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Recurrent Dieulafoy’s disease with surgical management: diagnosis by endoscopic ultrasonography. D. Martínez Ares, J. Souto Ruzo, J. Yáñez López, P. Alonso. Request PDF on ResearchGate | Enfermedad de Dieulafoy duodenal: a propósito de un caso | Dieulafoy’s disease is a rare cause of bleeding in either the. Oesophagogastroduodenoscopy showed the characteristic appearance of Dieulafoy lesions—tiny punctuate lesions along the lesser curve of the.

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Support Center Support Center. Continuing navigation will be considered as acceptance of this use. Bleeding Dieulafoy’s lesions and the choice of endoscopic method: J Clin Gastroenterol ; 36 4: Clinique Medicale de l’HotelDieu de Paris. Endoscopy ; 32 enfermedar Endoscopic hemostasis in exulceratio simplex-Dieulafoy’s disease hemorrhage: Articles from Gastroenterology Research are provided here courtesy of Elmer Press.

Majority of cases arise and present as a sudden onset of massive, recurrent, and painless hematemesis, although can also present as melena, hematochezia, and a drop in blood pressure. Video Endoscopic Sequence 6 of 6. The patient did not report previous alcohol abuse, smoking or other unhealthy habits.

Dieulafoy’s lesion

Video Endoscopic Sequence 5 of 6. Most of these lesions are located in the stomach 1although they may also appear in other parts of the gastrointestinal tract such as the duodenum, jejunum or rectum. Clinical presentation, endoscopic findings, and endoscopic therapy. Video Endoscopic Sequence 1 of Complejo Hospitalario Universitario Juan Canalejo. Because this vessel is large in size we decided to use this type of infiltration as a therapeutic strategy. J Am Coll Surg.


Other diagnostic utilities that have been used include the additional use of endoscopic ultrasound [ 32 ]. Video Endoscopic Sequence 3 of 9. Canard JM, Vedrenne B. Schmulewitz N, Baillie J.

Dieulafoy’s Lesion (Exulceratio Simplex) – The

This item has received. The consensus seems to be that it is caused by an abnormally large-calibre persistent tortuous submucosal artery.

Video Endoscopic Sequence 9 of We performed a new endoscopy a day later using a more aggressive approach, we used the therapeutic endoscope, with double channel with a more suction power. A 70 year-old female, who was hospitalized due to gastrointestinal hemorrhage. Gastrointest Endosc Clin N Am.

The Diagnostic Dilemma of Dieulafoy’s Lesion

enferemdad Sclerotherapy promotes vascular inflammation and thrombosis from local irritation, whereas cyanoacrylate promotes gluing to plug a bleeding artery. GI endoscopy has proven to be an effective diagnostic and therapeutic tool but the obscure nature of DL reveals that there is a significant amount of underlying investigation that needs to be conducted. For this reason, repeat examinations may be required.


Immediately a hemostatic therapy with banding was carried out. Types of articles mostly consisted of but were not limited to case reports, review articles, and research articles involving clinical data.

Contact thermal methods, however, have been criticized because of inadequate coagulation of the lesion when covered by blood resulting in future episodes of re-bleeding [ 41 ]. Contrariwise, APC involves hovering endermedad probe over the lesion without lesion contact[. In our case, efnermedad is illustrated by the images provided by echoendoscopy. Doppler EUS-guided treatment of gastric Dieulafoy’s lesion. Paul Dieulafoy in was a professor of pathology at the Faculty of Medicine in Paris and was the first to describe this relatively rare condition.

Gastrointest Endosc ; 52 6: A biopsy was taken, abnormal bleeding was noted. Prognostic factors for recurrence of gastrointestinal bleeding due to Dieulafoy’s lesion.