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논문 기본 정보

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저자정보
Lee Yoon Suk (Department of Internal Medicine Ilsan Paik Hospital Inje University College of Medicine Goyang Korea) Jeon Tae Joo (Department of Internal Medicine Sanggye Paik Hospital Inje University College of Medicine Seoul Korea) Paik Woo Hyun (Department of Internal Medicine Seoul National University Hospital Seoul National University College of Medicine Seoul Korea) Ahn Dong-Won (Department of Internal Medicine Seoul Metropolitan Government-Seoul National University Boramae Medical Center Seoul National University College of Medicine Seoul Korea) Chung Kwang Hyun (Department of Internal Medicine Uijeongbu Eulji Medical Center Eulji University School of Medicine Uijeongbu Korea) Son Byoung Kwan (Department of Internal Medicine Uijeongbu Eulji Medical Center Eulji University School of Medicine Uijeongbu Korea) Song Tae Jun (Department of Internal Medicine Asan Medical Center University of Ulsan College of Medicine Seoul Korea) Moon Sung-Hoon (Department of Internal Medicine Hallym University Sacred Heart Hospital Hallym University College of Medicine Anyang Korea) Lee Eaum Seok (Department of Internal Medicine Chungnam National University Hospital Chungnam National University College of Medicine Daejeon Korea) Lee Jae Min (Department of Internal Medicine Korea University Anam Hospital Korea University College of Medicine Seoul Korea) Yoon Seung Bae (Department of Internal Medicine Eunpyeong St. Mary’s Hospital College of Medicine The Catholic University of Korea Seoul Korea) Paik Chang Nyol (Department of Internal Medicine St. Vincent’s Hospital College of Medicine The Catholic University of Korea Suwon Korea) Lee Yun Nah (Department of Internal Medicine Soonchunhyang University Bucheon Hospital Soonchunhyang University College of Medicine Bucheon Korea) Park Jin-Seok (Department of Internal Medicine Inha University School of Medicine Incheon Korea) Lee Dong Wook (Department of Internal Medicine Kyungpook National University Chilgok Hospital School of Medicine Kyungpook National University Daegu Korea) Park Sang Wook (Department of Internal Medicine Kwangju Christian Hospital Gwangju Korea) Chon Hyung Ku (Department of Internal Medicine Wonkwang University Hospital Wonkwang University School of Medicine Iksan Korea) Cho Kwang Bum (Department of Internal Medicine Dongsan Medical Center Keimyung University School of Medicine Daegu Korea) Park Chang Hwan (Department of Internal Medicine Chonnam National University Hospital Chonnam National University Medical School Gwangju Korea)
저널정보
거트앤리버 발행위원회 Gut and Liver Gut and Liver 제17권 제3호
발행연도
2023.5
수록면
475 - 481 (7page)
DOI
10.5009/gnl220117

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초록· 키워드

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Background/Aims: This study aimed to investigate the patterns of preferred endoscopic procedure types and techniques for managing difficult common bile duct (CBD) stones in South Korea. Methods: The Committee of Policy and Quality Management of Korean Pancreatobiliary Association (KPBA) conducted a survey containing 19 questions. Both paper and online surveys were carried out; with the paper survey being conducted during the 2019 Annual Congress of KPBA and the online survey being conducted through Google Forms from April 2020 to February 2021. Results: The response rate was approximately 41.3% (86/208). Sixty-two (73.0%) worked at tertiary hospitals or academic medical centers, and 60 (69.7%) had more than 5 years of endoscopic retrograde cholangiopancreatography experience. The preferred size criteria for large CBD stones were 15 mm (40.6%), 20 mm (31.3%), and 30 mm (4.6%). For managing of large CBD stones, endoscopic papillary large balloon dilation after endoscopic sphincterotomy was the most preferred technique (74.4%). When performing procedures in those with bleeding diathesis, 64 (74.4%) respondents favored endoscopic papillary balloon dilation (EPBD) alone or EPBD with small endoscopic sphincterotomy. Fifty-five respondents (63.9%) preferred the doubleguidewire technique when faced with difficult bile duct cannulation in patients with periampullary diverticulum. In surgically altered anatomies, cap-fitted forward viewing endoscopy (76.7%) and percutaneous transhepatic cholangioscopy (48.8%) were the preferred techniques for Billroth-II anastomosis and total gastrectomy with Roux-en-Y anastomosis, respectively. Conclusions: Most respondents showed unifying trends for the management of difficult CBD stones. The current practice patterns could be used as basic data for clinical quality improvements in the management of difficult CBD stones.
#Bile ducts #Gallstones #Endoscopy #Cholangiopancreatography endoscopic retrograde #Surveys and questionnaires

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