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Korean J Pancreas Biliary Tract > Volume 18(1):2013 > Article
The Korean Journal of Pancreas and Biliary Tract 2013;18(1):28-31. doi: https://doi.org/10.15279/kpba.2013.18.1.28
복부 수술 후 발생한 주췌관 손상의 비수술적 치험 1예
이승준, 이윤석, 이민근, 이상협, 황진혁
서울대학교 의과대학, 분당서울대학교병원 내과학교실"
Medical Treatment in Postoperative Main Pancreatic Duct Injury : A Case Report
Seung June Lee, Yoon Suk Lee, Min Geun Lee, Sang Hyub Lee, Jin-Hyeok Hwang
Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul Naitonal University College of Medicine, Seoungnam, Korea
ABSTRACT
Main pancreatic duct injury is one of the serious complications of abdominal blunt trauma. When main pancreatic duct injury happens, early diagnosis and optimal treatment are very important to prevent subsequent complications. Endoscopic retrograde pancreatography(ERP) is considered as the best modality for highly suspicious patients with the injury because it gives us detailed and exact information of pancreatic duct injury and therapeutic intervention could be performed during the procedure. Although surgical treatment is currently the main stay of therapy for main pancreatic duct injury, medical therapy including endoscopic placement of transpapillary stents is also a potential alternative to operative management. We experienced successful non-surgical management in 74 years-old male patient with postoperative pancreatic injury.
Keywords: main pancreatic duct injury, endoscopic retrograde pancreatography, pancreatic stent
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