아르곤 플라즈마 응고소작법으로 치료한 유전성 모세혈관 확장증 1예 |
정민규ㆍ이주영ㆍ이현철ㆍ전성우ㆍ조창민ㆍ탁원영ㆍ권영오 |
경북대학교 의과대학 내과학교실 |
A Case of Hereditary Hemorrhagic Telangiectasia Treated by Argon Plasma Coagulation |
Min Kyu Jung, M.D., Ju Young Lee, M.D., Hyun Chaol Lee, M.D., Seong Woo Jeon, M.D., Chang Min Cho, M.D., Won Young Tak, M.D. and Young Oh Kweon, M.D. |
Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea |
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Abstract |
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Rendu-Osler-Weber disease is characterized by hereditary transmission, and by the presence of multiple telangiectases of the skin, mucous membranes, and internal organs. We present a case of Rendu-Osler-Weber disease with bleeding from gastric telangiectases that was successfully treated by endoscopy with the use of argon plasma coagulation (APC). A 65-year-old woman presented with melena. Endoscopy disclosed multiple telangiecatses in the whole stomach. APC was performed at an output of 50 W and with an argon gas flow rate of 2 L/min. Only multiple ulcers at the treated sites were seen 7 days after the procedure and fibrotic scars with contracted mucosal folds without active bleeding signs were noted 2 months later. (Korean J Gastrointest Endosc 2008;36:14-17) |
Key Words:
Hereditary hemorrhagic telangiectasis, Rendu- Osler-Weber disease, Argon plasma coagulation |
주요어:
유전성 모세혈관 확장증, Rendu-Osler-Weber병, 아르곤 플라즈마 응고 소작법 |
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