지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 800 - 804 (5page)
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초록· 키워드
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Background/Aims: Various anatomical features of the biliary tree affect ability to remove difficult common bile duct (CBD) stones. In this study, we evaluated the clinical characteristics and outcomes of the endoscopic treatment of stones in stemware-shaped CBDs. Methods: Thirty-four patients with a stone and a stemware-shaped CBD who were treated at different tertiary referral centers from January 2008 to December 2012 were studied retrospectively. When stone removal failed, percutaneous or direct peroral cholangioscopic lithotripsy, endoscopic retrograde biliary drainage, or surgery was performed as a second-line procedure. Results: The overall success rate of the first-line procedure was 41.2%. Five of the 34 patients (14.7%) experienced procedure-related complications. No procedure-related mortality occurred. Mechanical lithotripsy was required to completely remove stones in 13 patients (38.2%). Conversion to a second-line procedure was required in 20 patients (58.8%). Mechanical lithotripsy was needed in 75% and 66.7% of those with a stone size of <1 cm or ≥1 cm, respectively. Stone recurrence occurred in two patients (9.1%) after 6 months and 27 months, respectively. Conclusions: The endoscopic treatment of stones in a stemware-shaped CBD is challenging. The careful assessment of difficult CBD stones is required before endoscopic procedures.
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등록된 정보가 없습니다.
참고문헌 (10)
참고문헌 신청
Binmoeller KF / 1993 / Treatment of difficult bile duct stones using mechanical, electrohydraulic and extracorporeal shock wave lithotripsy / Endoscopy 25 : 201 ~ 206
Binmoeller KF / 2001 / Endoscopic management of bile duct stones / J Clin Gastroenterol 32 : 106 ~ 118
Cheon YK / 2006 / Identification of risk factors for stone recurrence after endoscopic treatment of bile duct stones / Eur J Gastroenterol Hepatol 18 : 2006 ~ 2018
Keizman D / 2006 / An angulated common bile duct predisposes to recurrent symptomatic bile duct stones after endoscopic stone extraction / Surg Endosc 20 : 1594 ~ 1599
Keizman D / 2006 / Recurrent symptomatic common bile duct stones after endoscopic stone extraction in elderly patients / Gastrointest Endosc 64 : 60 ~ 65
Binmoeller KF / 2001 / Endoscopic management of bile duct stones / J Clin Gastroenterol 32 : 106 ~ 118
Cheon YK / 2006 / Identification of risk factors for stone recurrence after endoscopic treatment of bile duct stones / Eur J Gastroenterol Hepatol 18 : 2006 ~ 2018
Keizman D / 2006 / An angulated common bile duct predisposes to recurrent symptomatic bile duct stones after endoscopic stone extraction / Surg Endosc 20 : 1594 ~ 1599
Keizman D / 2006 / Recurrent symptomatic common bile duct stones after endoscopic stone extraction in elderly patients / Gastrointest Endosc 64 : 60 ~ 65
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