| 내시경적 유두괄약근 절개술에 합병된 출혈의 지혈술 중 발생한 장천공 1예 |
| 이영석·장병국·정우진·박경식·조광범·황재석·안성훈·권중혁*·김갑철* |
| 계명대학교 의과대학 내과학교실, *방사선학교실 |
| A Case of Duodenal Perforation during Endoscopic Hemostasis in EST Site Bleeding |
| Yeong Seok Lee, M.D., Byoung Kuk Jang, M.D., Woo Jin Chung, M.D., Kyung Sik Park, M.D., Kwang Bum Cho, M.D., Jae Seok Hwang, M.D., Sung Hoon Ahn, M.D., Jung Hyeok Kwon, M.D.* and Gab Chul Kim, M.D.* |
| Departments of Internal Medicine and *Radiology, Keimyung University College of Medicine, Daegu, Korea |
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| Abstract |
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The endoscopic retrograde cholangiopancreatography (ERCP) has become a commonly performed endoscopic procedure in biliary pathology. ERCP is a relatively safe procedure. however, there are chance of potentially severe complications; pancreatitis, hemorrhage, infection, and perforation. Duodenal perforation, uncommon but severe complication of ERCP, occurred in less than 1% of most series. According to the related mechanism, anatomical location, and the severity of injury, three to four distinct types of perforations have been described. We experienced the barotrauma associated duodenal perforation during endoscopic hemostasis in patient with EST site bleeding. This duodenal perforation was related with excessive air inflation to maintain the patency of a lumen. Endoscopists performing ERCP should bear in mind that continued air inflation may lead to duodenal perforation. (Korean J Gastrointest Endosc 2004;29:222227) |
| Key Words:
Barotrauma, Duodenal perforation, Endoscopic sphincterotomy |
| 주요어:
십이지장천공, 유두괄약근절개술, 압력손상 |
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