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표준 내시경유두괄약근절개술에서 사용 전류에 따른 합병증 발생의 비교

Other Titles
 Type of Electric Currents Used for Standard Endoscopic Sphincterotomy Does Not Determine the Type of Complications 
Authors
 이세준  ;  송기섭  ;  정재복  ;  이관식  ;  송시영  ;  박승우  ;  백용한  ;  지상원  ;  정연수  ;  이덕용  ;  정준표 
Citation
 Korean Journal of Gastroenterology, Vol.43(3) : 204-210, 2004 
Journal Title
 Korean Journal of Gastroenterology (대한소화기학회지) 
ISSN
 1598-9992 
Issue Date
2004
MeSH
Aged ; Choledocholithiasis/surgery ; Female ; Humans ; Male ; Middle Aged ; Pancreatitis/etiology ; Sphincterotomy, Endoscopic/adverse effects* ; Sphincterotomy, Endoscopic/methods
Keywords
Endoscopic sphincterotomy ; Electric current ; Complication
Abstract
Background/Aims: The blended current is usually used for endoscopic sphincterotomy (EST) to minimize bleeding. The pure cutting current may induce less edema of the ampulla and therefore result in less injury to the pancreas theoretically. The aim of this study was to evaluate effects of electric currents used on the development of serum pancreatic enzyme evaluation, clinical pancreatitis or bleeding after EST. Methods: One hundred and eighteen consecutive patients who underwent EST with standard papillotome alone for the treatment of choledocholithiasis were reviewed. All EST had been performed by two endoscopists whose experience on EST was similar: one uses "blended current"(BC group, n=74), while the other uses "pure cutting current" (PC group, n=44). Results: Baseline clinical, laboratory, and procedural parameters were similar in both groups. The incidences of hyperamylasemia and hyperlipasemia were similar between two groups. There was no significant difference in the incidence of clinical pancreatitis between two groups (BC 6.8% vs PC 0.0%, p=0.1557). All episodes of pancreatitis were mild. No episodes of significant bleeding occurred after EST. The incidences of sepsis, cholangitis and perforation were also not different between two groups. Conclusions: Development of complications after standard EST such as hyperamylasemia, clinical pancreatitis, and bleeding may not depend on the electric current used.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Jin Kyung(강진경)
Park, Seung Woo(박승우) ORCID logo https://orcid.org/0000-0001-8230-964X
Paik, Yong Han(백용한)
Song, Kee Sup(송기섭)
Song, Si Young(송시영) ORCID logo https://orcid.org/0000-0002-1417-4314
Lee, Kwan Sik(이관식) ORCID logo https://orcid.org/0000-0002-3672-1198
Lee, Sang In(이상인)
Lee, Se Joon(이세준) ORCID logo https://orcid.org/0000-0002-2695-2670
Chung, Jae Bock(정재복)
Chung, Jun Pyo(정준표)
Ji, Sang Won(지상원)
Choi, Seung Ho(최승호) ORCID logo https://orcid.org/0000-0002-9872-3594
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/112374
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