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
- 2016.1
- 수록면
- 873 - 880 (8page)
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초록· 키워드
오류제보하기
Pancreatolithiasis, or pancreatic calculi (PC), is a sequel of chronic pancreatitis (CP) and may occur in the main ducts, side branches or parenchyma. Calculi are the end result, irrespective of the etiology of CP. PC contains an inner nidus surrounded by successive layers of calcium carbonate. These calculi obstruct the pancreatic ducts and produce ductal hypertension, which leads to pain, the cardinal feature of CP. Both endoscopic therapy and surgery aim to clear these calculi and decrease ductal hypertension. In small PC, endoscopic retrograde cholangiopancreatography (ERCP) followed by sphincterotomy and extraction is the treatment of choice.
Large calculi require fragmentation by extracorporeal shock wave lithotripsy (ESWL) prior to their extraction or spontaneous expulsion. In properly selected cases, ESWL followed by ERCP is the standard of care for the management of large PC. Long-term outcomes following ESWL have demonstrated good pain relief in approximately 60% of patients. However, ESWL has limitations. Per oral pancreatoscopy and intraductal lithotripsy represent techniques in evolution, and in current practice their use is limited to centers with considerable expertise. Surgery should be offered to all patients with extensive PC, associated multiple ductal strictures or following failed endotherapy.
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등록된 정보가 없습니다.
참고문헌 (52)
참고문헌 신청
Lankisch PG / 1998 / Pancreatitis / Springer-Verlag
Tandan M / 2010 / Extracorporeal shock wave lithotripsy and endotherapy for pancreatic calculi: a large single center experience / Indian J Gastroenterol 29:143~148
Bhasin DK / 2009 / Clinical profile of idiopathic chronic pancreatitis in North India / Clin Gastroenterol Hepatol 7:594~599
Balakrishnan V / 2008 / Chronic pancreatitis:a prospective nationwide study of 1,086 subjects from India / JOP 9:593~600
Rösch T / 2002 / Endoscopic treatment of chronic pancreatitis: a multicenter study of 1000 patients with longterm follow-up / Endoscopy 34:765~771
Tandan M / 2010 / Extracorporeal shock wave lithotripsy and endotherapy for pancreatic calculi: a large single center experience / Indian J Gastroenterol 29:143~148
Bhasin DK / 2009 / Clinical profile of idiopathic chronic pancreatitis in North India / Clin Gastroenterol Hepatol 7:594~599
Balakrishnan V / 2008 / Chronic pancreatitis:a prospective nationwide study of 1,086 subjects from India / JOP 9:593~600
Rösch T / 2002 / Endoscopic treatment of chronic pancreatitis: a multicenter study of 1000 patients with longterm follow-up / Endoscopy 34:765~771
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