Clinical Endoscopy

  • 제40권5호
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  • Pages.291-296
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  • 2010
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  • 2234-2400(pISSN)
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  • 2234-2443(eISSN)
대한소화기내시경학회 (The Korean Society of Gastrointestinal Endoscopy)
권호 표지

만성 췌장염의 내시경치료

Endoscopic Treatment of Chronic Pancreatitis

  • 이홍식 (고려대학교 의과대학 내과학교실)
  • Lee, Hong-Sik (Department of Internal Medicine, Korea University College of Medicine)
  • 투고 : 2010.05.11
  • 심사 : 2010.05.22
  • 발행 : 2010.05.30
⟨ 이전 논문 다음 논문 ⟩

초록

만성 췌장염의 치료에서 최근 술기와 부속기구의 발전으로 내시경 치료를 널리 시행하고 있다. 만성 췌장염으로 인한 복통은 주로 췌관의 협착 및 췌석에 의하여 췌관 내 압력상승이 원인으로 여겨진다. 따라서 내시경을 이용한 췌석의 제거 및 배액관 삽관을 통한 협착 치료는 복통치료에 매우 효과적이다. 또한 내시경 초음파의 발달과 함께 가성낭종의 배액, 내시경적 복강신경 차단술 등으로 치료범위가 확대되고 있다. 따라서 만성 췌장염의 증상 및 합병증에 대한 효과적인 치료를 위해서는 만성 췌장염 내시경 치료의 적응증, 시술방법, 합병증 및 외과적 치료와의 비교 성적에 대한 이해가 필요하다.

Endoscopic treatments are being increasingly used for chronic pancreatitis. The most common indications for endoscopic treatment are pancreatic duct stones (requiring removal) and pancreatic duct stricture (requiring stenting). Endoscopic treatment is also widely indicated for drainage of pseudocyst and ceiliac plexus block/neurolysis. In this review, I discuss techniques, efficacy and complications of various endoscopic treatments for chronic pancreatitis.

키워드

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