Chun Jung Won, Lee Sang Hyub, Choi Jin Ho, Paik Woo Hyun, Ryu Ji Kon, Kim Yong-Tae
Department of Internal Medicine and Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Clin Endosc. 2019 Sep;52(5):510-515. doi: 10.5946/ce.2018.191. Epub 2019 Jul 4.
The frequency of incidental detection of pancreatic cystic lesions (PCLs) is increasing because of the frequent use of cross-sectional imaging. The appropriate treatment for PCLs is challenging, and endoscopic ultrasound-guided ablation for PCLs has been reported in several studies. Although the feasibility and efficacy of this therapeutic modality have been shown, the safety issues associated with the procedure are still a concern. We present a case of a 61-year-old man who underwent ultrasound-guided ethanol ablation for PCL and needed repeated endoscopic balloon dilatation for severe duodenal stricture caused by necrotizing pancreatitis after the cyst ablation therapy.
由于横断面成像的频繁使用，胰腺囊性病变（PCLs）的偶然检出率正在上升。PCLs的恰当治疗具有挑战性，并且在多项研究中已报道了内镜超声引导下对PCLs进行消融治疗。尽管已证明这种治疗方式的可行性和有效性，但与该操作相关的安全问题仍然令人担忧。我们报告一例61岁男性病例，该患者接受了超声引导下PCL乙醇消融治疗，在囊肿消融治疗后因坏死性胰腺炎导致严重十二指肠狭窄而需要反复进行内镜球囊扩张。
