http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Hin San Chow,Clarence Mak,Wai Yin Chu,Kwok Fai Cheung 소화기인터벤션의학회 2021 International journal of gastrointestinal interven Vol.10 No.4
Iatrogenic air embolism is a rare and potentially fatal complication of gastrointestinal endoscopy. We present a 66-year-old male patient who developed cerebral arterial gas embolism shortly after therapeutic endoscopic retrograde cholangiopancreatography (ERCP) for acute biliary pancreatitis, which is the first case reported in Hong Kong according to latest literature search. Some risk factors of iatrogenic air embolism in this patient include cholangitis with intraductal stones, sphincterotomy and bleeding at papillotomy site which required haemostasis with balloon tamponade. Early diagnosis and timely treatment with hyperbaric oxygen therapy resulted in full neurological recovery of our patient.
Hin San Chow,Clarence Mak,Wai Yin Chu,Kwok Fai Cheung 소화기인터벤션의학회 2021 Gastrointestinal Intervention Vol.10 No.4
Iatrogenic air embolism is a rare and potentially fatal complication of gastrointestinal endoscopy. We present a 66-year-old male patient who developed cerebral arterial gas embolism shortly after therapeutic endoscopic retrograde cholangiopancreatography (ERCP) for acute biliary pancreatitis, which is the first case reported in Hong Kong according to latest literature search. Some risk factors of iatrogenic air embolism in this patient include cholangitis with intraductal stones, sphincterotomy and bleeding at papillotomy site which required haemostasis with balloon tamponade. Early diagnosis and timely treatment with hyperbaric oxygen therapy resulted in full neurological recovery of our patient.
( Ho Yin Henry Lee ),( Wai Yin Angus Chu ),( Chi Chuen Clarence Mak ) 대한간학회 2020 춘·추계 학술대회 (KASL) Vol.2020 No.1
Aims: An alternative technique in endoscopic sphincteroplasty is using a large CRE wireguided balloon dilatation as an adjunct to endoscopic sphincterotomy in removing common bile duct (CBD) stone. However, there are few evidence demonstrating the outcomes and complication using CRE balloon dilatation sphincteroplasty during acute phase of cholangitis. This study aims to reveal the outcome of the technique from a single hospital experience. Methods: A retrospective descriptive study was conducted at the Endoscopy Center of Yan Chai Hospital over a period of 2 years from January 2018 to December 2019. A total of 45 cases was identified where patients, presented with acute cholangitis, had endoscopic papillary balloon dilatation with CRE wireguided balloon during the index admission. Acute cholangitis was defined according to “Tokyo Classication - Cholangitis” (guidelines). Cases with concomitant malignancy and obstruction causes other than common bile duct stones were excluded. The stone clearance rates as defined with occlusive cholangiogram and post ERCP complications were analyzed. Results: There were 14 (31%) male and 31 (69%) females. Age of the study population ranged from 36-95 years. Stone clearance proven by occlusive cholangiogram in first session was achieved 29/45 (64%) cases. For complication, 6 (13%) cases developed mild papillary bleeding and 3/42 (7%) cases mild pancreatitis. No septic shock was documented. Conclusions: Endoscopic sphincteroplasty using CRE Wireguided balloon dilatation as an adjunct to endoscopic sphincterotomy is a safe and effective technique for CBD stone removal during acute cholangitis. This procedure can potentially avoid further attempt of ERCP for residual CBD stones.