Korean J Gastrointest Endosc > Volume 10(2); 1990 > Article

Korean Journal of Gastrointestinal Endoscopy 1990;10(2): 377-380.

대량의 장출혈을 동반한 공장의 혈관이형성증에서 Intra - operative Endoscopic Transillumination Technique 의 임상경험 ( A Case of Angiodysplasia in the Jejunum ; Intra - operative Endoscopic Transillumination Technique )

이종서, 박일영, 김응국, 송영택, 주상용, 정인식, 최명규, 선희식, 송경섭 (Jong Seo Lee, Il Young Park, Eung Kook Kim, Young Tack Song, Sang Yong Choo, In Sik Chung, Myung Gyu Choi, Hee Sik Sun and Kyung Sup Song)

Abstract

Angiodysplsia of the small bowel is uncommon, but provably remains frequently undiagnosed. In the small intestine, angiodysplasia presents a taxing surgical problem and is uauslly diagnosed for unexplained gastrointestinal bleeding. For the surgeon, the main technical problem is that even when identified by frequently impalpable, and invisible to the naked eye unless they are actively bleeding at the time of surgery. Ensocopy is often unfruitful because the majority of lesions are submucosal and rarely exceed a few milimeters in diameter. We described a simple intraoperative endoscopic transillumination technique used successfully to identify an angiodysplasia in the jejunum prior to the small bowel resection. This report summarized our experience and review of literature.