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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 239 - 246 (8page)
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Background/Aims: Several studies have shown the usefulness of endoscopic nasogallbladder drainage (ENGBD) in patients with acute cholecystitis. However, the procedure is difficult, and factors that affect technical success have not yet been clarified. We conducted a prospective study to evaluate the technical feasibility, efficacy, and predictive factors for the technical success of ENGBD in patients with acute cholecystitis. Methods: All patients with moderate or severe acute cholecystitis who were enrolled underwent ENGBD between April 2009 and April 2011. Patients with surgically altered anatomy or pancreatobiliary malignancies were excluded. The primary outcomes included technical success, clinical success, and complications. Factors that could affect the technical success were also examined. Results: Of the 27 patients who underwent ENGBD during the study period, technical success was achieved in 21 (78%) and clinical improvement was achieved in 20 (95%). Early complications were encountered in four patients (15%). Gallbladder wall thickness (odds ratio [OR], 1.64; 95% confidence interval [CI], 1.08 to 2.47) and age (OR, 1.16; 95% CI, 1.00 to 1.35) were effective predictors of technical failure. Conclusions: ENGBD was effective in resolving acute cholecystitis; however, this modality was technically challenging and had a limited success rate. Because of technical difficulties, ENGBD should be reserved for limited indications.
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참고문헌 (24)
참고문헌 신청
Bloch RS / 1985 / Cholecystectomy in patients with cirrhosis: a surgical challenge / Arch Surg 120 : 669 ~ 672
Chopra S / 2001 / Treatment of acute cholecystitis in non-critically ill patients at high surgical risk: comparison of clinical outcomes after gallbladder aspiration and aft
Cotton PB / 2010 / A lexicon for endoscopic adverse events: report of an ASGE workshop / Gastrointest Endosc 71 : 446 ~ 454
Feretis C / 1993 / Endoscopic drainage of acute obstructive cholecystitis in patients with increased operative risk / Endoscopy 25 : 392 ~ 395
Frazee RC / 1989 / Acute acalculous cholecystitis / Mayo Clin Proc 64 : 163 ~ 167
Chopra S / 2001 / Treatment of acute cholecystitis in non-critically ill patients at high surgical risk: comparison of clinical outcomes after gallbladder aspiration and aft
Cotton PB / 2010 / A lexicon for endoscopic adverse events: report of an ASGE workshop / Gastrointest Endosc 71 : 446 ~ 454
Feretis C / 1993 / Endoscopic drainage of acute obstructive cholecystitis in patients with increased operative risk / Endoscopy 25 : 392 ~ 395
Frazee RC / 1989 / Acute acalculous cholecystitis / Mayo Clin Proc 64 : 163 ~ 167
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