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Intraductal Ultrasonography without Radiocontrast Cholangiogram in Patients with Extrahepatic Biliary Disease
Gut and Liver ; : 540-546, 2015.
Article Dans Anglais | WPRIM | ID: wpr-149094
ABSTRACT
BACKGROUND/

AIMS:

Intraductal ultrasonography (IDUS) has been performed as an adjunct to endoscopic retrograde cholangiography (ERC) during radiocontrast cholangiography (RC). Radiation exposure during RC poses a health risk to both patients and examiners. We evaluated the feasibility of IDUS without RC in various extrahepatic biliary diseases.

METHODS:

IDUS was performed with the insertion of an IDUS probe from the papilla of Vater to the confluent portion of the common hepatic duct without fluoroscopy. The technical success rate and procedure-related complications were evaluated retrospectively.

RESULTS:

Wire-guided IDUS without RC was performed in 105 patients. The mean age was 66.5 years, and 50 (47.6%) were male. The IDUS diagnoses included choledocholithiasis (73, 69.5%), benign biliary stricture (11, 10.5%), choledocholithiasis with biliary pancreatitis (9, 8.6%), bile duct cancer (5, 4.8%), pancreatic cancer (1, 0.9%), and others (6, 5.7%). After IDUS, 66 (62.8%) underwent stone removal, 19 (18.1%) underwent biliary drainage, and 7 (6.6%) underwent brush cytology and biopsy. No significant complications such as perforation or severe pancreatitis occurred.

CONCLUSIONS:

IDUS without RC was a feasible and safe approach in patients with various extrahepatic biliary diseases. We anticipate a potentially important role of IDUS in various ERC procedures because it lacks the hazards of RC.
Sujets)

Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Pancréatite / Maladie des voies biliaires / Drainage / Études rétrospectives / Cholangiopancréatographie rétrograde endoscopique / Résultat thérapeutique / Échographie interventionnelle / Conduits biliaires extrahépatiques / Produits de contraste / Endosonographie Type d'étude: Étude observationnelle Limites du sujet: Adulte / Adulte très âgé / Aged80 / Femelle / Humains / Mâle langue: Anglais Texte intégral: Gut and Liver Année: 2015 Type: Article

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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Pancréatite / Maladie des voies biliaires / Drainage / Études rétrospectives / Cholangiopancréatographie rétrograde endoscopique / Résultat thérapeutique / Échographie interventionnelle / Conduits biliaires extrahépatiques / Produits de contraste / Endosonographie Type d'étude: Étude observationnelle Limites du sujet: Adulte / Adulte très âgé / Aged80 / Femelle / Humains / Mâle langue: Anglais Texte intégral: Gut and Liver Année: 2015 Type: Article