Korean Journal of Gastrointestinal Endoscopy 1984;4(1): 40-44.
Peri - vater Diverticulum 환자에 있어서 Endoscopic Retrograde Cholangiopancreatography 검사소견 - 담 (膽) 췌장질환을 (膵臟疾患) 중심으로 - ( ERCP in the Diagnosis of Peri - vater Diverticula Causing Pancreatobiliary Disease )
강진경, 김경희, 정재복, 전재윤, 문영명, 박인서, 최흥재 (Jin Kyung Kang, Kyung Hee Kim, Jai Bock Jung, Chae Yoon Chon, Young Myoug Moon, In Suh Park and Heung Jai Choi)
Abstract
Peri-vater divertieula may interfere with the normal flow of biliary and pancreatic secretion, thus leading to pancreatobiliary diseasa and the very presence of juxtapapillary diverticulum makes cannulation technically difficult and contributes to the low success rate. In this present series, the relationship between duodenal diverticula and age, sex, and biliary-pancreatic pathology was stud.ied in 1400 patients examined with ERCP. The results are as follows. 1) Duodenal diverticula was demonstrated in 73 of 1400 patients(5, 2%). 2) The incidence of duodenal divertieular increased with age and they were more frequent in men. 3) The cannulation of one or both duct system was suecessful in 69 of the 73 patients, the success rate was 94. 5%. 4) The biliary pathology was found in 41 of the 73 patients and the pancreatic pathology in 6 of the 73 patients. The rnost common finding was biliary calculi which were demonstrated in 35 patients(47. 9%).
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