Korean Journal of Gastrointestinal Endoscopy 1999;19(3): 425-429.
내시경적 결찰요법으로 치유한 위 혈관이형성증 1 예 ( Endoscopic Ligation Therapy for Gastric Angiodysplasia )
김규식, 김영관, 이영록, 김영호, 박상모, 조성구, 구소영, 김재권, 이연수 (Kyu Sik Kim, Young Kwan Kim, Young Rock Lee, Young Ho Kim, Sang Mo Park, Seong Kwoo Cho, So Young Ku, Jae Kwon Kim and Yeon Soo Lee)
Abstract
Gastric angiodysplasia may be responsible for up to 2% to 6% of upper gastrointestinal bleeding. Moreover, gastric angiodysplasia may be particularly difficult to treat and is usually associated with a high rebleeding rate. Bleeding due to gastric angiodypsplasia is usually treated by various endoscopic approaches, including argon and Nd：YAG laser photocoagulation, monopolar or biopolar electrocoagulation, heater probe, or injection. Associated complications of these methods, however, such as perforation, acute bleeding during the procedure, or delayed massive hemorrhage have been reported. Recently a few reports have been suggested that endoscopic ligation therapy is a safe, effective treatment for gastric angiodysplasia. A 70-year-old man, who had undergone subtotal gastrectomy for perforation of a duodenal ulcer for 20 years, was admitted due to melena and dizziness persisting for 1 week. A gastroscopy revealed a single angiodysplasia with active bleeding just above the anastomotic site of the remnant stomach. Endoscopic ligation therapy was performed successfully and the bleeding stopped immediately after endoscopic ligation. Since then, no recurrence of bleeding has been reported to date. (Korean J Gastrointest Endosc 19: 425∼429, 1999)
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