담석제거수술직후 (膽石除去手術直後) 거대천담석의 (巨大淺膽石) 유두부절개술 (乳頭部切開術) 요법 = Removal of Residual Biliary Stones by E . S . T .담석제거수술직후 (膽石除去手術直後) 거대천담석의 (巨大淺膽石) 유두부절개술 (乳頭部切開術) 요법

다국어 초록 (Multilingual Abstract)

We performed 1618 cases of ERCP since 1976 and also performed 108 cases of EST from Dec. 1981 to Aug. 1984, 8 cases among the 108 cases of EST were diagnosed as retained stones after biliary stone surgery. So EST was done and following results were obtained. 34 cases among the performed 108 cases of EST had biliary surgery history and 8 cases among these cases were patients having retained CBD stone after biliary surgery. 1 case was diagnosed by ERCP, 7 cases were diagnosed by T-tube Cholangiogram and ERCP. Duration of T-tube drainage was from 2 month to 4 month. 2) 7 cases of 8 cases were performed EST and succeeded. Stones were eliminated through stool and confirmed by ERCP and T-tube cholangiogram. 1 case were surgically treated due to periampullary diverticulum. 3) SGOT and serum bilirubin were normal except 1 case, but alkaline phosphatase was elevated except 2 cases and ERCP showed chronic pancreatitis pattern on 2 cases. So we think that biliary stone induce chronic pancreatitis. 4) Our report showed a defect of the operative cholangiogram. So a reform measure of the operative cholangiogram is required. And ERCP etc. were required for site and number of biliary stones. 5) Complications of EST were noted in 2 cases. It were temporal increase of amylase after EST. These cases were improved by medical treatment,