Korean J Gastrointest Endosc > Volume 36(4); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;36(4): 228-232.
Sump 증후군에 동반된 위석에 의한 소장폐색 1예
김주희ㆍ유교상ㆍ박형철*ㆍ임태경ㆍ문선유ㆍ정연손ㆍ윤수미ㆍ김경오ㆍ정용우ㆍ박철희ㆍ한태호ㆍ박상훈ㆍ김종혁ㆍ박충기
한림대학교 성심병원 내과학교실, *외과학교실
A Case of Small Intestinal Obstruction due to Bezoars Accompanied with Sump Syndrome
Joo Hee Kim, M.D., Kyo-Sang Yoo, M.D., Hyoung-Chul Park M.D.*, Tae Kyung Lim, M.D., Sun You Moon, M.D., Youn Son Chung, M.D., Su Mi Yoon, M.D., Kyoung Oh Kim, M.D., Yong Woo Chung, M.D., Cheol Hee Park, M.D., Taeho Hahn, M.D., Sang Hoon Park, M.D., Jong H
Departments of Internal Medicine and *Surgery, Hallym University Sacred Heart Hospital, Anyang, Korea
Abstract
Sump syndrome is one of the late complications of a side to side choledochoduodenostomy, but it is a rare malady. The anastomosis of the bile duct and small bowel results in exclusion of the distal limb of the common bile duct from drainage of bile with the potential formation of a sump. Food material and bile sludge may accumulate in distal segment of common bile duct and so this cause recurrent bile duct stones. Bezoars frequently result from disturbed passage of the gastrointestinal tract, especially after surgery, and it may develop various symptoms by irritating or obstructing the gastrointestinal tract. The bezoar accompanied with sump syndrome after choledochoenterostomy has not yet been reported in the literature. We report here on a case of small intestinal obstruction due to bezoars accompanied with sump syndrome. (Korean J Gastrointest Endosc 2008;36:228-232)
Key Words: Sump syndrome, Common bile duct gallstones, Bezoar, Intestinal obstruction
주요어: Sump 증후군, 총담관결석, 위석, 소장 폐색
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