| 총담관결석의 진료 가이드라인: 총담관결석의 내시경 치료 |
| 김동욱1, 박은택2, 최정식3 |
| 1부산대학교 의학전문대학원 내과학교실, 2고신대학교 의과대학 내과학교실, 3인제대학교 의과대학 내과학교실" |
| Clinical Practice Guidelines for Common bile duct stones: The endoscopic management of CBD stones |
| Dong Uk Kim1, Eun Taeg Park2, Jung Sik Choi3 |
| 1Department of Internal Medicine, Pusan National University School o f Medicine, Busan, Korea,2Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea,3Department of Internal Medicine, Inje University College of Medicine, Busan |
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| ABSTRACT |
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During last 40 years, endoscopic retrograde cholangiopancreatography(ERCP) has become a widely available and routine procedure in the management of common bile duct (CBD) stones. Other used interventions include intraoperative bile duct exploration, and percutaneous transhepatic stone removal. The availability of equipment and skilled practitioners who are facile with these techniques varies among institutions. The timing of the intervention is often dictated by the clinical situation. As a consequence clinicians are now faced with a number of potentially valid options for managing patients with suspected CBD stones. In East Asia including Korea, Taiwan, and Japan, the prevalence of primary CBD stones without gallbladder stones is higher than that of the Western countries. Under these circumstance, ERCP may be the most important option for the management of CBD stones. However, the currently enacted guidelines is slanting toward the Western countries. This review suggests the guideline of Korean Pancreatobiliary Association for the endoscopic management of CBD stones. |
| Keywords:
choledocholithiasis, endoscopic treatment |
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