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題名 | Endoscopic Management of Obstructive Jaundice Caused by Hemobilia after Radiofrequency Ablation: Report of a Case=肝癌射頻燒灼術後引起膽道出血併發阻塞性黃疸的內視鏡處理:一病例報告 |
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作者 | 郭明正; 牟聯瑞; 周建玲; Kuo, Ming-jeng; Mo, Lein-ray; Chou, Chien-lin; |
期刊 | 臺灣消化醫學雜誌 |
出版日期 | 20130600 |
卷期 | 30:2 2013.06[民102.06] |
頁次 | 頁217-221 |
分類號 | 415.53 |
語文 | eng |
關鍵詞 | 射頻燒灼術; 膽道出血; 內視鏡處理; Radiofrequency ablation; Hemobilia; Endoscopic management; |
中文摘要 | 射頻燒灼術目前已廣泛應用於無法手術切除的早期肝腫瘤治療。射頻燒灼術一般說來是很安全的,但仍會引起嚴重的併發症。我們報導一個少見的併發症,在接受肝癌射頻燒灼術後引發膽道出血並合併阻塞性黃疸。患者的黃疸及臨床症狀在接受緊急內視鏡十二指腸乳頭切開、血塊清除及經鼻膽汁引流管置放後獲得改善。我們相信適當的膽汁引流及抗生素治療可以克服膽道出血的合併症。 |
英文摘要 | Radiofrequency ablation (RFA) is now widely accepted as a minimally invasive treatment for early livertumors. RFA is generally considered safe though it can be associated with significant complications. We reporta rare complication: hemobilia, manifested by jaundice after RFA treatment. The patient’s jaundice and othersymptoms resolved after urgent endoscopic sphicterotomy (EST) with blood clots removal and endoscopicnasobiliary drainage (ENBD) tube placement. We believe adequate biliary drainage with antibiotics treatment couldovercome the complication of hemobilia. |
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