| A Case of Hematemesis Due to Errosive Gastritis and Reflux Esophagitis in a 1 Day of Life |
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Hwan-Ill Kim, Shin-Kyu Yi, Yee-Tak Oh, Hong-Ja Kang, Kil-Seo Kim |
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Department of Pediatrics, Pusan Dadong Hospital, Pusan, Korea |
| 생후 1일째 발생한 미란성 위염 및 역류성 식도염에 의한 토혈 1례 |
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김환일, 이신규, 오의탁, 강홍자, 김길서 |
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부산 대동병원 소아과 |
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| Abstract |
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Hematemesis is not infrequent occurences in the neonatal period. Physician' s first task is to
determine whether this blood is maternal in origin or whether the infant is bleeding internally.
Fetal blood indicates one of a variety of lesions and its source may be difficult to determine. The
causes are esophagitis, peptic ulcer of the stomach or duodernum, hemorrhagic disease and
pulmonary hemorrhage etc.
We have experienced a case of massive hematemesis that occured in a 1 day of life. we
conducted 24 hour pH monitoring, upper gastrointestinal barium series, and endoscopy with biopsy.
this case showed esophagitis due to gastroesohageal reflux and errosive gastritis by above
procedures.
If there is hematemesis during the neonatal period, the esophagitis and gastritis should be
considered. |
| Key Words:
Hematemesis, Reflux esophagitis, Errosive gastritis |
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