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KMID : 1188320100040030428
Gut and Liver
2010 Volume.4 No. 3 p.428 ~ p.429
Bile-Duct Stone Removal under Direct Transnasal Cholangioscopy Using an Ultraslim Upper Endoscope
Seo Mi-Seon

Moon Jong-Ho
Choi Hyun-Jong
Kim Hyung-Ki
Cheon Young-Koog
Cho Young-Deok
Lee Moon-Sung
Abstract
The transnasal endoscopic examination using an ultraslim upper endoscope may be more comfortable and less stressful than the peroral approach. Transnasal endoscopic retrograde cholangiopancreatography (ERCP), endoscopic nasobiliary drainage, and direct peroral cholangioscopy using an ultraslim upper endoscope have recently been reported. An 82-year-old woman with a previous history of endoscopic sphincterotomy and stone removal was admitted with acute cholangitis. Instead of conventional ERCP, we performed direct transnasal cholangioscopy (TNC) using an ultraslim upper endoscope for biliary decompression and stone removal because of her unstable vital signs. Direct TNC using an ultraslim upper endoscope may be useful in selected patients with biliary disease.
KEYWORD
Direct transnasal cholangioscopy, Bile duct stone removal, Ultra-slim upper endoscope
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