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KMID : 0356720110270060329
Journal of the Korean Society of Coloproctology
2011 Volume.27 No. 6 p.329 ~ p.332
A Case of Successful Colonoscopic Treatment of Acute Appendiceal Bleeding by Endoclips
Chung Il-Hyung

Kim Kwang-Hyun
Abstract
Lower gastrointestinal bleeding is a common disease among elderly patients. The common sources of lower gastrointestinal bleeding include vascular disease, Crohn¡¯s disease, neoplasm, inflammatory bowel disease, hemorrhoid, and ischemic colitis. However, bleeding from the appendix has been reported very rarely in patients with lower gastrointestinal tract bleeding. In general, after a colonoscopic diagnosis of appendiceal bleeding, a laparoscopic or surgical appendectomy would be recommended. We report a case of successful colonoscopic treatment of appendiceal bleeding without complications by endoclips. This report suggests that colonoscopic clipping is a safe and effective means to treat bleeding from appendiceal lesions. Further study is needed to evaluate procedure-related complications and to confirm the procedure¡¯s safety and efficacy.
KEYWORD
Appendix, Bleeding, Colonoscopy, Clip
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