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KMID : 0931320120120020112
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대한상부위장관.헬리코박터학회지
2012 Volume.12 No. 2 p.112 ~ p.115
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Gastric Submucosal Hematoma after Endoscopic Hemostasis in Patient with Dual Antiplatelet Therapy
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Kim Tae-Yun
Kim Heung-Up
Song Hyun-Joo
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Abstract
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Intramural hematoma of the gastrointestinal tract is uncommon, with the majority being localized to the esophagus or duodenum. Hematoma of the gastric wall is extremely rare and caused by coagulopathy, peptic ulcer disease or blunt trauma. Recently due to the increase in patients with antiplatelet use, liver cirrhosis, and/or end stage reanal disease, occurrence of gastric submucosal hematomas after endoscopic hemostasis can increase. This is a case of gastric submucosal hematoma which occurred in a patient taking dual antiplatelet therapy after endoscopic hemostasis for gastric peptic ulcer bleeding. We report a case of gastric submucosal hematoma which improved with medical therapy and healed naturally with an ulcer scar.
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KEYWORD
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Hematoma, Hemostasis, Endoscopic, Peptic ulcer hemorrhage, Platelet aggregation inhibitors
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