http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
- 中文 을 입력하시려면 zhongwen을 입력하시고 space를누르시면됩니다.
- 北京 을 입력하시려면 beijing을 입력하시고 space를 누르시면 됩니다.
RISS 인기검색어
- 검색키워드
- 저자 : 정경헌(Kyeong Heon Jung) (검색결과 1 건)
- 무료
- 기관 내 무료
- 유료
-
박철성(Chul Sung Park),문정식(Jung Sik Mun),김기헌(Ki Hyeon Kim),이재학(Jae Hak Lee),정경헌(Kyeong Heon Jung),강명원(Myeong Won Kang),여향순(Hyang Soon Yeo),박홍배(Hong Bae Park) 대한내과학회 1996 대한내과학회지 Vol.50 No.5
N/A Objectives: This study was undertaken to evaluate the usefulness of EST in patients with common bille duct stones and obstructive jaundice Methods: Since 1975, 5626 cases of endoscopic retrograde cholangiopancreatography(E,R.C.P.) were performed at Kwangju Christian Hospital in Kwangju, Korea. From December, 1981 to June, 1994, 1155cases of endoscopic sphincteropapillotomy (E,S.T.) were perfromed. Results: In 1155cases of E.5.T., we have obtained 849cases of common bile duct stone, other cases of obstructive jaundice due to clonorchiasis, ampulla of Vater cancer, pancreas cancer, comon bile duct cancer, 41cases of stones were removed by Dormia basket and balloon catheter under direct visualization, 278cases were passed in stool, 421cases removed by the confirmation of E,R.C.P. or T-tube cholangiography. In 323cases, stones were not removed but the symptoms and laboratory findings were improved. Complications were happended in 37cases. 27cases of bleeding, 6cases of cholangitis, 2cases of peritonitis, one case of acute pancreatitis, one case of perinephric abscess were happened. 31cases of complication were improved by conservative treatment and operation. In other 6cases, 4cases of bleeding and 2case of cholangitis were expired. In 54cases of 5-year follow up after E.S.T we have obtained 32cases of recurrent common bile duct stones, 17cases of pancreatitis, 3cases of cholangitis. The condition under which E.S.T. become difficulty or did not succeed included periampullary diverticula, fibrotic stenosis of ampulla of Vater and stones in the intrahepatic duct or gall bladder. Conclusion: With improved E.S,T. technical maneuverability, we could diminish the frequency of complication including bleeding, pancreatitis and cholangitis and perform E.S.T. successfully in cases with periampullary diverticula. In cases of stones which did not remove after E.S,T., we think that extracorporeal shockwave lithotripsy, electrohydrauric lithotripsy, mechanical lithntripsy. laser lithotripsy will be proper management.
연관 검색어 추천
이 검색어로 많이 본 자료
활용도 높은 자료
