소장의 대량출혈을 유발한 공장게실 1예
A Case of Jejunal Diverticula Which Caused Massive Small Bowel Bleeding
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Gastrointestinal bleeding is a common cause of hospitalization. Jejunal diverticula is a rare disease and it is an unusual cause of obscure gastrointestinal bleeding. After exclusion of the more common bleeding sources, small bowel diverticula should be considered as a possible rare cause of gastrointestinal bleeding. Jejunal diverticular bleeding is difficult to diagnose and treat because the bleeding site cannot be identified by routine endoscopy and radiologic studies. An exploratory operation is sometimes needed to diagnose and treat obscure gastrointestinal bleeding. If the bleeding site is certain, then surgical resection of the bleeding part of the bowel is the procedure of choice. We report here on a case of jejunal diverticular bleeding that was diagnosed by and treated with surgical resection.
Abstract
Gastrointestinal bleeding is a common cause of hospitalization. Jejunal diverticula is a rare disease and it is an unusual cause of obscure gastrointestinal bleeding. After exclusion of the more common bleeding sources, small bowel diverticula should be considered as a possible rare cause of gastrointestinal bleeding. Jejunal diverticular bleeding is difficult to diagnose and treat because the bleeding site cannot be identified by routine endoscopy and radiologic studies. An exploratory operation is sometimes needed to diagnose and treat obscure gastrointestinal bleeding. If the bleeding site is certain, then surgical resection of the bleeding part of the bowel is the procedure of choice. We report here on a case of jejunal diverticular bleeding that was diagnosed by and treated with surgical resection.
참고문헌 (13)
- "Sleisenger and Fordtran’s gastrointestinal and liver disease", pp.472~473 (2006), Feldman
- Myers RT, "Diagnosis and management of occult gastrointestinal bleeding: visualization of the small bowel lumen by fiberoptic colonoscope", Am Surg, 42(2), pp.92~95 (1976)
- Kim JP, "Clinical feature of obscure- over gastrointestinal bleeding", Korean J Gastroenterol, 42(1), pp.27~34 (2003)
- Williams RA, "Surgical problems of diverticula of the small intestine", Surg Gynecol Obstet, 152(2), pp.621~626 (1981)
- Akhrass R, "Small-bowel diverticulosis: percep- tions and reality", J Am Coll Surg, 184(4), pp.383~388 (1997)
- Wilcox RD, "Surgical implications of jejunal diverticula", South Med J, 81(11), pp.1386~1391 (1988)
- Baskin RH Jr, "Jejunal diverticulosis: a clinical study of 87 cases", Surg Clin North Am, pp.1185~1196 (1952)
- Tsiotos GG, "Nonmec- kelian jejunoileal diverticulosis: ananalysis of 112 cases", Surgery, 116(4), pp.726~731 (1994)
- Patel VA, "Jejunal diverticulosis is not always a silent spectator: a report of 4 cases and review of the literature", World J Gastroenterol, 14(38), pp.5916~5919 (2008)
- Rabe FE, "Efficacy study of small-bowel examination", Radiology, 140(1), pp.47~50 (1981)
- Gong F, "Wireless endoscopy", astrointest Endosc, 51(6), pp.725~729 (2000)
- Costamangna G, "A prospective trial comparing small bowel radiographs and video capsule endoscopy for suspected small bowel disease", Gastroenterology, 123(4), pp.999~1005 (2002)
- Hartmann D, "Capsule endoscopy versus push enteroscopy in patients with occult gastrointestinal bleeding", Z Gastroenterol, 41(5), pp.377~382 (2003)