| 내시경적 결찰술과 경화요법으로 치료한 십이지장 정맥류 출혈 - 증례보고 및 국내문헌 고찰 - |
| 이재민ㆍ김태효ㆍ이창민ㆍ강동오ㆍ민현주ㆍ김현진ㆍ정운태ㆍ이옥재 |
| 경상대학교 의학전문대학원 내과학교실, 건강과학연구원 |
| Duodenal Variceal Bleeding Treated with a Combination of Endoscopic Ligation and Injection Sclerotherapy - Two Case Reports and a Review of the Korean Clinical Literature - |
| Jae Min Lee, M.D., Tae Hyo Kim, M.D., Chang Min Lee, M.D., Dong O Kang, M.D., Hyun Ju Min, M.D., Hyun Jin Kim, M.D., Woon Tae Jung, M.D. and Ok Jae Lee, M.D. |
| Department of Internal Medicine and Institute of Health Science, Gyeongsang National University School of Medicine, Jinju, Korea |
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| Abstract |
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A duodenal varix is a rare cause of hemorrhage in patients with intrahepatic and extrahepatic portal hypertension. However, bleeding in these patients is serious and often life threatening. Treatments for duodenal variceal bleeding include endoscopic injection sclerotherapy, endoscopic ligation, surgical procedures and interventional radiology. We report two cases of duodenal variceal bleeding in a 53- year-old male patient and a 63-year-old female patient with liver cirrhosis that presented with hematemesis and melena. Emergency upper endoscopy examinations revealed the presence of large nodular varices with ruptured erosion on the top of the second portion of the duodenum. A combination of the use of endoscopic ligation and endoscopic injection sclerotherapy was performed and successful hemostasis and eradication of duodenal varices was possible in all cases. Another 19 cases of duodenal variceal bleeding that have been reported in the Korean clinical literature were reviewed. (Korean J Gastrointest Endosc 2008;36:292-297) |
| Key Words:
Duodenal varix, Endoscopic ligation, Endoscopic injection sclerotherapy |
| 주요어:
십이지장 정맥류, 내시경적 결찰술, 내시경적 경화요법 |
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