Korean J Gastrointest Endosc > Volume 39(5); 2009 > Article
Korean Journal of Gastrointestinal Endoscopy 2009;39(5): 324-327.
담관 협착이 있는 간세포암에서 금속 스텐트에 의한 십이지장-담관 누공 1예
윤석배ㆍ이홍식ㆍ최혁순ㆍ조혜진ㆍ윤태정ㆍ김진남ㆍ윤 익ㆍ김창덕
고려대학교 의과대학 내과학교실, 소화기연구소
A Case of Duodenobiliary Fistula Caused by a Metal Stent in a Patient with Hepatocellular Carcinoma
Seok Bae Yoon, M.D., Hong Sik Lee, M.D., Hyuk Soon Choi, M.D., Hye Jin Cho, M.D., Tae Jung Yun, M.D., Jin Nam Kim, M.D., Ik Yoon, M.D. and Chang Duck Kim, M.D.
Department of Internal Medicine, Digestive Disease and Nutrition, Korea University College of Medicine, Seoul, Korea
Abstract
Biliary drainage can improve the quality of life in a patient with obstructive jaundice caused by malignancy. Biliary metal stent insertion is a very useful method because it drains the bile physiologically and patients have little discomfort with the procedure. It has a few complications such as restenosis, liver perforation, bowel perforation, fistula formation and stent dislocation. Perforation and fistula formation are caused by pressure due to the self expanding characteristics of the metal stent. We report here on a case of duodenobiliary fistula that was caused by a biliary metal stent in a patient suffering with hepatocellula carcinoma, and we also include a review of the relevant literature. (Korean J Gastrointest Endosc 2009; 39:324-327)
Key Words: Metal stent, Duodenobiliary fistula, Hepatocellular carcinoma
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