전이성 췌장암 환자에서 병발한 급성 담낭염의 내시경 경유두 담낭 내 스텐트 삽입술 치료
Endoscopic Transpapillary Gallbladder Stenting for Acute Cholecystitis in a Patient with Metastatic Pancreatic Cancer
남소혜, 백승호, 유동열, 최수진, 이준섭, 오동욱, 김명환,
소속 상세정보
남소혜 ( Nam So-Hye )
울산대학교 의과대학 서울아산병원 내과
백승호 ( Baek Seung-Ho )
울산대학교 의과대학 서울아산병원 내과
유동열 ( Yoo Dong-Ryeol )
울산대학교 의과대학 서울아산병원 내과
최수진 ( Choi Su-Jin )
울산대학교 의과대학 서울아산병원 내과
이준섭 ( Lee Joune-Seup )
울산대학교 의과대학 서울아산병원 내과
오동욱 ( Oh Dong-Wook )
울산대학교 의과대학 서울아산병원 내과
김명환 ( Kim Myung-Hwan )
울산대학교 의과대학 서울아산병원 내과
Abstract
Percutaneous transhepatic gallbladder drainage is an effective treatment for acute cholecystitis in poor surgical candidates. Endoscopic gallbladder drainage procedures, such as endoscopic ultrasound-guided gallbladder drainage, endoscopic gallbladder stenting, and endoscopic naso-gallbladder drainage, have been used as alternative treatments for acute cholecystitis. These procedures are associated with increased patient comfort and physiologic drainage. We report a case of endoscopic gallbladder stenting for acute cholecystitis in a 62-year-old male undergoing chemotherapy for metastatic pancreatic cancer. After endoscopic gallbladder stenting, the patient’s acute cholecystitis resolved and he was able to undergo scheduled chemotherapy. The inserted double-pigtail plastic stent will be left in situ permanently. The choice of drainage modality for acute cholecystitis will generally be based on resources, patient preferences, local expertise, and clinical context.
키워드
Pancreatic cancer; Cholecystitis, Acute; Endoscopy, drainage
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