Abstract
A review of 177 cases of upper gastrointestinal hemorrhage due to Dieulafoy's lesion is reported. Dieulafoy's lesion is frequently responsible for severe and recurrent upper gastrointestinal hemorrhage. The lesion was predominantly found in the proximal stomach. Repeat endoscopies were needed in 33% of the patients in order to make the correct diagnosis. When preoperative diagnosis and localization were made, surgery was an effective therapeutic modality. Therapeutic endoscopy was successful in achieving permanent hemostasis in 85% of the reported cases. Re-treatment was needed in an additional 10% and surgical therapy in 5% of the cases. Therapeutic endoscopy should be considered initially in all patients. Surgical intervention and angiography with embolization may be effective options if endoscopic therapy is unsuccessful.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1702-1707 |
| Number of pages | 6 |
| Journal | Digestive Diseases and Sciences |
| Volume | 36 |
| Issue number | 12 |
| DOIs | |
| State | Published - Dec 1991 |
| Externally published | Yes |
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Keywords
- exulceratio simplex
- upper gastrointestinal hemorrhage
ASJC Scopus subject areas
- Gastroenterology
Cite this
Dieulafoy's lesion - Diagnosis and management. / Reilly, Harold F.; Al Kawas, Firas.
In: Digestive Diseases and Sciences, Vol. 36, No. 12, 12.1991, p. 1702-1707.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Dieulafoy's lesion - Diagnosis and management
AU - Reilly, Harold F.
AU - Al Kawas, Firas
PY - 1991/12
Y1 - 1991/12
N2 - A review of 177 cases of upper gastrointestinal hemorrhage due to Dieulafoy's lesion is reported. Dieulafoy's lesion is frequently responsible for severe and recurrent upper gastrointestinal hemorrhage. The lesion was predominantly found in the proximal stomach. Repeat endoscopies were needed in 33% of the patients in order to make the correct diagnosis. When preoperative diagnosis and localization were made, surgery was an effective therapeutic modality. Therapeutic endoscopy was successful in achieving permanent hemostasis in 85% of the reported cases. Re-treatment was needed in an additional 10% and surgical therapy in 5% of the cases. Therapeutic endoscopy should be considered initially in all patients. Surgical intervention and angiography with embolization may be effective options if endoscopic therapy is unsuccessful.
AB - A review of 177 cases of upper gastrointestinal hemorrhage due to Dieulafoy's lesion is reported. Dieulafoy's lesion is frequently responsible for severe and recurrent upper gastrointestinal hemorrhage. The lesion was predominantly found in the proximal stomach. Repeat endoscopies were needed in 33% of the patients in order to make the correct diagnosis. When preoperative diagnosis and localization were made, surgery was an effective therapeutic modality. Therapeutic endoscopy was successful in achieving permanent hemostasis in 85% of the reported cases. Re-treatment was needed in an additional 10% and surgical therapy in 5% of the cases. Therapeutic endoscopy should be considered initially in all patients. Surgical intervention and angiography with embolization may be effective options if endoscopic therapy is unsuccessful.
KW - exulceratio simplex
KW - upper gastrointestinal hemorrhage
UR - http://www.scopus.com/inward/record.url?scp=0025790189&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0025790189&partnerID=8YFLogxK
U2 - 10.1007/BF01296613
DO - 10.1007/BF01296613
M3 - Article
C2 - 1748038
AN - SCOPUS:0025790189
VL - 36
SP - 1702
EP - 1707
JO - Digestive Diseases and Sciences
JF - Digestive Diseases and Sciences
SN - 0163-2116
IS - 12
ER -