Korean Journal of Gastrointestinal Endoscopy 2001;23(4): 259-262.
십이지장 유두선종의 내시경적 유두절제술 후 발생한 총담관 결석을 동반한 담도 협착 1 예 ( Biliary Stricture Associated with Common Bile Duct Stone Caused by Endoscopic Snare Papillectomy of Ampullary Adenoma )
정진원(Jin Won Chung),이상수(Sang Soo Lee),박주상(Ju Sang Park),한지민(Ji Min Han),김형수(Hyeong Su Kim),강호형(Ho Hyung Kang),이태윤(Tae Yoon Lee),송혜경(Hye Kyung Song),남궁일성(Il Seong Namgong),서동완(Dong Wan Seo),이성구(Sung Koo Lee),김명환(Myung Hwan Kim),민영일(Young Il Min)
Abstract
Neoplasms of the major duodenal papilla or the ampulla of Vater are rare but are clinically important since they are premalignant. Recently endoscopic snare papillectomy for the ampullary adenoma is being increasingly performed. The procedure is now regarded as a clinically effective treatment, however, various complications such as bleeding, perforation, colangitis, and pancreatitis have been reported. To our knowledge, biliary stricture of this case has not been reported as a complication of endoscopic snare papillectomy for ampullary adenoma. Also, secondary common bile duct stone was formed by biliary stasis associated with biliary stricture in our case. We performed the balloon dilation at the biliary stricture site and could remove the stone successfully by endoscopic method. (Korean J Gastrointest Endosc 2001;23:259-262)
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