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.
이용수
초록· 키워드
오류제보하기
Background/Aim: Percutaneous transhepatic cholangioscopy (PTCS) has been widely used for the diagnosis and treatment. PTCS-related complications (hemobilia, cholangitis, biliary tract perforations) are not infrequent. However, data on the risk factors for PTCS-related complications are limited. Therefore, we aimed to identify the risk factors for PTCS-related complications. Methods: Two hundred thirty-three patients who underwent PTCS at a single tertiary center between January 2006 and October 2014 were enrolled. After retrospectively analyzing the patients’ medical records, 212 patients were enrolled and classified into two groups: 1) a complication group and 2) a non-complication group. Results: The study population comprised 112 men and 100 women, with a median age of 64.5 years. Of the 212 patients, 32 (15.1%) developed complications: 14 (6.7%) developed cholangitis, six (2.8%) developed bile duct injury, and two (0.9%) developed hemobilia. In the univariate analyses, older age, a small number of tract dilatation sessions, and computed tomography (CT) findings of liver cirrhosis and a non-dilated intrahepatic duct were risk factors for PTCS-related complications. In the multivariate analysis, older age, a small number of tract dilatation sessions, and the CT finding of a non-dilated intrahepatic duct were independent factors for predicting PTCS-related complications. Serial tract dilatations (≥2 sessions) were performed in 95 patients (44.8%), but this did not affect the complication rate. In this subgroup of patients, a short interval between sessions (≤3 days) was associated with PTCSrelated complications. Conclusions: Elderly patients and those with non-dilated intrahepatic ducts on CT need to be managed carefully. Stepwise tract dilatations and a long interval between sessions (>3 days) can help decrease PTCS-related complications.
목차
등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
Nimura Y / 1998 / Cholangioscopy / Endoscopy 30:182~188
Neuhaus H / 1991 / Percutaneous cholangioscopic or transpapillary insertion of self-expanding biliary metal stents / Gastrointest Endosc 37:31~37
Lee SK / 2001 / Percutaneous transhepatic cholangioscopic treatment for hepatolithiasis : an evaluation of longterm results and risk factors for recurrence / Gastrointest Endosc 53:318~323
Kim JH / 2003 / Percutaneous transhepatic cholangioscopic treatment of patients with benign bilio-enteric anastomotic strictures / Gastrointest Endosc 58:733~738
Chen MF / 1996 / Bacteremia following postoperative choledochofiberscopy--a prospective study / Hepatogastroenterology 43:586~589
Neuhaus H / 1991 / Percutaneous cholangioscopic or transpapillary insertion of self-expanding biliary metal stents / Gastrointest Endosc 37:31~37
Lee SK / 2001 / Percutaneous transhepatic cholangioscopic treatment for hepatolithiasis : an evaluation of longterm results and risk factors for recurrence / Gastrointest Endosc 53:318~323
Kim JH / 2003 / Percutaneous transhepatic cholangioscopic treatment of patients with benign bilio-enteric anastomotic strictures / Gastrointest Endosc 58:733~738
Chen MF / 1996 / Bacteremia following postoperative choledochofiberscopy--a prospective study / Hepatogastroenterology 43:586~589
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Asymptomatic Bile Duct Dilatation in Children: Is It a Disease?
Pediatric Gastroenterology, Hepatology & Nutrition
2015 .01
-
Complications of Spine Surgery in Elderly Japanese Patients: Implications for Future of World Population Aging
Neurospine
2019 .01
-
Complications and Management
대한외과학회 학술대회 초록집
2017 .11
-
Management of Pediatric Patients Presenting with Acute Abdomen Accompanying Dilatation of the Common Bile Duct
Pediatric Gastroenterology, Hepatology & Nutrition
2018 .01
-
Risk Factors for the Severity of Complications in Minimally Invasive Total Gastrectomy for Gastric Cancer: a Retrospective Cohort Study
Journal of Gastric Cancer
2021 .12
-
Risk Factors and Functional Impact of Medical Complications in Stroke
Annals of Rehabilitation Medicine
2017 .01
-
Causes, Timing, and Safety of Completion Thyroidectomy during the Follow-up Period after Lobectomy: a Single-Center Experience
The Journal of Endocrine Surgery
2019 .01
-
무증상 담관 확장에 대한 임상적 접근
대한췌담도학회지
2017 .01
-
Standardized analysis of complications after robot-assisted radical cystectomy: Korea University Hospital experience
Investigative and Clinical Urology
2015 .01
-
Early reoperation after adult living-donor liver transplantation is associated with poor survival
Clinical Transplantation and Research
2019 .01
-
Complications after liver surgery
Annals of Hepato-Biliary-Pancreatic Surgery
2021 .12
-
Nutritional risk factors are associated with postoperative complications after pancreaticoduodenectomy
Annals of Surgical Treatment and Research
2019 .04
-
Preoperative Narcotic Use, Impaired Ambulation Status, and Increased Intraoperative Blood Loss Are Independent Risk Factors for Complications Following Posterior Cervical Laminectomy and Fusion Surgery
Neurospine
2019 .01
-
Clinical Outcomes of Renal Pelvis Dilatation in Very Low Birth Weight Infants
Perinatology
2016 .01
-
Spinal Fractures in Ankylosing Spondylitis: Patterns, Management, and Complications in the United States ? Analysis of Latest Nationwide Inpatient Sample Data
Neurospine
2021 .12
-
Educational Needs Associated with the Level of Complication and Comparative Risk Perceptions in People with Type 2 Diabetes
Osong Public Health and Research Persptectives
2020 .01
-
Neuromuscular Scoliosis: Comorbidities and Complications
Asian Spine Journal
2021 .12
-
Complications associated with orthognathic surgery
대한구강악안면외과학회지
2017 .01
-
Intrahepatic Bile Duct Dilatation Caused by Pancreatic Pseudocyst: A Case Report
Investigative Magnetic Resonance Imaging
2022 .12
-
What do we know about uncommon complications associated with third molar extractions? A scoping review of case reports and case series
대한구강악안면외과학회지
2023 .02
이 논문의 저자 정보
최근 본 자료
댓글(0)
0