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내시경 유두괄약근 절개술과 큰 풍선 유두 확장술을 병용한 거대 담관결석의 치료
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 이관식 | - |
dc.contributor.author | 이동기 | - |
dc.contributor.author | 이상인 | - |
dc.contributor.author | 이세준 | - |
dc.contributor.author | 박효진 | - |
dc.contributor.author | 백용한 | - |
dc.date.accessioned | 2015-06-10T11:55:12Z | - |
dc.date.available | 2015-06-10T11:55:12Z | - |
dc.date.issued | 2006 | - |
dc.identifier.issn | 2234-2400 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/108860 | - |
dc.description.abstract | Background/Aims: The extraction of large common bile duct (CBD) stones after an endoscopic sphincterotomy (EST) is successful in 80∼90% of cases but it often requires a prolonged time and repeated trials. This study investigated the utility of a combined endoscopic papillary large balloon dilatation (EPLBD) and a mid-incision of an EST (m-EST) method for the removal of large CBD stones. Methods: Thirty patients with large CBD stones were enrolled in this study. EPLBD was carried out using the one-step inflation of a 15∼18 mm diameter balloon after m-EST. Results: The maximum stone diameter was 21.62±5.38 mm. Twelve patients had more than 4 stones, 7 patients had 2 stones, and the remainder had a single large stone. Complete ductal clearance was achieved in all patients. After the procedure, the serum amylase and/or lipase levels were elevated in 3 patients (13.3%). However, there was no episode of true pancreatitis. Minor bleeding was encountered in only one patient (3.3%), and was easily controlled by an endoscopic epinephrine injection. The procedure was carried out safely in 6 patients with periampullary diverticulum. No perforation or mortality was encountered. Conclusions: Combined EPLBD and m-EST is a safe and effective method, and may be a good alternative treatment for removing large CBD stones. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 184~189 | - |
dc.relation.isPartOf | Korean Journal of Gastrointestinal Endoscopy (대한소화기내시경학회지) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | 내시경 유두괄약근 절개술과 큰 풍선 유두 확장술을 병용한 거대 담관결석의 치료 | - |
dc.title.alternative | Endoscopic Sphincterotomy Plus Endoscopic Papillary Large Balloon Dilatation for Large Bile Duct Stones | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학) | - |
dc.contributor.googleauthor | 황성준 | - |
dc.contributor.googleauthor | 김영균 | - |
dc.contributor.googleauthor | 이규철 | - |
dc.contributor.googleauthor | 지명관 | - |
dc.contributor.googleauthor | 김현수 | - |
dc.contributor.googleauthor | 백순구 | - |
dc.contributor.googleauthor | 이근만 | - |
dc.contributor.googleauthor | 장진혁 | - |
dc.contributor.googleauthor | 김민수 | - |
dc.contributor.googleauthor | 백용한 | - |
dc.contributor.googleauthor | 이세준 | - |
dc.contributor.googleauthor | 박효진 | - |
dc.contributor.googleauthor | 이관식 | - |
dc.contributor.googleauthor | 이상인 | - |
dc.contributor.googleauthor | 이동기 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A02666 | - |
dc.contributor.localId | A02723 | - |
dc.contributor.localId | A02828 | - |
dc.contributor.localId | A02882 | - |
dc.contributor.localId | A01774 | - |
dc.contributor.localId | A01829 | - |
dc.relation.journalcode | J02016 | - |
dc.subject.keyword | Choledocholithiasis | - |
dc.subject.keyword | Endoscopic sphincterotomy | - |
dc.subject.keyword | Endoscopic papillary balloon dilatation | - |
dc.contributor.alternativeName | Lee, Kwan Sik | - |
dc.contributor.alternativeName | Lee, Dong Ki | - |
dc.contributor.alternativeName | Lee, Sang In | - |
dc.contributor.alternativeName | Lee, Se Joon | - |
dc.contributor.alternativeName | Park, Hyo Jin | - |
dc.contributor.alternativeName | Paik, Yong Han | - |
dc.contributor.affiliatedAuthor | Lee, Kwan Sik | - |
dc.contributor.affiliatedAuthor | Lee, Dong Ki | - |
dc.contributor.affiliatedAuthor | Lee, Sang In | - |
dc.contributor.affiliatedAuthor | Lee, Se Joon | - |
dc.contributor.affiliatedAuthor | Park, Hyo Jin | - |
dc.contributor.affiliatedAuthor | Paik, Yong Han | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 32 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 184 | - |
dc.citation.endPage | 189 | - |
dc.identifier.bibliographicCitation | Korean Journal of Gastrointestinal Endoscopy (대한소화기내시경학회지), Vol.32(3) : 184-189, 2006 | - |
dc.identifier.rimsid | 49922 | - |
dc.type.rims | ART | - |
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