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The Korean Journal of Pancreas and Biliary Tract最新文献

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Endoscopic Management of Bronchobiliary Fistula after Multiple Transcatheter Arterial Chemoembolizations for Hepatocellular Carcinoma 肝细胞癌多次经导管动脉化疗栓塞后支气管胆管瘘的内镜治疗
The Korean Journal of Pancreas and Biliary Tract Pub Date : 2019-01-31 DOI: 10.15279/KPBA.2019.24.1.35
Jin Yu, T. Lee, Y. Cheon, C. Shim
{"title":"Endoscopic Management of Bronchobiliary Fistula after Multiple Transcatheter Arterial Chemoembolizations for Hepatocellular Carcinoma","authors":"Jin Yu, T. Lee, Y. Cheon, C. Shim","doi":"10.15279/KPBA.2019.24.1.35","DOIUrl":"https://doi.org/10.15279/KPBA.2019.24.1.35","url":null,"abstract":"Bronchobiliary fistula (BBF) is a rare complication after transcatheter arterial chemoembolization (TACE) for hepatocellular carcinoma. We present a case of BBF that developed 5 months after 11 TACE procedures in a 78-year-old male patient with a 3-month history of a persistent cough and yellowish sputum. BBF was found between the bronchus and the right intrahepatic bile duct (B7) by magnetic resonance cholangiopancreatography. On the initial endoscopic retrograde cholangiopancreatography (ERCP), we failed to approach to the BBF due to severe hilar obstruction. Percutaneous transhepatic biliary drainage (PTBD) was performed, and 30-50 mL of bile was drained daily. But the BBF was not resolved until 2 months after PTBD. The patient was treated by placement of a plastic stent to the BBF site during the second ERCP. BBF was resolved 7 days after ERCP on the PTBD tubogram. The patient remained asymptomatic after the stent placement, and there was no recurrence at the 2-month follow-up ERCP.","PeriodicalId":342618,"journal":{"name":"The Korean Journal of Pancreas and Biliary Tract","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124976932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optimal Therapeutic Options for Complex Walled-Off Necrosis: Endoscopic and Percutaneous Drainage 复杂壁闭塞性坏死的最佳治疗选择:内窥镜和经皮引流
The Korean Journal of Pancreas and Biliary Tract Pub Date : 2019-01-31 DOI: 10.15279/KPBA.2019.24.1.6
Hoonsub So, S. Jo, T. Song
{"title":"Optimal Therapeutic Options for Complex Walled-Off Necrosis: Endoscopic and Percutaneous Drainage","authors":"Hoonsub So, S. Jo, T. Song","doi":"10.15279/KPBA.2019.24.1.6","DOIUrl":"https://doi.org/10.15279/KPBA.2019.24.1.6","url":null,"abstract":"Up to 15% of acute pancreatitis can develop to acute necrotizing pancreatitis characterized by necrosis of the pancreas parenchyma and/or the peripancreatic tissue. It is associated with high rates of morbidity and mortality compared to interstitial edematous pancreatitis. A collection of fluid and necrotic tissue is called acute necrotic collections (ANC) and may form an enhancing wall consisting of reactive tissue after 4 weeks, which is called walled-off necrosis (WON). ANC and WON could be either sterile or infected. WON is often complex and septated, and when it gets infected or causes other serious complications, drainage or resection is indicated. The traditional approach is to surgically remove all the infected necrotic tissue, but this invasive approach carries high rates of complications and death. The recent advance of percutaneous and/or endoscopic approaches has enabled a stepup method for the management of necrotizing pancreatitis. Herein, the authors focused on the endoscopic and percutaneous approaches for the care of patients with necrotizing pancreatitis.","PeriodicalId":342618,"journal":{"name":"The Korean Journal of Pancreas and Biliary Tract","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131959820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Rare Case of Extrahepatic Left Hepatic Duct Diverticulum: Case Report with Literature Review 肝外左肝管憩室1例并文献复习
