A case of ischemic gastric necrosis after submucosal epinephrine injection.
- Author:
Tae Hee LEE
1
;
Joon Seong LEE
;
Keun Hyok CHO
;
Sung Han KIM
;
Jin Oh KIM
;
Joo Young CHO
;
Chan Sup SHIM
Author Information
1. Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University Medical College, Seoul, Korea. drjslee@dreamwiz.com
- Publication Type:Case Report
- Keywords:
Epinephrine;
Ischemia;
Injection;
Necrosis;
Stomach
- MeSH:
Angina Pectoris;
Antihypertensive Agents;
Aspirin;
Diabetes Mellitus;
Epinephrine;
Female;
Hemorrhage;
Humans;
Hypertension;
Ischemia;
Necrosis;
Risk Factors;
Stomach
- From:Korean Journal of Medicine
2009;77(4):488-492
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Ischemic gastric necrosis is rare because of the abundant anastomotic supply to the stomach, and it is usually associated with surgery and disruption of the major vessels. Although the injection of epinephrine is safe and effective for non.variceal bleeding, it may cause tissue necrosis. Six cases of ischemic gastric necrosis after submucosal epinephrine injection have been reported. We describe a case of ischemic gastric necrosis after submucosal epinephrine injection in a 61.year.old woman with hypertension and angina pectoris treated with antihypertensives and aspirin. We should exercise caution when injecting epinephrine submucosally in a patient with atherosclerotic risk factors such as old age, hypertension, diabetes mellitus, or angina pectoris due to a possible risk of ischemic gastric necrosis.
