Korean Journal of Gastrointestinal Endoscopy 1993;13(1): 99-110.
내시경적 역행성 담 췌관 조영술에 대한 임상적 고찰 ( A Clinical Evaluation of Endoscopic Retrograde Cholangiopancreatography ( ERCP ) )
김광희, 김창덕, 현진해 (Kwang Hee Kim, Chang Duck Kim and Jin Hai Hyun)
Abstract
To investigate the diagnostic accuracy of ERCP in pancreatobiliary disease, the authors analysed the 1,244 cases of ERCP. The success rate of ERCP was 91.5%. The diagnostic accuracy of ERCP was 93.6% and complications occurred in 2.1%. Complications included pancreatitis,cholangitis and drug reactions. Among the biliary tract disease diagnosed, by ERCP, biliary tract stone was the most common finding. Compared with operative diagnosis of biliary tract stones,the sensitivity of ERCP diagnosis was 92.7% while that of sonographic diagnosis was 81.4%. The specificity of ERCP diagnosis was 94.4% while that of sonagraphic diagnosis was 80.9%. ln the diagnosis of common bile duct stones, ERCP was more accurrate than sonographic diagnosis. The results show that ERCP was a safe and effective diagnostic tool in the assessment of pancreatobiliary tract disease.
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