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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 202 - 205 (4page)
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초록· 키워드
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Endoscopic closure techniques have been introduced for the repair of duodenal wall perforations that occur during endoscopic retrograde cholangiopancreatography (ERCP). We report a case of successful repair of a large duodenal wall perforation by using double endoscopic band ligation (EBL) and an endoclip. Lateral duodenal wall perforation occurred during ERCP in a 93-year-old woman with acute calculous cholangitis. We switched to a forward endoscope that had a transparent band apparatus. A 2.0-cm oval-shaped perforation was found at the lateral duodenal wall. We repaired the perforation by sequentially performing double EBL and endoclipping. The first EBL was performed at the proximal edge of the perforation orifice, and two-thirds of the perforation were repaired. The second EBL, which also included the contents covered under the first EBL, repaired the defect almost completely. Finally, to account for the possible presence of a residual perforation, an endoclip was applied at the distal end of the perforation. The detection and closure of the perforation were completed within 10 minutes. We suggest that double EBL is an effective method for closure.
목차
등록된 정보가 없습니다.
참고문헌 (12)
참고문헌 신청
Alfieri S / 2013 / Management of duodeno-pancreato-biliary perforations after ERCP: outcomes from an Italian tertiary referral center / Surg Endosc 27 : 2005 ~ 2012
Buffoli F / 2012 / Endoscopic “retroperitoneal fatpexy” of a large ERCP-related jejunal perforation by using a new over-the-scope clip device in Billroth II anatomy / Gast
Fan CS / 2007 / Repair of a polypectomy-induced duodenal perforation with a combination of hemoclip and band ligation / Gastrointest Endosc 66 : 203 ~ 205
Gupta S / 2005 / The management of large perforations of duodenal ulcers / BMC Surg 5 : 15 ~
Han JH / 2013 / Rescue endoscopic band ligation of iatrogenic gastric perforations following failed endoclip closure / World J Gastroenterol 19 : 955 ~ 959
Buffoli F / 2012 / Endoscopic “retroperitoneal fatpexy” of a large ERCP-related jejunal perforation by using a new over-the-scope clip device in Billroth II anatomy / Gast
Fan CS / 2007 / Repair of a polypectomy-induced duodenal perforation with a combination of hemoclip and band ligation / Gastrointest Endosc 66 : 203 ~ 205
Gupta S / 2005 / The management of large perforations of duodenal ulcers / BMC Surg 5 : 15 ~
Han JH / 2013 / Rescue endoscopic band ligation of iatrogenic gastric perforations following failed endoclip closure / World J Gastroenterol 19 : 955 ~ 959
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