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이중풍선 소장내시경으로 진단한 공장 게실 출혈: 증례 보고와 문헌 고찰
정원길 ( Won Gil Chung ),김홍주 ( Hong Joo Kim ),김석 ( Seok Kim ),최영길 ( Young Ghil Choi ),석효선 ( Hyo Seon Seok ),이도영 ( Do Young Lee ),박정호 ( Jung Ho Park ),김승권 ( Seong Gwun Kim ) 대한소화기학회 2007 대한소화기학회지 Vol.50 No.4
Jejunal diverticula is a rare disease and an unusual cause of obscure gastrointestinal hemorrhage. Obscure gastrointestinal 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. (Korean J Gastroenterol 2007;50:260-264)