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위장관계의 위석, CBD역류, 식도정맥류의 원인과 방사선학적 소견
안효근(Hyo Keun Ahn),송호석(Ho Seok Song),이충모(Chung Mo Lee),최승극(Seung Keug Choi),이신호(Shin Ho Lee) 대한영상의학기술학회 2005 대한영상의학기술학회 논문지 Vol.2005 No.1
This study is intended to examine the causes, symptoms and treatment method of the bezoar, common bile duct(CBD) reflux, and Esophageal Varix which are frequently observed in UGI and then to briefly describe the form of lesion and an inspection method. 1. Cause and radiologic findings of bezoar Bezoar is a hard indigestible mass of material found in the stomachs of humans. In particular, it can be frequently observed in patients who have achalasia, the basal motor abnormality with pooling by many causes. It also can be easily formed in stomachs because foods are not digested andremains in stomachs when the anastomosis is narrow after the subtotal gastrectomy. 2. Cause and radiologic findings of CBD reflux Patients with CBD reflux have mostly diseases in the past CBD. Its causes include 1) a tumefaction of ampula of vater, 2) vater underaction, 3) inflammation of pancreatic cancer, and 4) the barium caused by the underaction in Endoscopic retrograde cholangiopancreatography(ERCP) after the subtotal gastrectomy or in UGI after ERCP or EST. 3. Cause and radiologic findings of esophageal varices Most causes of esophageal varices are the portal hypertension. It is mainly related to the increase of portal venous pressure by the obstruction of portal vein or thrombosis of splenic vein in liver cirrhosis patients.