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A Case of Common Bile Duct Stone Treatment with Endoscopic Sphincterotomy

Journal of the Korean Pediatric Society 1996;39(6):856-860.
Published online June 15, 1996.
A Case of Common Bile Duct Stone Treatment with Endoscopic Sphincterotomy
Do Yoon Lee1, Chang Sun Yoo1, Won Kyu Choi1, Jae Seung Yang1, Jong Soo Kim1, Dong Ki Lee2
1Department of Pediatrics, Yonsei University, Wonju College of Medicine, Wonju, Korea
2Department of Internal Medicine, Yonsei University, Wonju College of Medicine, Wonju, Korea
내시경적 괄약근 절개술을 이용한 총담관 결석 치험 1례
이도윤1, 유창선1, 최원규1, 양재승1, 김종수1, 이동기2
1연세대학교 원주의과대학 소아과학교실
2연세대학교 원주의과대학 내과학교실
Abstract
The cholelithiasis and common bile duct(CBD) stone are rare problems among children. Endoscopic retrograde cholangiopancretogram(ERCP) and endoscopic sphincterotomy are rarely commomly utilized in the treatment of children, primarily because there are fewerindications. ERCP is an established procedure for visualization of the biliary tract. Endoscopic sphincterotomy with stone extraction has been accepted as the treatment of choice for CBD stone removal in adults. However, the role and value of these procedures in children are not as clear. We experienced a case of CBD stone in 3-year-old boy, who suffered reccurent jaundice and abdominal pain. The boy was administrated and was diagnosed with a mild abnormal gallbldder on ultrasound. Laboratory data showed obstructive jaundice, so, an ERCP was performed and identified that the child had a distal CBD stone. An Endoscopic sphincterotomy was then performed. After the sphincterotomy, the stone passed the Ampulla of Vater spontaneously without the use of a Dormia basket or Forgathy catheter.
Key Words: Common bile duct stone, Retrograde cholangiopancretogram, Endoscopic sphincterostomy


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