Korean J Gastrointest Endosc > Volume 28(3); 2004 > Article
Korean Journal of Gastrointestinal Endoscopy 2004;28(3): 136-140.
캡슐내시경으로 진단된 급성 소장 출혈 1예
이창수ㆍ김나영*ㆍ황진혁*ㆍ김진욱*ㆍ이동호*ㆍ남수연ㆍ최기돈ㆍ송호준ㆍ김상균ㆍ정현채ㆍ송인성
서울대학교 의과대학 내과학교실, 간연구소, *분당서울대학교병원 내과
A Case of Acute Small Bowel Bleeding Diagnosed by Capsule Endoscopy
Chang Soo Lee, M.D., Nayoung Kim, M.D.*, Jin-Hyeok Hwang, M.D.*, Jin-Wook Kim, M.D.*, Dong Ho Lee, M.D.*, Su Youn Nam, M.D., Kee Don Choi, M.D., Ho June Song, M.D., Sang Gyun Kim, M.D., Hyun Chae Jung, M.D. and In Sung Song, M.D.
Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul; *Department of Internal Medicine, Seoul National University Bundang Hosipital, Gyeonggi-do, Korea
Abstract
Although small bowel is an uncommon origin of gastrointestinal bleeding, it is a predominant source of obscure gastrointestinal bleeding. Endoscopy is a mainstay of diagnosis and treatment of gastrointestinal bleeding, but small bowel is beyond the reach of the standard upper endoscopy and colonoscopy. Recently wireless capsule endoscopy has been known as a useful method in the diagnosis of small bowel bleeding. A 51-year-old man was admitted with acute abdominal pain and hematochezia. In spite of the conventional endoscopic and radiologic investigations, the bleeding source was not identified. Finally, wireless capsule endoscopy demonstrated drug induced enteropathy as a cause of small bowel bleeding. We report a case of drug induced small bowel bleeding diagnosed by capsule endoscopy with a review of the relevant literature. (Korean J Gastrointest Endosc 2004;28:136⁣140)
Key Words: Capsule endoscopy, Drug induced enteropathy, Small bowel bleeding
주요어: 캡슐내시경, 약제 유발성 소장질환, 소장 출혈
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