A Successfully Treated Case by APC for Postoperative Bleeding of FEEA

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  • 機能的端々吻合の結腸術後出血にアルゴンプラズマ凝固法が有効であった１例

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Abstract

Anastomotic bleeding after colectomy is a rare complication. We herein report a case in which we were able to stop anastomotic bleeding after functional end to end anastomosis (FEEA) by argon plasma coagulation (APC).<br> The case was a 79-year-old, man. He had about a 2-cm torose lesion at the descending colon, and we performed partial colon excision and used FEEA. Because of frequent bloody diarrhea postoperatively, we performed a colonoscopy. We found a hemorrhagic anastomotic ulcer and successfully stopped the bleeding of this by APC. He was later discharged without bleeding.<br> Endoscopic submucosal drug injection, thermocoagulation such as APC, appliances such as clips, and coagulating agent dispersal have been proven effective in the hemostasis of bleeding ulcer. In this case with ulcer formed in the blind part of FEEA, the bleeding would not be stopped by an appliance, but APC showed a good result with characteristic non-contact and uniform cauterization hemostasis.<br>

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