Korean Journal of Gastrointestinal Endoscopy 2009;38(4): 218-223.
노출 혈관을 가진 위궤양 출혈에서 히스토아크릴(N-Butyl-2-Cyanoacrylate)을 이용하여 내시경적 지혈을 실시한 3예
성용완ㆍ노지훈ㆍ조영화ㆍ구동영ㆍ유재훈ㆍ윤준모ㆍ김성훈ㆍ신영민
동의의료원 내과
Three Cases of Endoscopic Hemostasis of Gastric Ulcer Bleeding from an Exposed Blood Vessel with Using Histoacryl (N-Butyl-2-Cyanoacrylate)
Yong Wan Sung, M.D., Ji Hun Roh, M.D., Young Hwa Jo, M.D., Dong Young Gu, M.D., Jae Hoon Yoo, M.D., Jun Mo Youn, M.D., Sung Hoon Kim, M.D. and Young Min Shin, M.D.
Department of Internal Medicine, Dongeui Medical Center, Busan, Korea
Abstract
Upper gastrointestinal bleeding is a primary and emergency complication of peptic ulcer. Injection of Histoacryl (N-butyl-2-cyanoacrylate) is an effective endoscopic hemostasis procedure to treat peptic ulcer bleeding. However, Histoacryl injection is not a widely used method because of its various and sometimes severe complications. Therefore, the use of Histocaryl should be considered as a second line treatment modality to achieve therapeutic endoscopic hemostasis when the conventional treatment modalities fail or the patient has a high risk of needing operative therapy. Three patients, who had gastric ulcer bleeding from an exposed blood vessel, were each treated by an injection of Histoacryl diluted with Lipiodol at a dilution ratio of 1：1. All 3 procedures were successfully accomplished without any complications. (Korean J Gastrointest Endosc 2009;38:218-223)
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