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A Case of Lower GI Bleeding from Portal Hypertensive Colopathy Successfully Treated with Octreotide Administration and Endoscopic Hemoclipping / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy ; : 97-101, 2004.
Artículo en Coreano | WPRIM | ID: wpr-213924
ABSTRACT
Cirrhotic patients with portal hypertension are often found to have changes in their colonic mucosa. Such mucosal changes are termed portal hypertensive colopathy. Most patients with portal hypertension remained asymptomatic but some may show massive bleeding. The mainstay of treatment for portal hypertensive gastropathy include non-surgical methods such as octreotide injection, endoscopic hemostasis, and interventional methods such as TIPS. However, treatment for portal hypertensive colopathy remained unresolved. The authors here report a case of a 41 year old male with liver cirrhosis admitted for fever and abdominal pain, who reported an episode of hematochezia in the course of admisssion period. Subsequent colonoscopy revealed angiodysplasia-like lesions throughout the entire colon. We observed that such lesions were the source of hematochezia and that direct clipping with octreotide injection was successful in controlling the bleeding.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Octreótido / Dolor Abdominal / Colonoscopía / Hemostasis Endoscópica / Colon / Fiebre / Hemorragia / Hemorragia Gastrointestinal / Hipertensión Portal / Cirrosis Hepática Límite: Adulto / Humanos / Masculino Idioma: Coreano Revista: Korean Journal of Gastrointestinal Endoscopy Año: 2004 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Octreótido / Dolor Abdominal / Colonoscopía / Hemostasis Endoscópica / Colon / Fiebre / Hemorragia / Hemorragia Gastrointestinal / Hipertensión Portal / Cirrosis Hepática Límite: Adulto / Humanos / Masculino Idioma: Coreano Revista: Korean Journal of Gastrointestinal Endoscopy Año: 2004 Tipo del documento: Artículo