Korean J Gastrointest Endosc > Volume 23(2); 2001 > Article

Korean Journal of Gastrointestinal Endoscopy 2001;23(2): 76-81.

비정맥류 , 비궤양성 장관 내 출혈 및 용종 제거술 후 내시경적 밴드 결찰술 ( Endoscopic Band Ligation for Non - variceal , Non - ulcer Gastrointestinal Hemorrhage and Post - polypectomy Hemorrhage )

배원기(Won Ki Bae),김유선(You Sun Kim),문정섭(Jeong Seop Moon),류정임(Jung Im Rue),선휘경(Hui Kyoung Sun),하근우(Keun Woo Ha),김은순(Eun Soon Kim),이정환(Jung Whan Lee),우광훈(Gwang Hoon Woo),전영빈(Young Bin Jeon),유권(Kwon Yoo)

Abstract

Background/Aims:
There is no consensus as to the best treatment for non-variceal, non-ulcer gastrointestinal hemorrhage. Endoscopic band ligation is an inexpensive, readily available, and easily learned technique in contrast to conventional thermal methods of endoscopic hemostasis. The purpose of this study is to define the effectiveness of endoscopic band ligation for non-variceal, non-ulcer gas- trointestinal hemorrhage and post-polypectomy hemorrhage.
Methods:
Twenty eight patients were treated by band ligation between July 1996 and October 2000. The lesions treated were; Dieulafoy’s lesion in 13, Mallory-Weiss tear in 7, angiodysplasia in 1, post-polypectomy bleeding in 4, post-endoscopic mucosal resection bleeding in 2, post- endoscopic biopsy bleeding in I.
Results:
Endoscopic band ligation was successful in 25 of 28 cases. Additional sclerotherapy was necessary in two cases of Dieulafoy’s lesion. The remaining case was early band detachment.
Conclusions:
Endoscopic band ligation is effective for non-variceal, non-ulcer bleeding. It has the advantage of ease of use and is relatively inexpensive. (Korean J Gastrointest Endosc 2001;23:76-81)

Key Words: 위장관 출혈 , 용종 절제술 , 밴드 결찰술 , Gastrointestinal hemorrhage , Polypectomy , Band ligation