Suzuki Kensuke, Kikuchi Daisuke, Yamashita Satoshi
Department of Gastroenterology Toranomon Hospital Branch Kanagawa Japan.
Department of Gastroenterology Toranomon Hospital Tokyo Japan.
DEN Open. 2024 Oct 29;5(1):e70032. doi: 10.1002/deo2.70032. eCollection 2025 Apr.
In recent years, cases of diverticular bleeding have become more common. Although identifying the bleeding diverticulum is difficult, it is even more difficult to identify the exposed blood vessels in the bleeding diverticulum. We experienced a case in which we succeeded in directly observing the exposed blood vessels of a sigmoid colon diverticulum using the ultrathin endoscope. The patient was a 71-year-old man who experienced rebleeding after hemostasis in the sigmoid colon by endoscopic band ligation. In the case of diverticular bleeding in the sigmoid colon, we showed that identifying exposed blood vessels by observing the diverticulum under direct vision using the ultrathin endoscope may be useful for hemostasis.
近年来，憩室出血的病例变得更加常见。尽管识别出血的憩室很困难，但识别出血憩室内暴露的血管则更加困难。我们遇到了一例使用超薄内镜成功直接观察到乙状结肠憩室暴露血管的病例。该患者是一名71岁男性，在乙状结肠经内镜套扎止血后再次出血。对于乙状结肠憩室出血的情况，我们表明使用超薄内镜在直视下观察憩室来识别暴露的血管可能有助于止血。
