이중풍선 소장내시경으로 진단하고 대장내시경을 이용하여 Hemoclipping으로 지혈한 근위부 공장의 게실 출혈 |
장현주·변현우·최민호·김근숙·은창수·계세협·이 진 |
한림대학교 의과대학 내과학교실 |
A Case of Proximal Jejunal Diverticular Bleeding Diagnosed by Double Balloon Enteroscopy and Treated by Colonoscopic Hemoclipping |
Hyun Joo Jang, M.D., Hyun Woo Byun, M.D., Min Ho Choi, M.D., Guen Sook Kim, M.D., Chang Soo Eun, M.D., Sea Hyub Kae, M.D. and Jin Lee, M.D. |
Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea |
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Abstract |
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Although the development of wireless capsule endoscopy made it possible to visualize the entire small bowel endoscopically, capsule endoscopy has some limitations such as the impossibility of taking biopsies and carrying out therapeutic interventions. The new double-balloon method of enteroscopy has advantages over capsule endoscopy or push enteroscopy. This method is possible to take biopsies and perform therapeutic procedures such as thermal coagulation, injection, or polypectomy. It is also possible to visualize entire small bowel through oral and anal approach and improve endoscopic image by rinsing and air insufflation. We herein report a case of proximal jejunal diverticular bleeding diagnosed by double-balloon enteroscopy. (Korean J Gastrointest Endosc 2005;30:273276) |
Key Words:
Double balloon enteroscopy, Jejunal diverticular bleeding |
주요어:
이중풍선 소장내시경, 공장 게실, 출혈 |
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