scholarly journals Dieulafoy’s lesion: Rare cause of massive upper gastrointestinal bleeding

2007 ◽  
Vol 54 (1) ◽  
pp. 125-129 ◽  
Author(s):  
D. Stojakov ◽  
D. Velickovic ◽  
P. Sabljak ◽  
M. Bjelovic ◽  
K. Ebrahimi ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Wedge Resection ◽  
Duodenal Bulb ◽  
Massive Bleeding ◽  
Injection Sclerotherapy ◽  
Entire Area ◽  
Endoscopic Techniques ◽  
Detection And Identification ◽  
Upper Gastrointestinal

Dieulafoy?s lesion is an unusual and potentially lifethreatening cause of massive, recurrent gastrointestinal bleeding. Its reported incidence as a source of upper gastrointestinal bleeding ranges from 0,3-6,7%. Dieulafoy?s lesion is most commonly located in the proximal stomach (75% of cases). Lesion typically occur within 6 to 10 cm of the esophagogastric junction, generally along the lesser curvature of the stomach. Similar lesions have been identified in the esophagus, duodenal bulb, jejunum, ileum, colorectum, anal canal, even in bronchus. Detection and identification of the Dieulafoy?s lesion as the source of bleeding can often be difficult, especially because most present with massive bleeding. Because of intermittent nature of bleeding, initial endoscopy is diagnostic in 60% of the cases, so repeated endoscopies are often necessary. If the lesion can be endoscopically documented, attempts should be made to achieve hemostasis using one or a combination of several endoscopic modalities. Success has been reported with multipolar electrocoagulation, heater probe, noncontact laser photocoagulation, injection sclerotherapy, endoscopic hemoclipping and band ligation. Surgery is reserved for lesions that cannot be controlled by endoscopic techniques. When localized, a wide wedge resection of entire area traversed by the large submucosal artery is recommended because rebleeding has been described after simple coagulation and ligation.

Jejunal Perforation as a Result of Massive Gastrointestinal Bleeding from a Duodenal Ulcer

1984 ◽  
Vol 29 (2) ◽  
pp. 109-110
Author(s):  
J. N. Fox ◽  
J. W. W. Thomson
Keyword(s):  
Duodenal Ulcer ◽  
Small Intestine ◽  
Case Report ◽  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Massive Bleeding ◽  
Spontaneous Perforation ◽  
Massive Gastrointestinal Bleeding ◽  
Upper Gastrointestinal

A complication of massive upper gastrointestinal bleeding is presented as a case report of a patient who developed a spontaneous perforation of the small intestine as a result of massive bleeding from a duodenal ulcer

Upper GI Bleed, Etiology, Role of Endoscopy in Rural Population of Punjab

2010 ◽  
Vol 1 (3) ◽  
pp. 55-68 ◽  
Author(s):  
Ravinder Singh Malhotra ◽  
K. S. Ded ◽  
Arun Gupta ◽  
Darpan Bansal ◽  
Harneet Singh
Keyword(s):  
Peptic Ulcer ◽  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Common Cause ◽  
Endoscopic Techniques ◽  
Gi Bleed ◽  
Upper Gastrointestinal ◽  
Common Variable ◽  
Important Progress

Haematemesis and malena are the two most important symptoms of upper gastrointestinal bleeding . The most common cause of upper gastrointestinal bleeding is due to a peptic ulcer. In this paper, the authors research the cause of bleeding. Contrary to previous studies, results favor esophageal varices, e.g., alcoholism or cirrhosis liver post necrotic, as the most common cause of bleeding rather than a peptic ulcer. The authors’ study is based on an observational retrospective protocol with records of 50 consecutive patients with GI bleeding, attending the emergency room from February 2007 until September 2009. Results show that the treatment of UGI bleeding has made important progress since the introduction of emergency endoscopy and endoscopic techniques for haemostasis. The application of specific protocols significantly decreases rebleeding and the need for surgery, whereas mortality is still high. The data highlight the decreasing trend of peptic ulcer as the sole cause of bleeding, as shown in previous literature, ascertaining that varices are now the most common variable.

