| 내시경 췌관괄약근 절개술 339예의 임상적 적용 및 안전성 |
| 손현영·이성구·송문희·한지민·최은광·김종철·이상수·서동완·김명환 |
| 울산대학교 의과대학 서울아산병원 소화기내과 |
| Clinical Application and Safety of Endoscopic Pancreatic Sphincterotomy in 339 Cases |
| Hyun Young Son, M.D., Sung Koo Lee, M.D., Moon Hee Song, M.D., Ji Min Han, M.D., Eun Kwang Choi, M.D., Jong Cheol Kim, M.D., Sang Soo Lee, M.D., Dong Wan Seo, M.D. and Myung-Hwan Kim, M.D. |
| Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea |
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| Abstract |
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Background/Aims:
Endoscopic pancreatic sphincterotomy (EPST) has been performed more frequently in recent years. However, it is less widely practiced than biliary sphincterotomy due to lack of firm scientific data regarding its indication and safety. The aims of this study are to evaluate EPST with regard to indications, complications, and safety.
Methods:
We retrospectively reviewed and analyzed the results of EPST performed in three hundred thirty nine patients from January 2000 to April 2004.
Results:
Complications occurred in 37 patients (10.7%) which included pancreatitis, hemorrhage, perforation, cholangitis, sepsis, and stenosis of sphincterotomy site. They were successfully managed by medical treatment. No mortalities were reported.
Conclusions:
EPST is a relatively safe procedure in various pancreatic diseases. Incidence of long-term complications awaits further investigations. EPST enlarges our endotherapeutic armamentarium and deserves additional evaluation. (Korean J Gastrointest Endosc 2005;31:155160) |
| Key Words:
Endoscopic pancreatic sphincterotomy, Endoscopic biliary sphincterotomy, Complication, Safety |
| 주요어:
내시경 췌관괄약근 절개술, 내시경 담관괄약근 절개술, 합병증, 안전성 |
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