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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.
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Background/Aim: The aim of this study was to evaluate the stability and simplicity of papillary balloon dilatation by retrospectively analyzing the results of performing concurrent papillary balloon dilatation in conjunction with percutaneous transhepatic biliary drainage (PTBD) in the patients with biliary obstruction due to common bile duct stones or a tumor who were difficult to treat with an endoscopic approach. Methods: We retrospectively analyzed a total of 21 patients who were treated through a percutaneous transhepatic biliary approach after they were diagnosed with biliary obstruction due to a tumor and biliary stones in a single medical institution for four years from 2012 to 2015. Results: Sixteen out of 21 patients (76.2%) underwent percutaneous transhepatic biliary drainage and papillary balloon dilatation. For 5 patients (23.8%) in whom it was difficult to perform the procedure simultaneously due to the patient’s poor overall condition such as pancreatitis and septic shock, papillary balloon dilatation was performed 5-8 days after biliary drainage. Nineteen of 21 patients (90.5%) were successfully treated by a single procedure without residual stones or restenosis, but in two patients, stones were removed two times and three times. Conclusions: The use of a percutaneous transhepatic biliary approach to patients in whom endoscopy cannot be performed is considered safe and effective. In addition, unless the procedure is specifically contraindicated, the use of papillary balloon dilatation performed simultaneously with PTBD can reduce patient inconvenience and procedure frequency.
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참고문헌 (15)
참고문헌 신청
Kawai K / 1974 / Endoscopic sphincterotomy of the ampulla of Vater / Gastrointest Endosc 20:148~151
Hintze RE / 1997 / Endoscopic access to the papilla of Vater for endoscopic retrograde cholangiopancreatography in patients with billroth II or Roux-en-Y gastrojejunostomy / Endoscopy 29:69~73
Wright BE / 2002 / ERCP in patients with long-limb Roux-en-Y gastrojejunostomy and intact papilla / Gastrointest Endosc 56:225~232
Lobo DN / 1998 / Periampullary diverticula: consequences of failed ERCP / Ann R Coll Surg Engl 80:326~331
Faylona JM / 1999 / Small bowel perforations related to endoscopic retrograde cholangiopancreatography (ERCP) in patients with Billroth II gastrectomy / Endoscopy 31:546~549
Hintze RE / 1997 / Endoscopic access to the papilla of Vater for endoscopic retrograde cholangiopancreatography in patients with billroth II or Roux-en-Y gastrojejunostomy / Endoscopy 29:69~73
Wright BE / 2002 / ERCP in patients with long-limb Roux-en-Y gastrojejunostomy and intact papilla / Gastrointest Endosc 56:225~232
Lobo DN / 1998 / Periampullary diverticula: consequences of failed ERCP / Ann R Coll Surg Engl 80:326~331
Faylona JM / 1999 / Small bowel perforations related to endoscopic retrograde cholangiopancreatography (ERCP) in patients with Billroth II gastrectomy / Endoscopy 31:546~549
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