Usefulness of Percutaneous Transhepatic Cholangioscopy for Treatment of Intrahepatic Duct and Common Bile Stones and Diagnosis of Intrahepatic Duct Lesions with Biopsy / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
;
: 26-31, 2006.
Article
Dans Coréen
| WPRIM
| ID: wpr-104182
ABSTRACT
BACKGROUND/AIMS:
Despite several limitations, percutaneous transhepatic cholangioscopy (PTCS) has been useful in patients with intrahepatic stone, common bile duct stone or intrahepatic bile duct stricture. We investigated the usefulness and limitation of PTCS, and the recurrence rate after stone removal.METHODS:
PTCS was performed on 49 patients with intrahepatic duct (IHD) stones or common bile duct (CBD) stones and 11 patients undergoing biopsy who visited Chung Nam university hospital between 1999 and 2003.RESULTS:
Complete removal rate of patients with IHD and CBD stones was 75% (21/28) and 91% (19/21), respectively. Biopsy results by PTCS were in agreement with the final result in 86% (6/7). In patients with IHD stones, the PTCS complication rate was 29% (8/28). Bleeding was most common (21%) but was self limited. In patients with CBD stones, the PTCS complication rate was 9% (2/9). One case was bleeding and the other was death by aggravation of general condition. In patients with IHD stones, the recurrence rate was 29% (5/17).CONCLUSIONS:
In conclusion, PTCS is useful to treat patients with IHD stones, as well as the few patients with failed CBD stone removal by ERCP and diagnosis of stricture in the bile duct.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Récidive
/
Bile
/
Conduits biliaires
/
Conduits biliaires intrahépatiques
/
Biopsie
/
Cholangiopancréatographie rétrograde endoscopique
/
Conduit cholédoque
/
Sténose pathologique
/
Diagnostic
/
Hémorragie
Type d'étude:
Etude diagnostique
Limites du sujet:
Humains
langue:
Coréen
Texte intégral:
Korean Journal of Gastrointestinal Endoscopy
Année:
2006
Type:
Article
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