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Background/Aims: Although a few recent studies have reported the effectiveness of endoscopic pancreatic sphincterotomy (EPST), none has compared physicians’ skills and complications resulting from the procedure.

Thus, we examined the indications, complications, and safety of EPST performed by a single physician at a single center.

Methods: Among 2,313 patients who underwent endoscopic retrograde cholangiopancreatography between January 1996 and March 2008, 46 patients who underwent EPST were included in this retrospective study. We

examined the indications, complications, safety, and effectiveness of EPST, as well as the need for a pancreatic drainage procedure and the concomitant application of EPST and endoscopic sphincterotomy (EST).

Results: Diagnostic indications for EPST were chronic pancreatitis (26 cases), pancreatic divisum (4 cases), and pancreatic cancer (8 cases). Therapeutic indications for EPST were removal of a pancreaticolith (10 cases), stent insertion for pancreatic duct stenosis (9 cases), nasopancreatic drainage (7 cases), and treatment of sphincter of

Oddi dysfunction (1 case). The success rate of EPST was 95.7% (44/46). Acute complications of EPST included five cases (10.9%) of pancreatitis and one of cholangitis (2.2%). EPST with EST did not reduce biliary complications.

Endoscopic pancreatic drainage procedures following EPST did not reduce pancreatic complications.

Conclusions: EPST showed a low incidence of complications and a high rate of treatment success; thus, EPST is a relatively safe procedure that can be used to treat pancreatic diseases. Pancreatic drainage procedures and

additional EST following EPST did not reduce the incidence of procedure-related complications.

권호기사

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Update on endoscopic treatment of chronic pancreatitis Byung Moo Yoo ;Glen A. Lehman pp.169-179

Early detection of asymptomatic coronary artery disease in patients with type 2 diabetes mellitus Ho-Joong Youn pp.180-182

Early detection of asymptomatic coronary artery disease in patients with type 2 diabetes mellitus Won sang Yoo ;Hee Jin Kim ;Dohee Kim ;Myung Yong Lee ;Hyun-Kyung Chung pp.183-189

Endoscopic pancreatic sphincterotomy :indications and complications Yong Won Joo ;Jai Hoon Yoon ;Seung Chul Cho ;Kang Nyeong Lee ;Na Rae Ha ;Hang Lak Lee ;Oh Young Lee pp.190-195

Endoscopic and histopathologic predictors of recurrence of colorectal adenoma on lowering the miss rate Jeong-Seon Ji ;Kyu-Yong Choi ;Won-Chul Lee ;Bo-In Lee ;Soo-Heon Park ;Hwang Choi ;Byung-Wook Kim ;Hi pp.196-202

Assessment of the efficacy of reducing peginterferon alfa-2a and ribavirin dose on virologic response in Koreans with chronic hepatitis C Jung Hyun Kwon ;Si Hyun Bae ;Jong Young Choi ;Seung Kew Yoon ;Kwan Soo Byun ;Seung Woon Paik ;Young pp.203-211

Significance of inflammatory markers in diabetic patients with stable coronary artery disease Hyo-Jin Lee ;Sung-Ho Her ;Yun-Sun Im ;Kang-Yeon Won ;Sun-Hong Yoo ;Dong-Bin Kim ;Dong-il Shin ;Pum-J pp.212-219

Selectively decreased expression of peroxiredoxins induced by silica in pulmonary epithelial cells Hye Lim Lee ;Young Sun Kim ;Joo Hun Park ;Wou Young Chung ;Kyu Sung Lee ;Yoong Jung Oh ;Seung Soo Sh pp.220-226

Long-term effects of rosiglitazone on the progressive decline in renal function in patients with type 2 diabetes Mee Kyoung Kim ;Seung-Hyun Ko ;Ki-Hyun Baek ;Yu-Bae Ahn ;Kun-Ho Yoon ;Moo-Il Kang ;Kwang-Woo Lee ;Ki pp.227-232

The efficacy and safety of ezetimibe and low-dose simvastatin as a primary treatment for dyslipidemia in renal transplant recipients Hye Eun Yoon ;Joon Chang Song ;Bok Jin Hyoung ;Hyeon Seok Hwang ;So Young Lee ;Youn Joo Jeon ;Bum So pp.233-237

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Blood stream infections by Candida glabrata and Candida krusei :a single-center experience Hee Kyoung Choi ;Su Jin Jeong ;Han Sung Lee ;Bum Sik Chin ;Suk Hoon Choi ;Sang Hoon Han ;Myung Soo K pp.263-269

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A synonymous genetic alteration of LMX1B in a family with nail-patella syndrome Joo Ho Ham ;Seok Joon Shin ;Kyu Re Joo ;Sung Min Park ;Hye Young Sung ;Joong Seok Kim ;Jin Soo Choi pp.274-278

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A new onset of systemic lupus erythematosus developed after bee venom therapy Young Hee Rho ;Jin-Hyung Woo ;Seong Jae Choi ;Young Ho Lee ;Jong Dae Ji ;Gwan Gyu Song pp.283-285

참고문헌 (17건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Indications for EUS-Directed FNA 네이버 미소장
2 Choi HS, Hahm JS, Park GN. Endoscopic sphincterotomy (EST) and endoscopic biliary drainage (ERD). Korean J Gastrointest Endosc 1998;18(suppl.):97-107. 미소장
3 Pancreatic sphincterotomy and pancreatic endoprosthesis. 네이버 미소장
4 Extracorporeal shock-wave lithotripsy of pancreatic calculi. 네이버 미소장
5 Long-term results after arthroscopic meniscectomy. The role of preexisting cartilage fibrillation in a 13 year follow-up of 60 patients. 네이버 미소장
6 Endoscopic Therapy of Pancreatic Stones 네이버 미소장
7 Endoscopic pancreatic sphincterotomy--technique and evaluation. 네이버 미소장
8 Routine Biliary Sphincterotomy May Not be Indispensable for Endoscopic Pancreatic Sphincterotomy 네이버 미소장
9 Indications for EUS-Directed FNA 네이버 미소장
10 Pancreatic Endoscopic Sphincterotomy in Patients with Chronic Pancreatitis: A Single-Center Experience in 171 Consecutive Patients 네이버 미소장
11 Choi HS. Endoscopic Pancreatic drainage procedure. Korean J Gastrointest Endosc 1997;16(suppl.):47-55. 미소장
12 Endoscopic sphincterotomy complications and their management: an attempt at consensus 네이버 미소장
13 Endoscopic pancreatic duct sphincterotomy: Indications, technique, and analysis of results 네이버 미소장
14 146 Cases of Endoscopic Sphincterotomy 소장
15 Endoscopic pancreatic sphincterotomy: techniques and complications. 네이버 미소장
16 Risk factors for pancreatitis after pancreatic sphincterotomy: a review of 572 cases. 네이버 미소장
17 Clinical Application and Safety of Endoscopic Pancreatic Sphincterotomy in 339 Cases 소장

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