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소아의 Dieulafoy병 치험 1례

Other Titles
 A Case of Dieulafoy's Disease in a Child 
Authors
 이의성  ;  오창희  ;  김제우  ;  정기섭  ;  한석주 
Citation
 Korean Journal of Pediatric Gastroenterology and Nutrition (대한소아소화기영양학회지), Vol.2(1) : 80-83, 1999 
Journal Title
Korean Journal of Pediatric Gastroenterology and Nutrition(대한소아소화기영양학회지)
ISSN
 1229-0114 
Issue Date
1999
Keywords
dieulafoy병 ; 상부위점막 ; 혈관기형 ; Dieulafoy's disease ; Upper gastrointestinal bleeding ; Endoscopy ; Child
Abstract
Dieulafoy's disease, a vascular anomaly mainly in the upper stomach, is a rare but potentially life-threatening cause of upper gastrointestinal bleeding. Pathogenesis is still controversial, but the most accepted theory is that a persistent caliber vessel in the submucosa is exposed by a small mucosal erosion leading to massive bleeding. The bleeding site is usually within 6 cm of the esophagogastric junction in the cardia or fundus of the stomach. The treatment of choice is therapeutic endoscopy or surgery. The age of patients reported is mainly between 50 and 70 years, and patients of pediatric age are extremely rare. We are reporting a 5-year-old male patient who had Dieulafoy's disease which was diagnosed by emergency upper gastrointestinal endoscopy. Endoscopic finding was a nodular lesion with an adherent clot on the lessor curvature of the stomach 2 cm below the esophagogastric junction. Epinephrine and $Beriplast^®$ was injected in the lesion. On the second day after endoscopic sclerotherapy, the patient had recurred massive hematemesis and accompanying shock. So we performed gastrotomy and ligation. After the operation, he showed an improved general condition and was discharged at the 12th hospital day.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Han, Seok Joo(한석주) ORCID logo https://orcid.org/0000-0001-5224-1437
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/174002
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