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[ColonTODAY 077 - Diverticular bleeding]

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±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).


[References]

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.