Korean J Gastrointest Endosc > Volume 36(1); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;36(1): 14-17.
아르곤 플라즈마 응고소작법으로 치료한 유전성 모세혈관 확장증 1예
정민규ㆍ이주영ㆍ이현철ㆍ전성우ㆍ조창민ㆍ탁원영ㆍ권영오
경북대학교 의과대학 내과학교실
A Case of Hereditary Hemorrhagic Telangiectasia Treated by Argon Plasma Coagulation
Min Kyu Jung, M.D., Ju Young Lee, M.D., Hyun Chaol Lee, M.D., Seong Woo Jeon, M.D., Chang Min Cho, M.D., Won Young Tak, M.D. and Young Oh Kweon, M.D.
Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea
Abstract
Rendu-Osler-Weber disease is characterized by hereditary transmission, and by the presence of multiple telangiectases of the skin, mucous membranes, and internal organs. We present a case of Rendu-Osler-Weber disease with bleeding from gastric telangiectases that was successfully treated by endoscopy with the use of argon plasma coagulation (APC). A 65-year-old woman presented with melena. Endoscopy disclosed multiple telangiecatses in the whole stomach. APC was performed at an output of 50 W and with an argon gas flow rate of 2 L/min. Only multiple ulcers at the treated sites were seen 7 days after the procedure and fibrotic scars with contracted mucosal folds without active bleeding signs were noted 2 months later. (Korean J Gastrointest Endosc 2008;36:14-17)
Key Words: Hereditary hemorrhagic telangiectasis, Rendu- Osler-Weber disease, Argon plasma coagulation
주요어: 유전성 모세혈관 확장증, Rendu-Osler-Weber병, 아르곤 플라즈마 응고 소작법
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