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KMID : 0359019900100020365
Korean Journal of Gastrointestinal Endoscopy
1990 Volume.10 No. 2 p.365 ~ p.368
A Case of External Biliary Gastric Drainge Through a Percutandous Endoscopic Gastrostomy
임대순/Yim DS
이상인/함기백/김원호/전재윤/강진경/박인서/최흥재/조장환/Lee SI/Hahm KB/Kim WH/Chon CY/Kang JK/Park IS/Choi HJ/Cho CH/Yang WI/Lee JT
Abstract
Percutaneous transhepatic biliary drainge (PTBD) is a widely accepted technique for the decotnn of biliary obstruction. However, PTBD is most frequently performed in patients whose prognosis is poor becauase of unresectable malignancy, sepsis, or advanced age. And this technique has disadvantages which inclusdes loss of biliary fluids, fat malabsorption, discomfort and psychologic problem for many patients. A 68-year-old man admitted to the hospital because of obstructive jaundice. He had received cholectystectomy two yeas ageo due to the perforation of gallbladder caused by adenocarcinoma of cystic duct. An external PTBD was placed. But because of the chronic bile loss, a percutaneous endoscopic gastrostomy (PEG) was inserted and drainge of bile into the stomach through an extracoporeal circuit utilizing the PTBD as an exit and PEG as an entrance was achieved.
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학술진흥재단(KCI) KoreaMed 대한의학회 회원