Korean J Gastrointest Endosc > Volume 36(2); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;36(2): 92-96.
원인 미상의 위장관 출혈로 내원한 42개월 여아에서 캡슐내시경 검사의 경험 1예
김경조ㆍ김경모*ㆍ김성철ㆍ조영미ㆍ노은진§
서울양병원 내과, 울산대학교 의과대학 서울아산병원 *소아과학교실, 외과학교실, 진단병리학교실, §서울의료원 영상의학과
A Case of Capsule Endoscopy in a 42-month-old Girl
Kyung-Jo Kim, M.D., Kyung Mo Kim, M.D.*, Sung Chul Kim, M.D., Young Mi Cho, M.D. and Eun Jin Rho, M.D.§
Department of Internal Medicine, Seoul Yang Hospital, Departments of *Pediatrics, Surgery and Diagnostic Pathology, Asan Medical Center, University of Ulsan College of Medicine, §Department of Diagnostic Radiology, Seoul Medical Center, Seoul, Korea
Abstract
Capsule endoscopy (CE) provides a minimally invasive examination of the entire small intestine, and is the preferred procedure for evaluation of patients with GI bleeding of unknown origin. Even though the FDA approved its use for pediatric patients between 10 and 18 years old in January 2004, little information is available regarding the effectiveness of CE in the younger pediatric population (below 6 years old) because of safety issues. A 42-month child with recurrent melena was referred to evaluate the cause of gastrointestinal bleeding. Despite extensive evaluation, including EGD, colonoscopy, a small bowel series, and Meckel's scan, the bleeding source was not identified. Finally, wireless CE demonstrated angiodysplasia on the mucosa of proximal jejunum. This is the first pediatric case of endoscopy-assisted CE under intravenous sedation without endotracheal intubation in Korea. (Korean J Gastrointest Endosc 2008;36:92-96)
Key Words: Capsule endoscopy, Small bowel bleeding, Angiodysplasia
주요어: 캡슐내시경, 소장 출혈, 혈관이형성증
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