Korean Journal of Gastrointestinal Endoscopy 1998;18(3): 345-351.
증례 : 식도 위장관 ; 내시경적 결찰요법에 의한 상부위장관출혈 치유 3예 ( Case Reports : Esophagus , Stomach & Intestine ; Endoscopic Ligation Therapy for Upper Gastrointestinal Bleeding )
윤봉한, 김원영, 조철현, 이승욱, 김광현, 강명원, 임연근, 여향순 (Bong Han Yoon, Won Yong Kim, Chul Hyun Cho, Seung Wook Lee, Kwang Hyun Kim, Myung Weon Kwang, Yeun Keun Lim and Hyang Soon Yeo)
Abstract
Upper gastrointestinal bleeding occurs so rapidly that emergency measures are required to avoid exsanguination. Many diseases cause bleeding from the gastrointestinal tract. Patients with upper gastrointestinal bleeding must be quickly assessed and resuscitated. An endoscopy is the diagnostic procedure of choice because of its high rate of accuracy and immediate therapeutic potential. An endoscopy however, must be performed only following adequate resuscitation and clinical assessment of the patient. Recently, reports have described the usefulness of endoscopic O-ring band ligation in the management of upper gastrointestinal bleeding. Endoscopic O-ring band ligation is mucosal ligation using intraluminal negative pressure with an elastic O-ring. We performed an emergency endoscopy in 3 patients who had massive or recurrent episodes of upper gastrointestinal bleeding, identified as having resulted from Dieulafoy lesion and Anisakiasis. We tried to perform an endoscopic ligation using an O-ring band, and were successful in achieving hemostasis. Our conclusion is that endoscopic ligation using an O-ring band can be used effectively to control active upper gastrointestinal bleeding resulting from Anisakiasis and a Dieulafoy lesion. (Korean J Gastrointest Endosc 18: 345-350, 1998)
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