| 경미한 담석췌장염 환자에서 복강경 담낭 절제술 시행전 역행성 담췌관 조영술은 필요한가? |
| 이규택1, 이종균1, 박형석1, 박상종1, 김지은1, 김창섭1, 성인경1, 심상군1, 최윤호1, 백승운1, 이종철1, 최규완1, 손태성2, 최성호2, 김용일2 |
1성균관대학교 의과대학 삼성서울병원 내과학교실
2성균관대학교 의과대학 삼성서울병원 외과학교실 |
| Is It Necessary to Perform Preoperative Endoscopic Retrograde Cholangiopancreatography in Patients with Mild Gallstone Pancreatitis? |
| Kyu Taek Lee1, Jong Kyun Lee1, Hyung Suk Park1, Sang Jong Park1, Jee Eun Kim1, Chang Seop Kim1, In Kyung Sung1, Yoon Ho Choi1, Seung Woon Paik1, Jong Chul Rhee1, Kyoo Wan Choi1, Tae Sung Son2, Seung Ho Choi2, Yong Il Kim2 |
1Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University College of Medicine, Seoul, Korea
2Department of General Surgery, Samsung Medical Center, Sungkyunkwan University College of Medicine, Seoul, Korea |
Corresponding author:
Kyu Taek Lee,
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| ABSTRACT |
Background/Aims:
The large majority of patients with gallstone pancreatitis have a mild course that is not altered by ERCP and endoscopic sphincterotomy, a more selective use of ERCP might be advisable. This study is designed to evaluate the efficacy of preoperative endoscopic retrograde cholangiopancreatography (ERCP) in patients with mild gallstone pancreatitis and to determine criteria predictive of common bile duct stones (CBDS).
Methods:
We analyzed the value of serum biochemical tests and findings of ERCP in patients with mild gallstone pancreatitis.
Results:
Preoperatively, ERCP revealed CBDS in 6 of 47 (12.8%) patients with mild gallstone pancreatitis. Laboratory values on admission did not predict CBDS. Persistent hyperamylasemia and increased serum ALT were associated with CBDS. Conclusion: It is unnecessary to perform preoperative ERCP in patients with mild gallstone pancreatitis who have a normalization of serum amylase and liver function tests. |
| Keywords:
Gallstone pancreatitis, Endoscopic retrograde cholangiopancreatography, Common bile duct stones |
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