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.

Author: Viktilar Arashizragore
Country: Chad
Language: English (Spanish)
Genre: Education
Published (Last): 3 September 2012
Pages: 80
PDF File Size: 8.22 Mb
ePub File Size: 2.78 Mb
ISBN: 275-6-30016-849-9
Downloads: 12322
Price: Free* [*Free Regsitration Required]
Uploader: Midal

Journal List Gastroenterology Res v. Monopolar, bipolar, multipolar, and heater probes work by coagulating and coapting the blood vessels supplying the mucosa. It must be emphasised, however, that anexperienced endoscopist and a reasonable selection oftherapeutic instruments are essential to achieve a high successrate. Endoscopy ; 32 2: Gastrointest Endosc ; 53 7: Video Endoscopic Sequence 1 of 6. Dieulafoy ulceration with large blood vessel A year-old female who had had multiple episodes of bleeding from the upper gastrointestinal tract with hematemesis and melena, in another city, had been diagnosed with this lesion presented in this image and video clip, later was referred to our endoscopic unit for specific treatment.

Video Endoscopic Sequence 4 of 9. Since endoscopy may prove insufficient, echoendoscopy may help in the diagnosis of this condition.

The Diagnostic Dilemma of Dieulafoy’s Lesion

Status post treatment is observed. The next day there was recurrence of bleeding, a second therapeutic endoscopy was performed. Gastrointestinal bleeding from Dieulafoy’s lesion: For more information you can look for a similar case of Dieulafoy at the end of this chapter.

This page was last edited on 18 Septemberat 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. Dieulafoy, a French surgeon, described three cases inbut the first case was in fact described by Gallard in Conclusion Although the locations and treatments used for DL are well documented, the etiology remains poorly understood and due to the intermittent nature of DL, diagnostic approaches have their enfermecad.


Immediately a hemostatic therapy with banding was carried out. A year-old female who had had multiple episodes of bleeding from the upper gastrointestinal tract with hematemesis and melena, in another city, had been diagnosed with this lesion presented in this image and video clip, later was referred to our endoscopic unit for specific treatment.

We recommend seeing it in full screen mode. Arterial, venous, arteriovenous and capillary; pp. Multiple, reliable, large-bore, intravenous lines are inserted.

Dieulafoy’s Lesion (Exulceratio Simplex) – The

Se continuar a navegar, consideramos que aceita o seu uso. Furthermore, the advent of endoscopy has significantly impacted the treatment of DL, with forms such as laparoscopic banding, injections with epinephrine and adrenaline, and thermocoagulation; yet the success rate ds these diagnostic and therapeutic approaches continues to be limited.

This tiny ulceracion which this upholstered with a sanguineous clot. Video Endoscopic Sequence 4 of 7. It remains unclear if these lesions are inherited or acquired but no genetic mutations enfermedav yet to be discovered.

Video Endoscopic Sequence 4 of 6. A consensus was formulated incorporating the combination of these sources and was collaborated in order to give an updated review on this condition. Video Endoscopic Sequence 5 of 8. More images and videos of therapeutical endoscopy using the argon plasma coagulator APC.

The image is observed blurred due to smoke. Treatment to reverse a severe coagulopathy is important before endoscopy, particularly when endoscopic therapy is contemplated. Hemorrhage is caused by thrombosis and perforation of an abnormally large, tortuous sub mucosal artery in the center of a solitary 2- to 5-mm gastric mucosal erosion, surrounded by normal-appearing mucosa.


Endoscopy ; 33 7: Epinephrine injection and sclerotherapy is one of the treatments used to stop GI bleeding. Sclerotherapy using ethanol or polidocanol has been shown to successfully control bleeding enfermexad used at four sites around the vessel and then into the vessel itself [ 939 ].

Dieulafoy’s lesion

A prospectively randomized trial of heat probe thermocoagulation versus pure alcohol injection in nonvariceal peptic ulcer hemorrhage. Subscriber If you already have your login data, please click here. The diagnosis is often made only after repeated endoscopy or at the time of surgery or autopsy.

When the diagnosis is difficult to reach, endoscopic ultrasonography and Doppler imaging may help locate the large-caliber arterial vessel in contact with the mucosa, which is characteristic of this lesion 9, The video displays a large submucosal vessel. She was hospitalized and a emergency endoscopy practiced by another college was performed after a series of ice cold gastric lavage. Please review our privacy policy.

Video Endoscopic Sequence 1 of 9. Scand J Gastroenterol ; 33 1: Lesions in the jejunoileum or colorectum have been increasingly reported. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Video Endoscopic Sequence 7 of Three rubber bands were applied. Gastrointest Endosc ; 50 6: Articles from Gastroenterology Research are provided here courtesy of Elmer Press.

Author: admin