KMID : 1188320100040030428
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Gut and Liver 2010 Volume.4 No. 3 p.428 ~ p.429
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Bile-Duct Stone Removal under Direct Transnasal Cholangioscopy Using an Ultraslim Upper Endoscope
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Seo Mi-Seon
Moon Jong-Ho Choi Hyun-Jong Kim Hyung-Ki Cheon Young-Koog Cho Young-Deok Lee Moon-Sung
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Abstract
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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.
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KEYWORD
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Direct transnasal cholangioscopy, Bile duct stone removal, Ultra-slim upper endoscope
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