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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
- 2019.1
- 수록면
- 353 - 359 (7page)
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초록· 키워드
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Background/Aims: Endoscopic ultrasound (EUS)-guided transmural drainage for peripancreatic fluid collections (PFCs) has gainedwide acceptance as a nonsurgical intervention. Although a lumen-apposing metal stent (LAMS) was recently introduced, there are fewdata comparing the clinical outcomes between LAMS and plastic stent (PS) drainage. Methods: Endoscopy databases of all patients who had undergone EUS-guided drainage for PFCs were searched and the clinicaloutcomes of EUS-guided drainage according to stent-type used were compared. Results: A total of 27 patients (median age, 56 years) with PFCs underwent EUS-guided transmural drainage between January 2011 andDecember 2017. Of these, 17 underwent PS placement and 10 underwent LAMS placement. There was no significant difference in thetechnical success rate between the 2 groups (94.1% vs. 100%, p=1.0). Procedure time was shorter in the LAMS group compared to thatin the PS group (10.6±2.5 min vs. 21.4±9.5 min, p=0.002). Among subjects with clinical success, recurrence of PFC after stent removaloccurred in 5 of 12 patients with PS and 4 of 10 with LAMS, without statistical difference (41.7% vs. 40.0%, p=1.0). Conclusions: Although our study showed similar clinical outcomes for LAMS and PS, further prospective trials are required to validatethe superiority of LAMS.
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등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Lang GD / 2018 / EUS-guided drainage of peripancreatic fluid collections with lumen-apposing metal stents and plastic double-pigtail stents : comparison of efficacy and adverse event rates / Gastrointest Endosc 87:150~157
Sharaiha RZ / 2015 / Metal versus plastic for pancreatic pseudocyst drainage : clinical outcomes and success / Gastrointest Endosc 82:822~827
Aghdassi AA / 2006 / Pancreatic pseudocysts--when and how to treat? / HPB (Oxford) 8:432~441
Bang JY / 2014 / Relationship between stent characteristics and treatment outcomes in endoscopic transmural drainage of uncomplicated pancreatic pseudocysts / Surg Endosc 28:2877~2883
Bakker OJ / 2012 / Endoscopic transgastric vs surgical necrosectomy for infected necrotizing pancreatitis : a randomized trial / JAMA 307:1053~1061
Sharaiha RZ / 2015 / Metal versus plastic for pancreatic pseudocyst drainage : clinical outcomes and success / Gastrointest Endosc 82:822~827
Aghdassi AA / 2006 / Pancreatic pseudocysts--when and how to treat? / HPB (Oxford) 8:432~441
Bang JY / 2014 / Relationship between stent characteristics and treatment outcomes in endoscopic transmural drainage of uncomplicated pancreatic pseudocysts / Surg Endosc 28:2877~2883
Bakker OJ / 2012 / Endoscopic transgastric vs surgical necrosectomy for infected necrotizing pancreatitis : a randomized trial / JAMA 307:1053~1061
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