Clinical Features, Endoscopic Management and Outcome of Patients with Non-variceal Upper Digestive Bleeding by Dieulafoy Lesion

GI bleeding caused by Dieulafoy lesion in the gastric fundus: a case report Dieulafoy lesion is a rare cause of massive gastrointestinal (GI) hemorrhage that can be fatal. It arises from an abnormally large eroded submucosal artery and in more than 75% of cases the lesion is mostly found within 6 cm of the cardia. The severity of bleeding and the site of the lesion render the diagnosis sometimes difficult, more than one endoscopic exam is often required. Surgery was regarded as the treatment of choice in the past, but recently endoscopic management has become the standard approach. We report a case of an 42-year-old man presented with upper GI hemorrhage. Repeated upper GI endoscopies revealed a missed diagnosis of subcardial gastric ulcer and Mallory-Weis lesion. Following conservative treatment, the frequency and amount of haemorrhage decreased and totally stop. 48 hours after admission patient developed sudden massive upper GI bleeding and underwent emergency total gastrectomy. The diagnosis of Dieulafoy lesion was made histologically. The patient recovered uneventfully and discharged on the postoperative day 11th. Therefore, Dieulafoy disease represent a diagnostic and therapeutic challenge. Advances in endoscopic technique have greatly assisted in earlier diagnosis and added options to the treatment regimen for this lesion. The relationship of this anomaly to possible exsanguinations makes it essential that both endosopical and surgical approach play an important role in the management of this pathology.

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Endoscopic Management with Ethanol Injection in a Child with Gastric Dieulafoy Lesion

Korean Journal of Pediatric Gastroenterology and Nutrition ◽

10.5223/kjpgn.2003.6.2.187 ◽

2003 ◽

Vol 6 (2) ◽

pp. 187 ◽

Cited By ~ 1

Author(s):

Hyun Jin Kim ◽

Jee Seon Shin ◽

Jeong Wan Seo

Keyword(s):

Endoscopic Management ◽

Ethanol Injection ◽

Dieulafoy Lesion

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Successful Endoscopic Management of Bleeding From Colonic Dieulafoy Lesion: A Case Review of Six Years' Experience

Gastrointestinal Endoscopy ◽

10.1016/s0016-5107(05)01364-7 ◽

2005 ◽

Vol 61 (5) ◽

pp. AB259

Author(s):

Wan Sik Lee ◽

Chang Hwan Park ◽

Young Eun Joo ◽

Hyun Soo Kim ◽

Sung Kyu Choi ◽

...

Keyword(s):

Endoscopic Management ◽

Case Review ◽

Dieulafoy Lesion

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Clinical features and endoscopic management of Dieulafoy's disease

Gastrointestinal Endoscopy ◽

10.1016/s0016-5107(92)70513-6 ◽

1992 ◽

Vol 38 (5) ◽

pp. 545-550 ◽

Cited By ~ 81

Author(s):

Mark E. Stark ◽

Christopher J. Gostout ◽

Rita K. Balm

Keyword(s):

Clinical Features ◽

Endoscopic Management ◽

Dieulafoy’S Disease

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Massive hemorrhage from a Dieulafoy lesion in the cecum: successful endoscopic management

Gastrointestinal Endoscopy ◽

10.1016/s0016-5107(00)70466-4 ◽

2000 ◽

Vol 51 (4) ◽

pp. 510-512 ◽

Cited By ~ 11

Author(s):

Yasuhiro Sone ◽

Satoshi Nakano ◽

Isao Takeda ◽

Takashi Kumada ◽

Seiki Kiriyama ◽

...

Keyword(s):

Massive Hemorrhage ◽

Endoscopic Management ◽

Dieulafoy Lesion

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Massively bleeding Dieulafoy lesion and unique rescue: a video based case report from National Liver Institute, Menoufia University

Egyptian Liver Journal ◽

10.1186/s43066-021-00137-0 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Omkolsoum Alhaddad ◽

Maha Elsabaawy ◽

Ahmed Elfaioumy ◽

Ashraf Eljaky

Keyword(s):

Case Report ◽

Gastrointestinal Tract ◽

Lamina Propria ◽

Endoscopic Hemostasis ◽

The Other ◽

Endoscopic Management ◽

Case Presentation ◽

Life Threatening ◽

Over The Scope Clip ◽

Dieulafoy Lesion

Abstract Background Dieulafoy arteriole is a lamina propria vessel that unlike the other arterioles is getting bigger and bending into the mucosa of the gastrointestinal tract. Such anatomic aberration is unusual cause for life threatening gastrointestinal bleeds. Case presentation Herein, we report a case of an elderly gentleman, who had massively bleeding Dieulafoy lesion and endoscopic hemostasis of the spurting Dieulafoy by the use of the over-the-scope clip (OVESCO, Tübingen, Germany) has been successfully undertaken. Conclusion The endoscopic management of Dieulafoy related bleeds can be enriched by the use of over-the-scope clip, OVESCO, technique.

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