내시경 박리성 올가미 결찰 후 Unroofing을 시행한 십이지장 중복낭 1예
A Case of Endoscopic Unroofing after Detachable Snare Ligation of a Duodenal Duplication Cyst
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초록
십이지장 중복낭은 매우 드문 선천성 기형으로 전체 위장관 중복낭의 약 5%를 차지한다. 십이지장 중복낭의 대부분은 영아기나 초기 소아기에 장 폐쇄를 일으켜 이 시기에 진단된다. 임상 양상은 장 폐쇄가 가장 흔하며 출혈, 천공, 담관 폐쇄, 췌장염 등이 동반될 수 있다. 치료는 대부분 수술을 시행하였으나 최근 내시경술을 이용하여 치료한 몇 예가 보고되고 있다. 그러나, 아직 국내에서는 십이지장 중복낭의 내시경 치료에 대한 보고가 없다. 저자들은 만성적 장관 폐쇄 증상을 동반한 십이지장 중복낭 환자에서 내시경을 통한 박리성 올가미 결찰 후 unroofing을 시행하여 성공적으로 치료하였기에 이를 보고하는 바이다.
Abstract
A duodenal duplication cyst is rare congenital anomaly, which accounts for 5% of all gastrointestinal duplication cysts. Most of the duodenal duplication cysts are usually found during infancy or early childhood, and present with obstructive symptoms. The most common clinical manifestations are an intestinal obstruction or, less commonly, hemorrhage, perforation, biliary obstruction or pancreatitis. The traditional treatment of a duodenal duplication cyst has been complete surgical resection, but very few cases of endoscopic treatment of a duodenal duplication cyst have been previously reported recently in the literature. Moreover, endoscopic treatment of a duodenal duplication cyst has not been reported in Korea. We report our first experience of a duodenal duplication cyst, including diagnosis and endoscopic management with a detachable snare. (Korean J Gastrointest Endosc 2007;35:190-195)
참고문헌 (18)
- "Duplication cyst of the duodenum", pp.562~566
- "Duplication cyst of the duodenum", pp.30~34, Press H
- "Endoscopic management of a duodenal duplication cyst associated with biliary obstruction in an adult", 32, pp.353~355 (2001)
- "Endoscopic partial rescetion of a duodenal duplication cyst", 33, pp.808~810 (2001)
- "Duodenal duplicated cyst manifested by acute pancreatitis and obstructive jaundice in an elderly man", 19, pp.604~607 (2004)
- "A case of Juxtapapillary duodenal duplication cyst manifested by recurrent pancreatitis", 28, pp.218~222 (2004)
- "Endoscopic treatment of a duodenal duplication cyst", 37, pp.601~ (2005)
- "Endoscopic removal of an obstructing duodenal duplication cyst", pp.75~76
- "Endoscopic therapy of a duodenal duplication cyst", pp.60~64
- "Endoscopic drainage of a duodenal duplication cyst", pp.64~65
- "Duodenal duplication cyst", 34, pp.503~504 (2002)
- "and review of thirty-seven cases including cancer arising from choledochal cyst", pp.263~269
- "Endoscopic treatment of a choledochocele in a 2-year-old child", 10, pp.1016~1018 (1996)
- "Choledochocele: changing trends in diagnosis and management", 26, pp.281~285 (1996)
- "Congenital choledochal cysts in adults", 139, pp.855~862 (2004)
- "Endoscopic resection of large polyps using a detachable snare", 21, pp.924~929 (2000)
- "Adenocarcinoma arising in a duodenal duplication cyst", pp.551~553
- "Early cancer of duodenal duplication", pp.233~237