The Korean Journal of Pancreas and Biliary Tract Pub Date : 2019-01-31 DOI: 10.15279/KPBA.2019.24.1.31
H. Ryu, Tae Un Kim, J. Kim, J. Roh, J. Yeom, H. Jeong, J. Ryu, H. Nam
{"title":"A Rare Case of Extrahepatic Left Hepatic Duct Diverticulum: Case Report with Literature Review","authors":"H. Ryu, Tae Un Kim, J. Kim, J. Roh, J. Yeom, H. Jeong, J. Ryu, H. Nam","doi":"10.15279/KPBA.2019.24.1.31","DOIUrl":"https://doi.org/10.15279/KPBA.2019.24.1.31","url":null,"abstract":"A Rare Case of Extrahepatic Left Hepatic Duct Diverticulum: Case Report with Literature Review Hwaseong Ryu, Tae Un Kim, Jin Hyeok Kim, Jieun Roh, Jeong A Yeom, Hee Seok Jeong, Je-Ho Ryu, Hyeong Seok Nam Department of Radiology, Division of Hepato-Biliary-Pancreatic Surgery and Transplantation, Department of Surgery, Division of Gastroenterology, Department of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea","PeriodicalId":342618,"journal":{"name":"The Korean Journal of Pancreas and Biliary Tract","volume":"164 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127197594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Practice of Endoscopic Retrograde Cholangiopancreatography in Korea: Results from a National Survey 内镜逆行胰胆管造影在韩国的实践:来自全国调查的结果
The Korean Journal of Pancreas and Biliary Tract Pub Date : 2019-01-31 DOI: 10.15279/KPBA.2019.24.1.21
Dong-Won Ahn, Joungho Han, Hong-Ja Kim, Hyung-Keun Kim, B. Son, S. Yi, Ju Sang Park, E. Lee, Hyunsoo Kim, K. Cho, H. Kim, S. Park
{"title":"Practice of Endoscopic Retrograde Cholangiopancreatography in Korea: Results from a National Survey","authors":"Dong-Won Ahn, Joungho Han, Hong-Ja Kim, Hyung-Keun Kim, B. Son, S. Yi, Ju Sang Park, E. Lee, Hyunsoo Kim, K. Cho, H. Kim, S. Park","doi":"10.15279/KPBA.2019.24.1.21","DOIUrl":"https://doi.org/10.15279/KPBA.2019.24.1.21","url":null,"abstract":"","PeriodicalId":342618,"journal":{"name":"The Korean Journal of Pancreas and Biliary Tract","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133158672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Delayed Hemorrhage from Gastroduodenal Artery Pseudoaneurysm following Endoscopic Ultrasound-Guided Fine Needle Aspiration of Pancreatic Head Mass 超声引导下细针穿刺胰头肿块后胃十二指肠动脉假性动脉瘤迟发性出血
The Korean Journal of Pancreas and Biliary Tract Pub Date : 2018-10-31 DOI: 10.15279/KPBA.2018.23.4.165
Y. Doo, S. Hong
{"title":"Delayed Hemorrhage from Gastroduodenal Artery Pseudoaneurysm following Endoscopic Ultrasound-Guided Fine Needle Aspiration of Pancreatic Head Mass","authors":"Y. Doo, S. Hong","doi":"10.15279/KPBA.2018.23.4.165","DOIUrl":"https://doi.org/10.15279/KPBA.2018.23.4.165","url":null,"abstract":"Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is a well-established procedure for the diagnosis of pancreatobiliary disease. Serious complications such as perforation, pancreatitis, hemorrhage, and sepsis are rarely reported. To our knowledge, delayed hemorrhage after EUS-FNA is very rare and hemorrhage from iatrogenic pseudoaneurysm has yet to be reported. We report a case of delayed hemorrhage from gastroduodenal artery pseudoaneurysm, which developed after EUS-FNA of a solid pancreatic lesion. A 68-year-old man presented with tarry stool 10 days after EUS-FNA of a 1.5 cm-sized pancreatic head mass. Abdominal computed tomography showed a 2-cm-sized intensely enhancing round lesion near pancreatic head. EUS-FNA was negative for malignancy. The patient refused admission for further evaluation. Twelve days later, he