A Case of Endoscopic Management of Dieulafoy's Lesion in the Ampulla of Vater.
- Author:
Ki Won HWANG
1
;
Jae Hyung LEE
;
Joo Ho LEE
;
Sang Yong LEE
;
Tae Oh KIM
;
Gwang Ha KIM
;
Jeong HEO
;
Dae Hwan KANG
;
Geun Am SONG
;
Mong CHO
Author Information
1. Department of Internal Medicine, Pusan National University College of Medicine, Busan, Korea. hero0791@paran.com
- Publication Type:Case Report
- Keywords:
Dieulafoy's lesion;
Hemoclip;
Gastrointestinal bleeding;
Ampulla of Vater
- MeSH:
Ampulla of Vater*;
Diagnosis;
Duodenum;
Endoscopy;
Esophagogastric Junction;
Hemorrhage;
Hemostasis;
Humans;
Stomach
- From:Korean Journal of Gastrointestinal Endoscopy
2006;32(5):357-360
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Dieulafoy's lesion is an uncommon but important cause of massive upper gastrointestinal bleeding. The lesion usually occurs in the lesser curvature of the stomach within 6 cm of the gastroesophageal junction but extragastric locations of Dieulafoy's lesion are rare. In this study, diagnosis of Dieulafoy's lesion was frequently made by endoscopy instead of surgery. Hemostasis was achieved by endoscopic treatment in more than 90% of patients. We report the successful application of endoscopic hemoclipping for treatment of active bleeding from Dieulafoy's lesion in the ampulla of Vater of the duodenum.
