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상부내시경을 직접 경구적 담도 내시경으로 사용하여 폴립절제술 올가미로 제거한 큰 총담관 담석

Removal of a Large, Intractable Common Bile Duct Stone by Direct Peroral Cholangioscopy Using Upper Gastrointestinal Endoscopy and Polypectomy Snare

대한소화기학회지 2020년 76권 4호 p.215 ~ 219
허준, 정민규,
소속 상세정보
허준 ( Heo Jun ) - Kyungpook National University School of Medicine Kyungpook National University Hospital Department of Internal Medicine
정민규 ( Jung Min-Kyu ) - Kyungpook National University School of Medicine Kyungpook National University Hospital Department of Internal Medicine

Abstract


ERCP is the standard treatment for common bile duct stones. On the other hand, 10-15% of cases involve intractable common bile duct stones, which cannot be treated by conventional biliary sphincterotomy with a stone retrieval method. Large bile duct stones are typically managed by mechanical lithotripsy and endoscopic papillary large balloon dilatation. Peroral cholangioscopy techniques can be applied if this technique fails. In the present case, a 67-year-old woman had a large common bile duct stone that could not be retracted using the conventional ERCP stone extraction method. The common bile duct stone was eventually removed by direct peroral upper gastrointestinal endoscopy and a polypectomy snare.

키워드

Choledocholithiasis, Cholangiopancreatography; endoscopic retrograde; Endoscopy; gastrointestinal; therapeutic use; Lithotripsy

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