담도스텐트 시행 후 발생한 급성담낭염의 경피경간 담낭스텐트 치료 1예
Percutaneous Transhepatic Gallbladder Stenting for Acute Cholecystitis after Palliative Metallic Biliary Stenting
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초록
악성 담도폐쇄의 치료로 시행한 금속제 담도스텐트는 담낭관의 폐쇄 및 급성담낭염을 발생시킬 수 있으며, 이런 환자들에서 제한된 잔여수명으로 대부분 경피경간 담낭배액술을 시행하고 있으나 삶의 질적 저하를 일으킬 수 있다. 이런 환자에서 담낭배액관을 제거하기 위해 경피경간 담낭배액관 경로를 통한 담낭스텐트를 시술하였으며 7개월 경과 관찰 중 담낭 관련된 증상은 관찰되지 않았다. 담낭배액관 경로를 통한 경피경간 담낭스텐트설치는 수술적 담낭절제 및 장기간 담낭배액관 삽입을 원하지 않는 급성담낭염 환자에서 치료의 대안이 될 수 있을 것이다.
Abstract
Metallic biliary stenting to relieve a malignant biliary obstruction can cause a cystic duct obstruction and acute cholecystitis. Percutaneous transhepatic cholecystostomy is often performed in patients with a limited life expectancy but can have a significant impact on the quality of life. Percutaneous transhepatic gallbladder stenting (PTGS) was performed across the cystic duct via the cholecystostomy tube tract to allow the removal of the cholecystostomy tube. The patient remained asymptomatic for 7 months after PTGS. In conclusion, PTGS across the cystic duct may be considered a treatment option in selected patients who develop acute cholecystitis after palliative metallic biliary stenting. (Korean J Gastrointest Endosc 2006;33:322-325)
참고문헌 (9)
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