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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 457 - 462 (6page)
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Background/Aims: Electrohydraulic lithotripsy (EHL) under endoscopic retrograde cholangiopancreatography (ERCP) guidance can be an option to treat difficult stones. Recently, a digital, single-operator cholangioscope (SPY-DS) has become available. Peroral transluminal cholangioscopy (PTLC) using SPY-DS has also been reported. In this retrospective study, the technical feasibility and clinical effectiveness of EHL for difficult bile duct stones under ERCP guidance and under PTLC guidance was examined. Methods: In this pilot study, patients with difficult bile duct stones between July 2016 and July 2017 were retrospectively enrolled. Results: Forty-two consecutive patients underwent EHL using a SPY-DS; 34 patients underwent EHL under ERCP guidance, and the other 8 patients underwent EHL under PTLC guidance. Median procedure time was 31 minutes (range, 19 to 66 minutes). The median number of EHL sessions was 1 (range, 1 to 2), and that of ERCP sessions was also 1 (range, 1 to 3). The rate of complete stone clearance was 98% (41/42). Adverse events such as cholangitis and acute pancreatitis were seen in 14% (6/42), which could be treated conservatively. Conclusions: EHL using SPY-DS was technically feasible, not only under ERCP guidance, but also PTLC guidance. A prospective clinical study of EHL using SPY-DS is needed
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등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Yasuda I / 2013 / Recent advances in endoscopic management of difficult bile duct stones / Dig Endosc 25:376~385
Trikudanathan G / 2013 / Endoscopic management of difficult common bile duct stones / World J Gastroenterol 19:165~173
Buxbaum J / 2013 / Modern management of common bile duct stones / Gastrointest Endosc Clin N Am 23:251~275
Katanuma A / 2010 / Endoscopic treatment of difficult common bile duct stones / Dig Endosc 22(Suppl 1):S90~S97
Ogura T / 2016 / A review of treatment options for bile duct stones / Expert Rev Gastroenterol Hepatol 10:1271~1278
Trikudanathan G / 2013 / Endoscopic management of difficult common bile duct stones / World J Gastroenterol 19:165~173
Buxbaum J / 2013 / Modern management of common bile duct stones / Gastrointest Endosc Clin N Am 23:251~275
Katanuma A / 2010 / Endoscopic treatment of difficult common bile duct stones / Dig Endosc 22(Suppl 1):S90~S97
Ogura T / 2016 / A review of treatment options for bile duct stones / Expert Rev Gastroenterol Hepatol 10:1271~1278
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