Korean J Gastrointest Endosc > Volume 3(1); 1983 > Article

Korean Journal of Gastrointestinal Endoscopy 1983;3(1): 79-84.

간외폐쇄성황달증의 내시경적 역행성 담췌관조영술에 관한 연구 ( Endoscopic Retrograde Chalangiopancreatography ( ERCP ) in Obstructive Jaundice )

김명준, 김성규, 김용진, 김영철, 양웅석, 유방현 (Myung Jun Kim, Sung Kyu Kim, Yong Jin Kim, Yeong Chul Kim, Ung Seok Yang and Bang Hyun Liu)

Abstract

ERCP was performed in 34 cases of obstructive janndice at Busan National University Hospital between June 1981 and October 1982, and those findings were compared with the final surgical operative diagnoses. The results were as follows: 1) The ratio of male to female was about l. 6: 1 and most of them were in the 5th decade to 7th decade, 2) Upper abdominal pain and tenderness were the cardinal symptom and sign, 3) Successful ERCP was obtained in 32 cases among the total of 34 cases(94.1%)Selective success rates by indications were 77.8%(21/27) in suspected biliary lesions and 85.7%(6/7) in suspected panceatic lesions. 4) ERCP diagnoses were biliary stone(11 cases), eholangiocarcinoma(6 cases), pancreatic head ca. (4 cases), Ampulla of Vater ca. (2 cases), normal cholangiogram(2 cases), and normal parcreatogram(2 cases). 5) Eighteen cases out of 24 surgical operative cases were diagnosed by ERCP alone, The diagnostic rates of ERCP by surgical operation in obstructive jaundce was 75%. Complications of ERCP were not clinically significant. It suggests that ERCP is a very useful diagnostic method in the differential diagnosis of obstructive jaundice.