Evaluation of treatment results of patients with acute gastrointestinal bleeding due to dieulafoy's lesion admitted to emergency department

Beyazıt, Yavuz; Dışıbeyaz, Selçuk; Suvak, Burak; Pürnak, Tuğrul; Torun, Serkan; Parlak, Erkan

doi:10.5505/tjtes.2013.58740

Cited by 4 publications

(6 citation statements)

References 22 publications

(37 reference statements)

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“…It is generally seen in elderly, male patients with multiple comorbidities and having medications, like non-steroidal anti-inflammatory drugs (NSAIDs), aspirin, and warfarin (5, 6). Although DL has been seen between 20 months and 93 years, the mean age is over 50 years (6,7). DL is seen more in men than women.…”

Section: Discussionmentioning

confidence: 94%

Massive lower gastrointestinal bleeding from a jejunal Dieulafoy lesion

Kozan

Gülen

Yılmaz

et al. 2014

UCD

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Dieulafoy lesion should be considered in massive gastrointestinal bleeding that may be difficult to localize. If the endoscopic and angiographic approaches fail, surgery must be considered according to the patient's clinical condition within an appropriate time. Although mostly seen in the stomach of old male patients with co-morbidities, here we presented a Dieulafoy lesion in the jejunum of a 21-year-old female patient without any significant comorbidity. After endoscopic and angiographic attempts, surgical resection with the help of intraoperative endoscopy was performed. It was shown that perioperative endoscopy may reveal the localization of jejunal bleedings and may guide the definitive treatment.

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Section: Discussionmentioning

confidence: 94%

Massive lower gastrointestinal bleeding from a jejunal Dieulafoy lesion

Kozan

Gülen

Yılmaz

et al. 2014

UCD

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“…Surgical treatment of DL is significantly decreased in time due to efficient therapeutic role of endoscopic management with satisfactory clinical outcomes. Recent studies have demonstrated that surgical treatment is required only in 4-8% of patients [12]. Nowadays, surgery is required for recurrent lesions after angiographic and endoscopic treatment failure.…”

Section: Discussionmentioning

confidence: 99%

An unusual cause of hemorrhagic shock: gastric Dieulafoy’s lesion

Erdoğan

Ferhatoğlu

Pehlevan

et al. 2019

The European Research Journal

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Dieulafoy's lesion (DL) related massive gastrointestinal bleeding is a rare and mortal health condition. DL is a superficial vascular lesion of the gastric mucose that is mostly located in the proximal part of the stomach which is difficult to diagnose. Endoscopy is a safe and effective method for diagnosis and treatment. However, emergency surgery should be essential for diagnosis and treatment. Here we present a succesfull clinical and surgical management of a case with massive gastrointestinal bleeding related to gastric DL.

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“…It is uncommon in jejunum, ileum, colon, and rectum (4). DL was observed to be associated with the usage of NSAIDs or anticoagulants, or conditions of alcoholism, stress, or cardiac/pulmonary failure in the elderly (4,5). Mucosal erosion or ischemic injury, which is possibly related to aging and cardiovascular diseases, further weakens the overlying mucosa.…”

Section: Discussionmentioning

confidence: 99%

“…DL is typically located in the gastric fundus, and it usually occurs in adults, especially in the males and the elderly (3)(4)(5). It is an extremely rare source of GI bleeding in children.…”

Section: Introductionmentioning

confidence: 99%

Jejunal Dieulafoy Lesion Detected by Intraoperative Endoscopy in a Child

et al. 2016

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Introduction: Dieulafoy lesion is an unusual cause of gastrointestinal bleeding in which significant, and often recurrent, hemorrhage occurs from a pinpoint non-ulcerated arterial lesion. It is usually located in gastric fundus, and is extremely rare in children. Case Presentation: In this study, we present a male adolescent with jejunal Dieulafoy lesion. The patient was admitted to the hospital due to hematochezia and hypotension. No active bleeders were identified on endoscopy, colonoscopy, and double-balloon enteroscopy. Computed tomography angiography revealed active bleeders in jejunum. An intraoperative enteroscopy, using flexible endoscopy, revealed a jejunal Dieulafoy lesion with spurting bleeding. The patient was successfully treated by bowel resection. Conclusions: Intraoperative endoscopy is a relatively efficient and safe modality for evaluating the bleeding Dieulafoy lesion in the small intestine, and is essential for directing surgery.

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Evaluation of treatment results of patients with acute gastrointestinal bleeding due to dieulafoy's lesion admitted to emergency department

Cited by 4 publications

References 22 publications

Massive lower gastrointestinal bleeding from a jejunal Dieulafoy lesion

Massive lower gastrointestinal bleeding from a jejunal Dieulafoy lesion

An unusual cause of hemorrhagic shock: gastric Dieulafoy’s lesion

Jejunal Dieulafoy Lesion Detected by Intraoperative Endoscopy in a Child

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