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
- 598 - 605 (8page)
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초록· 키워드
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Background/Aims: For the treatment of malignant biliary obstruction, endoscopic retrograde biliary drainage (ERBD) has been widelyaccepted as a standard procedure. However, post-ERBD complications can affect the lives of patients. The purpose of this study was toidentify the predictive factors for these complications, including the patient’s status, cancer status, and stent type. Methods: This was a retrospective analysis conducted in a single tertiary hospital from January 2007 to July 2017. The followingvariables were evaluated: sex, age, body mass index, cancer type, history of pancreatitis, gallbladder stone, previous biliary stenting, precutpapillotomy, stent type, contrast injection into the pancreatic duct or gallbladder, cystic duct invasion by the tumor, and occlusion ofthe cystic duct orifice by a metal stent. Results: Multivariate analysis showed that contrast injection into the pancreatic duct was a risk factor for pancreatitis. Patients with ahistory of bile drainage showed a lower risk of pancreatitis. For cholecystitis, the analysis revealed contrast injection into the gallbladderand cystic duct invasion by the tumor as important predictive factors. Metal stents showed a greater risk of post-procedure pancreatitisthan plastic stents, but did not affect the incidence of cholecystitis. Conclusions: Considering that contrast injection is the most important factor for both complications, a careful approach by thephysician is essential in preventing the occurrence of any complications. Further, choosing the type of stent is an important factor forpatients at a risk of post-procedure pancreatitis.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Smith AC / 1994 / Randomised trial of endoscopic stenting versus surgical bypass in malignant low bileduct obstruction / Lancet 344:1655~1660
ASGE Technology Assessment Committee / 2013 / Pancreatic and biliary stents / Gastrointest Endosc 77:319~327
Isayama H / 2006 / Cholecystitis after metallic stent placement in patients with malignant distal biliary obstruction / Clin Gastroenterol Hepatol 4:1148~1153
Isayama H / 2004 / A prospective randomised study of"covered"versus"uncovered"diamond stents for the management of distal malignant biliary obstruction / Gut 53:729~734
Sawas T / 2015 / Self-expandable metal stents versus plastic stents for malignant biliary obstruction : a meta-analysis / Gastrointest Endosc 82:256~267.e7
ASGE Technology Assessment Committee / 2013 / Pancreatic and biliary stents / Gastrointest Endosc 77:319~327
Isayama H / 2006 / Cholecystitis after metallic stent placement in patients with malignant distal biliary obstruction / Clin Gastroenterol Hepatol 4:1148~1153
Isayama H / 2004 / A prospective randomised study of"covered"versus"uncovered"diamond stents for the management of distal malignant biliary obstruction / Gut 53:729~734
Sawas T / 2015 / Self-expandable metal stents versus plastic stents for malignant biliary obstruction : a meta-analysis / Gastrointest Endosc 82:256~267.e7
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