Three Cases of Fracture of Nasobiliary Catheter

Lee, Seung Keun; Chung, Jae Bock; Moon, Young Myung; Kang, Jin Kyung; Park, In Suh

Korean J Pancreas Biliary Tract > Volume 2(2):1997 > Article

Case Report

The Korean Journal of Pancreas and Biliary Tract 1997;2(2):173-178.

내시경적 비담관 배액관 분절 3예

이승근, 정재복, 문영명, 강진경, 박인서

연세대학교 의과대학 내과학교실 및 소화기병연구소

Three Cases of Fracture of Nasobiliary Catheter

Seung Keun Lee, Jae Bock Chung, Young Myung Moon, Jin Kyung Kang, In Suh Park

Department of Internal Medicine, Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, Korea

Corresponding author: Jae Bock Chung,

ABSTRACT

Endoscopic nasobiliary drainage(ENBD) has been developed as a safe and effective noninvasive biliary drainage method for initial decompression of the malignant or benign biliary obstruction, dissolution of biliary stones by injection of litholytic agents and proper causative diagnosis of biliary obstruction by cytologic, bacteriologic, and tumor marker investigation of drained bile. The complications of ENBD were stimulation of nasal mucosa, pharyngitis, abdominal discomfort, duodenal ulcer, cholangitis, migration of nasobiliary catheter and acute pancreatitis. We report 3 cases of fracture of nasobiliary catheter inserted endocopically to treat the malignant or benign biliary obstruction. To our knowledge, such a complication has never been reported.

Keywords: Fracture, Nasobiliary catheter, Endoscopic nasobiliary drainage(ENBD)