| 분할 췌장의 배측 췌관 근위부로 일탈된 스텐트의 미니 스네어를 이용한 내시경적 회수 1예 |
| 박철성·김종혁·주나래·권진우·송혜근·문준호·정재원·신운건·김종표·김경오·박철희·한태호·유교상·박상훈·박충기 |
| 한림대학교 의과대학 내과학교실 |
| Endoscopic Retrieval of a Proximally Migrated Stent in the Dorsal Duct of Pancreas Divisum |
| Chul Sung Park, M.D., Jong Hyeok Kim, M.D., Na Rae Joo, M.D., Chin Woo Kwon, M.D., Hae Geun Song, M.D., Joon Ho Moon, M.D., Jae One Jung, M.D., Woon Geon Shin, M.D., Jong Pyo Kim, M.D., Kyoung Oh Kim, M.D., Cheol Hee Park, M.D., Taeho Hahn, M.D., Kyo-Sang |
| Department of Internal Medicine, Hallym University College of Medicine, Anyang, Korea |
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| Abstract |
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Endoscopic treatment of chronic pancreatitis by stent insertion is an accepted procedure, but various complications can be induced, including proximal migration of the stent. Many techniques are used to retrieve proximally migrated, pancreatic stents. We here report a case of a proximally migrated stent into the dorsal duct of a pancreas divisum, which was retrieved endoscopically by using a mini-snare. A 39-year-old female patient had chronic pancreatitis with divisum. A stent was inserted into the dorsal duct to relieve the chronic pain. After two months, sudden epigastric pain developed due to proximal migration of the stent. The pancreatic stent was retrieved successfully with one endoscopic attempt using a mini- snare. The epigastric pain resolved after retrieval of the stent. Our observation is that pancreatic stent migration may cause severe abdominal pain and that endoscopic retrieval is possible. (Korean J Gastrointest Endosc 2006;33:5862) |
| Key Words:
Endoscopic treatment, Proximal migration, Pancreatic stent |
| 주요어:
내시경 치료, 근위부 일탈, 췌관 스텐트 |
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