Full Text Journal Articles by
Author Tian Zhi Lim

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Barriers and facilitators towards colonoscopy: a qualitative systematic review.

Kia Teng Lim, Cheng Han Ng, Glenn Moses Decruz, Tian Zhi Lim, Kamala Devi, Ker-Kan Tan, Choon Seng Chong,

<h4>Objectives</h4>Colonoscopy is integral in the early detection of colorectal cancer (CRC), be it for screening, diagnostic or therapeutic intentions. Despite the presence of multiple screening modalities, colonoscopy remains integral in providing a definitive CRC diagnosis. However, uptake rates remain low worldwide with minimal understanding towards stakeholders' perspectives. This systematic review ... Read more >>

Eur J Cancer Prev (European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation (ECP))
[2021, 30(3):232-238]

Cited: 0 times

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Colorectal cancer in patients with single versus double positive faecal immunochemical test results: A retrospective cohort study from a public tertiary hospital.

Tian Zhi Lim, Jerrald Lau, Gretel Jianlin Wong, Ker-Kan Tan,

<h4>Background</h4>Screening for colorectal cancer (CRC) using the faecal immunochemical test (FIT) is widely advocated. Few studies have compared the rate of detecting colonoscopic pathologies in single compared to double FIT-positive follow-up colonoscopy-compliant individuals in a two-sample national FIT screening program.<h4>Objective</h4>To compare CRC incidence in double FIT-positive versus single FIT-positive individuals ... Read more >>

PLoS One (PloS one)
[2021, 16(6):e0250460]

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Opportunistic upper endoscopy during colonoscopy as a screening strategy for countries with intermediate gastric cancer risk.

Joel Wen Liang Lau, Mark Junn Wei Khoo, Xue Hao Leong, Tian Zhi Lim, Asim Shabbir, Khay Guan Yeoh, Calvin Jianyi Koh, Jimmy Bok Yan So,

<h4>Background and aim</h4>Screening upper endoscopy can detect esophagogastric (OG) cancers early with improved outcomes. Recent cost-utility studies suggest that opportunistic upper endoscopy at the same setting of colonoscopy might be a useful strategy for screening of OG cancers, and it may be more acceptable to the patients due to cost-saving ... Read more >>

J Gastroenterol Hepatol (Journal of gastroenterology and hepatology)
[2021, 36(4):1081-1087]

Cited: 1 time

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The health belief model and colorectal cancer screening in the general population: A systematic review.

Jerrald Lau, Tian-Zhi Lim, Gretel Jianlin Wong, Ker-Kan Tan,

Colorectal cancer screening saves lives and is cost-effective. It allows early detection of the pathology, and enables earlier medical intervention. Despite clinical practice guidelines promoting screening for average risk individuals, uptake remains suboptimal in many populations. Few studies have examined how sociobehavioural factors influence screening uptake in the context of ... Read more >>

Prev Med Rep (Preventive medicine reports)
[2020, 20:101223]

Cited: 2 times

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Colorectal cancer patients can be advocates for colorectal cancer screening for their siblings: A study on siblings' perspectives.

Ker-Kan Tan, Tian-Zhi Lim, Emily Chew, Wen-Min Chow, Gerald Choon-Huat Koh,

<h4>Objective</h4>This study was performed to explore in-depth, the issues and barriers pertaining to colorectal cancer (CRC) screening amongst the siblings of CRC patients in view of their higher risk of developing CRC.<h4>Methods</h4>A qualitative study of siblings of CRC patients was performed from August 2017 to October 2018. Semi-structured interviewed were ... Read more >>

Psychooncology (Psycho-oncology)
[2020, 29(12):2028-2032]

Cited: 1 time

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Colorectal cancer in patients with single versus double positive faecal immunochemical test results: A retrospective cohort study

Tian-Zhi Lim, Jerrald Lau, Gretel Jianlin Wong, Ker-Kan Tan,

BACKGROUND Screening for colorectal cancer (CRC) using the faecal immunochemical test (FIT) is widely advocated. Few studies have compared the rate of detecting colonoscopic pathologies in single compared to double FIT-positive follow-up colonoscopy-compliant individuals in a two-sample national FIT screening program. OBJECTIVE To compare CRC incidence in double FIT-positive ... Read more >>

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Endoscopic stenting in colorectal cancer.

