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KMID : 0931320140140040273
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대한상부위장관.헬리코박터학회지
2014 Volume.14 No. 4 p.273 ~ p.278
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Endoscopic Clip Closure of Duodenal Perforation Causedby Percutaneous Drainage Procedure
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Han Dong-Hoon
Hwang Jong-Ho
Lee Sang-Ho
Lee Tae-Mu
Pyeon Sung-Ik
Lee Dong-Wook
Shin Jae-Gyu
Oh Kong-Jin
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Abstract
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Acute cholecystitis is a disease commonly treated in health care institutions. Cholecystectomy is the standard treatment for acutecholecystitis, and emergent laparoscopic cholecystectomy is acceptable as an effective and safe treatment modality. One of the complicationsafter laparoscopic cholecystectomy is intra-abdominal abscess. The standard treatment for postoperative intra-abdominalabscess is percutaneus transhepatic drainage and use of antibiotics. However, duodenal perforation can occur during insertionof the pigtail catheter for drainage. Operation is the treatment of choice for iatrogenic duodenal perforations. Recent reports describenonsurgical treatments for small gastrointestinal perforation with localized peritonitis and suggest that endoclipping may beappropriate in the management of a well selected group of patients with iatrogenic perforation. We describe a case of duodenal perforationdue to pigtail catheter insertion for percutaneous transhepatic drainge that was succesfully treated by using endoclips.(
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KEYWORD
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Duodenal perforation, Endoclipping, Cholecystectomy, Abscess
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