Korean J Gastrointest Endosc > Volume 27(4); 2003 > Article
Korean Journal of Gastrointestinal Endoscopy 2003;27(4): 249-253.
십이지장 주유두 선종의 내시경적 점막절제술 후 발생한 유두부 협착 및 담관염
최정준·김명환·김기덕·김정권·박진태·오동렬· 서욱장·김원장·이성구·민영일·유은실*·김미정*
울산대학교 의과대학 서울아산병원 소화기내과학교실, *병리학교실
Papillary Stenosis and Cholangitis Caused by Endoscopic Mucosal Resection of Ampullary Adenoma
Jung Joon Choi, M.D., Myung-Hwan Kim, M.D., Gi Deog Kim, M.D., Jung Kwon Kim, M.D., Jin Tae Park, M.D., Dong Ryeul Oh, M.D., Wook Jang Seo, M.D., Won Jang Kim, M.D., Sung Koo Lee, M.D., Young Il Min, M.D., Eun Sil Yu, M.D.* and Mi Jung Kim, M.D.*
Departments of Internal Medicine and *Pathology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea
Adenomas of the major duodenal papilla are rare but clinically important since they are a premalignant condition. Endoscopic mucosal resection has emerged as the first line therary for ampullary adenoma. However, various complications such as pancreatitis, bleeding or duodenal perforation have been reported after endoscopic mucosal resection. To our knowledge, cholangitis has not been reported as a complication of the procedure in the literature. We report a case of papillary stenosis and cholangitis caused by endoscopic mucosal resection of ampullary adenoma. We performed the endoscopic biliary spincterotomy followed by biliary stenting and cholangitis was successfully controlled.
Key Words: Ampulla of Vater, Adenoma, Endoscopic mucosal resection, Cholangitis
주요어: 유두부, 선종, 점막절제술, 합병증, 담관염
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