Endoscopic Laser Treatment of Dieulafoy`s Lesion

Park, Byung Sub; Choi, Jong Do; Lee, Il Jun; Noh, Jung Woo; Kim, Woo Joong; Rim, Kyu Sung

doi:10.3904/kjim.1988.3.1.81

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…[34][35][36][37] Patients often present with melena (33%), obscure-overt gastrointestinal bleeding (29%), or hematochezia (13%) (Table 2). [38][39][40][41][42][43][44] The bleeding can be particularly severe and intermittent due to the vessel's large diameter and pulsatile nature (Figure 4). 45,46 Therefore, hemodynamic compromise may also ensue in approximately 20% of patients, culminating in tachycardia, hypotension, and even hypovolemic syncope.…”

Section: Clinical Presentationmentioning

confidence: 99%

Jejunal Dieulafoy’s Lesion: A Systematic Review of Evaluation, Diagnosis, and Management

Malik

Inayat

Goraya

et al. 2021

Journal of Investigative Medicine High Impact Case Reports

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Jejunal Dieulafoy’s lesion is an exceedingly rare but important cause of gastrointestinal bleeding. It frequently presents as a diagnostic and therapeutic conundrum due to the rare occurrence, intermittent bleeding symptoms often requiring prompt clinical action, variability in the detection and treatment methods, and the risk of rebleeding. We performed a systematic literature search of MEDLINE, Cochrane, Embase, and Scopus databases regarding jejunal Dieulafoy’s lesio from inception till June 2020. A total of 136 cases were retrieved from 76 articles. The mean age was 55 ± 24 years, with 55% of cases reported in males. Patients commonly presented with melena (33%), obscure-overt gastrointestinal bleeding (29%), and hemodynamic compromise (20%). Hypertension (26%), prior gastrointestinal surgery (14%), and valvular heart disease (13%) were the major underlying disorders. Conventional endoscopy often failed but single- and double-balloon enteroscopy identified the lesion in 96% and 98% of patients, respectively. There was no consensus on the treatment. Endoscopic therapy was instituted in 64% of patients. Combination therapy (34%) with two or more endoscopic modalities, was the preferred approach. With regard to endoscopic monotherapy, hemoclipping (19%) and argon plasma coagulation (4%) were frequently employed procedures. Furthermore, direct surgical intervention in 32% and angiographic embolization was performed in 4% of patients. The rebleeding rate was 13.4%, with a mean follow-up duration of 17.6 ± 21.98 months. The overall mortality rate was 4.4%. Jejunal Dieulafoy’s lesion is still difficult to diagnose and manage. Although the standard diagnostic and therapeutic modalities remain to be determined, device-assisted enteroscopy might yield promising outcomes.

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Section: Clinical Presentationmentioning

confidence: 99%

Jejunal Dieulafoy’s Lesion: A Systematic Review of Evaluation, Diagnosis, and Management

Malik

Inayat

Goraya

et al. 2021

Journal of Investigative Medicine High Impact Case Reports

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“…The excellence of his research was continually proven at Catholic University from 1960 to 1964. During his time at Severance Hospital and Catholic University, he published most of his clinical studies on neurologic and endocrinologic diseases, especially on cerebral vascular accidents, 2 Bell's palsy, 3 cerebellar artery occlusion, 4 physical therapy of hemiplegia, 5 goiter, 6 and diabetes. 7 The excellence of the publications was reflected by the large number of study subjects included therein: 177 thyroid disease cases out of 133359 study subjects, 200 Bell's palsy patients out of 209084 subjects, and 183 diabetics out of 216656 individuals.…”

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confidence: 99%

The First Neurologist in Korea: Dr. Succ-Jo Suh

Kim

2015

Yonsei Med J

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Treatment of Early Gastric Cancer: Endoscopic Submucosal Dissection with LASER

Jang¹

2018

Korean J Med

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In 2000, endoscopic resection is very useful treatment modality for early gastric cancer. The Needle Knife (Olympus, Tokyo, Japan) and Insulated Tip Knife (Olympus) are used for endoscopic dissection of gastrointestinal tumors in clinical practice. The depth of penetration and the high power delivered to soft tissue by electrocautery with these needles are not well controlled, and therefore may increase the risk of complications such as intestinal perforation and bleeding lasers 2-μm in wavelength offer efficient tissue cutting with limited thermal damage in biological tissue. Light amplication by the sumulated emission of radiation dissection demonstrated good maneuverability, clean and rapid cutting, and excellent hemostasis. And, now we would like to evaluate the clinical outcomes of the endoscopic submucosal dissection with using laser and capabilities in the future.

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Endoscopic Laser Treatment of Dieulafoy`s Lesion

Cited by 3 publications

References 5 publications

Jejunal Dieulafoy’s Lesion: A Systematic Review of Evaluation, Diagnosis, and Management

Jejunal Dieulafoy’s Lesion: A Systematic Review of Evaluation, Diagnosis, and Management

The First Neurologist in Korea: Dr. Succ-Jo Suh

Treatment of Early Gastric Cancer: Endoscopic Submucosal Dissection with LASER

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