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정용호(Yong Ho Jeong),이창돈(Chang Don Lee),채현석(Hyun Suk Chae),김재성(Jae Sung Kim),한상원(Sang Won Hang),안관홍(Kwan Hong Ahn),신석준(Seok Joon Shin),김정수(Jeong Soo Kim),전해명(Hae Myung Jeon) 대한소화기학회 1997 대한소화기학회지 Vol.30 No.6
Ileal variceal bleeding is an uncommon complication which results from liver cirrhosis with portal hypertention. 1n cirrhotic patients, bleeding most commonly occurs from portal-venous shunts at the cardioesophageal junction but occurs also at any gastrointestinal tract. Ileal varices represent about one third of this ectopic varix affecting the digestive tract. The most prominent clinical features of ileal varix are hematochezia and tarry stool due to lower gastrointestinal bleeding. Superior mesenteric arteriography is regarded as important diagnostic method and on the venous phase enlarged and tortous vein is usually found. Intestinal resection of the area of variceal formation and portal-systemic shunt are recommended as a therapeutic method. We report a case of massive gastrointestinal hemorrhage due to ileal varix with review of literature. (Korean J Gastroenterol 1997; 30:815 - 819)
쇄골하정맥의 노력혈전증(Effort thrombosis)
김승남,안관홍,박장상,고용복,문인성 대한혈관외과학회 1997 Vascular Specialist International Vol.13 No.1
$quot;Spontaneous thrombosis of the subclavian vein, termed $quot;$quot;effort thrombosis$quot;$quot; or the Paget-Schroetter Syndrome, has long been considered a primary thrombotic process, but recent experience suggests that it may commonly result from repeated mechanical compression. This syndrome is unusual and is frequently considered inconsequential compared with thrombosis of the iliac or femoral vein. However, pulmonary embolism has been documented in up to 15% of patients with subclavian thrombosis. Many patients with this disorder are offlicted by disabling symptoms of upper extremity venous congestion. It is now recognized that the morbidity of this condition is significant and its traditional treatment needs serious reconsideration. Presumed to be a primary thrombotic disorder, its treatment has traditionally consisted of arm elevation and anticoagulation. Inaeased awareness of the pathophysiology of this symdrome can allow timely, improved diagnostic screening and use of specific surgical intervention to relieve the venous consequences. During the 44 months we have treated 5 patients with the thrombosis of subclavian vein. There were two men and three women with an average of 50 years(range from 40-61 years). And all patients presented with pain, swelling, and cyanosis of the upper extremity. Venous congestion worsened especially with abduction of the arm. Three of five patients were originally treated with arm elevation and anticoagulation; two also underwent surgical intervention.$quot;