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간장 및 담도 : 내시경적 역행성 담췌관 조영술 200예에 대한 임상적 고찰
나산균(S.G. Rha),윤명순(M.S. Yoon),정주섭(J.S. Chung),박병엽(B.Y. Park),양웅석(U.S. Yang),허 윤(Y. Huh),문한규(H.G. Moon),유방현(B.H. Liu) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.1
N/A ERCP is known as the most useful diagnostic and therapeutic tool in the management of biliary and pancreatic disease. We analyzed 200 cases of ERCP which were performed at the Dept. of Int. Med, Pusan National University Hospital during 5 years from May 1980 to February 1986 The results were as follow; 1) Diagnostic success rate, including endoscopic diagonsis, by ERCP was 91.0. of the cases 2) The morphology of the orifice of duodenal papilla was classified by method of oi. The most frequent shape of orifice of the duodenal papilla was villous type(27.8%) and followed by granular type, lacerated type, splitted type and hard hole type in order. 3) Of the biliary tract diseases, diagnosed by ERCP, biliary tract stone(34.5%) was most common. Other biliary diseases were biliary cancer clonorchiasis and choledochal cyst in order. Of the pancreatic diseases, diagnosed by ERCP, pancreatic cancer(59.5%Y) and chronic pancreatitis(37.8%) were the most common. 4) The accuracy of ERCP dia.gnoses, compaired with operative diagnoses was 81.8% that showed higher accuracy rate in the diagnosis of biliary tract stone, biliary tract cancer and pancreatic cancer but showed lower accuracy rate in the diagnosis of clonorchiasis. 5) The most common causative disease of postcholecystectomy syndromes, which were diagnosed by ERCP, was bile duct stone(52. 0%).