지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 78 - 81 (4page)
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While esophagogastric varices are common manifestations of portal hypertension, variceal bleeding from the jejunum is a rare complication of liver cirrhosis. In addition, ectopic variceal bleeding occurs in the duodenum and at sites of previous bowel surgery in most cases, including of stomas. We report a case of obscure overt gastrointestinal bleeding from jejunal varices in a 55-year-old woman who had not previously undergone abdominal surgery, who had liver cirrhosis induced by the hepatitis C virus. Emergency endoscopy revealed the presence of esophageal varices without stigmata of recent bleeding, and no bleeding focus was found at colonoscopy. She continued to produce recurrent melena with hematochezia and received up to 21 units of packed red blood cells. CT angiography revealed the presence of jejunal varices, but no active bleeding was found. Capsule endoscopy revealed fresh blood in the jejunum. The patient submitted to embolization of the jejunal varices via the portal vein, after which she had a stable hemoglobin level and no recurrence of the melena. This is a case of variceal bleeding from the jejunum in a liver cirrhosis patient without a prior history of abdominal surgery. (Clin Mol Hepatol 2013;19:78-81)
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참고문헌 (14)
참고문헌 신청
Almadi MA / 2011 / Ectopic varices / Gastrointest Endosc 74 : 380 ~ 388
Bykov S / 2005 / Massive bleeding from jejunal varices in a patient with thalassemia major detected by TC-99m red blood cell scintigraphy / Clin Nucl Med 30 : 457 ~ 459
De Palma GD / 2005 / Mucosal abnormalities of the small bowel in patients with cirrhosis and portal hypertension: a capsule endoscopy study / Gastrointest Endosc 62 : 529 ~ 5
Deshpande A / 2008 / Bleeding isolated jejunal varices without portal hypertension / ANZ J Surg 78 : 814 ~ 815
Getzlaff S / 2001 / Enteroscopic cyanoacrylate sclerotherapy of jejunal and gallbladder varices in a patient with portal hypertension / Endoscopy 33 : 462 ~ 464
Bykov S / 2005 / Massive bleeding from jejunal varices in a patient with thalassemia major detected by TC-99m red blood cell scintigraphy / Clin Nucl Med 30 : 457 ~ 459
De Palma GD / 2005 / Mucosal abnormalities of the small bowel in patients with cirrhosis and portal hypertension: a capsule endoscopy study / Gastrointest Endosc 62 : 529 ~ 5
Deshpande A / 2008 / Bleeding isolated jejunal varices without portal hypertension / ANZ J Surg 78 : 814 ~ 815
Getzlaff S / 2001 / Enteroscopic cyanoacrylate sclerotherapy of jejunal and gallbladder varices in a patient with portal hypertension / Endoscopy 33 : 462 ~ 464
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