| 내시경적 제거가 어려운 총담관결석 환자에서 플라스틱 스텐트를 이용한 담도배액술의 경과 |
| 정성문·문영수·손현배·양전호·김경아·이준성 |
| 인제대학교 의과대학 일산백병원 내과학교실 |
| The Outcome of Endoscopic Biliary Drainage with Plastic Stents for Irretrievable Common Bile Duct Stones |
| Sung Moon Jung, M.D., Young-Soo Moon, M.D., Hyun Bae Son, M.D., Jeon Ho Yang, M.D., Kyung-Ah Kim, M.D. and June Sung Lee, M.D. |
| Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea |
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| Abstract |
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Background/Aims:
Endoscopic biliary drainage (EBD) using a plastic stent has been proposed for the management of choledocholithiasis when there is difficulty with stone extraction. We investigated the long-term effects and complications of EBD with using a plastic stent in the elderly or high risk patients with common bile duct (CBD) stones.
Methods:
From January 2000 to June 2004, thirty-one patients with CBD stones underwent EBD with using plastic stents (17 women and 14 men, mean age: 75.2 years).
Results:
Biliary drainage was successful in all patients. As for the early complications, only minor hemorrhage with no requirement of transfusion occurred in 2 patients. Twelve patients (38.7%) had late complications of EBD. Six of them had cholangitis, five had biliary colics and one had nausea. Of the six patients with cholangitis, three were managed with stent exchange and one was managed by removal of the stent. The remaining two patients died from stent-related sepsis. The mean symptom-free duration was 39.9 months.
Conclusions:
For the elderly or high risk patients who undergo an operation, EBD proved to be a safe and effective alternative for the treatment of patients with irretrievable bile duct stones. (Korean J Gastrointest Endosc 2006;32:1520) |
| Key Words:
Gallstone, Common bile duct, Stent |
| 주요어:
담석, 총담관, 스텐트 |
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