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
- 2019.1
- 수록면
- 65 - 71 (7page)
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Background/Aims: Periampullary diverticulum (PAD) is frequently encountered during endoscopic retrograde cholangiopancreatography(ERCP) and has been associated with stone formation in the bile duct. The effects of PAD on the ERCP procedure have been oftendebated. We aimed to compare the therapeutic success of ERCP between patients with PAD and matched controls. Methods: We reviewed all ERCPs with findings of PAD in a national database (n=1,089) and compared them with age- and gendermatchedcontrols in a 1:3 fashion (n=3,267). Demographics, endoscopic findings, visualization of main structures, and therapeuticsuccess rates were compared between groups. Secondary analysis compared PAD cases and controls who had gallstone disease. Results: The average cohort age was 68.4±14.3 years and 55.1% were male. ERCP success was similar in both groups, and no significantinter-group differences were found in the multivariate analysis. The presence of PAD did not affect the rates of sphincterotomy orvisualization of main biliary structures. Secondary analysis showed similar success rates for gallstone removal between patients withPAD and controls. Conclusions: PAD may not be considered a hinderance to ERCP success. Further research is needed to determine the best approach tocannulate the ampulla and provide endoscopic therapy for different subtypes of PAD.
목차
등록된 정보가 없습니다.
참고문헌 (12)
참고문헌 신청
Christoforidis E / 2002 / The role of juxtapapillary duodenal diverticula in biliary stone disease / Gastrointest Endosc 55:543~547
Chen L / 2017 / Influence of periampullary diverticulum on the occurrence of pancreaticobiliary diseases and outcomes of endoscopic retrograde cholangiopancreatography / Eur J Gastroenterol Hepatol 29:105~111
Mohammad Alizadeh AH / 2013 / ERCP features and outcome in patients with periampullary duodenal diverticulum / ISRN Gastroenterol 2013:217261
Vaira D / 1989 / Is duodenal diverticulum a risk factor for sphincterotomy / Gut 30:939~942
Panteris V / 2008 / Influence of juxtapapillary diverticula on the success or difficulty of cannulation and complication rate / Gastrointest Endosc 68:903~910
Chen L / 2017 / Influence of periampullary diverticulum on the occurrence of pancreaticobiliary diseases and outcomes of endoscopic retrograde cholangiopancreatography / Eur J Gastroenterol Hepatol 29:105~111
Mohammad Alizadeh AH / 2013 / ERCP features and outcome in patients with periampullary duodenal diverticulum / ISRN Gastroenterol 2013:217261
Vaira D / 1989 / Is duodenal diverticulum a risk factor for sphincterotomy / Gut 30:939~942
Panteris V / 2008 / Influence of juxtapapillary diverticula on the success or difficulty of cannulation and complication rate / Gastrointest Endosc 68:903~910
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