김명환, 임병철, 차재명, 명승재, 김연석, 송헌호, 남승우, 서동완, 김홍자, 박은택, 이성구, 민영일 (Myung Hwan Kim, Byeong Cheol Lim, Jae Myung Cha, Seung Jae Myung, Yeon Suk Kim, Hun Ho Song, Seung Woo Nam, Dong Wan Seo, Hong Ja Kim, Eun Taek Park, Sung Koo Lee and Young Il Min)
Abstract
Backgrounds: The aim of this study was to evaluate the indications, techniqe and safety of endoscopic pancreatic duct sphincterotomy. Methods: Fifty-four patients, 41 of whom had chronic pancreatitis, underwent endoscopic pancreatic duct sphincterotomy during a 4 year period from 1993 to 1996. We retrospectively reviewed and analyzed the results of the endoscopic pancreatic duct sphincterotomy. Results: Successful endoscopic pancreatic duct sphincterotomy occurred in 52 (96%) of the cases. No mortalities resulted. Complications occurred in 4 patients (4.8%) and included pancreatitis (n=l), bleeding (n=l), cholangitis (n=1) and stenosis of the sphincterotomy site (n=1). They were successfully managed by medical or endoscopic treatment. Conclusions: Endoscopic pancreatic duct sphincterotomy was found to be a safe and feasible procedure involving a high success rate and low rates of complications. The authors conclude that endoscopic pancreatic duct sphincterotomy enlarges our endotherapeutic armamentarium and deserves additional evaluation. (Korean J Gastrointest Endosc 18: 534-539, 1998)
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