A Case of Ischemic Gastric Necrosis after Epinephrine Injection in a Patient with Anemia.
10.3904/kjm.2015.88.4.420
- Author:
Hyun Jung CHO
1
;
Jeong Woo CHOI
Author Information
1. Department of Internal Medicine, Sungae Hospital, Seoul, Korea. tenbird94@hanmail.net
- Publication Type:Case Report
- Keywords:
Epinephrine;
Stomach;
Necrosis;
Anemia
- MeSH:
Adult;
Anemia*;
Atherosclerosis;
Epinephrine*;
Female;
Hemorrhage;
Humans;
Hypertension;
Ischemia;
Necrosis*;
Risk Factors;
Smoke;
Smoking;
Stomach
- From:Korean Journal of Medicine
2015;88(4):420-423
- CountryRepublic of Korea
- Language:Korean
-
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.
