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KMID : 0985520130180010032
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Korean Journal of Pancreas and Biliary Tract
2013 Volume.18 No. 1 p.32 ~ p.35
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Suture Material Forming Choledocholithiasis Treated by Single Balloon Enteroscopy
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Lee Cho-I
Lee Tae-Yoon
Lee Yoon-Serk
Hong Mi-jin
Kim Hai-Jin
Koo Ja-Kyung
Cheon Young-Kook
Shim Chan-Sup
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Abstract
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A 53-year-old female was admitted to our hospital due to epigastric pain. She underwent hepaticojejunostomy for the treatment of benign common bile duct stricture 5 years ago. She developed choledocholithiasis at anastomosis site 1 year ago and the stones were removed by percutaneous transhepatic cholangioscopy. Abdominal computed tomography revealed multiple stones at the anastomosis site of hepaticojejunostomy. A single balloon enteroscopy (SBE)-assisted endoscopic retrograde cholangiopancreatography (ERCP) and direct cholangioscopy revealed multiple brown-pigmented stones along the non-absorbable suture materials. The stones were removed using a basket and forceps under the visualization of the direct cholangioscopy using SBE. Any exogenous biliary tract foreign bodies including non-absorbable suture materials after biliary diversion surgery can function as a nidus for stone formation. SBE-assisted ERCP and direct cholangioscopy are useful tools for the treatment of choledocholithiasis formed by suture material in patients with altered anatomy.
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KEYWORD
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common bile duct stone, suture material, single-balloon enteroscopy
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