日本医科大学医学会雑誌
Online ISSN : 1880-2877
Print ISSN : 1349-8975
ISSN-L : 1349-8975
症例から学ぶ
繰り返す小腸出血に対して複数回のカプセル内視鏡をガイドにダブルバルーン内視鏡で治療した1例
藤森 俊二山田 祐希江高橋 陽子江原 彰仁小林 剛三井 啓吾米澤 真興田中 周辰口 篤志坂本 長逸
著者情報
ジャーナル フリー

2009 年 5 巻 4 号 p. 221-224

詳細
抄録

We report on a 70-year-old man with recurrent bloody bowel discharge. We detected angiectasia at the distal ileum at initial capsule endoscopy. The angioectasia was treated with double balloon endoscopy. After treatment, bloody bowel discharge recurred. At a second capsule endoscopy after treatment of the distal ileum with double balloon endoscopy, another angiectasia and a bleeding ulcer were detected on the proximal jejunum. The bleeding ulcer was re-treated with double balloon endoscopy. After re-treatment, bloody bowel discharge again recurred. At a third capsule endoscopy, active bleeding was detected at the proximal jejunum. We were then able to diagnose the angiectasia on the proximal jejunum detected at the second capsule endoscopy and to determine that it was the source of bleeding. The angiectasia was detected and was treated with double balloon endoscopy. After treatment, the bloody bowel discharge has not recurred. We should carefully treat patients with multiple angiectasias, because most angiectasias can be sources of bleeding.

著者関連情報
© 2009 日本医科大学医学会
前の記事 次の記事
feedback
Top