캡슐내시경으로 진단된 1형 신경섬유종증 환자의 만성 소장출혈
A Case of Chronic Recurrent Small Bowel Bleeding in Neurofibromatosis Type 1 Diagnosed by Capsule Endoscopy
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초록
소장의 질환을 종류별로 분류해보면 소장의 신생물, 염증성질환, 혈관이상, 흡수장애, 의인성질환 등 매우 다양하다. 그중에서 임상적으로 중요한 의의를 갖는 것 중의 하나가 소장의 출혈성 질환이다. 원인 불명의 위장관출혈은 전체 위장관 출혈의 약 5%를 차지하나 기존의 내시경 및 방사선학적 검사 방법으로는 진단이 어려우며, 이러한 출혈의 가장 흔한 원인은 소장의 혈관 이형성증과 종양이다. 1형 신경섬유종증에서는 소장에 다발성의 간질종양이 발생할 수 있으며 주로 소장의 전반부인 공장에 호발한다. 저자들은 제 1형 신경섬유종증 환자에서 발생한 소장의 간질종양에 의한 만성적인 위장관 출혈환자에서 통상의 내시경검사로 알 수 없었던 출혈 병소를 캡슐내시경 검사에 의해 진단하였기에 문헌고찰과 함께 보고한다.
Abstract
Small bowel diseases comprised of neoplasm, inflammatory disease, vascular abnormality, absorption dysfunction, and iatrogenic causes. Among those, vascular abnormality is perhaps the most important clinical disease entity. Obscure gastrointestinal bleeding accounts for 5% of chronic gastrointestinal bleeding, but conventional endoscopy and radiologic study may fail to diagnose the cause in certain cases. Patients with neurofibromatosis type 1 have a lot of gastrointestinal tumor, with a high incidence of small bowel involvement. We experienced a case presenting with chronic bleeding due to jejunal gastrointestinal stromal tumor diagnosed by capsule endoscopy in a seventy- two year old female patient with sporadic neurofibromatosis type 1.
참고문헌 (19)
- "Vascular disorders of the small bowel", 9, pp.71~92 (1999)
- "A prospective trial comparing small bowel radiographs and video capsule endoscopy for suspected small bowel disease", 123, pp.999~1005 (2002)
- "Clinical features of small bowel bleeding", 32 (1998)
- "A randomized trial comparing wireless capsule endoscopy with push enteroscopy for the detection of small-bowel lesions", 119, pp.1431~1438 (2000)
- "A case of undifferenciated large cell carcinoma of lung associated with neurofibromatosis", 52, pp.257~262 (1997)
- "Gastrointestinal tumors associated with von Recklinghausen's neurofibromatosis:a report of two cases", 19, pp.345~349 (1985)
- "A case of colon cancer in a patient with neurofibromatosis Type I", 40, pp.402~405 (2002)
- "A case of malignant B-cell lymphoma involving stomach in a patient with neurofibromatosis type 1", 26, pp.90~93 (2003)
- "Capsule endoscopy regional transit abnormality:a sign of underlying small bowel pathology", 58, pp.598~602 (2003)
- "Etiology and management of obscure gastrointestinal bleed:an appraisal from eastern India", 20, pp.90~93 (2001)
- "Multicenter retrospective evaluation of capsule endoscopy in clinical routine", 36, pp.864~868 (2004)
- "A case of small bowel polyp bleeding diagnosed by capsule endoscopy", 29, pp.204~208 (2004)
- "Chronic bleeding due to jejunal gastrointestinal stromal tumor diagnosed by capsule endoscopy", 28, pp.141~145 (2004)
- "A case of Henoch-Schonlein Purpura with small bowel hemorrhage diagnosed by capsule endoscopy", 28, pp.317~320 (2004)
- "A case of acute small bowel bleeding diagnosed by capsule endoscopy", 28, pp.136~140 (2004)
- "A case of NSAID induced small bowel ulcer bleeding diagnosed by capsule endoscopy", 27, pp.545~548 (2003)
- "Gastrointestinal stromal tumors:current diagnosis,biologic behavior,and management", 7, pp.705~712 (2000)
- "Clinicopathological study of the gastrointestinal stromal tumor", 37, pp.187~195 (2001)
- "Gastrointestinal stromal tumors in patients with neurofibromatosis:imaging features with clinicopathologic correlation", 183, pp.1629~1636 (2004)