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Korean J Pancreas Biliary Tract > Volume 18(1):2013 > Article
The Korean Journal of Pancreas and Biliary Tract 2013;18(1):32-35.
간-공장 문합 부위에서 수술용 봉합사에 의해 발생한 담관담석을 단일풍선 소장내시경을 이용한 직접 경구 담도경으로 치료한 1예
이초이, 이태윤, 이윤석, 홍미진, 김혜진, 구자경, 천영국, 심찬섭
건국대학교 의학전문대학원 내과학교실 소화기병센터
Suture Material Forming Choledocholithiasis Treated by Single Balloon Enteroscopy
Cho I Lee, Tae Yoon Lee, Yoon Serk Lee, Mi Jin Hong, Hai Jin Kim, Ja-Kyung Koo, Young Kook Cheon, Chan Sup Shim
Digestive Disease Center, Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea
ABSTRACT
A 53-year-old female was admitted to our hospital due to epigastric pain. She underwent hepaticojejunostomy for the treatment of benign common bile duct stricture 5 years ago. She developed choledocholithiasis at anastomosis site 1 year ago and the stones were removed by percutaneous transhepatic cholangioscopy. Abdominal computed tomography revealed multiple stones at the anastomosis site of hepaticojejunostomy. A single balloon enteroscopy (SBE)-assisted endoscopic retrograde cholangiopancreatography (ERCP) and direct cholangioscopy revealed multiple brown-pigmented stones along the non-absorbable suture materials. The stones were removed using a basket and forceps under the visualization of the direct cholangioscopy using SBE. Any exogenous biliary tract foreign bodies including non-absorbable suture materials after biliary diversion surgery can function as a nidus for stone formation. SBE-assisted ERCP and direct cholangioscopy are useful tools for the treatment of choledocholithiasis formed by suture material in patients with altered anatomy.
Keywords: common bile duct stone, suture material, single-balloon enteroscopy
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