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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.1
- 수록면
- 524 - 529 (6page)
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초록· 키워드
오류제보하기
Background/Aims: With the progress of product development,single-step endoscopic ultrasound (EUS)-guided transmural drainage can overcome some disadvantages of the blind or two-step procedures used in the treatment of pancreatic pseudocysts. We therefore evaluated the technical feasibility, efficacy, and safety of single-step EUS-guided transmural drainage of pancreatic pseudocysts. Methods: Endoscopic drainage of pancreatic pseudocysts was performed in 47patients (median age, 46 years; range, 38 years to 59 years; 40 men) by using interventional echoendoscopes with a single-step device suitable for ballooning,bougination, and plastic-stent insertion. Results:Endoscopic stent placement was successful in 42 patients (89%; transgastric approach, 34/38; transduodenal approach, 8/9) and failed in 5 patients because of acute angulation (n=4) or small cyst (n=1).
The volume of the pseudocyst was reduced by more than 90% or it disappeared completely in all of 41patients (100%), based on a mean follow-up period of 17 months (range, 11 months to 20 months). The overall recurrence rate was 12% (5/41) after improvement by the procedure. Minor complications (one case of bleeding, three cases of pneumoperitoneum, and one case of peritonitis) occurred after the procedure in five patients (11%), but there were no major complications. Conclusions: Single-step EUS-guided transmural drainage can be used to treat pancreatic pseudocysts with acceptable feasibility, efficacy, and safety.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Antillon MR / 2006 / Single-step EUS-guided transmural drainage of simple and complicated pancreatic pseudocysts / Gastrointest Endosc 63 : 797 ~ 803
Ardengh JC / 2008 / Single-step EUS-guided endoscopic treatment for sterile pancreatic collections: a single-center experience / Dig Dis 26 : 370 ~ 376
Bradley EL 3rd / 1993 / A clinically based classification system for acute pancreatitis. Summary of the International Symposium on Acute Pancreatitis, Atlanta, GA, September
Cahen D / 2005 / Endoscopic drainage of pancreatic pseudocysts: long-term outcome and procedural factors associated with safe and successful treatment / Endoscopy 37 : 977 ~
Chang Yun Hwang / 2009 / Endoscopic Ultrasound Guided Fine Needle Aspiration Biopsy in Diagnosis of Pancreatic and Peripancreatic Lesions: A Single Center Experience in Kore
Ardengh JC / 2008 / Single-step EUS-guided endoscopic treatment for sterile pancreatic collections: a single-center experience / Dig Dis 26 : 370 ~ 376
Bradley EL 3rd / 1993 / A clinically based classification system for acute pancreatitis. Summary of the International Symposium on Acute Pancreatitis, Atlanta, GA, September
Cahen D / 2005 / Endoscopic drainage of pancreatic pseudocysts: long-term outcome and procedural factors associated with safe and successful treatment / Endoscopy 37 : 977 ~
Chang Yun Hwang / 2009 / Endoscopic Ultrasound Guided Fine Needle Aspiration Biopsy in Diagnosis of Pancreatic and Peripancreatic Lesions: A Single Center Experience in Kore
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