2024-03-28T20:01:13Z
https://niigata-u.repo.nii.ac.jp/oai
oai:niigata-u.repo.nii.ac.jp:00024171
2022-12-15T03:54:22Z
453:456
471:537:538:1234
ERCPにおける合併症に関する研究
ERCPにおける合併症に関する研究
Study on the Complications associated with Endoscopic Retrograde Cholangiopancreatography (ERCP)
馬場, 佳弘
成沢, 林太郎
山田, 雅之
渡辺, 裕
富沢, 峰雄
尾崎, 俊彦
市田, 文弘
ERCP
complication
内視鏡的逆行性膵胆管造影
合併症
A clinical study was made on the complications with 736 findings of endoscopic retrograde cholangiopancreatography (ERCP) examinations in 675 patients performed during the period from Jan. 1975 to Dec. 1984 at the Third Department of Internal Medicine, Niigata University School of Medicine and the other hospitals. A rate of visualization was 93.1% in selective retrograde pancreatography and 83.9% in selective retrigrade cholangiography, respectively. A rate of visualization was increased in recent years. Incidence of clinical symptoms and abnormal laboratory data due to ERCP were as follows; elevation of the serum amylase level in 12.9%, leucocytosis in 6.5%, abdominal pain in 3.7% , fever in 3.1% and others , but these abnormal findings were almost transient. We were experienced 5 patients with acute pancreatitis (0.68%) and 3 patients with acute cholangitis (0.41%) after ERCP, only 2 patients with the latter were performed surgical operations but the remained 6 patients were mild and good prognosis. We were not experienced a died case according to ERCP. It seems to be important for treatment in severe complications associated with ERCP take not only medical treatment but also surgical operations and endoscopic retrograde biliary drainage (ERBD), in early stage.
新潟医学会
1987-05
jpn
departmental bulletin paper
http://hdl.handle.net/10191/36457
https://niigata-u.repo.nii.ac.jp/records/24171
AN00182415
00290440
新潟医学会雑誌
新潟医学会雑誌
101
5
322
328
https://niigata-u.repo.nii.ac.jp/record/24171/files/101(5)_322-328.pdf
application/pdf
600.0 kB
2019-08-19