| 내시경 유두절제술로 치료한 십이지장 유두암 1예 |
| 이규철*·이동기 |
| 연세대학교 의과대학 내과학교실, *서울적십자병원 내과 |
| A Case of Ampullary Carcinoma Managed with Endoscopic Snare Ampullectomy |
| Kyu Chul Lee, M.D.* and Dong Ki Lee, M.D. |
| Department of Internal Medicine, Yonsei University College of Medicine, *Department of Internal Medicine, Seoul Red Cross Hospital, Seoul, Korea |
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| Abstract |
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The ampullary carcinoma is a rare disease that occurs in approximately 0.2% of all gastrointestinal carcinomas and in 7% of all periampullary carcinomas. The clinical manifestations of ampullary carcinoma are anorexia, nausea, vomiting, jaundice, itching, abdominal pain, diarrhea, etc. When discovered, approximately 80% of cases are operable because of the rare regional invasion of the tumor. The 5-year survival rate after surgery is approximately 35%, but closer to 0% without surgery. Therefore the treatment of choice is surgery (pancreaticoduodenec-
tomy, Whipple's operation). However, less invasive procedures are needed for patients in poor general condition, old age, and those who refuse surgery. We report a case of an ampullary carcinoma in which an endoscopic snare ampullectomy was performed as a second option after the patient refused surgery. (Korean J Gastrointest Endosc 2006;33:253256) |
| Key Words:
Ampullary cancer, Endoscopic snare resection of ampulla |
| 주요어:
십이지장 유두암, 내시경 유두 절제술 |
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