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KMID : 0931320150150010049
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대한상부위장관.헬리코박터학회지
2015 Volume.15 No. 1 p.49 ~ p.52
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A Case of Successful Endoscopic Submucosal Dissection of Gastric Adenoma in a Patient with Congenital Factor VII Deficiency
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김성훈:Kim Seong-Hoon
최상현:Choi Sang-Hyun/이정욱:Lee Jeong-Wook/신원재:Shin Won-Jae/방창석:Bang Chang-Seok/백광호:Baik Gwang-Ho
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Abstract
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Congenital factor VII deficiency is a rare hemorrhagic disorder, and invasive procedures are likely to cause excessive bleeding in these patients. Endoscopic submucosal dissection (ESD) has been accepted as a curative treatment modality for gastric adenoma, early gastric cancer (EGC) and any other mucosal and submucosal tumors. The most important complications of ESD are bleeding and perforation. The use of antiplatelet agents or coagulopathies are risk factors for these complications. There are only few reports of successful ESD with coagulation disorders. We report a case of a 70-year-old female patient who was diagnosed with a gastric adenoma and factor VII deficiency. The patient was successfully treated with ESD. Before ESD, recombinant Coagulation factor VIIa was injected, and the procedure was performed successfully without any complications. In conclusion, ESD can be performed successfully in patients with factor VII deficiency, when recombinant human factor VIIa is administered properly
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KEYWORD
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Factor VII deficiency, Endoscopy, Stomach neoplasms
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