J Korean Geriatr Soc.
2008 Sep;12(3):165-170.
A Case of Massive Duodenal Diverticular Bleeding Treated with Endoscopic Hemostasis
- Affiliations
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- 1Department of Internal Medicine, Seoul Medical Center, Seoul, Korea. jangeon12@naver.com
Abstract
- Duodenal diverticulum is commonly found at 2nd portion of duodenum undergoing duodenal procedure. It is generally asymptomatic and not harmful. But occasionally it causes massive upper gastrointestinal bleeding. Bleeding from duodenal diverticulum is very difficult to diagnose and manage since vision of the lesion by conventional direct endoscope is limited. Recently, emphasis has been placed on aggressive and careful endos- copic diagnosis and hemostasis with hemoclip or local injection. We report a case of massive duodenal diverti- cular bleeding on a senile patient which was treated successfully by endoscopic hemoclip therapy.
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