The Korean Journal of Pancreas and Biliary Tract最新文献_第3页

Endoscopic Ultrasound Images of Normal Anatomy of the Pancreas and Biliary Tree 胰腺和胆道正常解剖的内镜超声图像

The Korean Journal of Pancreas and Biliary Tract Pub Date : 2023-01-31 DOI: 10.15279/kpba.2023.28.1.1

Jonghyun Lee, S. Han

引用次数: 0

Endoscopic and Endosonographic Palliation for Triple Obstruction Caused by Recurrent Gallbladder Cancer: A Case Report 内镜及超声治疗复发性胆囊癌三联梗阻1例

The Korean Journal of Pancreas and Biliary Tract Pub Date : 2023-01-31 DOI: 10.15279/kpba.2023.28.1.19

Young Rong Kim, C. Oh, Min Yang

引用次数: 0

Mass-Forming Immunoglobulin G4-Related Ampullitis Mimicking a Duodenal Subepithelial Tumor: A Case Report 形成团块的免疫球蛋白g4相关壶腹炎模拟十二指肠上皮下肿瘤1例报告

The Korean Journal of Pancreas and Biliary Tract Pub Date : 2022-10-31 DOI: 10.15279/kpba.2022.27.4.150

H. Lee, E. Lee

引用次数: 0

Intractable Pancreatic Stone Removal Using SpyGlass™ DS II with Electrohydraulic Lithotripsy: A Case Report and Literature Review 应用SpyGlass™DS II联合电液碎石术去除难治性胰腺结石1例报告及文献回顾

The Korean Journal of Pancreas and Biliary Tract Pub Date : 2022-10-31 DOI: 10.15279/kpba.2022.27.4.154

Jung Hun Kim, Y. Cheon, T. Lee, Sang Hoon Lee

引用次数: 0

Frey’s Procedure for Chronic Pancreatitis in an Adolescent with Recurrent Upper Gastrointestinal Bleeding: A Case Report 青少年复发性上消化道出血的慢性胰腺炎的弗雷手术:1例报告

The Korean Journal of Pancreas and Biliary Tract Pub Date : 2022-10-31 DOI: 10.15279/kpba.2022.27.4.164

A. Nugroho, A. Widodo, Indah Jamtani, A. Rachmawati

{"title":"Frey’s Procedure for Chronic Pancreatitis in an Adolescent with Recurrent Upper Gastrointestinal Bleeding: A Case Report","authors":"A. Nugroho, A. Widodo, Indah Jamtani, A. Rachmawati","doi":"10.15279/kpba.2022.27.4.164","DOIUrl":"https://doi.org/10.15279/kpba.2022.27.4.164","url":null,"abstract":"Chronic fibroinflammatory pancreatitis causes irreparable damage to the pancreatic parenchyma. This frequently results in food restrictions, painkiller addiction, and serious quality of life impairment in children. We observed a 13-year-old girl who had previously been hospitalized multiple times and had undergone acute pancreatitis arrived with excruciating abdominal pain and recurrent hematemesis. A chronic intra-pseudocyst bleed and an ampulla of Vater hemorrhage were discovered during an upper gastrointestinal endoscopy. A 3×2×1 cm pancreatic head pseudocyst was discovered on the magnetic resonance cholangiopancreatography, however the computed tomography scan revealed a pancreatic head pseudocyst, pancreatic duct stones, and substantial peripancreatic inflammation. The multidisciplinary team determined that Frey’s surgery was the most efficient method to minimize her suffering. No complications occurred during the healing phase following surgery, and two years later, neither recurrence bleeding nor abdominal pain appeared. In summary, Frey’s method is a secure and efficient intervention when applied by a multidisciplinary team.","PeriodicalId":342618,"journal":{"name":"The Korean Journal of Pancreas and Biliary Tract","volume":"148 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133608031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endoscopic Ultrasound-Based Evaluation of Pancreatic Cysts: New Invasive Modalities 超声内镜下胰腺囊肿的评估:新的侵入方式

The Korean Journal of Pancreas and Biliary Tract Pub Date : 2022-10-31 DOI: 10.15279/kpba.2022.27.4.145

C. Koo, Khek Yu Ho

引用次数: 0

Clinical Impact of Prophylactic Endoscopic Clipping for Prevention of Delayed Bleeding after Endoscopic Papillectomy for Ampullary Neoplasm 预防性内镜夹持预防壶腹肿瘤内镜乳头切除术后迟发性出血的临床影响

The Korean Journal of Pancreas and Biliary Tract Pub Date : 2022-10-31 DOI: 10.15279/kpba.2022.27.4.168

