Korean J Med.
2009 Oct;77(4):488-492.
A case of ischemic gastric necrosis after submucosal epinephrine injection
- Affiliations
-
- 1Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University Medical College, Seoul, Korea. drjslee@dreamwiz.com
Abstract
- Ischemic gastric necrosis is rare because of the abundant anastomotic supply to the stomach, and it is usually associated with surgery and disruption of the major vessels. Although the injection of epinephrine is safe and effective for non.variceal bleeding, it may cause tissue necrosis. Six cases of ischemic gastric necrosis after submucosal epinephrine injection have been reported. We describe a case of ischemic gastric necrosis after submucosal epinephrine injection in a 61.year.old woman with hypertension and angina pectoris treated with antihypertensives and aspirin. We should exercise caution when injecting epinephrine submucosally in a patient with atherosclerotic risk factors such as old age, hypertension, diabetes mellitus, or angina pectoris due to a possible risk of ischemic gastric necrosis.
Keyword
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- A Case of Ischemic Gastric Necrosis after Epinephrine Injection in a Patient with Anemia
- A Case of Gastric Submucosal Hematoma after Epinephrine Submucosal Injection
- A Case of Gastric Wall Hematoma and Ischemic Necrosis After Endoscopic Biopsy
- A Case of Mucosal Necrosis of the Stomach after Endoscopic Injection Therapy with Hypertonic Saline-Epinephrine (HS-E) for a Bleeding Peptic Ulcer with an Exposed Vessel
- Iliac Crest Skin Necrosis: A Case Report
