Endoscopic retrograde cholangiopancreatography, Guidewire, Perforation"/> Four Cases of Guidewire Induced Periampullary Perforation During Endoscopic Retrograde Cholangiopancreatography
Korean J Gastrointest Endosc > Volume 42(5); 2011 > Article
Korean Journal of Gastrointestinal Endoscopy 2011;42(5): 334-340.
내시경 역행성 담췌관조영술 중 발생한 유도선에 의한 유두부주위 천공 4예
이태훈ㆍ박상흠ㆍ손범석ㆍ전백규ㆍ은준영ㆍ김재연ㆍ이세환ㆍ김선주
순천향대학교 의과대학 천안병원 내과학교실
Four Cases of Guidewire Induced Periampullary Perforation During Endoscopic Retrograde Cholangiopancreatography
Tae Hoon Lee, M.D., Sang-Heum Park, M.D., Bum Suk Son, M.D., Baek Gyu Jun, M.D., Jun Young Eun, M.D., Jae Yun Kim, M.D., Sae Hwan Lee, M.D. and Sun-Joo Kim, M.D.
Department of Internal Medecine, Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea
Abstract
Duodenal perforation associated with endoscopic retrograde cholangiopancreatography is very uncommon. However, it usually requires early diagnosis and surgical management. Perforations are commonly caused by endoscopic sphincterotomy, biliary or duodenal stent placement, guidewire-related causes, and endoscopy itself. Perforatioins can follow various clinical courses, and management depends on the cause of the perforation. Among the above causes, guidewire-induced perforation is very rare and related reports and analyses are limited. Herein we describe four cases of guidewire-induced periampullary perforation during endoscopic retrograde cholangiopancreatography, and analyze clinical characteristics and management. (Korean J Gastrointest Endosc 2011;42:334-340)
Key Words: Endoscopic retrograde cholangiopancreatography, Guidewire, Perforation
주요어: 내시경 역행성 담췌관조영술, 유도선, 천공
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