| 분할 췌장을 동반하지 않은 환자에서 부유두를 통한 내시경 시술로 치료한 췌액 유출 |
| 박종하·김명환·송문희·박도현·최정준·표성희·정진욱·김성두·손현영·이상수·서동완·이성구 |
| 울산대학교 의과대학 서울아산병원 내과학교실 |
| Endoscopic Minor Papilla Intervention in a Patient with Traumatic Ductal Leak without Pancreas Divisum |
| Jong Ha Park, M.D., Myung-Hwan Kim, M.D., Moon Hee Song, M.D., Do Hyun Park, M.D.,Jung Joon Choi, M.D., Sung Hee Pyo, M.D., Jin Ook Jeong, M.D., Sung Doo Kim, M.D., Hyun Young Son, M.D.,Sang Soo Lee, M.D., Dong Wan Seo, M.D. and Sung Koo Lee, M.D. |
| Department of Internal Medicine, Asan Medical Center, Ulsan University, College of Medicine, Seoul, Korea |
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| Abstract |
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Endoscopic treatment has been performed in a variety of pancreatic ductal diseases such as stones, strictures, sphincter stenosis, and ductal disruption and is known to be an effective therapy in some patients. Endoscopic treatment through the minor papilla is frequently done in patients with pancreas divisum. Few data are, however, available concerning endoscopic minor papilla interventions in patients without pancreas divisum but with difficult access to the main pancreatic duct at the major duodenal papilla. We present a 49-year-old man, who had pancreatic ductal leak caused by previous pancreatic surgery. He was treated by endoscopic naso-pancreatic drainage and pancreatic ductal stenting through the minor papilla, so called pancreatic rendezvous technique. Follow- up ductography after two-weeks of naso-pancreatic drainage showed no leak. This case shows that minor papillar orifice could be an alternative access for therapeutic endoscopic intervention in a patient with traumatic pancreatic ductal leak without pancreas divisum. (Korean J Gastrointest Endosc 2004;28:273276) |
| Key Words:
Minor papilla, Ductal disruption, Pancreatic rendezvous technique |
| 주요어:
부유두, 췌관 손상, 췌액 유출, 정상 해부학적 췌장 구조 |
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