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Cited 4 time in webofscience Cited 5 time in scopus
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Ileal polypoid lymphangiectasia bleeding diagnosed and treated by double balloon enteroscopy

Authors
Park, Min SeonLee, Beom JaeGu, Dae HoePyo, Jeung-HuiKim, Kyeong JinLee, Yun HoJoo, Moon KyungPark, Jong-JaeKim, Jae SeonBak, Young-Tae
Issue Date
7-Dec-2013
Publisher
BAISHIDENG PUBLISHING GROUP INC
Keywords
Intestinal lymphangiectasia; Small bowel bleeding; Double balloon endoscopy; Solitary ileal polypoid lesion; Endoscopic polypectomy
Citation
WORLD JOURNAL OF GASTROENTEROLOGY, v.19, no.45, pp.8440 - 8444
Indexed
SCIE
SCOPUS
Journal Title
WORLD JOURNAL OF GASTROENTEROLOGY
Volume
19
Number
45
Start Page
8440
End Page
8444
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/10050
DOI
10.3748/wjg.v19.i45.8440
ISSN
1007-9327
Abstract
Intestinal lymphangiectasia is a rare disease characterized by focal or diffuse dilated enteric lymphatics with impaired lymph drainage. It causes protein-losing enteropathy and may lead to gastrointestinal bleeding. Commonly, lymphangiectasia presents as whitish spots or specks. To our knowledge, small bowel bleeding resulting from polypoid intestinal lymphangiectasia has not been reported. Here, we report a rare case of active bleeding from the small bowel caused by polypoid lymphangiectasia with a review of the relevant literature. An 80-year-old woman was hospitalized for melena. Esophagogastroduodenoscopy could not identify the source of bleeding. Subsequent colonoscopy showed fresh bloody material gushing from the small bowel. An abdominal-pelvic contrast-enhanced computed tomography scan did not reveal any abnormal findings. Video capsule endoscopy showed evidence of active and recent bleeding in the ileum. To localize the bleeding site, we performed double balloon enteroscopy by the anal approach. A small, bleeding, polypoid lesion was found in the distal ileum and was successfully removed using endoscopic snare electrocautery. (C) 2013 Baishideng Publishing Group Co., Limited. All rights reserved.
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Park, Jong Jae
Guro Hospital (Department of Gastroenterology and Hepatology, Guro Hospital)
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