Gastric ischemia after epinephrine injection in a patient with liver cirrhosis

作     者：Su Young Kim Seung-Hee Han Kyung Han Kim Sang Ock Kim Sang-Young Han Sung-Wook Lee Yang Hyun Baek 

作者机构：Department of Internal MedicineDong-A University College of MedicineBusan 602-715South Korea 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2013年第19卷第3期

页      面：411-414页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Hematemesis Epinephrine Gastric ischemia Liver cirrhosis Hypertension 

摘      要：Endoscopic epinephrine injection is relatively easy,quick and ***,it has a low rate of com-plications,and it is widely used for the management of nonvariceal upper gastrointestinal *** have been several case reports of gastric ischemia after en-doscopic injection *** intra-arterial in-jection may result in either spasm or thrombosis,leading to subsequent tissue ischemia or necrosis,although the stomach has a rich vascular supply and the vascular reserve of the intramural *** addition to endoscopic injection therapy,smoking,hypertension and atherosclerosis are risk factors of gastric ischemia. We report a case of gastric ischemia after submucosal epinephrine injection in a 51-year-old woman with hy-pertension and liver cirrhosis.