Endoscopic " 0 " Band Ligation Treatment for 3 Cases with Dieulafoy Lesion.
- Author:
Seong Kyu PARK
;
Ho Soon CHOI
;
Kang Seo PARK
;
Duck Reii CHOI
;
Woo Seok CHOI
;
Jin Hyung AHN
;
Byoung Seok CHO
;
Byoung Soo PARK
;
Jung Hee KO
- Publication Type:Case Report
- Keywords:
Dieulafoy lesion;
Endoscopic treatment;
Gastrointestinal hemorrhage
- MeSH:
Arteries;
Cardia;
Emergencies;
Endoscopy;
Gastrointestinal Hemorrhage;
Hemorrhage;
Hemostasis;
Humans;
Ligation*;
Melena;
Prognosis;
Recurrence
- From:Korean Journal of Gastrointestinal Endoscopy
1994;14(3):357-364
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Dieulafoy lesion is very small and easily overlooked as a course of massive, often recurrent hemorrhage that results from the crosion of a submucosal artery, typically in the gastric cardia or fundus. The clinical picture of Dieulafoy lesion is quite uniform: patients commonly present with massive hemorrhage and melena without any relevant history. The diagnostic procedure of choice in patients with severe gastrointestinal bleeding is emergency endoscopy. The lesion is rare but potentially life threatening source of upper gastrointestinal bleeding. Before the endoscopic era, the prognosis for patients with these lesions was quite poor. However, recent reports have described the success of endoscopic therapy in the management of Dieulafoy lesion. We performed emergency endoscopy in 3 patients who had massive or recurrent episode of upper gastrointestinal bleeding, identified to the Dieulafoy lesion. We tried to Endoscopic "0" band ligation, successfully in hemostasis and prevention of recurrence.
