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양재식(Jea Sik Yang),이명구(Myung Goo Lee),임현석(Hyun Suk Lim),김우중(Yoo Joung Kim),박충기(Choong Kee Park),임규성(Kyu Sung Rim) 대한내과학회 1988 대한내과학회지 Vol.34 No.2
N/A The usefulness of EPT, to remove biliary atone is widely approved. So we reporters are willing to investigate and report 39 cases of EPT. out of 420 cases of ERCP performed from September 1983, to April 1987 in Kangnam Sacred Heart Hospital, Seoul, Korea. The results are as follows: 1) The distribution of age was from 24 year to 77 year old, and the sixties were 15 cases (37.7%), the most. The difference of sex could be disregarded; 18 men and 20 women. 2) The histories of cholecystectomy were found in 20 cases out of 39 ones. 3) There were the stones in 38 cases out of 39 cases: The most frequent site was common bile duct in 21 cases. 4) Out of 32 ca of the first EPT. (1) In 6 ca stones were confirmed in stool. (2) In 7 cases stones were confirmed in basket extraction and natural passing at EPT. (3) In 17 cases stones extraction were confirmed at second ERCP, & the improvement of clinical & laboratory. (4) 2 cases were not followed-up. 5) Out of 6 cases failed at first EPT, 2 cases were impacted stones, and managed by operation, 3 cases were incomp1ete excision; we succed at second performance. 1 case was very large stone (6×2×2); we succed in passing the stone at third performance by lithotripsy without significant complication. 6) Size of the removed stones was 0.5 cm to 6 cm. Lots of stones were 1.5 cm to 2.5 cm(12 cases-31.6%) and in 2 cases the stones were over 5 cm. 7) After EPT, it's complication was found in 4 cases (10.5%): in 2 cases transfusion was demanded because of bleeding; in 2 cases operation was performed because of impacted stone.