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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
- 176 - 188 (13page)
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초록· 키워드
오류제보하기
The bleeding complication risk of surgery or percutaneous transhepatic gallbladder drainage (PTGBD) may increase in patients withacute cholecystitis receiving antithrombotic therapy (ATT). Endoscopic gallbladder drainage (EGBD) may be recommended forsuch patients. English articles published between 1991 and 2018 in peer-reviewed journals that discuss cholecystectomy, PTGBD, andEGBD in patients with ATT or coagulopathy were reviewed to assess the safety of the procedures, especially in terms of the bleedingcomplication. There were 8 studies on cholecystectomy, 3 on PTGBD, and 1 on endoscopic transpapillary gallbladder drainage (ETGBD)in patients receiving ATT. With respect to EGBD, 28 studies on ETGBD (including 1 study already mentioned above) and 26 studies onendoscopic ultrasound-guided gallbladder drainage (EUS-GBD) were also analyzed. The overall bleeding complication rate in patientswith ATT who underwent cholecystectomy was significantly higher than that in patients without ATT (6.5% [23/354] vs. 1.2% [26/2,224],p<0.001). However, the bleeding risk of cholecystectomy and PTGBD in patients receiving ATT was controversial. The overall technicalsuccess, clinical success, and bleeding complication rates of ETGBD vs. EUS-GBD were 84% vs. 96% (p<0.001), 92% vs. 97% (p<0.001),and 0.65% vs. 2.1% (p=0.005), respectively. One patient treated with ETGBD experienced bleeding complication among 191 patientswith bleeding tendency. ETGBD may be an ideal drainage procedure for patients receiving ATT from the viewpoint of bleeding,although EUS-GBD is also effcacious.
목차
등록된 정보가 없습니다.
참고문헌 (74)
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
McMahon AJ / 2000 / Impact of laparoscopic cholecystectomy : a population-based study / Lancet 356:1632~1637
Hannan EL / 1999 / Laparoscopic and open cholecystectomy in New York State : mortality, complications, and choice of procedure / Surgery 125:223~231
Patel M / 2000 / Percutaneous cholecystostomy is an effective treatment for high-risk patients with acute cholecystitis / Am Surg 66:33~37
Itoi T / 2008 / Endoscopic transpapillary gallbladder drainage in patients with acute cholecystitis in whom percutaneous transhepatic approach is contraindicated or anatomically impossible(with video) / Gastrointest Endosc 68:455~460
McMahon AJ / 2000 / Impact of laparoscopic cholecystectomy : a population-based study / Lancet 356:1632~1637
Hannan EL / 1999 / Laparoscopic and open cholecystectomy in New York State : mortality, complications, and choice of procedure / Surgery 125:223~231
Patel M / 2000 / Percutaneous cholecystostomy is an effective treatment for high-risk patients with acute cholecystitis / Am Surg 66:33~37
Itoi T / 2008 / Endoscopic transpapillary gallbladder drainage in patients with acute cholecystitis in whom percutaneous transhepatic approach is contraindicated or anatomically impossible(with video) / Gastrointest Endosc 68:455~460
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