Korean J Gastrointest Endosc > Volume 36(4); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;36(4): 219-223.
올가미 용종 절제술 후 발생한 위의 거대 점막 내 혈종 1예
이창균ㆍ장재영ㆍ황보영ㆍ심재준ㆍ정성훈ㆍ동석호ㆍ김효종ㆍ김병호ㆍ장영운ㆍ장린
경희대학교 의과대학 내과학교실
A Case of Gastric Huge Intramucosal Hematoma after Snare Polypectomy
Chang Kyun Lee, M.D., Jae Young Jang, M.D., Young Hwangbo, M.D., Jaejun Shim, M.D., Sung Hoon Jung, M.D., Seok Ho Dong, M.D., Hyo Jong Kim, M.D., Byung-Ho Kim, M.D.,Young Woon Chang, M.D. and Rin Chang, M.D.
Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea
Abstract
Endoscopic polypectomy is a widely used therapeutic modality for the treatment of polypoid lesions in the gastrointestinal tract. Postpolypectomy bleeding is the most common procedure-related complication. Bleeding can occur immediately after the polypectomy or be delayed from hours to up to days. The severity of bleeding ranges from slight oozing to spurting arterial bleeding that requires immediate endoscopic hemostasis. Because severe hemorrhage can be a cause of repeat endoscopy, blood transfusion, hospitalization or surgery, endoscopists must carefully observe the patient's symptoms and hemodynamic status after an endoscopic polypectomy. Here, we report a large intramucosal hematoma and subsequent huge ulcer in the stomach as a rare complication of endoscopic snare polypectomy. (Korean J Gastrointest Endosc 2008;36: 219-223)
Key Words: Polypectomy, Complications, Hematoma, Stomach
주요어: 용종 절제술, 합병증, 혈종,
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