아르곤 플라즈마 소작응고술로 치료한 방사선 치료에 의한 출혈성 위염 1예
A Case of Argon Plasma Coagulation Therapy for Hemorrhagic Radiation-induced Gastritis
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초록
방사선치료에 의한 출혈성 위염은 드물지만 복부 방사선치료의 심각한 합병증 중 하나로, 현재까지 제시된 치료 방법들로 간단하고 효과적으로 치료하기는 어려운 질환이다. 또한, 상부위장관 방사선치료의 적응증이 점점 확대되어 감에 따라서 방사선치료에 의한 출혈성 위염의 빈도가 증가할 수 있어 이에 대한 효과적 치료 방법에 대한 연구가 필요한 상황이다. 방사선치료에 의한 출혈성 위염에서 아르곤 플라즈마 응고소작술이 효과적인지에 대한 국내 보고는 아직 없다. 저자들은 바터 팽대부 암으로 췌장십이지장절제술을 받은 59세 남자에서 방사선치료에 의해 발생한 출혈성 위염을 아르곤 플라즈마 응고소작술로 성공적으로 치료하여 문헌 고찰과 함께 보고한다.
Abstract
Hemorrhagic radiation-induced gastritis is a rare but serious complication of upper gastrointestinal radiation treatment, and no simple and effective treatment method has yet been developed. Studies on effective treatment methods for achieving hemostasis in patients with hemorrhagic radiation-induced gastritis are necessary, because the new indications for upper gastrointestinal radiotherapy in the field digestive oncology can potentially lead to an increased incidence of radiation- induced gastric vasculopathy. For the first time in Korea and to the best of our knowledge, we report here on a 59-years-old male patient with hemorrhagic gastritis that was induced by external radiotherapy for ampullary adenocarcinoma. This was all well-treated using Argon plasma coagulation (APC).
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