| 십이지장 궤양 출혈로 내원한 환아에서 내시경적 Hemoclip요법으로 치료한 1예 |
| 심건호·조영석·임철현·고윤석·송준창·박종현·김성수·채현석·최명규·이창돈·최규용·정인식·김진택* |
| 가톨릭대학교 의과대학 내과학교실, *소아과학교실 |
| A Case of Successful Treatment of a Bleeding Duodenal Ulcer with Endoscopic Hemoclipping in a Child |
| Kon Ho Shim, M.D., Young Seok Cho, M.D., Chul Hyun Lim, M.D., Yoon Seok Koh, M.D.,Jun Chang Song, M.D., Jong Hyun Park, M.D., Sung Soo Kim, M.D., Hiun Suk Chae, M.D.,Myung Gyu Choi, M.D., Chang Don Lee, M.D., Kyu Yong Choi, M.D.,In Sik Chung, M.D. and Jin |
| Departments of Internal Medicine and *Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea |
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| Abstract |
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Upper gastrointestinal bleeding in infant and children is much less common than that in adults. Upper gastrointestinal bleeding in infants and young children is most often acssociated with stress ulcer or erosions, but in older children it may also be caused by duodenal ulcer, esophagitis, and esophageal varices. Because the total blood volume of a child is relatively small and can deplete rapidly, gastrointestinal bleeding is a catastrophic event. However, it is not associated with significant mortality except in those with a severe primary illness. Data on therapeutic endoscopy for pediatric gastrointestinal bleeding are limited to case reports. The hemoclip has recently been added to armamentaria of endoscopic devices. This method has several advantages, including fewer complication and the fact that less expertise is needed to achieve permanent hemostasis. We report a case of successful endoscopic control of a bleeding duodenal ulcer using with a hemoclip in a 22-month-old boy. Endoscopic hemoclipping would be a safe and efficacious treatment for control of bleeding from peptic ulcers in children. (Korean J Gastrointest Endosc 2004;29:8084) |
| Key Words:
Children, Bleeding duodenal ulcer, Hemoclip |
| 주요어:
소아, 십이지장 궤양 출혈, Hemoclip |
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