내시경적 밴드결찰술에 의해 치유된 직장 Dieulafoy 병변 1예

Abstract

The variety of endoscopic therapy for the treatment of bleeding Dieulafoy's lesion of the rectum, such as electrocoagulation, clipping, epinephrine and sclerosant injection, reduced the necessity of surgical intervention. Recently, endoscopic band ligation was introduced with favorable results for the hemostasis of rectal lesions. This type of therapy is appropriate for areas of bleeding within otherwise non-fibrotic tissue, such as Dieulafoy's lesion, MalloryWeiss tear and vascular malformations. We report a case of successful management with endoscopic band ligation in a patient with rectal bleeding from Dieulafoy's lesion.