Direct observation of an exposed blood vessel in a colonic diverticulum using ultrathin endoscopy

IF 1.4 Q4 GASTROENTEROLOGY & HEPATOLOGY DEN open Pub Date : 2024-10-29 DOI:10.1002/deo2.70032
Kensuke Suzuki, Daisuke Kikuchi, Satoshi Yamashita
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Abstract

In recent years, cases of diverticular bleeding have become more common. Although identifying the bleeding diverticulum is difficult, it is even more difficult to identify the exposed blood vessels in the bleeding diverticulum. We experienced a case in which we succeeded in directly observing the exposed blood vessels of a sigmoid colon diverticulum using the ultrathin endoscope. The patient was a 71-year-old man who experienced rebleeding after hemostasis in the sigmoid colon by endoscopic band ligation. In the case of diverticular bleeding in the sigmoid colon, we showed that identifying exposed blood vessels by observing the diverticulum under direct vision using the ultrathin endoscope may be useful for hemostasis.

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利用超薄内窥镜直接观察结肠憩室中暴露的血管。
近年来,憩室出血的病例越来越常见。虽然识别出血的憩室很困难,但识别出血憩室中暴露的血管更加困难。我们经历了一例使用超薄内窥镜直接观察乙状结肠憩室暴露血管的成功病例。患者是一名 71 岁的男性,在乙状结肠通过内窥镜结扎止血后再次出血。在乙状结肠憩室出血的病例中,我们发现通过使用超薄内窥镜在直视下观察憩室来识别暴露的血管可能有助于止血。
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CiteScore
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