Korean J Gastrointest Endosc > Volume 34(4); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;34(4): 219-222.
대장내시경의 구강 접근으로 진단한 근위부 공장의 위장관 간질 종양에서의 출혈 1예
정해선·심기남·백수정·유금혜·송현주·조유경·김성은·정성애·유 권·문일환
이화여자대학교 의과대학 내과학교실, 의과학연구소
A Case of Bleeding from Proximal Jejunal GIST Diagnosed by Colonoscopy through the Oral Approach
Hae Sun Jung, M.D., Ki-Nam Shim, M.D., Su Jung Baik, M.D., Kum Hei Ryu, M.D., Hyun Joo Song, M.D., Yoo Kyung Cho, M.D., Seong Eun Kim, M.D., Sung-Ae Jung, M.D., Kwon Yoo, M.D. and Il Hwan Moon, M.D.
Department of Internal Medicine, Ewha Medical Research Institute, Ewha Womans University College of Medicine, Seoul, Korea
Abstract
Gastrointestinal bleeding from small bowel lesions is uncommon but it is the most common cause of obscure gastrointestinal bleeding that can go undiagnosed using traditional upper endoscopy and colonoscopy. Recently, various new methods, including wireless capsule endoscopy and double-balloon enteroscopy have been used to detect and manage small bowel lesions. A 51-year-old man was admitted with hematochezia. The source of bleeding could not be identified using conventional upper endoscopy and colonoscopy. Wireless capsule endoscopy revealed a mass-like lesion with active blood spurting in the proximal jejunum. Finally, a tumor with central ulceration was detected at the proximal jejunum using a clean colonoscope through the oral approach. This lesion was surgically resected, and the histology findings were consistent with a gastrointestinal stromal tumor. We report a case of gastrointestinal bleeding from a proximal jejunal GIST diagnosed by clean colonoscopy through the oral approach with a review of the relevant literature. (Korean J Gastrointest Endosc 2007;34:219⁣222)
Key Words: Jejunal bleeding, Capsule endoscopy, Colonoscope, Oral approach, GIST
주요어: 공장 출혈, 캡슐내시경검사, 대장내시경, 구강 접근, GIST
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