| 내시경 삽입 중 발생한 십이지장 천공의 성공적인 치료 3예 |
| 류충헌ㆍ박도현ㆍ김명환ㆍ서동완ㆍ이상수ㆍ이성구ㆍ김홍준 |
| 울산대학교 의과대학 서울아산병원 소화기내과학교실 |
| Three Cases of Successful Treatment of Iatrogenic Duodenal Perforation |
| Choong Heon Ryu, M.D., Do Hyun Park, M.D., Myung-Hwan Kim, M.D., Dong Wan Seo, M.D., Sang Soo Lee, M.D., Sung Koo Lee, M.D. and Hong Jun Kim, M.D. |
| Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea |
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| Abstract |
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Endoscopic retrograde cholangiopancreatography has become a standard procedure for the diagnosis and treatment of pancreatobiliary disease. Like any invasive procedure, it carries a small, but significant rate of serious complications such as duodenal perforation. Primary surgical closure is the treatment of choice for the cases of duodenal perforation. However, there have been some case reports in which endoscopic metal clip closure of an iatrogenic duodenal perforation was successful. We experienced three cases of successful treatment of the iatrogenic duodenal perforation using endoscopic clipping and fibrin glue injections during a duodenoscope insertion. (Korean J Gastrointest Endosc 2011;42:57-61) |
| Key Words:
Duodenal perforation, Clips, Endoscopic treatment |
| 주요어:
십이지장 천공, 클립, 내시경 치료 |
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