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KMID : 0985520140190020094
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Korean Journal of Pancreas and Biliary Tract
2014 Volume.19 No. 2 p.94 ~ p.100
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A Case of Metabolic Encephalopathy Due to Bleeding after EPBD
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Lee June-Young
Kim Jee-Hyun
Jang Seung-Hyeon
Kang Bong-Kyun
Hwang In-Kyeom
Lee Yoon-Suk
Hwang Jin-Hyeok
Kim Jai-Hwan
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Abstract
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Endoscopic retrograde cholangiopancreatography is widely used for diagnosis and treatment of pancreatobiliary diseases and associated with a spectrum of complications such as pancreatitis, hemorrhage, and so on. Endoscopic papillary balloon dilatation (EPBD) has an advantage over endoscopic sphincterotomy in complication of bleeding. We report here on a 68-year-old woman who developed metabolic encephalopathy due to massive bleeding after EPBD. Massive bleeding was controlled after selective embolization and metabolic encephalopathy was improved after conservative management. Metabolic encephalopathy due to massive bleeding after EPBD has not been reported. We report on this unusual case along with a review of the related literatures.
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KEYWORD
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Endoscopic balloon dilatation, Endoscopic retrograde biliarydrainage, Metabolic encephalopathy, Embolization, Bleeding
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