Three Case of Acute Pancreatitis Complicating Endoscopic Insertion of the Biliary Stent / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
; : 233-238, 2001.
Article
in Ko
| WPRIM
| ID: wpr-85249
Responsible library:
WPRO
ABSTRACT
Acute pancreatitis is one of the major complications of endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic sphincterotomy (EST). Various etiology such as mechanical, chemical, hydrostatic, and thermal factor are thought to be involved for this procedure-related pancreatitis. However, acute pancreatitis can occur as a direct complication of endoscopic biliary drainage (EBD). Although the exact mechanism remains unclear, it is postulated that the stent compresses pancreatic ductal orifice and resultant pancreatic outflow obstruction actually provokes pancreatitis. Using the larger stent diameter over 10 Fr and a straight stent rather than curved one, proximal rather than distal bile duct obstruction are risk factors for stent-induced pancreatitis. We report on three cases of acute pancreatitis complicating the EBD with a plastic stent, nasobiliary catheter, and covered-metallic stent respectively.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Pancreatic Ducts
/
Pancreatitis
/
Plastics
/
Stents
/
Drainage
/
Cholestasis
/
Risk Factors
/
Cholangiopancreatography, Endoscopic Retrograde
/
Sphincterotomy, Endoscopic
/
Catheters
Type of study:
Etiology_studies
/
Risk_factors_studies
Language:
Ko
Journal:
Korean Journal of Gastrointestinal Endoscopy
Year:
2001
Type:
Article