書誌事項
- タイトル別名
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- A CASE OF ACUTE PANCREATITIS ASSOCIATED WITH COMMON BILE DUCT STONE REMOVAL BY ENDOSCOPIC PAPILLARY BALLOON DILATATION
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A 30-year-old male was hospitalized with general malaise and jaundice . MRCP showed a small stone in the distal common bile duct with minute stones in the gall bladder . On the next day the bile duct stone was removed employing endoscopic papillary balloon dilation (EPBD) using a 6-mm-diameter balloon with 4 to 6 atmospheres of pressure that was elevated slowly over two minutes. The disappearance of the notch sign in the bile duct was confirmed following the establishment of a 7 fr plastic stent ; stone extraction was performed using basket forceps and a retrieval balloon catheter. After the procedure, the patient developed acute pancreatitis. On day 1, serum and urinary amylases were 3, 120 and 903000 IU/L, respectively. The patient was saccessfully treated with continuous hemodiafiltration, as well as intra -arterial injections of protein inhibitors and antibiotics . EPBD is more conventional them EST, but it carries the potential risk of the patient developing acute pancreatitis . This, when an adaptation of EPBD is employed even by those with technical expertise, efforts should be made to avoid post-procedure acute pancreatitis.
収録刊行物
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- 日本消化器内視鏡学会雑誌
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日本消化器内視鏡学会雑誌 50 (1), 46-51, 2008
一般社団法人 日本消化器内視鏡学会
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詳細情報 詳細情報について
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- CRID
- 1390282679194359040
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- NII論文ID
- 130004255129
- 10021271901
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- NII書誌ID
- AN00192102
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- ISSN
- 18845738
- 03871207
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可