Blutendes Duodenaldivertikel – eine therapeutische Herausforderung

Autor:	T Zinner, C. Becker, U Gottschalk, M. Stöhr
Rok vydání:	2010
Předmět:	medicine.medical_specialty business.industry Fistula Perforation (oil well) Gastroenterology medicine.disease Duodenal Diseases Surgery Lesion medicine.anatomical_structure medicine Duodenum Abdomen Duodenoscopy medicine.symptom business Diverticulum
Zdroj:	Zeitschrift für Gastroenterologie. 48:551-554
ISSN:	1439-7803 0044-2771
Popis:	We report the case of an 81-year-old women with a duodenal diverticular bleeding in the second portion of the duodenum. Various therapies are used to halt haemorrhaging in this tissue, including surgical or endoscopic intervention and transarterial embolisation. The lesion was identified and treated endoscopically with hypertonic saline solution and epinephrine. Because of a fistula and a continual bleeding we use a hemoclip two days later. The bleeding was completely controlled. However, a small mucosal defect was noted at the site where the hemoclip was applied, and an operation was necessary. Finally we discuss the therapy optoins based on a review of the literature.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::4b61a1024b101a74351cbc2145fe2a25 https://doi.org/10.1055/s-0028-1109679 Zobrazit plný text záznamu