Korean J Med.
2015 Apr;88(4):420-423. 10.3904/kjm.2015.88.4.420.
A Case of Ischemic Gastric Necrosis after Epinephrine Injection in a Patient with Anemia
- Affiliations
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- 1Department of Internal Medicine, Sungae Hospital, Seoul, Korea. tenbird94@hanmail.net
- KMID: 2269126
- DOI: http://doi.org/10.3904/kjm.2015.88.4.420
Abstract
- Endoscopic epinephrine injection is a safe and easy treatment for non-variceal gastrointestinal bleeding. It has low complication rates and is used widely. Ischemic gastric necrosis occurs rarely because of the rich vascular supply of the stomach and the vascular reserve of the intramural anastomosis. Endoscopic injection therapy, smoking, hypertension, and atherosclerosis are risk factors for gastric ischemia. There have been a few case reports of gastric ischemia after endoscopic injection therapy. We report a case of gastric ischemia after submucosal epinephrine injection in a 29-year-old woman with anemia.
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