Korean J Gastrointest Endosc > Volume 34(6); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;34(6): 329-333.
십이지장 과형성 용종의 Dieulafoy양 병변에 대한 내시경적 Hemoclip 치료 1예
서울적십자병원 내과
A Case of Endoscopic Hemoclip Management of Dieulafoy-like Lesion on the Hyperplastic Polyp in the Duodenum
Nam Seon Park, M.D., Jung Hoon Song, M.D., Eun Bin Lee, M.D., Byung Kook Kang, M.D., Dae Ho Jin, M.D., Tae Hong Ahn, M.D., Yoon Ju Han, M.D. and Hyung Suk Lee, M.D.
Department of Internal Medicine, Seoul Red Cross Hospital, Seoul, Korea
Dieulafoy's lesion (DL) is an uncommon but important cause of massive upper gastrointestinal bleeding that has been reported to be involved in 0.3∼6.7% of cases of major gastrointestinal bleeding. The lesion usually occurs in the lesser curvature of the stomach within 6 cm of the gastroesophageal junction. Similar lesions have also been observed in the esophagus, duodenum, small intestine, colon, and rectum. Most DLs encountered in the duodenum occur in the bulb. Recently, with the advances in endoscopic techniques, the successful management of DL has been achieved through the application of a hemoclip or elastic band ligation. In particular, the application of a hemoclip is considered to be a safe and effective treatment for DL located on a relatively narrow and thin walled canal such as the duodenum. We report the successful application of endoscopic hemoclipping for the treatment of a rare Dieulafoy-like lesion on a hyperplastic polyp in the 2nd portion of the duodenum.
Key Words: Dieulafoy-like lesion, Endoscopic hemoclipping, Gastrointestinal bleeding, Duodendum
주요어: Dieulafoy양 병변, 내시경적 hemoclipping, 위장관 출혈, 십이지장
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