Duodenal and jejunal Dieulafoy&amp;rsquo;s lesions: optimal management

Yılmaz, Tonguç Utku; Kozan, Ramazan

doi:10.2147/ceg.s122784

Cited by 26 publications

(54 citation statements)

References 35 publications

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“…Argon plasma coagulation is the non-contact method, which is effective and safer than the contact methods. However, the major limitation of this thermal therapy is that it improves clinical outcomes mainly in patients presenting with the superficial Dieulafoy’s lesion 50. Furthermore, angiography with gel-foam embolisation is another potential treatment modality used in a limited number of cases 51…”

Section: Discussionmentioning

confidence: 99%

Dieulafoy’s lesion of the duodenum: a comparative review of 37 cases

Inayat

Amjad

Hussain³

et al. 2018

BMJ Case Reports

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Dieulafoy's lesion is an abnormally large, tortuous, submucosal vessel that erodes the overlying epithelium without primary ulceration or erosion. The lesion predominantly occurs in the proximal stomach but it is also reported in extragastric sites. The pathogenesis and precipitating factors are poorly understood. Patients frequently present with gastrointestinal haemorrhage that can range from being self-limited to massive life threatening. Although there are no standard guidelines, endoscopy has significantly impacted the diagnosis and management. This review outlines our current understanding of the epidemiology of and risk factors for Dieulafoy's lesion of the duodenum, the pathophysiology of this disorder, and currently available approaches to diagnosis and management.

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Section: Discussionmentioning

confidence: 99%

Dieulafoy’s lesion of the duodenum: a comparative review of 37 cases

Inayat

Amjad

Hussain³

et al. 2018

BMJ Case Reports

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“…Several advanced endoscopic techniques, including injections of epinephrine or sclerotherapy, mechanical interventions such as hemostatic clips and banding, and thermal treatments have been effective overall, even in the pediatric population [3,17,18].…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

Dieulafoy lesion: two pediatric case reports

et al. 2020

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Background: Massive gastrointestinal bleeding in children is uncommon. Dieulafoy lesion is an uncommon disease which may lead to massive and repeated upper gastrointestinal hemorrhage. We report two cases of gastric Dieulafoy lesion successfully treated with either band ligation or endoscopic hemoclipping. Case presentation: First case report: A previously healthy 18-month-old female infant with E. coli sepsis, pneumonia and respiratory failure with bilateral pneumothorax requiring chest drainage. Over a few days, the patient presented hematemesis and melena with progressively worsening anemia. The esophagogastroduodenoscopy revealed an arterial vessel with eroded apex located between the body and the fundus of the stomach. Two elastic bands were applied which resulted in resolution of hematemesis and melena and improvement of the anemia. Second case report: A 8-year-old male was admitted to our department with sudden massive hematemesis and melena. Clinical examination revealed anemia (hemoglobin, 6.8 g/dl). Esophagogastroduodenoscopy revealed a mucosal erosion with visible vessel located along the small curvature, close to the antrum. Three hemostatic clips were placed on the Dieulafoy lesion and hemostasis was obtained. Conclusions: we showed that, similar to gastric DL in adult patients,, gastric DL in pediatric patients can be successfully treated with endoscopic therapy, and both hemoclipping and band ligation are suitable techniques.

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“…Surgical management, regarded as the only treatment initially available before, is reserved for patients who are refractory to endoscopy and angiography. Endoscope combined with laparoscopic surgery is a new attempt, which is less invasive than traditional surgery and easy to be accepted by patients [19].…”

Section: Discussionmentioning

confidence: 99%

Ten- Year-Old Female with Dieulafoy Lesion Treated with Therapeutic Endoscopy And Literature Review

Chen

Sun

2020

Preprint

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Background There are many causes of sudden gastrointestinal bleeding in children, Dieulafoy lesion is very rare. This vascular abnormality can be fatal without appropriate treatment.Case presentation Retrospective analysis of the clinical manifestations, endoscopic features and treatment of a Chinese child with Dieulafoy lesion and review relevant literatures.Result A 10-year-old girl was admitted to hospital with sudden massive hematemesis and melena. Abdominal CT revealed suspected submucosal bleeding in the stomach. Finally the disease was diagnosed due to the typical manifestations with endoscopy. Meanwhile, we used electrocoagulation and hemoclips to hemostasis under endoscopy. No recurrence of hematemesis identified during the 4-weeks follow-up.Conclusion Dieulafoy lesion in children is rare cause of sudden gastrointestinal hemorrhage. But differential diagnosis cannot ignore it. Endoscope is the optimize choice for diagnosis and treatment.

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Duodenal and jejunal Dieulafoy’s lesions: optimal management

Cited by 26 publications

References 35 publications

Dieulafoy’s lesion of the duodenum: a comparative review of 37 cases

Dieulafoy’s lesion of the duodenum: a comparative review of 37 cases

Dieulafoy lesion: two pediatric case reports

Ten- Year-Old Female with Dieulafoy Lesion Treated with Therapeutic Endoscopy And Literature Review

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