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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 540 - 546 (7page)
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Background/Aims: Intraductal ultrasonography (IDUS) has been performed as an adjunct to endoscopic retrograde cholangiography (ERC) during radiocontrast cholangiography (RC). Radiation exposure during RC poses a health risk to both patients and examiners. We evaluated the feasibility of IDUS without RC in various extrahepatic biliary diseases. Methods: IDUS was performed with the insertion of an IDUS probe from the papilla of Vater to the confluent portion of the common hepatic duct without fluoroscopy. The technical success rate and procedure-related complications were evaluated retrospectively. Results: Wire-guided IDUS without RC was performed in 105 patients. The mean age was 66.5 years, and 50 (47.6%) were male. The IDUS diagnoses included choledocholithiasis (73, 69.5%), benign biliary stricture (11, 10.5%), choledocholithiasis with biliary pancreatitis (9, 8.6%), bile duct cancer (5, 4.8%), pancreatic cancer (1, 0.9%), and others (6, 5.7%). After IDUS, 66 (62.8%) underwent stone removal, 19 (18.1%) underwent biliary drainage, and 7 (6.6%) underwent brush cytology and biopsy. No significant complications such as perforation or severe pancreatitis occurred. Conclusions: IDUS without RC was a feasible and safe approach in patients with various extrahepatic biliary diseases. We anticipate a potentially important role of IDUS in various ERC procedures because it lacks the hazards of RC.
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등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Akcakaya A / 2009 / Endoscopic retrograde cholangiopancreatography during pregnancy without radiation / World J Gastroenterol 15 : 3649 ~ 3652
Ang TL / 2009 / Are there roles for intraductal US and saline solution irrigation in ensuring complete clearance of common bile duct stones? / Gastrointest Endosc 69 : 1276
Artifon EL / 2009 / Prospective randomized trial of EUS versus ERCP-guided common bile duct stone removal: an interim report / Gastrointest Endosc 69 : 238 ~ 243
Ascher SM / 1992 / Intraoperative bile duct sonography during laparoscopic cholecystectomy: experience with a 12.5-MHz catheter-based US probe / Radiology 185 : 493 ~ 496
Catanzaro A / 2003 / Clinical utility of intraductal US for evaluation of choledocholithiasis / Gastrointest Endosc 57 : 648 ~ 652
Ang TL / 2009 / Are there roles for intraductal US and saline solution irrigation in ensuring complete clearance of common bile duct stones? / Gastrointest Endosc 69 : 1276
Artifon EL / 2009 / Prospective randomized trial of EUS versus ERCP-guided common bile duct stone removal: an interim report / Gastrointest Endosc 69 : 238 ~ 243
Ascher SM / 1992 / Intraoperative bile duct sonography during laparoscopic cholecystectomy: experience with a 12.5-MHz catheter-based US probe / Radiology 185 : 493 ~ 496
Catanzaro A / 2003 / Clinical utility of intraductal US for evaluation of choledocholithiasis / Gastrointest Endosc 57 : 648 ~ 652
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