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A Case of Successful Colonoscopic Treatment of Acute Appendiceal Bleeding by Endoclips

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Á¤ÀÏÇü ( Chung Il-Hyung ) 
Onnuri Hospital Department of Internal Medicine

±è±¤Çö ( Kim Kwang-Hyun ) 
Onnuri Hospital Department of Internal Medicine

Abstract


Lower gastrointestinal bleeding is a common disease among elderly patients. The common sources of lower gastrointestinal bleeding include vascular disease, Crohn¡¯s disease, neoplasm, inflammatory bowel disease, hemorrhoid, and ischemic colitis. However, bleeding from the appendix has been reported very rarely in patients with lower gastrointestinal tract bleeding. In general, after a colonoscopic diagnosis of appendiceal bleeding, a laparoscopic or surgical appendectomy would be recommended. We report a case of successful colonoscopic treatment of appendiceal bleeding without complications by endoclips. This report suggests that colonoscopic clipping is a safe and effective means to treat bleeding from appendiceal lesions. Further study is needed to evaluate procedure-related complications and to confirm the procedure¡¯s safety and efficacy.

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Appendix; Bleeding; Colonoscopy; Clip

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