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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
- 2015.1
- 수록면
- 59 - 65 (7page)
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초록· 키워드
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Background/Aims: Endoscopic papillary balloon dilation (EPBD) has been advocated as an alternative therapy to endoscopic sphincterotomy for the treatment of common bile duct (CBD) stones. However, there is no established consensus on the optimal balloon dilation duration (BDD). We prospectively evaluated the efficacy and post-endoscopic retrograde cholangiopancreatography (ERCP) complications between the 20- and 60-second EPBD groups.
Methods: A total of 228 patients with small CBD stones (≤12 mm) were randomly assigned to undergo EPBD with a 20- or 60-second duration at six institutions. We evaluated baseline patient characteristics, endoscopic data, clinical outcomes, and procedure-related complications. In addition, we analyzed risk factors for postprocedural pancreatitis.
Results: CBD stones were removed successfully in 107 of 109 patients (98.1%) in the 20-second group and in 112 of 119 patients (94.1%) in the 60-second group (p=0.146). Post-ERCP pancreatitis developed in seven patients (6.4%) in the 20-second group and nine patients (7.5%) in the 60-second group (p=0.408). In multivariate analysis, contrast dye injection into the pancreatic duct is a significant risk factor for post-EPBD pancreatitis.
Conclusions: Based on the data showing that there were no significant differences in safety and efficacy between the two BDD groups, 20 seconds of BDD may be adequate for treatment of small CBD stones with EPBD.
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등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Attam R / 2010 / Endoscopic papillary balloon dilation for stone extraction: if, when, and for how long? / Gastrointest Endosc 72 : 1163 ~ 1166
Baron TH / 2004 / Endoscopic balloon dilation of the biliary sphincter compared to endoscopic biliary sphincterotomy for removal of common bile duct stones during ERCP: a me
Bergman JJ / 1997 / Randomised trial of endoscopic balloon dilation versus endoscopic sphincterotomy for removal of bileduct stones / Lancet 349 : 1124 ~ 1129
Campo Fernandez de los Rios R / 1998 / Endoscopic treatment of choledocholithiasis in patients with Billroth II gastrectomy by dilatation with papillary balloon / Gastroenter
Cotton PB / 1991 / Endoscopic sphincterotomy complications and their management: an attempt at consensus / Gastrointest Endosc 37 : 383 ~ 393
Baron TH / 2004 / Endoscopic balloon dilation of the biliary sphincter compared to endoscopic biliary sphincterotomy for removal of common bile duct stones during ERCP: a me
Bergman JJ / 1997 / Randomised trial of endoscopic balloon dilation versus endoscopic sphincterotomy for removal of bileduct stones / Lancet 349 : 1124 ~ 1129
Campo Fernandez de los Rios R / 1998 / Endoscopic treatment of choledocholithiasis in patients with Billroth II gastrectomy by dilatation with papillary balloon / Gastroenter
Cotton PB / 1991 / Endoscopic sphincterotomy complications and their management: an attempt at consensus / Gastrointest Endosc 37 : 383 ~ 393
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