상부위장관출혈의 내시경적 지혈요법

Abstract

Upper gastrointerstinal bleeding is a common problem in clinic. Causes of bleeding are peptic ulcer, esophageal varices, erosive gastritis, Mallory-Weiss tear in Korea. On the management of gastrointestinal bleeding, the patient must be hemodynamically stabilized. In the past 5 years, new endoscopic treatment have been developed that offer promise for the cessation of active bleeding and prevention of recurrent bleeding. The results of scolorotheraphy become better than operation in any cases of liver cirrhosis. On management of esophageal varices, there are emergency sclerotherapy and prophylactic therapy. There are several methods, electrocoagulation, laser photocoagulation, injection therapy in management of nonvariceal patients.