| EPBD를 이용한 내시경적 담도 배액법 |
| 양웅석, 강대환, 김상현, 배상문, 차수강, 송철수, 송근암, 조몽 |
| 부산대학교 의과대학 소화기내과학교실 |
| Endoscopic Biliary Drainage with Endoscopic Papillary Balloon Dilation |
| Ung Suk Yang, Dae Hwan Kang, Sang Hyun Kim, Sang Moon Bae, Su Gang Cha, Chul Soo Song, Geun Am Song, Mong Cho |
| Department of Internal Medicine, Pusan National University College of Medicine, Pusan, Korea |
Corresponding author:
Ung Suk Yang,
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| ABSTRACT |
Background/Aims:
Endoscopic biilary drainage (EBD) for malignant obstructive jaundice is performed mostly with EST. But EST carries early complications such as bleeding, perforation and pancreatitis. We evaluated safety and usefulness of EBD using endoscopic papillary balloon dilation (EPBD) without endoscopic sphincterotomy (EST).
Methods:
Fifteen patients were treated from Sep. 1998 to Feb. 1999 in Pusan National University Hospital due to malignant obstructive jaundice. EBD was performed using EPBD. They were investigated to estimate the usefulness and early complications of EBD using EPBD.
Results:
Effective drainage was achieved in 13 patients (87%). Procedure related complications developed in two patients: acute pancreatitis in two (minimal or mild, 13%), hemorrhage in three (clinically insignificant bleeding)
Conclusions:
EBD using EPBD is a safe and effective treatment method for malignant obstructive jaundice. However, prospective study is thought to be need in large patients group especially as to stent diameter and papilla size. |
| Keywords:
Malignant obstructive jaundice, EPBD, EBD |
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