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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.
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Flexible-needle percutaneous transhepatic cholangiography has few complications and is valuable in differential diagnosis of the diseases producing cholestasis. We have performed percutaneous transhepatic cholangiography in 27 patients with jaundice using 23 G flexible-needle at the Department of Radiology, St. Mary's Hospital, Catholic Medical College, Seoul, Korea during the period of January 1976 to September 1977. PTC was successfully performed in 26 of 27 patients (96.3%) revealing the following information. There were 11 cases of bile duct stones, 7 cases of cholangiocarcinomas, 2 cases of carcinomas of the head of pancreas, 3 cases sclerosing cholangitis, 2 cases of chronic pancreatitis and 1 case of clonorchiasis. The cholangiographic findings were (1) well defined rounded intraluminal filling defects or deep meniscus with proximal dilatation in stones, (2) complete obstruction of the biliary tree with typical rat-tail appearance in cholangiocarcinomas, (3) complete ob truction of the biliary tree with funnel-like deformity or nipple appearance in pancreas head carcinoma, (4) diffuse thread-like narrowing of the bile ducts in sclerosing cholangitis, (5) gradual tapering or obstruction of the distal common bile duct in chronic pancreatitis, (6) numerous small ovoid filling defects within the biliary tree and the gall bladder in clonochisasis, (7) shallow maniscus in the distal end of the common bile duct in periampullary carcinoma, and (8) diffuse narrowing of the extraheaptic biliary tract in metastatic carcinoma from the stomach. The diagnostic accuracy of PTC in 16 operated cases was 93.8%, we were reduced significantly complications by using flexible-needle. In addition, decompression was achieved by aspiration of the bile in the patients with high grade obstruction.
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