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: Karn Mautilar
Country: Brazil
Language: English (Spanish)
Genre: Finance
Published (Last): 10 June 2004
Pages: 241
PDF File Size: 3.71 Mb
ePub File Size: 7.20 Mb
ISBN: 911-8-19800-124-2
Downloads: 65556
Price: Free* [*Free Regsitration Required]
Uploader: Dakora

The Diagnostic Dilemma of Dieulafoy’s Lesion

January – March Pages Dieulafoy’s lesion of the anal canal: Video Endoscopic Sequence 7 of As EGD has its limitations, push enteroscopy has also been utilized which may enfrmedad a higher yield in identifying obscure locations with DL. When EGD has failed to locate the source of bleeding, angiography has been implemented. Paul Dieulafoy in was a professor of pathology at the Faculty of Medicine in Paris and was the first to describe this relatively rare condition.

Electrolyte abnormalities are assessed and appropriately corrected. Epinephrine around the lesion can be used to reduce excessive bleeding but should also be managed with sclerotherapy for those with DL.

It must be emphasised, however, that anexperienced endoscopist and a reasonable selection oftherapeutic instruments are essential to achieve a high successrate. Three rubber bands were applied. Gastrointest Endosc ; 55 4: Of these current methods, no one method or combination has been shown to be superior for hemostatic control. Endoscopic methods remain the most often used treatment of choice dieulafoj lesions which are easily accessible [ 17 ].


Rev Esp Enferm Dig ; GI endoscopy has proven to be an effective diagnostic and therapeutic tool but the obscure nature of DL reveals that there is a significant amount of underlying investigation that needs to be conducted. By using this site, you agree to the Terms of Use and Privacy Policy.

Further analysis and workup needs to be conducted in order to reduce hospital stay and improve survival. Dieulaoy capsule endoscopy has also been implemented and although it has been considered minimally invasive, it lacks the benefit of therapeutic intervention [ 931 ].

Ablation modalities can stem bleeding by destroying and devitalizing tissue. Video Endoscopic Sequence 6 of 8. Epinephrine with repeated injection can lead to cessation of bleeding. Bleeding Dieulafoy dieulavoy of the small bowel: Gastrointestinal bleeding from Dieulafoy’s lesion: 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 limitations.

Video Endoscopic Sequence 9 of Gastrointest Endosc ; 55 2: With the use of endoscopic hemostatic procedures, the various treatment techniques will be discussed. Gastrointest Endosc ; 57 3: In other projects Wikimedia Commons.

Video Endoscopic Sequence 5 of 7. Dieulafoy lesions of the GI tract: They diulafoy been shown to be more successful at times compared to injection treatment in the management of DL [ 942 ].

Video Endoscopic Sequence 1 of 7. Endoscopic criteria which have been at times utilized to define DL include the following [ 59 ]: Articles from Gastroenterology Research are provided here courtesy of Elmer Press.


A case report of Dieulafoy’s disease of the duodenum. Therapeutic dieulfoy is the primary treatment modality for acute GI bleeding.

Enfermedad de Dieulafoy duodenal: a propósito de un caso | Revista Española de Patología

Extravasation as stated may be the only finding at times. Therapeutical endoscopy using the argon plasma coagulator APC. There has been on-going debate in regards to its correlation with the underlying mucosa resulting in several detrimental complications. We concluded that the bleeding became from this tiny ulceration in the proximal third of the gastric body.

Dieulafoy’s lesion

Endosonography-guided endoscopic band ligation of Dieulafoy’s malformation: It may not be detected because an adherent clot may occlude it and sometimes the only way to directly ex- pose it is by washing away the clot with moderate endoscopic perfusion although this is not highly recommended [ 26 ].

Gastrointest Endosc ; 50 6: Significant research, data collaboration, and clinical trials need to be conducted to differentiate various endoscopic modalities and the best dieulavoy to approach and manage such lesions.

A year-old female patient which had a bifemoral-aortic surgery prosthesis 25 days previously; a week before this procedure, she initiates with upper gastrointestinal bleeding, with hematemesis, melenic stools, paleness and hypotension. Endoscopy is the diagnostic method of choice, in many cases are necessary repeated examinations.