막성스텐트 삽입으로 치료한 I 형 십이지장 천공 1예
A Case of Type I Duodenal Perforation Treated with Covered Metal Stent
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
내시경 역행 췌담도 조영술 중 발생할 수 있는 십이지장 천공은 내시경 유두 절개술 후 주로 발생하지만 십이지장경에 의한 천공도 보고되고 있다. 대부분의 경우 천공이 미세하여 보존적 치료로 치유가 되지만 육안적으로 확인되는 천공의 경우는 수술이 불가피하다. 그러나 환자의 전신상태가 불량하거나 동반된 질환 및 고령 등으로 수술이 어려운 경우 비수술 치료가 필요하다. 저자들은 Klatskin 종양에 의한 폐쇄성 황달로 내원한 74세 여자환자에서 내시경 역행 췌담도 조영술 중 발생한 I 형 십이지장 천공을 막형 금속 스텐트(covered metal stent) 삽입법으로 치유한 1예를 경험하였기에 문헌 고찰과 함께 보고한다.
Abstract
Endoscopic retrograde cholangiopancreatography (ERCP) has played an important role in diagnosis and management of biliary disease. Traditionally, duodenal perforations, rare complication of ERCP, have been managed surgically. However, in the past decade, there were arguments for surgical and nonsurgical management of ERCP-related duodenal perforations and reports of successful conservative treatment were increasing especially in patients with old age and poor medical conditions. We experienced a case of type I duodenal perforation following ERCP treated with covered metal stent in 74 years old female with duodenal invasion by Klatskin tumor.
참고문헌 (15)
- "Endoscopic sphincterotomy complications and their management:an attempt at consensus", 37, pp.389~393 (1991)
- "Complications of endoscopic biliary sphincterotomy", 335, pp.909~918 (1996)
- "Surgical management of endoscopic retrograde cholangiopancreatography-related perforations", 73, pp.1011~1014 (2003)
- "Pancreatitis or duodenal perforation after peri-Vaterian therapeutic endoscopic procedures:diagnosis,differentiation,and management", 100, pp.461~466 (1986)
- "Decision for surgical management of perforation following endoscopic sphincterotomy", 57, pp.237~240 (1991)
- "Retroperitoneal perforationduring ERCP and endoscopic sphincterotomy:causes,clinical features and management", 22, pp.174~175 (1990)
- "Conservative management of duodenal perforation following endoscopic sphincterotomy of papilla of vater", 68, pp.6~10 (2003)
- "Significance of retroperitoneal air after endoscopic retrograde cholangiopancreatography with sphincterotomy", 94, pp.1267~1270 (1999)
- "Management of duodenal perforation after endoscopic retrograde cholangiopancreatography and sphincterotomy", 232, pp.191~198 (2000)
- "Surgery in perforation after endoscopic sphincterotomy or not at all", pp.206~208 (1996)
- "Surgical decisions in the management of duodenal perforation complicating endoscopic sphincterotomy", 165, pp.700~703 (1993)
- "ERCP-related perforations:risk factors and management", 34, pp.293~298 (2002)
- "Hemoclip repair of a sphincterotomy-induced duodenal perforation", 52, pp.566~568 (2000)
- "Clip closure of a duodenal perforation secondary to a biliary stent", 51, pp.487~489 (2000)
- "Surgical treatment of duodenal ulcer", 64 (1988)