A Case of Small Bowel Bleeding Treated by Single Balloon Enteroscopy in a Patient on Maintenance Hemodialysis.
- Author:
Jeong Yup KIM
1
;
Joon Kwang WANG
;
Mi Na KIM
;
Sun Chul KIM
;
Hye Won KIM
;
Young Mo LEE
;
Young Joo KWON
;
Heui Jung PYO
;
Ja In PARK
;
Joo Yeon OH
;
Beom Jae LEE
;
Jong Jae PARK
Author Information
1. Division of Nephrology, Department of Internal Medicine, College of Medicine, Korea University, Seoul, Korea. yjkwon@korea.ac.kr
- Publication Type:Case Report
- Keywords:
Gastrointestinal hemorrhage;
Hemodialysis;
Single balloon enterosocpy
- MeSH:
Anemia;
Angiodysplasia;
Capsule Endoscopy;
Erythropoietin;
Gastrointestinal Hemorrhage;
Hemorrhage;
Humans;
Hypothyroidism;
Kidney;
Platelet Aggregation Inhibitors;
Quality of Life;
Renal Dialysis;
Risk Factors;
Ulcer;
Uremia
- From:Korean Journal of Nephrology
2008;27(6):747-752
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Anemia is a common complication of hemodialysis. It reduces the quality of life and is recognized as adverse risk factor. The cause of anemia in CKD (chronic kidney disease) include lack of erythropoietin, gastrointestinal (GI) bleeding, hypothyroidism, hidden infection, and blood loss in hemodialysis. GI bleeding is not unusual complication in patient on maintenance hemodialysis, caused by uremia, medicine (NSAIDS, antiplatelet agents, anticoagulants), angiodysplasia, and ulcer. In CKD patients, GI bleeding is found in various sites over the whole bowel. Small bowel bleeding is one of the most common causes of obscure GI bleeding and constitutes 2-10% of all GI bleeding. Regarding the small bowel bleeding, diagnosis and treatment are much improved recently with the help of wireless capsule endoscopy and double or single balloon enteroscopy. We report a case of GI bleeding due to erosion of small bowel, which was diagnosed and treated with the single-balloon enteroscopy in patients on maintenance hemodialysis.
