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내시경초음파의 시대에 역행성췌담도내시경이 실패했을때 경피적 내시경적 랑데뷰 시술의 유용성에 대한 연구
| DC Field | Value | Language |
|---|---|---|
| dc.contributor.advisor | 김진홍 | - |
| dc.contributor.author | 양민재 | - |
| dc.date.accessioned | 2019-10-21T07:31:00Z | - |
| dc.date.available | 2019-10-21T07:31:00Z | - |
| dc.date.issued | 2018-02 | - |
| dc.identifier.other | 27613 | - |
| dc.identifier.uri | https://dspace.ajou.ac.kr/handle/2018.oak/19118 | - |
| dc.description | 학위논문(박사)--아주대학교 일반대학원 :의학과,2018. 2 | - |
| dc.description.tableofcontents | Ⅰ. 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.iso | eng | - |
| dc.publisher | The Graduate School, Ajou University | - |
| dc.rights | 아주대학교 논문은 저작권에 의해 보호받습니다. | - |
| dc.title | 내시경초음파의 시대에 역행성췌담도내시경이 실패했을때 경피적 내시경적 랑데뷰 시술의 유용성에 대한 연구 | - |
| dc.title.alternative | Usefulness of combined percutaneous-endoscopic rendezvous techniques after failed therapeutic endoscopic retrograde cholangiography in the era of endoscopic ultrasound guided rendezvous | - |
| dc.type | Thesis | - |
| dc.contributor.affiliation | 아주대학교 일반대학원 | - |
| dc.contributor.alternativeName | Min Jae Yang | - |
| dc.contributor.department | 일반대학원 의학과 | - |
| dc.date.awarded | 2018. 2 | - |
| dc.description.degree | Doctoral | - |
| dc.identifier.localId | 800342 | - |
| dc.identifier.url | http://dcoll.ajou.ac.kr:9080/dcollection/jsp/common/DcLoOrgPer.jsp?sItemId=000000027613 | - |
| dc.subject.keyword | Endoscopic retrograde cholangiopancreatography | - |
| dc.subject.keyword | percutaneous endoscopic rendezvous | - |
| dc.subject.keyword | endoscopic ultrasound guided rendezvous | - |
| dc.description.alternativeAbstract | The 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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