Dieulafoy, s lesion

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Dieulafoy, s lesion, a large dilated tortuous aberrant sub mucosal arteriole mostly located in the lesser curvature of the stomach wall which erodes and bleeds.It is relatively uncommon but potentially fatal cause of gastrointestinal bleeding.

Patients with Dieulafoy, s almost always presents with massive pain less upper gastrointestinal bleeding, homodynamic instability and shock.Diagnosis of Dieulafoy, s lesion is difficult, so repeated endoscopy may improve diagnostic afford, especially during active bleeding, If repeated endoscopy couldn’t diagnosed then angiography may be useful.

The treatment of this lesion consists of bipolar electrocoagulation, monopolar electrocoagulation, heater probe, sclerotherapy, laser photocoagulation, epinephrine injection and surgery is done for both therapeutic and diagnostic  Point of view.

If patient is managed as early as possible, it achieves very good long-term results.

Sources:

1.PMID: 1748038 [PubMed - indexed for MEDLINE]

2.G. Dieulafoy. Exulceratio simplex: Leçons 1-3. In: G. Dieulafoy, editor: Clinique medicale de l’Hotel Dieu de Paris. Paris, Masson et Cie: 1898:1-38.

3.  www.ncbi.nlm.nih.gov/pmc/articles/PMC149361/

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