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KMID : 0882420100790020148
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Korean Journal of Medicine
2010 Volume.79 No. 2 p.148 ~ p.154
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The usefulness of endoscopic hemostasis with hemoclipping in acute colonic diverticular bleeding
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Mo Eun-Young
Jung Mo-Eun
Kim Jin-Jin
Kim Soo-Jeong
Do Kyong-Rock
Kim Hyung-Keun
Kim Sung-Soo
Chae Hiun-Suk
Cho Young-Seok
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Abstract
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Background/Aims: Although colonoscopy is often used to diagnose and treat acute lower gastrointestinal bleeding, there have been few reports on outcomes of the management of colonic diverticular bleeding in Korea. This study evaluated the utility of colonoscopic hemoclipping for the control of diverticular bleeding.
Methods: We retrospectively reviewed the medical records of 13 patients with acute diverticular bleeding treated using endoclips at Uijeongbu St. Mary’s Hospital between January 2004 and December 2009.
Results: Of the 13 patients, four had an actively bleeding vessel visible at colonoscopy, while nine had a non-bleeding vessel. Hemostasis with hemoclipping was successful in all patients without procedural complications. One patient (7.7%) had early recurrent bleeding and additional colonoscopic hemoclipping was successful. During a median follow-up of 34 months, late recurrent bleeding occurred in one patient (7.7%).
Conclusions: Colonoscopic treatment of acute diverticular bleeding using endoclips is safe and effective, with high rates of immediate and long-term success.
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KEYWORD
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Colonoscopy, Diverticulum, Hemorrhage
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