아르곤 레이저를 이용한 담관 자가팽창금속스텐트의 트리밍 |
권정현·이인석·박재명·백창열·서정필·장재혁·박호성·남관우·유찬란·천송욱·조유경·김상우·최명규·정인식 |
가톨릭대학교 의과대학 내과학교실 |
Endoscopic Argon Plasma Laser Trimming of Biliary Self Expanding Metallic Stent |
Jung Hyun Kwon, M.D., In Seok Lee, M.D., Jae Myung Park, M.D., Chang Nyol Paik, M.D., Jung Pil Suh, M.D., Jae Hyuck Chang, M.D., Ho Sung Park, M.D., Kwan Woo Nam, M.D., Chan Ran You, M.D., Song Wook Chun, M.D., Yu Kyung Cho, M.D., Sang Woo Kim, M.D., Myun |
Division of Gastroenterology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea |
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Abstract |
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A self-expanding metal stent is an effective treatment for biliary stenosis, improving obstructive jaundice and maintaining the long term patency of the bile duct. The complications of the metal stent are a perforation, distal migration, restenosis and duodenal mucosa injury from the contralateral wall impaction or trauma. However, the metal stent is a relatively permanent device and its removal is technically challenging. We report a case of protrusion of biliary stents into the duodenal lumen of a distal common bile duct cancer patients that was managed successfully by endoscopic argon plasma laser trimming. (Korean J Gastrointest Endosc 2006;33:385389) |
Key Words:
Self expanding metal stent, Argon plasma laser trimming |
주요어:
자가팽창금속스텐트, 아르곤 레이저 트리밍 |
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