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Double guidewire technique vs transpancreatic precut sphincterotomy in difficult biliary cannulation 被引量:26
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作者 Young Wook Yoo Sang-Woo Cha +3 位作者 Woong Cheul Lee Sae Hee kim anna kim Young Deok Cho 《World Journal of Gastroenterology》 SCIE CAS 2013年第1期108-114,共7页
AIM:To compare the outcomes between doubleguidewire technique(DGT) and transpancreatic precut sphincterotomy(TPS) in patients with difficult biliary cannulation.METHODS:This was a prospective,randomized study conducte... AIM:To compare the outcomes between doubleguidewire technique(DGT) and transpancreatic precut sphincterotomy(TPS) in patients with difficult biliary cannulation.METHODS:This was a prospective,randomized study conducted in single tertiary referral hospital in Korea.Between January 2005 and September 2010.A total of 71 patients,who bile duct cannulation was not possible and selective pancreatic duct cannulation was achieved,were randomized into DGT(n = 34) and TPS(n = 37) groups.DGT or TPS was done for selective biliary cannulation.We measured the technical success rates of biliary cannulation,median cannulation time,and procedure related complications.RESULTS:The distribution of patients after randomization was balanced,and both groups were comparable in baseline characteristics,except the higher percentage of endoscopic nasobiliary drainage in the DGT group(55.9% vs 13.5%,P < 0.001).Successful cannulation rate and mean cannulation times in DGT and TPS groups were 91.2% vs 91.9% and 14.1 ± 13.2 min vs 15.4 ± 17.9 min,P = 0.732,respectively.There was no significant difference between the two groups.The overall incidence of post-endoscopic retrograde cholangiopancreatography(ERCP) pancreatitis was 38.2% vs 10.8%,P < 0.011 in the DGT group and the TPS group;post-procedure pancreatitis was significantly higher in the DGT group.But the overall incidence of post-ERCP hyperamylasemia was no significant difference between the two groups;DGT group vs TPS group:14.7% vs 16.2%,P < 1.0.CONCLUSION:When free bile duct cannulation was difficult and selective pancreatic duct cannulation was achieved,DGT and TPS facilitated biliary cannulation and showed similar success rates.However,post-procedure pancreatitis was significantly higher in the DGT group. 展开更多
关键词 ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY Post-endoscopic RETROGRADE CHOLANGIOPANCREATOGRAPHY pancreatitis Duoble GUIDEWIRE technique Transpancrestic PRECUT SPHINCTEROTOMY
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Colonoscopy-induced ischemic colitis in patients without risk factors 被引量:9
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作者 Sang Ok Lee Sae Hee kim +7 位作者 Sung Hee Jung Chan Woong Park Min Ji Lee Jin A Lee Hyun Cheol Koo anna kim Hyun-Young Han Dong-Wook Kang 《World Journal of Gastroenterology》 SCIE CAS 2014年第13期3698-3702,共5页
Ischemic colitis is the most common form of intestinal ischemia.It is a condition that is commonly seen in the elderly and among individuals with risk factors for ischemia.Common predisposing conditions for ischemic c... Ischemic colitis is the most common form of intestinal ischemia.It is a condition that is commonly seen in the elderly and among individuals with risk factors for ischemia.Common predisposing conditions for ischemic colitis are major vascular occlusion,small vessel disorder,shock,some medications,colonic obstructions and hematologic disorders.Ischemic colitis following colonoscopy is rare.Here,we report two cases of ischemic colitis after a routine screening colonoscopy in patients without risk factors for ischemia. 展开更多
关键词 ISCHEMIC COLITIS COLONOSCOPY HEMATOCHEZIA
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Pancreatic pseudocyst filled with semisolid lipids mimicking solid mass on endoscopic ultrasound 被引量:2
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作者 Sang-Woo Cha Sae Hee kim +7 位作者 Hyang Ie Lee Yun Jung Lee Hyeon Woong Yang Sung Hee Jung anna kim Min Koo Lee Hyun Young Han Dong Wook Kang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2010年第8期1034-1038,共5页
Pancreatic pseudocysts,which account for 70%-90% of pancreatic cystic lesions,characteristically are non-epithelially lined cystic cavities that are contiguous with the pancreas. Pancreatic pseudocysts can be caused b... Pancreatic pseudocysts,which account for 70%-90% of pancreatic cystic lesions,characteristically are non-epithelially lined cystic cavities that are contiguous with the pancreas. Pancreatic pseudocysts can be caused by acute,chronic or traumatic pancreatitis and should be differentiated from other pancreatic diseases with cystic appearances,especially cystic neoplasms. We report a unique case of a pancreatic pseudocyst filled with semisolid lipids,which appeared by endoscopic ultrasound as a solid mass,and was therefore resected. 展开更多
关键词 Pancreatic pseudocyst LIPIDS Endosonog-raphy
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