이중풍선 소장내시경술로 치료한 공장의 Dieulafoy 병변 1예 |
최민호·고유상·김미정·박수희·채영제·장현주·은창수·계세협·이진 |
한림대학교 의과대학 한강성심병원 내과학교실 |
A Case of Dieulafoy's Lesion in the Jejunum Treated by Double Balloon Enteroscopy |
Min Ho Choi, M.D., You Sang Ko, M.D., Mi Jeong Kim, M.D., Su Hee Park, M.D., Yeong Je Chae, M.D., Hyun Joo Jang, M.D., Chang Soo Eun, M.D., Sea Hyub Kae, M.D. and Jin Lee, M.D. |
Department of Internal Medicine, Hangang Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea |
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Abstract |
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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;32:392396) |
Key Words:
Dieulafoy's lesion, Double balloon enteroscopy, Gastrointestinal bleeding |
주요어:
Dieulafoy 병변, 이중풍선 소장내시경술, 위장관 출혈 |
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