http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
- 中文 을 입력하시려면 zhongwen을 입력하시고 space를누르시면됩니다.
- 北京 을 입력하시려면 beijing을 입력하시고 space를 누르시면 됩니다.
RISS 인기검색어
- 검색키워드
- 저자 : ( Bo Bo Htay ) (검색결과 2 건)
- 무료
- 기관 내 무료
- 유료
-
( Bo Bo Htay ) 대한간학회 2020 춘·추계 학술대회 (KASL) Vol.2020 No.1
Aims: Complicated recurrent pyogenic cholangitis (RPC) is a lifelong, progressive disease. A high rate of residual stones, recurrent stones and repeated symptoms after the initial surgery are the major concern. Reoperation can be a formidable challenge and definitely hazardous, and the patient morbidity is high because of dense adhesion, the risk of bleeding and nearby organ injury. Methods: Roux-en-Y hepaticojejunostomy with subcutaneous access loop was done in all patients with complicated RPC admitted to Surgical Ward (3), Yangon General Hospital in 20 months duration. During one year follow up period, the patients having residual or recurrent stones with symptoms were chosen for stone removal using choledochoscope via access loop. Outcome was determined by successful utilization of the access loop, clearance of the stones and relief of the symptoms after the procedure. Results: There were 77 patients who underwent Roux-en-Y hepaticojejunostomy with subcutaneous access loop. The overall incidences of residual stone, stone recurrence and symptom recurrence were 27.2%, 13.6% and 31.8%. Total ten sessions of choledochoscopic stone removal were done in eight patients. Successful utilization of the access loop was accomplished in 85.7%. There were 75% successful stone clearance. Symptom relief after endoscopic intervention was 88.9%. There was no complication after the procedure. The mean hospital stay after procedure was 2.6 days. Conclusions: Subcutaneous hepaticojejunal access loop is effective in treating residual and recurrent calculi occurred in complicated RPC. High success rates, short hospitalization periods, and no complications make it a well-accepted method for management of complicated RPC.
-
( Bo Bo Htay ),( Myat Su Mon Soe ),( Aye Min San ),( Myo Myat Thu ) 대한간학회 2020 춘·추계 학술대회 (KASL) Vol.2020 No.1
Aims: Biliary obstruction due to chronic pancreatitis is not uncommon. Moreover, the patients with chronic pancreatitis sometimes have biliary stones diseases. The pain due to chronic pancreatitis need to be addressed while treating biliary obstruction. Biliary and pancreatic stenting in these conditions require repeated changing of the stents with multiple admissions, and the long-term success rate is low. Methods: This is a retrospective analysis of five cases of chronic pancreatitis with benign biliary obstruction. Pancreaticojejunostomy, hepaticojejunostomy and double Roux-en-Y digestive tract reconstruction were performed in all patients. Four patients had pancreatic duct dilatation with stones, and cystic dilatation of the duct with distal CBD compression in pancreatic head region found in one patient. Longitudinal pancreaticojejunostomy performed in four patients, and distal pancreatectomy and end-to-side pancreaticojejunostomy done in one patient. Biliary stricture due to chronic pancreatitis was found in three patients, and multiple stones in both intra and extrahepatic ducts found in one patient whom additional subcutaneous access loop was created for future removal of stones. Results: The recovery of all patients was uneventful and no complication such as leakage and digestive tract obstruction occurred in the postoperative period. All patients did not complaint of pain during follow-up visits. One patient needed read mission to medical ward for pancreatic endocrine insufficiency. Conclusions: Surgery is the best option for chronic pancreatitis with biliary obstruction. For the good-risk patients and for the patients with failed endoscopic procedures, double Roux-en-Y digestive tract reconstruction is effective alternative surgical treatment modality where Frey procedure is not appropriate.
연관 검색어 추천
이 검색어로 많이 본 자료
활용도 높은 자료
