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©2007 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Oct 14, 2007; 13(38): 5154-5157
Published online Oct 14, 2007. doi: 10.3748/wjg.v13.i38.5154
Published online Oct 14, 2007. doi: 10.3748/wjg.v13.i38.5154
Upper gastrointestinal bleeding from duodenal vascular ectasia in a patient with cirrhosis
Beom Jae Lee, Jong-Jae Park, Yeon Seok Seo, Ji Hoon Kim, Aeree Kim, Jong Eun Yeon, Jae Seon Kim, Kwan Soo Byun, Young-Tae Bak, Division of Gastroenterology, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea
Aeree Kim, Department of Pathology, College of Medicine, Korea University, Seoul 152-703, Korea
Author contributions: All authors contributed equally to the work.
Correspondence to: Jong-Jae Park, MD, PhD, Division of Gastroenterology, Department of Internal Medicine, Korea University Guro Hospital, Gurodong-gil 97, Guro-gu, Seoul 152-703, Korea. gi7pjj@yahoo.co.kr
Telephone: +82-2-8186637 Fax: +82-2-8371966
Received: May 30, 2007
Revised: June 18, 2007
Accepted: June 26, 2007
Published online: October 14, 2007
Revised: June 18, 2007
Accepted: June 26, 2007
Published online: October 14, 2007
Abstract
We report a cirrhotic patient with duodenal vascular ectasia and spontaneous bleeding. The bleeding was successfully controlled with argon plasma coagulation. Duodenal vascular ectasia may be a cause of upper gastrointestinal bleeding in patients with cirrhosis, and argon plasma coagulation may be effective and safe to achieve hemostasis of this lesion.
Keywords: Vascular ectasia; Duodenum; Cirrhosis; Gastrointestinal hemorrhage; Hemostasis