Endoscopic Techniques and Clinical Outcomes in Non-Variceal Upper Gastrointestinal Bleeding at a General Hospital in Singapore

2018 ◽  
Vol 113 (Supplement) ◽  
pp. S316
Author(s):  
Siew Yi Ching ◽  
Benjamin Cherng Hann Yip ◽  
Kenny Ching Pan Sze ◽  
Sayeed Sajjad Hossain ◽  
Jiexun Wang ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
General Hospital ◽  
Clinical Outcomes ◽  
Upper Gastrointestinal Bleeding ◽  
Endoscopic Techniques ◽  
Upper Gastrointestinal

scholarly journals ‘Away from home’ extra hepatic hepatocellular adenocarcinoma in gastric fundal submucosa

2021 ◽  
Vol 8 (9) ◽  
pp. 2783
Author(s):  
Mohd Helmi Mohd Samathani ◽  
Azuddin Bin Mohd Khairy
Keyword(s):  
Gastrointestinal Bleeding ◽  
Liver Tissue ◽  
Upper Gastrointestinal Bleeding ◽  
Wedge Resection ◽  
Gastric Wall ◽  
Liver Pathology ◽  
Hepatoid Adenocarcinoma ◽  
Postoperative Diagnosis ◽  
Ectopic Liver ◽  
Upper Gastrointestinal

Patient presented with upper gastrointestinal bleeding which was scoped and diagnosed as bleeding gastrointestinal tumour intra procedure, subjected to laparotomy and wedge resection with unchanged postoperative diagnosis. Only later to find out the tissue was interpreted as metastases hepatoid adenocarcinoma without primary liver pathology. Thus likely point towards malignancy changes of undiagnosed ectopic liver tissue on gastric wall.

Upper GI Bleed, Etiology, Role of Endoscopy in Rural Population of Punjab

2012 ◽  
pp. 208-221
Author(s):  
Ravinder Singh Malhotra ◽  
K. S. Ded ◽  
Arun Gupta ◽  
Darpan Bansal ◽  
Harneet Singh
Keyword(s):  
Peptic Ulcer ◽  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Common Cause ◽  
Endoscopic Techniques ◽  
Upper Gi ◽  
Gi Bleed ◽  
Upper Gastrointestinal ◽  
Common Variable

Haematemesis and malena are the two most important symptoms of upper gastrointestinal bleeding . The most common cause of upper gastrointestinal bleeding is due to a peptic ulcer. In this paper, the authors research the cause of bleeding. Contrary to previous studies, results favor esophageal varices, e.g., alcoholism or cirrhosis liver post necrotic, as the most common cause of bleeding rather than a peptic ulcer. The authors’ study is based on an observational retrospective protocol with records of 50 consecutive patients with GI bleeding, attending the emergency room from February 2007 until September 2009. Results show that the treatment of UGI bleeding has made important progress since the introduction of emergency endoscopy and endoscopic techniques for haemostasis. The application of specific protocols significantly decreases rebleeding and the need for surgery, whereas mortality is still high. The data highlight the decreasing trend of peptic ulcer as the sole cause of bleeding, as shown in previous literature, ascertaining that varices are now the most common variable.

scholarly journals A Rare Presentation of a Solid Pseudopapillary Neoplasm of the Pancreas

2021 ◽  
pp. 1-4
Author(s):  
Raphael José da Silva ◽  
Isaac Nilton Fernandes Oliveira ◽  
Tarsila Campanha da Rocha Ribeiro ◽  
Liliana Andrade Chebli ◽  
Fábio Heleno de Lima Pace ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Epigastric Pain ◽  
Pancreatic Neoplasm ◽  
Duodenal Bulb ◽  
Rare Presentation ◽  
Exertional Dyspnea ◽  
Extrinsic Compression ◽  
Cystic Tumors ◽  
Upper Gastrointestinal