Tian-Zhi Lim, Ker-Kan Tan,

Acute malignant large bowel obstruction presents as one of the few emergencies of colorectal cancer (CRC). Management of this condition can either be by (I) upfront surgery or (II) the use of self-expanding metallic stent (SEMS) as a bridge to elective surgery. For patients with metastasis, the use of SEMS ... Read more >>

J Gastrointest Oncol (Journal of gastrointestinal oncology)
[2019, 10(6):1171-1182]

Cited: 4 times

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The price of personal mobility: burden of injury and mortality from personal mobility devices in Singapore - a nationwide cohort study.

Aidan Lyanzhiang Tan, , Nivedita Nadkarni, Ting Hway Wong,

<h4>Background</h4>Personal mobility devices (PMDs) like skate-scooters, electric bicycles (e-bikes) or motorised scooters (e-scooters) have become widely available globally. There are several studies describing the rising incidence of injury from such devices. The aim of our study was to examine PMD user factors between motorised (MotPMDs) vs non-motorised PMDs (NonPMDs) as ... Read more >>

BMC Public Health (BMC public health)
[2019, 19(1):880]

Cited: 2 times

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T4N0 colon cancers should be treated like T3N1 disease.

Dedrick Kok Hong Chan, Tian-Zhi Lim, Ker-Kan Tan,

<h4>Background</h4>Patients with positive lymph nodal involvement in colon cancer have always been deemed to fare worse than those without. However, questions have been increasingly raised on the true prognosis of T4N0 disease. We conducted this study to investigate how T4N0 disease would compare with T3N1 disease.<h4>Methods</h4>All patients with colon cancer ... Read more >>

J Gastrointest Oncol (Journal of gastrointestinal oncology)
[2019, 10(1):6-11]

Cited: 1 time

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Obstructive Ileocolitis in Patients With Obstructed Colorectal Cancer - A Matched Case Control Study.

Ning-Qi Pang, Tian-Zhi Lim, Yuanpei Zhou, Ker-Kan Tan,

<h4>Purpose</h4>Obstructive ileocolitis is an ulcero-inflammatory condition which typically occurs in the ileum or colon proximal to an obstructing colorectal lesion. If left unresolved, it often leads to intestinal perforation. We present a matched case control study of patients with obstructive ileocolitis caused by colorectal cancer to determine if any factors ... Read more >>

Ann Coloproctol (Annals of coloproctology)
[2018, 34(4):175-179]

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Endoscopic stenting should be advocated in patients with stage IV colorectal cancer presenting with acute obstruction.

Tian-Zhi Lim, Dedrick Kok Hong Chan, Ker-Kan Tan,

<h4>Background</h4>It remains contentious whether endoscopic stenting or upfront surgery is more optimal in patients with metastatic colorectal cancers presenting with large bowel obstruction.<h4>Methods</h4>A retrospective review of all patients with metastatic colorectal cancer who underwent either endoscopic stenting or emergency surgery for acute large bowel obstruction was performed.<h4>Results</h4>Between January 2007 and ... Read more >>

J Gastrointest Oncol (Journal of gastrointestinal oncology)
[2018, 9(5):785-790]

Cited: 1 time

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Screening in spouses of colorectal cancer patients: a missed opportunity.

Ker-Kan Tan, Tian-Zhi Lim, Emily Chew, Wen-Min Chow, Nan Luo, Mee-Lian Wong, Gerald Choon-Huat Koh,

<h4>Background</h4>Spouses of colorectal cancer (CRC) patients could be at increased risk of developing CRC due to shared lifestyle habits with the patients which is a notable risk factor. This study explores the various issues surrounding CRC screening among these spouses.<h4>Methods</h4>A mixed method study comprising in-depth qualitative semi-structured interviews followed by ... Read more >>

Int J Colorectal Dis (International journal of colorectal disease)
[2018, 33(4):419-422]

Cited: 0 times

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The Perils of Competitive Speed Eating!

Tian-Zhi Lim, Kishore Rajaguru, Chin-Li Lee,

Gastroenterology (Gastroenterology)
[2018, 154(8):2030-2032]

Cited: 1 time

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Getting the first degree relatives to screen for colorectal cancer is harder than it seems-patients' and their first degree relatives' perspectives.

