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Korean J Gastrointest Endosc. 2002 Oct;25(4):224-227. Korean. Case Report.
Jung HN , Myung SJ , Yang SK , Lee YJ , Kim HK , Park SR , Lim JM , Jo CL , Jung HY , Kim TH , Hong WS , Kim JH , Min YI .
Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.

Treatment modalities for lower gastrointestinal bleeding are thermal methods, injections, and mechanical devices. Every methods have advantages and disadvantages. The width of selection for the patients with risk factors (liver disease, coagulopathy, or ingestion of anticoagulant or NSAID) is narrow. We experienced a patient with severe bleeding from a sigmoid colonic huge mass. He had hepatic encephalopathy and bleeding tendency associated with liver cirrhosis. Endoscopic ligation using detachable snare was performed successfully. Fortunately, the patient was recovered from hepatic encephalopathy and had a good chance for liver transplantation.

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