Korean J Gastrointest Endosc.
2010 Mar;40(3):214-218.
Successful Endoscopic Papillary Balloon Dilatation for a Patient with Recurrent Sump Syndrome
- Affiliations
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- 1Department of Internal Medicine and the Institute of Health Science, Gyeongsang National University School of Medicine, Jinju, Korea. kimthy@medimail.co.kr
Abstract
- Sump syndrome is a rare late complication of choledochoenteric anastomosis, and this caused by the accumulation of food debris, choledocholithiasis, bile sludge and cholesterol crystals in the distal common bile duct. This syndrome is characterized by symptoms such as abdominal pain and fever. The treatment modality for this syndrome has been surgery in the past. However, endoscopic treatment such as endoscopic sphinterotomy is currently regarded as the primary therapeutic approach for this condition. We experienced a patient with a history of choledochoduodenostomy and who developed sump syndrome as a complication of the surgery. Endoscopic sphinterotomy was performed for treatment, but this only produced the recurrence of the disease. The recurrent sump syndrome was eventually successfully controlled by performing endoscopic papillary balloon dilatation.
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