| 내시경 초음파 유도하 담관 조영술을 이용한 제방향 담즙 배액 1예 |
| 이상렬ㆍ이정환ㆍ이수연ㆍ김형훈ㆍ박종혁ㆍ류수형ㆍ김유선ㆍ문정섭 |
| 인제대학교 의과대학 서울백병원 내과학교실 |
| A Case of Endoscopic Ultrasound Guided Cholangiography with Antegrade Drainage |
| Sang Ryul Lee, M.D., Jung Hwan Lee, M.D., Su-Yeon Lee, M.D., Hyung Hun Kim, M.D., Jong Hyeok Park, M.D., Soo Hyung Ryu, M.D., You Sun Kim, M.D. and Jeong Seop Moon, M.D. |
| Department of Internal Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea |
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| Abstract |
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An 84-year-old woman presented with obstructive jaundice due to unresectable gallbladder cancer with a left renal cell carcinoma. Endoscopic retrograde cholangiopancreatography (ERCP) and percutaneous transhepatic biliary drainage (PTBD) were unsuccessful because of tumor obstruction of the duodenal bulb, right hepatic duct and distal common bile duct. Endoscopic ultrasound (EUS)-guided biliary drainage with a transgastric approach was performed. A guide-wire was passed through the biliary obstruction and was successfully advanced into the duodenum via the ampulla. The procedure was completed in an antegrade fashion. The obstructed biliary system was successfully decompressed by the insertion of a biliary covered metal stent through the malignant stricture. There were no complications related to the use of this procedure. (Korean J Gastrointest Endosc 2009;39:252-256) |
| Key Words:
Biliary, Drainage, EUS, Jaundice |
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