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
- 2011.1
- 수록면
- 96 - 99 (4page)
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초록· 키워드
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Bile leaks remain a signifi cant cause of morbidity for patients undergoing laparoscopic cholecystectomy. Leakage from an injured duct of Luschka (subvesical duct) follows the cystic duct as the most common cause of postcholecystectomy bile leaks. Although endoscopic sphincterotomy, plastic-stent placement, or nasobiliary-drain placement are effective in healing biliary leaks, in patients in whom leakage persists and the symptoms worsen despite conventional endoscopic treatment, re-exploration with laparoscopy and ligation of the injured subvesical duct should be considered. We present herein the case of a 31-year-old woman with refractory bile leakage from a disrupted subvesical duct after cholecystectomy that could not be managed with endoscopic sphincterotomy and plastic-stent placement. A newly designed,fully covered, self-expandable metal stent (FC-SEMS) was successfully placed for the treatment of refractory bile leaks in this patient. It appears that temporary placement of an FC-SEMS is technically feasible and provides an effective alternative to surgical therapy for refractory bile leaks after cholecystectomy.
목차
등록된 정보가 없습니다.
참고문헌 (16)
참고문헌 신청
Albasini JL / 1995 / Bile leakage following laparoscopic cholecystectomy / Surg Endosc 9 : 1274 ~ 1278
Barkun AN / 1997 / Postcholecystectomy biliary leaks in the laparoscopic era: risk factors, presentation, and management / Gastrointest Endosc 45 : 277 ~ 282
Cantu P / 2005 / The treatment of patients with symptomatic common bile duct stenosis secondary to chronic pancreatitis using partially covered metal stents: a pilot study /
Chow S / 1997 / Successful treatment of post-cholecystectomy bile leaks using nasobiliary tube drainage and sphincterotomy / Am J Gastroenterol 92 : 1839 ~ 1843
Davids PH / 1992 / Postoperative bile leakage: endoscopic management / Gut 33 : 1118 ~ 1122
Barkun AN / 1997 / Postcholecystectomy biliary leaks in the laparoscopic era: risk factors, presentation, and management / Gastrointest Endosc 45 : 277 ~ 282
Cantu P / 2005 / The treatment of patients with symptomatic common bile duct stenosis secondary to chronic pancreatitis using partially covered metal stents: a pilot study /
Chow S / 1997 / Successful treatment of post-cholecystectomy bile leaks using nasobiliary tube drainage and sphincterotomy / Am J Gastroenterol 92 : 1839 ~ 1843
Davids PH / 1992 / Postoperative bile leakage: endoscopic management / Gut 33 : 1118 ~ 1122
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