내시경적 결찰요법으로 치유한 Dieulafoy 궤양 2예

A dieulafoy ulcer is rarely recognized but is not an uncommon cause of massive, recurrent and frequently fatal gastrointestinal bleeding resulting from the erosion of an unusually large submucosal artery. Although the lesion has been predominantly found in the proximal stomach, it has also been dete...

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Published inTaehan Sohwagi Naesigyŏng Hakhoe chi Vol. 18; no. 2; pp. 225 - 229
Main Authors 정준성, Joon Seong Jung, 김영용, Yeong Yong Kim, 이진웅, Jin Ung Lee, 윤태용, Tae Yong Yoon, 안기석, Ki Seok Ahn, 민귀환, Kwi Hwan Min, 김기중, Ki Joong Kim, 박찬웅, Chan Woong Park, 최관수, Kwan Su Choi
Format Journal Article
LanguageKorean
Published 대한소화기내시경학회 30.04.1998
Subjects
Dieulafoy ulcer
Endoscopic ligation
Gastrointestinal hemorrhage
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Summary:A dieulafoy ulcer is rarely recognized but is not an uncommon cause of massive, recurrent and frequently fatal gastrointestinal bleeding resulting from the erosion of an unusually large submucosal artery. Although the lesion has been predominantly found in the proximal stomach, it has also been detected throughout the gastrointestinal tract. Diagnosis can be made by observation of protruding and eroded arteries with pulsatile bleeding, or through detection of an adherent thrombus using an endoscopy. In the past, surgical intervention was believed to be the best treatment, but currently, therapeutic endoscopy is more favored, due to its recent success in achieving permanent hemostasis. We experienced 2 cases of Dieulafoy's ulcer of the stomach. Endoscopic ligations using an O ring were performed successfully. (Korean J Gastrointest Endosc 18: 225-229, 1998)
Bibliography:The Korean Society of Gastrointestinal Endoscopy
ISSN:1225-7001