1. 담도질환 Biliary stone disease Infectious/inflammatory disease Tumor
Gallbladder stone
CBD stone
IHD stone
Infectious/inflammatory disease
Acute/chronic cholecystitis
Cholangitis
Primary sclerosing cholangitis
Tumor
Gallbladder
Intrahepatic cholangiocarcinoma
Klatskin tumor
Extrahepatic bile duct cancer
Ampulla of Vater cancer

3. Gallstones Cholesterol stone Pigment stone Obesity Female sex hormone
Ileal disease
Bile stasis: TPN, NPO, pregnancy, drug
Weight loss
Clofibrate
Pigment stone
Black pigment stone: hemolysis, cirrhosis, IV hyperalimentation
Brown pigment stone: infection related

4. Gallbladder stone Asymptomatic Symptomatic: biliary colic
Wait and see
Symptomatic: biliary colic
Cholecystectomy
Oral dissolution therapy: UDCA, CDCA
Functioning GB: oral GB or DISIDA scan
Radiolucent stone
< 1.5 cm
Floating stone 이면 좋다

5. gallstones

6. Acute cholecystitis RUQ pain/fever Gallstone Leukocytosis
GB wall thickening/pericholecystic fluid collection

7. Common Bile duct stone IHD stones Colic, fever, jaundice Treatment
ERCP and basket/balloon removal
Surgery
IHD stones
Asymptomatic-cholangitis
Treatment
Surgery
PTCS

9. Biliary tract tumor Gallbladder cancer Intrahepatic cholangiocarcinoma
여자>남자, gallstone, AUPBD, GB polyp
Incidental GB cancer
Mucosal lesion: wait and see
Intrahepatic cholangiocarcinoma
Hilar cholangiocarcinoma
Extrahepatic bile duct cancer
Ampulla of vater cancer

11. Obstructive jaundice Related terminology Cause Bilirubin, Alk.P, rGT,
Pruritus
Biliary tree dilation
Cause
Biliary stone
Tumor
extrahepatic bile duct/Klatskin tumor
Ampulla of vater
Pancreatic head
Gallbladder

12. Pancreatic cancer Risk factor 발생과 예후: Head > body/tail
Smoking, chronic pancreatitis
아닌 것: coffee, alcohol, gallstone
발생과 예후: Head > body/tail
Palliative resection을 하지 않는다.
확진: NAC

14. Acute pancreatitis Cause
Gallstone
Alcohol
Surgery, drug, hyperTG, trauma,
Sphincter oddi dysfunction, pancreas divisum
Cf) gallstone: not a cause of chronic pancreatitis

15. Chronic pancreatitis Cause Complication Pancreatic functional study
Alcohol, hereditary, idopathic, cystic fibrosis
Complication
Malabsorption related DM
Local: BD stricture, pancreatic cancer, pseudocyst
Pancreatic functional study

17. Pancreatic pseudocyst
A complication of pancreatitis
TX indication
Size > 5 cm
> 6 weeks
Complication related to cyst:
size increment, rupture, hemorrhage, infection
Symptomatic Tx
Internal drainage: standard
External drainage: if infected