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KMID : 0359020090380020111
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Korean Journal of Gastrointestinal Endoscopy
2009 Volume.38 No. 2 p.111 ~ p.115
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A Case of Delayed Massive Hemorrhage after Endoscopic Resecting a Rectal Carcinoid Tumor
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Kim So-Mi
Yun Se-Young
Choi Hoon
Kong Jae-Hwan
La Sung-Soo
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Abstract
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Endoscopic resection is currently accepted as a standard therapy for colon polyp because of its safety and efficiency. The indications for endoscopic resection have been expanded to treat mucosal colon cancer and submucosal tumor. The major complications of endoscopic resection are hemorrhage, perforation and postpolypectomy coagulation syndrome. Hemorrhage is the most common complication, and this can occur immediately following colonoscopic polypectomy or it can be delayed after completion of the procedure. Delayed hemorrhage usually occurs within 7 days and this can stop by itself or the hemorrhage can be controlled endoscopically in the majority of patients, with only the unusual and serious cases requiring transfusion, angiography and surgery. We experienced a case of delayed massive hemorrhage with hypotension that required transfusion 12 days after performing endoscopic resection for rectal carcinoid tumor. We report here on this case to provide a good example and to place emphasis on delayed massive hemorrhage after endoscopic resection.
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KEYWORD
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Endoscopic resection, Colonoscopic polypectomy, Delayed hemorrhage, Massive hemorrhage
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