Korean J Gastrointest Endosc > Volume 35(6); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;35(6): 415-419.
이중 풍선 소장내시경으로 치료한 소장의 혈관성 종물 1예
안재홍ㆍ최재현ㆍ박은범ㆍ이순재ㆍ서상준ㆍ김동일ㆍ정성우ㆍ구자설ㆍ임형준ㆍ이홍식ㆍ이상우
고려대학교 의과대학 내과학교실
A Case of a Vascular Mass Treated with Double Balloon Enteroscopy
Jae Hong Ahn, M.D., Jai Hyun Choi, M.D., Eun Bum Park, M.D., Sun Jae Lee, M.D., Sang Jun Suh, M.D., Dong Il Kim, M.D., Sung Woo Jung, M.D., Ja Seol Koo, M.D., Hyung Joon Yim, M.D., Hong Sik Lee, M.D. and Sang Woo Lee, M.D.
Department of Internal Medicine, Institutes of Digestive Diseases and Nutrition, Korea University College of Medicine, Seoul, Korea
Abstract
Obscure gastrointestinal bleeding is defined as an intermittent or continuous loss of blood in which the source has not been identified after an upper endoscopy and colonoscopy. Small bowel bleeding is one of the most common causes of obscure gastrointestinal bleeding and constitutes 2∼10% of all gastrointestinal bleeding. As the small intestine lies in the mid-portion of the intestine and has a long length, it is difficult to diagnose and treat small bowel bleeding using conventional endoscopy. Although the development of wireless capsule endoscopy has increased the diagnosis rate of small bowel disease, the use of capsule endoscopy has some limitations. The use of capsule endoscopy depends on intestinal peristalsis, and while visual diagnosis is possible, obtaining a biopsy or providing treatment is not possible with the use of the procedure. Capsule endoscopy has a few other limitations, such as the lack of air insufflation and the unavailability of rinsing. The use of the new double balloon enteroscopy procedure has advantages over the use of capsule endoscopy. With this method, it is possible to obtain biopsies and it is possible to perform therapeutic procedures, rinsing and air insufflation. We report a case of a vascular mass of the small bowel with recurrent bleeding, which was treated with endoscopic sclerotherapy. (Korean J Gastrointest Endosc 2007;35:415-419)
Key Words: Double balloon enteroscopy, Vascular mass, Endoscopic sclerotherapy
주요어: 이중 풍선 소장내시경술, 혈관성 종물, 내시경 경화요법
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