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KMID : 0816120030060020183
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Korean Journal of Pediatric Gastroenterolology and Nutrition
2003 Volume.6 No. 2 p.183 ~ p.186
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Prolapse Gastropathy Presenting with Hematemesis in a 3-year-old Child
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Cho Jin-Seong
Ryoo Eell
Lee Keun
Kim Jae-Kwang
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Abstract
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Prolapse gastropathy is not uncommon in adult, but is not reported yet in previously healthy children. A 3-vear-old child came to our emergency room after a I -day history of emesis episodes with coffee-round hematemesis. During the endoscopic procedure, and the process of retching and vomiting was observed and a tense knuckle of -astric mucosa was seen to be forcefully and repeated prolapsed into the distal esopha-cal tnucosa, and mucosal hematoma was found in the gastric fundus. Upper gastrointestinal study revealed no abnormality and 24 hour pH monitoring revealed no pathologic gastrocsopha-cal retlux. Retching, is thought to cause the forceful prolapse and induce subsequent trauma of gastric mucosa. This case illustrates that the episodes of vi"orous rctchin" and resultant gastric mucosa are now considered to be the cause of the licnrttemesis and epigastric pain in children.
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KEYWORD
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Hematemesis, Prolapse, Gastropathy
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