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내시경 유두괄약근 절개술과 큰 풍선 유두 확장술을 병용한 거대 담관결석의 치료

DC Field Value Language
dc.contributor.author이관식-
dc.contributor.author이동기-
dc.contributor.author이상인-
dc.contributor.author이세준-
dc.contributor.author박효진-
dc.contributor.author백용한-
dc.date.accessioned2015-06-10T11:55:12Z-
dc.date.available2015-06-10T11:55:12Z-
dc.date.issued2006-
dc.identifier.issn2234-2400-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/108860-
dc.description.abstractBackground/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.statementOfResponsibilityopen-
dc.format.extent184~189-
dc.relation.isPartOfKorean Journal of Gastrointestinal Endoscopy (대한소화기내시경학회지)-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.title내시경 유두괄약근 절개술과 큰 풍선 유두 확장술을 병용한 거대 담관결석의 치료-
dc.title.alternativeEndoscopic Sphincterotomy Plus Endoscopic Papillary Large Balloon Dilatation for Large Bile Duct Stones-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학)-
dc.contributor.googleauthor황성준-
dc.contributor.googleauthor김영균-
dc.contributor.googleauthor이규철-
dc.contributor.googleauthor지명관-
dc.contributor.googleauthor김현수-
dc.contributor.googleauthor백순구-
dc.contributor.googleauthor이근만-
dc.contributor.googleauthor장진혁-
dc.contributor.googleauthor김민수-
dc.contributor.googleauthor백용한-
dc.contributor.googleauthor이세준-
dc.contributor.googleauthor박효진-
dc.contributor.googleauthor이관식-
dc.contributor.googleauthor이상인-
dc.contributor.googleauthor이동기-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA02666-
dc.contributor.localIdA02723-
dc.contributor.localIdA02828-
dc.contributor.localIdA02882-
dc.contributor.localIdA01774-
dc.contributor.localIdA01829-
dc.relation.journalcodeJ02016-
dc.subject.keywordCholedocholithiasis-
dc.subject.keywordEndoscopic sphincterotomy-
dc.subject.keywordEndoscopic papillary balloon dilatation-
dc.contributor.alternativeNameLee, Kwan Sik-
dc.contributor.alternativeNameLee, Dong Ki-
dc.contributor.alternativeNameLee, Sang In-
dc.contributor.alternativeNameLee, Se Joon-
dc.contributor.alternativeNamePark, Hyo Jin-
dc.contributor.alternativeNamePaik, Yong Han-
dc.contributor.affiliatedAuthorLee, Kwan Sik-
dc.contributor.affiliatedAuthorLee, Dong Ki-
dc.contributor.affiliatedAuthorLee, Sang In-
dc.contributor.affiliatedAuthorLee, Se Joon-
dc.contributor.affiliatedAuthorPark, Hyo Jin-
dc.contributor.affiliatedAuthorPaik, Yong Han-
dc.rights.accessRightsfree-
dc.citation.volume32-
dc.citation.number3-
dc.citation.startPage184-
dc.citation.endPage189-
dc.identifier.bibliographicCitationKorean Journal of Gastrointestinal Endoscopy (대한소화기내시경학회지), Vol.32(3) : 184-189, 2006-
dc.identifier.rimsid49922-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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