書誌事項
- タイトル別名
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- Endoscopic treatment of acute cholangitis as a late complication of papillectomy for adenoma of the papilla of Vater
抄録
<p> A 72-year-old man who had undergone endoscopic papillectomy for adenoma of the papilla of Vater 6 years earlier presented with general malaise and epigastric pain. Hematologic investigations revealed increased inflammatory markers and elevated hepatic enzymes, and abdominal computed tomography showed biliary dilatation. We diagnosed acute cholangitis. The patient was started on antibiotics on admission, but in the following 24 h developed fever, thrombocytopenia, systemic fibrinolysis, asthenia, sepsis, and disseminated intravascular coagulation syndrome. We performed endoscopic retrograde cholangiopancreatography, and confirmed stenosis of the inferior bile duct by cholangiography. The cholangitis improved after endoscopic biliary stenting. We subsequently performed endoscopic sphincterotomy for the bile duct and confirmed appropriate biliary outflow. Endoscopic treatment was effective for stenosis of the bile duct after endoscopic papillectomy.</p>
収録刊行物
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- Progress of Digestive Endoscopy
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Progress of Digestive Endoscopy 89 (1), 112-113, 2016
一般社団法人 日本消化器内視鏡学会 関東支部
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詳細情報 詳細情報について
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- CRID
- 1390001205439551232
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- NII論文ID
- 130005303533
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- ISSN
- 21874999
- 13489844
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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
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可