| 경피경간담도내시경술을 이용한 간내담관담석과 총담관담석의 치료 및 간내담관조직생검의 진단적 유용성 |
| 양현웅*·이병석·김선문·강윤세·정재훈·김연수·박기오·성재규·김석현·이헌영 |
| 충남대학교 의과대학 내과학교실, *을지의과대학교 내과학교실 |
| Usefulness of Percutaneous Transhepatic Cholangioscopy for Treatment of Intrahepatic Duct and Common Bile Stones and Diagnosis of Intrahepatic Duct Lesions with Biopsy |
| Hyeon Woong Yang, M.D.*, Byung Seok Lee, M.D., Seon Moon Kim, M.D., Yoon Sae Kang, M.D., Jae Hoon Jung, M.D., Yeon Soo Kim, M.D., Gi Oh Park, M.D., Jae Kyu Seong, M.D., Seok Hyun Kim, M.D. and Heon Young Lee, M.D. |
| Department of Internal Medicine, Chungnam National University College of Medicine, *Department of Internal Medicine, Eulji University College of Medicine, Daejeon, Korea |
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| Abstract |
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Background/Aims:
Despite several limitations, percutaneous transhepatic cholangioscopy (PTCS) has been useful in patients with intrahepatic stone, common bile duct stone or intrahepatic bile duct stricture. We investigated the usefulness and limitation of PTCS, and the recurrence rate after stone removal.
Methods:
PTCS was performed on 49 patients with intrahepatic duct (IHD) stones or common bile duct (CBD) stones and 11 patients undergoing biopsy who visited Chung Nam university hospital between 1999 and 2003.
Results:
Complete removal rate of patients with IHD and CBD stones was 75% (21/28) and 91% (19/21), respectively. Biopsy results by PTCS were in agreement with the final result in 86% (6/7). In patients with IHD stones, the PTCS complication rate was 29% (8/28). Bleeding was most common (21%) but was self limited. In patients with CBD stones, the PTCS complication rate was 9% (2/9). One case was bleeding and the other was death by aggravation of general condition. In patients with IHD stones, the recurrence rate was 29% (5/17).
Conclusions:
In conclusion, PTCS is useful to treat patients with IHD stones, as well as the few patients with failed CBD stone removal by ERCP and diagnosis of stricture in the bile duct. (Korean J Gastrointest Endosc 2006;33:2631) |
| Key Words:
Percutaneous transhepatic cholangioscopy, Intrahepatic duct stones, Common bile stones |
| 주요어:
경피경간담도내시경술, 간내담석, 총담관담석 |
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