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논문KCI 등재

담즙 유출의 원인과 내시경 치료 효과

The Causes and Endoscopic Management of Bile Leak

김태년|장병익|최선택|은종렬
대한소화기내시경학회 (The Korean Society Of Gastrointestinal Endoscopy)|2006.12|Clinical Endoscopy|제33권 제6호|pp. 346-352

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참고문헌

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초록

Abstract

Background/Aims: This study evaluated the efficacy of endoscopic treatment in a bile leak that occurred through various causes. Methods: The medical records of 35 patients (mean age 55.4 years; male/female 25/10), who were diagnosed with a bile leak by endoscopic retrograde cholangiopancreatography in Yeungnam University Hospital from January 1998 to January 2006, were reviewed. Results: The most common cause of the bile leak was an open cholecystectomy (n=13, 37.1%) followed by a laparoscopic cholecystectomy (n=10, 28.6%), trauma (n=2, 5.7%), transarterial chemoembolization (n=3, 8.6%), spontaneous (n=3, 8.6%), and a hepatic resection (n=4, 11.4%). Thirty-four patients were treated endoscopically by the insertion of a plastic stent with/without a sphincterotomy (70.6%, 24/34), a nasobiliary drainage (11.8%, 4/34), or a sphincterotomy alone (17.6%, 6/34). Of these 34 patients, 30 were cured by the endoscopic treatment, 2 patients died from liver failure despite the use of nasobiliary drainage and 2 patients did not improve after endoscopic treatment. One patient underwent surgery without endoscopic treatment because of a transsection of the common bile duct. With the exception of the two who died from liver failure, the overall cure rate of endoscopic treatment was 90.9% (30/33). There were no complications associated with the endoscopic treatment. Conclusions: Endoscopic treatment for a bile leak is safe and effective regardless of the cause. (Korean J Gastrointest Endosc 2006;33:346 352)

참고문헌 (24)

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관련 논문AI추천

The Crucial Role of Biliary Endoscopists in the Management of Bile Leak after CholecystectomyJimin Han대한소화기내시경학회 · Clinical Endoscopy2014 · 제47권 제3호The Need for a Better-Designed Study of the Outcomes of Endoscopic Management of Bile LeakEun Ji Shin, Hyung-Ku Chon, Seong-Hun Kim대한소화기내시경학회 · Clinical Endoscopy2020 · 제53권 제6호The outcome of endoscopic management of bile leakage after hepatobiliary surgery권세웅, 김지완, 심찬섭, 안상희, 유형민, 윤선웅, 이태윤, 정건택, 정경원, 정현아, 천영국대한내과학회 · The Korean Journal of Internal Medicine2017 · 제32권 제1호Endoscopic Management of Bile Leakage after Cholecystectomy:A Single-Center Experience for 12 Years김국현, 김태년대한소화기내시경학회 · Clinical Endoscopy2014 · 제47권 제3호Endoscopic Management of Bile Leakage after Liver Transplantation김명환, 박도현, 서동완, 송태준, 오동욱, 이상수, 이성구거트앤리버 소화기연관학회협의회 · Gut and Liver2015 · 제9권 제3호Outcomes of Endoscopic Management among Patients with Bile Leak of Various Etiologies at a Tertiary Care CenterHarish Darak, Sanjay Kuma, Shobna Bhatia, Sridhar Sundaram, Suprabhat Giri대한소화기내시경학회 · Clinical Endoscopy2020 · 제53권 제6호

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