| Acute pancreatitis associated with peroral double-balloon enteroscopy： A case report |
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| 引用本文： | Honda K,Mizutani T,Nakamura K,Higuchi N,Kanayama K,Sumida Y,Yoshinaga S,Itaba S,Akiho H,Kawabe K,Arita Y,Ito T. Acute pancreatitis associated with peroral double-balloon enteroscopy： A case report[J]. World journal of gastroenterology : WJG, 2006, 12(11): 1802-1804. DOI: 10.3748/wjg.v12.i11.1802 |
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| 作者姓名： | Honda K Mizutani T Nakamura K Higuchi N Kanayama K Sumida Y Yoshinaga S Itaba S Akiho H Kawabe K Arita Y Ito T |
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| 作者单位： | Department of Medicine and Bioregulatory Science Graduate School of Medical Sciences Kyushu University,Fukuoka,Japan,Department of Medicine and Bioregulatory Science Graduate School of Medical Sciences,Kyushu University,Fukuoka,Japan,Department of Medicine and Bioregulatory Science Graduate School of Medical Sciences,Kyushu University,Fukuoka,Japan,Department of Medicine and Bioregulatory Science Graduate School of Medical Sciences,Kyushu University,Fukuoka,Japan,Department of Medicine and Bioregulatory Science Graduate School of Medical Sciences,Kyushu University,Fukuoka,Japan,Department of Medicine and Bioregulatory Science Graduate School of Medical Sciences,Kyushu University,Fukuoka,Japan,Department of Medicine and Bioregulatory Science Graduate School of Medical Sciences,Kyushu University,Fukuoka,Japan,Department of Medicine and Bioregulatory Science Graduate School of Medical Sciences,Kyushu University,Fukuoka,Japan,Department of Medicine and Bioregulatory Science Graduate School of Medical Sciences,Kyushu University,Fukuoka,Japan,Department of Medicine and Bioregulatory Science Graduate School of Medical Sciences,Kyushu University,Fukuoka,Japan,Department of Medicine and Bioregulatory Science Graduate School of Medical Sciences,Kyushu University,Fukuoka,Japan,Department of Medicine and Bioregulatory Science Graduate School of Medical Sciences,Kyushu University,Fukuoka,Japan |
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| 摘 要： | A 58-year-old Japanese man had tarry stool and severe anemia. Neither upper nor lower gastrointestinal (GI) endoscopy showed any localized lesions. Thus, the source of his GI bleeding was suspected to be in the small intestine, and he underwent peroral double-balloon enteroscopy (DBE) using EN-450T5 (Fujinon-Toshiba ES System Co., Tokyo, Japan). There were no lesions considered to be the source of GI bleeding. After the procedure, the patient began to experience abdominal pain. Laboratory tests revealed hyperamylasemia and abdominal computed tomography revealed an inflammation of the pancreas and the peripancreas. He was thus diagnosed to have acute pancreatitis. Conservative treatments resulted in both clinical and laboratory amelioration. He had no history of alcohol ingestion, gallstone disease or pancreatitis. Magnetic resonance cholangio-pancreatography demonstrated no structural alterations and no stones in the pancreatobiliary ductal system. As his abdominal pain started after the procedure, his acute pancreatitis was thus thought to have been related to the peroral DBE. This is the first reported case of acute pancreatitis probably associated with peroral DBE.
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| 关 键 词： | 急性胰腺炎 双球肠镜 病理报告 治疗 |
| 收稿时间： | 2005-09-13 |
Acute pancreatitis associated with peroral double-balloon enteroscopy: a case report |
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| Honda Kuniomi,Mizutani Takahiro,Nakamura Kazuhiko,Higuchi Naomi,Kanayama Kenji,Sumida Yorinobu,Yoshinaga Shigetaka,Itaba Soichi,Akiho Hirotada,Kawabe Ken,Arita Yoshiyuki,Ito Tetsuhide. Acute pancreatitis associated with peroral double-balloon enteroscopy: a case report[J]. World journal of gastroenterology : WJG, 2006, 12(11): 1802-1804. DOI: 10.3748/wjg.v12.i11.1802 |
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| Authors: | Honda Kuniomi Mizutani Takahiro Nakamura Kazuhiko Higuchi Naomi Kanayama Kenji Sumida Yorinobu Yoshinaga Shigetaka Itaba Soichi Akiho Hirotada Kawabe Ken Arita Yoshiyuki Ito Tetsuhide |
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| Affiliation: | Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan |
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| Abstract: | A 58-year-old Japanese man had tarry stool and severe anemia. Neither upper nor lower gastrointestinal (GI) endoscopy showed any localized lesions. Thus, the source of his GI bleeding was suspected to be in the small intestine, and he underwent peroral double-balloon enteroscopy (DBE) using EN-450T5 (Fujinon-Toshiba ES System Co., Tokyo, Japan). There were no lesions considered to be the source of GI bleeding. After the procedure, the patient began to experience abdominal pain. Laboratory tests revealed hyperamylasemia and abdominal computed tomography revealed an inflammation of the pancreas and the peripancreas. He was thus diagnosed to have acute pancreatitis. Conservative treatments resulted in both clinical and laboratory amelioration. He had no history of alcohol ingestion, gallstone disease or pancreatitis. Magnetic resonance cholangio-pancreatography demonstrated no structural alterations and no stones in the pancreatobiliary ductal system. As his abdominal pain started after the procedure, his acute pancreatitis was thus thought to have been related to the peroral DBE. This is the first reported case of acute pancreatitis probably associated with peroral DBE. |
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| Keywords: | Enteroscopy Small intestine Pancreatitis complication |
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