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KMID : 0857020160310020173
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Kosin Medical Journal
2016 Volume.31 No. 2 p.173 ~ p.178
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Endoscopic Removal of Remained Drawstring After Percutaneous Transhepatic Biliary Drainage
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Yoon Tae-Wook
Jung Geun-Yong
Park Young-Jun
Choi Jun-Young
Jung Jee-Hwan
Kim Tae-Gyoon
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Abstract
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The percutaneous transhepatic biliary drainage (PTBD) is an effective intervention as a palliative therapy for relieving a jaundice and cholangitis. It may be used in place of Endoscopic retrograde cholangiopancreatography (ERCP) in the obstructive biliary disease. Recently, by developing invasive procedures, the incidence of the complications such as bleeding and perforation has been increasing in the diagnosis and treatment of hepatobiliary disease. We report here on a case of remained drawstring after PTBD in a 85-year-old man. The patient was conducted PTBD for relieving a jaundice and cholangitis. And then the patient had complained of abdominal pain constantly. A few days later, we removed PTBD and attempted ERCP for removal of CBD stone. The ERCP showed remained drawstring around ampulla of vater and we removed it by IT knife. The drawstring was successfully removed.
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KEYWORD
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Acute cholangitis, Endoscopic retrograde cholangiopancreatography (ERCP), Percutaneous transhepatic biliary drainage (PTBD)
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