経乳頭的総胆管結石治療後の胆囊炎発症に及ぼす因子の画像的検討

安齋 保; 長谷川 毅; 小川 聡; 星 一; 佐藤 正弘; 大橋 茂樹; 吉岡 秀樹; 前谷 容; 五十嵐 良典; 酒井 義浩

doi:10.11641/pdensks.42.0_129

Clinical study

A Cholangiographic Study of Cholecystitis after Peroral Endoscopic Lithotripsy for Common Bile Duct Stones

Tamotsu Anzai, Takeshi Hasegawa, Satoshi Ogawa, Hajime Hoshi, Masahiro Sato, Shigeki Ohashi, Hideki Yoshioka, Iruru Maetani, Yoshinori Igarashi, Yoshihiro Sakai

Author information

Tamotsu Anzai
3rd Department of Internal Medicine, Toho University School of Medicine
Takeshi Hasegawa
3rd Department of Internal Medicine, Toho University School of Medicine
Satoshi Ogawa
3rd Department of Internal Medicine, Toho University School of Medicine
Hajime Hoshi
3rd Department of Internal Medicine, Toho University School of Medicine
Masahiro Sato
3rd Department of Internal Medicine, Toho University School of Medicine
Shigeki Ohashi
3rd Department of Internal Medicine, Toho University School of Medicine
Hideki Yoshioka
3rd Department of Internal Medicine, Toho University School of Medicine
Iruru Maetani
3rd Department of Internal Medicine, Toho University School of Medicine
Yoshinori Igarashi
Division of Digestive Endoscopy, Ohashi Hospital, Toho University
Yoshihiro Sakai
Division of Digestive Endoscopy, Ohashi Hospital, Toho University

JOURNAL FREE ACCESS

1993 Volume 42 Pages 129-132

DOI https://doi.org/10.11641/pdensks.42.0_129

Details

Abstract

We studied whether cholecystitis after peroral endoscopic lithotripsy for common bile duct stones was related to configurations manifested in the cholangiogram, especially cystic duct.
Most cases of cholangitis occurred in both younger cases (≤70 years old) , group of large diameter, that of branching from middle common bile duct, that of angular branching by Kune and that of less spiral folds. Of these, diameter of cystic duct in cholecystitis was significantly larger than that without cholecystitis.
In conclusion, one of possible factors of cholecystitis after peroral endoscopic lithotripsy for common bile duct stones was thought to be a backwash infection.

Corresponding author

Register with J-STAGE for free!