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
- 2019.1
- 수록면
- 83 - 86 (4page)
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초록· 키워드
오류제보하기
Endoscopic retrograde cholangiopancreatography (ERCP) of the intradiverticular papilla with its invisible orifice remains challenging. Several techniques have been introduced to evert the papillary opening to facilitate cannulation. A 79-year-old woman with bile ductstones underwent ERCP, which revealed that the papilla was located inside a large diverticulum and tended to rotate inward with atrial of papillary cannulation. Submucosal papillary injection of 3 cc of normal saline was performed at 3 and 9 o’clock. Eversion andfixation of a papilla in the diverticulum with this technique allowed selective cannulation of the biliary tree. Stones were retrieved afterendoscopic papillary balloon dilation without complications. She had an uneventful post-procedural course. Our findings suggest thatsubmucosal saline injection technique is safe and effective for selective cannulation and can be recommended when cannulation is verydiffcult because of an intradiverticular papilla.
목차
등록된 정보가 없습니다.
참고문헌 (20)
참고문헌 신청
Fogel EL / 1998 / Increased selective biliary cannulation rates in the setting of periampullary diverticula : main pancreatic duct stent placement followed by pre-cut biliary sphincterotomy / Gastrointest Endosc 47:396~400
Parlak E / 2015 / Diverticulum with papillae : does position of papilla affect technical success / Surg Laparosc Endosc Percutan Tech 25:395~398
Boix J / 2006 / Impact of periampullary duodenal diverticula at endoscopic retrograde cholangiopancreatography : a proposed classification of periampullary duodenal diverticula / Surg Laparosc Endosc Percutan Tech 16:208~211
Chen L / 2017 / Influence of periampullary diverticulum on the occurrence of pancreaticobiliary diseases and outcomes of endoscopic retrograde cholangiopancreatography / Eur J Gastroenterol Hepatol 29:105~111
Güitrón-Cantú A / 2010 / Difficulty to cannulate papilla of Vater in the presence of periampullary duodenal diverticulum / Rev Gastroenterol Mex 75:273~280
Parlak E / 2015 / Diverticulum with papillae : does position of papilla affect technical success / Surg Laparosc Endosc Percutan Tech 25:395~398
Boix J / 2006 / Impact of periampullary duodenal diverticula at endoscopic retrograde cholangiopancreatography : a proposed classification of periampullary duodenal diverticula / Surg Laparosc Endosc Percutan Tech 16:208~211
Chen L / 2017 / Influence of periampullary diverticulum on the occurrence of pancreaticobiliary diseases and outcomes of endoscopic retrograde cholangiopancreatography / Eur J Gastroenterol Hepatol 29:105~111
Güitrón-Cantú A / 2010 / Difficulty to cannulate papilla of Vater in the presence of periampullary duodenal diverticulum / Rev Gastroenterol Mex 75:273~280
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