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십이지장 유두선종의 내시경적 유두절제술 후 발생한 총담관 결석을 동반한 담도 협착 1 예
이상수,김명환,박주상,정진원,이성구,서동완,김형수,송혜경,민영일,이태윤,강호형,한지민,남궁일성 대한소화기내시경학회 2001 Clinical Endoscopy Vol.23 No.4
Neoplasms of the major duodenal papilla or the ampulla of Vater are rare but are clinically important since they are premalignant. Recently endoscopic snare papillectomy for the ampullary adenoma is being increasingly performed. The procedure is now regarded as a clinically effective treatment, however, various complications such as bleeding, perforation, colangitis, and pancreatitis have been reported. To our knowledge, biliary stricture of this case has not been reported as a complication of endoscopic snare papillectomy for ampullary adenoma. Also, secondary common bile duct stone was formed by biliary stasis associated with biliary stricture in our case. We performed the balloon dilation at the biliary stricture site and could remove the stone successfully by endoscopic method.