쓸개운동이상증의 수술치료와 약물치료의 성적 비교

정용일; 안병율; 조호영; 이준혁; 최향희; 김병욱

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자료유형: 학술저널

저자정보: 정용일 (포항성모병원) 안병율 (포항성모병원) 조호영 (포항성모병원) 이준혁 (포항성모병원) 최향희 (포항성모병원) 김병욱 (포항성모병원)

저널정보: 한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제14권 제2호

발행연도: 2010.6

수록면: 110 - 115 (6page)

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Purpose: The purpose of this study was to compare outcomes for surgical treatment with those for medical treatment of GB dyskinesia.
Methods: Retrospective analysis of medical records and telephone interviews of 67 patients diagnosed with GB dyskinesia was done at Pohang St. Mary’s Hospital between January 2004 and December 2009. Group 1 (n=18) patients received laparoscopic cholecystectomy. Group 2 (n=49) patients received medical treatment. GB dyskinesia was the diagnosis if the patient had typical biliary colic symptoms without GB stones or other GI disease, and if the ejection fraction was less than 35% on Tc-99m-DISIDA scans.
Results: The average age of patients diagnosed with GB dyskinesia was 45.8 years old. The sex ratio was 15：52 (male：female). The average symptom duration was 25.4 days. All had RUQ and, or epigastric pain. There were no significant between group differences in age, sex ratio, symptom duration, symptoms, follow up period, and ejection fraction. In group 1, patient symptoms improved after treatment in 16 cases (88.9%); in group 2, patient symptoms improved in 19 cases (38.8%). Surgical treatment was significantly more effective than medical treatment. The reasons for choosing medical treatment were predominantly the preference of the doctors.
Conclusion: Surgical treatment is a more effective treatment for GB dyskinesia than medical treatment. Therefore, laparoscopic cholecystectomy should be considered as the 1st line treatment of choice for GB dyskinesia.

#Biliary dyskinesia #GB dyskinesia #Laparoscopic cholecystectomy #쓸개관운동이상증 #쓸개운동이상증 #복강경쓸개절제술

참고문헌 (26)

참고문헌 신청

1. [학술지(정기간행물)] - Yost F / 1999 / Cholecystectomy is an effective treatment for biliary dyskinesia / Am J Surg 178 : 462 ~ 465

2. [학술지(정기간행물)] - Sorenson MK / 1993 / Abnormal gallbladder nuclear ejection fraction predicts success of cholecystectomy in patients with biliary dyskinesia / Am J Surg 166 : 672 ~ 674

3. [학술지(정기간행물)] - George J / 2007 / Biliary and gallbladder dyskinesia / Curr Tret Options Gastroenterol 10 : 322 ~ 327

4. [학술지(정기간행물)] - Szepes A / 2005 / Diagnosis of gallbladder dyskinesia by quantitative hepatobiliary scintigraphy / Clin Nucl Med 30 : 302 ~ 307

5. [학술지(정기간행물)] - Goncalves RM / 1998 / Biliary dyskinesia: natural history and surgical results / Am Surg 64 : 493 ~ 497

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