A Case of Endoscopic Therapy of a Bleeding Duodenal Diverticulum.
- Author:
In Seop JUNG
1
;
Eun Joo KIM
;
Il Kwun CHUNG
;
Sang Heum PARK
;
Hong Su KIM
;
Moon Ho LEE
;
Sun Joo KIM
Author Information
1. Department of Internal Medicine, Soon Chun Hyang University Chunan Hospital, Chunan, Korea.
- Publication Type:Case Report
- Keywords:
Duodenal diverticulum;
Bleeding;
Endoscopic treatment
- MeSH:
Adult;
Diagnosis;
Diverticulum*;
Duodenum;
Endoscopy;
Gastrointestinal Tract;
Hemorrhage*;
Humans;
Jaundice;
Mortality;
Pancreatic Ducts;
Pancreatitis;
Sepsis
- From:Korean Journal of Gastrointestinal Endoscopy
2000;20(3):203-206
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Duodenal divertula are relatively frequent findings in the adult gastrointestinal tract. The majority of them are asymptomatic, but vague gastrointestinal complaints have often been attributed to these lesions. These diverticula occasionally result in the obstruction of the biliary and pancreatic ducts, which leads to jaundice and pancreatitis. Other complications such as hemorrhage, perforation, sepsis, and death can occur. With the advent of therapeutic endoscopy, the diagnosis and primary treatment of duodenal diverticula associated with bleeding has changed dramatically since its first reported occurrence. Effectiveness of therapeutic endoscopy is very high in patients with diverticular bleeding in the medial aspect of sencond portion of the duodenum because of its high operative mortality. A cases of a patient suffering from gastrointestinal bleeding in the duodenal diverticulum who was diagnosed and managed by endoscopy alone is herein reported with review of relevant literature.
