EVL带结扎器辅助憩室内乳头摘除术治疗Lemmel综合征一例

IF 0.4 Q4 GASTROENTEROLOGY & HEPATOLOGY

Journal of Digestive Endoscopy Pub Date : 2022-01-18 DOI:10.1055/s-0041-1739565

Shanmuganathan Subramanyam, Vatsal Bachkaniwala, C. V. Vikranth, P. Ganesh

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引用次数: 0

摘要

十二指肠壶腹周围憩室会引起局部解剖结构的变化，并对胆管插管构成挑战。如果壶腹位于憩室内，插管可能会更加困难。我们报告了一例40岁的男性，他因十二指肠憩室机械性阻塞总胆管而患上梗阻性黄疸和胆管炎（Lemmel综合征）。乳头完全位于十二指肠憩室内，在放置内镜下静脉曲张结扎带（EVL）后取出。暴露乳头后，可以很容易地进行胆道入路和支架植入。在手术或恢复期内没有出现并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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A Novel Technique of Intradiverticular Papillary Canulation Aided by EVL Band Ligator in a Case of Lemmel’s Syndrome

A duodenal periampullary diverticulum can cause changes in the local anatomy and pose a challenge for the cannulation of the bile duct. Cannulation may be much more difficult if the ampulla is located within the diverticula. We present the case of a 40-year-old man who developed obstructive jaundice and cholangitis because of the duodenal diverticula mechanically obstructing the common bile duct (Lemmel's syndrome). The papilla was located entirely within the duodenal diverticula and was brought out after placing endoscopic variceal ligation (EVL) bands. Biliary access and stenting could be done easily, after exposing the papilla. There were no complications during the procedure or the recovery period.

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来源期刊

Journal of Digestive Endoscopy GASTROENTEROLOGY & HEPATOLOGY-

自引率

28.60%

发文量

审稿时长

22 weeks

期刊介绍： The Journal of Digestive Endoscopy (JDE) is the official publication of the Society of Gastrointestinal Endoscopy of India that has over 1500 members. The society comprises of several key clinicians in this field from different parts of the country and has key international speakers in its advisory board. JDE is a double-blinded peer-reviewed, print and online journal publishing quarterly. It focuses on original investigations, reviews, case reports and clinical images as well as key investigations including but not limited to cholangiopancreatography, fluoroscopy, capsule endoscopy etc.