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.
초록· 키워드
오류제보하기
The advent of endoscopic retrograde cholangiopancreatography (ERCP) three decades ago had a dramatic impact on the treatment of common bile duct (CBD) stones. The advantages of ERCP over open surgery led to its widespread dissemination ad the predominant method of treating choledocholithiasis. After sphincterotomy, 85% to 90% of CBD stones can be removed with a Dormia basket or balloon catheter. These techniques are described as having both advantages and disadvantages. Methods for managing “difficult stones” include mechanical lithotripsy (ML), intraductal shock wave lithotripsy, such as electrohyhydroulic lthotripsy (EHL), laser-induced shock wave lithotripsy (LISL), extracoporeal shock wave lithotripsy, chemical dissolution, and biliary stenting. The local expertise and availability of equipment determines the choice of method used. In general, EHL or LISL is used for impacted CBD stones including stones in Mirizzi syndrome refractory to ML. ESWL is best suited for intrahepatic stones. Using currently bile duct stones still require surgical intervention. (Korean J Med 75:633-641, 2008)
목차
등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Bergman JJ / 1997 / Randomized trial of endoscopic balloon dilation versus endoscopic sphinctertomy for removal of bile duct stones / Lancet 349 : 1124 ~ 1129
Chan AC / 1998 / Common bile duct stones become smaller after endoscopic biliary stenting / Endoscopy 30 : 356 ~ 359
Cho YD / 1999 / Prospective Analysis of Endoscopic Papillary Balloon Dilatation and Endoscopic Sphincteroto my for Removal of Common Bile Duct Stones / Korean J Gastroentero
Classen M / 1974 / Endoscopic sphincterotomy of the papilla of vater and extraction of stones from the choledochal duct (author's transl)] / Dtsch Med Wochenschr 99 : 496 ~ 4
Cotton PB / 1980 / Non-operative removal of bile duct stones by duodenoscopic sphincterotomy / Br J Surg 67 : 1 ~ 5
Chan AC / 1998 / Common bile duct stones become smaller after endoscopic biliary stenting / Endoscopy 30 : 356 ~ 359
Cho YD / 1999 / Prospective Analysis of Endoscopic Papillary Balloon Dilatation and Endoscopic Sphincteroto my for Removal of Common Bile Duct Stones / Korean J Gastroentero
Classen M / 1974 / Endoscopic sphincterotomy of the papilla of vater and extraction of stones from the choledochal duct (author's transl)] / Dtsch Med Wochenschr 99 : 496 ~ 4
Cotton PB / 1980 / Non-operative removal of bile duct stones by duodenoscopic sphincterotomy / Br J Surg 67 : 1 ~ 5
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