Jae-Hee Cho, Se Woo Park

{"title":"Clinical Impact of Prophylactic Endoscopic Clipping for Prevention of Delayed Bleeding after Endoscopic Papillectomy for Ampullary Neoplasm","authors":"Jae-Hee Cho, Se Woo Park","doi":"10.15279/kpba.2022.27.4.168","DOIUrl":"https://doi.org/10.15279/kpba.2022.27.4.168","url":null,"abstract":"Copyright © 2022 by Korean Pancreatobiliary Association 168 본고에서는 내시경적 유두절제술 후 발생하는 지연성 출혈을 효율적으로 예방하기 위해 Park 등이 최근 보고한 연구를 소개하고 여기에 소개된 기법을 임상에 적용하는 것이 적절한지 제한점은 없는지 등을 논의해보고자 한다. 내시경적 유두부절제술(endoscopic papillectomy) 후 지연성 출혈은 이 시술의 가장 흔하고 치명적인 합병증으로 여러 가지 지혈술들이 소개되었지만 그중 내시경 클립을 이용한 방법이 가장 효과적인 것으로 알려져 있다(Fig. 1). 다만 이러한 내시경 클립은 십이지장경을 이용한 시술에서 사용이 매우 제한적인데, 특히 거상기(elevator)를 주로 사용하는 십이지장경의 특성 상 거상기를 이용하여 내시경적 도구가 90도 이상으로 구부러져 있을 경우 기술적으로 결찰에 실패할 확률이 높다. 또한 유두부의 해부학적 특성 상 담관 및 췌관의 개구부가 내시경 클립으로 인하여 막힐 수 있으며 이로 인한 급성 담관염 및 급성 췌장염이 발생할 가능성도 매우 높아 내시경적 유두부절제술 후 지혈을 위한 내시경 클립의 임상적 효용성이나 필요성은 크지 않았다. 본 연구에서는 새롭게 개발된 내시경 클립을 이용하여 총 78명의 환자를 클립 시술을 시행한 군과 그렇지 않은 군으로 임의 배정하였다. 새롭게 개발된 클립은 도관과 일체형으로 제작되어 클립 결찰 방향이 원하는 방향이 아닐 경우 보조자의 손쉬운 조작을 통해 회전이 가능하며, 결찰 위치가 원하는 위치가 아닐 경우 재포획 및 재결찰이 가능하다는 장점이 있다(Fig. 2). 연구 결과 클립 결찰군에서는 지연성 출혈이 15.0%, 클립 결찰을 하지 않은 군에서 31.6%로 통계학적으로 유의하지는 않았으나 현저히 적은 지연성 출혈 발생률을 보여주었다. 다만 클립 결찰 군에서는 역시 통계학적으로 유의하지는 않았으나 높은 시술 후 급성 췌장염(post-endoscopic 내시경적 유두절제술 후 발생하는 지연성 출혈의 예방을 위한 클립 결찰술","PeriodicalId":342618,"journal":{"name":"The Korean Journal of Pancreas and Biliary Tract","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132262973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Multi-Center Study on Gender Difference in Resectability and Pathologic Prognosis of Gallbladder Cancer 胆囊癌可切除性及病理预后的性别差异多中心研究

The Korean Journal of Pancreas and Biliary Tract Pub Date : 2022-07-31 DOI: 10.15279/kpba.2022.27.3.121

Yang Tae Park, J. Kang, Jae Seon Kim, M. Jung, S. Kim, Jaehee Cho, S. Woo, K. Lee, E. Kim, Hyo Jung Kim

{"title":"Multi-Center Study on Gender Difference in Resectability and Pathologic Prognosis of Gallbladder Cancer","authors":"Yang Tae Park, J. Kang, Jae Seon Kim, M. Jung, S. Kim, Jaehee Cho, S. Woo, K. Lee, E. Kim, Hyo Jung Kim","doi":"10.15279/kpba.2022.27.3.121","DOIUrl":"https://doi.org/10.15279/kpba.2022.27.3.121","url":null,"abstract":"Background/Aim: In gallbladder cancer (GBC), gender differences in incidence and mortality rates have been reported with geographic variation. However, there is little known about sex-related difference in GBC prognosis. This study compares prognostic factors according to gender for GBC.Methods: We searched clinicopathological factors in all stages of 952 GBC patients from seven medical centers in Korea. A total of 927 patients were enrolled and surgery with curative resection was performed in 499 patients.Results: Carbohydrate antigen (≥37 U/mL) was a significant prognostic factor in both females and males (odd ratio [OR], 4.30; 95% confidence interval [CI], 3.13-5.89; p<0.001). Age was a significant factor only in female patients, elderly patients were associated with low resectability and the likelihood of T-stage >2; an independent predictor of poor prognosis via multivariate analysis (OR, 1.03; 95% CI, 1.01-1.05; p=0.005, OR, 1.05; 95% CI, 1.02-1.08; p=0.002). Body mass index (BMI) also showed gender difference, and lower BMI (≤25 kg/m2) was the significant good indicator of multivariate analysis for lymph node metastasis in female patients (OR, 0.42; 95% CI, 0.23-0.77; p=0.005) but, the significant poor indicator of univariate analysis for advanced T-stage in male (OR, 2.79; 95% CI, 1.40-5.54; p=0.003).Conclusions: These results suggest that there is a possibility of gender difference in GBC prognosis. Age and high BMI were poor prognostic factors for curative resection for female GBC patients.","PeriodicalId":342618,"journal":{"name":"The Korean Journal of Pancreas and Biliary Tract","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116017848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Neoadjuvant and Adjuvant Chemotherapy for Cholangiocarcinoma 胆管癌的新辅助和辅助化疗

