| 담관결석 치료에 있어서 내시경적 유두부 발룬 확장술의 임상적 유용성 |
| 이진 |
| 한림대학교 의과대학 내과학교실 |
| The Clinical Usefulness of the Endoscopic Balloon Dilatation for the Management of Bile Duct Stones |
| Jin Lee |
| Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea |
Corresponding author:
Jin Lee, Tel: 02-2639-5411, Fax: 02-676-7814 ,
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| ABSTRACT |
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Endoscopic balloon dilatation (EBD), new an alternative management of the bile duct stones, is a safe and effective sphincter reservation technique that significantly reduces the necessity for endoscopic sphincterotomy (EST). EBD might be more preferable than EST in the cases of below: first, the patients with "easy-to-treat": bile duct stones (diameter<10 mm, three or fewer stones), second, the high risk patients with large periampullary diverticulum, coaglation tendency and anatomical changes, third , younger patients, fourth, the patients who have no or weak chronic bile duct inflammation. The studies are required to evaluate results of long-term follow-up. |
| Keywords:
Endoscopic balloon dilatation, Endoscopic sphincterotomy, Bile duct stone |
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