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Korean J Pancreas Biliary Tract > Volume 17(1):2012 > Article
The Korean Journal of Pancreas and Biliary Tract 2012;17(1):6-11.
총담관 결석의 내시경적 제거술 후 내시경적 경비담관 배액술의 유용성
김순선, 황재철, 임선교, 이다미, 최재명, 류경호, 유병무, 김진홍
아주대학교 의과대학 소화기내과학교실
Usability of Endoscopic Nasobiliary Drainage after Endoscopic Removal of Common Bile Duct Stones
Soon Sun Kim, Jae Chul Hwang, Sun-Gyo Lim, Dami Lee, Jae Myoung Choi, Kyoung-Ho Ryu, Byung Moo Yoo, Jin Hong Kim
Department of Gastroenterology, Ajou University School of Medicine, Suwon, Korea
We aimed to compare the clinical outcomes between endoscopic nasobiliary drainage (ENBD) group and non-ENBD group after endoscopic common bile duct (CBD) stone extraction.
From March 2003 to August 2008, a total of 532 patients (282 men; mean age 62.4 years) underwent endoscopic retrograde cholangiopancreatography (ERCP) for CBD stone extraction.
Among 532 patients, CBD stones were completely extracted in 523 patients (98.3%). Among 523 patients, CBD stone were completely extracted by 1st ERCP attempt in 507 patients (96.9%). ENBD-1 group comprised of 28 patients who received ENBD with any indication. ENBD-2 group comprised of 9 patients who received ENBD routinely after complete CBD stone removal. There was no significant difference in occurrence of post ERCP cholangitis or residual CBD stone between ENBD-1 group (n=28) and Non-ENBD-1 group (n=504) (3.6% vs. 2.2%, 3.6% vs. 0.6%, P=0.48 and P=0.08, respectively), and between ENBD-2 group (n=9) and Non-ENBD-2 group (n=500) (0.0% vs. 2.2%, 0.0% vs. 0.8%, P=1.00 and P=1.00, respectively).
Post ERCP cholangitis and residual CBD stone occurred rarely after CBD stone extraction. Therefore routine insertion of ENBD for biliary decompression after CBD stone extraction should be considered prudently.
Keywords: CBD stone, ENBD, Cholangitis, Residual CBD stone
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