Endocut, ERBE, Endoscopic sphincterotomy, Blended cut current"/>
Comparison of Complication between Automatically Controlled Cut System (Endocut) and Conventional Blended Cut Current over Endoscopic Sphincterotomy
Korean Journal of Gastrointestinal Endoscopy 2007;34(5): 256-262.
내시경 유두괄약근절개술에서 자동조절절개장치(Endocut)와 기존 혼합 절개파의 합병증 비교
정우진·이상수·이태윤·오형철·서동완·이성구·김명환
울산대학교 의과대학 서울아산병원 소화기내과학교실
Comparison of Complication between Automatically Controlled Cut System (Endocut) and Conventional Blended Cut Current over Endoscopic Sphincterotomy
Woo Jin Jeong, M.D., Sang Soo Lee, M.D., Tae Yoon Lee, M.D., Hyoung Chul Oh, M.D., Dong Wan Seo, M.D., Sung Koo Lee, M.D. and Myung-Hwan Kim, M.D.
Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
Abstract
Background/Aims: Endoscopic sphincterotomy (EST) is a common therapeutic technique for biliary and pancreatic diseases. However, it is associated with complications such as bleeding, pancreatitis, and perforation. Automatically controlled cut system (Endocut) is known to reduce the level of hemorrhage but lead to pancreatitis. This study examined whether or not the Endocut can reduce the rate of complications of EST compared with that of the conventional blended cut current. Methods: From September 2005 to July 2006, 519 patients were treated with EST using either Endocut (ERBE VIO 300D, 144 patients) or the conventional blended cut current (Olympus UES-30, 375 patients). Two groups were compared retrospectively for the complications of EST. Results: There were no significant differences in age, gender, and the indications for EST between the two groups. Endoscopically observed bleeding and clinically evident bleeding occurred in 6.9% (10/144), 1.4% (2/144) in the Endocut group and 8.5% (31/375), 2.2% (8/375) in the conventional blended cut current group, respectively (p=0.62 and 0.58, respectively). Clinical bleeding occurred in 2 patients in the Endocut group but it was mild and easily controlled by endoscopic treatment. Mild, moderate, and severe clinical bleeding occurred in 3, 4, and 1 patient in the blended group, respectively. Pancreatitis was encountered in 6.0% (8/134) of the Endocut group and in 5.7% (21/352) of the blended group (p=0.83). Perforation only occurred in 2 patients in the blended group. Conclusions: There were a similar number of complications from EST in the Endocut and conventional blended cut current groups. (Korean J Gastrointest Endosc 2007;34: 256262)
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