Partial gastric resection for Dieulafoy lesion by a combined endoscopic and laparoscopic approach

VernacularTitle:腹腔镜与胃镜联合技术治疗Dieulafoy病
Author: Weixing DING ; Xun JIANG ; Zhenhoag HAO
Publication Type:Journal Article
Keywords: Laparoscopes; Endoscopy; Partial gastric resection; Dieulafoy lesion
From:Chinese Journal of Digestive Surgery 2009;8(5):393-395
CountryChina
Language:Chinese
Abstract: Dieulafoy lesion are usually located in the stomach but can also occur in the small or large intestines. It is an uncommon but significant source of massive upper gastrointestinal hemorrhage. A female patient with Dieulafoy lesion was admitted to the Tenth People's Hospital of Tongji University on June 2, 2009. The site of the lesion was diagnosed at the anterior wall of stomach with a bleeding vessel in the center. The size of the lesion was about 1.0 cm×1.0 cm. Partial gastric resection was successfully performed using laparoscopy and endoscopy. The lesion was demarcated by gastroscope, and then it was hung up and removed by laparoseope. Bowel movement recovered at the second day, and the patient was discharged 6 days after surgery. The patient was followed up for 1 month, and no recurrent hemorrhage or other complications were observed. The combined approach of laparoscopy and endoscopy not only resects the lesion completely and widens the scope of minimally invasive surgery but also decreases the risk of operation.