detecting miR-21 and miR-92a in stool samples of patients with CRC or polyps...
Nonsteroid anti-inflammatory drug-induced gastroduodenal injuryLarry H Lai
Institute of Digestive Disease, The Chinese University of Hong Kong, Hong Kong S A R, China
Curr Opin Gastroenterol 25:544-8. 2009..This article reviews selected publications related to nonsteroid anti-inflammatory drug (NSAID)-induced gastroduodenal toxicity in recent years...
Detection of epigenetic changes in fecal DNA as a molecular screening test for colorectal cancer: a feasibility studyWai K Leung
Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong
Clin Chem 50:2179-82. 2004
Inactivation of helicase-like transcription factor by promoter hypermethylation in human gastric cancerWai K Leung
Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong
Mol Carcinog 37:91-7. 2003..These results suggest that HLTF promoter hypermethylation is frequently demonstrated in human gastric cancer, and inactivation of HLTF or the chromatin-remodeling complex may play a crucial role in gastric carcinogenesis...
NSAID-induced gastrointestinal and cardiovascular injurySiew C Ng
Institute of Digestive Disease, Chinese University of Hong Kong, Department of Medicine and Therapeutics, Prince of Wales Hospital, Shalin, NT, Hong Kong
Curr Opin Gastroenterol 26:611-7. 2010..To review recent publications related to NSAID-induced adverse effects on the gastrointestinal and cardiovascular systems...
Promoter hypermethylation of Death-associated protein-kinase gene associated with advance stage gastric cancerAnthony W H Chan
Department of Anatomical and Cellular Pathology, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, SAR
Oncol Rep 13:937-41. 2005..041), advance stage of disease (p=0.029) and a poorer event-free survival (log-rank test p=0.0141). DAP-kinase promoter methylation as a potential prognostic marker for gastric cancer patients deserved further evaluation...
The Knowledge of Colorectal Cancer Symptoms and Risk Factors among 10,078 Screening Participants: Are High Risk Individuals More Knowledgeable?Martin C S Wong
Institute of Digestive Disease, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong SAR, China School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong SAR, China
PLoS ONE 8:e60366. 2013..We tested the a priori hypothesis that self-perceived and real presences of risks for colorectal cancer (CRC) are associated with better knowledge of the symptoms and risk factors for CRC, respectively...
Hydrogen sulfide lowers proliferation and induces protective autophagy in colon epithelial cellsYa C Wu
School of Biomedical Sciences, The Chinese University of Hong Kong, Shatin, NT, Hong Kong
PLoS ONE 7:e37572. 2012..Collectively, we demonstrate that H(2)S inhibits colon epithelial cell proliferation and induces protective autophagy via the AMPK pathway...
Endoscopic submucosal dissection versus local excision for early rectal neoplasms: a comparative studySophie S F Hon
Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong SAR, China
Surg Endosc 25:3923-7. 2011..To date, no report comparing the two approaches can be found in the literature. This study aimed to compare the short-term clinical outcomes between ESD and LE for early rectal neoplasms...
Asia-Pacific Working Group consensus on non-variceal upper gastrointestinal bleedingJoseph J Y Sung
Institute of Digestive Disease, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong
Gut 60:1170-7. 2011..Aspirin should be resumed soon after stabilisation and clopidogrel alone is no safer than aspirin plus a PPI. When dual antiplatelet agents are used, prophylactic use of a PPI reduces the risk of adverse gastrointestinal events...
Magnetic resonance colonography in the detection of colonic neoplasm in high-risk and average-risk individualsWai K Leung
Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, China
Am J Gastroenterol 99:102-8. 2004..CONCLUSIONS: The performance of MRC when used in the detection of colonic neoplasm in average-risk individuals is unsatisfactory...
EUS in the management of uninvestigated dyspepsiaYuk Tong Lee
Department of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University of Hong Kong, China
Gastrointest Endosc 56:842-8. 2002..CONCLUSION: EUS is a useful one-step investigation in patients with dyspepsia...
