내시경초음파의 시대에 역행성췌담도내시경이 실패했을때 경피적 내시경적 랑데뷰 시술의 유용성에 대한 연구

DC Field Value Language
dc.contributor.advisor김진홍-
dc.contributor.author양민재-
dc.date.accessioned2019-10-21T07:31:00Z-
dc.date.available2019-10-21T07:31:00Z-
dc.date.issued2018-02-
dc.identifier.other27613-
dc.identifier.urihttps://dspace.ajou.ac.kr/handle/2018.oak/19118-
dc.description학위논문(박사)--아주대학교 일반대학원 :의학과,2018. 2-
dc.description.tableofcontentsⅠ. INTRODUCTION 1 Ⅱ. METHODS 1 A. Patients 1 B. Percutaneous-endoscopic rendezvous procedure 2 C. Measurements 3 D. Statistical analyses 4 Ⅲ. RESULTS 4 Ⅳ. DISCUSSION 6 Ⅴ. CONCLUSIONS 10 VI. REFERENCES 23 국문요약 27-
dc.language.isoeng-
dc.publisherThe Graduate School, Ajou University-
dc.rights아주대학교 논문은 저작권에 의해 보호받습니다.-
dc.title내시경초음파의 시대에 역행성췌담도내시경이 실패했을때 경피적 내시경적 랑데뷰 시술의 유용성에 대한 연구-
dc.title.alternativeUsefulness of combined percutaneous-endoscopic rendezvous techniques after failed therapeutic endoscopic retrograde cholangiography in the era of endoscopic ultrasound guided rendezvous-
dc.typeThesis-
dc.contributor.affiliation아주대학교 일반대학원-
dc.contributor.alternativeNameMin Jae Yang-
dc.contributor.department일반대학원 의학과-
dc.date.awarded2018. 2-
dc.description.degreeDoctoral-
dc.identifier.localId800342-
dc.identifier.urlhttp://dcoll.ajou.ac.kr:9080/dcollection/jsp/common/DcLoOrgPer.jsp?sItemId=000000027613-
dc.subject.keywordEndoscopic retrograde cholangiopancreatography-
dc.subject.keywordpercutaneous endoscopic rendezvous-
dc.subject.keywordendoscopic ultrasound guided rendezvous-
dc.description.alternativeAbstractThe rendezvous approach is a salvage technique after failure of endoscopic retrograde cholangiography (ERC). In certain circumstances, percutaneous-endoscopic rendezvous (PE-RV) is preferred, and endoscopic ultrasound-guided rendezvous (EUS-RV) is difficult to perform. We aimed to evaluate PE-RV outcomes, describe the PE-RV techniques, and identify potential indications for PE-RV over EUS-RV. Retrospective analysis was conducted of a prospectively designed ERC database between January 2005 and December 2016 at a tertiary referral center including cases where PE-RV was used as a salvage procedure after ERC failure. During the study period, PE-RV was performed in 42 cases after failed therapeutic ERC; 15 had a surgically altered enteric anatomy. The technical success rate of PE-RV was 92.9% (39/42), with a therapeutic success rate of 88.1% (37/42). Potential indications for PE-RV over EUS-RV were identified in 23 cases, and either PE-RV or EUS-RV could have effectively been used in 19 cases. Endoscopic bile duct access was successfully achieved with PE-RV in 39 cases with accessible biliary orifice using one of PE-RV cannulation techniques (classic, n=11; parallel, n=19; and adjunctive maneuvers, n=9). PE-RV uses a unique technology and has clinical indications that distinguish it from EUS-RV. Therefore, PE-RV can still be considered a useful salvage technique for the treatment of biliary obstruction after ERC failure.-
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Graduate School of Ajou University > Department of Medicine > 4. Theses(Ph.D)
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