A case of foreign body-Induced severe acute pancreatitis after ERCP |
Hyun Seok Ryu, Jung Sik Choi, Dong Gun Lee, Jae Nam Lee, Soo Min Jang, Sang Yong Lee, Sang Ho Lee |
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증례 : ERCP 시술 후 췌관에 남겨진 이물질에 의한 심한 급성 췌장염 1예 |
유현석.최정식.이동건.이재남.장수민.이상용.이상호, Jung Sik Choi, Dong Gun Lee, Jae Nam Lee, Soo Min Jang, Sang Yong Lee, Sang Ho Lee |
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Abstract |
Endoscopic retrograde cholangiopancreatography (ERCP) has evolved from a diagnostic modality to a primarily therapeutic procedure for pancreatic and biliary disorders. However, ERCP alone or in association with therapeutic procedures can cause a variety of complications including pancreatitis, hemorrhage, perforation, and other conditions. Acute pancreatitis is the most common such complication. Currently, little is known regarding the pathophysiology of post-ERCP pancreatitis. Several factors, including chemical, mechanical, and microbiological factors are mentioned, and several cases have involved fracture of the floppy tip from the guidewire shaft and subsequent injury. Here, we report a case of severe acute pancreatitis as a result of hydrophilic guidewire tip fracture. (Korean J Med 75:S709-S714, 2008) |
Key Words:
Acute pancreatitis; Hydrophilic guidewire; Post-ERCP complication |
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