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정극수(Keuk Soo Chung),김학현(hak Hyun Kim),이창우(Chang Uoo Lee),허성욱(Sung Ouk Huh),정동현(Dong Hyun Chung),배정동(Jyung Dong Bae) 대한소화기학회 1983 대한소화기학회지 Vol.15 No.2
N/A Percutaneous transhepatic cholangiography(PTC) was performed in 30 cases, who were suspicious of obstructive jaundice or not differentiated clearly from non-obstructive jaundice at the department of internal medicine, Daegu Catholic Hospital during about 1 year from Feb. 1982 to Mar. 1983. The results were as follows; 1) The ratio of male to female was 17 to 1(19 cases to 11 cases) in the total group (30 cases) and the highest incidence of age was 6th decade(10 cases). 2) Successful PTC was obtained in 27 cases(90%) among the total of 30 cases. Three caaes of the unsuccessful group were impressed as CBD stone(2 cases) and cholangitis(1 case). 3) Among the successful group(27 cases), CBD stone was seen in 7 cases, cholangio-Ca, in 7 cases(CBD Ca. in 4 cases and CHD Ca. in 3 cases), pancreatic head Ca. In 4 cases, GB Ca. In 1 case, Ascariasis sras found in 1 case and Clonorchiasis in 1 case etc. 4) On the laboratory examination, the average level of total serum bilirubin of cholangio-CA. (15. 4 mg%) and pancreatic head Ca. (17. 5 mg %) was significantly higher than that of CBD stone (8.3 mg%) and the average level of total serum alkaline phoshatase of cholangio-CA. (20.5 unit) and that of pancreatic head CA.(20.4 unit) was higher than that of CBD stone(12. 4 unit). 5) Twelve cases among the 27 cases were operated and operative findings of them were coincident with PTC finding except two cases. The one case of CBD stone was mistaken as CBD CA. and the CBD Ca. As pancreatic head Ca. 6) Operation could be excluded by PTC in 5 cases. These cases were improved by medical conservative treatment. 7) Complications were seen in 3 cases. Bile leakage in one, high fever(39℃) and transient hypertension in the others.