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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한소아소화기영양학회 Pediatric Gastroenterology, Hepatology & Nutrition Pediatric Gastroenterology, Hepatology & Nutrition 제21권 제3호
- 발행연도
- 2018.1
- 수록면
- 203 - 208 (6page)
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초록· 키워드
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Purpose: The aim of this study was to describe our treatment experiences with patients who had acute abdomen (AA) with common bile duct (CBD) dilatation.Methods: The treatment outcomes in children with AA and CBD dilatation were retrospectively reviewed. According to the shape of the intrahepatic bile ducts on ultrasonography (US), the origin of the pain was estimated as choledochal cyst (CC) complication or choledocholithiasis in normal CBD. Patients with complicated CC underwent surgery, and patients with choledocholithiasis in a normal appearing CBD underwent symptomatic treatment initially.Results: Of the 34 patients, 30 (88.2%) were female. The mean age of the patients was 6.4±4.9 (range, 0.8-17) years. Seventeen (50.0%) patients had CBD stones and 17 (50.0%) did not. Surgical treatment was performed in 20 (58.8%) patients, 2 of whom underwent preoperative stone removal with endoscopic retrograde cholangiopancreatography and an operation. Conservative treatment was applied in 12 (35.3%) patients (8 with and 4 without stones), 1 of whom developed symptom relapse and underwent an operation. Among the 8 patients with CBD stones, 4 (4/17, 23.5%) had complete resolution of the stones and recovery of the CBD diameter after conservative treatment. US findings of patients with stone showed a fusiform or cylindrical shape of the CBD in 14 (82.4%) patients.Conclusion: The presence of stones in the distal CBD and the US features of CBD dilatation may be helpful to diagnose and treat the causes of biliary dilatation. Conservative treatment can be considered as initial therapy in patients with uncomplicated CBD dilatation with stone.
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등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
Liu TH / 2001 / Patient evaluation and management with selective use of magnetic resonance cholangiography and endoscopic retrograde cholangiopancreatography before laparoscopic cholecystectomy / Ann Surg 234:33~40
Boys JA / 2014 / Can ultrasound common bile duct diameter predict common bile duct stones in the setting of acute cholecystitis? / Am J Surg 207:432~435
Yeo Ju Son / 2015 / Asymptomatic Bile Duct Dilatation in Children: Is It a Disease? / Pediatric Gastroenterology, Hepatology & Nutrition 18(3):180~186
Lee HC / 2000 / Dilatation of the biliary tree in children: sonographic diagnosis and its clinical significance / J Ultrasound Med 19:177~182
Huang CS / 2010 / Choledochal cysts: differences between pediatric and adult patients / J Gastrointest Surg 14:1105~1110
Boys JA / 2014 / Can ultrasound common bile duct diameter predict common bile duct stones in the setting of acute cholecystitis? / Am J Surg 207:432~435
Yeo Ju Son / 2015 / Asymptomatic Bile Duct Dilatation in Children: Is It a Disease? / Pediatric Gastroenterology, Hepatology & Nutrition 18(3):180~186
Lee HC / 2000 / Dilatation of the biliary tree in children: sonographic diagnosis and its clinical significance / J Ultrasound Med 19:177~182
Huang CS / 2010 / Choledochal cysts: differences between pediatric and adult patients / J Gastrointest Surg 14:1105~1110
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