Korean J Gastrointest Endosc > Volume 39(1); 2009 > Article
Korean Journal of Gastrointestinal Endoscopy 2009;39(1): 50-54.
십이지장 주유두 선종의 내시경 유두절제술 후 발생한 담관염과 담즙 역류를 동반한 췌담관 협착 1예
서울보훈병원 소화기내과
Pancreatic and Biliary Strictures Associated with Cholangitis and Bile Reflux Following Endoscopic Papillectomy of Ampullary Adenoma
Dae-Geun Song, M.D., Jei So Bang, M.D., Won Hyeong Park, M.D., Tae Gyoon Kim, M.D., Hyun Gyung Park, M.D., Bo Young Min, M.D., Su Hyun Yang, M.D. and Jong Hoon Byun, M.D.
Department of Internal Medicine, Seoul Veterans Hospital, Seoul, Korea
Ampullary adenoma is rare but clinically important because it is a premalignant lesion. Use of endoscopic gastroduodenoscopy has increased detection of adenoma of the major duodenal papilla. Endoscopic papillectomy is a promising technique to supplant surgical ampullectomy, because it is less aggressive and more stable. However, various complications include bleeding, perforation, pancreatitis and cholangitis. We describe pancreatic and biliary strictures associated with cholangitis, and bile reflux through the pancreatic duct to the minor duodenal papilla after endoscopic papillectomy. Pancreatic and biliary strictures have not been hitherto reported complications. We performed endoscopic papillary balloon dilatation, minor papilla papillotomy and inserted a drain tube through the accessory pancreatic duct. (Korean J Gastrointest Endosc 2009;39: 50-54)
Key Words: Ampullary adenoma, Endoscopic papillectomy, Biliary stricture, Pancreatic stricture
PDF Links  PDF Links
Full text via DOI  Full text via DOI
Download Citation  Download Citation
Related article
Papillary Stenosis and Cholangitis Caused by Endoscopic Mucosal Resection of Ampullary Adenoma  2003 October;27(4)
Editorial Office
Korean Society of Gastrointestinal Endoscopy
#817, 156 Yanghwa-ro (LG Palace, Donggyo-dong), Mapo-gu, Seoul, 04050, Korea
TEL: +82-2-335-1552   FAX: +82-2-335-2690    E-mail: CE@gie.or.kr
Copyright © Korean Society of Gastrointestinal Endoscopy.                 Developed in M2PI
Close layer