内镜下钛夹夹闭术治疗结肠Dieulafoy病变
Treatment of a colonic Dieulafoy lesion with endoscopic hemoclipping.
作者信息
Fukita Yosho
机构信息
Department of Gastroenterology, Seirei Yokohama Hospital, Yokohama, Japan.
出版信息
BMJ Case Rep. 2013 Apr 22;2013:bcr2013009734. doi: 10.1136/bcr-2013-009734.
Abstract
A 39-year-old man presented to our hospital with massive haematochezia and dizziness. A colonoscopy indicated the presence of an abnormal visible vessel with an adherent clot at the ascending colon. No mucosal abnormality surrounding the lesion was noted. The lesion was diagnosed as a Dieulafoy lesion, and was managed by application of two haemostatic clips. During the 6-month follow-up period, no recurrence of haematochezia was noted, and his haemoglobin level returned to the normal level after 6 months.
摘要
一名39岁男性因大量便血和头晕前来我院就诊。结肠镜检查显示升结肠有一条异常可见血管并附有血凝块。病变周围未发现黏膜异常。该病变被诊断为Dieulafoy病变，通过应用两个止血夹进行处理。在6个月的随访期内，未发现便血复发，6个月后他的血红蛋白水平恢复到正常水平。
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