Korean J Gastrointest Endosc > Volume 28(3); 2004 > Article
Korean Journal of Gastrointestinal Endoscopy 2004;28(3): 156-160.
내시경적 역행성 담관 배액관 삽입 후 이탈된 배액관에 의해 발생한 S상결장 천공 1예
정현승ㆍ박상종ㆍ김일동*·이상배ㆍ이진광ㆍ김회진
분당제생병원 소화기내과, *일반외과
A Case of Sigmoid Colonic Perforation due to Migration of a Plastic Stent for Endoscopic Retrograde Biliary Drainage
Hyun Sweung Jeong, M.D., Sang Jong Park, M.D., IL Dong Kim, M.D.*, Sang Bae Lee, M.D., Jin Kwang Lee, M.D. and Hoi Jin Kim, M.D.
Departments of Internal Medicine and *General Surgery, Bundang Jesaeng General Hospital, Seongnam, Korea
Abstract
Placement of an endoprosthesis for billiary obstruction has been advocated as an effective alternative for internal- external drainage catheters or surgical procedure. Endoscopic retrograde biliary drainage (ERBD) is a method of transpapillary insertion and placement of drainage tube in the billiary tree under the direct view of endoscope. Early complications following ERBD that develop within 4 weeks include obstruction of the stent, cholangitis, hemorrhage, acute pancreatitis, and bile duct or duodenal perforation. Late complications include obstruction of the stent and cholangitis, migration of the stent, and intestinal perforation. We expierenced a case of sigmoid colonic perforation following ERBD in a patient with multiple biliary tract stone and cholangitis. Thus we report this case with a brief review of the literature. (Korean J Gastrointest Endosc 2004;28:156⁣160)
Key Words: Enodscopic retrograde biliary drainage (ERBD), Migration of stent, Intestinal perforation
주요어: 내시경적 역행성 담관 배액법, 배액관 이탈, 장 천공
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