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[´Ù¾çÇÑ ´ëÀå Áúȯ 014 - Á÷ÀåÀÇ ºñƯÀÌÀû Ç÷°ü È®Àå. Rectal varix]

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[2015-8. ¾Öµ¶ÀÚ Áú¹®]

°ÇÁø ³»½Ã°æ Áß Á÷Àå¿¡ »çÁø°ú °°Àº ¼Ò°ßÀÌ º¸¿´½À´Ï´Ù.

1. ÀÌ·± °Íµµ rectal varix¶ó°í Áø´ÜÇÒ ¼ö ÀÖ´ÂÁö¿ä?

2. ÀÌ·± °æ¿ì rectal varix¿øÀÎ work-upÀ» À§ÇØ º¹ºÎ CT¸¦ ÅëÇØ °£°æÈ­ ¿©ºÎ¸¦ È®ÀÎÇØ¾ß ÇÒ±î¿ä?

3. F/U ³»½Ã°æÀÇ °£°ÝÀº?


°æÈñ´ëÇб³ Â÷Àç¸í ±³¼ö´Ô²² ¹®ÀÇÇÏ¿© ¾Æ·¡¿Í °°Àº ´äº¯À» ¹Þ¾Ò½À´Ï´Ù.

»çÁøÀº rectal varix°¡ ¾Æ´Ï¶ó Á÷ÀåÀÇ Á¤¸Æ Ç÷°üÀÌ Á»´õ µµµå¶óÁ® º¸ÀÌ´Â Á¤µµÀÔ´Ï´Ù. ÀÌ·± Á¤µµÀÇ Á¤¸Æ Ç÷°üÀº Á÷Àå¿¡¼­ ½É½ÉÄ¡ ¾Ê°Ô °üÂûµË´Ï´Ù.
1. ÀÌ·± °Íµµ rectal varix¶ó°í Áø´ÜÇÒ¼ö ÀÖ´ÂÁö¿ä? ¾Æ´Ï¿À
2. ÀÌ·± °æ¿ì rectal varix¿øÀÎ work-upÀ» À§ÇØ º¹ºÎ CT¸¦ ÅëÇØ °£°æÈ­ ¿©ºÎ¸¦ È®ÀÎÇØ¾ß ÇÒ±î¿ä? ¾Æ´Ï¿À
3. F/U ³»½Ã°æÀÇ °£°ÝÀº? Á÷ÀåÃßÀû ³»½Ã°æ °Ë»ç ½Ã±â°¡ ´Þ¶óÁú ÀÌÀ¯´Â ¾ø½À´Ï´Ù.

Á¶±Ý ´Ù¸¥ °æ¿ìÀÔ´Ï´Ù¸¸... ¹®µæ 10¿©³â Àü ȯÀÚ »ý°¢ÀÌ ³µ½À´Ï´Ù. Á¦°¡ fellow °úÁ¤À» ¸¶Ä¡°í °­ºÏ»ï¼ºº´¿ø¿¡ ¸· ÃëÁ÷ÇÏ¿´À» ¶§ÀÔ´Ï´Ù. Child CÀÇ °£°æº¯°ú ±ÙÄ¡Àû Ä¡·á°¡ ºÒ°¡´ÉÇÑ massive HCC°¡ ÀÖ´ø ȯÀÚ¿´½À´Ï´Ù. º¹¼ö Á¶ÀýÀ» À§ÇØ ÀÌ´¢Á¦¸¦ º¹¿ëÇÏ°í Áö³»´ø Áß massive hematochezia¸¦ º¸À̸鼭 ȯÀÚÀÇ »óÅ°¡ ÀϽÃÀûÀ¸·Î ±Þ°ÝÈ÷ ¾ÇÈ­µÇ¾ú½À´Ï´Ù. ÃâÇ÷ÀÇ ¿øÀÎÀº internal hemorrhoid¿´½À´Ï´Ù. ³»½Ã°æ °Ë»ç ´ç½Ã¿¡´Â ÃâÇ÷Àº ¸Ü¾î ÀÖ¾úÁö¸¸ ÀϺΠvesselÀÌ µ¹ÃâµÇ¾î º¸¿´½À´Ï´Ù. ¿Ü°ú¿¡ ÀÇ·ÚÇÏ¿© band ligationÀ» ÇÏ¿´½À´Ï´Ù.



© ÀÏ¿ø³»½Ã°æ±³½Ç ¹Ù¸¥³»½Ã°æ¿¬±¸¼Ò ÀÌÁØÇà. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng.