Korean Journal of Gastrointestinal Endoscopy 1994;14(2): 190-195.
원저 : 내시경적 유두부 괄약근 절개술 123예의 임상적 고찰 ( Original Articles : 128 Cases of Endoscopic Sphincterotomy ( EST ) )
최덕례, 최호순, 조병석, 최우석, 안진형, 박병수, 고정희 (Duck Yeii Choi, Ho Soon Choi, Byung Seok Cho, Woo Seok Choi, Jin Hyung Ahn, Byung Su Park and Jeong Hee Ko)
Abstract
Endoscopic sphincterotomy(EST) is now an established therapeutic procedure for various disorder of the pailla of Vater, the biliary tract, and the pancreas. From November 1992 to September l993, 123 cases of E.S.T were performed in our hospital. The success rate of EST was 97.8%, and choledocholithiasis was the indication for EST in 63. 4% of cases. Among 78 cases of choledocholithiasis, 47 cases were presence of gall bladder with stone (16 cases) or without stone (31 cases), especially 46 cases were assisted with needle type papillotome and 23 cases were assisted with guidewire. EST hae relatively low complications and is the therapy of choice for choledocholithiasis and various diisease of biliary tract. Guidewire assisted stanard papillotome probable reduce the use of needle type papillotome in the difficult cases that EST with pull type papillotome was impossible.
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