Korean J Gastrointest Endosc > Volume 40(3); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;40(3): 214-218.
반복되는 Sump 증후군 환자에서 내시경 유두 풍선 확장술로 치료한 1예
심기식ㆍ김태효ㆍ정경아ㆍ문인규ㆍ하창윤ㆍ민현주ㆍ정운태ㆍ이옥재
경상대학교 의학전문대학원 내과학교실 건강과학연구원
Successful Endoscopic Papillary Balloon Dilatation for a Patient with Recurrent Sump Syndrome
Ki Shik Shim, M.D., Tae Hyo Kim, M.D., Kyoung Ah Jung, M.D., In Kyu Moon, M.D., Chang Yoon Ha, M.D., Hyun Ju Min, M.D., Woon Tae Jung, M.D. and Ok Jae Lee, M.D.
Department of Internal Medicine and the Institute of Health Science, Gyeongsang National University School of Medicine, Jinju, Korea
Abstract
Sump syndrome is a rare late complication of choledochoenteric anastomosis, and this caused by the accumulation of food debris, choledocholithiasis, bile sludge and cholesterol crystals in the distal common bile duct. This syndrome is characterized by symptoms such as abdominal pain and fever. The treatment modality for this syndrome has been surgery in the past. However, endoscopic treatment such as endoscopic sphinterotomy is currently regarded as the primary therapeutic approach for this condition. We experienced a patient with a history of choledochoduodenostomy and who developed sump syndrome as a complication of the surgery. Endoscopic sphinterotomy was performed for treatment, but this only produced the recurrence of the disease. The recurrent sump syndrome was eventually successfully controlled by performing endoscopic papillary balloon dilatation. (Korean J Gastrointest Endosc 2010;40:214-218)
Key Words: Sump syndrome, Endoscopic papillary balloon dilatation
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