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National Survey Regarding the Management of Difficult Bile Duct Stones in South Korea
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...
Autores principales: | , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Editorial Office of Gut and Liver
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10191794/ https://www.ncbi.nlm.nih.gov/pubmed/35851040 http://dx.doi.org/10.5009/gnl220117 |
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author | Lee, Yoon Suk Jeon, Tae Joo Paik, Woo Hyun Ahn, Dong-Won Chung, Kwang Hyun Son, Byoung Kwan Song, Tae Jun Moon, Sung-Hoon Lee, Eaum Seok Lee, Jae Min Yoon, Seung Bae Paik, Chang Nyol Lee, Yun Nah Park, Jin-Seok Lee, Dong Wook Park, Sang Wook Chon, Hyung Ku Cho, Kwang Bum Park, Chang Hwan |
author_facet | Lee, Yoon Suk Jeon, Tae Joo Paik, Woo Hyun Ahn, Dong-Won Chung, Kwang Hyun Son, Byoung Kwan Song, Tae Jun Moon, Sung-Hoon Lee, Eaum Seok Lee, Jae Min Yoon, Seung Bae Paik, Chang Nyol Lee, Yun Nah Park, Jin-Seok Lee, Dong Wook Park, Sang Wook Chon, Hyung Ku Cho, Kwang Bum Park, Chang Hwan |
author_sort | Lee, Yoon Suk |
collection | PubMed |
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. |
format | Online Article Text |
id | pubmed-10191794 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Editorial Office of Gut and Liver |
record_format | MEDLINE/PubMed |
spelling | pubmed-101917942023-05-18 National Survey Regarding the Management of Difficult Bile Duct Stones in South Korea Lee, Yoon Suk Jeon, Tae Joo Paik, Woo Hyun Ahn, Dong-Won Chung, Kwang Hyun Son, Byoung Kwan Song, Tae Jun Moon, Sung-Hoon Lee, Eaum Seok Lee, Jae Min Yoon, Seung Bae Paik, Chang Nyol Lee, Yun Nah Park, Jin-Seok Lee, Dong Wook Park, Sang Wook Chon, Hyung Ku Cho, Kwang Bum Park, Chang Hwan Gut Liver Original Article 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. Editorial Office of Gut and Liver 2023-05-15 2022-07-19 /pmc/articles/PMC10191794/ /pubmed/35851040 http://dx.doi.org/10.5009/gnl220117 Text en Copyright © Gut and Liver. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Lee, Yoon Suk Jeon, Tae Joo Paik, Woo Hyun Ahn, Dong-Won Chung, Kwang Hyun Son, Byoung Kwan Song, Tae Jun Moon, Sung-Hoon Lee, Eaum Seok Lee, Jae Min Yoon, Seung Bae Paik, Chang Nyol Lee, Yun Nah Park, Jin-Seok Lee, Dong Wook Park, Sang Wook Chon, Hyung Ku Cho, Kwang Bum Park, Chang Hwan National Survey Regarding the Management of Difficult Bile Duct Stones in South Korea |
title | National Survey Regarding the Management of Difficult Bile Duct Stones in South Korea |
title_full | National Survey Regarding the Management of Difficult Bile Duct Stones in South Korea |
title_fullStr | National Survey Regarding the Management of Difficult Bile Duct Stones in South Korea |
title_full_unstemmed | National Survey Regarding the Management of Difficult Bile Duct Stones in South Korea |
title_short | National Survey Regarding the Management of Difficult Bile Duct Stones in South Korea |
title_sort | national survey regarding the management of difficult bile duct stones in south korea |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10191794/ https://www.ncbi.nlm.nih.gov/pubmed/35851040 http://dx.doi.org/10.5009/gnl220117 |
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