| Item type |
紀要論文 / Departmental Bulletin Paper(1) |
| 公開日 |
2019-07-01 |
| タイトル |
|
|
タイトル |
Successful wire-guided minor papillotomy using |
|
言語 |
en |
| その他（別言語等）のタイトル |
|
|
その他のタイトル |
副乳頭切開を施行した膵管非癒合（腹側膵管欠損型）の１例 |
|
言語 |
ja |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Wirsung duct agenesis |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
pancreas divisum |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
endoscopic minor papillotomy |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Billroth II reconstruction |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
departmental bulletin paper |
| 著者 |
Miyatani, Hiroyuki
Sawada, Yukihisa
Nakashima, Yoshiyuki
Ishii, Akira
Sagihara, Noriyoshi
Ikeda, Masatoshi
Iwaki, Takaaki
Yoshida, Yukio
|
| 著者別名 |
|
|
|
姓名 |
宮谷, 博幸 |
|
|
言語 |
ja |
| 著者別名 |
|
|
|
姓名 |
澤田, 幸久 |
|
|
言語 |
ja |
| 著者別名 |
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|
姓名 |
中島, 嘉之 |
|
|
言語 |
ja |
| 著者別名 |
|
|
|
姓名 |
石井, 彰 |
|
|
言語 |
ja |
| 著者別名 |
|
|
|
姓名 |
鷺原, 規喜 |
|
|
言語 |
ja |
| 著者別名 |
|
|
|
姓名 |
池田, 正俊 |
|
|
言語 |
ja |
| 著者別名 |
|
|
|
姓名 |
岩城, 孝明 |
|
|
言語 |
ja |
| 著者別名 |
|
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|
姓名 |
吉田, 行雄 |
|
|
言語 |
ja |
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Agenesis of the duct of Wirsung is rarely encountered when pancreatography completely fails. We successfully treated a patient with pancreatic pain due to this unusual pancreas divisum by wire-assisted minor papillotomy using cap-attached front-view endoscopy. A 77-year-old man with a history of pancreatitis was admitted to our hospital due to epigastralgia. He had a partial gastrectomy with gastrojejunostomy （Billroth II）. We performed ERCP with cap-attached front-view endoscopy to determine the cause of the abdominal pain. ERC revealed a mildly dilated common bile duct. However, ventral pancreatography was not obtained via the papilla of Vater. We attempted pancreatography via the minor papilla at the second ERCP. The minor papilla was difficult to find and approach because of its small size and obscure orifice. We inserted a thin metal tip cannula into the minor papilla and performed dorsal pancreatography. With a diagnosis of pancreas divisum, we performed wire-assisted minor precut papillotomy with a needle knife. A 5-Fr. single pig-tail plastic stent was successfully placed. There were no procedure-related complications and post-ERCP pancreatitis. The patient’s epigastralgia was relieved, and the hyperamylasemia improved. Subsequently, though the epigastralgia relapsed, the serum amylase level remained almost normal. |
| 書誌情報 |
自治医科大学紀要
en : Jichi Medical University Journal
巻 32,
p. 103-109,
発行日 2010-03
|
| 出版者 |
|
|
出版者 |
自治医科大学 |
| ISSN |
|
|
収録物識別子タイプ |
PISSN |
|
収録物識別子 |
1881-252X |
自治医科大学紀要1881-252X(32)p103-109 (972.4 kB)
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