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KMID : 0614619950270050588
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Korean Journal of Gastroenterology
1995 Volume.27 No. 5 p.588 ~ p.594
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A Case of Jejunal Angiodysplasia
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김경영
김나영/전호춘/차성은/김기영/이계희/양대현/박경주/최신은
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Abstract
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Angiodysplasia, an important vascular lesion of the gut, defined by the presence of ectasia of normal preexisting intestinal submucosal veins and overlying mucosal capillaries, is a source of major morbidity from bleeding. With the development of
diagnostic angiography, angiodysplasia of the bowel has been recognized as a frequent cause of significant intestinal bleeding, particularly in elderly patients. Its cause is unknown but considered mostly to be acquired as a result of a
degenerative
process associated with aging. We experienced one case of jejunal angiodysplasia in a 64-year old man, diagnosed by angiography, and selective jejunal resection was conducted with the aid of intraoperative mesenteric arterial methylene blue
injection,
administered via a catheter superselectively positioned in the appropriate jejunal arterial branch prior to operation. This patient has been followed up for 6 months without rebleeding. (Korean J Gastroenterol 1995; 27: 588-594)
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