Chung Won Gil, Kim Hong Joo, Kim Seok, Choi Young Ghil, Seok Hyo Seon, Lee Do Young, Park Jung Ho, Kim Seong Gwun
Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University College of Medicine, Seoul, Korea.
Korean J Gastroenterol. 2007 Oct;50(4):260-4.
Jejunal diverticula is a rare disease and an unusual cause of obscure gastrointestinal hemorrhage. Obscure gasterointestinal bleeding is difficult to treat because the bleeding site cannot be identified by routine endoscopy and contrast studies. A wireless capsule endoscopy is not invasive and can visualize the entire small bowel. However, this method has limitations of incapability of taking biopsies and performing endoscopic interventions such as polypectomy or stent insertion. The double-balloon enteroscopy is being used frequently for the diagnosis and management of various small bowel diseases. We report a case of proximal jejunal diverticular bleeding diagnosed by double-balloon enteroscopy and treated with angiographic embolization.
空肠憩室是一种罕见疾病，也是不明原因胃肠道出血的不常见病因。不明原因胃肠道出血难以治疗，因为常规内镜检查和造影检查无法确定出血部位。无线胶囊内镜检查是非侵入性的，能够观察整个小肠。然而，这种方法存在局限性，即无法进行活检以及实施诸如息肉切除术或支架置入术等内镜干预措施。双气囊小肠镜检查正越来越频繁地用于各种小肠疾病的诊断和治疗。我们报告一例经双气囊小肠镜检查诊断为近端空肠憩室出血并接受血管造影栓塞治疗的病例。
