The Korean Journal of Medicine

  • 제85권3호
  • /
  • Pages.297-301
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  • 2013
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
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유문부 피막형 금속스텐트의 원위부 이탈에 의해 발생한 급성 췌장염 1예

A Case of Acute Pancreatitis Caused by Distal Migration of a Pyloric Covered Self-Expandable Metal Stent

  • 신천호 (인하대학교 의학전문대학원 내과학교실) ;
  • 정석 (인하대학교 의학전문대학원 내과학교실) ;
  • 이돈행 (인하대학교 의학전문대학원 내과학교실) ;
  • 김성현 (인하대학교 의학전문대학원 내과학교실) ;
  • 김경은 (인하대학교 의학전문대학원 내과학교실) ;
  • 박성욱 (인하대학교 의학전문대학원 내과학교실) ;
  • 방병욱 (인하대학교 의학전문대학원 내과학교실)
  • Shin, Chun Ho (Department of Internal Medicine, Inha University School of Medicine) ;
  • Jeong, Seok (Department of Internal Medicine, Inha University School of Medicine) ;
  • Lee, Don Haeng (Department of Internal Medicine, Inha University School of Medicine) ;
  • Kim, Seong Hyun (Department of Internal Medicine, Inha University School of Medicine) ;
  • Kim, Kyung Eun (Department of Internal Medicine, Inha University School of Medicine) ;
  • Park, Sung Wook (Department of Internal Medicine, Inha University School of Medicine) ;
  • Bang, Byung Wook (Department of Internal Medicine, Inha University School of Medicine)
  • 투고 : 2012.05.29
  • 심사 : 2012.08.13
  • 발행 : 2013.09.01
⟨ 이전 논문 다음 논문 ⟩

초록

저자들은 조기위암 수술 후 발생한 문합부 양성 협착 환자에서 금속스텐트 삽입술 후 스텐트의 원위부 이탈로 인해 급성 췌장염이 발생한 증례를 경험하였기에 보고한다.

Endoscopic metal stent insertion has been widely performed to palliatively treat gastrointestinal (GI) tract obstruction in patients with cancer. The use of metal stents for benign strictures of the GI tract is increasing due to the low risk of major complications other than stent migration. The incidence of acute pancreatitis after placing a GI tract metal stent is rare. Herein, we report a case of acute pancreatitis caused by a covered metal stent that was initially inserted for a benign stricture of a gastroduodenal anastomosis that developed after the operation, then distally migrated, bent into a U-shape, and impacted into the second portion of the duodenum in a 56-year-old female who underwent a Billroth-I gastrectomy due to gastric cancer.

키워드

참고문헌

  1. Spinelli P, Cerrai FG, Ciuffi M, Ignomirelli O, Meroni E, Pizzetti P. Endoscopic stent placement for cancer of the lower esophagus and gastric cardia. Gastrointest Endosc 1994;40:455-457. https://doi.org/10.1016/S0016-5107(94)70209-8
  2. Park JJ, Yang CH. The current status and the future of upper GI stenting. Korean J Gastrointest Endosc 2009;38:61-67.
  3. Kim JH, Park JJ, Lee BJ, et al. Two cases of acute pancreatitis complicating insertion of self-expandable metallic stent for malignant gastric outlet obstruction. Korean J Med 2006;71(1 Suppl):S969-973.
  4. Kim SG, Park JJ, Chung MG, et al. Three cases of acute pancreatitis complicating endoscopic insertion of the biliary stent. Korean J Gastrointest Endosc 2001;22:233-238.
  5. Moon JS. Upper gastrointestinal stenting: detailed techniques in esophageal and pyloric stenting. Korean J Gastrointest Endosc 2006;32(Suppl):158S-162S.
  6. Han HW, Lee IS, Park JM, et al. Self-expandable metallic stent therapy for a gastrointestinal benign stricture. Korean J Gastrointest Endosc 2008;37:1-6.
  7. Lee WW, Park JJ, Oh CR, et al. A case of endoscopic temporary stent insertion to treat a pyloric stenosis caused by endoscopic submucosal dissection for early gastric cancer. Korean J Gastrointest Endosc 2008;37:429-432.
  8. Kim JH, Song HY, Shin JH, et al. Metallic stent placement in the palliative treatment of malignant gastroduodenal obstructions: prospective evaluation of results and factors influencing outcome in 213 patients. Gastrointest Endosc 2007;66:256-264. https://doi.org/10.1016/j.gie.2006.12.017
  9. Stern N, Smart H. Repeated enteral stent fracture in patient with benign duodenal stricture. Gastrointest Endosc 2010; 72:655-657. https://doi.org/10.1016/j.gie.2009.12.017