Korean J Gastrointest Endosc > Volume 38(3); 2009 > Article
Korean Journal of Gastrointestinal Endoscopy 2009;38(3): 171-175.
아르곤 플라스마 응고법으로 치료한 간경변증 환자에 동반된 직장 혈관확장증 2예
CHA 의과학대학교 내과학교실
Two Cases of Rectal Vascular Ectasia in Patients with Liver Cirrhosis and Who Were Treated by Argon Plasma Coagulation
Woong Park, M.D., Chang Il Kwon, M.D., Young Jun Song, M.D., Han Ul Song, M.D., Ju Hee Oh, M.D., Kwang Hyun Ko, M.D. and Kyu Sung Rim, M.D.
Department of Internal Medicine, College of Medicine, CHA University, Seongnam, Korea
The term "vascular ectasia" is defined to include angiodysplasia, gastric antral vascular ectasia (GAVE) and telangiectasis, and these are the leading causes of acute or chronic gastrointestinal bleeding. We describe here the first 2 Korean cases of GAVE with rectal vascular ectasia in patients with liver cirrhosis. A 70-year-old woman was admitted to the hospital with hematochezia. The finding on endoscopy showed diffuse nonconfluent spots with oozing bleeding on the antrum and several vascular spots with oozing bleeding on the rectum. The lesions were successfully treated by argon plasma coagulation (APC). We report on another case of rectal vascular ectasia in a patient with liver cirrhosis. A 77-year-old man was admitted to the hospital with hematochezia. The findings on colonoscopy showed diffuse vascular spots with oozing bleeding on the rectum. The lesions were successfully treated by APC. These two patients have had no bleeding since their treatment, and they are currently being evaluated by follow-up studies at the outpatient department. (Korean J Gastrointest Endosc 2009;38:171-175)
Key Words: Liver cirrhosis, Argon plasma coagulation, Gastric antral vascular ectasia, Vascular ectasia
주요어: 간경변증, 아르곤 플라스마 응고법, 위전정부 혈관확장증, 혈관확장증
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