Obstacles to colorectal cancer screening in Chinese: a study based on the health belief modelJoseph J Y Sung
School of Public Health, Faculty of Medicine of the Chinese University of Hong Kong, Shatin, NT, Hong Kong
Am J Gastroenterol 103:974-81. 2008..Colorectal cancer (CRC) has emerged as the second most common cancer in Asia. This study uses the Health Belief Model (HBM) to examine the factors associated with the uptake of CRC testing...
Screening for colorectal cancer in Chinese: comparison of fecal occult blood test, flexible sigmoidoscopy, and colonoscopyJoseph J Y Sung
Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong
Gastroenterology 124:608-14. 2003..The aim of this study was to compare the accuracy and safety of these 3 screening procedures in a general population of ethnic Chinese...
Expression of trefoil peptides (TFF1, TFF2, and TFF3) in gastric carcinomas, intestinal metaplasia, and non-neoplastic gastric tissuesWai K Leung
Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong
J Pathol 197:582-8. 2002..Progressive loss of TFF1 and TFF2, together with the induction of TFF3, is likely to be involved in the early stage of the multi-step gastric carcinogenesis pathway...
Increased liver stiffness measurement by transient elastography in severe acute exacerbation of chronic hepatitis BGrace L H Wong
Institute of Digestive Disease, The Chinese University of Hong Kong, Hong Kong SAR, China
J Gastroenterol Hepatol 24:1002-7. 2009..We aimed to assess the effect of necroinflammatory activity on LSM in this condition...
Management of patients on nonsteroidal anti-inflammatory drugs: a clinical practice recommendation from the First International Working Party on Gastrointestinal and Cardiovascular Effects of Nonsteroidal Anti-inflammatory Drugs and Anti-platelet AgentsFrancis K L Chan
Department of Medicine and Therapeutics, Chinese University of Hong Kong, Hong Kong
Am J Gastroenterol 103:2908-18. 2008..Prescribing nonsteroidal antiinflammatory drugs (NSAIDs) is challenging because physicians have to consider gastrointestinal (GI) and cardiovascular (CV) safety issues...
Cigarette smoking and the risk of colorectal cancer: a meta-analysis of prospective cohort studiesKelvin K F Tsoi
Institute of Digestive Disease, The Chinese University of Hong Kong, Hong Kong, PRC
Clin Gastroenterol Hepatol 7:682-688.e1-5. 2009..Smoking has been implicated in many malignant diseases, but its association with colorectal cancer (CRC) is controversial. We quantitatively evaluated the relation between smoking and incidence of CRC in a meta-analysis of cohort studies...
Empirical treatment based on "typical" reflux symptoms is inappropriate in a population with a high prevalence of Helicobacter pylori infectionJustin C Y Wu
Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong
Gastrointest Endosc 55:461-5. 2002..Empirical treatment based on "typical" GERD symptoms alone may not be appropriate...
Effect of oral erythromycin on gastric and small bowel transit time of capsule endoscopyWai K Leung
Department of Medicine and Therapeutics, Prince of Wales Hospital, 30 32 Ngan Shing Street, Shatin, Hong Kong, China
World J Gastroenterol 11:4865-8. 2005..To determine the effect of oral erythromycin on gastric and small bowel transit time of capsule endoscopy...
Intestinal trefoil factor promotes invasion in non-tumorigenic Rat-2 fibroblast cellVictor Y W Chan
Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong
Regul Pept 127:87-94. 2005..5-37.8%) in TFF3-transfected cells compared to controls during 48-h incubation. Our results suggested that TFF3 possesses malignant potential through promotion of cell invasiveness and alteration of invasion-related genes...
