Endoscopic management and long-term follow-up of Dieulafoy's lesions in the upper GI tract

Gastrointestinal Endoscopy
Panagiotis KasapidisNikolaos Skandalis

Abstract

The aim of this study was to retrospectively evaluate the short-and long-term effectiveness of different methods of endoscopic treatment for bleeding Dieulafoy's lesions. Patients were allocated into 2 groups according to the hemostatic method applied: (1) injection group (epinephrine and/or ethanolamine oleate), and (2) thermal coagulation group (heat probe), either alone or combined with epinephrine injection. The combination of epinephrine and ethanolamine oleate was used in 5 patients, epinephrine alone in 3, ethanolamine oleate alone in one, heat probe and epinephrine in 8, and heat probe alone in 1 patient. Dieulafoy's lesions were found in 18 (1%) of 1750 patients with acute nonvariceal upper GI bleeding. Comorbid conditions were present in 5 (28%) patients. Initial hemostasis was achieved endoscopically in 13 patients (72%) and permanent hemostasis in 17 patients (94%). Bleeding recurred in 5 patients (2 with concomitant disease) in the injection group; 3 were successfully retreated by heat probe coagulation and epinephrine injection, 1 with hemoclip application and 1 by surgery. There was no recurrent bleeding in thermal treatment group. Thermal treatment was significantly superior to injection (p = 0.0029). Endoscopic...Continue Reading

References

Sep 1, 1992·Gastrointestinal Endoscopy·M E StarkR K Balm
Dec 1, 1991·Digestive Diseases and Sciences·H F Reilly, F H al-Kawas
Mar 1, 1988·Gastroenterology·R PointnerO Dietze
May 7, 1999·Deutsche medizinische Wochenschrift·D SchillingJ F Riemann
Nov 26, 1999·Gastrointestinal Endoscopy·I D NortonC J Gostout

❮ Previous
Next ❯

Citations

Feb 11, 2005·Current Opinion in Gastroenterology·Wahid Wassef
Mar 29, 2007·ANZ Journal of Surgery·Vu Kwan, Ian D Norton
Aug 6, 2005·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Panagiotis KatsinelosIoannis Pilpilidis
Apr 7, 2015·Clinical Endoscopy·Hye Kyung Jeon, Gwang Ha Kim
Feb 24, 2018·BMJ Case Reports·Faisal InayatAbu Hurairah
Oct 13, 2006·Current Opinion in Gastroenterology·Wahid Wassef
Sep 18, 2010·Digestive Diseases and Sciences·Luis F LaraDon C Rockey
Jul 5, 2016·Internal Medicine·Taiki AoyamaShinji Nagata
Apr 19, 2015·Journal of Clinical Gastroenterology·David C Nguyen, Christian S Jackson
Jun 13, 2015·Clinical Endoscopy·Hae Jin ShinHyun Yong Jeong
Jun 27, 2019·World Journal of Gastroenterology : WJG·Eiji SakaiNobuyuki Matsuhashi
Jun 18, 2005·World Journal of Gastroenterology : WJG·R S WalmsleyJoseph J Y Sung
Jun 29, 2006·World Journal of Gastroenterology : WJG·Giovanni D De PalmaGiovanni Persico
Apr 4, 2017·Case Reports in Gastrointestinal Medicine·Ahmed DirweeshMuhammad Tahir
Dec 29, 2020·Gastrointestinal Endoscopy·Yichen WangMarwan S Abougergi
Jul 23, 2003·Gastrointestinal Endoscopy·Yuk Tong LeeJoseph J Y Sung
Aug 2, 2011·Gastrointestinal Endoscopy·Emina Dulic-LakovicUNKNOWN Austrian Dieulafoy-bleeding Study Group

❮ Previous
Next ❯

Related Concepts

Related Feeds

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.

Related Papers

World Journal of Gastroenterology : WJG
Panagiotis KatsinelosYiannis Kountouras
Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva
A IbáñezE Vázquez Astray
© 2022 Meta ULC. All rights reserved