Gottschalk U, Becker C, Stöhr M, Zinner T
Abteilung Innere Medizin - Gastroenterologie, Caritas-Klinik Pankow.
Z Gastroenterol. 2010 May;48(5):551-4. doi: 10.1055/s-0028-1109679. Epub 2010 Feb 5.
We report the case of an 81-year-old women with a duodenal diverticular bleeding in the second portion of the duodenum. Various therapies are used to halt haemorrhaging in this tissue, including surgical or endoscopic intervention and transarterial embolisation. The lesion was identified and treated endoscopically with hypertonic saline solution and epinephrine. Because of a fistula and a continual bleeding we use a hemoclip two days later. The bleeding was completely controlled. However, a small mucosal defect was noted at the site where the hemoclip was applied, and an operation was necessary. Finally we discuss the therapy optoins based on a review of the literature.
我们报告了一例81岁女性十二指肠憩室出血的病例，出血部位在十二指肠第二部。为止住该组织出血采用了多种治疗方法，包括手术或内镜干预以及经动脉栓塞术。通过内镜用高渗盐溶液和肾上腺素对病变进行了识别和治疗。由于存在瘘管且持续出血，两天后我们使用了止血夹。出血得到了完全控制。然而，在应用止血夹的部位发现了一个小的黏膜缺损，因此需要进行手术。最后，我们在回顾文献的基础上讨论了治疗选择。
