Korean Journal of Gastrointestinal Endoscopy 1989;9(2): 207-213.
인공적으로 만든 총담관-십이지장 누공을 통한 내시경적 역행성 담관 조영술 2예 ( Endoscopic Retrograde Cholangiography Through Artificial Cheledochoduodenal Fistula )
김원호, 송시영, 정재복, 강진경, 최흥재 (Won Ho Kim, Si Young Song, Jae Bock Chung, Jin Kyung Kang and Heung Jai Choi)
Abstract
Endoscopic retrograde cholangiopancreatography (ERCP) is one of the most useful diagnostic tool in biliary and pancreatic disease. However, ERCP cannot be performed successfully in all patients. Cannulation failure is the most common cause of failure of ERCP. Mechanical pathologies, such as peri-Vater diverticulum, cancer of the papilla of Vater, and impacted stone were the common causes of cannulation failure. We experienced two cases of carcinoma of the papilla of Vater in whom cholangiography and insertion of the nasobiliary tube were performed througth an artificial choledoehoduodenal fistula made by a needle type diathermy knife, beacuse cannulation to the duct was failed due to the tumor.
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