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Usability of Endoscopic Nasobiliary Drainage after Endoscopic Removal of Common Bile Duct Stones

Other Title
총담관 결석의 내시경적 제거술 후 내시경적 경비담관 배액술의 유용성
Authors
Kim, SS; Hwang, JC; Lim, SG; Lee, DM; Choi, JM; Ryu, KH; Yoo, BM; Kim, JH
Citation
Daehan chwedamdo haghoeji, 17(1):6-12, 2012
Journal Title
Daehan chwedamdo haghoeji; Korean journal of pancreas & biliary tract; 대한췌담도학회지
ISSN
1976-35732288-0941
Abstract
Background/Aims: We aimed to compare the clinical outcomes between endoscopic nasobiliary drainage (ENBD) group and non-ENBD group after endoscopic common bile duct (CBD) stone extraction.



Methods: From March 2003 to August 2008, a total of 532 patients (282 men; mean age 62.4 years) underwent endoscopic retrograde cholangiopancreatography (ERCP) for CBD stone extraction.



Results: Among 532 patients, CBD stones were completely extracted in 523 patients (98.3%). Among 523 patients, CBD stone were completely extracted by 1st ERCP attempt in 507 patients (96.9%). ENBD-1 group comprised of 28 patients who received ENBD with any indication. ENBD-2 group comprised of 9 patients who received ENBD routinely after complete CBD stone removal. There was no significant difference in occurrence of post ERCP cholangitis or residual CBD stone between ENBD-1 group (n=28) and Non-ENBD-1 group (n=504) (3.6% vs. 2.2%, 3.6% vs. 0.6%, P=0.48 and P=0.08, respectively), and between ENBD-2 group (n=9) and Non-ENBD-2 group (n=500) (0.0% vs. 2.2%, 0.0% vs. 0.8%, P=1.00 and P=1.00, respectively).



Conclusions: Post ERCP cholangitis and residual CBD stone occurred rarely after CBD stone extraction. Therefore routine insertion of ENBD for biliary decompression after CBD stone extraction should be considered prudently.
Keywords
CBD stoneENBDCholangitisResidual CBD stone
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Gastroenterology
AJOU Authors
김, 순선황, 재철임, 선교유, 병무김, 진홍
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