Korean J Gastrointest Endosc > Volume 28(2); 2004 > Article
Korean Journal of Gastrointestinal Endoscopy 2004;28(2): 97-101.
Octreotide 투여와 내시경적 Hemoclip 시술로 치유된 문맥 고혈압성 장병증에 의한 하부위장관
고지송·김주상·노치호·김도영·박종현·조영석·김성수·채현석·안병민·이창돈·최규용·정
가톨릭대학교 의과대학 내과학교실
A Case of Lower GI Bleeding from Portal Hypertensive Colopathy Successfully Treated
Ji Song Ko, M.D., Ju Sang Kim, M.D., Chee Ho Noh, M.D., Do Young Kim, M.D., Jong
Department of Internal Medicine, College of Medicine, The Catholic University of Korea,
Abstract
Cirrhotic patients with portal hypertension are often found to have changes in their colonic mucosa. Such mucosal changes are termed portal hypertensive colopathy. Most patients with portal hypertension remained asymptomatic but some may show massive bleeding. The mainstay of treatment for portal hypertensive gastropathy include non-surgical methods such as octreotide injection, endoscopic hemostasis, and interventional methods such as TIPS. However, treatment for portal hypertensive colopathy remained unresolved. The authors here report a case of a 41 year old male with liver cirrhosis admitted for fever and abdominal pain, who reported an episode of hematochezia in the course of admisssion period. Subsequent colonoscopy revealed angiodysplasia-like lesions throughout the entire colon. We observed that such lesions were the source of hematochezia and that direct clipping with octreotide injection was successful in controlling the bleeding. (Korean J Gastrointest Endosc 2004;28:97⁣101)
Key Words: Portal hypertensive colopathy, Liver cirrhosis, Octreotide, Hemoclip
주요어: 문맥 고혈압성 장병증, 간경변, Octreotide, Hemoclip
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