Abstract
We reported a case of vascular ectasias in the cecum treated with endoscopic heaterprobe. A 58-year-old wornan was admitted to our hospital with general fatigue and severe anemia. Bleeding source was not discovered by the various examinations, including upper GI endoscopy, small intestinal X-ray examination and barium enema. Endoscopic exarnination revealed a flat protrusion with redness and dilated abnormal vessels in the cecum. Oozing source was observed from a site of the lesion. These lesions were treated endoscopically. Saline containing epinephrine was injected first into the submucosa around thelesions in order to elevate the target lesions. Heater probe treatments were performed in each lesion. The procedure was performed easily and safely withou.t complications.: Follow-up colonoscopy showed scars, and rebleeding has not seen. This disease usu.allyoccurs in the aged people often with cardiac or pulrnonary diseases. Therefore, the colonoscopic hemostasis with heater probe is an useful treatment for bleeding vascular ectasias as an application of standardized endoscopic techniques instead of undertaking surgical therapy. And the injection of the saline containing epinephrine was an effective procedure to prevent complications.
