Successful Bile Duct Cannulation Guided by Indigocarmine Injection via PTGBD

경피경간 담낭배액술 후 Indigocarmine을 이용한 성공적 담도 삽관 4예

  • Son, Bum-Suk (Department of Internal Medicine, Cheonan Hospital, Soonchunhyang University College of Medicine) ;
  • Park, Sang-Heum (Department of Internal Medicine, Cheonan Hospital, Soonchunhyang University College of Medicine) ;
  • Lee, Tae-Hoon (Department of Internal Medicine, Cheonan Hospital, Soonchunhyang University College of Medicine) ;
  • Chung, Seung-Kyu (Department of Internal Medicine, Cheonan Hospital, Soonchunhyang University College of Medicine) ;
  • Park, Jae-Man (Department of Internal Medicine, Cheonan Hospital, Soonchunhyang University College of Medicine) ;
  • Chung, Il-Kwun (Department of Internal Medicine, Cheonan Hospital, Soonchunhyang University College of Medicine) ;
  • Kim, Hong-Soo (Department of Internal Medicine, Cheonan Hospital, Soonchunhyang University College of Medicine) ;
  • Kim, Sun-Joo (Department of Internal Medicine, Cheonan Hospital, Soonchunhyang University College of Medicine)
  • 손범석 (순천향대학교 의과대학 천안병원 내과학교실) ;
  • 박상흠 (순천향대학교 의과대학 천안병원 내과학교실) ;
  • 이태훈 (순천향대학교 의과대학 천안병원 내과학교실) ;
  • 정승규 (순천향대학교 의과대학 천안병원 내과학교실) ;
  • 박재만 (순천향대학교 의과대학 천안병원 내과학교실) ;
  • 정일권 (순천향대학교 의과대학 천안병원 내과학교실) ;
  • 김홍수 (순천향대학교 의과대학 천안병원 내과학교실) ;
  • 김선주 (순천향대학교 의과대학 천안병원 내과학교실)
  • Published : 2011.01.30

Abstract

Even though percutaneous transhepatic gallbladder drainage (PTGBD) is performed prior to ERCP or following ERCP because of the patients' medical condition or failed bile duct cannulation, there are no definite endoscopic landmarks that are useful for successful bile duct cannulation in some cases. We report here on 4 patients in whom selective bile duct cannulation, as guided by the endoscopic landmarks, was successful following indigocarmine injection via PTGBD.

ERCP에서 담도 삽관에 실패한 후 경피경간 담낭배액술을 시행하였으나, 담도 삽관에 유용한 내시경 표식자가 명확하지 않아 담도 삽관이 어려운 경우가 있다. 그러한 상황에서 경피경간담낭배액관을 통해 indigocarmine을 주입한 후 십이지장 유두부에서 관찰되는 내시경 표식자가 담도 삽관에 유용하였던 4예를 문헌고찰과 함께 보고한다.

Keywords

References

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