지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.9
- 수록면
- 195 - 204 (10page)
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초록· 키워드
오류제보하기
Purpose: The purpose of this study is to analyze the treatment strategies of patients with endoscopic retrograde cholangiopancreatography (ERCP)-related perforations. This is a retrospective study. Methods: We experienced 13 perforations associated with ERCP. We reviewed the medical recordsand classified ERCP-related perforations according to mechanism of injury in terms of perforating device. Injury by endoscopic tip or insertion tube was classified as type I, injury by cannulation catheter or sphincterotomy knife as type II, and injury by guidewire as type III. Results: Of four type I injuries, one case was managed by conservative management after primary closure with a hemoclip during ERCP. The other three patients underwent surgical treatments such as primary closure orpancreatico-duodenectomy. Of five type II injuries, two patients underwent conservative management and the other three cases were managed by surgical treatment such as duodenojejunostomy, duodenal diverticulization and pancreatico-duodenectomy. Of four type III injuries, three patients were managed conservatively and the remaining patient was managed by T-tube choledochostomy. Conclusion: Type I injuries require immediate surgical management after EPCP or immediate endoscopic closure during ERCP whenever possible. Type II injuries require surgical or conservative treatment according to intra- and retro-peritoneal dirty fluid collection findings following radiologic evaluation. Type III injuries almost always improve after conservative treatment with endoscopic nasobilliary drainage.
목차
Purpose
INTRODUCTION
METHODS
RESULTS
DISCUSSION
CONFLICTS OF INTEREST
REFERENCES
참고문헌 (16)
참고문헌 신청
1. [학술지(정기간행물)] - Christensen M / 2004 / Complications of ERCP: a prospective study / Gastrointest Endosc 60 : 721 ~ 731
2. [학술지(정기간행물)] - Enns R / 2002 / ERCP-related perforations: risk factors and management / Endoscopy 34 : 293 ~ 298
3. [학술지(정기간행물)] - Pungpapong S / 2005 / Experience on endoscopic retrograde cholangiopancreatography at tertiary referral center in Thailand: risks and complications / J Med Assoc Thai 88 : 238 ~ 246
4. [학술지(정기간행물)] - Booth FV / 1990 / Surgical management of complications of endoscopic sphincterotomy with precut papillotomy / Am J Surg 159 : 132 ~ 135
5. [학술지(정기간행물)] - Stapfer M / 2000 / Management of duodenal perforation after endoscopic retrograde cholangiopancreatography and sphincterotomy / Ann Surg 232 : 191 ~ 198
2. [학술지(정기간행물)] - Enns R / 2002 / ERCP-related perforations: risk factors and management / Endoscopy 34 : 293 ~ 298
3. [학술지(정기간행물)] - Pungpapong S / 2005 / Experience on endoscopic retrograde cholangiopancreatography at tertiary referral center in Thailand: risks and complications / J Med Assoc Thai 88 : 238 ~ 246
4. [학술지(정기간행물)] - Booth FV / 1990 / Surgical management of complications of endoscopic sphincterotomy with precut papillotomy / Am J Surg 159 : 132 ~ 135
5. [학술지(정기간행물)] - Stapfer M / 2000 / Management of duodenal perforation after endoscopic retrograde cholangiopancreatography and sphincterotomy / Ann Surg 232 : 191 ~ 198
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UCI(KEPA) : I410-ECN-0101-2013-514-002683850