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KMID : 0359920080270060747
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Korean Journal of Nephrology
2008 Volume.27 No. 6 p.747 ~ p.752
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A Case of Small Bowel Bleeding Treated by Single Balloon Enteroscopy in a Patient on Maintenance Hemodialysis
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Kim Jeong-Yup
Wang Joon-Kwang
Kim Mi-Na
Kim Sun-Chul
Kim Hye-Won
Lee Young-Mo
Kwon Young-Joo
Pyo Heui-Jung
Park Ja-In
Oh Joo-Yeon
Lee Beom-Jae
Park Jong-Jae
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Abstract
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Anemia is a common complication of hemodialysis. It reduces the quality of life and is recognized as adverse risk factor. The cause of anemia in CKD (chronic kidney disease) include lack of erythropoietin, gastrointestinal (GI) bleeding, hypothyroidism, hidden infection, and blood loss in hemodialysis. GI bleeding is not unusual complication in patient on maintenance hemodialysis, caused by uremia, medicine (NSAIDS, antiplatelet agents, anticoagulants), angiodysplasia, and ulcer. In CKD patients, GI bleeding is found in various sites over the whole bowel. Small bowel bleeding is one of the most common causes of obscure GI bleeding and constitutes 2-10% of all GI bleeding. Regarding the small
bowel bleeding, diagnosis and treatment are much improved recently with the help of wireless capsule endoscopy and double or single balloon enteroscopy. We report a case of GI bleeding due to erosion of small bowel, which was diagnosed and treated with the single-balloon enteroscopy in patients on maintenance hemodialysis.
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KEYWORD
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Gastrointestinal hemorrhage, Hemodialysi, Single balloon enterosocpy
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