내시경 시술 중 발생한 십이지장 천공의 클립을 이용한 성공적인 치료 2예 |
이영재·이신은·선인오·최진화·최혜은·고은영·서인석·조용근·박승민·김양호·조진웅·이용웅 |
예수병원 소화기내과 |
Two Cases of Successful Clipping Closure of Iatrogenic Duodenal Perforation Occurred during Endoscopic Procedure |
Young Jae Lee, M.D., Sin Un Lee, M.D., In O Sun, M.D., Jin Hwa Choi, M.D., Hea Un Choi, M.D., Eun Young Ko, M.D., In Suk Seo, M.D., Young Keun Cho, M.D., Seung Min Park, M.D., Yang Ho Kim, M.D., Jin Woong Cho, M.D. and Yong Ung Lee, M.D. |
Department of Internal Medicine, Jesus Hospital, Jeonju, Korea |
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Abstract |
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The risk of complications associated with endoscopic procedures, including bleeding and perforation, tends to increase due to the magnification of the therapeutic endoscopic spectrum. In cases of duodenal perforation, surgical closure is the treatment of choice; however, there have been some cases in which the nonsurgical treatment of an iatrogenic duodenal perforation during an endoscopic procedure was effected via endoscopic clipping closure. Here, we report two cases of successful endoscopic clipping closure of an iatrogenic duodenal perforation occur ring during a duodenoscopy insertion for ERCP and endoscopic mucosal resection for the treatment of duodenal adenoma.
(Korean J Gastrointest Endosc 2006;32:210214) |
Key Words:
Duodenal perforation, Clipping |
주요어:
십이지장 천공, 클립 |
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