이중풍선 소장내시경술로 치료한 공장의 Dieulafoy 병변 1예
A Case of Dieulafoy's Lesion in the Jejunum Treated by Double Balloon Enteroscopy
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참고문헌
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초록
Dieulafoy 병변은 대량의 위장관 출혈을 유발하는 비교적 드문 질환으로 위장관의 어느 곳에서나 발생할 수 있다. 대부분의 병변은 위에서 발생하며 소장의 Dieulafoy 병변은 매우 드물다. 저자들은 갑자기 발생한 흑색변을 주소로 내원한 환자에서 이중풍선 소장내시경술로 원위부 공장의 Dieulafoy 병변을 진단하고 국소주입법으로 치료한 증례를 경험하였기에 보고한다.
Abstract
Dieulafoy's lesion is an unusual cause of gastrointestinal hemorrhage that results from the erosion of an abnormally large submucosal artery. In most cases, the lesion is encountered in the proximal stomach within 6 cm of the gastroesophageal junction. However, similar lesions have been reported in the antrum, duodenum, colon, and rectum. In particular, jejunal Dieulafoy's lesion is extremely rare. We report a case of jejunal Dieulafoy's lesion with recurrent and massive bleeding, which was diagnosed and treated with the double-balloon enteroscopy. (Korean J Gastrointest Endosc 2006;32:392-396)
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