| A Case of Small Bowel Bleeding Treated by Single Balloon Enteroscopy in a Patient on Maintenance Hemodialysis |
| Jeong-Yup Kim, M.D.1, Joon-Kwang Wang, M.D.1, Mi-Na Kim, M.D.1, Sun-Chul Kim, M.D.1, Hye-Won Kim, M.D.1, Young-Mo Lee, M.D.1, Young-Joo Kwon, M.D.1, Heui-Jung Pyo, M.D.1, Ja-In Park, M.D.2, Joo-Yeon Oh, M.D.2, Beom-Jae Lee, M.D.2 and Jong-Jae Park, M.D.2 |
Division of Nephrology1
Institute of Digestive Disease and Nutrition2
Department of Internal Medicine, College of Medicine, Korea University, Seoul, Korea |
| 증례 : 유지 혈액투석 환자에서 단일풍선 소장내시경으로 치료한 소장출혈 1예 |
| 김정엽1, 왕준광1, 김미나1, 김선철1, 김혜원1, 이영모1, 권영주1, 표희정1, 박자인2, 오주연2, 이범재2, 박종재2 |
| 고려대학교 의과대학 내과학교실 신장내과1, 소화기내과2 |
|
|
| Abstract |
|
Anemia is a common complication of hemodialysis. It reduces the quality of life and is recognized as adverse risk factor. The cause of anemia in CKD (chronic kidney disease) include lack of erythropoietin, gastrointestinal (GI) bleeding, hypothyroidism, hidden infection, and blood loss in hemodialysis. GI bleeding is not unusual complication in patient on maintenance hemodialysis, caused by uremia, medicine (NSAIDS, antiplatelet agents, anticoagulants), angiodysplasia, and ulcer. In CKD patients, GI bleeding is found in various sites over the whole bowel. Small bowel bleeding is one of the most common causes of obscure GI bleeding and constitutes 2-10% of all GI bleeding. Regarding the small bowel bleeding, diagnosis and treatment are much improved recently with the help of wireless capsule endoscopy and double or single balloon enteroscopy. We report a case of GI bleeding due to erosion of small bowel, which was diagnosed and treated with the single-balloon enteroscopy in patients on maintenance hemodialysis. |
| Key Words:
Gastrointestinal hemorrhage, Hemodialysis, Single balloon enterosocpy |
|
PDF Links
Download Citation
