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KMID : 0359020100400030214
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Korean Journal of Gastrointestinal Endoscopy
2010 Volume.40 No. 3 p.214 ~ p.218
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Successful Endoscopic Papillary Balloon Dilatation for a Patient with Recurrent Sump Syndrome
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Shim Ki-Shik
Kim Tae-Hyo
Jung Kyoung-Ah
Moon In-Kyu
Ha Chang-Yoon
Min Hyun-Ju
Jung Woon-Tae
Lee Ok-Jae
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Abstract
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Sump syndrome is a rare late complication of choledochoenteric anastomosis, and this caused by the accumulation of food debris, choledocholithiasis, bile sludge and cholesterol crystals in the distal common bile duct. This syndrome is characterized by symptoms such as abdominal pain and fever. The treatment modality for this syndrome has been surgery in the past. However, endoscopic treatment such as endoscopic sphinterotomy is currently regarded as the primary therapeutic approach for this condition. We experienced a patient with a history of choledochoduodenostomy and who developed sump syndrome as a complication of the surgery. Endoscopic sphinterotomy was performed for treatment, but this only produced the recurrence of the disease. The recurrent sump syndrome was eventually successfully controlled by performing endoscopic papillary balloon dilatation.
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KEYWORD
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Sump syndrome, Endoscopic papillary balloon dilatation
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