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담낭절제술후의 내시경적역행성담췌관조영술의 진단소견과 치료
김원석(Won Seok Kim),조형철(Hyung Chul Cho),조장현(Jang Hyun Cho),추진호(Jin Ho Chu),김명원(Myung Won KIm),오기창(Ki Chung Oh),강명원(Myung Won Kang),임연근(Yun Kun Lim),여향순(Hyang Soon Yeo),박홍배(Hong Bae Park) 대한내과학회 1998 대한내과학회지 Vol.54 No.5
Objectives: Accurate assessment of the retained or recurrent bile duct stone is important in postcholecys-tectomy patients who have signs of cholangitis or other pancreatobiliary disease. This study was performed to evaluate the diagnostic and therapeutic reliability of endoscopic retrograde cholangiography in posteholecystectomy patients. Methods: From October 1975 through August 1995, we reviewed 311 patients retrospectively who had undergone on cholecystectomy, Our study was based on assessment of their age, sex, symptoms and physical findings, comparison between sonographic and endoscopic retrograde cholangiographic findings, and stone removal rate using endoscopic sphincterotomy, basket, electrohydraulic lithotripsy. Results: The ratio of male to female was 1:1.67, and the mean age was 56±14.3 years. After cholecystectomy, they visited our clinic within 2 years in 25 patients (8.4%), beyond 2 years in 286 patients (91.6%). Most common symptoms and physical findings were epigastric pain or tenderrs (63.6%). We detected bile duct stone using endoscopic retrograde cholangiography 219 patients. In case of the bile duct stone, we successfully removed it using endoscopic sphincterotomy, basket, electrohydraulic lithotripsy in 194 patients (88.6%). Conclusion: From the above results, we concluded that endoscopic retrograde cholangiography was the most effective diagnostic and therapeutic method in postch-olecystetomy patients who have signs of cholangitis.