내시경 지혈술로 치료된 대장 게실 출혈 3예

저자들은 신선혈변을 주소로 내원한 환자들에게 조기에 대장내시경을 시행하여, 대장 게실 출혈을 확인하였고, APC 또는 지혈 클립법의 대장내시경 지혈술을 통해 성공적으로 지혈한 3예를 경험하였기에 문헌고찰과 함께 보고한다. Recently, aging process and westernization of life style are increasing the incidence of colonic diverticulum. About 30% of colonic diverticulm result in diverticular bleeding, which often causes acute lower gastrointestinal bleeding. In most cases, the bleeding stops spontaneously. But when relapsing or causing massive bleeding, it sometimes needs emergent surgery. Generally, treatments for colonic diverticular bleeding consist of conservative ones. But recently, urgent colonoscopy is important procedure since it estimates the needs for surgery, or when bleeding foci being identified, endoscopists frequently can stop the bleeding by only colonoscopic procedures such as injection therapy, band ligation, hemoclipping and argon plasma coagulation, etc. In patients with hematochezia, we made early detection of diverticular bleeding foci by urgent colonoscopy, and then we were able to treat them successfully by argon plasma coagulation and hemoclipping. Thus we report these with literature review.(Korean J Med 69:549-554, 2005)