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코일 색전술로 치료한 소아 Dieulafoy 병변 1예

A Case of a Dieulafoy Lesion Treated usingCoil Embolization in a Child

배재익|송민섭|정지미|지근하|박오환
대한소아소화기영양학회 (The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition)|2007.09|Pediatric Gastroenterology, Hepatology & Nutrition|제10권 제2호|pp. 193-196

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참고문헌

주제분류소아과학

초록

저자들은 내시경적 에피네프린 국소 주입법과 수술적 혈관 결찰술 후에도 출혈이 재발된 Dieulafoy 병을 가진 환아에서 동맥 코일 색전술로 지혈된 증례를 문헌 고찰과 함께 보고한다.

Abstract

Departments of Pediatrics, *Radiology, Busan Paik Hospital, College of Medicine, Inje University, Busan, Korea A dieulafoy lesion, which is an unusual cause of gastrointestinal bleeding that can be fatal in children. Dieulafoy lesions are characterized by an abnormally large eroded submucosal artery that is commonly located in the lesser curvature of the proximal stomach. In most cases, permanent hemostasis is achieved by endoscopic epinephrine injection, however, some patients require other endoscopic treatment modalities, embolization or surgery. We report here a case of a Dieulafoy lesion in an 11-year-old boy who had recurrent bleeding from the lesion in the duodenal bulb after endoscopic epinephrine injection and surgical ligation, that was successfully treated using coil embolization. (Korean J Pediatr Gastroenterol Nutr 2007; 10: 193∼196)

참고문헌 (32)

  1. Overstreet Rabih AC, "Dieulafoy's disease", 196, pp.290~296 (2003)
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  25. Lilije C, "Dieulafoy lesion in a one-year-old child", 39, pp.133~134 (2004)
  26. Romaozinho JM, "Dieulafoy？s lesion: management and long-term outcome", 36, pp.416~420 (2004)
  27. Parra-Blanco A, "Endoscopic management of Dieulafoy lesions of the stomach: a case study of 26 patients", 29, pp.834~839 (1997)
  28. Seinert D, "Successful combination endoscopic therapy for duodenal Dieulafoy's lesion", 91, pp.818~819 (1996)
  29. Stark ME, "Balm RK. Clinical features and endoscopic management of Dieulafoy's disease. Gastrointest Endosc 1992", pp.545~50
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  32. "Yang CY. Recurrent Dieulafoy's lesion after surgical ligation. Am J Gastroenterol 1989", pp.1464~5

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