2 Cases of Endoscopic Ligation Therapy of a Dieulafoy Ulcer.
- Author:
Joon Seong JUNG
1
;
Yeong Yong KIM
;
Jin Ung LEE
;
Tae Yong YOON
;
Ki Seok AHN
;
Kwi Hwan MIN
;
Ki Joong KIM
;
Chan Woong PARK
;
Kwan Su CHOI
Author Information
1. Department of Internal Medicine, St. Columban's Hospital, Mokpo, Korea.
- Publication Type:Case Report
- Keywords:
Dieulafoy ulcer;
Gastrointestinal hemorrhage;
Endoscopic ligation
- MeSH:
Arteries;
Cytochrome P-450 CYP1A1;
Diagnosis;
Endoscopy;
Gastrointestinal Hemorrhage;
Gastrointestinal Tract;
Hemorrhage;
Hemostasis;
Ligation*;
Stomach;
Thrombosis;
Ulcer*
- From:Korean Journal of Gastrointestinal Endoscopy
1998;18(2):225-229
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A dieulafoy ulcer is rarely recognized but is not an uncommon cause of massive, recurrent and frequently fatal gastrointestinal bleeding resulting from the erosion of an unusually large submucosal artery. Although the lesion has been predominantly found in the proximal stomach, it has also been detected throughout the gastrointestinal tract. Diagnosis can be made by observation of protruding and eroded arteries with pulsatile bleeding, or through detection of an adherent thrombus using an endoscopy. In the past, surgical intervention was believed to be the best treatment, but currently, therapeutic endoscopy is more favored, due to its recent success in achieving permanent hemostasis. We experienced 2 cases of Dieulafoy's ulcer of the stomach. Endoscopic ligations using an O ring were performed successfully.
