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National Survey Regarding the Management of Difficult Bile Duct Stones in South Korea
Gut and liver, 2023-05, Vol.17 (3), p.475-481
[Peer Reviewed Journal]
COPYRIGHT(C) KYOBO BOOK CENTRE ALL RIGHTS RESERVED ;ISSN: 1976-2283 ;EISSN: 2005-1212
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Title:
National Survey Regarding the Management of Difficult Bile Duct Stones in South Korea
Author:
Yoon Suk Lee
;
Tae Joo Jeon
;
Woo Hyun Paik
;
Dong-won Ahn
;
Kwang Hyun Chung
;
Byoung Kwan Son
;
Tae Jun Song
;
Sung-Hoon Moon
;
Eaum Seok Lee
;
Jae Min Lee
;
Seung Bae Yoon
;
Chang Nyol Paik
;
Yun Nah Lee
;
Jin-Seok Park
;
Dong Wook Lee
;
Sang Wook Park
;
Hyung Ku Chon
;
Kwang Bum Cho
;
Chang Hwan Park
Subjects:
Bile ducts
;
Cholangiopancreatography endoscopic retrograde
;
Endoscopy
;
Gallstones
;
Surveys and questionnaires
Is Part Of:
Gut and liver, 2023-05, Vol.17 (3), p.475-481
Description:
Background/Aims: This study aimed to investigate the patterns of preferred endoscopic procedure types and techniques for managing difficult common bile duct (CBD) stones in South Korea. Methods: The Committee of Policy and Quality Management of Korean Pancreatobiliary Association (KPBA) conducted a survey containing 19 questions. Both paper and online surveys were carried out; with the paper survey being conducted during the 2019 Annual Congress of KPBA and the online survey being conducted through Google Forms from April 2020 to February 2021. Results: The response rate was approximately 41.3% (86/208). Sixty-two (73.0%) worked at tertiary hospitals or academic medical centers, and 60 (69.7%) had more than 5 years of endoscopic retrograde cholangiopancreatography experience. The preferred size criteria for large CBD stones were 15 mm (40.6%), 20 mm (31.3%), and 30 mm (4.6%). For managing of large CBD stones, endoscopic papillary large balloon dilation after endoscopic sphincterotomy was the most preferred technique (74.4%). When performing procedures in those with bleeding diathesis, 64 (74.4%) respondents favored endoscopic papillary balloon dilation (EPBD) alone or EPBD with small endoscopic sphincterotomy. Fifty-five respondents (63.9%) preferred the double-guidewire technique when faced with difficult bile duct cannulation in patients with periampullary diverticulum. In surgically altered anatomies, cap-fitted forward viewing endoscopy (76.7%) and percutaneous transhepatic cholangioscopy (48.8%) were the preferred techniques for Billroth-II anastomosis and total gastrectomy with Roux-en-Y anastomosis, respectively. Conclusions: Most respondents showed unifying trends for the management of difficult CBD stones. The current practice patterns could be used as basic data for clinical quality improvements in the management of difficult CBD stones. (Gut Liver 2023;17:475-481)
Publisher:
대한간학회
Language:
Korean
Identifier:
ISSN: 1976-2283
EISSN: 2005-1212
Source:
PubMed Central
KoreaMed Open Access
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