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KMID : 0614620160670030146
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Korean Journal of Gastroenterology
2016 Volume.67 No. 3 p.146 ~ p.149
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Successful Management of Periampullary Diverticular Bleeding with Hemoclipping Using Side-viewing Endoscope during Endoscopic Retrograde Cholangiopancreatography
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박보근:Park Bo-Geun
유영욱:Yoo Young-Wook/송준철:Song Joon-Cheol/감성희:Gam Sung-Hee/김미성:Kim Mi-Sung/고병성:Ko Byeong-Seong
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Abstract
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Periampullary diverticulum is commonly found during endoscopy and can occur at any age although its prevalence increases with age. Periampullary diverticular bleeding is a rare and difficult to diagnose during clinical practice because of its unique appearance and location. This often can lead to massive bleeding and interfere with adequate bleeding control. Endoscopic management on duodenal diverticular bleeding is limited compared to colonic diverticular bleeding due to lack of experience. Herein, we report a case of active bleeding from a periampullary diverticulum during bile duct stone extraction diagnosed by side-viewing endoscope and successfully controlled using hemoclips without any complications.
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KEYWORD
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Bleeding, Periampullary diverticulum, Hemoclip, Duodenoscope
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