A Successful Management Using Detachable Snare for Bleeding from Sigmoid Colonic Huge Mass in Liver Cirrhosis.
- Author:
Heon Nyoung JUNG
1
;
Seung Jae MYUNG
;
Suk Kyun YANG
;
Yun Jung LEE
;
Hyun Kuk KIM
;
Sa Rah PARK
;
Jae Min LIM
;
Chang Lae JO
;
Hwoon Yong JUNG
;
Tae Hun KIM
;
Weon Seon HONG
;
Jin Ho KIM
;
Young Il MIN
Author Information
1. Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. sjm5675@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Lower gastrointestinal bleeding;
Colonic mass;
Liver cirrhosis;
Detachable snare
- MeSH:
Colon, Sigmoid*;
Eating;
Hemorrhage*;
Hepatic Encephalopathy;
Humans;
Ligation;
Liver Cirrhosis*;
Liver Transplantation;
Liver*;
Risk Factors;
SNARE Proteins*
- From:Korean Journal of Gastrointestinal Endoscopy
2002;25(4):224-227
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Treatment modalities for lower gastrointestinal bleeding are thermal methods, injections, and mechanical devices. Every methods have advantages and disadvantages. The width of selection for the patients with risk factors (liver disease, coagulopathy, or ingestion of anticoagulant or NSAID) is narrow. We experienced a patient with severe bleeding from a sigmoid colonic huge mass. He had hepatic encephalopathy and bleeding tendency associated with liver cirrhosis. Endoscopic ligation using detachable snare was performed successfully. Fortunately, the patient was recovered from hepatic encephalopathy and had a good chance for liver transplantation.