Small bowel enteropathy associated with chronic low-dose aspirin therapyWai K Leung
Institute of Digestive Disease, The Chinese University of Hong Kong and Department of Medicine and Therapeutics, Prince of Wales Hospital, 30-32 Ngan Shing Street, Shatin, Hong Kong, China
Lancet 369:614. 2007
The David Y. Graham lecture: use of nonsteroidal antiinflammatory drugs in a COX-2 restricted environmentFrancis K L Chan
Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China
Am J Gastroenterol 103:221-7. 2008..g., recent myocardial infarction). In contrast, combination of low-dose COX-2 inhibitor, low-dose aspirin, and a PPI or misoprostol is preferred if GI risk outweighs CV risk (e.g., recent ulcer bleeding and stable CV disease)...
Changes in Crohn's disease phenotype over time in the Chinese population: validation of the Montreal classification systemDorothy K L Chow
Institute of Digestive Disease, Chinese University of Hong Kong, Department of Medicine and Therapeutics, Prince of Wales Hospital, Hong Kong
Inflamm Bowel Dis 14:536-41. 2008..The aim of this study was to validate the Montreal classification through a longitudinal sensitivity analysis in detecting phenotypic variation compared to the Vienna classification...
Role of acid suppressants in prophylaxis of NSAID damageF K Chan
Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong
Best Pract Res Clin Gastroenterol 15:433-45. 2001..pylori -infected NSAID users. The efficacy of PPIs for the prevention of ulcer complications in H. pylori-negative NSAID users remains uncertain...
Non-invasive serological detection of Helicobacter pylori antigens in adult Hong Kong Chinese non-ulcer dyspepsia patientsVivian W Y Lee
School of Pharmacy, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China
Curr Microbiol 54:249-53. 2007..pylori test), an office-based serological test and to compare relative performances with endoscopy, including biopsy urease tests (Clotest), histology, and culture when applied to dyspeptic adult patients in Hong Kong Chinese...
Alterations of frizzled (FzE3) and secreted frizzled related protein (hsFRP) expression in gastric cancerK F To
Department of Anatomical and Cellular Pathology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, People s Republic of China
Life Sci 70:483-9. 2001..Our results suggested that alterations of FzE3 or hsFRP were frequent in gastric cancer. These provide alternative mechanisms leading to activation of Wnt signaling pathway in gastric carcinogenesis...
Apoptosis and proliferation in Helicobacter pylori-associated gastric intestinal metaplasiaW K Leung
Department of Medicine and Therapeutics, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong
Aliment Pharmacol Ther 15:1467-72. 2001..Imbalance between apoptosis and proliferation may be one of the mechanisms underlying H. pylori associated gastric carcinogenesis...
EUS-guided injection of cyanoacrylate for bleeding gastric varicesY T Lee
Departments of Medicine and Therapeutics and Surgery, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, China
Gastrointest Endosc 52:168-74. 2000..Our aim was to investigate the use of endosonography (EUS) in monitoring cyanoacrylate injection to obliterate gastric varices...
Validation of a new immunoblot assay for the diagnosis of Helicobacter pylori in the Asian populationW K Leung
Department of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong
Aliment Pharmacol Ther 15:423-8. 2001..Currently available serology tests often show sub-optimal accuracy when used for Asian patients...
Non-steroidal anti-inflammatory drug toxicity in the upper gastrointestinal tractJ Sung
Department of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, NT
J Gastroenterol Hepatol 15:G58-68. 2000..The use of potent anti-ulcer therapy, treatment of H. pylori infection and the development of Cox-II inhibitor will change the scenario of NSAID/aspirin-related gastrointestinal toxicity in the next millennium...
Cyclooxygenase-2 expression in Helicobacter pylori-associated premalignant and malignant gastric lesionsJ J Sung
Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong
Am J Pathol 157:729-35. 2000..Both premalignant and malignant gastric lesions demonstrate strong COX-2 expression. Successful eradication of H. pylori leads to down-regulation of COX-2 expression but failed to reverse IM at 1 year...
One-week ranitidine bismuth citrate in combinations with metronidazole, amoxycillin and clarithromycin in the treatment of Helicobacter pylori infection: the RBC-MACH studyJ J Sung
Department of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong
Aliment Pharmacol Ther 13:1079-84. 1999..We have previously shown that ranitidine bismuth citrate (RBC)-based triple therapy is comparable to proton pump inhibitor-based triple therapy in eradicating Helicobacter pylori infection...
