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KMID : 0359019930130040733
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Korean Journal of Gastrointestinal Endoscopy
1993 Volume.13 No. 4 p.733 ~ p.738
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Endoscopic Ultrasonography in Gallstone Pancreatitis
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김진국
박태응/박성규/이준성/이문성/김진홍/조성원/심찬섭
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Abstract
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llstone pancreatitis is caused by migration of gallstones through the common bile duct and ampulla of Vater, where obstruction or impaction may occur. Early detection and endoscopic treatment of impacted gallstones are very important for the
amelioration of pancreatitis. Pancreatic imagings, such as conventional ultrasonography, computerized tomography(CT) and endoscopic retrograde cholangiopanoreatography (ERCP), have been used for the diagnosis of gallstone pancreatitis. But these
imaging
methods are often unsatisfactory for detection of the impacted gallstones in the common bile duct and ampulla of Vater. Especially ERCP has been contraindicated in acute pancreastitis. Endoscopic ultrasonography(EUS), which was recently
developed,
has
been known as highly accurate diagnostic tool in the diagnosis of biliary and pancreatic disease. The high resolution of EUS is capable of showing unique morphological detail in gallstone pancreatitis.
We report 3 cases of gallstone pancreatitis which was accurately diagnosed by EUS and successfully treated by endoscopic treatment.
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KEYWORD
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