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KMID : 0359019970170020211
Korean Journal of Gastrointestinal Endoscopy
1997 Volume.17 No. 2 p.211 ~ p.219
Four Cases of Choledochocele Diagnosed by Endoscopic Retrograde Cholangio-Pancreatography (ERCP) and Treated with Endoscopic Sphincterotomy (EST)
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Abstract
Choledochocele is a kind of choledochal cyst and represents a prolapse or herniation of the intramural segment of the distal common bile duct into the duodenal lumen. It is rare congenital anomaly and, easlily overlooked due to non-specific
clinical
symptoms, sings, and non-characteristic radiologic features. The cause of choledochocele remains uncertain and it was suggested that there are two distinct types in the pathogenesis of it, i.e., congenital and acquired. Recently, many cases of
choledochocele were reported, which diagnosed by ERCP and safely treated with endoscopic unroofing and EST followed by continued observation as well as interval ERCP and/or endoscopic ultrasonography. We present here four cases of symptomatic
choledochoceles that had been managed by endoscopic therapy and continued observation. (Korean J Gastrointest Endosc 17: 211~219, 1997)
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