| 차수 | 93차 |
|---|---|
| 접수번호 | 94 |
| 최종진단 | Post-LT biliary stricture |
| 소속 | 전남대학교병원 |
| 성명 | 이요한 |
| 분류 | Biliary disease : |
|---|---|
| Pancreas disease : | |
| Gallbladder disease : | |
| 기타 : | |
| 제목(국문) | Endoscopic removal of a fully covered self-expandable metal stent with a string inserted by percutaneous transhepatic cholangioscopy in post–liver transplant biliary stricture |
| 제목(영문) | |
| 성명 | 이요한 |
| 이메일 | yhnlee92@naver.com | 소속 | 전남대학교병원 |
| 환자정보 | 연령 60세 / 성별 남성 |
| 주질환 | Jaundice |
| 현병력 | A 60-year-old man visited our hospital with jaundice. |
| 과거력 / 사회력 | He had undergone LT for compensated alcoholic liver cirrhosis with hepatocellular carcinoma in 2017. |
| 가족력 | 특이사항 없음 |
| 문진소견 | He complained for generalized jaundice. |
| 진찰소견 | He denied the presence of symptoms, including fever and abdominal pain. |
| 검사소견 |
검사실 소견
Laboratory investigations revealed a cholestatic pattern of liver function test abnormalities and a total bilirubin of 16 mg/dl. |
| 내시경 소견 | |
| 영상 소견
Magnetic resonance cholangiopancreatography revealed a stricture from the right intrahepatic bile duct to the common hepatic duct. |
|
| 병리 소견 | |
| 치료 및 임상경과 | Severe postoperative deformities made it impossible to perform ERCP with a side-view duodenoscope. Percutaneous transhepatic biliary drainage (PTBD) was carried out to treat biliary obstruction. For stricture resolution, a fully covered self-expandable metal stent (FCSEMS) with a proximal retrieval string was deployed into the post-LT biliary stricture through the PTBD tract. After 6 months, the FC-SEMS was successfully removed without complications, as the string was pulled out using a forward-view gastroscope. |
| 최종 진단 | Post-LT biliary stricture |
| 요약 | Deployment and interval endoscopic removal of an FC-SEMS with a proximal string through a PTBD tract may be a viable option for treating post-LT biliary strictures that are inaccessible by ERCP. |
| 키워드 | Jaundice, Obstructive Percutaneous Transhepatic Cholangioscopy Self-Expandable Metallic Stents |
| 발표 슬라이드 | 지회 학술집담회 20230616 전남대 이요한 박창환.pptx |