KMID : 0359020070350060441
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Korean Journal of Gastrointestinal Endoscopy 2007 Volume.35 No. 6 p.441 ~ p.444
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Hemoclipped Dieulafoy`s Lesion in Giant Diverticulum in the 3rd Portion of Duodenum
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Kim Mo-Se
Yang Sung-Yoen Kim Jae-Hwan Guen Su-Gueng Kim Tae-Hee Seol Sang-Hoon Noh Eun-Ji Chai Doo-Geun Koh Jung-Hae
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Abstract
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A duodenal diverticulum is common in the second portion of the duodenum and can occur at any age. An obstruction, bleeding, perforation, diverticulitis are not an uncommon complicationa of duodenal diverticulum. As a rare complication, bleeding in the duodenal diverticulum may be massive, and duodenal diverticulum is resected primarily as a result of the difficulty in determining the site of bleeding. However, there has been a recent increase in endoscopic diagnosis and the treatment of diverticular bleeding. Band ligation increases the risk of duodenal diverticular perforation because of the thin
diverticular wall. An endoscopic hemoclip is a preferable method for endoscopic sclerotherapy. We report a 48- year-old man with a giant duodenal diverticulum that was treated with a hemoclip. The duodenal diverticular perforation was treated effectively with supportive care.
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KEYWORD
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Duodenal diverticulum, Dieulafoy`s Lesion, Hemoclip
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