Korean J Gastrointest Endosc > Volume 33(2); 2006 > Article
Korean Journal of Gastrointestinal Endoscopy 2006;33(2): 125-129.
28개월 다운증후군 유아의 총담관 담석을 내시경 유두 풍선확장술로 제거한 1예
강지헌·박도현·박정훈·오명호*·한승효·안형수·이용하·박상흠·이석호·정일권·김홍수·김선주
순천향대학교 의과대학 내과학교실, *소아과학교실
Successful Removal of Common Bile Duct Stone Using Endoscopic Papillary Balloon Dilation (EPBD), in A 28-month-old Child with Down's Syndrome
Jee Heon Kang, M.D., Do Hyun Park, M.D., Jeung Hoon Park, M.D., Myung Ho Oh, M.D.*, Seung Hyo Han, M.D., Hyoung Su Ahn, M.D., Yong Ha Lee, M.D., Sang-Heum Park, M.D., Suck-Ho Lee, M.D., Il-Kwun Chung, M.D., Hong-Soo Kim, M.D. and Sun-Joo Kim, M.D.
Departments of Internal Medicine, *Pediatrics, Soonchunhyang University College of Medicine, Cheonan, Korea
Abstract
Although cholelithiasis is an uncommon condition in infants, a recent study documented the increasing detection of this disorder. This increase may be explained by the wide use and improvement in abdominal ultrasound. Choledocholithiasis with cholestatic jaundice in infants usually requires therapeutic intervention, even though the incidence of spontaneous resolution has been reported to be higher in infants than adults. Choledocholithiasis in children has traditionally been managed surgically with open common duct exploration. Recently, endoscopic stone removal was accepted as a standard therapy in pediatric choledocholithiasis. We report a case of the successful removal of common bile duct stone using endoscopic papillary balloon dilation (EPBD), in a 28-month-old infant with Down's syndrome. (Korean J Gastrointest Endosc 2006;33:125⁣129)
Key Words: Infant, Choledocholithiasis, Endoscopic papillary balloon dilation
주요어: 영유아, 총담관 담석, 내시경 유두 풍선확장술
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