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KMID : 0359920110300020201
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Korean Journal of Nephrology
2011 Volume.30 No. 2 p.201 ~ p.205
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Acute Extensive Ischemic Gastroduodenitis in a Patient with End Stage Renal Disease: A Case Report
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Bae Jae-Seok
Song Hyun-Joo
Jang Eun-Hee
Kim Bong-Soo
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Abstract
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Acute extensive ischemic gastroduodenitis is a very rare disease because the stomach and duodenum normally have enough blood supply to the upper gastrointestinal (GI) tract and the submucosal vascular plexus. The major causes of upper GI hemorrhage in end stage renal disease (ESRD) patients include erosive gastritis, erosive esophagitis, esophageal ulcer and peptic ulcer. Ischemic gastritis and duodenitis have been reported to be rare as a cause of upper GI bleeding in ESRD patients. We report a case of acute extensive ischemic gastroduodenitis caused by septic shock with severe mesenteric calcification in a patient with ESRD undergoing maintenance hemodialysis.
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KEYWORD
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Ischemia, Gastritis, Duodenitis, Atherosclerosis, Chronic kidney failure
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