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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
- 발행연도
- 2020.1
- 수록면
- 65 - 72 (8page)
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Background/Aims: Using an appropriate guidewire can increase the success rate of selective cannulation in endoscopic retrogradecholangiopancreatography. The purpose of this technical study was to investigate the characteristics of each guidewire type and toevaluate its effciency and rapidity of insertion. Methods: We conducted a three-point bending test using a universal testing machine to investigate the flexibility and bending featuresof each guidewire. 3D-printed silicone tubes with various types of stricture and a hand-made biliary tree silicone model with sixstrandedintrahepatic ducts were used to evaluate the success rate and insertion time of each guidewire. Results: In the three-point bending test, the characteristics of each guidewire were classified. We found that the bending strengthsand times were independent of shaft thickness. Using two in vitro biliary duct models, we determined that the success rate and totalinsertion time were better for guidewires with a resilient shaft and angled tip than for other types of guidewires (p<0.001). Althoughthickness of the guidewire affected the success rate (p<0.05), it did not affect the total insertion time (p≥0.05). Conclusions: Among several types of guidewire, some factors (resilient shaft, highly flexible, and angled tip) appeared to be associatedwith the effciency and rapidity of the guidewire insertion.
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참고문헌 (11)
참고문헌 신청
Somogyi L / 2007 / Guidewires for use in GI endoscopy / Gastrointest Endosc 65:571~576
이태훈 / 2014 / Preparation of High-Risk Patients and the Choice of Guidewire for a Successful Endoscopic Retrograde Cholangiopancreatography Procedure / Clinical Endoscopy 47(4):334~340
Kawakami H / 2012 / A multicenter, prospective, randomized study of selective bile duct cannulation performed by multiple endoscopists : the BIDMEN study / Gastrointest Endosc 75:362~372
Cennamo V / 2009 / Can a wire-guided cannulation technique increase bile duct cannulation rate and prevent post-ERCP pancreatitis? : a meta-analysis of randomized controlled trials / Am J Gastroenterol 104:2343~2350
Lee TH / 2009 / Can wire-guided cannulation prevent post-ERCP pancreatitis? A prospective randomized trial / Gastrointest Endosc 69(3 Pt 1):444~449
이태훈 / 2014 / Preparation of High-Risk Patients and the Choice of Guidewire for a Successful Endoscopic Retrograde Cholangiopancreatography Procedure / Clinical Endoscopy 47(4):334~340
Kawakami H / 2012 / A multicenter, prospective, randomized study of selective bile duct cannulation performed by multiple endoscopists : the BIDMEN study / Gastrointest Endosc 75:362~372
Cennamo V / 2009 / Can a wire-guided cannulation technique increase bile duct cannulation rate and prevent post-ERCP pancreatitis? : a meta-analysis of randomized controlled trials / Am J Gastroenterol 104:2343~2350
Lee TH / 2009 / Can wire-guided cannulation prevent post-ERCP pancreatitis? A prospective randomized trial / Gastrointest Endosc 69(3 Pt 1):444~449
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