Dieulafoy lesion: Endoscopic and surgical management

Dieulafoy lesion: Endoscopic and surgical management

Autor Linhares, M. M. Google Scholar
Filho, B. H. Google Scholar
Schraibman, V Google Scholar
Goitia-Duran, M. B. Google Scholar
Grande, JCD Google Scholar
Sato, N. Y. Google Scholar
Lourenco, L. G. Google Scholar
Lopes, GDJ Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
Resumo Dieulafoy lesion is characterized by exteriorization of a large pulsatile arterial vessel through a minimal mucosal tear Surrounded by normal mucosa, causing massive and recurrent tipper digestive bleeding in previously healthy patients. More frequently presented than diagnosed, with the increase of its knowledge among endoscopists, a large number of cases are expected in the literature. Data from patients with upper gastrointestinal bleeding Submitted to endoscopy at the Federal University of São Paulo, Gastrointestinal Endoscopy Unit from 199) through 2002 were reviewed for Dieulafoy lesion. We found 15 patients with typical Dieulafoy gastric lesion. Their ages ranged from IS to 78 years (mean age 49.9): 5 patients were female and 10 were male. Bleeding presented as hematemesis and melena in 7 cases (46.6%), hematemesis alone in 4 cases (26.6%), and melena alone in the other 4 cases (26.6%). Initial hemostatic approaches employed were: alcoholization (2 cases), epinephrine associated with alcohol injection (5 cases), sclerosis in 7 cases and surgery in 1 case. Dieulafoy lesion is a distinct nosologic entity that must be Suspected in patients with massive digestive bleeding. Endoscopy became the procedure of choice for diagnosis and treatment of this disease.
Palavra-chave Dieulafoy
endoscopy
treatment
surgery
Idioma Inglês
Data de publicação 2006-02-01
Publicado em Surgical Laparoscopy Endoscopy & Percutaneous Techniques. Philadelphia: Lippincott Williams & Wilkins, v. 16, n. 1, p. 1-3, 2006.
ISSN 1530-4515 (Sherpa/Romeo, fator de impacto)
Publicador Lippincott Williams & Wilkins
Extensão 1-3
Fonte http://dx.doi.org/10.1097/01.sle.0000202191.59322.5f
Direito de acesso Acesso restrito
Tipo Artigo
Web of Science WOS:000235749500001
Endereço permanente http://repositorio.unifesp.br/handle/11600/28736

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