KMID : 0359020080360010014
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Korean Journal of Gastrointestinal Endoscopy 2008 Volume.36 No. 1 p.14 ~ p.17
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A Case of Hereditary Hemorrhagic Telangiectasia Treated by Argon Plasma Coagulation
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Jung Min-Kyu
Lee Ju-Young Lee Hyun-Chul Jeon Seong-Woo Cho Chang-Min Tak Won-Young Kweon Young-Oh
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Abstract
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Rendu-Osler-Weber disease is characterized by hereditary transmission, and by the presence of multiple telangiectases of the skin, mucous membranes, and internal organs. We present a case of Rendu-Osler-Weber disease with bleeding from gastric telangiectases that was successfully treated by endoscopy with the use of argon plasma coagulation (APC). A 65-year-old woman presented with melena. Endoscopy disclosed multiple telangiecatses in the whole stomach. APC was performed at an output of 50 W and with an argon gas flow rate of 2 L/min. Only multiple ulcers at the treated sites were seen 7 days after the procedure and fibrotic scars with contracted mucosal folds without active bleeding signs were noted 2 months later. (Korean J Gastrointest Endosc 2008;36:14-17)
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KEYWORD
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Hereditary hemorrhagic telangiectasis, Rendu- Osler-Weber disease, Argon plasma coagulation
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