Korean Journal of Gastrointestinal Endoscopy 2004;28(6): 298-306.
내시경 유두괄약근절개술에서 전류의 형태에 따른 합병증의 비교
유길종ㆍ김호각ㆍ배종석ㆍ원태경ㆍ신재욱ㆍ김은영ㆍ권중구ㆍ이창형
대구가톨릭대학교 의과대학 내과학교실
A Comparative Study of Complications after Endoscopic Sphincterotomy according to the Types of Electrosurgical Current
Kil Jong Yu, M.D., Ho Gak Kim, M.D., Jong Seok Bae, M.D., Tae Kyung Won, M.D., Jae Uk Shin, M.D., Eun Young Kim, M.D., Joong Goo Kwon, M.D. and Chang Hyeong Lee, M.D.
Department of Internal Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea
Abstract
Background/Aims: Endoscopic biliary sphincterotomy (EST) has a very important role in the treatment of pancreatico- biliary diseases, but it has complications. We retrospectively investigated whether the types of electrosurgical currents affect occurence of complications. Methods: In pancreatico- biliary diseases, consecutive 150 patients undergoing EST with pure cutting current (cutting group) and then consecutive 150 patient with blend current (blended group) were studied in respect to post-EST complications and the presence of periampullary diverticulum and papillitis in major papilla. Major bleeding was defined as a decrease in hemoglobin of at least 2 g/dL. Clinical pancreatitis was defined as abdominal pain with elevated serum amylase above three times about the upper normal limit after 48 hour. Results: Major bleeding has not occurred. Minor bleeding occurred in 25/300 patients (8.3%), but was not different in cutting group (n=150) and blended group (n=150). Except 54 patients with elevated amylase before procedure, pancreatitis occurred in 13/246 patients (5.3%), but was not different in cutting group (n=122) and blended group (n=124). Two cases in blended group had moderate pancreatitis. There was no differences of bleeding, pancreatitis, in patients with diverticulum (n=112) and without diverticulum (n=188). Minor bleeding was more common in patients with papillitis (n=24) than without papillitis (n=276) (p=0.000), but the incidence of post EST pancreatitis was similar. In 235 patients with choledocholithiasis, there was no difference in terms of bleeding, pancreatitis in cutting group (n=120) and blended group (n=115). Conclusions: Post- EST bleeding and pancreatitis were not affected by the types of electrosurgical current used. When EST was performed in patient with papillitis, minor bleeding was observed commonly. (Korean J Gastrointest Endosc 2004;28:298306)
PDF Links
Full text via DOI 
Download Citation 
