간 , 담도 및 췌장 : 내시경적 (內視鏡的) 유두절개술의 (乳頭切開術) 문제점과 예후 (豫後)

• Published in: The Korean journal of gastroenterology Vol. 19; no. 2; pp. 190 - 198
• Main Authors: 박홍배, Hong Bae Park, 명재일, Jae Il Myung, 여향순, Hyang Soon Yeo, 박순희, Sun Hi Park, 이한기, Han Ki Lee, 강명원, Myung Weon Kang, 김정호, Jeong Ho Kim
• Format: Journal Article
• Language: Korean
• Published: 대한소화기학회 01.01.1987
• ISSN: 1598-9992

Since 1976, 2185 cases of ERCP were performed at the Kwangju Christian Hosptial. From December 1981 to August 1986, 194 cases of endoscopic sphincteropapillotomy (EST) were performed. Following results were obtained: 1) In 194 cases of EST, CBD stones were noted in 168 cases, ascaris in common bile duct in 16 cases, clonorchiasis in 4 cases, fibrotic stenosis of a periampullary choledocho-duodenal fistula in 1 case, and pancreatic duct stones in 4 cases. 2) Results of EST; 5 cases of stones were removed by Dormia basket under direct visualization, 61 cases were passed in stool, 66 cases were confirmed at ERCP or T-tube cholangiogrphy. In 46 cases, stones were not removed but symptoms and laboratory findings showed improvement. 3) Complication of EST; 4 cases of bleeding and 1 case of peritonitis were treated by operation, 1 case of acute pancreatitis with pancreatic pseudocyst was treated by medication, 1 case of sepsis due to cholangitis was expired. And 5 cases of recurrent cholangitis, and 2 cases of recurrent pancreatitis were noted. 4) With technical improvement in EST, we could control bleeding and acute pancreatitis with a pancreatic pseudocyst due to an impacted stone and perform EST successfully in the cases with periampullary diverticula. 5) At last, although we could follow up only for 2 years, would expect that we use more EST for recurrent CBD stones.