| 총담관 결석 환자에서 플라스틱 스텐트를 이용한 |
| 윤승재·류성태·서주현·정석·이진우·권계숙·이돈행 |
| 인하대학교 의과대학 내과학교실 |
| The Usefulness of Endoscopic Retrograde Biliary Drainage Using Plastic |
| Seung Jai Yoon, M.D., Sung Tae Ryu, M.D., Ju Hyun Suh, M.D., Seok Jeong, M.D., |
| Department of Internal Medicine, Inha University College of Medicine, Sungnam, Korea |
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| Abstract |
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Background/Aims:
Endoscopic sphincterotomy is considered the primary option for treatment of common bile duct (CBD) stones. In some cases, however, complete stone removal is difficult or even impossible. Endoscopic retrograde biliary drainage (ERBD) has been suggested to be an alternative treatment in such cases or in patients with high surgical risks. In this study, we evaluated the effectiveness of ERBD using a plastic stent for treatment of CBD stones.
Methods:
From Mar. 1996 to Aug. 1999, ERBD was performed in 12 patients with CBD stones. Indications for ERBD were old age in 4, a large perivater diverticulum in 4, refusal of surgery in 2, bleeding risk and biliary stricture in 1 each. Nine had one of the significant associated medical conditions.
Results:
Six of the 12 patients were symptom-free at the time of evaluation (mean 32.9 months). Of the remaining 6 patients, 3 had operation, 1 had a successful endoscopic stone removal, 1 had a stent exchange, and 1 was lost to follow-up at 26 months. Thus, overall success rate of ERBD for treatment of CBD stones was 75% (9/12). Median symptom-free duration was 41 months (range 18∼59 months).
Conclusions:
In view of its relatively high success rate and long-term effect, ERBD is an alternative modality for treatment of CBD stones, especially in patients with high surgical risks. (Korean J Gastrointest Endosc 2003;26:205209) |
| Key Words:
Endoscopic biliary stent, Common bile duct stone |
| 주요어:
총담관 결석, 내시경적 담도 스텐트 |
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