경피경간 담낭 배액로를 통한 유두부 풍선 확장술 1예

• Published in: The Korean journal of medicine pp. 208 - 212
• Main Authors: 김대영, 권창일, 전경식, 유정환, 윤해리, 이정길, 손명수
• Format: Journal Article
• Language: Korean
• Published: 대한내과학회 01.02.2014
• Subjects: 내과학
• ISSN: 1738-9364; 2289-0769
• DOI: 10.3904/kjm.2014.86.2.208

Endoscopic retrograde cholangiopancreatography (ERCP) fails occasionally due to a surgically altered anatomy, periampullarydiverticulum, difficult cannulation, or poor general condition of the patient. In these cases, alternative treatment options arenecessary, including percutaneous transhepatic biliary drainage (PTBD) or percutaneous transhepatic gallbladder biliary drainage(PTGBD). Here, we report a case of cholangitis treated with percutaneous transhepatic gallbladder papillary balloon dilatation(PTGBPBD). A 61-year-old male was admitted for cholangitis associated with biliary sludge. ERCP cannulation had failed due tothe position of the papilla within a large periampullary diverticulum, and PTBD had failed due to a non-dilated intrahepatic bileduct. Following PTGBD, papillary balloon dilatation was completed successfully through the PTGBD tract. The patient toleratedthe procedure and was discharged without complications. We conclude that PTGBPBD is an acceptable and safe procedure ina patient with cholangitis who underwent failed ERCP or PTBD procedures. KCI Citation Count: 0