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경피경간담배액술 (經皮經肝膽排液術) 193예에 관한 분석
최병인(Byung Ihn Choi),박재형(Jae Hyung Park),임덕(Duk Lim),한만청(Man Chung Han),한준구(Jun Koo Han),이종범(Jong Beum Lee),김주완(Chu Wan Kim) 대한소화기학회 1984 대한소화기학회지 Vol.16 No.2
N/A Percutaneous transhepatic biliary drainage has played a major role in treatment of patients with biliary tract disease, especially obstruction by malignant disease. Percutaneous transhepatic biliary drainage was perfor med 193 times in 152 patients of obstructive jaundice for recent 3 years from July, 1981 to September, 1984 at department of radiology, Seoul National University Hospital. The results were as follows: 1) The male to female ratio was 2:3:1 and the 7 th decade was the most common. 2) The causes of obstructive jaundice included 135 malignant diseases and 17 benign diseases. Malignant diseases were 61 cases of bile duct cancer, 36 cases of metastasis, 26 cases of pancreatic cancer, 6 cases of gallbladder cancer, 4 cases of ampulla Vater cancer, 1 case of duodenal cancer, and 1 case of hepatoma. Benign diseases were 10 cases of common bile duct stone, 1 case of intrahepatic stones, 4 cases of benign stricture and 2 cases of cholangitis. 3) The most common indication was palliative drainage of obstruction secondary to malignant tumor in 113 cases. 4) The overall success rate was 95%. Internal drainage was achieved in 45(24%) cases and external drainage was accomplished in 139 (76%) cases. 5) Decline in serum bilirubin level was found in 144 patients (95%) with the most rapid decline within 1 week after the procedure. 6) Acute major complication occurred in 17 cases (9%) Percutaneous transhepatic biliary drainage is a proven technique for non-operative biliary decompression and established alternative to surgery.
이우진,김용태,김우호,김정룡,한준구,이건욱,윤용범,류지곤,장유현,김윤준 대한소화기학회 2000 대한소화기학회지 Vol.36 No.2
Pancreatic arteriovenous malformation is rare. It may be asymptomatic, but the most common symptom is gastrointestinal bleeding. We report a case of pancreatic arteriovenous malformation with recurrent episodes of melena. To our knowledge, this is the first report of pancreatic arteriovenous malformation in Korea. A 38-year-old male patient visited our emergency room because of repeated melena and hematochezia. He underwent angiography and transarterial embolization to stop the bleeding. A pancreaticoduodenectomy (Whipple's operation) was performed as the definitive treatment. The pathology of the resected specimen showed multiple tortuous vessels with dilation in the pancreatic head.