| 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
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| 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 |
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| ABSTRACT |
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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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