reported to the emergency room with persistent tarry stool. Angiography showed a gastroduodenal artery pseudoaneurysm. Subsequent coil embolization resulted in successful hemostasis. The patient underwent pylorus-preserving pancreaticoduodenectomy and was diagnosed with stage IIB pancreatic cancer. Korean J Pancreas Biliary Tract 2018;23(4):165-171","PeriodicalId":342618,"journal":{"name":"The Korean Journal of Pancreas and Biliary Tract","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115588586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acute Pancreatitis Associated with Diaphragmatic Hernia in an Adult 急性胰腺炎合并膈疝1例
The Korean Journal of Pancreas and Biliary Tract Pub Date : 2018-10-31 DOI: 10.15279/KPBA.2018.23.4.177
Suyun Oh, C. Paik
{"title":"Acute Pancreatitis Associated with Diaphragmatic Hernia in an Adult","authors":"Suyun Oh, C. Paik","doi":"10.15279/KPBA.2018.23.4.177","DOIUrl":"https://doi.org/10.15279/KPBA.2018.23.4.177","url":null,"abstract":"Acute pancreatitis with diaphragmatic hernia is rare, and furthermore, very few were reported in the case without incarceration. The suggested mechanism of acute pancreatitis with diaphragmatic hernia is that herniation of pancreas itself. The other possible mechanism is pancreatic ischemia due to traction after aggravation of hernia or acute distention of stomach. We report a case of acute pancreatitis due to diaphragmatic hernia with no evidence of herniation of pancreas. A 78-year-old male was administered for epigastric pain and dyspnea. The radiologic and laboratory result demonstrated an acute pancreatitis with diaphragmatic hernia without any evidence of herniation of pancreas. The patient was managed conservatively to reduce the hernia and to treat pancreatitis. Korean J Pancreas Biliary Tract 2018;23(4):177-181","PeriodicalId":342618,"journal":{"name":"The Korean Journal of Pancreas and Biliary Tract","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122179471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Newly Designed, Fully Covered, Metal Stent with Wide Flanges for EUS-Guided Drainage and Access 一种新设计的全覆盖宽法兰金属支架，用于eus引导引流和通路
The Korean Journal of Pancreas and Biliary Tract Pub Date : 2018-10-31 DOI: 10.15279/KPBA.2018.23.4.159
T. Lee, Y. Cheon, C. Shim
{"title":"A Newly Designed, Fully Covered, Metal Stent with Wide Flanges for EUS-Guided Drainage and Access","authors":"T. Lee, Y. Cheon, C. Shim","doi":"10.15279/KPBA.2018.23.4.159","DOIUrl":"https://doi.org/10.15279/KPBA.2018.23.4.159","url":null,"abstract":"배경목적: 내시경 초음파 유도하 췌장 저류액 배액은 효과적인 시술이나 이 시술에 특화된 맞춤형 부속기구는 부족한 실정이다. 이 연구의 목적은 내시경 초음파 유도하 경위장관 배액술 전용으로 새로 고안된 양측 플랜지가 있는 완전피막형 금속 스텐트의 유용성을 평가하고자 하였다.\u0000방법: 동물연구는 한 마리의 개를 대상으로 하였고 임상연구는 췌장 저류액을 가진 5명의 환자 (5명은 췌장가성낭종, 1명은 벽 형성 췌장괴사)를 대상으로 하여 내시경 초음파 유도하 배액술을 시행하였다. 연구의 성과는 기술적, 임상적 성공여부, 합병증, 스텐트 제거 가능 여부로 판단하였다.\u0000결과: 동물연구에서 스텐트는 내시경 초음파 유도하 경십 이지장 접근으로 합병증 없이 성공적으로 유치되었다. 시술 직후 시행한 부검에서 담낭-십이지장 연결은 온전하였다. 6명의 환자에서 모두 스텐트는 성공적으로 유치되었다. 모든 환자에서 시술후 합병증과 스텐트 이탈은 없었다.\u0000결론: 새로 고안된 양측 플랜지가 있는 완전피막형 금속스텐트를 사용한 췌장저류액의 내시경 초음파 유도하 경위장관 배액술은 기술적으로 가능하였고 심각한 합병증은 없었다. 스텐트 선단부의 맞춤형 플랜지 형상은 시술의 효과를 배가시켰다.","PeriodicalId":342618,"journal":{"name":"The Korean Journal of Pancreas and Biliary Tract","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128041342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intracystic Papillary Neoplasm of the Gallbladder Arising from a Localized Adenomyomatous Hyperplasia 由局部腺肌瘤增生引起的胆囊囊内乳头状肿瘤
The Korean Journal of Pancreas and Biliary Tract Pub Date : 2018-10-31 DOI: 10.15279/KPBA.2018.23.4.182
H. Nam, D. Kang, B. Choi, S. Y. Kim, Jung Hee Lee
