Endoscopically Exposed Coil after Embolization for Bleeding Duodenal Ulcer / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
; : 39-42, 2005.
Article
en Ko
| WPRIM
| ID: wpr-226432
Biblioteca responsable:
WPRO
ABSTRACT
Endoscopy has been the method of choice for the initial diagnosis and treatment of gastrointestinal bleeding. However, in the case of difficult localization or endoscopic failure, angiographic or surgical alternative may be recommended. The role of angiography has been emphasized recently to control upper GI bleeding. We experienced a case with deep ulcer displaying exposed vessel along the duodenal bulb, which imposed serious rebleeding risk. Although, active bleeding was controlled by the epinephrine injections in that patient, rebleeding risk was still high. So the patient underwent emergency angiography with embolization of the pancreaticoduodenal artery and gastroduodenal artery using multiple microcoils. Follow-up endoscopic examinations showed a coil protruding into the lumen from the ulcer bed, and the exposed coil at the ulcer base was completely by the regenerated epithelium three months later. Here in, we describe the rare case of a endodcopically exposed coil after embolization for bleeding duodenal ulcer which is the first case ever reported in Korea.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Arterias
/
Úlcera
/
Angiografía
/
Epinefrina
/
Estudios de Seguimiento
/
Diagnóstico
/
Úlcera Duodenal
/
Urgencias Médicas
/
Endoscopía
/
Epitelio
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
Límite:
Humans
País/Región como asunto:
Asia
Idioma:
Ko
Revista:
Korean Journal of Gastrointestinal Endoscopy
Año:
2005
Tipo del documento:
Article