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Korean J Pancreas Biliary Tract > Volume 18(3):2013 > Article
The Korean Journal of Pancreas and Biliary Tract 2013;18(3):46-51.
Billroth II 위-공장 문합술을 시행한 환자에서 내시경을 이용하여 치료한 ERCP 관련 천공 1예
조유정, 송태준, 장한얼, 이혁, 배원기, 김남훈, 김경아, 이준성
인제대학교 일산백병원 내과
A Case of ERCP-Related Perforation Treated by Endoscopy in a Patient with Billroth II Anastomosis
Yu Jung Cho, Tae June Song, Han Ul Jang, Hyuk Lee, Won Ki Bae, Nam-Hoon Kim, Kyung-Ah Kim, June Sung Lee
Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea
ABSTRACT
Endoscopic retrograde cholangiopancreatography (ERCP) has become widely available for the diagnosis and treatment of various pancreaticobiliary diseases. ERCP is a relatively safe endoscopic procedure, however, there is the potential severe, life-threatening complications including pancreatitis, hemorrhage and perforation. ERCP-related perforation, which has been reported as 0.3 to 0.6%, are a rare but serious complication. The management of ERCP-related perforations has been controversial, but the diagnosis of perforations remote from the papilla may be frequently delayed and typically require surgery. We reported a case of ERCP-related bowel perforation successfully treated by endoscopy using multiple hemoclips
Keywords: endoscopic retrograde cholangiopancreatography, Billroth II operation, clips, fibrin glue
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