-
Yong Hwan Kwon,
Ji Yeon Kim, Sang Jik Lee,
Se Young Jang,
Hyun Woo Park,
Hae Min Yang,
Min Kyu Jung,
Seong Woo Jeon,
Chang Min Cho,
Won Young Tak,
Young Oh Kweon,
Sung Kook Kim
[show abstract]
[hide abstract]
ABSTRACT: ERCP is the most common procedure for the diagnosis and treatment of bile duct and pancreatic disease, but Post-ERCP pancreatitis makes poor outcome in some cases. The protease inhibitors, nafamostat and gabexate, have been used to prevent pancreatitis related to ERCP, but there is some debate. We tried to evaluate the efficacy of gabexate and nafamostat for the prevention of post-ERCP pancreatitis.
Two hundred forty two patients (73 patients in the gabexate group, 88 patients in the nafamostat group and 81 patients in the placebo group) were included in the study after selective exclusion. The incidence of pancreatitis after ERCP was compared among groups.
The incidence of pancreatitis were 6.8% in the gabexate group, 5.7% in the nafamostat group and 6.2% in the placebo group (p=0.954).
There was no meaningful difference among the gabexate, nafamostat and placebo group.
The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi 03/2012; 59(3):232-8.
-
[show abstract]
[hide abstract]
ABSTRACT: Hepatocellular carcinoma (HCC) is one of the most common malignant neoplasms occuring worldwide. Although surgical resection still remains the treatment of choice for HCC, radiofrequency ablation (RFA) has emerged as reliable alternatives to resection. It is less invasive and can be repeated after short intervals for sequential ablation in case of multiple lesions. The most common complication of RFA is liver abscess, and bile duct injury such as bile duct stricture has been reported. This is a case report of a rare complication of abscesso-colonic fistula after RFA for HCC. The case was treated by percutaneous abscess drainage and antibiotics and occlusion of abscesso-colonic fistula with n-butyl-2-cyanoacrylate embolization.
The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi 11/2011; 58(5):270-4.
-
[show abstract]
[hide abstract]
ABSTRACT: Radiofrequency ablation (RFA) is performed as an alternative to surgical resection for primary or secondary liver malignancies. Although RFA can be performed safely in most patients, early and late complications related to mechanical or thermal damage occur in 8-9.5% cases. Hemocholecyst, which refers to hemorrhage of the gallbladder, has been reported with primary gallbladder disease or as a secondary event associated with hemobilia. Hemobilia, defined as hemorrhage in the biliary tract and most commonly associated with accidental or iatrogenic trauma, is a rare complication of RFA. Here we report a case of hemocholecyst associated with hemobilia after RFA for hepatocellular carcinoma that was successfully managed by laparoscopic cholecystectomy.
The Korean Journal of Hepatology 06/2011; 17(2):148-51.
