| 박리성 올가미(Detachable Snare)와 금속 클립(Hemoclip) 결찰로 치료된 내시경적 점막절제술에 의한 위천공 1예 |
| 이동원·안성규·이선미·이성훈·김태오·허 정·김광하·강대환·송근암·조 몽·박도윤* |
| 부산대학교 의과대학 내과학교실, *해부병리과 |
| A Case of Gastric Perforation due to Endoscopic Mucosal Resection Managed by Detachable Snare and Hemoclips |
| Dong Won Lee, M.D., Sung Gyu An, M.D., Sun Mi Lee, M.D., Seong Hun Lee, M.D., Tae Oh Kim, M.D., Jeong Heo, M.D., Gwang Ha Kim, M.D., Dae Hwan Kang, M.D., Geun Am Song, M.D., Mong Cho, M.D. and Do Youn Park, M.D.* |
| Departments of Internal Medicine and *Pathology, Pusan National University College of Medicine, Busan, Korea |
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| Abstract |
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The detachable snare, by Pontecorvo and Pesce in 1986, was designed for the prevention of bleeding after endoscopic mucosal resection (EMR) of a polyp. It has been used widely for the ligation of large gastric or duodenal variceal bleeding, and even for the resection of a colon polyp. But detachable snare has been rarely used in the treatment of gastric perforation after the EMR. Herein, we report a successful case of detachable snare application in the treatment of gastric perforation caused by EMR in a patient with gastric adenoma measuring 1.6⁓1.6 cm in size, along with the review of relevant literatures. (Korean J Gastrointest Endosc 2005;30:199203) |
| Key Words:
Detachable snare, Gastric perforation,
Endoscopic mucosal resection (EMR) |
| 주요어:
박리성 올가미, 내시경적 점막절제술, 위천공 |
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