UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 胆管切除術および再建術bile duct resection and reconstruction [show details]
… discussed here. The management of common bile duct stone and bile duct injury, and surgical treatment of cholangiocarcinoma, are covered elsewhere. Bile duct resection and reconstruction (BDRR) is performed …
2. 総胆管結石の手術surgical common bile duct exploration [show details]
…access to the bile duct for cholangiography and possible stone extraction; however, T-tubes can be associated with complications such as bile leak, infection, tube dislodgement, or bile duct obstruction …
3. 総胆管損傷の修復repair of common bile duct injuries [show details]
… area to control any postoperative bile leak. The natural history of simple clip application across the bile duct is not defined, but it is unlikely that a late bile duct stricture would develop. If such …
4. 成人における肝内胆管減少症および胆管消失症候群hepatic ductopenia and vanishing bile duct syndrome in adults [show details]
… and ) . Ductular proliferation may coexist with interlobular duct loss, and thus bile ductules must be distinguished from bile ducts. Bile ducts parallel hepatic artery branches of similar size, whereas ductular …
5. 総胆管結石除去のための内視鏡的バルーン拡張術endoscopic balloon dilatation for removal of bile duct stones [show details]
…removal of large bile duct stones . For this purpose, large diameter EBD balloons (eg, 15 to 20 mm diameter) are used . After a diagnostic cholangiogram has confirmed the presence of bile duct stones and deep …

Japanese Journal

胆管結石に対する内視鏡治療の新たな知見

齋藤倫寛,新後閑弘章,前谷容
日本消化器内視鏡学会雑誌 63(2), 172-182, 2021
… 現してきている．巨大結石や嵌頓結石などの様に以前は内視鏡的，経乳頭的に治療可能であっても難渋していた症例が，内視鏡的乳頭ラージバルーン拡張術（endoscopic papillary large balloon dilation：EPLBD）や経口胆管鏡下結石破砕術（peroral cholangioscopic lithotripsy：POCSL）により，より簡便に治療可能となっている．また，術後再建腸管症例や肝内結石などの様に，以前は経皮的または外科的な治療に移行せざるを得なかった症 …
NAID 130007989736

肝内胆管癌，肝門浸潤の術前診断で肝左3区域切除，尾状葉切除，肝外胆管切除再建を行った肝炎症性偽腫瘍の1例

鹿股宏之,高橋正人,津田栄彦,佐々木俊樹,宮内隼弥
胆道 34(4), 672-679, 2020
… 部が低吸収で辺縁がやや造影される2cm大の腫瘤があり，右肝管，前区域枝にも接しており，肝内胆管は拡張していた．ERCPでも左肝管，前区域枝に狭窄があり，胆汁細胞診，胆管擦過細胞診は陰性であった．胆管鏡（spyglass<sup>Ⓡ</sup>）を用いて観察すると，左肝管に狭窄と発赤があり，生検を行ったが癌の診断は得られなかった．しかし，腫瘤形成型の肝内胆管癌の可能性など，癌の否定も困難であり，手術の …
NAID 130007932302

EHLを用いた直接的経口胆管鏡下砕石術にて加療しえた肝内結石の1例

中路聡,平田信人,藤井宏行
消化器内視鏡の進歩：Progress of Digestive Endoscopy 78(2), 158-159, 2011
Percutaneous cholangiographical or surgical treatment has been performed for hepaticolithiasis. Peroral direct cholangioscopy using ultra-slim endoscope for the treatment of bile duct stones has come …
NAID 130004652710