Clinical Endoscopy

  • 제41권6호
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  • Pages.364-367
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  • 2010
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  • 2234-2400(pISSN)
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  • 2234-2443(eISSN)
대한소화기내시경학회 (The Korean Society of Gastrointestinal Endoscopy)
권호 표지

대장내시경검사 후 발생한 허혈성 대장염 2예

Two Cases of Ischemic Colitis after Colonoscopy

  • 이경원 (울산대학교 의과대학 강릉아산병원 소화기내과학교실) ;
  • 한군희 (울산대학교 의과대학 강릉아산병원 소화기내과학교실) ;
  • 강종원 (울산대학교 의과대학 강릉아산병원 소화기내과학교실) ;
  • 이정화 (울산대학교 의과대학 강릉아산병원 소화기내과학교실) ;
  • 장경희 (울산대학교 의과대학 강릉아산병원 소화기내과학교실) ;
  • 김영돈 (울산대학교 의과대학 강릉아산병원 소화기내과학교실) ;
  • 강길현 (울산대학교 의과대학 강릉아산병원 병리학교실) ;
  • 천갑진 (울산대학교 의과대학 강릉아산병원 소화기내과학교실)
  • Lee, Kyoung-Won (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Han, Koon-Hee (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Kang, Jong-Won (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Lee, Joung-Hwa (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Jang, Kyeong-Hee (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Kim, Young-Don (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Kang, Gil-Hyun (Department of Pathology, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Cheon, Gab-Jin (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine)
  • 투고 : 2010.04.28
  • 심사 : 2010.09.26
  • 발행 : 2010.12.30
⟨ 이전 논문 다음 논문 ⟩

초록

허혈성 대장염은 대장에 불충분한 혈류의 공급으로 인해 염증이 발생하는 질환으로 대개는 허혈의 위험인자를 가진 고령에서 발생하지만, 드물게 특별한 위험인자를 가지지 않은 환자에서도 발생할 수 있다. 대장내시경의 보편화로 점점 더 많은 예의 대장내시경검사가 시행되고 있으며 출혈, 감염이나 대장 천공 등의 합병증들은 잘 알려져 있으나, 대장내시경검사 후에 합병증으로 발생하는 허혈성 대장염의 예는 드물다. 저자들은 특별한 허혈의 위험인자가 없는 환자에서 대장내시경검사 후에 발생한 허혈성 대장염 2예를 경험하여 문헌고찰과 함께 보고한다.

Ischemic colitis is the most common form of ischemia in the gastrointestinal tract. It results from inadequate blood flow in the colon that leads to inflammation of the colon. Though this disease frequently affects the elderly with risk factors of ischemia, younger patients may be affected too. Several conditions such as major vascular occlusion, small vessel disease, shock, some medications, colonic obstructions and hematologic disorders can predispose individuals to ischemic colitis. Ischemic colitis following colonoscopy is rare. Here we report 2 cases of ischemic colitis which developed after colonoscopic procedures in patients without risk factors of ischemia.

키워드

참고문헌

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