지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 255 - 257 (3page)
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초록· 키워드
오류제보하기
Percutaneous transhepatic biliary drainage (PTBD) is an established procedure for biliary obstruction. However, duodenobiliary or jejunobiliary reflux of the intestinal contents through a PTBD catheter sometimes causes recurrent catheter obstruction or cholangitis. A 64-year-old female patient with a history of choledochojejunostomy was referred to our department with acute cholangitis due to choledochojejunal anastomotic obstruction. Emergent PTBD was performed,but frequent obstructions of the catheter due to the reflux of intestinal contents complicated the post-PTBD course. We therefore introduced a catheter with an antireflux mechanism to prevent jejunobiliary reflux. A commercially available catheter was modified; side holes were made at 1 cm and 5 to 10 cm (1 cm apart) from the tip of the catheter, and the catheter was ligated with a nylon thread just proximal to the first side hole. Using this novel “antireflux PTBD technique,”jejunobiliary reflux was prevented successfully, resulting in a longer patency of the catheter
목차
등록된 정보가 없습니다.
참고문헌 (8)
참고문헌 신청
Audisio RA / 1988 / The occurrence of cholangitis after percutaneous biliary drainage: evaluation of some risk factors / Surgery 103 : 507 ~ 512
Blenkharn JI / 1984 / Septic complications of percutaneous transhepatic biliary drainage. Evaluation of a new closed drainage system / Am J Surg 147 : 318 ~ 321
Joseph PK / 1986 / Percutaneous transhepatic biliary drainage. Results and complications in 81 patients / JAMA 255 : 2763 ~ 2767
McPherson GA / 1982 / Percutaneous transhepatic drainage in obstructive jaundice: advantages and problems / Br J Surg 69 : 261 ~ 264
Morita S / 1989 / Septic shock after percutaneous transhepatic drainage of obstructed afferent loop: case report / Cardiovasc Intervent Radiol 12 : 66 ~ 68
Blenkharn JI / 1984 / Septic complications of percutaneous transhepatic biliary drainage. Evaluation of a new closed drainage system / Am J Surg 147 : 318 ~ 321
Joseph PK / 1986 / Percutaneous transhepatic biliary drainage. Results and complications in 81 patients / JAMA 255 : 2763 ~ 2767
McPherson GA / 1982 / Percutaneous transhepatic drainage in obstructive jaundice: advantages and problems / Br J Surg 69 : 261 ~ 264
Morita S / 1989 / Septic shock after percutaneous transhepatic drainage of obstructed afferent loop: case report / Cardiovasc Intervent Radiol 12 : 66 ~ 68
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