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KMID : 0359019890090020207
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Korean Journal of Gastrointestinal Endoscopy
1989 Volume.9 No. 2 p.207 ~ p.213
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Endoscopic Retrograde Cholangiography Through Artificail Cheledochoduodenal Fistula
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김원호/Kim WH
송시영/정재복/강진경/최홍재/Song SY/Chung JB/Kang JK/Choi HJ
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Abstract
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Endoscopic retrograde cholangiopancreatography (ERCP) is one of the most useful diagnostic tool in biliary and pancreatic disease. However, ERCP cannot be performed successfully in all patients. Cannulation failure is the most common cause of failure of ERCP. Mechanical pathologies, such as peri-Vater diverticulum, cancer of the papilla of Vater, and impacted stone were the common causes of cannulation failure. We experienced two cases of carcinoma of the papilla of Vater in whom cholangiography and insertion of the nasobiliary tube were performed througth an artificial choledoehoduodenal fistula made by a needle type diathermy knife, beacuse cannulation to the duct was failed due to the tumor.
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