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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
- 학술대회자료
- 저자정보
- 발행연도
- 2021.6
- 수록면
- 50 - 51 (2page)
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The patients visit emergent department for various biliopancreatic disease such as acute cholecystitis, cholangitis, duodenal perforation, and ileus after operation. Tokyo guideline for acute cholecystitis was well established through several revisions and the patients were managed based on guideline which comprised of severity evaluation, and treatment according to the experienced center and general status of the patients. Duodenal perforation is a rare, but potentially life-threatening injury. The mortality rate ranges from 4% to 30%. Surgery is still the mainstay of treatment. There are various etiology for duodenal perforation. Peptic ulcer disease is a leading cause of duodenal perforation. The incidence has been decreased because of PPIs, however, it still cause duodenal perforation in 2%–10% of the patients. Additionally, duodenal diverticula, impacted gallstones in the duodenum, infectious disease and autoimmune disease are related with duodenal performation. Duodenal perforations after ERCP is rare. Recent systematic review reported that incidence was 0.6%, but perforation-related mortality was 9.9%. The risk factors of duodenal perforation after ERCP were old age, sphincter of Oddi dysfunction, precut, intramural injection of contrast medium and postoperative status of gastrectomy. Stapfer classified perforation into 4 categories according to the severity. Type I perforations are large lateral or medial duodenal wall perforations usually caused by the endoscope itself. Type II perforations are related to the sphincterotomy. Type III perforations represent distal bile duct injur^_@span style=color:#999999 ^_# ... ^_@/span^_#^_@a href=javascript:; onclick=onClickReadNode('NODE10593431');fn_statistics('Z354','null','null'); style='color:#999999;font-size:14px;text-decoration:underline;' ^_#전체 초록 보기^_@/a^_#
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UCI(KEPA) : I410-ECN-0101-2021-514-001919016