| 내시경 조직 생검 후 발생한 급성 거대 출혈성 위궤양 1예 |
| 김소리·민경훈·남상우·김현철·조용근·김인희·이수택·안득수 |
| 전북대학교 의과대학 내과학교실 |
| A Case of an Acute Huge Hemorrhagic Gastric Ulcer after an Endoscopic Mucosal Biopsy |
| So Ri Kim, M.D., Kyung Hoon Min, M.D., Sang Woo Nam, M.D., Hyun Chul Kim, M.D.,Yong Keun Cho, M.D., In Hee Kim, M.D., Soo Teik Lee, M.D. and Deuk Soo Ahn, M.D. |
| Department of Internal Medicine, Chonbuk National University College of Medicine, Jeonju, Korea |
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| Abstract |
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Although most diagnostic upper gastrointestinal endoscopic procedures are performed on an outpatient basis with relatively low risk, complications related with these procedures can occur. The reported complications are cardiopulmonary complications, drug side effects, perforation, hemorrhage and infection. Hemorrhage may occur from the site of biopsy or polyp removal. It is usually minimal and heals spontaneously with or without endoscopic treatment and rarely requires transfusion or surgery. Acute hemorrhagic ulceration associated with endoscopic mucosal biopsy is very rare. We report a case of a 46-year-old woman with an acute hemorrhagic gastric ulcer after an endoscopic mucosal biopsy. She has been receiving upper gastrointestinal endoscopic examinations annually for the gastric polyp detected 4 years ago. Endoscopic mucosal biopsy was performed without complications. Twelve hours later, she admitted to the emergency room because of melena. Emergent upper gastrointestinal endoscopy showed an acute huge hemorrhagic ulceration along the antrum. She was treated conservatively and discharged 5 days later. (Korean J Gastrointest Endosc 2005;31:111115) |
| Key Words:
Gastrointestinal endoscopy, Complication, Biopsy, Hemorrhagic ulcer |
| 주요어:
상부 위장관 내시경, 합병증, 생검, 출혈성 궤양 |
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