Korean Journal of Gastrointestinal Endoscopy 2000;20(3): 203-206.
내시경적 지혈술로 치료된 십이지장게실 출혈 1예 ( A Case of Endoscopic Therapy of a Bleeding Duodenal Diverticulum )
정인섭(In Seop Jung),김은주(Eun Joo Kim),정일권(Il Kwun Chung),박상홈(Sang Heum Park),김홍수(Hong Su Kim),이문호(Moon Ho Lee),김선주(Sun Joo Kim)
Abstract
Duodenal divertula are relatively frequent findings in the adult gastrointestinal tract. The majority of them are asymptomatic, but vague gastrointestinal complaints have often been attributed to these lesions. These diverticula occasionally result in the obstruction of the biliary and pancreatic ducts, which leads to jaundice and pancreatitis. Other complications such as hemorrhage, perforation, sepsis, and death can occur. With the advent of therapeutic endoscopy, the diagnosis and primary treatment of duodenal diverticula associated with bleeding has changed dramatically since its first reported occurrence. Effectiveness of therapeutic endoscopy is very high in patients with diverticular bleeding in the medial aspect of sencond portion of the duodenum because of its high operative mortality. A cases of a patient suffering from gastrointestinal bleeding in the duodenal diverticulum who was diagnosed and managed by endoscopy alone is herein reported with review of relevant literature.
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