Korean J Gastrointest Endosc > Volume 37(2); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;37(2): 137-141.
이중 풍선 소장내시경으로 절제한 심한 중복대장의 측방 발육형 종양 1예
고려대학교 의과대학 내과학교실
A Case of Laterally Spreading Tumor Resected with Double Balloon Enteroscopy in a Severely Redundant Colon
Jae Hong Ahn, M.D., Dong Il Kim, M.D., Ja Seol Koo, M.D., Hong Sik Lee, M.D., Sang Woo Lee, M.D., Chang Duck Kim, M.D., Jai Hyun Choi, M.D. and Ho Sang Rhu, M.D.
Department of Internal Medicine, College of Medicine, Korea University, Seoul, Korea
The incidence of colon cancer and cancer-related deaths has been increased in Korea. Because most colon cancers arise from colonic adenomatous polyps, it is important to detect these early and to resect such lesions, and so the incidence of endoscopic polypectomy has increased in Korea since 1970's. At present, conventional colonoscopy is the standard for evaluating the colon, and especially for the screening and treatment of colon tumor. However, the entire colon cannot be visualized during conventional colonoscopy in 5∼15% of patients due to a redundant colon, an excessive loop or a history of abdominal surgery. To overcome these difficulties, many radiologic and endoscopic studies have been conducted and there are several recent reports that double balloon enteroscopy has been successfully used in cases of failed conventional colonoscopy. We report here on a case of laterally spreading tumor that was resected with double balloon enteroscopy in a severely redundant colon. (Korean J Gastrointest Endosc 2008;37:137-141)
Key Words: Double balloon enteroscopy, Laterally spreading tumor, Endoscopic polypectomy
주요어: 이중 풍선 소장내시경, 대장 측방 발육형 종양, 내시경 점막절제술
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