재발성 급성출혈을 보인대장 게실 1예

• Published in: Taehan Sohwagi Naesigyŏng Hakhoe chi Vol. 22; no. 1; pp. 50 - 52
• Main Authors: 안병재, Byoung Jae Ahn, 김도훈, Do Hoon Kim, 김태오, Tae Oh Kim, 이성훈, Sung Hun Lee, 류수형, Soo Hyung Ryu, 강대환, Dae Hwan Kang, 송근암, Geon Am Song, 양웅석, Ung Suk Yang
• Format: Journal Article
• Language: Korean
• Published: 대한소화기내시경학회 01.01.2001
• Subjects: Clip; Colon; Diverticulum; Endoscopy; Hemorrhage
• ISSN: 1225-7001

Colonic diverticulum is uncommon disease of gastrointestinal diverticulum, but as many as 20% of patients with colonic diverticula suffer at least one episode of bleeding in their lifetimes. Herein, we report a case of hemostasis by capping recurrent bleeding diverticulum of the colon with clips. A 36-year-old man presented recurrent hematochezia. Emergent colonoscopy was performed and showed bleeding diverticulum. Although hypertonic saline with epinephrine was injected, there was still oozing on diverticulum, and so hemostasis by hemoclip was performed. After that procedure, there have been no bleeding episode. Although further cases will be required to prove the usefulness of the technique, this endoscopic treatment is recommended in colonic diverticulum of a small amount of bleeding or post-treatment bleeding, (Korean J Gastrointest Endosc 2001;22:50 - 52)