The Korean Journal of Pancreas and Biliary Tract Pub Date : 2022-07-31 DOI: 10.15279/kpba.2022.27.3.111

H. Lee

{"title":"Neoadjuvant and Adjuvant Chemotherapy for Cholangiocarcinoma","authors":"H. Lee","doi":"10.15279/kpba.2022.27.3.111","DOIUrl":"https://doi.org/10.15279/kpba.2022.27.3.111","url":null,"abstract":"Cholangiocarcinoma consists of a heterogeneous group of aggressive and rare malignancies that arise from the bile ducts outside or inside the liver. Although surgical resection remains the only potential curative treatment option for patients with cholangiocarcinoma, curative surgery is only possible in a small number of cases. Furthermore, recurrence rates are high even among patients who undergo surgical resection. Unfortunately, a significant proportion of patients present with locally advanced, unresectable disease. Recently, neoadjuvant chemotherapy has emerged as a promising method to identify patients with poor prognosis, avoiding pathological and non-therapeutic resection, as well as potentially downstaging tumors which cannot be resected initially. This therapeutic strategy has the potential to improve local and distant control, to achieve R0 resection and to prevent distant metastasis. However, few data are currently available supporting neoadjuvant chemotherapy in cholangiocarcinoma and several questions remains unanswered. Adjuvant chemotherapy is administered after surgery to eradicate any remaining cancer cells with the goal of reducing the chances of recurrence. And chemotherapy is also frequently used in cholangiocarcinoma as an adjunct to surgical resection, but the appropriate sequence of chemotherapy with surgery is unclear.","PeriodicalId":342618,"journal":{"name":"The Korean Journal of Pancreas and Biliary Tract","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123609757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Endoscopic Ultrasonography-Guided Gastroenterostomy 超声内镜引导下的胃肠造口术

The Korean Journal of Pancreas and Biliary Tract Pub Date : 2022-07-31 DOI: 10.15279/kpba.2022.27.3.140

S. Han

{"title":"Endoscopic Ultrasonography-Guided Gastroenterostomy","authors":"S. Han","doi":"10.15279/kpba.2022.27.3.140","DOIUrl":"https://doi.org/10.15279/kpba.2022.27.3.140","url":null,"abstract":"30여 년 전 선형초음파(linear echoendoscope)가 개발된 이후 현재까지 내시경 초음파(endoscopic ultrasound, EUS)를 통한 다양한 중재술이 시행되고 있다. 가장 많이 사용되는 EUS 유도하 세침흡인술(EUS-fine needle aspiration)부터 다양한 내시경 초음파 유도하 배액술(EUS-guided drainage)과 중재술들이 시행되고 있다. 본고에서는 최근 많은 연구들이 보고되고 있는 내시경 초음파 유도하 위장문합술(EUS-guided gastroenterostomy, EUS-GE)을 소개하고자 한다. Gastric outlet obstruction (GOO)은 췌장암 또는 원위부 위암 환자에서 발생하며 췌장암 환자의 15-20% 정도에서 발생하는 것으로 알려져 있다. GOO는 전통적으로 수술을 통해 위장문합술(gastroenterostomy, GE)을 시행하거나, 내시경을 통한 self-expandable metal stent (SEMS)를 삽입하는 방법으로 해결한다. 하지만 진행성 암을 가지고 있는 환자에서 수술을 하는 것이 침습적인 것으로 생각되어, 내시경을 통한 SEMS 삽입을 많이 시행하게 된다. 이러한 SEMS의 삽입은 덜 침습적이지만 6개월 이내에 최대 50%에서 다시 폐쇄가 발생하여 재시술이 필요한 경우가 많다. 최근 Lumen apposing metallic stent (LAMS)가 개발되면서 이를 이용한 시술들이 연구되고 있다. 이는 양쪽의 flap이 장을 잡아주는 역할을 하여 이탈을 방지해주고, 16-20 mm 정도의 큰 내경을 제공하고 있어, 이를 통해 EUS-GE를 GOO에서 시행하고 있다. 이러한 EUS를 통한 위장문합술의 경우 덜 침습적이면서 이론적으로는 암의 국소진행과는 관계없어 재시술이 필요하지 않아 유용할 수 있다. EUS-GE와 내시경을 통한 SEMS 삽입을 비교한 5개의 연구 659명의 환자를 대상으로 한 메타분석에 따르면, 기술적/임상적 성공률은 비슷하였다(technical success 95.2% vs. 96.9%, clinical success 93.3% vs. 85.6%). 시술 이후 합병증의 발생률 또한 비슷하였지만 재시술의 비율은 EUS-GE가 현저히 낮음을 보여주었다(4% vs. 23.6%, p=0.001). 하지만 최근 8개 기관 467명의 환자를 대상으로 EUS-GE를 시행한 대규모 연구에서는 stent misdeployment의 비율이 9.85% (46 cases)로 높게 나타났으며, 이 중 11%의 Received Feb. 19, 2022 Accepted Jul. 29, 2022","PeriodicalId":342618,"journal":{"name":"The Korean Journal of Pancreas and Biliary Tract","volume":"447 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133702820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0