Korean J Gastrointest Endosc > Volume 35(4); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;35(4): 258-261.
내시경 지혈 클립술로 치료한 십이지장 게실의 출혈성 Dieulafoy 병변 1예
김낭희ㆍ김규종ㆍ한서룡ㆍ박지은ㆍ남지현ㆍ김성훈ㆍ신은경ㆍ김도현ㆍ송준영ㆍ김성은ㆍ문원ㆍ박무인ㆍ박선자
고신대학교 의과대학 내과학교실
A Case of a Bleeding Dieulafoy's Lesion in a Duodenal Diverticulum Treated by Endoscopic Hemoclipping
Nang Hee Kim, M.D., Kyu-Jong Kim, M.D., Seo Ryong Han, M.D., Ji Eun Park, M.D., Ji Hyeon Nam, M.D., Sung Hoon Kim, M.D., Eun Kyung Shin, M.D., Do Hyun Kim, M.D., Jun Young Song, M.D., Sung Eun Kim, M.D., Won Moon, M.D., Moo In Park, M.D. and Seun Ja Park,
Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea
Abstract
A duodenal diverticulum is common and usually originates in the second portion of the duodenum. The majority of diverticula are asymptomatic; however, they may sometimes present with symptoms such as obstruction, hemorrhage, perforation, jaundice and pancreatitis. Active bleeding from a duodenal diverticulum is rare, and moreover, Dieulafoy's lesion as a cause is quite rare with very few cases reported so far. The use of endoscopic methods instead of surgery in achieving hemostasis has been on the increase with the widespread use and improvement in endoscope instrumentation and accessories. Of these methods, the use of endoscopic hemoclipping for Dieulafoy's lesion is considered more effective and safe than the use of other methods, such as injection and thermal methods. We report here a case of a bleeding Dieulafoy's lesion in a duodenal diverticulum treated by endoscopic hemoclipping. (Korean J Gastrointest Endosc 2007;35:258-261)
Key Words: Duodenal diverticulum, Dieulafoy's lesion, Endoscopic hemostasis, Hemoclipping
주요어: 십이지장 게실, Dieulafoy 병변, 내시경 지혈술, 지혈 클립술
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