The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case of Acute Pancreatitis Caused by Distal Migration of a Pyloric Covered Self-Expandable Metal Stent

유문부 피막형 금속스텐트의 원위부 이탈에 의해 발생한 급성 췌장염 1예

  • Shin, Chun Ho (Department of Internal Medicine, Inha University School of Medicine) ;
  • Jeong, Seok (Department of Internal Medicine, Inha University School of Medicine) ;
  • Lee, Don Haeng (Department of Internal Medicine, Inha University School of Medicine) ;
  • Kim, Seong Hyun (Department of Internal Medicine, Inha University School of Medicine) ;
  • Kim, Kyung Eun (Department of Internal Medicine, Inha University School of Medicine) ;
  • Park, Sung Wook (Department of Internal Medicine, Inha University School of Medicine) ;
  • Bang, Byung Wook (Department of Internal Medicine, Inha University School of Medicine)
  • 신천호 (인하대학교 의학전문대학원 내과학교실) ;
  • 정석 (인하대학교 의학전문대학원 내과학교실) ;
  • 이돈행 (인하대학교 의학전문대학원 내과학교실) ;
  • 김성현 (인하대학교 의학전문대학원 내과학교실) ;
  • 김경은 (인하대학교 의학전문대학원 내과학교실) ;
  • 박성욱 (인하대학교 의학전문대학원 내과학교실) ;
  • 방병욱 (인하대학교 의학전문대학원 내과학교실)
  • Received : 2012.05.29
  • Accepted : 2012.08.13
  • Published : 2013.09.01
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Abstract

Endoscopic metal stent insertion has been widely performed to palliatively treat gastrointestinal (GI) tract obstruction in patients with cancer. The use of metal stents for benign strictures of the GI tract is increasing due to the low risk of major complications other than stent migration. The incidence of acute pancreatitis after placing a GI tract metal stent is rare. Herein, we report a case of acute pancreatitis caused by a covered metal stent that was initially inserted for a benign stricture of a gastroduodenal anastomosis that developed after the operation, then distally migrated, bent into a U-shape, and impacted into the second portion of the duodenum in a 56-year-old female who underwent a Billroth-I gastrectomy due to gastric cancer.

저자들은 조기위암 수술 후 발생한 문합부 양성 협착 환자에서 금속스텐트 삽입술 후 스텐트의 원위부 이탈로 인해 급성 췌장염이 발생한 증례를 경험하였기에 보고한다.

Keywords

References

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