Korean Journal of Gastrointestinal Endoscopy 1996;16(1): 49-54.
원저 : 담도 췌장 ; 담도계 질환에 있어서 경구적 담도경 검사법의 이용 ( Original Articles : Biliary Tract & Pancreas ; Application of Peroral Cholangioscopy in Biliary Diseases )
이성구, 김명환, 서동완, 최호순, 이미화, 유병무, 채희복, 임미경, 김석균, 김현건, 민영일 (Sung Koo Lee, Myung Hwan Kim, Dong Wan Seo, Ho Soon Choi, Me Hwa Lee, Byeong Moo Yoo, Hee Bok Choi, Mi Kyoung Lim, Suk Gyun Kim, Hyung Gun Kim and Yong Il Min)
Abstract
Retrograde transpapillary cholangioscopy can be safely performed by use of a mother-baby-scope system after endoscopic sphincterotomy. Improved endoscopes are now available and may lead to a better acceptance of this technique. Cholangioscopy is complementary to cholangiography for differential diagnosis of various types of bile duct lesions. From march 1992 to September 1994, we performed 15 cases of peroral cholangioscopy for evaluation of bile duct lesions. Indications of peroral cholangioscopy were 6 cases of benign biliary diseases and 9 cases of malignant biliary diseases. In benign diseases, two cases of extrahepatic bile duct stones, 1 case of intrahepatic duct stone with stricture, 2 cases of benign elevated lesions of bile duct and 1 case of occluded expandable metallic stent were involved. In malignant diseases, 7 cases of primary bile duct cancer, 2 cases of hepatocellular carcinoma with bile duct invasion were involved. By use of peroral cholangioscopy with biopsy, differential diagnosis of bile duct lesion was possible. As a complication, severe abdominal pain and hypotension was developed in one case during the procedure and in another case, cholangitis was developed after the procedure. In conclusion, peroral cholangioscopy is a safe and useful procedure in various types of biliary diseases especially in the differential diagnosis of malignancy. (Kor J Gastrointest Endose 16: 49~54, 1996)
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