Jejunal Variceal Bleeding Successfully Treated with Percutaneous Coil Embolization

Journal of Korean Medical Science 2012년 27권 3호 p.321 ~ p.324

구소미(Koo So-My) - Soonchunhyang University Hospital Department of Gastroenterology Institute for Digestive Research and Digestive Disease Center
정승원(Jeong Soung-Won) - Soonchunhyang University Hospital Digestive Disease Center Institute for Digestive Research
장재영(Jang Jae-Young) - Soonchunhyang University Hospital Digestive Disease Center Institute for Digestive Research
이태희(Lee Tae-Hee) - Soonchunhyang University Hospital Digestive Disease Center Institute for Digestive Research
전성란(Jeon Seong-Ran) - Soonchunhyang University Hospital Institute for Digestive Research
김현건(Kim Hyun-Gun) - Soonchunhyang University Hospital Institute for Digestive Research
김진오(Kim Jin-Oh) - Soonchunhyang University Hospital Institute for Digestive Research
김용재(Kim Yong-Jae) - Soonchunhyang University Hospital Department of Radiology

Abstract

A 52-yr-old male with alcoholic liver cirrhosis was hospitalized for hematochezia. He had undergone small-bowel resection due to trauma 15 yr previously. Esophagogastroduodenoscopy showed grade 1 esophageal varices without bleeding. No bleeding lesion was seen on colonoscopy, but capsule endoscopy showed suspicious bleeding from angiodysplasia in the small bowel. After 2 weeks of conservative treatment, the hematochezia stopped. However, 1 week later, the patient was re-admitted with hematochezia and a hemoglobin level of 5.5 g/dL. Capsule endoscopy was performed again and showed active bleeding in the mid-jejunum. Abdominal computed tomography revealed a varix in the jejunal branch of the superior mesenteric vein. A direct portogram performed via the transhepatic route showed portosystemic collaterals at the distal jejunum. The patient underwent coil embolization of the superior mesenteric vein just above the portosystemic collaterals and was subsequently discharged without re-bleeding. At 8 months after discharge, his condition has remained stable, without further bleeding episodes.

키워드

Hematochezia, Capsule Endoscopy, Abdominal Computed Tomography, Jejunal Varices, Embolization
원문 및 링크아웃 정보
등재저널 정보
SCI(E) MEDLINE 학술진흥재단(KCI) KoreaMed 대한의학회 회원 
주제코드
주제명(Target field)
연구대상(Population)
연구참여(Sample size)
대상성별(Gender)
질병특성(Condition Category)
연구환경(Setting)
연구설계(Study Design)
연구기간(Period)
중재방법(Intervention Type)
중재명칭(Intervention Name)
키워드(Keyword)
유효성결과(Recomendation)
Capsule endoscopy was performed and showed active bleeding in the mid-jejunum.
연구비지원(Fund Source)
근거수준평가(Evidence Hierarchy)
출판년도(Year)
참여저자수(Authors)
대표저자
KCD코드
ICD 03
건강보험코드