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KMID : 0828520080120030165
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Journal of the Korean Geriatrics Society
2008 Volume.12 No. 3 p.165 ~ p.170
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A Case of Massive Duodenal Diverticular Bleeding Treated with Endoscopic Hemostasis
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Kim Jang-Eon
Choi Jin-Ho
Kwon Kyu-Heum
Oh Ji-Min
Hong Suk-Ho
Lee Sang-Hyuk
Lee Jae-Myeong
Kim Bong-Roung
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Abstract
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Duodenal diverticulum is commonly found at 2nd portion of duodenum undergoing duodenal procedure. It is generally asymptomatic and not harmful. But occasionally it causes massive upper gastrointestinal bleeding. Bleeding from duodenal diverticulum is very difficult to diagnose and manage since vision of the lesion by conventional direct endoscope is limited. Recently, emphasis has been placed on aggressive and careful endos- copic diagnosis and hemostasis with hemoclip or local injection. We report a case of massive duodenal diverti- cular bleeding on a senile patient which was treated successfully by endoscopic hemoclip therapy.
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KEYWORD
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Duodenal Diseases, Diverticulum, Gastrointestinal Hemorrhage
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