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
- 저널정보
- 소화기인터벤션의학회 International Journal of Gastrointestinal Intervention International Journal of Gastrointestinal Intervention 제8권 제2호
- 발행연도
- 2019.1
- 수록면
- 100 - 103 (4page)
이용수
초록· 키워드
오류제보하기
Summary of Event: A 38-year-old man diagnosed with ampullary adenoma was referred for further treatment, and initially treated with the endo-scopic papillectomy without complications. Recurred lesions were found during follow-up and second procedure was planned. However, severe nec-rotizing pancreatitis with small bowel ileus occurred following the second endoscopic papillectomy for the recurred lesion. He had to undergo bypass surgery (gastrojejunostomy) for persistent small bowel ileus, and repetitive percutaneous radiologic interventions for necrotic fluid collections in the abdominal cavity during a 6-month period of hospitalization.Teaching Point: During endoscopic papillectomy for ampullary adenoma, every effort to prevent pancreatitis including the decision of appropriate resection extent, prophylactic pancreatic duct stenting, and rectal indomethacin should be made. If severe necrotizing pancreatitis with small bowel ileus occurs, and oral feeding is difficult, early bypass surgery should be considered. In addition, removal of necrotic material in the abdominal cav-ity requires continuous collaboration among endoscopists, intervention radiologists, and surgeons.
목차
등록된 정보가 없습니다.
참고문헌 (7)
참고문헌 신청
ASGE Standards of Practice Committee / 2015 / The role of endoscopy in ampullary and duodenal adenomas / Gastrointest Endosc 82:773~781
Mendonça EQ / 2016 / Endoscopic versus surgical treatment of ampullary adenomas : a systematic review and meta-analysis / Clinics(Sao Paulo) 71:28~35
Fagenholz PJ / 2007 / Increasing United States hospital admissions for acute pancreatitis, 1988-2003 / Ann Epidemiol 17:491~497
Crockett SD / 2018 / American Gastroenterological Association Institute guideline on initial management of acute pancreatitis / Gastroenterology 154:1096~1101
Sunkara T / 2017 / Small bowel obstruction secondary to acute pancreatitis / Gastroenterology Res 10:42~44
Mendonça EQ / 2016 / Endoscopic versus surgical treatment of ampullary adenomas : a systematic review and meta-analysis / Clinics(Sao Paulo) 71:28~35
Fagenholz PJ / 2007 / Increasing United States hospital admissions for acute pancreatitis, 1988-2003 / Ann Epidemiol 17:491~497
Crockett SD / 2018 / American Gastroenterological Association Institute guideline on initial management of acute pancreatitis / Gastroenterology 154:1096~1101
Sunkara T / 2017 / Small bowel obstruction secondary to acute pancreatitis / Gastroenterology Res 10:42~44
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