Ker-Kan Tan, Tian-Zhi Lim, Dedrick Kok Hong Chan, Emily Chew, Wen-Min Chow, Nan Luo, Mee-Lian Wong, Gerald Choon-Huat Koh,

<h4>Introduction</h4>First degree relatives (FDR) of colorectal cancer (CRC) patients are at increased risk of CRC compared to the general population. However, screening colonoscopy rates amongst the FDRs remain dismal. The aim of the study was to explore the various issues amongst the patients and their FDR precluding their adoption of ... Read more >>

Int J Colorectal Dis (International journal of colorectal disease)
[2017, 32(7):1065-1068]

Cited: 4 times

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Endoscopic Stenting Does Not Worsen Long Term Outcomes Amongst Patients Presenting with Obstruction from Colorectal Cancers.

Tian-Zhi Lim, Dedrick Kok Hong Chan, Ker-Kan Tan,

<h4>Background</h4>Stenting has been increasingly adopted in colorectal cancer patients presenting with acute large bowel obstruction. However, long-term outcomes of stenting are lacking in the literature. Our study attempts to compare the long-term outcomes of colonic stenting and emergency surgery amongst left-sided colorectal cancer patients presenting with acute large bowel obstruction.<h4>Methods</h4>A ... Read more >>

Ann Surg Oncol (Annals of surgical oncology)
[2017, 24(6):1618-1625]

Cited: 2 times

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Unilateral Pelvic Side-Wall Lymph Node Resection for Rectal Cancer: A Review of the Anatomy.

Tian-Zhi Lim, Peter J Lee, Michael J Solomon, Ker-Kan Tan,

<h4>Background</h4>The aim of this video is to highlight key safety and critical techniques employed during laparoscopic pelvic side-wall lymph node resection for rectal cancer. In addition, a review of the key pelvic side-wall anatomical structures will be included.<h4>Methods</h4>We report a case of a 50-year-old Chinese female who presented with per-rectal ... Read more >>

Ann Surg Oncol (Annals of surgical oncology)
[2016, 23(Suppl 5):693]

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Don't mistake it as a polyp!

Lim Tian-Zhi, Faith Leong Qi Hui, Ker-Kan Tan,

Gut (Gut)
[2017, 66(3):553]

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Imaging detected retro-peritoneal masses: a diagnostic dilemma?

Tian-Zhi Lim, Dedrick Kok-Hong Chan, Ker-Kan Tan,

ANZ J Surg (ANZ journal of surgery)
[2018, 88(7-8):E625-E626]

Cited: 0 times

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Long-term outcome following advancement flaps for high anal fistulas in an Asian population: a single institution's experience.

Chin-Li Lee, Jirong Lu, Tian-Zhi Lim, Frederick H Koh, Bettina Lieske, Wai-Kit Cheong, Ker-Kan Tan,

<h4>Background</h4>The management of high anal fistula is often complicated and challenging. In spite of numerous new techniques, the advancement flap technique remained an integral procedure in its management. The purpose of this study was to determine the long-term outcome of advancement flap procedures for high anal fistulas.<h4>Methods</h4>A retrospective review of ... Read more >>

Int J Colorectal Dis (International journal of colorectal disease)
[2015, 30(3):409-412]

Cited: 4 times

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Patients who failed endoscopic stenting for left-sided malignant colorectal obstruction suffered the worst outcomes.

Tian-Zhi Lim, Dedrick Chan, Ker-Kan Tan,

<h4>Background</h4>Reported outcomes of patients followed failed endoscopic stenting for acute left-sided malignant colonic obstruction remained lacking.<h4>Objectives</h4>This study aims to compare the outcomes between endoscopic stenting and emergency surgery in patients with acute left-sided malignant colonic obstruction and to identify factors that predict failed stenting.<h4>Methods</h4>A retrospective review of all patients with ... Read more >>

Int J Colorectal Dis (International journal of colorectal disease)
[2014, 29(10):1267-1273]

Cited: 6 times

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Caecal pneumatosis is not an absolute contraindication for endoluminal stenting in patients with acute malignant large bowel obstruction.

James Ngu, Bettina Lieske, Kok Hong Dedrick Chan, Tian Zhi Lim, Wai-Kit Cheong, Ker-Kan Tan,

<h4>Background</h4>The computed tomographic (CT) finding of caecal pneumatosis in patients with malignant large bowel obstruction has been associated with ischaemia and impending perforation. Emergency surgery is then usually performed without consideration of endoluminal stenting. The aim of our study was to correlate caecal viability to the CT finding of caecal ... Read more >>

ANZ J Surg (ANZ journal of surgery)
[2014, 84(10):772-775]

Cited: 7 times

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