Parasite | Eso | Sto | Cancer | ESD
[ColonTODAY 077 - Diverticular bleeding]
±èÅÂÁØ ±³¼ö´Ô²²¼ °Ô½Ç ÃâÇ÷¿¡ ´ëÇÑ ¼ÒÁßÇÑ ÀڷḦ º¸³»Áּ̽À´Ï´Ù. °¨»çÇÕ´Ï´Ù.
°Ô½Ç ÀÔ±¸°¡ ³Ð¾î¼ °Ô½Ç ¹Ù´ÚÀÇ Ç÷°üÀ» ¹Ù·Î targetÇÏ¿© clipping ÇÑ °æ¿ìÀÔ´Ï´Ù.
°Ô½Ç ÀÔ±¸°¡ Á¼¾Æ¼ ÀÔ±¸¸¸ Ʋ¾î¸·Àº °æ¿ìÀÔ´Ï´Ù.
°Ô½Ç¿¡ epinephrine injection ¶Ç´Â ÈíÀÎÇÏ¿© °Ô½ÇÀ» ¹ÝÀü½ÃÄÑ Ä¡·áÇÑ °æ¿ìÀÔ´Ï´Ù.
°Ô½Ç ÃâÇ÷ ¿¹¹æ¹ýÀº ¸¶¶¥Ä¡°¡ ¾ÊÀºµ¥¿ä, aspirinÀº ²÷À» °ÍÀº ¾øÁö¸¸ NSAID´Â ÁÖÀÇÇ϶ó´Â Á¤µµ·Î ÀÌÇØÇÏ¸é µÉ °Í °°½À´Ï´Ù.
ÀÏÀü¿¡ °Ô½Ç ÃâÇ÷ÀÇ ³»½Ã°æ Ä¡·á¿¡ ´ëÇÏ¿© ÇÑ ¾Öµ¶ÀÚ²²¼ ¹®ÀÇÇÏ¿© ´äº¯ÇÑ ³»¿ëÀ» ´Ù½Ã Çѹø ¼Ò°³ÇÕ´Ï´Ù.
[2017-6-12. ¾Öµ¶ÀÚ Áú¹®]
°Ô½Ç ÃâÇ÷¿¡¼ ´ëÇÑ Áú¹®ÀÔ´Ï´Ù. (1) ´ëÀå °Ô½ÇÀº pseudodiverticulumÀ̶ó ÃâÇ÷ºÎ ÇÏ´Ü¿¡ ±ÙÀ°ÃþÀÌ ¾ø¾î¼ injection therapy, coagulation therapy, band ligation µî¿¡¼ õ°øÀÌ ¹ß»ýµÇÁö ¾ÊÀ»±î °ÆÁ¤ÀÔ´Ï´Ù. (2) ClippingÀº ¾îµð¸¦ ¹´Â´Ù´Â °ÍÀԴϱî?
[2017-6-12. ÀÌÁØÇà ´äº¯]
°Ô½Ç ÃâÇ÷ÀÇ ´ëÇ¥ÀûÀÎ Ä¡·á¹ýÀº clippingÀÔ´Ï´Ù. ÃâÇ÷ °Ô½ÇÀÇ ÀÔ±¸°¡ ³Ð¾î °Ô½Ç ¹Ù´ÚÀ¸·Î Á¢±ÙÀÌ °¡´ÉÇϰí ÃâÇ÷Ç÷°üÀÌ º¸ÀÌ¸é ±× ºÎÀ§¸¸ targetÇÏ¿© clippinÇÏ¸é µË´Ï´Ù. ÃâÇ÷ °Ô½ÇÀÇ ÀÔ±¸°¡ Á¼¾Æ °Ô½Ç ¹Ù´ÚÀÌ º¸ÀÌÁö ¾ÊÀ¸¸é °Ô½Ç ÀÔ±¸¸¦ zipper fashionÀ¸·Î tightÇÏ°Ô multiple clippingÇÏ¸é µË´Ï´Ù. ÃâÇ÷Ç÷°üÀº ³öµÎ°í Ãⱸ¸¸ Ʋ¾î¸·´Â´Ù°í ÁöÇ÷ÀÌ µÇ´ÂÁö Àǹ®À» °¡Áö½Ã´Â °æ¿ì°¡ ¸¹Àºµ¥ ´ëºÎºÐÀÇ °æ¿ì¿¡¼´Â ÁöÇ÷ È¿°ú´Â ÁÁ½À´Ï´Ù.
°Ô½Ç ÀÔ±¸°¡ ³Ð¾î¼ °Ô½Ç ¹Ù´ÚÀÇ Ç÷°üÀ» targetÇÏ¿© clippin ÇÑ °æ¿ì (±Ýº¸¶ó. ´ëÇѳ»°úÇÐȸÁö 2013)
°Ô½Ç ÀÔ±¸°¡ Á¼¾Æ¼ ÀÔ±¸¸¸ Ʋ¾î¸·Àº °æ¿ì (Digest Endos 2015)
ÃâÇ÷ºÎÀ§¸¸ ãÀ¸¸é ¾î¶°ÇÑ ¹æ¹ýÀ¸·Î Ä¡·áÇØµµ È¿°ú´Â ¸Å¿ì ÁÁ½À´Ï´Ù. Injection, coagulation, band ligation¿¡¼µµ õ°øÀÌ ¹ß»ýÇÏ´Â ¿¹´Â °ÅÀÇ ¾ø´Â ¸ð¾çÀÔ´Ï´Ù. ¾Æ·¡ Ç¥¸¦ Âü°íÇϼ¼¿ä. CoagulationÀ» Áö³ªÄ¡°Ô ÇÏÁö ¾Ê´Â ÇÑ Å« ¹®Á¦´Â ¾øÀ» °Í °°½À´Ï´Ù.
ÇÕº´Áõ ¹ß»ý·üÀÌ ¸ðµÎ 0%ÀÔ´Ï´Ù (Digest Endos 2015).
2013³â 10¿ù EndoTODAY¿¡¼´Â °Ô½Ç ÃâÇ÷¿¡ ´ëÇÑ Åä·ÐÀ» ÁøÇàÇÏ¿´´ø ÀûÀÌ ÀÖ½À´Ï´Ù. CapÀ» ÀåÂøÇÑ ³»½Ã°æÀ¸·Î µé¾î°¡ ÃâÇ÷ºÎÀ§ °Ô½ÇÀ» »¡¾Æµé¿©¼ °Ô½ÇÀ» µÚ¤¾î Ä¡·áÇÏ´Â ¼ú½ÄÀÌ ¼Ò°³µÇ¾ú½À´Ï´Ù. ±×¿¡ ´ëÇÑ ¿©·¯ ±³¼ö´ÔµéÀÇ Àǰߵµ ÀÖÀ¸´Ï ÇÔ²² Àо½Ã±â ¹Ù¶ø´Ï´Ù (EndoTODAY °Ô½Ç ÃâÇ÷¿¡ ´ëÇÑ Åä·Ð).
1) EndoTODAY °Ô½Ç ÃâÇ÷¿¡ ´ëÇÑ Åä·Ð
© ÀÏ¿ø³»½Ã°æ±³½Ç ¹Ù¸¥³»½Ã°æ¿¬±¸¼Ò ÀÌÁØÇà. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng.