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KOLEDOK TAŞLARININ ENDOSKOPİK ÇIKARILMASI

Endoscopic removal of bile duct stones

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2000

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Endoscopic procedures have lower complications, morbidity and mortality rates than surgery, in this respect endoscopic removal of common bile duct stones has become a routine procedure. We report on 182 patients treated between 1993 and 1999 with common bile duct stones (82 men, 100 women, median age 57 years). Endoscopic retrograde cholangiopancreatography (ERCP) was successful in 179 of 182 patients (98%). Endoscopic sphincterotomy, removal of choledochal stones or palliation with stent was successful in 175 of 179 patients (97%). Overall success rate of endoscopic treatment in choledochal stones was 96%. Complication rates were as follows: pancreatitis %1, postsphincterotomy bleeding %1, and perforation 0.5%. One patient with hemorrhage died after surgery because of pancreatic ascites and sepsis. It is concluded that endoscopic removal of bile duct stones is a method with a high rate of success and low rate of complication.
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Abstract (Original Language): 
Endoskopik girişimlerin cerrahiye göre daha az morbidite ve mortaliteye sahip olmaları nedeniyle koledok taşlarının çıkarılması sık kullanılan bir yöntem olmuştur. Bu çalışmada 1993 ve 1999 yılları arasında tedavi gören 181 koledok taşlı olgu değerlendirilmiştir (82 erkek 100 kadın, ortalama yaşları: 57). Endoskopik retrograd kolanjiopankreatografi (ERKP) 182 hastanın 179'unda (%98) başarılı oldu. Endoskopik sfinkterotomi, basket ile taş çıkarılması ya da stent ile palyasyon sağlanması 179 hastanın 175'de (%97) başarılı oldu. Koledok taşlarında genel endoskopik tedavi başarısı ise % 96 olarak bulundu. Bu hastalarda görülen komplikasyon oranları ise sırayla Pankreatit % 1, sfinkterotomi sonrası kanama % 1, perforasyon % 0.5 olarak bulunurken bir hasta kanama nedeniyle yapılan cerrahi girişim sonrasında sepsis ve pankreatik assit ile kaybedilmiştir. Sonuç olarak endoskopik olarak taşların çıkarılması yüksek oranda başarı ve düşük komplikasyon oranları ile sağlanabilmektedir.
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  • 1
15-18
  • Turkish

REFERENCES

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