Solid pseudopapillary neoplasms (SPN) are rare and represent a minority of all pancreatic cystic tumors. Symptoms, if present, are generally nonspecific and upper gastrointestinal bleeding is extremely uncommon as an initial presentation. A 31-year-old woman with no prior medical history presented with a 3-week period of epigastric pain, which she reported as persistent, exacerbated by eating, and associated with progressive asthenia, fatigue, and exertional dyspnea. One month prior, she had had experienced 2 episodes of melena. Upon physical examination her skin was pale, with no other changes. Through diagnostic investigation, an esophagogastroduodenoscopy showed a giant ulcer in the duodenal bulb and a suspect fistulous orifice localized on the posterior wall of the duodenal bulb. In addition, a bulge on the duodenal bulb, suggestive of an extrinsic compression, was noticed. An abdominal computed tomography scan and magnetic resonance imaging showed a mixed solid and cystic lesion in the head of the pancreas in direct proximity to the duodenum, which contained an image compatible with a fistula. The patient successfully underwent pancreaticoduodenectomy. The histopathology, including microscopic analysis and immunohistochemistry, was consistent with an SPN of the pancreas. This case emphasizes that the evaluation of patients presenting with upper gastrointestinal bleeding due to a giant duodenal ulcer and an extrinsic mass effect noted on the duodenum should include cross-sectional images of the abdomen. In this case, the finding of a large well-encapsulated pancreatic solid and cystic mass on abdominal images was suggestive of a pancreatic neoplasm diagnosis, including an SPN.

scholarly journals NON-VARICEAL UPPER GASTROINTESTINAL BLEEDING RECENT GUIDELINES, RISK STRATIFICATION AND PARADIGMS

2017 ◽  
Vol 64 (1) ◽  
pp. 77-81
Author(s):  
Ahed El-Khatib ◽  
◽  
Catalin Alius ◽  
Dragos Serban ◽  
◽  
...  
Keyword(s):  
Risk Stratification ◽  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Scoring Systems ◽  
Point Of View ◽  
Pharmacological Agents ◽  
Mortality And Morbidity ◽  
Endoscopic Techniques ◽  
Recent Advances ◽  
Upper Gastrointestinal

Despite recent advances in the treatment of upper gastrointestinal bleeding (UGI) lesions, mortality and morbidity have remained high. The introduction of scoring systems and novel endoscopic techniques have improved patients outcomes. Although guidelines for managing UGIB have been developed they have not been implemented ubiquitously. The authors offer a point of view in relation to the management of the non variceal UGIB with emphasis on the risk stratification, paradigms that have suffered changes or have been revalidated over the years, newly introduced pharmacological agents and timing of endoscopy.

scholarly journals Endoscopic Removal of Gastric Lipoma with Hemorrhage Using Endoscopic Submucosal Dissection

2020 ◽  
Vol 95 (6) ◽  
pp. 398-403
Author(s):  
Jung Wook Lee ◽  
Su Jin Kim ◽  
Cheol Woong Choi ◽  
Dae Hwan Kang ◽  
Hyung Wook Kim ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Gastrointestinal Bleeding ◽  
Intestinal Obstruction ◽  
Endoscopic Submucosal Dissection ◽  
Upper Gastrointestinal Bleeding ◽  
Massive Bleeding ◽  
Endoscopic Polypectomy ◽  
Endoscopic Removal ◽  
Gastric Lipoma ◽  
Upper Gastrointestinal

Most upper gastrointestinal lipomas occur in the duodenal second portion, and gastric lipomas are rare. Most lipomas are usually asymptomatic, but symptoms such as abdominal pain, intussusception, ulceration, and intestinal obstruction may occur depending on the size and location and, rarely, can cause bleeding. Endoscopic polypectomy, endoscopic mucosal resection, and surgical resection are the treatments of choice for lipomas with intestinal obstruction or bleeding. Upper gastrointestinal bleeding from lipoma is mostly of duodenal origin and very rarely from the stomach. Here, we report a case of successful treatment of gastric lipoma with massive bleeding by endoscopic resection.

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