Korean Journal of Gastrointestinal Endoscopy 2009;38(1): 57-59.
풍선폐쇄법을 통한 간내담관의 선택적 삽관에 성공한 증례 1예
김용욱ㆍ강대환ㆍ김동욱ㆍ최철웅ㆍ김표준ㆍ정경식ㆍ정우진
부산대학교 의학전문대학원 내과학교실
The Balloon Occluded Method for Selective Cannulation of the Intrahepatic Duct: A Case Report
Yong Wuk Kim, M.D., Dae Han Kang, M.D., Dong Uk Kim, M.D., Cheol Woong Choi, M.D., Pyo Jun Kim, M.D., Kyung Sik Jung, M.D. and Woo Jin Jung, M.D.
Department of Internal Medicine, Pusan National University College of Medicine, Busan, Korea
Abstract
Selective cannulation into the intrahepatic duct during ERCP can occasionally be difficult and time-consuming depending on the GI tract anatomy and the presence of biliary tree anomalies or pathology. A variety of techniques or devices have been used to enhance the success rate of selective cannulation in these situations. The balloon occluded method for selective cannulation of the LHD (left hepatic duct) with using an inflated balloon catheter to occlude the RHD (right hepatic duct) has also been reported. We report here a case of successful selective cannulation of the RHD with using an inflated balloon catheter to occlude the LHD in a patient who had a GB cancer with liver metastasis. After this maneuver, a guidewire is advanced; it deflects off the inflated balloon and then proceeds to the RHD. (Korean J Gastrointest Endosc 2009;38:57-60)
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