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Korean J Pancreas Biliary Tract > Volume 18(4):2013 > Article
The Korean Journal of Pancreas and Biliary Tract 2013;18(4):21-28. doi: https://doi.org/10.15279/kpba.2013.18.4.21
총담관결석의 진료 가이드라인: 난치성, 재발 담관결석의 내시경 치료
황재철1, 고동희2, 최현종3
1아주대학교 의과대학 내과학 교실, 2한림대학교 의과대학 내과학 교실, 3순천향대학교 의과대학 부천병원 내과"
Clinical Practice Guidelines for Common Bile Duct Stones: The Endoscopic Management of Difficult and Recurrent Common Bile Duct Stones
Jae Chul Hwang1, Dong Hee Koh2, Hyun Jong Choi3
1Department of Internal medicine, Ajou University School of Medicine, Suwon, Korea, 2Department of Internal medicine, Ajou University School of Medicine, Suwon, Korea,3Department of Internal medicine, Soon Chun Hyang University School of Medicine, Bucheon
Endoscopic retrograde cholangiopancreatography and stone extraction are well-established therapeutic procedures for the treatment of common bile duct (CBD) stones. The endoscopic stone removal procedure involves extraction using various devices after endoscopic sphincterotomy (EST). Many reports state that at least 90% of stones are extracted after conventional EST. However, some cases are still difficult to treat. Despite apparently complete clearance of bile duct stones at endoscopic retrograde cholangiography, recurrent CBD stones developed in 3% to 15% of patients. We reviewed the guidelines currently enacted in United Kingdom, Europe and United Stated of America for the management of difficult and recurrent CBD stones. This guideline review suggests the guideline of Korean Pancreatobiliary Association for the endoscopic management of difficult and recurrent CBD stones.
Keywords: bile duct stone, endoscopic sphincterotomy, mechanical lithotripsy, electrohydraulic lithotripsy, laser lithotripsy
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