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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 221 - 229 (9page)
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Background/Aims: Endoscopic transpapillary gallbladder drainage (ETGBD) is useful for the treatment of acute cholecystitis; however,the technique is diffcult to perform. When intraductal ultrasonography (IDUS) is combined with ETGBD, the orifice of the cystic ductin the common bile duct may be more easily detected in the cannulation procedure. The aim of this study was to evaluate the effcacy ofETGBD with IDUS compared with that of ETGBD alone. Methods: A total of 100 consecutive patients with acute cholecystitis requiring ETGBD were retrospectively recruited. The first 50consecutive patients were treated using ETGBD without IDUS, and the next 50 patients were treated using ETGBD with IDUS. Through propensity score matching analysis, we compared the clinical outcomes between the groups. The primary outcome was thetechnical success rate. Results: The technical success rate of ETGBD with IDUS was significantly higher than that of ETGBD without IDUS (92.0% vs. 76.0%, p=0.044). There was no significant difference in procedure length between the two groups (74.0 min vs. 66.7 min, p=0.310). Thecomplication rate of ETGBD with IDUS was significantly higher than that of ETGBD without IDUS (6.0% vs. 0%, p<0.001); however,only one case showed an IDUS technique-related complication (pancreatitis). Conclusions: The assistance of IDUS may be useful in ETGBD.
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등록된 정보가 없습니다.
참고문헌 (37)
참고문헌 신청
Yokoe M / 2018 / Tokyo guidelines 2018 : diagnostic criteria and severity grading of acute cholecystitis(with videos) / J Hepatobiliary Pancreat Sci 25:41~54
Hannan EL / 1999 / Laparoscopic and open cholecystectomy in New York state : mortality, complications, and choice of procedure / Surgery 125:223~231
Duncan CB / 2012 / Evidence-based current surgical practice : calculous gallbladder disease / J Gastrointest Surg 16:2011~2025
Csikesz NG / 2008 / Trends in surgical management for acute cholecystitis / Surgery 144:283~289
Margiotta SJ Jr / 1988 / Cholecystectomy in the elderly / Am J Surg 156:509~512
Hannan EL / 1999 / Laparoscopic and open cholecystectomy in New York state : mortality, complications, and choice of procedure / Surgery 125:223~231
Duncan CB / 2012 / Evidence-based current surgical practice : calculous gallbladder disease / J Gastrointest Surg 16:2011~2025
Csikesz NG / 2008 / Trends in surgical management for acute cholecystitis / Surgery 144:283~289
Margiotta SJ Jr / 1988 / Cholecystectomy in the elderly / Am J Surg 156:509~512
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