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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
- 2020.1
- 수록면
- 82 - 89 (8page)
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Background/Aims: Altered anatomy is a challenge in endoscopic retrograde cholangiopancreatography (ERCP) for patients withBillroth II anastomosis. In this study, we investigated the overall success and role of endoscopist experience. Methods: Data of patients who underwent ERCP between 2014 and 2018 after a previous Billroth II operation were retrievedretrospectively from 2 tertiary ERCP centers. The procedures were performed by 2 endoscopists with different levels of experience. Clinical success was defined as extraction of the stone, placement of a stent through a malignant stricture, and clinical and laboratoryimprovements in patients. Results: Seventy-five patients were included. The technical success rate was 83% for the experienced endoscopist and 75% for theinexperienced endoscopist (p=0.46). The mean (±standard deviation) procedure time was 23.8±5.7 min for the experienced endoscopistand 40.68±6.07 min for the inexperienced endoscopist (p<0.001). In total, 3 perforations (4%) were found. The rate of afferent loopperforation was 6.25% (1/16) for the inexperienced endoscopist and 0% (0/59) for the experienced endoscopist (p=0.053). Conclusions: ERCP in patients who had undergone Billroth II gastrectomy was time consuming for the inexperienced endoscopistwho should beware of the unique adverse events related to ERCP in patients with altered anatomy.
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참고문헌 (23)
참고문헌 신청
Nakahara K / 2009 / Therapeutic endoscopic retrograde cholangiopancreatography using an anterior oblique-viewing endoscope for bile duct stones in patients with prior Billroth II gastrectomy / J Gastroenterol 44:212~217
Prat F / 1997 / Endoscopic sphincteroclasy : a useful therapeutic tool for biliary endoscopy in Billroth II gastrectomy patients / Endoscopy 29:79~81
Park TY / 2016 / Outcomes of ERCP in Billroth II gastrectomy patients / Gastrointest Endosc 83:1193~1201
Lin LF / 1999 / ERCP in post-Billroth II gastrectomy patients : emphasis on technique / Am J Gastroenterol 94:144~148
Kim MH / 1997 / Endoscopic retrograde cholangiopancreatography and needle-knife sphincterotomy in patients with Billroth II gastrectomy : a comparative study of the forward-viewing endoscope and the side-viewing duodenoscope / Endoscopy 29:82~85
Prat F / 1997 / Endoscopic sphincteroclasy : a useful therapeutic tool for biliary endoscopy in Billroth II gastrectomy patients / Endoscopy 29:79~81
Park TY / 2016 / Outcomes of ERCP in Billroth II gastrectomy patients / Gastrointest Endosc 83:1193~1201
Lin LF / 1999 / ERCP in post-Billroth II gastrectomy patients : emphasis on technique / Am J Gastroenterol 94:144~148
Kim MH / 1997 / Endoscopic retrograde cholangiopancreatography and needle-knife sphincterotomy in patients with Billroth II gastrectomy : a comparative study of the forward-viewing endoscope and the side-viewing duodenoscope / Endoscopy 29:82~85
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