Inverse association between cyclooxygenase-2 overexpression and microsatellite instability in gastric cancerT L Lee
Department of Anatomical and Cellular Pathology, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong
Cancer Lett 168:133-40. 2001..07). The results from this study suggest that gastric cancer with microsatellite instability or COX-2 overexpression present with diverse clinicopathological features...
Helicobacter pylori infection in Chinese subjects with type 2 diabetesG T Ko
Department of Medicine and Therapeutics, Chinese University of Hong Kong, Pirnce of Wales Hospital, Shatin
Endocr Res 27:171-7. 2001..No association was found between HP infection, glycaemic status, and duration of diabetes and upper gastrointestinal symptoms in these diabetic subjects...
Effect of Helicobacter pylori eradication on expression of cyclin D2 and p27 in gastric intestinal metaplasiaJ Yu
Department of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, Hong Kong
Aliment Pharmacol Ther 15:1505-11. 2001..pylori-associated intestinal metaplasia. Eradication of H. pylori infection reverses the aberrant expression of cyclin D2 and p27 in intestinal metaplasia...
Is non-Helicobacter pylori, non-NSAID peptic ulcer a common cause of upper GI bleeding? A prospective study of 977 patientsH L Chan
Departments of Medicine and Therapeutics, Surgery, and Anatomical and Cellular Pathology, The Chinese University of Hong Kong, Hong Kong, China
Gastrointest Endosc 53:438-42. 2001..Whether it is a significant problem in the Orient is unclear. The aim of this study was to investigate the incidence of non-H pylori, non-NSAID ulcers presenting with GI bleeding...
Comparison of two new rapid serology tests for diagnosis of Helicobacter pylori infection in Chinese patientsC T Hung
Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong
Dig Liver Dis 34:111-5. 2002..004). CONCLUSION: Both rapid serology tests appear to be specific in diagnosing Helicobacter pylori infection in the Chinese populations. However the ASSURE Hp test is more sensitive and accurate than the SureStep test...
Association between cyclo-oxygenase-2 overexpression and missense p53 mutations in gastric cancerW K Leung
Departments of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, Hong Kong
Br J Cancer 84:335-9. 2001..3%) patients and had a significantly stronger COX-2 expression than tumours without p53 mutation (P = 0.016). Our results suggest a link between p53 mutation and COX-2 overexpression in gastric cancer...
Ulcers and gastritisW K Leung
Institute of Digestive Diseases and Dept. of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong SAR, China
Endoscopy 38:2-4. 2006
Dysfunction of oesophageal motility in Helicobacter pylori-infected patients with reflux oesophagitisJ C Wu
Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong
Aliment Pharmacol Ther 15:1913-9. 2001..Helicobacter pylori infection has been suggested to be protective against gastro-oesophageal reflux disease. However, a significant proportion of patients with gastro-oesophageal reflux disease are infected by H. pylori...
Incidence of gastroesophageal malignancy in patients with dyspepsia in Hong Kong: implications for screening strategiesJ J Sung
Department of Medicine and Therapeutics, Prince of Wales Hospital, Shatin, NT, Hong Kong
Gastrointest Endosc 54:454-8. 2001..This finding raises concerns as to the safety of the "test-and-treat" strategy for the management of patients with dyspepsia in Asia...
Acetazolamide-induced Gerstmann syndromeY T Lee
Department of Medicine and Therapeutics, Prince of Wales Hospital, Hong Kong, China
Int J Clin Pract 53:560-1. 1999..We report a case of acetazolamide-induced Gerstmann syndrome in a patient with normal renal function, to highlight predisposing factors that are frequently overlooked...
Esophageal bleeding disordersJustin C Y Wu
Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, People's Republic of China
Curr Opin Gastroenterol 21:485-9. 2005..SUMMARY: There are significant advances in the treatment of esophageal variceal bleeding and further understanding on the management and clinical courses of various esophageal bleeding disorders...
