内視鏡的胆嚢内瘻術(Endoscopic Cholecystoendoprosthesis)の試み

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タイトル別名
  • Efficacy of Endoscopic Retrograde Cholecystoendoprosthesis for cholecystitis

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Beween 1987 and 1990, ERCCE was performed in 14 patients with cholecystitis Male to female was 9 to 5. Averaged age was 67 years old. Diagnosis was made by clinical symptom and ultrasonographic and endoscopic ultrasonograhic findings. In 7 patients cause of acute cholecystitis was cholecytolitiasis and in remaining 7, stone was not found in the gallbladder. First, preshaped catehter (5-6. 5 Fr) was inserted into the gallbladder via the papilla of Vater, common bile duct and cystic duct. And then the gide wire was inserted into the gallbladder through preshaped catheter. Last of all, 7.2 Fr endoprosthesis was introduced by mean of a catheter exchanging method. In 9 patients symptom of acute cholecystitis were suicided.8 in those patients had improvement of thickening of the gallbladder wall on ultrasonogram. In 6 patients sludge in the gallbladder was disappeared. This procedure is non-invasive and effective for the treatment of cholecystitis.

収録刊行物

  • Tando

    Tando 4 (4), 460-464, 1990

    Japan Biliary Association

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