Insulated Tip Electrosurgical Knife를 이용한 내시경 격막 절개술로 치료한 성인의 십이지장 격막 1예 |
권범준·김창환·김태호·임연수*·백정선·조근종·김진일·박수헌·채현석·김재광·한석원·최규용 |
가톨릭대학교 의과대학 내과학교실, *방사선과학교실 |
A Case of Doudenal Diaphragm in an Adult Treated with Endoscopic Membranotomy using Insulated Tip Electrosurgical Knife |
Bum Jun Kwon, M.D., Chang-Whan Kim, M.D., Tae Ho Kim, M.D., Yeon Soo Lim, M.D.*, Jung Sun Pack, M.D., Keun Jong Cho, M.D., Jin Il Kim, M.D., Soo-Heon Park, M.D., Hiun Suk Chae, M.D., Jae Kwang Kim, M.D., Sok Won Han, M.D. and Kyu-Yong Choi, M.D. |
Departments of Internal Medicine and *Radiology, College of Medicine, The Catholic University of Korea, Seoul, Korea |
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Abstract |
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A duodenal diaphragm is rare congenital anomaly among the duodenal obstructions. Its symptoms and signs usually appear from birth if the obstruction is complete. However, a diagnosis may be delayed until the patient reaches adulthood in cases of an incomplete obstruction. Treatment of an adult duodenal diaphragm is usually surgical. To our knowledge, there are few reports of the endoscopic treatment of an adult duodenal diaphragm but none in Korea. We report a duodenal diaphragm in a 26- year-old female with epigastric pain, who was treated with an endoscopic membranotomy using an insulated tip knife. (Korean J Gastrointest Endosc 2006;33:294297) |
Key Words:
Adult duodenal diaphragm, Endoscopic membranotomy, Insulated tip knife |
주요어:
성인 십이지장 격막, 내시경 격막절개술, IT-knife |
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