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Cited 4 time in webofscience Cited 5 time in scopus
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Endoscopic Treatment of Duodenal Bleeding Caused by Direct Hepatocellular Carcinoma Invasion with an Ethanol Injection

Authors
Kim, Jin NamLee, Hong SikKim, Seung YoungKim, Jung HanJung, Sung WooKoo, Ja SeolYim, Hyung JoonLee, Sang WooChoi, Jae HyunKim, Chang DuckRyu, Ho Sang
Issue Date
Jan-2012
Publisher
EDITORIAL OFFICE GUT & LIVER
Keywords
Endoscopic treatment; Ethanol injection; Duodenal bleeding; Hepatocellular carcinoma
Citation
GUT AND LIVER, v.6, no.1, pp.122 - 125
Indexed
SCIE
SCOPUS
KCI
OTHER
Journal Title
GUT AND LIVER
Volume
6
Number
1
Start Page
122
End Page
125
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/12523
DOI
10.5009/gnl.2012.6.1.122
ISSN
1976-2283
Abstract
We report a case of a man who developed duodenal bleeding caused by direct hepatocellular carcinoma (HCC) invasion, which was successfully treated with endoscopic ethanol injection. A 57-year-old man with known HCC was admitted for melena and exertional dyspnea. He had been diagnosed with inoperable HCC a year ago. Urgent esophagogastroduodenoscopy (EGD) showed two widely eroded mucosal lesions with irregularly shaped luminal protruding hard mass on the duodenal bulb. Argon plasma coagulation and Epinephrine injection failed to control bleeding. We injected ethanol via endoscopy to control bleeding two times with 14 cc and 15 cc separately without complication. Follow-up EGD catched a large ulcer with necrotic and sclerotic base but no bleeding evidence was present. He was discharged and he did relatively well during the following periods. In conclusion, Endoscopic ethanol injection can be used as a significantly effective and safe therapeutic tool in gastrointestinal tract bleeding caused by HCC invasion. (Gut Liver 2012;6:122-125)
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Yim, Hyung Joon
Ansan Hospital (Department of Gastroenterology and Hepatology, Ansan Hospital)
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