캡슐내시경으로 진단하고 복강경 수술로 치료한 출혈성 소장종양 1예
Hemorrhagic Small Bowel Tumor Diagnosed with Using Capsule Endoscopy and It was Treated with Laparoscopic Surgery: Report of a Case
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상부위장관 내시경 검사나 대장내시경 검사로 병소를 찾을 수 없는 원인불명의 위장관 출혈환자에서 밀기법 소장내시경, 소장조영술, 핵의학검사 등이 이용되어 왔으나 이들 검사는 소장질환 진단에 있어서 캡슐내시경에 비해 정확성이 떨어진다. 저자들은 캡슐내시경을 이용하여 원인불명의 위장관출혈병소를 진단하고 저 침습적 복강경 수술로 치료한 30세 남자 환자를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
For the patients presenting with obscure gastrointestinal bleeding, various diagnostic approaches have been tried such as push enteroscopy, technetium labeled RBC scan and enteroclysis. Capsule endoscopy is an emerging and powerful diagnostic method that enables physicians to investigate the entire small bowel. Therefore, it is useful to make a correct diagnosis of obscure gastrointestinal bleeding in cases with negative findings by endoscopy or colonoscopic examination. We experienced a case of a 30 year-old male patient who presented with obscure intestinal bleeding, and this was diagnosed with capsule endoscopy and he was treated with laparoscopic assisted small bowel resection. (Korean J Gastrointest Endosc 2006;32:53-56)
참고문헌 (14)
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