| 십이지장 궤양에 의한 십이지장 협착 환자에서 자가확장형 인공관 삽입 후 발생한 폐쇄성 황달 |
| 이진광·박상종·류광현·이상배·김회진·정현승·류진경 |
| 분당제생병원 내과 |
| A Case of Obstructive Jaundice after Insertion of Metallic Stent for Duodenal Obstruction |
| Jin Kwang Lee, M.D., Sang Jong Park, M.D., Kwang Hyun Ryu, M.D., Sang Bae Lee, M.D., |
| Department of Internal Medicine, Bundang Jesaeng General Hospital, Seongnam, Korea |
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| Abstract |
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Insertion of self-expandable metallic stent has been performed as a palliative therapeutic
modality for cases with gastrointestinal obstruction caused by inoperable malignancies such as
pancreatic cancer, stomach cancer, and cholangiocarcinoma. Although the clinical efficacy is not
established yet, it can also be performed for benign gastroduodenal obstruction. Especially, when
balloon dilatation is failed and patients are at high risk for surgery or general anesthesia, and when
patients refuse operation, insertion of metallic stent can be considered. Complications of this
therapeutic modality include intestinal perforation, hemorrhage, migration or malposition of metallic
stent, and occlusion of stent by ingrowth and overgrowth of tumor or impaction of food. We report
a rare case of obstructive jaundice developed after the insertion of gastroduodenal stent for
duodenal obstruction caused by recurrent duodenal ulcer. (Korean J Gastrointest Endosc 2004;28:213
217) |
| Key Words:
Duodenal ulcer, Duodenal stenosis, Duodenal obstruction, SEMS, Jaundice |
| 주요어:
십이지장 궤양, 십이지장 협착, 십이지장 폐쇄, 자가확장형 금속성 인공관, 황달 |
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