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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
- 2006.1
- 수록면
- 805 - 810 (6page)
이용수
초록· 키워드
오류제보하기
Endoscopic papillary balloon dilation (EBD) for choledocholithiasis is known to be comparable to endoscopic sphincterotomy (EST) especially in cases of small stones. With larger stones, EBD with conventional balloon, which have a diameter of 6-8 mm, was reported as less effective for extraction of stones. We evaluated the efficacy and complications of EBD with large balloons (10-15 mm) after limited EST for retrieval of choledocholithiasis. From February 2005, we have performed EBD with limited EST for retrieval of common bile duct (CBD) stones. The patients who admitted with hyperamylasemia and gallstone pancreatitis were excluded. In cases without CBD dilation, EPBD with 12 mm for 40 seconds was performed. And in cases with CBD dilation, we dilated the sphincters with 15 mm sized balloon for 40 seconds. Total 22 patients (11 of male) were performed EBD with limited EST for retrieval of CBD stones. The median diameter of the stones was 10 mm (5-25 mm). Ten cases had multiple stones and 6 cases periampullary diverticuli. Successful stone removal in the initial session of ERCP with EBD was accomplished in 16 patients (72.7%). And complete retrieval of bile duct stones was achieved in all patients with repeated ERCP. In the aspect of complications, any episodes of perforation, bleeding was not developed. Only one case of mild grade of post-procedural pancreatitis was noted. However, post-procedural hyperamylasemia was developed in 16 cases (68.2%). EBD with larger balloon seems to be a feasible and safe alternative technique for conventional EST in CBD stone extraction.
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
/ / Combined endoscopic sphincterotomy and laparoscopic cholecystectomy in patients with choledocholithiasis and cholecystolithiasis : 783 ~ 5
/ 1988 / Balloon dilation of the sphincter of Oddi : 20 207 ~ 1 10
/ 1991 / Endoscopic sphincterotomy, complications and their management: an attempt at consensus : 383 ~ 93
/ 1996 / Complications of endoscopic biliary sphincterotomy 335 : 909 ~ 918
/ 1997 / Complications of endoscopic biliary sphincterotomy: a review 29 : 288 ~ 297
/ 1988 / Balloon dilation of the sphincter of Oddi : 20 207 ~ 1 10
/ 1991 / Endoscopic sphincterotomy, complications and their management: an attempt at consensus : 383 ~ 93
/ 1996 / Complications of endoscopic biliary sphincterotomy 335 : 909 ~ 918
/ 1997 / Complications of endoscopic biliary sphincterotomy: a review 29 : 288 ~ 297
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