{"title":"Intracystic Papillary Neoplasm of the Gallbladder Arising from a Localized Adenomyomatous Hyperplasia","authors":"H. Nam, D. Kang, B. Choi, S. Y. Kim, Jung Hee Lee","doi":"10.15279/KPBA.2018.23.4.182","DOIUrl":"https://doi.org/10.15279/KPBA.2018.23.4.182","url":null,"abstract":"Intracystic Papillary Neoplasm of the Gallbladder Arising from a Localized Adenomyomatous Hyperplasia Hyeong Seok Nam, Dae Hwan Kang, Byung Hyun Choi, So Young Kim, Jung Hee Lee Department of Internal Medicine, Pusan National University School of Medicine and Research Institute for Convergence of Biomedical Science and Technology, Division of Hepato-Biliary-Pancreatic Surgery and Transplantation, Department of Surgery, Department of Pathology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea","PeriodicalId":342618,"journal":{"name":"The Korean Journal of Pancreas and Biliary Tract","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124462300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Duodenoscope-Associated Infections: A Literature Review and Update 十二指肠镜相关感染:文献回顾与更新
The Korean Journal of Pancreas and Biliary Tract Pub Date : 2018-10-31 DOI: 10.15279/KPBA.2018.23.4.145
I. Oh, B. Son
{"title":"Duodenoscope-Associated Infections: A Literature Review and Update","authors":"I. Oh, B. Son","doi":"10.15279/KPBA.2018.23.4.145","DOIUrl":"https://doi.org/10.15279/KPBA.2018.23.4.145","url":null,"abstract":"","PeriodicalId":342618,"journal":{"name":"The Korean Journal of Pancreas and Biliary Tract","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129815920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Understanding the Biliary Dyspepsia 了解胆汁性消化不良
The Korean Journal of Pancreas and Biliary Tract Pub Date : 2018-10-31 DOI: 10.15279/KPBA.2018.23.4.150
Hyun-So Kim
{"title":"Understanding the Biliary Dyspepsia","authors":"Hyun-So Kim","doi":"10.15279/KPBA.2018.23.4.150","DOIUrl":"https://doi.org/10.15279/KPBA.2018.23.4.150","url":null,"abstract":"Functional dyspepsia is a very common disease and there are two types of dyspepsia. One is functional dyspepsia in the gastrointestinal tract and the other is pancreatobiliary dyspepsia. Biliary dyspepsia is caused by biliary tract disease and can even cause biliary pain. Acalculous biliary pain (ABP) is biliary colic without gallstones, it is caused by functional biliary disorder or structural disorders such as microlithiasis, sludges or parasitic infestation like Clonorchiasis. The endoscopic ultrasonography is helpful tool for differential diagnosis of ABP. Although sphincter of Oddi manometry (SOM) is performed for the confirmative diagnosis of sphincter of Oddi dysfunction (SOD), several non-invasive tests have been studied because of some practical limitations and invasiveness of SOM itself. In fact, the most clinically used easy test to diagnose functional biliary disorder is quantitative hepatobiliary scintigraphy and it can distinguish gallbladder dyskinesia, SOD, or combined type. Initial treatment of functional biliary disorder is adequate dietary control and medication, but if the symptoms worsened or recurred frequently, laparoscopic cholecystectomy could be performed with gallbladder dyskinesia. If SOD is suspected, additional SOM should be considered and endoscopic sphincterotomy (EST) can be done according to the outcome. If the SOM is not available, the patient could be diagnosed by stimulated ultrasound. Korean J Pancreas Biliary Tract 2018;23(4):150-158","PeriodicalId":342618,"journal":{"name":"The Korean Journal of Pancreas and Biliary Tract","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121092358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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